02_SignaturePage.pdf

PDF 759 KB Posted

Attached to
Competitive Selection OH|DOT097A23-3
Contract number
DOT097A23-3
Issued by
Ohio

About this file

This document is a Signature Page for a procurement contract (Invitation No. 097a-23) between the State of Ohio, Department of Transportation (ODOT) and Quality Counts, LLC. The document serves as a formal acknowledgment of the bidder's understanding and compliance with all terms, conditions, and requirements of the procurement, with Mark Shields, Vice President of Quality Counts, LLC, signing on behalf of the company on 1/17/2023.

The contract is for Traffic Count Data Services, with ODOT formally accepting the bidder's offer through the signature of Nathan Fling on behalf of Director Jack Marchbanks. The signature page indicates that upon contract award, Quality Counts, LLC will be bound by all terms and conditions of the procurement, effectively establishing ODOT Contract 097a-23 between the State of Ohio and the selected vendor. No specific pricing, option periods, or detailed service specifications are provided in this signature page document.

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Text version

Invitation No. 097a-23

State of Ohio, Department of Transportation (ODOT)

Office of Contract Sales, Purchasing Services

SIGNATURE PAGE

Procurement #097a-23

Commodity/Service: Traffic Count Data Services

This Signature Page must be completed and submitted with a Bidder’s sealed bid package to serve as acknowledgement to the Department that the Bidder understands and will comply with all terms, conditions, and requirements in submitting a response for the above-referenced procurement.

Furthermore, the execution and submission of this Signature Page shall serve as acknowledgment that the

Bidder will enter into a Contract with the State of Ohio, Department of Transportation if selected for award of the above-referenced procurement, and understands, upon Contract award, it shall be bound by all terms and conditions included in this procurement.

The person signing and executing this Signature Page below acknowledges that he/she is signing on behalf of their Company in a representative capacity and hereby warrants that he/she has been duly authorized by his/her Company to submit this formal response and is authorized to execute Contracts on such Company’s behalf.

(Please execute below)

Company (Bidder) Name: ________________________________________________________

Original Signature: _____________________________________________________________

Print Name of Officer: ___________________________________________________________

Title of Signing Officer: __________________________________________________________

Date: _________________________________________

FOR USE BY THE OHIO DEPARTMENT OF TRANSPORTATION ONLY:

Pursuant to Section 30 of the Instructions, Terms and Conditions for Bidding, a signature below by the

Director of ODOT shall serve as the Department’s formal acceptance of the bidder’s offer and will effectively form ODOT Contract 097a-23 between the State of Ohio, Department of Transportation and the above successful bidder (company):

Nathan Fling, Signing on behalf of Director of Transportation, Jack Marchbanks

Jack Marchbanks, Ph. D.

Director

State of Ohio, Department of Transportation mshields Typewritten Text Quality Counts, LLC mshields Typewritten Text Mark Shields mshields Typewritten Text Vice President mshields Typewritten Text 1/17/2023

2023-01-17T10:44:40-0500
Mark Shields

File details come from the government source that posted it. Updated .