Signature__38_.pdf

PDF 412 KB Posted

Attached to
Competitive Selection OH|DOT12626-4
Contract number
DOT12626-4
Issued by
Ohio

About this file

This document is a Signature Page for a procurement by the State of Ohio, Department of Transportation (ODOT), specifically from the Office of Contract Sales, Purchasing Services. The procurement is identified as Procurement #126-26 and involves Shur-Tite Products Inc. as the bidder. The document represents a multiple award contract and serves as a formal acknowledgment of the bidder's understanding and compliance with the procurement's terms, conditions, and requirements.

The contract covers the procurement of Barrier Reflectors, Linear Delineation Systems, and Flexible Delineation Posts. The document indicates that Shur-Tite Products Inc. has been selected as an award recipient, with Jaslene Garcia (Sales Coordinator) electronically signing the document on September 26, 2025. The contract is formally accepted by ODOT's Director, Pamela Boratyn, with a countersignature by Nathan Fling on October 27, 2025. While specific pricing, quantities, and detailed contract terms are not provided in this signature page, the document establishes the fundamental agreement between ODOT and Shur-Tite Products Inc. for the specified transportation-related equipment and systems.

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Other files

File Type Posted
1-Pricing_Document_for_Ohio_126-26pricing.xlsx XLSX spreadsheet
126-26spec.pdf PDF
1-Affirmation_and_Disclosure_Form_126-26.pdf PDF
ODOT_Co-Op_Program_Information__12_.pdf PDF

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Text version

State of Ohio, Department of Transportation (ODOT) Office of Contract Sales, Purchasing Services

SIGNATURE PAGE

Procurement # 126-26

Commodity/Service: Barrier Reflectors, Linear Delineation Systems and Flexible Delineation Posts 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

PL55uaPm5bcQ_7kFBVG7M2N4B: 2025-09-26 15:05:40
PL55uaPm5bcQ_tbCGCKh4UBM7: Jasleene Garcia
PL55uaPm5bcQ_RRhv17tqUB8M: Sales Coordinator
PL55uaPm5bcQ_B3sCoiyHaY4C: Shur-Tite Products Inc.
2025-09-26T15:05:48+0000
Client IP: 65.25.124.215, Transaction ID: 1Yj3SkFCdc7A8WM0y0kwnwWSrFw=
OneSpan
E-SIGNED by Jasleene Garcia (jasleene@shur-tite.com), ID: 1dc0928b-2033-4944-b639-81e817cf0d1d
2025-10-27T13:05:26+0000
Client IP: 156.63.133.8, Transaction ID: 1Yj3SkFCdc7A8WM0y0kwnwWSrFw=
OneSpan
E-SIGNED by Max Fling (nathan.fling@dot.ohio.gov), ID: 7674d8d2-5f08-4e38-8cb9-c61ac68152f9

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