Affirmation and Disclosure Form for EO2011-12K - State of 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by filling out the 'Principal location of business of this Offeror' section. Enter your company name, address, city, state, and zip code.
3. Next, provide the names and locations of any subcontractors in the designated fields. If you do not have subcontractors, simply indicate 'Not Applicable'.
4. Proceed to the section for 'Location where services will be performed by Offeror'. Fill in all relevant addresses where services will be conducted.
5. Continue with the 'Location where state data will be stored' section. Ensure you list all applicable addresses accurately.
6. Finally, complete the 'Location where services to be performed will be changed or shifted' section if applicable. Sign and date at the bottom before submission.

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