Affirmation_and_Disclosure_Form.pdf

This document is an Affirmation and Disclosure Form related to a contract involving ATC HR Consulting Partners, located in Lewis Center, Ohio, and the Ohio Department of Transportation (ODOT). The form addresses compliance with Executive Order 2022-02D, which prohibits the purchase of services from Russian companies or institutions, and requires disclosure of service locations and potential data storage sites.

The contractor has identified its principal business location as 59 Meadow Park Ave., #1039 in Lewis Center, OH 43035, and the location where state data will be stored as 6373 Johnnycake LN in Galena, OH 43021. The form indicates the service location will be an ODOT Facility of Choice, and no subcontractors are currently listed. The document was signed by Teresa Stevenson, People Operations Director, on April 2, 2024, affirming the company's commitment to transparency regarding service performance locations and compliance with state procurement regulations.