NLS_PAVING__INC._101G-26_AFFIRMATION___DISCLOSURE_FORM.pdf

This document is an Affirmation and Disclosure Form for NLS Paving, Inc., a contractor engaging with the Ohio Department of Transportation (ODOT) for a state contract. The form covers the contractor's principal business location at 6795 Bayberry Dr., Suite B in Saint Clairsville, Ohio, and specifies service performance will occur in ODOT Districts 5, 10, and 11. The document affirms compliance with Executive Order 2022-02D, which prohibits state agencies from purchasing offshore services and requires contractors to disclose their service locations.

The contract appears to be an indefinite delivery vehicle for transportation-related services, with the contractor agreeing to perform work within specified ODOT districts. The form emphasizes that no services will be performed in Russia, and the contractor must immediately disclose any changes in service locations or subcontractor arrangements. The document is signed by Brian L. Varrato, Vice President of NLS Paving, Inc., with an execution date of 2/26/2025, and serves as a formal commitment to the contract's terms and conditions related to service delivery and state data management.