Signature__4___1___002_.pdf

PDF 402 KB Posted

Attached to
Competitive Selection OH|DOT801G26-3
Contract number
DOT801G26-3
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 # 801G-26, issued through the Office of Contract Sales, Purchasing Services. The contract is a Multiple Award contract with JEM Industrial Maintenance Corp as one of the awarded vendors. The document was executed by Jorge E. Moheyer, President of JEM Industrial Maintenance Corp on 2025-03-27, and subsequently signed by ODOT Director Pamela Boratyn on 2025-04-15.

The contract covers commodities and services including Asphalt Concrete, Bituminous Mixes, Equipment Rental, and Material Hauling. The contract period extends through 2/28/2026, with a key provision that for all plants submitted, the AWP (Asphalt Weightman Pavement) code must remain on the approved/active list. If a plant's AWP code is not on the approved list during the contract period, the plant will be subject to contract suspension for specified bid items until they provide documentation or are reestablished on the approved list. The contract represents a formal agreement between JEM Industrial Maintenance Corp and the State of Ohio, Department of Transportation, binding the company to all terms and conditions outlined in the procurement documentation.

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Text version

State of Ohio, Department of Transportation (ODOT) Office of Contract Sales, Purchasing Services

SIGNATURE PAGE

Procurement # 801G-26

Commodities Commodity/Service: Asphalt Concrete, Bituminous Mixes, Equipment Rental, and Material Hauling

Multiple Award: For all Plants submitted on this contract, and supplying the Asphalt Concrete Pricing (Bid Items 1-19 and 25-31), at any time during the contract period (through 2/28/2026) the AWP code is not on the approved/active list, the Plant will be subject to suspension of the contract, for these items, until they have provided documentation of the AWP code or have been re-established on the approved/active list.

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

hBKlPaLfF5IK_WDyEmvdpEB4E: 2025-03-27 16:50:36
hBKlPaLfF5IK_YTABA4d5qQQQ: Jorge E. Moheyer
hBKlPaLfF5IK_7FC3T88WfFIR: President
hBKlPaLfF5IK_4j6zyUMtKxEL: JEM Industrial Maintenance Corp
2025-03-27T16:50:37+0000
Client IP: 174.58.0.14, Transaction ID: d6vqL3QY9ZPnAU-4rOxr6oKeclk=
OneSpan
E-SIGNED by Jorge E. Moheyer (jem.industrial@gmail.com), ID: 4702f992-7e49-48a8-abfc-0e8786a47f94
2025-04-15T15:50:48+0000
Client IP: 156.63.133.8, Transaction ID: d6vqL3QY9ZPnAU-4rOxr6oKeclk=
OneSpan
E-SIGNED by Max Fling (nathan.fling@dot.ohio.gov), ID: 9ccc3a4e-516e-4cc3-907f-fafae5aa1a70

File details come from the government source that posted it. Updated .