Affirmation_and_Disclosure_KSU.pdf

This document is an Affirmation and Disclosure Form for a contractor located in Kent, Ohio, with a service location in Leavittsburg, Ohio. The form requires the contractor to affirm understanding of Executive Orders related to offshore services, data location, and prohibitions on purchasing from Russian institutions. The document serves as a compliance statement for a state contract, with the contractor attesting to their business locations and potential subcontractor arrangements.

The contractor has indicated that both their principal business location and the location where services will be performed are in Ohio (Kent and Leavittsburg, respectively). The form specifically requires disclosure of any locations where state data will be stored, with the contractor listing the same Leavittsburg address. No subcontractors are indicated on the form. The document includes a critical clause requiring the contractor to notify the state immediately of any changes in service locations and affirming the state's right to terminate the contract if services are moved outside the United States. The form is signed by Margaret (Peggy) Shadduck, Vice President & Dean, on 6/27/25.