Affirmation_and_Disclosure_Swenson.pdf

This is an Affirmation and Disclosure Form for Swenson Spreader LLC, located in Lindenwood, IL, related to a state contract with the Ohio Department of Transportation (ODOT). The document specifically addresses compliance with Executive Order 2022-02D, which restricts expenditure of public funds on services performed by Russian companies or institutions. The form requires the contractor to disclose their principal business location, service performance locations, and state data storage locations, all of which are at the same 127 North Walnut Street address in Lindenwood, Illinois.

The document highlights key contractual obligations, including a prohibition on performing services in Russia and restrictions on purchasing services from Russian companies or institutions, pursuant to Executive Order 2022-02D. ODOT reserves the right to terminate the contract if the contractor performs services in Russia or uses Russian subcontractors. The form is signed by Carissa Lawless, Government Sales Coordinator for Swenson Spreader LLC, with an execution date of 4/25/2025, and requires the contractor to immediately disclose any changes in service locations or subcontractor arrangements throughout the contract period.