Xerox_Scan_01092025120117.pdf

This document is an Affirmation and Disclosure Form related to a state contract, specifically for Baldwin & Sours, Inc., located at 5263 Trabue Road in Columbus, Ohio 43228. The form is associated with Executive Order 2022-02D, which prohibits the expenditure of public funds on services performed by Russian companies or institutions. The document is designed to ensure compliance with state procurement regulations, particularly concerning potential services or purchases from Russian entities.

The form indicates that Baldwin & Sours, Inc. has no subcontractors and will not be performing services outside of Ohio. The company affirms that it will not engage in any contract services with Russian companies, in line with the Executive Order. The document requires the contractor to disclose any changes in business location or service performance areas, with the state reserving the right to terminate the contract if services are performed outside the United States. The form is signed by T. Steve Sours, President of Baldwin & Sours, Inc., with a date of 01/09/2025, and serves as a mandatory disclosure and compliance mechanism for state contracting.