Signature__38_.pdf
PDF 410 KB Posted
- Attached to
- Competitive Selection OH|DOT09926-3
- Contract number
- DOT09926-3
- Issued by
- Ohio
About this file
This document is a signature page for a multiple award procurement by the State of Ohio Department of Transportation (ODOT), Office of Contract Sales, Purchasing Services. The procurement involves Southeastern Equipment Co. Inc. as the bidder, with the document being executed electronically by Chris Kurz, Regional Sales Manager, and signed by Pamela Boratyn, Director of ODOT, with the procurement number 099-26.
The procurement is for a tool carrier and attachments, structured as a multiple award contract. The signature page serves as a formal acknowledgment of the bidder's understanding and compliance with all terms, conditions, and requirements of the procurement. It also indicates the bidder's acceptance of entering into a contract with ODOT and being bound by the contract's conditions. The document does not provide specific details about the tool carrier and attachments, pricing, or contract duration, but establishes the formal agreement between ODOT and the successful bidder.
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Other files
| File | Type | Posted |
|---|---|---|
| 2-Southeastern_-_099-26_-_Mantis_bid.xlsx | XLSX spreadsheet | |
| ODOT_Co-Op_Program_Information.pdf | ||
| 099-26_Tool_Carrier.pdf | ||
| 2-Affirmative_and_disclosure_form_-_final.pdf |
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Text version
State of Ohio, Department of Transportation (ODOT) Office of Contract Sales, Purchasing Services
SIGNATURE PAGE
Procurement # 099-26
Commodity/Service: Tool Carrier and Attachments Multiple Award:
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
| H5D3ojLmodEI_xLSF2O0ywBsD: 2025-12-01 16:52:20 | |
| H5D3ojLmodEI_eOTX1A0ooS00: Chris Kurz | |
| H5D3ojLmodEI_E4HgQiDa64AH: Regional Sales Manager | |
| H5D3ojLmodEI_r9ocPu1UK6c6: Southeastern Equipment Co. Inc. | |
| 2025-12-01T16:52:24+0000 | |
| Client IP: 216.194.98.85, Transaction ID: KBmqI-YeZS1FTPyjmxeNygEzdJo= | |
| OneSpan | |
| E-SIGNED by Chris Kurz (ckurz@southeasternequip.com), ID: 0d4a5775-5c86-4321-b7e0-e865a4b821bb |
| 2025-12-05T20:55:00+0000 | |
| Client IP: 156.63.133.8, Transaction ID: KBmqI-YeZS1FTPyjmxeNygEzdJo= | |
| OneSpan | |
| E-SIGNED by Max Fling (nathan.fling@dot.ohio.gov), ID: 70803769-e84d-4f7b-be21-e963cb5909fa |
File details come from the government source that posted it. Updated .