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This document is an Affirmation and Disclosure Form related to a state contract, specifically addressing services and potential work performed by Maerd & Sons, Inc. The form relates to Executive Order 2022-02D, which prohibits services by Russian companies or institutions, and requires disclosure of business locations and service performance sites. The contractor's principal business location is listed as 101 Red Nine Lane in Lawrence, PA 15055.

The form emphasizes compliance with regulations regarding offshore services, particularly those involving Russian companies or institutions. The contractor affirms that no services under this contract will be performed in Russia, and they agree to immediately disclose any changes in service locations to the state. The document serves as a mandatory disclosure and affirmation mechanism for contractors seeking to enter into a contract, ensuring transparency about business operations and service delivery locations. The form was signed by the company's CFO on 1/14/2025, indicating recent preparation for a potential state contract engagement.