Signature__4___1___002_.pdf
PDF 401 KB Posted
- Attached to
- Competitive Selection OH|DOT03326-2
- Contract number
- DOT03326-2
- Issued by
- Ohio
About this file
This document is a Signature Page for a procurement contract from the State of Ohio, Department of Transportation (ODOT), specifically Procurement # 033-26. The contract is awarded to Firelands Supply Co, with the document being executed by Debra S. Wellfe (Vice President) from Firelands Supply Co and officially approved by Pamela Boratyn (Director of ODOT), with the signature administratively handled by Nathan Fling.
The contract pertains to Small Sign Support Systems, with Firelands Supply Co being awarded items 46, 47, and 51. The document serves as a formal acknowledgment of the bidder's understanding and compliance with all procurement terms, conditions, and requirements. It represents a binding contract between Firelands Supply Co and the State of Ohio Department of Transportation, establishing the company as the selected vendor for the specified commodity/service procurement.
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Other files
| File | Type | Posted |
|---|---|---|
| 033-26spec_Bid_Docuement_Updated.pdf | ||
| 1-033-26pricing_FirelandsSupply.xlsx | XLSX spreadsheet | |
| 1-Signed_Affirmation_and_Disclosure_Form.pdf |
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Text version
State of Ohio, Department of Transportation (ODOT) Office of Contract Sales, Purchasing Services
SIGNATURE PAGE
Procurement # 033-26
Commodities Commodity/Service: Small Sign Support Systems
To Firelands Supply Co, award the following items: 46, 47, 51 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
| OjZwe9oxFQEW_7J8FbjIosE8R: Firelands Supply Co | |
| OjZwe9oxFQEW_Hr9MxwIMTkkM: Vice President | |
| OjZwe9oxFQEW_lC6WOO4OPhEO: Debra S. Welfle | |
| OjZwe9oxFQEW_Lv7Lh2yJnrQL: 2025-04-18 13:35:58 | |
| 2025-04-18T13:36:07+0000 | |
| Client IP: 70.62.220.242, Transaction ID: PFtzxPU2S3Tn8sOyx0erU2b3rDI= | |
| OneSpan | |
| E-SIGNED by Debra S. Welfle (deb@fscohio.com), ID: 99b3d12e-b249-46dd-bc3e-44658de3ea31 |
| 2025-04-28T13:19:52+0000 | |
| Client IP: 156.63.133.8, Transaction ID: PFtzxPU2S3Tn8sOyx0erU2b3rDI= | |
| OneSpan | |
| E-SIGNED by Max Fling (nathan.fling@dot.ohio.gov), ID: 7cad1b80-8963-4e3f-beb0-84053c9f5e3f |
File details come from the government source that posted it. Updated .