Affirmation_and_Disclosure_Form_-_BCC.pdf

This document is an Affirmation and Disclosure Form for Barbicas Construction Company, Inc., located in Akron, Ohio, pertaining to a state contract with the State of Ohio. The form addresses compliance with Executive Order 2022-02D, which specifically relates to restrictions on services performed by Russian companies or institutions. The contractor affirms that all contract services will be performed within the United States and provides details about the company's principal business location and potential service locations.

The contract involves services to be performed at various locations within the State of Ohio, with the contractor's primary business address at 124 Darrow Road, Suite 1 in Akron. No specific subcontractors are listed on this form, and the document emphasizes the contractor's commitment to not performing any services in Russia and adhering to the requirements of the referenced executive order. The form is signed by the company president and dated 4/10/2025, indicating a forward-looking agreement that outlines the contractor's obligations and limitations in executing state-related work.