Signature__38_.pdf
PDF 433 KB Posted
- Attached to
- Competitive Selection OH|DOT12426-5
- Contract number
- DOT12426-5
- Issued by
- Ohio
About this file
This document is a Signature Page for a State of Ohio Department of Transportation (ODOT) procurement, specifically Procurement #124-26, involving a Qualified Products List (QPL) for CLEAR ROADS. The contract involves a multiple award to AquaSalina+ and Nature's Own Source, LLC, with the document serving as a formal acknowledgment of contract terms and bidder compliance.
The procurement covers Liquid Deicers, Inhibited Liquid CaCl, and Inhibitor Materials. David Mansbery, President of Natures Own Source LLC, has electronically signed the document on 2025-09-27, and ODOT's Director (Pamela Boratyn, as signed by Nathan Fling) has countersigned, effectively establishing the contract. The signature page indicates that the bidder understands and will comply with all procurement requirements and is authorized to execute contracts on behalf of the company.
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Other files
| File | Type | Posted |
|---|---|---|
| ODOT_Co-Op_Program_Information__12_.pdf | ||
| 1-124_Pricing_09_11_25.xls | XLS spreadsheet | |
| 124-26.pdf | ||
| 1-AFFIRMATION_AND_DISCLOSURE_FORM.pdf |
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Text version
State of Ohio, Department of Transportation (ODOT) Office of Contract Sales, Purchasing Services
SIGNATURE PAGE
Procurement # 124-26
Commodity/Service: PNS / CLEAR ROADS Qualified Products List (QPL) Liquid Deicers, Inhibited Liquid CaCl and Inhibitor Materials
Multiple Award:
AquaSalina+ Nature's Own Source, LLC
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
| AsZ7tRScv7AD_rPcSAzigFr0Q: 2025-09-27 02:23:46 | |
| AsZ7tRScv7AD_Ai6wANhqgksR: David Mansbery | |
| AsZ7tRScv7AD_XFtjIuypCQY7: President | |
| AsZ7tRScv7AD_B8iGbMAwE5MM: Natures Own Source LLC | |
| 2025-09-27T02:25:10+0000 | |
| Client IP: 98.102.184.166, Transaction ID: kAVuuF3NpDjxjKDzLygeIOap_iE= | |
| OneSpan | |
| E-SIGNED by David Mansbery (dave@naturesownsource.com), ID: e92552e4-273a-409e-83ed-60f345690b5d |
| 2025-10-01T16:27:47+0000 | |
| Client IP: 156.63.133.8, Transaction ID: kAVuuF3NpDjxjKDzLygeIOap_iE= | |
| OneSpan | |
| E-SIGNED by Max Fling (nathan.fling@dot.ohio.gov), ID: 0a6ed09d-0731-4be9-9587-bc5773b8617a |
File details come from the government source that posted it. Updated .