Affirmation_and_Disclosure_PDF__signed_.pdf

This document is an Affirmation and Disclosure Form related to a state contract, specifically involving the Ohio Department of Transportation (ODOT). The contractor is located at 687 Palmetto Road in Tupelo, Mississippi 38801. The form addresses compliance with Executive Order 2022-02D, which includes restrictions on performing services for Russian companies or institutions, and requires disclosure of service locations and potential subcontractors.

The form emphasizes compliance with Executive Order 2022-02D, which prohibits the purchase of services from Russian companies or institutions, expanding upon Executive Order 2019-12D. The contractor agrees to complete the attached Exhibit II and affirms that no services under this contract will be performed in Russia. The principal business location and service performance location are both listed as 687 Palmetto Road in Tupelo, MS. No specific subcontractors are listed on this form, and no detailed pricing or service specifics are provided beyond the compliance and location declarations.