Signed_Affirmation_and_Disclosure_form__2_.pdf

This document is an Affirmation and Disclosure Form related to a state contract, specifically addressing requirements for contractors performing services for ODOT (Ohio Department of Transportation). The form is executed by a contractor located at 1020 Andrew Drive in West Chester, Pennsylvania, and is designed to ensure compliance with Executive Order 2022-02D and related state procurement regulations regarding offshore services and Russian companies.

The form confirms that the contractor will perform services at their primary business location in West Chester, PA, and affirms that no services will be performed by Russian companies or institutions. The document includes provisions about data handling, requiring that state data cannot be sent outside the United States without a signed waiver. The contractor, represented by Ryan S. Brown (President), signed the document on February 23, 2024, indicating their commitment to abide by the contract's terms, including restrictions on offshore performance and potential immediate contract termination if these conditions are violated.