Signature__4___1___002___44_.pdf

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Attached to
Competitive Selection OH|DOT10226-9
Contract number
DOT10226-9
Issued by
Ohio

About this file

The document is a Signature Page for a State of Ohio, Department of Transportation (ODOT) procurement, specifically Procurement #102-26 for Miscellaneous Pavement Maintenance Products. The procurement is a multiple-award contract where multiple vendors will be awarded based on a tabulation. The document includes signatures from URETEK USA INC, represented by Ed Hibbard (President), and the Ohio Department of Transportation, represented by Pamela Boratyn (Director), with the document being electronically signed on 2025-04-28.

The contract covers Miscellaneous Pavement Maintenance Products, with the signature page serving as a formal acknowledgment of the bidder's understanding and compliance with all procurement terms and conditions. The document indicates this is an indefinite delivery vehicle contract that allows ODOT to procure pavement maintenance products from awarded vendors. While specific pricing details are not provided in this signature page, the multiple-award format suggests vendors will be selected based on competitive bidding, with the potential for agencies to issue purchases against the contract as needed. The contract appears to be a statewide contract for Ohio that will enable flexible purchasing of pavement maintenance products by government entities.

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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

xr4RQ76oU10T_Dsc9YS9SYjkS: URETEK USA INC
xr4RQ76oU10T_rR9suWbUF8YD: Ed Hibbard
xr4RQ76oU10T_OGaHCDtncQ8G: President
xr4RQ76oU10T_1DSDXdYCqj4E: 2025-04-28 14:00:52
2025-04-28T14:01:06+0000
Client IP: 12.169.150.66, Transaction ID: Ufb3xb_1ilWAqTU3RG1xh5tSd9o=
OneSpan
E-SIGNED by Ed Hibbard (ehibbard@uretekusa.com), ID: bc422c16-ed79-433b-b076-1c5ebbf061aa
2025-04-28T14:43:55+0000
Client IP: 156.63.133.8, Transaction ID: Ufb3xb_1ilWAqTU3RG1xh5tSd9o=
OneSpan
E-SIGNED by Max Fling (nathan.fling@dot.ohio.gov), ID: 899fd624-936e-4a04-851b-fd24f20d9936

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