Signature__4___1___002___44_.pdf
PDF 418 KB Posted
- Attached to
- Competitive Selection OH|DOT10226-8
- Contract number
- DOT10226-8
- Issued by
- Ohio
About this file
This document is a Signature Page for a procurement contract from the State of Ohio, Department of Transportation (ODOT), specifically Procurement # 102-26 for Miscellaneous Pavement Maintenance Products. The contract involves THORWORKS INDUSTRIES INC as the bidder, with Robert Shutt, Director of Roadway Sealants & Equipment, executing the signature page. The contract is a multiple award procurement, meaning multiple vendors will be awarded based on a tabulation.
The contract covers Miscellaneous Pavement Maintenance Products, with ODOT's Office of Contract Sales, Purchasing Services managing the procurement. The signature page serves as a formal acknowledgment that THORWORKS INDUSTRIES INC understands and will comply with all terms, conditions, and requirements of the procurement. The document was electronically signed by Robert Shutt on 2025-04-28 and countersigned by Pamela Boratyn (via Nathan Fling) from ODOT, effectively forming a contract between the state and the awarded vendor. The specific details of the product quantities, pricing, and precise scope are not detailed in this signature page document.
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Text version
State of Ohio, Department of Transportation (ODOT) Office of Contract Sales, Purchasing Services
SIGNATURE PAGE
Procurement # 102-26
Commodities Commodity/ Service: Miscellaneous Pavement Maintenance Products Multiple Award: Vendors awarded as per tabulation
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 to Section 33 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
| kzTpI0mhmeUE_I8sTvPuoDj85: 2025-04-28 20:56:37 | |
| kzTpI0mhmeUE_WWE7ufWsUqUW: Robert Shutt | |
| kzTpI0mhmeUE_yactKTE6mGAX: Director of Roadway Sealants & Equipment | |
| kzTpI0mhmeUE_YtDPB7WKUxsQ: THORWORKS INDUSTRIES INC | |
| 2025-04-28T20:56:40+0000 | |
| Client IP: 98.97.13.224, Transaction ID: ZzyZwc-GLwFZa_gzX4UJiAb3IkU= | |
| OneSpan | |
| E-SIGNED by Robert Shutt (rshutt@sealmaster.net), ID: d87306b7-c0e7-4fec-9b24-f6ed4a6ff669 |
| 2025-04-29T11:34:28+0000 | |
| Client IP: 156.63.133.8, Transaction ID: ZzyZwc-GLwFZa_gzX4UJiAb3IkU= | |
| OneSpan | |
| E-SIGNED by Max Fling (nathan.fling@dot.ohio.gov), ID: e14a8f88-9139-4890-932b-adad92fd9fc8 |
File details come from the government source that posted it. Updated .