Signed_Affirmation_and_Disclosure_Form__1-17-25.pdf

This document is an Affirmation and Disclosure Form related to Executive Order 2022-02D, executed by Beagle Hill Services LLC, a company located at 9745 Raiders Road in Frazeysburg, Ohio 43822. The form addresses restrictions on public funds expenditure for services performed by Russian companies or institutions, specifically prohibiting state agencies from purchasing services from Russian entities under the 2022-02D Executive Order.

The form indicates that no onsite services are anticipated, and no state data will be held by Beagle Hill. The company has no subcontractors listed, and the document affirms that no services will be performed in Russia. The form is signed by Brenda K Celuch, President of Beagle Hill Services LLC, on January 7, 2025, and serves as a mandatory disclosure and affirmation document for potential contract work with state agencies, ensuring compliance with the specified executive order regarding restrictions on Russian service providers.