Affirmation___Disclosure_Coshocton_Materials.pdf

This document is an Affirmation and Disclosure Form for Coshocton Materials - Division of Holmes Redimix Inc., related to an Executive Order 2022-02D concerning services performed in or outside the United States. The form is associated with the Ohio Department of Transportation (ODOT) and involves restrictions on expenditure of public funds for services from Russian companies or institutions. The contractor is located at 23674 County Road 621 in Coshocton, OH 43812, and no subcontractors are listed on the form.

The contract pertains to services to be performed by Coshocton Materials - Division of Holmes Redimix Inc. at their primary business location in Coshocton, Ohio. The document indicates that the contractor will not perform any services outside the United States without a signed waiver from the state. The form is part of an agreement that incorporates Exhibit II, which details contractor/subcontractor affirmations. The contractor agrees to disclose any changes in location of services and understands that the state can immediately terminate the contract if services are performed outside the United States without proper authorization.