AFFIRMATION_AND_DISCLOSURE_FORM.pdf

This document is an Affirmation and Disclosure Form for a contract involving Harmony Project, located at 4411 Tamarack Blvd. in Columbus, OH 43229. The form discloses primary and subcontractor locations for services, with primary service locations in Marysville, OH 43040 at 1479 Collins Ave. Subcontractors include Mills James Video Production in Columbus, OH and Kozicki Photography/Events, also located in Columbus.

The contract involves services to be performed at 1479 Collins Ave. in Marysville, OH, with state data to be located at the same address. The document indicates involvement of subcontractors ORW, who will perform services at the same location. The form is signed by Matthew Schutt, Director of Development, on 7-15-24, and affirms compliance with executive orders regarding offshore services and potential restrictions related to Russian institutions or companies. The form requires disclosure of any changes in service locations, with the state retaining the right to immediately terminate the contract if such changes occur.