Affirmation_and_Disclosure_Form.pdf

This document is an Affirmation and Disclosure Form related to Executive Order 2022-02D, specifically addressing restrictions on services performed by Russian companies or institutions. The form is completed by Hyde Engineering, located in Columbus, Ohio, with a principal business address of 2700 NE Plain City-Georesville Rd, West Jefferson, OH 43162. The document is designed to ensure compliance with state and federal regulations regarding offshore services and public fund expenditures.

The form explicitly prohibits the contractor from performing services in Russia and requires full disclosure of any potential subcontractors and locations where services will be performed. The contractor (Hyde Engineering) affirms understanding of Executive Order 2019-12D, which generally precludes state agencies from purchasing offshore services. The document serves as a critical compliance mechanism for state contracts, requiring the contractor to immediately notify the state of any changes in service locations or potential violations of the executive order's provisions.