Signed_Affirmation_and_Disclosure_Form_Bid__375-25.pdf

This document is an Affirmation and Disclosure Form for a contract involving Aquatic Control, Inc., located at 418 West State Road 258 in Seymour, IN 47274. The form is associated with the Ohio Department of Transportation (ODOT) and relates to Executive Order 2022-02D, which prohibits the expenditure of public funds on services performed by Russian companies or institutions. The contractor affirms compliance with this order and agrees to abide by its requirements.

The contract appears to be focused on chemical sales, with the contractor specifying "Chemical Sales Only" for subcontractor activities and service locations. While specific service details are not fully elaborated, the document indicates that the contractor is prohibited from performing services outside the United States and must disclose any changes in service locations or subcontractor arrangements. The form emphasizes compliance with state regulations, particularly regarding the prohibition of services from Russian entities, and reserves ODOT's right to recover funds and terminate the contract if these conditions are not met.