BRNB422003A3F17_010326.pdf

This document is an Affirmation and Disclosure Form related to a state contract, specifically involving SLE Technologies, Inc. dba Indiana Automotive Equipment and the Ohio Department of Transportation (ODOT). The form addresses compliance with Executive Order 2022-02D, which prohibits expenditure of public funds on services performed by Russian companies or institutions. The contractor is located at 212 N. Main Street in Maxwell, IN 46154 and will perform services at various ODOT sites.

The contract involves providing services to ODOT, with the contractor affirming that no part of the contract or its subcontracts will be performed in Russia. The document requires disclosure of business locations, service performance sites, and data storage locations. The form emphasizes the contractor's agreement to immediately notify the state of any changes in service locations or contract details, and acknowledges that the state reserves the right to terminate the contract if there are violations of the executive order regarding Russian service providers.