Holmes_Redimix_Affirmation___Disclosure.pdf

This is an Affirmation and Disclosure Form for Holmes Redimix Inc., a contractor for the Ohio Department of Transportation (ODOT), related to Executive Order 2022-02D concerning services performed by Russian companies or institutions. The document specifically addresses restrictions on services outside the United States and requires disclosure of business locations and service performance sites. The form is part of a contract process that prohibits the purchase of services from Russian companies or institutions, in alignment with State of Ohio procurement guidelines.

The contract involves Holmes Redimix Inc., located at 5420 County Road 349 in Millersburg, OH 44654, with all services to be performed at the same location. No subcontractors are listed as applicable. The document emphasizes compliance with specific executive order requirements, with the company agreeing to complete an attached Exhibit II (Contractor/Subcontractor Affirmation and Disclosure Form). The form is signed by the Vice President of Operations, with the company's Employer Identification Number 26-1665866, indicating this is part of a formal government contracting process with specific geographical and operational restrictions.