Signature__38_.pdf

PDF 414 KB Posted

Attached to
Competitive Selection OH|DOT12626-3
Contract number
DOT12626-3
Issued by
Ohio

About this file

This document is a signature page for a state contract from the Ohio Department of Transportation (ODOT), specifically Procurement #126-26, involving multiple bidders for barrier reflectors, linear delineation systems, and flexible delineation posts. The contract involves Luciol Systems Co. as a bidder, with ODOT's representatives being Pamela Boratyn (Director) and Nathan Fling signing on behalf of the department.

The procurement is notable for its Build America Buy America Act (BABA) compliance stipulation, where Luciol Systems Co. products are explicitly treated as non-domestic products due to their failure to provide BABA compliance certification. The contract is a multiple award procurement for transportation-related infrastructure equipment, specifically focused on barrier reflectors and delineation systems. The signature page serves as a formal acknowledgment of the bidder's understanding of all contract terms and conditions, and represents ODOT's acceptance of the bidder's offer to enter into a state contract for the specified goods.

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Other files

File Type Posted
126-26spec.pdf PDF
1-126-26pricing_2.xlsx XLSX spreadsheet
ODOT_Co-Op_Program_Information__12_.pdf PDF
1-126-26pricing.xlsx XLSX spreadsheet
1-126-26pricing_1.xlsx XLSX spreadsheet
1-_Affirmation_and_Disclosure_Document__Affirmation_and_Disclosure_-_Copy__1_.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:

NOTE: For the purposes of this contract in relation to the Build America Buy America Act (BABA), treat products from LUCIOL SYSTEMS CO., as non-domestic products, since they did not provide certification of BABA compliance, or indication of BABA compliance in the pricing sheet, with their bids.

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

Yfsq430JLWg6_1hqSkuJxXIgW: 2025-09-26 17:27:01
Yfsq430JLWg6_TKk2oaWESx0K: Nicolas Skrzypczak
Yfsq430JLWg6_5R7f3EdLJhoS: Member
Yfsq430JLWg6_B7gqKlCOqloX: Luciol Systems Co
2025-09-26T17:27:03+0000
Client IP: 73.161.37.95, Transaction ID: LHfi8RilUDA1YDrpJH9diHn3_Dc=
OneSpan
E-SIGNED by Nicolas Skrzypczak (nskrzypczak@luciolsystems.com), ID: bd6583fa-80c4-460f-bcc8-6b10c86d34eb
2025-10-27T13:06:25+0000
Client IP: 156.63.133.8, Transaction ID: LHfi8RilUDA1YDrpJH9diHn3_Dc=
OneSpan
E-SIGNED by Max Fling (nathan.fling@dot.ohio.gov), ID: 25568074-279f-4689-a2a3-71c4c634dc53

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