Affirmation_and_Disclosure_-_ODOT.pdf

This document is an Affirmation and Disclosure Form related to an Ohio state contract, specifically addressing restrictions on services performed by Russian companies or institutions. The form is associated with Executive Order 2022-02D and involves Oberlanders Tree+Landscape, a contractor based in Bucyrus, Ohio. The document outlines the contractor's commitment to not perform services in Russia and to comply with state regulations regarding offshore service restrictions.

The contractor indicates that services will be performed at various locations within Ohio, with the primary business address located at 1874 E. Mansfield St. in Bucyrus. There are no subcontractors listed, and the form serves as an affirmation that the contractor will not engage in any services in Russia or utilize Russian subcontractors. The document is part of a contract for the 2022-2020 period and requires an original signature, which was provided by Randy Jackson, the Managing Member of Oberlanders Tree+Landscape, on 8-25-25.