Affirmation_and_Disclosure_KMI.pdf

This document is an Affirmation and Disclosure Form related to a state contract, specifically involving Kokosing Materials, Inc. (KMI) as the primary contractor and Kokosing Construction Co., Inc. as a subcontractor. The form is designed to comply with Executive Order 2022-02D, which prohibits purchasing services from Russian companies or institutions. The contractor's principal business location is in Fredericktown, Ohio, with the subcontractor located in Westerville, Ohio.

The contract involves services to be performed on various 101-G Projects in Ohio, with state data to be located at 17531 Waterford Rd. in Fredericktown, OH. The document affirms that no services will be performed in Russia, and the contractor agrees to abide by the restrictions outlined in the Executive Order. The form is signed by David A. Gregg, Assistant Secretary of Kokosing Materials, Inc., on 02-12-2025, and serves as a critical compliance document for potential state contract work, ensuring transparency about service locations and adherence to federal executive orders regarding international business restrictions.