Affirmation_and_Disclosure_-_Signed_10-15-2024.pdf

This document is an Affirmation and Disclosure Form for Robertson Construction Services, LLC, located in Heath, Ohio, related to a state contract governed by Executive Order 2022-02D. The form addresses compliance with regulations regarding services performed outside the United States, specifically prohibiting expenditure of public funds on services by Russian companies or institutions. The contractor affirms understanding of and agreement to abide by the specified executive orders and state agency restrictions.

The contract indicates services will be performed at various locations, with the contractor's principal business and state data located at 1801 Thorwood Drive in Heath, Ohio. No specific subcontractors are listed (marked as N/A), and the document suggests the contract may involve multiple service locations. The form requires the contractor to disclose any changes in service locations and grants the state the right to immediately terminate the contract if services shift outside the United States without a signed waiver. The document is signed by the company president and dated October 15, 2024, and is part of the requirements for potential engagement in a state contract.