Affirmation_Disclosure_form_2024.pdf

This document is an Affirmation and Disclosure Form for a contract involving Elwer Fence Inc., located in Lima, Ohio, and the Ohio Department of Transportation (ODOT). The form addresses compliance with Executive Order 2022-02D, which prohibits services from Russian companies or institutions. The contractor affirms understanding and agreement to perform contract services exclusively within the United States, with the primary business location at 4054 East Rd., Lima, Oh 45807.

The contract indicates that all state data will be located in Ohio, and the contractor has no subcontractors listed for this engagement. The document emphasizes strict adherence to restrictions on offshore services, particularly those related to Russian companies, and outlines the contractor's obligation to immediately notify the state of any changes in service locations. The form is signed by the company president on 9/11/24, and serves as a mandatory disclosure and compliance document for entering into a contract with the state, with no specific details provided about the exact nature of goods or services to be rendered.