Signature__4___1___002_.pdf

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Attached to
Competitive Selection OH|DOT305B26-1
Contract number
DOT305B26-1
Issued by
Ohio

About this file

This document is a Signature Page for Procurement #305B-26 from the State of Ohio, Department of Transportation (ODOT), Office of Contract Sales, Purchasing Services. The contract involves the Ohio Ready Mixed Concrete Association as the bidder, with Thomas Rozsits, President & Executive Director, executing the document. The signature page serves as an acknowledgment of the bidder's understanding and compliance with all terms, conditions, and requirements of the procurement.

The procurement is for American Concrete Institute (ACI) Training & Testing Classes, designated as a Multiple Award contract. The document indicates that by signing, the bidder enters into a contract with ODOT and has been selected for award. The contract was signed electronically by Thomas Rozsits on 2025-06-03 and countersigned by Pamela Boratyn, Director of ODOT, on 2025-06-16, formally establishing the contractual agreement between the parties for the specified training and testing services.

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

SIGNATURE PAGE

Procurement # 305B-26

Commodities Commodity/Service: American Concrete Institute (ACI) Training & Testing Classes Multiple Award:

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

2025-06-16T20:01:10+0000
Client IP: 156.63.133.8, Transaction ID: DMdx_o4siXqcLzzWeRf36sRQ4uY=
OneSpan
E-SIGNED by Max Fling (nathan.fling@dot.ohio.gov), ID: 2a575a86-6664-4d0d-828f-8d15ab6069af
Edzed2KYSjsE_ISdU1CDWEV4V: Thomas Rozsits
Edzed2KYSjsE_Rgd2Cypu1XIX: President & Executive Director
Edzed2KYSjsE_CQYlCqDKSzgC: 2025-06-03 15:07:27
Edzed2KYSjsE_3jSMqXdWypEK: Ohio Ready Mixed Concrete Association
2025-06-03T15:07:48+0000
Client IP: 104.189.208.27, Transaction ID: DMdx_o4siXqcLzzWeRf36sRQ4uY=
OneSpan
E-SIGNED by Thomas Rozsits (tom@ohioconcrete.org), ID: 3e8bc72b-b99a-42fb-95e0-e11605903264

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