TPM__Affirmation_and_Disclosure.pdf

This document is an Affirmation and Disclosure Form related to a state contract, specifically involving Tow Path Materials, a company located in Beaver, OH. The form is designed to comply with Executive Order 2022-02D, which prohibits state agencies from purchasing services from Russian companies or institutions. The contractor affirms that no services will be performed in Russia and that they understand the restrictions imposed by the state of Ohio regarding offshore services.

The contract services will be performed at 15751 SR 28 in Frankfort, OH, with the contractor's principal business location at 1881 Adams Road in Beaver, OH. No subcontractors are listed on the form. The document requires the contractor to disclose any changes in service locations before, during, and after contract execution, and mandates immediate notification to the state of any shifts in service location. The form is signed by the company's president on 04-11-2025, indicating a future-dated contract or preparation document for a potential state and local contract indefinite delivery vehicle.