SM_AaD.pdf

This document is an Affirmation and Disclosure Form related to a state contract, specifically addressing compliance with Executive Order 2022-02D regarding Russian companies and institutions. The contractor is Sealmaster Mfg of Penna LLC, located at 4551 W State St in Hillsville, PA 16132, with services to be performed at 430 N Meridian Rd in Youngstown, OH 44509. The form is designed to ensure the contractor's commitment to not perform services in Russia and to disclose the location of business operations and data storage.

The document affirms that the contractor will not provide services outside the United States, will not allow state data to be sent, accessed, or stored remotely outside the United States, and agrees to immediately notify the State of any changes in service locations. The form specifically states that all state agencies are prohibited from purchasing services from Russian companies or institutions pursuant to the Executive Order. No subcontractors are listed as applicable, and the document was signed by a manager on 04-08-2025, indicating the contract's compliance with current state regulations regarding international service provisions.