ODOT_Affirm_Signature.pdf

This document is an Affirmation and Disclosure Form related to a contract with the Ohio Department of Transportation (ODOT), executed by AK Ready Mix LLC located in Jackson, OH. The form addresses compliance with Executive Order 2022-02D, which prohibits expenditure of public funds on services performed by Russian companies or institutions. The contractor affirms that no services under this contract will be performed in Russia, and the primary business location and service performance location is 441 Dixon Run Rd in Jackson, OH.

The document does not specify the specific goods or services under contract, but emphasizes compliance with state procurement restrictions related to Russian entities. The contractor, AK Ready Mix LLC, is required to disclose its business location, subcontractors, and service performance locations. The form includes provisions for potential contract termination if the contractor or its subcontractors perform services in violation of the Executive Order. The document was signed by Robert E. Stewart, the owner of AK Ready Mix LLC, on 4-2-25, indicating agreement to the terms and conditions outlined in the affirmation form.