Signature__4___1___002_.pdf
PDF 400 KB Posted
- Attached to
- Competitive Selection OH|DOT101L26-13
- Contract number
- DOT101L26-13
- Issued by
- Ohio
About this file
This document is a Signature Page for Procurement #101L-26 from the State of Ohio, Department of Transportation (ODOT), Office of Contract Sales, Purchasing Services. The contract involves Unique Paving Materials Corp as the bidder, with the document serving as a formal acknowledgment of the company's commitment to the procurement terms and conditions. The signature page was executed electronically by Donald Kautzman, Treasurer of Unique Paving Materials Corp, and countersigned by Pamela Boratyn, Director of ODOT.
The procurement is for Liquid Asphalt, designated as a Multiple Award contract. The document indicates that Unique Paving Materials Corp has been selected for award and will be bound by all terms and conditions of the procurement. The signature page formally establishes a contract between the State of Ohio, Department of Transportation, and Unique Paving Materials Corp, with the specific details of quantity, pricing, and delivery to be outlined in the full procurement documents. The contract was electronically signed on 2025-04-29, with both the bidder and ODOT representatives completing their respective signatures on the same date.
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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
| 7Ng7REqnscE4_xBQbBI1BeDAB: 2025-04-29 17:13:07 | |
| 7Ng7REqnscE4_KwUUTjBXV1EU: Donald Kautzman | |
| 7Ng7REqnscE4_0mHxo1WOZhA2: Treasurer | |
| 7Ng7REqnscE4_BP2KBcRU5I00: Unique Paving Materials Corp | |
| 2025-04-29T17:13:18+0000 | |
| Client IP: 66.94.78.34, Transaction ID: Tx4axxhMO-wr82LqDOs0vIkx35M= | |
| OneSpan | |
| E-SIGNED by Donald Kautzman (dkautzman@uniquepavingmaterials.com), ID: 9c5a78e8-45de-4ac0-9ca1-41f7c7a5df38 |
| 2025-04-29T17:46:01+0000 | |
| Client IP: 156.63.133.8, Transaction ID: Tx4axxhMO-wr82LqDOs0vIkx35M= | |
| OneSpan | |
| E-SIGNED by Max Fling (nathan.fling@dot.ohio.gov), ID: 1c012484-1ea3-4297-8063-9e27f91f0e25 |
File details come from the government source that posted it. Updated .