attachment_1.pdf

This document is an Affirmation and Disclosure Form related to a state contract, specifically for Rogue Tree Solutions, LLC. The form is associated with Executive Order 2022-02D, which prohibits state agencies from purchasing services from Russian companies or institutions. The document is designed to affirm the contractor's compliance with this order and disclose information about the contractor's business locations and service performance areas.

The form indicates that no services will be performed in Russia, and all sections requiring location details are marked "NOT APPLICABLE". The contractor agrees to complete the attached Exhibit II and affirms that no services will be performed in Russia. The document emphasizes the contractor's obligation to disclose any changes in service locations to the state and acknowledges that the state can immediately terminate the contract if such disclosures are not made. The form was signed by the CEO on 10/14/2024, indicating it is part of a current or upcoming contract process.