ODOT_Affirmation_And_Disclosure.pdf

This document is an Affirmation and Disclosure Form related to a contract with the Ohio Department of Transportation (ODOT), specifically executed by TST Western Star located at 385 South Bailey Rd. in North Jackson, Ohio 44451. The form addresses compliance with Executive Order 2022-02D regarding services performed by Russian companies or institutions, and requires the contractor to disclose locations where services will be performed and state data will be located.

The form does not specify the exact goods or services under contract, but requires the contractor to affirm compliance with prohibitions on purchasing services from Russian companies or institutions. The contractor, TST Western Star, has indicated that all services will be performed at their primary business location in North Jackson, Ohio. The document was signed by Luke Morgan, Sales Manager, on 10/2/2024, and incorporates an affirmation that the contractor will immediately disclose any changes in service locations or subcontractor information to the State of Ohio.