PETERSON_HIGHWAY_SAFETY_AFFIRMATION___DISCLOSURE_041-25__2_.pdf

This document is an Affirmation and Disclosure Form from Peterson Highway Safety, Inc., located in Columbus, Ohio, addressing compliance with Executive Order 2022-02D regarding services performed in relation to Russian companies or institutions. The form is a contractual document detailing the contractor's principal business location, service performance locations, and state data storage sites, with primary locations in Columbus and Hilliard, Ohio.

The document indicates that the contractor affirms no services will be performed in Russia, and the company is prohibited from purchasing services from Russian companies or institutions under the executive order. The service location is specified as 3170 Scioto Darby Executive CT in Hilliard, Ohio, with no subcontractors listed. The form was signed by the company president on 2/22/24, affirming the contractor's understanding and agreement to abide by the state's requirements regarding service locations, data handling, and potential contract termination conditions related to changes in service performance locations.