Signature__4___1___002_.pdf
PDF 406 KB Posted
- Attached to
- Competitive Selection OH|DOT186A26-1
- Contract number
- DOT186A26-1
- Issued by
- Ohio
About this file
This document is a Signature Page for a procurement contract issued by the State of Ohio, Department of Transportation (ODOT), specifically through the Office of Contract Sales and Purchasing Services. The procurement is identified by number 186A-26 and involves Bluffton Aeration Service Inc. as the awarded bidder. The document was electronically signed by representatives from both Bluffton Aeration Service Inc. (Missy Ray, Office Manager) and ODOT (Pamela Boratyn, as signed by Nathan Fling) on May 14, 2025.
The contract covers Oil/Water Interceptor Maintenance and Service for all sites in ODOT Districts 1 and 2. The Signature Page serves as a formal acknowledgment of the bidder's understanding and compliance with all procurement terms, conditions, and requirements. By executing this document, Bluffton Aeration Service Inc. enters into a contract with ODOT and agrees to be bound by all specified conditions. The procurement appears to be a service contract for specialized maintenance of oil/water interceptor systems across specific geographic districts within Ohio, though specific service details and pricing are not explicitly outlined in this signature document.
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Other files
| File | Type | Posted |
|---|---|---|
| 1-186A-26_Pricing_2025-04-09_1.xlsx | XLSX spreadsheet | |
| 186A-26.pdf | ||
| ODOT_Terms___Conditions_with_excel_pricing.pdf | ||
| 1-186-26_Affirmation_and_Disclosure_Form.pdf | ||
| 1-186A-26_Pricing_2025-04-09.xlsx | XLSX spreadsheet |
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Text version
State of Ohio, Department of Transportation (ODOT) Office of Contract Sales, Purchasing Services
SIGNATURE PAGE
Procurement # 186A-26
Commodities Commodity/Service: OIL/WATER INTERCEPTOR MAINTENANCE AND SERVICE
REQUIREMENTS/SPECIFICATIONS
All sites in Districts 1 and 2
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
| 8IbZzil4ajAZ_l3KnB0AGwg83: 2025-05-14 14:06:34 | |
| 8IbZzil4ajAZ_wlMszQLNNxkN: Office Manager | |
| 8IbZzil4ajAZ_IXMKDdCepzoI: Missy Ray | |
| 8IbZzil4ajAZ_Mbxh6TTUTB8T: Bluffton Aeration Service Inc. | |
| 2025-05-14T14:06:40+0000 | |
| Client IP: 97.212.55.24, Transaction ID: 4S8mL3IM8FbhVGfttJ__eCc1WVY= | |
| OneSpan | |
| E-SIGNED by Missy Ray (basi_mm@yahoo.com), ID: df6c3edc-3f65-4b27-b7e2-3733f3560594 |
| 2025-05-14T16:51:43+0000 | |
| Client IP: 156.63.133.254, Transaction ID: 4S8mL3IM8FbhVGfttJ__eCc1WVY= | |
| OneSpan | |
| E-SIGNED by Max Fling (nathan.fling@dot.ohio.gov), ID: babee3ee-1b41-4657-8f71-0f7aafa436c2 |
File details come from the government source that posted it. Updated .