Signature__38_.pdf
PDF 411 KB Posted
- Attached to
- Competitive Selection OH|DOT125C25-1
- Contract number
- DOT125C25-1
- Issued by
- Ohio
About this file
This document is a Signature Page for a state procurement contract from the Ohio Department of Transportation (ODOT), Office of Contract Sales, Purchasing Services. The procurement involves Southern Fasteners & Supply Inc. as the bidder, with the contract identified as Procurement #125C-25. The document serves as a formal acknowledgment and acceptance of contract terms between Southern Fasteners & Supply Inc. and the State of Ohio, with signatures from Kevin Frazier (Program Manager) for the bidder and Pamela Boratyn (Director of ODOT) representing the state agency.
The specific commodity/service covered by this contract is Sign Hardware, though detailed pricing and specific terms are not elaborated in this signature page. The document indicates that the bidder (Southern Fasteners & Supply Inc.) understands and will comply with all procurement terms and conditions. The contract was electronically signed, with Kevin Frazier signing on 2025-11-14 and Pamela Boratyn (via Nathan Fling) signing on 2025-11-19, suggesting the contract becomes effective after these dates. While the signature page does not provide extensive contract details, it represents the formal agreement between ODOT and the selected vendor for procuring sign hardware.
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Other files
| File | Type | Posted |
|---|---|---|
| 125C-25pricing__1_.xlsx | XLSX spreadsheet | |
| Affirmation_and_Disclosure_Form__10_.pdf | ||
| 125C-25spec.pdf |
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Text version
State of Ohio, Department of Transportation (ODOT) Office of Contract Sales, Purchasing Services
SIGNATURE PAGE
Procurement # 125C-25
Commodity/Service: Sign Hardware
This Signature Page, once fully executed, serves 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 of this Signature Page shall serve as acknowledgment that the Bidder is entering into a Contract with the State of Ohio, Department of Transportation and has been selected for award of the above-referenced procurement and understands 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: ________________________________________________________
Signature: _____________________________________________________________
Print Name of Officer: ___________________________________________________________
Title of Signing Officer: __________________________________________________________
Date: _________________________________________
FOR USE BY THE OHIO DEPARTMENT OF TRANSPORTATION ONLY:
Pursuant 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 between the State of Ohio, Department of Transportation and the above successful bidder (company):
Pamela Boratyn as signed by Nathan Fling
Pamela Boratyn Director State of Ohio, Department of Transportation
| jqXX0eMiA200_jd46A4qJ8F4H: Southern Fasteners & Supply Inc | |
| jqXX0eMiA200_rnrrbEgmSDgZ: Kevin Frazier | |
| jqXX0eMiA200_5tdSveCZX7YB: Program Manager | |
| jqXX0eMiA200_CV0AdJT3AKUA: 2025-11-14 15:29:23 | |
| 2025-11-14T15:29:30+0000 | |
| Client IP: 70.62.87.244, Transaction ID: CQwisIUMkvU3SZXgPf80TVqXAIE= | |
| OneSpan | |
| E-SIGNED by Kevin Frazier (kevin.frazier@southernfasteners.com), ID: 8327f90a-d25a-4dbd-875d-81e528bf91a2 |
| 2025-11-19T16:46:56+0000 | |
| Client IP: 156.63.133.8, Transaction ID: CQwisIUMkvU3SZXgPf80TVqXAIE= | |
| OneSpan | |
| E-SIGNED by Nathan Fling (nathan.fling@dot.ohio.gov), ID: bed9b023-3676-47fe-9503-446630f7635f |
File details come from the government source that posted it. Updated .