affirmation_and_disclosure_form_JTI.pdf

This document is an Ohio Statewide Affirmation and Disclosure Form for the John Thomas Company, located at 1560 Lovett Drive in Dixon, IL 61021. The form is part of the Ohio Buys procurement system and specifically addresses requirements related to Executive Order 2022-02D concerning services performed by Russian companies or institutions. The form requires the contractor to affirm compliance with state regulations regarding offshore services and potential contract restrictions.

The document does not specify the exact goods or services being contracted, but it outlines the contractor's obligations regarding service locations, data management, and geographic performance restrictions. The contractor affirms that all services will be performed from their Dixon, Illinois location, with no subcontractors listed. The form emphasizes compliance with Executive Order 2019-120, which generally prohibits the purchase of offshore services by state agencies. The contractor agrees to immediately disclose any changes in service locations and understands the state's right to terminate the contract if such changes occur outside the United States.