affirmation___disclosure.pdf

This document is an Affirmation and Disclosure Form related to a contract with the Ohio Department of Transportation (ODOT), completed by Bownet Pricing. The form addresses compliance with Executive Order 2022-020D, specifically regarding restrictions on services performed by Russian companies or institutions. The contractor affirms their principal business location is at 14376 N. Cheshire Street in Burton, OH 44021, with services to be performed at various locations within Ohio.

The document indicates that the contractor will perform services across various locations in Ohio and maintains state data at their primary business address. No specific subcontractors are listed, and the form emphasizes the contractor's agreement to abide by restrictions on engaging with Russian companies, as outlined in the Executive Order. The contractor commits to immediate disclosure of any changes in service locations or contract conditions, with ODOT reserving the right to terminate the contract if services cannot be performed within the United States. The form was signed by a Contract Administrator on 2/26/25, suggesting this is part of a current or upcoming contract process with the state of Ohio.