ODOT_Affirmation_and_Disclosure_Form__4_.pdf

This document is an Affirmation and Disclosure Form related to a contract involving Ligtlie Enterprises of Ohio, LLC, located in Frankfort, Ohio. The form is specifically tied to compliance with Executive Order 2022-02D, which addresses restrictions on services performed by Russian companies or institutions. The contractor affirms understanding of the requirements and agrees to perform services only within the United States, with potential service locations at 22 E Springfield St. and 60 North Fork Ln. in Frankfort, OH 45628.

The contract appears to involve state data management and service provisions, with the contractor obligated to disclose any changes in service locations to the state and understanding that the state can immediately terminate the contract if services are attempted outside the United States. The form requires detailed location information for the contractor's principal business, service performance locations, and state data storage sites. The document is signed by David R Ligtlie in a member capacity on February 10, 2025, and is part of a broader compliance mechanism related to government contracting restrictions, specifically targeting potential Russian service involvement.