AFFIRMATION_AND_DISCLOSURE_FORM_TCS_10-07-2024__1_.pdf

This document is an Affirmation and Disclosure Form related to a state contract, specifically involving Tree Care Specialists of Southern OH, LLC as the primary contractor, located at 2584 State Route 218 in Gallipolis, Ohio. The form addresses restrictions on public funds for services performed by Russian companies or institutions, in compliance with Executive Order 2022-02D, and prohibits the purchase of offshore services by the State of Ohio. Two subcontractors are listed: Joseph Tree Company and Strickland Forestry.

The contract involves services to be performed at the contractor's primary business location in Gallipolis, Ohio, with all state data to be located at the same address. The document emphasizes compliance with Executive Order 2019-12D regarding offshore services and provides a mechanism for the State to immediately terminate the contract if there are any changes in service location or potential violations. The form requires full disclosure of business locations, subcontractors, and service performance sites, with an understanding that failure to provide complete information may result in no contract award. The document is dated 10/07/2024 and signed by Scott Swain in the capacity of Manager.