Enviroscapes_Affirmation___Disclosure_Form.pdf
PDF 105 KB Posted
- Attached to
- Competitive Selection OH|DOT33726-1
- Contract number
- DOT33726-1
- Issued by
- Ohio
About this file
This document is an Affirmation and Disclosure Form completed by Todd's Enviroscapes, LLC, located in Louisville, Ohio, in compliance with Executive Order 2022-02D. The form is related to a state contract with the Ohio Department of Transportation (ODOT) and addresses requirements for performing services, particularly focusing on restrictions related to Russian companies and institutions.
The contractor has identified its principal business location at 7727 Paris Ave. in Louisville, OH, with services to be performed at 33606 03 Route 30 in Lisbon, OH. No subcontractors are listed on the form. The document affirms that the contractor will not perform services in Russia and agrees to abide by executive orders prohibiting state agencies from purchasing services from Russian companies. The form was signed by Jay Kitzmiller in the Sales role on 4/21/25, certifying the company's compliance with the specified contractual and governmental requirements.
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