Executed_Affirmation_and_Disclosure_Form.pdf

This document is an Affirmation and Disclosure Form for SPC Specialty Products, located at 520 E. Woodruff Ave. in Toledo, Ohio 43604. The form is related to a state contract and specifically addresses compliance with Executive Order 2022-02D, which prohibits the expenditure of public funds on services performed by Russian companies or institutions. The contractor affirms understanding and agreement to abide by these requirements, with potential implications for contract termination if not followed.

The form indicates that the contractor's primary business location and state data location will be at the Toledo, Ohio address. No specific subcontractors are listed beyond SPC Specialty Products itself. The document emphasizes restrictions on purchasing services from Russian companies, extending to state-level prohibitions and potential contract termination. While the specific goods or services are not detailed in this form, the document serves as a compliance mechanism for state contracting, focusing on geopolitical restrictions related to service performance and procurement.