Affirmation_and_Disclosure_Great_Miami_Mitigation_Bank.pdf

This document is an Affirmation and Disclosure Form for Invitation No. 095-23, completed by Five Rivers Metroparks, located in Dayton, Ohio. The form is designed to provide details about the contractor's business location, service performance locations, and compliance with specific executive orders, particularly regarding services performed outside the United States and restrictions on Russian companies or institutions.

The form indicates that Five Rivers Metroparks will perform services at 409 E. Monument Ave., 3rd Floor in Dayton, OH 45402, with no subcontractors listed. The document emphasizes compliance with Executive Order 2022-02D and 2019-12D, which impose restrictions on purchasing services from Russian companies or institutions. The form was signed by Greg Diersell, Regional Manager of Conservation, on 4/26/2022, and is part of a contract preparation process that requires disclosure of service locations and potential international service performance considerations.