Signature__38_.pdf
PDF 414 KB Posted
- Attached to
- Competitive Selection OH|DOT12626-1
- Contract number
- DOT12626-1
- Issued by
- Ohio
About this file
The document is a Signature Page for a procurement contract from the State of Ohio's Department of Transportation (ODOT), specifically Procurement #126-26. The contract involves Impact Recovery Systems, INC. as the bidder, with Greg Hannah serving as the company's President. The document was e-signed on September 27, 2025, with ODOT Director Pamela Boratyn (signed by Nathan Fling) formally accepting the bidder's offer.
The procurement is for Barrier Reflectors, Linear Delineation Systems, and Flexible Delineation Posts, designated as a Multiple Award contract. The signature page serves as a formal acknowledgment that the bidder understands and will comply with all terms, conditions, and requirements of the procurement. By executing this document, Impact Recovery Systems, INC. enters into a contract with ODOT and agrees to be bound by all included terms and conditions. The document confirms that the signing officer is authorized to submit the response and execute contracts on behalf of the company.
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Other files
| File | Type | Posted |
|---|---|---|
| 1-126-26pricing_-_Impact_Recovery_Systems.xlsx | XLSX spreadsheet | |
| 126-26spec.pdf | ||
| ODOT_Co-Op_Program_Information__12_.pdf | ||
| 1-Affirmation_and_Disclosure_-_OhioDOT_-_IRS_Executed.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
| DtgoLwq9ii46_SJfV5yxh2DY3: 2025-09-27 12:16:11 | |
| DtgoLwq9ii46_05OO28NeP5c3: Greg Hannah | |
| DtgoLwq9ii46_7hY7XLW8bFQU: President | |
| DtgoLwq9ii46_rGriwagAZLU9: Impact Recovery Systems, INC | |
| 2025-09-27T12:16:18+0000 | |
| Client IP: 71.41.11.2, Transaction ID: FUuMLJ3CIE4rvLHzITmHv41t60M= | |
| OneSpan | |
| E-SIGNED by Greg Hannah (ahernandez@impactrecovery.com), ID: 17fad577-ca4e-4276-8e18-84c33cac9c0a |
| 2025-10-27T13:06:43+0000 | |
| Client IP: 156.63.133.8, Transaction ID: FUuMLJ3CIE4rvLHzITmHv41t60M= | |
| OneSpan | |
| E-SIGNED by Max Fling (nathan.fling@dot.ohio.gov), ID: fb018f96-cc00-4eec-ba35-e39fd653cdc6 |
File details come from the government source that posted it. Updated .