Signature__4___1___002_.pdf

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Attached to
Competitive Selection OH|DOT18526-4
Contract number
DOT18526-4
Issued by
Ohio

About this file

The document is a Signature Page for a state contract issued by the Ohio Department of Transportation (ODOT), specifically through the Office of Contract Sales and Purchasing Services. The procurement number is 185-26, and the contract has been awarded to Haas Septic & Portable Toilet Services, Inc. for vault pumping services in ODOT Districts 5 and 10. The signature page serves as a formal acknowledgment of the contract terms and authorizes the company to provide services under the procurement.

The contract is for vault pumping services, with Haas Septic & Portable Toilet Services, Inc. selected as the awarded vendor for specific geographic districts within Ohio. The document indicates this is a multiple award procurement, suggesting the possibility of other vendors being selected for different districts. The signature page was electronically executed by Letha Haas, the owner of the company, on July 2, 2025, and countersigned by ODOT representatives, including Pamela Boratyn (Director) and Nathan Fling. While specific pricing and detailed service terms are not provided in this document, it represents the formal contract award and acceptance between ODOT and the service provider.

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Text version

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

SIGNATURE PAGE

Procurement # 185-26

Commodities Commodity/Service: VAULT PUMPING SERVICES In accordance with Section 3: Multiple Award of the specifications, recommendation for award to

Haas Septic & Portable Toilet Services, Inc. for locations identified in Districts 5 and 10;

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

vo4Buh1R0ZgT_4BdaeBmmkZQX: 2025-07-02 17:14:08
vo4Buh1R0ZgT_7DTw2y77mWk7: Owner
vo4Buh1R0ZgT_W6ruOZKpZpI6: Letha Haas
vo4Buh1R0ZgT_C6l2eAKQTWYN: HAAS SEPTIC & PORTABLE TOILET SERVICE
2025-07-02T17:14:12+0000
Client IP: 50.41.235.9, Transaction ID: msRsXUkUiM0apIxjTE1zExQPjps=
OneSpan
E-SIGNED by Letha Haas (haasseptic@gmail.com), ID: e8795258-af4f-49de-8ef0-ca35553eb785
2025-07-11T14:19:27+0000
Client IP: 156.63.133.8, Transaction ID: msRsXUkUiM0apIxjTE1zExQPjps=
OneSpan
E-SIGNED by Max Fling (nathan.fling@dot.ohio.gov), ID: 2c12d9c7-e59e-4c9f-b88a-2d3e7eb7a708

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