Affirmation_and_Disclosure_Signed.pdf

The document is an Affirmation and Disclosure Form related to a state contract, specifically involving the Ohio Department of Transportation (ODOT) and Caldwell Redi/Mix, located at 45997 Marcella Rd. in Caldwell, OH 43724. The form addresses restrictions on the expenditure of public funds on services performed by Russian companies or institutions, in compliance with Executive Order 2022-02D, which prohibits state agencies from purchasing services from Russian entities.

The contractor (Caldwell Redi/Mix) indicates that service locations will be determined by awarded bids, with services to be delivered to job sites. The company affirms that no services will be performed in Russia, and it agrees to immediately notify the state of any changes in service locations. The form was signed on 3/31/25 by Adriane Bucina, Assistant to Operations, certifying the company's compliance with state contract requirements and restrictions on offshore services.