Affirmation_and_Disclosure_Form__7_.pdf

This document is an Affirmation and Disclosure Form related to Executive Order 2022-02D, focusing on restrictions for services performed by Russian companies or institutions. The contractor is located at 7676 Northfield Road in Walton Hills, Ohio 44146. The form requires disclosure of business locations, service performance locations, and state data storage locations, with the contractor affirming compliance with federal and state regulations regarding international service delivery.

The document indicates no subcontractors will be used for this contract, with all services to be performed at the same Walton Hills, Ohio address. The contractor agrees to abide by Executive Order 2022-02D, which prohibits the purchase of services from Russian companies or institutions, and reserves the right for the state to recover funds if the contract terms are violated. The form was signed by Dave Sommer, Service Manager, on 12/8/2023, and is part of a broader contractual agreement between the contractor and the state, with specific emphasis on restrictions related to Russian service providers.