AFFIRMATION.pdf

This document is an Affirmation and Disclosure Form related to a state contract, specifically involving the Ohio Department of Transportation (ODOT) and H & H Land Clearing LLC, located in Middlefield, Ohio. The form addresses compliance with Executive Order 2022-02D, which prohibits the expenditure of public funds on services performed by Russian companies or institutions in response to geopolitical tensions.

The contractor, H & H Land Clearing LLC, has indicated that services will be performed at multiple locations, with the principal business address at 15530 Old State Rd, Middlefield, Ohio 44062. The form requires the company to affirm that no services under this contract will be performed in Russia, and the company agrees to complete the attached exhibit and comply with restrictions on Russian business involvement. The document is signed by the President, with an execution date of 9/4/2025, and serves as a formal disclosure and compliance statement for potential state contract work.