Standard Affirmation Form.pdf

This document is an Affirmation and Disclosure Form designed for contractors engaging with a state government contract, specifically addressing offshore and state data location requirements. The form mandates that contractors disclose their principal business location, service performance locations, and any subcontractor details, with an emphasis on compliance with Executive Orders related to prohibitions on performance of offshore services or purchasing from Russian institutions and companies. Contractors are required to provide comprehensive location information for their business, service performance, and state data storage, with clear instructions that failure to provide complete information may result in contract non-award.

The form includes critical compliance provisions requiring contractors to immediately disclose any changes in service locations, with the state retaining the right to terminate the contract if services are moved outside the United States without a signed waiver. The document serves as a formal declaration where the contractor acknowledges understanding these terms and agrees to notify the state of any shifts in service locations or subcontractor arrangements. By executing this form, the contractor's authorized representative confirms that the document is an integral part of any potential state contract and commits to full transparency regarding their operational locations and potential offshore activities.