Signature__4___1___002_.pdf
PDF 400 KB Posted
- Attached to
- Competitive Selection OH|DOT101L26-8
- Contract number
- DOT101L26-8
- Issued by
- Ohio
About this file
This document is a Signature Page for a state procurement contract issued by the State of Ohio Department of Transportation (ODOT), specifically for Procurement #101L-26. The contract involves Phillips Oil Company of Central Ohio Inc. as the bidder, with signatures from Michael Wurster (President) and ODOT Director Pamela Boratyn, indicating a formal contract award.
The contract is for the procurement of Liquid Asphalt, structured as a Multiple Award contract. The document serves as a formal acknowledgment that Phillips Oil Company has been selected as a vendor and agrees to comply with all terms, conditions, and requirements specified in the procurement. The signature page indicates the contract has been electronically signed by both parties, with Michael Wurster signing on 2025-04-29 and the ODOT Director signing on 2025-04-30, suggesting the contract is effective for the upcoming period.
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Other files
| File | Type | Posted |
|---|---|---|
| 1-101LPricing_26__03_21_25_POC.xls | XLS spreadsheet | |
| 101L__26__recommend.pdf | ||
| 1-AFFIRMATION_AND_DISCLOSURE_FORM-POC.pdf | ||
| 101L-26.pdf |
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Text version
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
| V0s5XmnWim0V_R9yAnz6taHE6: 2025-04-29 23:42:24 | |
| V0s5XmnWim0V_JmfZlQxqwAQJ: President | |
| V0s5XmnWim0V_CoYg6GpkhaQE: Michael Wurster | |
| V0s5XmnWim0V_RwXT7HW6TOwT: Phillips Oil Company of Central Ohio Inc | |
| 2025-04-29T23:42:27+0000 | |
| Client IP: 98.31.13.24, Transaction ID: 97CW5z8Zma08Err_yB55qn4WPUM= | |
| OneSpan | |
| E-SIGNED by Michael Wurster (mwurster@phillipsoilcompany.com), ID: 73eb912e-1ebf-49e5-ae13-4f3c11e8c471 |
| 2025-04-30T12:13:23+0000 | |
| Client IP: 156.63.133.8, Transaction ID: 97CW5z8Zma08Err_yB55qn4WPUM= | |
| OneSpan | |
| E-SIGNED by Max Fling (nathan.fling@dot.ohio.gov), ID: 43556bf7-67f7-411e-aba4-de2534892dca |
File details come from the government source that posted it. Updated .