Affirmation_and_Disclosure_Form__7_.pdf

This document is an Affirmation and Disclosure Form related to a state contract, specifically addressing requirements for contractors performing services under Executive Order 2022-02D. The form is completed by Rudd Equipment Company, with a principal business location in Louisville, KY, and services to be performed in Columbus, OH. The document addresses restrictions on performing services for Russian companies and institutions, in compliance with state procurement guidelines.

The form outlines the contractor's locations for business operations, service performance, and data storage, which are situated at 4344 Poplar Level Road in Louisville, KY and 2512/2512 Jackson Pike in Columbus, OH. The contractor affirms compliance with Executive Order 2022-02D, which prohibits state agencies from purchasing services from Russian companies or institutions. The document serves as a disclosure mechanism for the contractor to confirm they are not violating the executive order's provisions regarding offshore services and fund recovery, and agrees to complete an additional exhibit (Exhibit II) incorporating this affirmation into any potential contract with the state.