AFFIRMATION_AND_DISCLOSURE_FORM__2_.pdf

This document is an Affirmation and Disclosure Form completed by Koski Construction Company for a state contract. The principal location of business is 5841 Woodman Ave in Antabula, OH 44084, and the services will be performed in District 4. The form requires the contractor to affirm and disclose details about service locations, data handling, and potential subcontractors, with the company indicating that no subcontractors will be used for this contract.

The document does not specify the exact goods or services being contracted, but it includes critical provisions about data management and service performance. The contractor affirms that no services will be performed outside the United States and that any changes in service location must be immediately reported to the state. The form was executed by the Vice President on 2/24/25, signifying the company's commitment to the contract's terms and conditions regarding service delivery, data protection, and geographical limitations.