Ohio_DOT_Affirmation_and_Disclosure_Form_Signed__1_.pdf

This is an Affirmation and Disclosure Form related to a contract involving INBRIX, INC., with primary business location at 1756 114th Ave SE Suite 200 in Bellevue, WA 98004. The document references subcontractors including University of Maryland/CATTLAB (College Park, MD), DriveWyze Inc. (Plano, TX), and Information Logistics (Cherry Hill, NJ). The form addresses compliance with Executive Order 2022-02D, which prohibits state agencies from purchasing offshore services from Russian companies or institutions, and requires disclosure of service locations.

The contract involves services to be performed at the contractor's Bellevue, WA location, with potential work by subcontractors at their respective addresses. The document emphasizes the contractor's obligation to disclose any changes in service locations to the State, with potential contract termination if services are performed in Russia. The form is signed by the President & CEO, Bryan P. Mistele, with an execution date of 07/30/2025, and requires the contractor to complete an attached Exhibit II, which is incorporated as part of the contract's terms regarding service locations and potential restrictions.