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 Procurement #097a-23 from the State of Ohio, Department of Transportation (ODOT), specifically from their Office of Contract Sales, Purchasing Services. The document involves Quality Counts, LLC as the bidding company, with Mark Shields (Vice President) executing the signature, and Jack Marchbanks, Ph.D. as the Director of Transportation signing on behalf of ODOT to formalize the contract.
The procurement is for Traffic Count Data Services, with the signature page serving as an acknowledgment that Quality Counts, LLC understands and will comply with all terms, conditions, and requirements of the procurement. By executing this document, the company agrees to enter into a contract with ODOT if selected, and the document represents ODOT's formal acceptance of the bidder's offer. The contract was signed on 1/17/2023, effectively establishing ODOT Contract 097a-23 between the State of Ohio and Quality Counts, LLC.
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Other files
| File | Type | Posted |
|---|---|---|
| 04_Affirmation_Disclosure.pdf | ||
| 05_QualificationsPacket.pdf | ||
| 097a-23.pdf | ||
| Quality_Counts_LLC_Contract_Amendment-Signed.pdf | ||
| 097Apricing_rev2026.xlsx | XLSX spreadsheet | |
| 05_QualificationsPacket.pdf | ||
| 097Apricing.xlsx | XLSX spreadsheet | |
| Quality_Counts_LLC_Contract_Amendment-Signed.pdf | ||
| 02_SignaturePage.pdf | ||
| 04_Affirmation_Disclosure.pdf | ||
| 097a-23.pdf |
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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 .