Signature__4___1___002_.pdf
PDF 398 KB Posted
- Attached to
- Competitive Selection OH|DOT11326-1
- Contract number
- DOT11326-1
- Issued by
- Ohio
About this file
This document is a Signature Page for Procurement #113-26 from the State of Ohio, Department of Transportation (ODOT), Office of Contract Sales, Purchasing Services. The contract involves Surveying & Mapping LLC as the bidder, with Brian Belcher (Vice President of MidEast Operations) executing the document, and Pamela Boratyn, Director of ODOT, representing the state agency's acceptance.
The procurement is for Utility Locating services, with the signature page serving as a formal acknowledgment of the contract terms and conditions. The document indicates that Surveying & Mapping LLC has been selected for award and will be bound by all procurement requirements. The contract was electronically signed on May 15, 2025 (by Surveying & Mapping LLC) and May 27, 2025 (by ODOT), effectively establishing a formal contract between the company and the State of Ohio Department of Transportation for utility locating services.
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Other files
| File | Type | Posted |
|---|---|---|
| 1-_Affirmation___Disclosure__Affirmation_and_Disclosure.pdf | ||
| 1-Pricing_Document_113-26_Pricing_JRF.xlsx | XLSX spreadsheet | |
| 113-26_Specs_with_Appendix.pdf |
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Text version
State of Ohio, Department of Transportation (ODOT) Office of Contract Sales, Purchasing Services
SIGNATURE PAGE
Procurement # 113-26
Commodities Commodity/Service: Utility Locating
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
| IIHyPCujbtAI_HUie9uqIBCkA: 2025-05-15 23:27:45 | |
| IIHyPCujbtAI_DDnQGwRxWLA4: Brian Belcher | |
| IIHyPCujbtAI_UDX9i7mopQo7: Vice President MidEast Operations | |
| IIHyPCujbtAI_dtb2MIdhWkQX: Surveying & Mapping LLC | |
| 2025-05-15T23:27:55+0000 | |
| Client IP: 4.36.169.114, Transaction ID: hDtbO7I6YFXY_dvHXs_DVvs9N7w= | |
| OneSpan | |
| E-SIGNED by Brian Belcher (brian.belcher@sam.biz), ID: d053fd14-5887-4d41-b777-ebc527392fe6 |
| 2025-05-27T16:59:43+0000 | |
| Client IP: 156.63.133.8, Transaction ID: hDtbO7I6YFXY_dvHXs_DVvs9N7w= | |
| OneSpan | |
| E-SIGNED by Max Fling (nathan.fling@dot.ohio.gov), ID: befcd1fa-3625-483c-9daa-f20dca82e4cb |
File details come from the government source that posted it. Updated .