Signature__4___1___002_.pdf
PDF 401 KB Posted
- Attached to
- Competitive Selection OH|DOT02426-2
- Contract number
- DOT02426-2
- Issued by
- Ohio
About this file
This document is a Signature Page for a procurement by the State of Ohio, Department of Transportation (ODOT), specifically Procurement #024-26. The contract involves Agro Chem as the bidder, with signatures from Brent Achermann (Sales) and ODOT Director Pamela Boratyn (as signed by Nathan Fling). The document serves as a formal acknowledgment and execution of a contract between the state agency and the awarded vendor.
The procurement is for Polyethylene and Fiberglass Stationary Liquid commodities, designated as a Multiple Award contract. The signature page indicates that Agro Chem has been selected for award and will be bound by all terms and conditions of the procurement. The document was electronically signed by Brent Achermann on 2025-03-27 and by ODOT representatives on 2025-04-04, suggesting the contract will be effective from that time. Specific details about pricing, quantity, or precise scope of services are not explicitly outlined in this signature page document.
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Other files
| File | Type | Posted |
|---|---|---|
| 024-26.pdf | ||
| Agro_Chem_Affirm___Disclosure.pdf | ||
| 024-26_Agro_Chem_Snyder_Poly.xlsx | XLSX spreadsheet |
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Text version
State of Ohio, Department of Transportation (ODOT) Office of Contract Sales, Purchasing Services
SIGNATURE PAGE
Procurement # 024-26
Commodities Commodity/Service: Polyethylene and Fiberglass Stationary Liquid 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
| HyvWcPlIJD4X_VJVt6KgDfbEV: Sales | |
| HyvWcPlIJD4X_6QYJFK5321kJ: Brent Achtermann | |
| HyvWcPlIJD4X_PUp5SUUbmrsU: AGRO CHEM | |
| HyvWcPlIJD4X_M9xXxgASQhMS: 2025-03-27 20:16:26 | |
| 2025-03-27T20:16:27+0000 | |
| Client IP: 76.190.12.210, Transaction ID: tbu8fIgjRorJCohezJPpXd3NCl8= | |
| OneSpan | |
| E-SIGNED by Brent Achtermann (brentachtermann@agrochem.com), ID: d5784f39-c325-4b93-bee4-c1e4473fc6e3 |
| 2025-04-04T16:30:56+0000 | |
| Client IP: 156.63.133.8, Transaction ID: tbu8fIgjRorJCohezJPpXd3NCl8= | |
| OneSpan | |
| E-SIGNED by Max Fling (nathan.fling@dot.ohio.gov), ID: 7a4c73a8-36f3-43af-bd97-83c5827506b0 |
File details come from the government source that posted it. Updated .