Erie_Materials_Affirmation_and_Disclosure_101G-26.pdf

This document is an Affirmation and Disclosure Form from Erie Materials Inc., submitted in compliance with an Executive Order related to state contracts, specifically addressing restrictions on services performed in Russia. The form is associated with the Ohio Department of Transportation (ODOT) and pertains to a contract covered by Executive Order 2022-02D for the period of 2022-02D. The company is based in Sandusky, Ohio, with its principal business location at 4507 Tiffin Ave.

The document indicates that Erie Materials Inc. will perform services at "Various Locations" and will store state data at its primary business address. The company has affirmed that it will not use subcontractors for this contract, as indicated by the "N/A" entries in the subcontractor sections. The form emphasizes compliance with restrictions on offshore services and requires the contractor to immediately disclose any changes in service locations. The document was signed by the Vice President on 2-26-25, certifying the company's agreement to the terms and conditions outlined in the contract's Executive Order.