Affirmation_and_Disclosure_Form__6_.pdf

This document is an Affirmation and Disclosure Form for Paradigm Aviation, Inc. (doing business as PAC International/Paradigm Aerospace Corp.), related to a contract with the Ohio Department of Transportation (ODOT). The form is tied to Executive Order 2022-02D and addresses requirements for services performed outside the United States, specifically focusing on potential interactions with Russian companies or institutions. The contractor's principal business location is 226 Airport Rd. in Mt. Pleasant, Pennsylvania.

The form indicates that the contractor will not perform any services using subcontractors in Russia and affirms compliance with prohibitions on purchasing services from Russian companies or institutions. No specific goods or services are detailed in this document, which serves primarily as a compliance and disclosure mechanism. The contractor agrees to immediate notification of any changes in service location and understands that the State reserves the right to terminate the contract if certain conditions are not met. The document is dated 6/12/2024 and was signed by the DOM/Accountable Manager, with no subcontractors listed and no specific contract value mentioned.