Untitled_4.pdf

This document is an Affirmation and Disclosure Form related to a state contract, specifically involving ODOT (Ohio Department of Transportation) District #3 and R.A. Joseph Construction, Inc., located in Avon, Ohio. The form addresses compliance with Executive Order 2022-02D, which prohibits expenditure of public funds on services performed by Russian companies or institutions. The contractor affirms understanding and agreement to these restrictions and provides details about the business location and service performance location.

The document indicates that services will be performed for ODOT District #3, with the contractor's principal business location in Avon, Ohio. The form emphasizes compliance with executive orders restricting purchase of services from Russian companies, particularly in light of ongoing geopolitical tensions. While specific service details are not fully elaborated, the form serves as a legal affirmation that the contractor will not engage in services prohibited by the executive order and agrees to potential contract termination if service locations change or shift outside the United States.