Signature__4___1___002_.pdf

PDF 413 KB Posted

Attached to
Competitive Selection OH|DOT06026-3
Contract number
DOT06026-3
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), Office of Contract Sales, Purchasing Services. The procurement involves Bain Enterprises as the bidder, with the contract being executed by Loretta Wilhoit (President) and formally accepted by Pamela Boratyn (Director of ODOT), with Nathan Fling signing on her behalf.

The contract (Procurement # 060-26) is for a multiple award covering MASH Compliant Trailer Mounted Attenuator System (TMS), Truck Mounted Crash Attenuator (TMA), and associated repair parts and services. The document serves as a formal acknowledgment of the bidder's understanding and compliance with all contract terms and conditions, and represents the State of Ohio's acceptance of Bain Enterprises' bid. The contract was electronically signed on 2025-06-30, with the company's signature timestamped at 12:37:25 GMT and the ODOT director's signature timestamped on 2025-07-11 at 14:17:10 GMT.

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060-26_Crash_Attenuators.pdf PDF
1-060-26_Crash_Attenuators_1_.xlsx XLSX spreadsheet
1-Affirmation_and_Disclosure.pdf PDF

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Text version

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

SIGNATURE PAGE

Procurement # 060-26

Commodities Commodity/Service: MASH Compliant Trailer Mounted Attenuator System (TMS), Truck Mounted Crash Attenuator (TMA) & Repair Parts and Service

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

EmJr171ScLk2_IamIpfzL8I8O: Loretta Wilhoit
EmJr171ScLk2_VeOcTX3NsZsA: President
EmJr171ScLk2_8M3CBzlRMpEM: 2025-06-30 12:37:25
EmJr171ScLk2_TA8bnEbP3iA3: Bain Enterprises
2025-06-30T12:37:28+0000
Client IP: 65.29.194.131, Transaction ID: ppFLJs32EI4JtJt0dqdChkj0M3Y=
OneSpan
E-SIGNED by Loretta Wilhoit (lori@bainenterprises.com), ID: 65c94826-f85a-4ae0-b1d0-588d4c71701e
2025-07-11T14:17:10+0000
Client IP: 156.63.133.8, Transaction ID: ppFLJs32EI4JtJt0dqdChkj0M3Y=
OneSpan
E-SIGNED by Max Fling (nathan.fling@dot.ohio.gov), ID: 5b5bc8f3-f112-4916-8c7e-5f308e19f7cb

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