Ohio_Cat_Affirmation_and_Disclosure_Form_2025.pdf

This document is an Affirmation and Disclosure Form for the Ohio Machinery Company, located at 5852 Walcut Court in Columbus, Ohio 43228. The form is related to compliance with Executive Order 2022-02D, which prohibits the expenditure of public funds on services performed by Russian companies or institutions. The form is specifically tied to a contract with the Ohio Department of Transportation (ODOT) and requires the contractor to disclose locations where services will be performed and state data will be located.

The contractor, Ohio Machinery Company, indicates that services will be performed at Buckeye Item (location) and that all state data will be located at their primary business address in Columbus, Ohio. The form emphasizes that no subcontractors are currently involved (marked as N/A), and the company affirms compliance with restrictions on purchasing services from Russian companies or institutions. The document was signed on January 6, 2025, by the company's controller, and requires full disclosure of any changes in service locations during and after contract execution, with the state retaining the right to immediately terminate the contract if such changes are not properly reported.