Exhibit__2__Affirmation_____Disclosure_Form_Signed.pdf

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Attached to
Agency Administered OH|CTR024023
Contract number
CTR024023
Issued by
Ohio

About this file

This document is an Exhibit 2 Affirmation and Disclosure Form for a state contract, involving a primary contractor located at 150 Corporate Drive in Binghamton, NY 13904, and a subcontractor, Pegasus Vans & Trailers, Inc., located at 4003 Tiffin Avenue in Sandusky, OH 44870. The form is designed to affirm compliance with Executive Orders regarding prohibitions of performance offshore services and locating state data, with specific focus on avoiding interactions with Russian institutions or companies.

The form details the locations where services will be performed, which are primarily at the contractor's principal business address in Binghamton, NY. The contractor affirms that they and their subcontractor are obligated to disclose any changes in service locations to the state, with the understanding that the state has the right to immediately terminate the contract if services are moved outside the United States without a signed waiver. The document is signed by the contractor's Sales Manager on 8/22/24, indicating an active and current contractual agreement with specific geographic and operational constraints.

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