Signature__4___1___002_.pdf

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Attached to
Competitive Selection OH|DOT101G26-39
Contract number
DOT101G26-39
Issued by
Ohio

About this file

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This document is a Signature Page for Procurement #101G-26 from the State of Ohio, Department of Transportation (ODOT), Office of Contract Sales, Purchasing Services. The contract is with Shelly Materials Inc., represented by Troy Stegner, Vice President, who signed the document electronically on 2025-04-15.

The contract covers multiple awards for Asphalt Concrete, Bituminous Mixes, Equipment Rental, and Material Hauling. It is a multiple-award contract valid through February 28, 2026, with a specific provision that any plants submitted must maintain an active AWP (Asphalt Warm Mix Pavement) code throughout the contract period. If a plant's AWP code is not on the approved/active list, the contract for those specific items will be suspended until documentation is provided or the plant is re-established on the approved list. The document serves as a formal agreement between Shelly Materials Inc. and ODOT, binding the company to all terms and conditions outlined in the procurement.

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

SIGNATURE PAGE

Procurement # 101G-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

Bw6PszlZd7QW_xRYAHKWdI3oK: 2025-04-15 13:32:04
Bw6PszlZd7QW_lAmeHQuvh5MH: Vice President
Bw6PszlZd7QW_Om8iM8hRdqs2: Troy Stegner
Bw6PszlZd7QW_OGGUBzvCjLoG: Shelly Materials Inc.
2025-04-15T13:32:09+0000
Client IP: 174.205.35.91, Transaction ID: 1yQoUCjmZslgteTY7FxZG8a4eUg=
OneSpan
E-SIGNED by Troy Stegner (tstegner@shellyco.com), ID: fc1d2bf1-ee9e-467d-8644-234850aaa689
2025-04-15T14:01:58+0000
Client IP: 156.63.133.8, Transaction ID: 1yQoUCjmZslgteTY7FxZG8a4eUg=
OneSpan
E-SIGNED by Max Fling (nathan.fling@dot.ohio.gov), ID: b088a6fb-5671-4021-b198-f1b09d58c156

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