Signature__4___1___002_.pdf
PDF 437 KB Posted
- Attached to
- Competitive Selection OH|DOT101L26-1
- Contract number
- DOT101L26-1
- 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 through the Office of Contract Sales, Purchasing Services. The procurement is identified as Procurement #101L-26 and involves a multiple award contract for Liquid Asphalt. Asphalt Materials Inc is listed as the awarded vendor, with specific exceptions noted for certain products including CSQEA Fog Seal, Asphalt Recycling Emulsion, HMFS-2, and EM-50-FS.
The contract serves as a formal agreement between Asphalt Materials Inc and ODOT, with the vendor represented by Cameron Porter in the role of Sales Manager. The signature page was electronically executed on 2025-04-29, and includes a provision that the ODOT Director's signature will serve as formal acceptance of the bidder's offer and form the official contract between the state and the successful bidder. The document outlines that the vendor understands and will comply with all terms, conditions, and requirements of the procurement, and has been duly authorized to submit the response and execute contracts on the company's behalf.
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Other files
| File | Type | Posted |
|---|---|---|
| 1-101L-26_Liquid_Asphalt_Affirmation_and_Disclosure.s1gned.pdf | ||
| 1-NTEA_fog_SDS.pdf | ||
| 1-RPE_product_info.pdf | ||
| 1-NTEA_fog_product_info.pdf | ||
| 1-RPE_SDS.pdf | ||
| 1-101L-26_Liquid_Asphalt_Pricing__04_29_25_.xls | XLS spreadsheet | |
| 101L-26.pdf | ||
| 101L__26__recommend.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 vendor awarded, with the following exception. Do not award products listed
• ASPHALT MATERIALS INC
o CSQEA Fog Seal o Asphalt Recycling Emulsion o HMFS-2 o EM-50-FS
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
| 2025-04-29T15:12:54+0000 | |
| Client IP: 156.63.133.8, Transaction ID: kR_g17CXMQmc7TFs6XppcluTocg= | |
| OneSpan | |
| E-SIGNED by Max Fling (nathan.fling@dot.ohio.gov), ID: d4bf18bd-368b-48fa-aa08-7a10121b7773 |
| 2EOV7GjM37w6_LFVZapDRkuYC: 2025-04-29 14:34:25 | |
| 2EOV7GjM37w6_oc4JxYW3mScH: Sales Manager | |
| 2EOV7GjM37w6_tShE9uFCl3AJ: Cameron Porter | |
| 2EOV7GjM37w6_tZwjZlV5ZWw5: ASPHALT MATERIALS INC | |
| 2025-04-29T14:34:33+0000 | |
| Client IP: 23.138.160.149, Transaction ID: kR_g17CXMQmc7TFs6XppcluTocg= | |
| OneSpan | |
| E-SIGNED by Cameron Porter (cameron.porter@asphalt-materials.com), ID: 9b8f16b2-1974-4ac7-adba-338eb9c63cc0 |
File details come from the government source that posted it. Updated .