Affirmation_and_Disclosure_Form.pdf

This document is an Affirmation and Disclosure Form related to a contract with the Ohio Department of Transportation (ODOT), completed by Kerr Trucking, Inc. The form addresses requirements under Executive Order 2022-02D, specifically focusing on restrictions for services performed by Russian companies or institutions. The contractor, located in Nova, Ohio, has affirmed compliance with the order and disclosed its principal business location and service performance location as Ashland, Ohio.

The form indicates no subcontractors will be used for this contract, and all services will be performed in Ashland, Ohio for ODOT. The document emphasizes the contractor's commitment to not engaging in services from Russian companies and agrees to immediately notify the state of any changes in service locations or contract conditions. The form was signed by the Vice President of Kerr Trucking, Inc. on 2/19/25, serving as a formal commitment to the contract's terms and conditions related to geographical and institutional service restrictions.