This document is an Affirmation and Disclosure Form for 889 Global Solutions, Ltd., relating to a state contract with the Ohio Department of Transportation (ODOT). The form specifically addresses compliance with Executive Order 2022-02D regarding services performed by Russian companies or institutions. The contractor is located at 1943 W. 5th Ave in Columbus, OH 43212, and there are no subcontractors listed on the document.
The form emphasizes the contractor's commitment to not perform any services outside the United States without prior written consent, and explicitly prohibits the purchase of services from Russian companies or institutions pursuant to the executive order. The document serves as a formal disclosure of the contractor's business location and affirms adherence to specific state and federal guidelines regarding service performance and data management. The form was signed by the company's Controller on February 26, 2025, and requires an original signature as part of any potential contract with the state.