Signature__4___1___002_.pdf

PDF 399 KB Posted

Attached to
Competitive Selection OH|DOT101L26-2
Contract number
DOT101L26-2
Issued by
Ohio

About this file

This document is a Signature Page for a procurement by the State of Ohio, Department of Transportation (ODOT), specifically for Procurement #101L-26. The contract involves Asphalt Systems Ohio Inc. as the bidder, which is formally acknowledging its intent to enter into a contract with ODOT. The signature page serves as an official acknowledgment of the company's understanding and compliance with all terms, conditions, and requirements of the procurement.

The procurement is for Liquid Asphalt, designated as a Multiple Award contract. The document indicates that Michael J Freisthler, President of Asphalt Systems Ohio Inc., has electronically signed the document on 2025-04-30, and Pamela Boratyn, Director of ODOT, has also signed, effectively forming the contract. While specific pricing, volume, or detailed terms are not provided in this signature page, the document represents the formal agreement between ODOT and Asphalt Systems Ohio Inc. for the supply of liquid asphalt, with the contract being executed on the date of signatures.

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

SIGNATURE PAGE

Procurement # 101L-26

Commodities Commodity/Service: Liquid Asphalt 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

2025-04-30T12:34:42+0000
Client IP: 156.63.133.8, Transaction ID: G0LLnR2CiPvxSW-z7d1GBxlpKyI=
OneSpan
E-SIGNED by Max Fling (nathan.fling@dot.ohio.gov), ID: b18e9039-1d58-4726-8ef6-904fa7b8609c
qZoWAGReK3sA_iutiEuEGHd8B: Michael J Freisthler
qZoWAGReK3sA_oVrYy7IKOKgE: Asphalt Systems Ohio Inc
qZoWAGReK3sA_18BOxaIXtSQ2: President
qZoWAGReK3sA_YOT2XgwvqtYX: 2025-04-30 12:33:04
2025-04-30T12:33:18+0000
Client IP: 173.224.192.174, Transaction ID: G0LLnR2CiPvxSW-z7d1GBxlpKyI=
OneSpan
E-SIGNED by Michael J Freisthler (mike@asi-roads.com), ID: 0032a7ff-2142-4640-b935-fd30d2a7022d

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