RedStoneFarm_affirmationdisclosure.pdf

The document is an Affirmation and Disclosure Form (Invitation No. 095-23) for a contract involving the State of Ohio, specifically the Ohio Department of Transportation (ODOT). The form addresses compliance with Executive Order 2022-02D regarding services performed by Russian companies or institutions, requiring contractors to affirm they will not engage with Russian entities. The contractor for this document is located at 610 Frost Road in Hillsboro, Ohio 45133.

The form requires the contractor to disclose locations where services will be performed, state data will be located, and affirm that no services under this contract will be performed by the contractor or subcontractors in Russia. While specific details about the goods or services are not explicitly stated, the document emphasizes strict adherence to state procurement regulations, particularly those related to international service restrictions. The contractor has signed the form on 4/28/22, indicating their commitment to these terms and understanding of the contract's geographical and operational limitations.