Affirmation_Disclosure_Form_-_signed__1_.pdf

This document is an Affirmation and Disclosure Form related to a state contract, specifically addressing restrictions on services performed by Russian companies or institutions. The form is completed by ATMAX Equipment Co., located in Tampa, FL, in compliance with Executive Order 2022-02D, which prohibits state agencies from purchasing offshore services. The form confirms the contractor's principal business location, service performance location, and state data storage location are all at 6902 E. 7th Ave. in Tampa, FL.

The document does not provide specific details about goods or services, contract pricing, or contract duration. However, it emphasizes the contractor's commitment to not performing any services outside the United States and to immediately notify the state of any changes in service locations. The form is part of a broader compliance effort with Executive Order 2019-12D, which generally restricts offshore service purchases by state agencies. The contractor affirms that no services will be performed in Russia, and they are prepared to terminate the contract if unable to meet these requirements.