Erie_Materials_Affirmation_and_Disclosure_100-26.pdf

This document is an Affirmation and Disclosure Form from Erie Materials Inc., located at 4507 Tiffin Ave., Sandusky, OH 44870, related to a state contract. The form addresses compliance with Executive Order 2022-02D and its prohibitions on state agencies purchasing services from Russian companies or institutions, specifically pertaining to potential contracts with the Ohio Department of Transportation (ODOT) during the 2022-2020 period.

The contractor indicates that services will be performed at "Various Locations" and that state data will be located at their primary business address in Sandusky, Ohio. No subcontractors are listed, and the form is signed by the Vice President on 2.21.25, affirming the company's commitment to not performing services in Russia and agreeing to immediately notify the state of any changes in service location. The document serves as a formal disclosure and affirmation of compliance with state procurement restrictions related to international service providers.