Scioto_Southern_Affirmation___Disclosure_Form.pdf

This document is an Affirmation and Disclosure Form for Scioto Materials, located at 80 Park Drive in Thornville, Ohio 43076, related to a contract with the Ohio Department of Transportation (ODOT). The form addresses compliance with Executive Order 2022-02D, specifically focusing on restrictions regarding services performed by Russian companies or institutions in the context of state contracts.

The form confirms that Scioto Materials will not perform any contract services in Russia and has no subcontractors planned for this contract. The company's principal business location and service performance location are both at 80 Park Drive in Thornville, Ohio. The document emphasizes the contractor's commitment to abide by state requirements concerning the prohibition of purchasing services from Russian companies, with the understanding that ODOT reserves the right to recover any funds paid for services if these terms are violated. The form was signed by Paul E. Cuthbert Jr., President of Scioto Materials, on 02/25/2025, indicating the company's formal agreement to these terms.