Signature__38_.pdf
PDF 400 KB Posted
- Attached to
- Competitive Selection OH|DOT04426-9
- Contract number
- DOT04426-9
- Issued by
- Ohio
About this file
This document is a Signature Page from the State of Ohio, Department of Transportation (ODOT), Office of Contract Sales, Purchasing Services, for Procurement #044-26. The contract involves TSI Western Star as the bidder, with official signatures from Adam Knight (Sales Manager) and ODOT representatives, including Pamela Boratyn (Director) and Nathan Fling.
The procurement is for Truck Tractors with Conventional Cab and Tandem Axle, structured as a Multiple Award contract. The document serves as a formal acknowledgment and execution of a contract between TSI Western Star and the State of Ohio Department of Transportation. The signature page confirms the bidder's understanding and compliance with all terms, conditions, and requirements of the procurement, and represents the official acceptance of the bidder's offer by ODOT.
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Text version
State of Ohio, Department of Transportation (ODOT) Office of Contract Sales, Purchasing Services
SIGNATURE PAGE
Procurement # 044-26
Commodity/Service: Truck Tractor Conventional Cab Tandem Axle 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
| Lrp6ne9CtvQ8_3hIMyddjpnUK: 2025-10-08 15:39:25 | |
| Lrp6ne9CtvQ8_4aal6mULgaoM: Adam Knight | |
| Lrp6ne9CtvQ8_Ne5GuXwIWdAX: Sales Manager | |
| Lrp6ne9CtvQ8_QDiJUB0oMvUI: TSI WESTERN STAR | |
| 2025-10-08T15:39:36+0000 | |
| Client IP: 70.61.239.141, Transaction ID: 8Y83Z_Thdw9qSRrIdZZPb3WZxlc= | |
| OneSpan | |
| E-SIGNED by Adam Knight (adamk@tsiwesternstar.com), ID: 17f963bf-be93-4846-81f9-bd557b914918 |
| 2025-10-27T13:16:54+0000 | |
| Client IP: 156.63.133.8, Transaction ID: 8Y83Z_Thdw9qSRrIdZZPb3WZxlc= | |
| OneSpan | |
| E-SIGNED by Max Fling (nathan.fling@dot.ohio.gov), ID: 4d10c4b0-5e13-4480-9d87-1fc2bdac900b |
File details come from the government source that posted it. Updated .