Revised_Affirmation_Page_Signed.pdf

This document is an Affirmation and Disclosure Form related to a state contract, specifically involving the State of Ohio (ODOT) and Dyna Last Inc., located in Saginaw, Michigan. The form addresses requirements under Executive Order 2022-02D concerning services performed by Russian companies or institutions, with strict provisions prohibiting the use of offshore services in Russia for state contract work.

The primary contractor, Dyna Last Inc., has identified its principal business location as 525 Morley Drive in Saginaw, MI 48601, and has committed to performing contract services within the United States. The document requires disclosure of any subcontractors and their locations, though in this instance no subcontractors are listed. The form is signed by Kevin Blaesser, Director of Sales Operations, on 11/18/2024, and serves as a binding affirmation that the company will comply with state contract regulations, particularly those related to geographical service restrictions and data handling.