Affirmation___Disclosure_Form.pdf

This document is an Affirmation and Disclosure Form related to a state contract, specifically involving the Ohio Department of Transportation (ODOT) and Ohio Peterbilt div of Ohio Machinery Co. The form addresses compliance with Executive Order 2022-02D, which includes restrictions on services performed by Russian companies or institutions. The primary contractor is Ohio Machinery Co., located at 3993 E Royalton Rd. in Broadview Heights, Ohio, with a principal business location at 6240 Enterprise Parkway in Grove City, OH. The service location is identified as Peterbilt Motors Co. in Denton, Texas.

The document outlines requirements for data handling, service performance, and subcontractor disclosure, with specific emphasis on prohibitions against purchasing services from Russian companies due to the current geopolitical context. The contractor affirms that no services under this contract will be performed in Russia and agrees to complete the attached Exhibit II, which is a ContractorSubcontractor Affirmation and Disclosure Form. The form is signed by Michael Crawford, Vice President of the Truck Group, on 10/24, indicating the contract's recent execution and the company's commitment to compliance with state and federal guidelines regarding international service procurement.