Signature__4___1___002_.pdf
PDF 399 KB Posted
- Attached to
- Competitive Selection OH|DOT86526-3
- Contract number
- DOT86526-3
- Issued by
- Ohio
About this file
This document is a Signature Page for Procurement #865-26 from the State of Ohio, Department of Transportation (ODOT), Office of Contract Sales, Purchasing Services. The document involves JT Dillard LLC as the bidder and is executed electronically by David Elbert, General Manager, on 2025-04-14. The signature page serves as an acknowledgment of the bidder's understanding and compliance with all terms, conditions, and requirements of the procurement.
The procurement is for Live Bottom Dump Bodies, indicating a multiple award contract for specialized transportation equipment. The document represents a formal contract between JT Dillard LLC and the State of Ohio, with the ODOT Director Pamela Boratyn (signed by Nathan Fling) providing official acceptance. While specific pricing, quantities, and detailed terms are not included in this signature page, the document confirms the company's selection and authorization to enter into the contract for the specified commodity/service.
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Text version
State of Ohio, Department of Transportation (ODOT) Office of Contract Sales, Purchasing Services
SIGNATURE PAGE
Procurement # 865-26
Commodities Commodity/Service:
Live Bottom Dump Bodies
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
| 0Ya6h5pnHOoH_zsue6HiaUp83: 2025-04-14 16:48:21 | |
| 0Ya6h5pnHOoH_mc5VZ8WEBPUW: David Elbert | |
| 0Ya6h5pnHOoH_vSHK59LOXfcK: General Manager | |
| 0Ya6h5pnHOoH_ASHzxqTTUm45: JT Dillard LLC | |
| 2025-04-14T16:48:26+0000 | |
| Client IP: 104.2.158.138, Transaction ID: YQRiZ7_xsSC_U_60jyyxMl6pDX8= | |
| OneSpan | |
| E-SIGNED by David Elbert (david.elbert@zaymat.com), ID: 69b40339-3946-4b2d-988a-cf78cb6aca48 |
| 2025-04-14T17:34:13+0000 | |
| Client IP: 156.63.133.8, Transaction ID: YQRiZ7_xsSC_U_60jyyxMl6pDX8= | |
| OneSpan | |
| E-SIGNED by Max Fling (nathan.fling@dot.ohio.gov), ID: 51890215-f1a3-477a-b9e1-519e28463170 |
File details come from the government source that posted it. Updated .