Affirmation_and_Disclosure_signed__School_of_PE_ODOT_009-25_Bid.pdf

This document is an Affirmation and Disclosure Form related to a state contract, specifically involving the Ohio Department of Transportation (ODOT) and an Executive Order concerning Russian companies. The form is signed by a representative from a company located at 425 Metro Pl N, Suite 450 in Dublin, Ohio, with the signatory's title listed as Vice President. The document is executed in compliance with Executive Order 2022-02D, which prohibits state agencies from engaging with Russian companies or institutions in contract services.

The form outlines the contractor's principal business location, service performance location, and state data storage location, all of which are in Dublin, Ohio. The contractor affirms that no services will be performed outside the United States and agrees to disclose any changes in service locations before, during, and after contract execution. The document specifically notes that the contractor will not be using subcontractors, as indicated by "N/A" in the subcontractor sections. The form is part of a broader compliance mechanism ensuring state contracts adhere to restrictions on offshore services, particularly those related to Russian entities, and was signed on 3/27/24.