FORCE_America_-_Affirmation_and_Disclosure.pdf

This document is an Affirmation and Disclosure Form related to a state contract, specifically addressing requirements under Executive Order 2022-02D concerning services performed by Russian companies or institutions. The form is associated with the Ohio Department of Transportation (ODOT) and involves a contractor located in Burnsville, MN, with primary business operations and service locations in Columbus, OH.

The contractor, whose representative is Ryan Jobuda (Vice President of Sales), has indicated that no subcontractors will be used for this contract, and all services will be performed at 4172 Fisher Road in Columbus, OH 43228. The form affirms compliance with prohibitions on offshore services and confirms that no part of the contract's services will be performed in Russia. The document is dated December 18, 2023, and serves as a formal disclosure and affirmation of the contractor's adherence to state procurement guidelines and executive order restrictions on international service delivery.