Affirmation___Disclosure_Form.pdf

This document is an Affirmation and Disclosure Form for Mandel Metals, Inc. DBA US Standard Sign Co., addressing compliance with Executive Order 2022-02D regarding services performed in or related to Russia. The form is designed to provide transparency about the contractor's business locations, service performance locations, and state data storage, with the principal business address located at 11440 W. Addison Ave. in Franklin Park, IL 60131. The document indicates no subcontractors are currently involved in the contract.

The form specifically affirms that the contractor will not perform any services in Russia and will comply with state prohibitions on purchasing offshore services, as outlined in the Executive Order. The contractor agrees to complete Exhibit II, which is incorporated into the contract, and acknowledges that any change in service locations must be immediately disclosed to the State. No specific details about contract value, specific services, or precise contract terms are provided in this disclosure document, which appears to be a standard compliance form ensuring the contractor's alignment with state regulations regarding international service performance.