Fyda_FTL_Cincy_-_Affirmation_and_Disclosure_form_-10-2-24.pdf

This document is an Affirmation and Disclosure Form related to a state contract, specifically involving Fyda Freightliner Cincinnati, Inc. located at 1 Freightliner Dr, Cincinnati, OH 45241. The form addresses compliance with Executive Order 2022-02D, which prohibits state agencies from purchasing services from Russian companies or institutions, and relates to potential contract performance and data location restrictions.

The form confirms that the contractor will perform services at their Cincinnati, Ohio location and will not use Russian companies or institutions in contract execution. The document requires disclosure of business locations, service performance sites, and state data storage locations, all of which are listed as the same Cincinnati address. The contractor affirms understanding of requirements to notify the state of any changes in service locations and acknowledges potential contract termination if compliance is not maintained. The form was signed on 10-2-24 by an authorized representative of Fyda Freightliner Cincinnati, Inc.