Affirmation_and_Disclosure_Form_S_S_Aggregate.pdf

This document is an Affirmation and Disclosure Form for S&S Aggregate, a division of Mar-Zane Materials, Inc., related to a state contract. The form is specifically tied to Executive Order 2022-02D, which prohibits state agencies from purchasing services from Russian companies or institutions. The contractor, located at 3570 So. River Rd in Zanesville, OH 43701, is submitting this form as part of a contract with the state, likely Ohio, and affirming compliance with the executive order's requirements.

The form indicates that no subcontractors will be used for this contract, and all services will be performed at the contractor's primary location in Zanesville, Ohio. The document is signed by Todd Young, Assistant Vice President, on February 27, 2025, and includes a list of six company plant locations across Ohio (in Zanesville, Chillicothe, Logan, Perrysville, and Ravenna). While specific contract details are not fully disclosed in this document, it appears to be a standard compliance form ensuring the contractor's adherence to state procurement regulations and restrictions on services from Russian entities.