Signature__4___1___002_.pdf
PDF 396 KB Posted
- Attached to
- Competitive Selection OH|DOT101L26-10
- Contract number
- DOT101L26-10
- 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 under Procurement # 101L-26. The contract involves SEALMASTER MFG OF PENNA as the bidder, with the document serving as a formal acknowledgment of the company's understanding and compliance with all contract terms and conditions. The signature page is fully executed, indicating agreement between SEALMASTER MFG OF PENNA and ODOT, with signatures from Michael Rich (Manager/A.VP) and Pamela Boratyn (Director).
The contract is for the procurement of Liquid Asphalt, designated as a Multiple Award contract. The document indicates it is a formal contract allowing SEALMASTER MFG OF PENNA to provide liquid asphalt to the Ohio Department of Transportation. While specific pricing details are not explicitly outlined in this signature page, the document represents a formal commitment between the vendor and the state transportation department for the supply of liquid asphalt, with the procurement number 101L-26 serving as the key identifier for this specific contract arrangement.
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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
| q4aKJCL9qDIL_OuEO8mWWgNA7: 2025-05-20 12:19:25 | |
| q4aKJCL9qDIL_5BRGu3tRnssN: Michael Rich | |
| q4aKJCL9qDIL_EP9beKV4ZgIJ: Manager / A. VP | |
| q4aKJCL9qDIL_ednNeeniL0MN: SEALMASTER MFG OF PENNA | |
| 2025-05-20T12:19:28+0000 | |
| Client IP: 107.77.224.35, Transaction ID: nVHnqgJ5dmjEGb-9mHVn3azvuAI= | |
| OneSpan | |
| E-SIGNED by Michael Rich (mike.rich@smofoh.com), ID: 07d680da-663c-4b7e-97a5-64aa2b6f4f12 |
| 2025-05-27T17:09:34+0000 | |
| Client IP: 156.63.133.8, Transaction ID: nVHnqgJ5dmjEGb-9mHVn3azvuAI= | |
| OneSpan | |
| E-SIGNED by Max Fling (nathan.fling@dot.ohio.gov), ID: 76b90761-7766-4587-9d69-b02300483225 |
File details come from the government source that posted it. Updated .