Affirmation___Disclosure_Form.pdf

This document is an Affirmation and Disclosure Form related to a state contract involving Ryan's Equipment, located at 111 Quicksilver Lane in Edmore, Michigan 48829. The form is specifically tied to the Ohio Department of Transportation (ODOT) and addresses compliance with Executive Order 2022-02D, which prohibits the use of public funds for services performed by Russian companies or institutions in light of geopolitical circumstances.

The contract details indicate that services will be performed at the company's primary location in Edmore, Michigan, with the Ohio Department of Transportation listed as a key stakeholder at their Jacksontown, Ohio address. The form requires disclosure of service locations, data storage sites, and commits the contractor to immediately notify the state of any changes in service or location. The document was signed by the Sales Manager on 01-14-2025, affirming the company's understanding of the contract terms, including the prohibition on offshore services and the requirement to perform work within the United States.