Signature__38_.pdf

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Attached to
Competitive Selection OH|DOT26526-5
Contract number
DOT26526-5
Issued by
Ohio

About this file

The document is a Signature Page for a state procurement contract issued by the Ohio Department of Transportation (ODOT), specifically through the Office of Contract Sales, Purchasing Services. The procurement involves a multiple award contract, with Southeastern Equipment Co. Inc. being one of the awarded vendors for the solicitation numbered 265-26.

The contract is for Jetting & Vacuum Truck services, with Southeastern Equipment receiving the award while noting they will accept exceptions for specifications 1C and 6E in Section 2. The signature page serves as a formal acknowledgment of the contract terms, with both the vendor (represented by Chris Kurz, Regional Sales Manager) and the state agency (represented by Pamela Boratyn, Director) executing the document electronically. The contract was signed on November 25, 2025, with the vendor signing first and the ODOT director signing the following day, indicating the official formation of the contract between Southeastern Equipment and the State of Ohio Department of Transportation.

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Text version

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

SIGNATURE PAGE

Procurement # 265-26

Commodity/Service: Jetting & Vacuum Truck Multiple Award: Southeastern Equipment: we will accept exceptions for specifications 1C and 6E in Section 2. They are awarded this contract.

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

Yte1cqn4rGc1_hzm2j1DHhe0M: 2025-11-25 14:06:37
Yte1cqn4rGc1_xC5SUmSOw40I: Chris Kurz
Yte1cqn4rGc1_Hu27SUzXWm87: Regional Sales Manager
Yte1cqn4rGc1_77N5Or1SKVs0: Southeastern Equipment Co. Inc.
2025-11-25T14:06:43+0000
Client IP: 216.194.98.125, Transaction ID: -ZUIc8sTG3-tZl2C32FizQWg6-g=
OneSpan
E-SIGNED by Chris Kurz (ckurz@southeasternequip.com), ID: d97fa5c4-1a1f-41aa-813c-f0e61e31b5c7
2025-11-26T16:59:46+0000
Client IP: 156.63.133.8, Transaction ID: -ZUIc8sTG3-tZl2C32FizQWg6-g=
OneSpan
E-SIGNED by Max Fling (nathan.fling@dot.ohio.gov), ID: ae69d897-2471-4e2b-bc88-4705effb1d46

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