Affirmation___Disclosure__2_.pdf

This document is an Affirmation and Disclosure Form related to a contract, specifically addressing requirements for services performed outside the United States. The form is completed by Otto Machinery Co., with their principal business location at 3993 E. Rojerton Rd. in Broadview Heights, OH. The document references Executive Order 2022-02D, which prohibits expenditure of public funds on services performed by Russian companies or institutions, and requires disclosure of service locations and potential subcontractors.

The form indicates that the contractor will perform services at the address listed (Rojeston/Rojerton area), with no subcontractors noted. The contractor affirms compliance with restrictions on purchasing services from Russian companies and institutions, in alignment with state contract regulations. The document emphasizes the contractor's obligation to disclose any changes in service locations and acknowledges that the state retains the right to terminate the contract if these disclosure requirements are not met. The form was signed by the company's controller on 6/13/2024, certifying the accuracy of the provided information.