Signature__4___1___002_.pdf
PDF 409 KB Posted
- Attached to
- Competitive Selection OH|DOT101G26-44
- Contract number
- DOT101G26-44
- Issued by
- Ohio
About this file
This document is a Signature Page for Procurement #101G-26 from the State of Ohio, Department of Transportation (ODOT), specifically from the Office of Contract Sales, Purchasing Services. The contract is a multiple award agreement with Tri-County Asphalt, whose Vice President Richard T Vernal III executed the document on March 24, 2025. The signature page was also signed by Pamela Boratyn (Director of ODOT) as represented by Nathan Fling on March 25, 2025.
The contract covers commodities and services including Asphalt Concrete, Bituminous Mixes, Equipment Rental, and Material Hauling, with a contract period extending through February 28, 2026. A key provision stipulates that for all plants submitted under the contract, if the AWP (Asphalt Warranty Program) code is not on the approved/active list during the contract period, the plant will be subject to contract suspension for specific bid items until they provide documentation or are re-established on the approved list. The document serves as a formal acknowledgment that the bidder understands and will comply with all terms, conditions, and requirements of the procurement.
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Other files
| File | Type | Posted |
|---|---|---|
| 101G-26.pdf | ||
| 101G-26_Pricing_Page_02-10-25_Tri_County_Asphalt_Materials__Inc..xlsx | XLSX spreadsheet | |
| 101g-26_affirmation___disclosure_form-_Tri_County_Asphalt_Materials__Inc..pdf |
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Text version
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
| 2025-03-25T19:18:26+0000 | |
| Client IP: 174.207.100.12, Transaction ID: L4BLf36JxxWP4LBG4KReASwUVeU= | |
| OneSpan | |
| E-SIGNED by Max Fling (nathan.fling@dot.ohio.gov), ID: d43b6b53-d979-4d47-a44b-c291f840765f |
| CSQWOaWio6sC_8SmU48wCXgg8: 2025-03-24 18:22:03 | |
| CSQWOaWio6sC_YPYoVEnp5awY: Richard T Vernal III | |
| CSQWOaWio6sC_hFh0heg4KicZ: Vice President | |
| CSQWOaWio6sC_LN2bo4a6ie47: Tri-County Asphalt | |
| 2025-03-24T18:22:29+0000 | |
| Client IP: 24.101.240.213, Transaction ID: L4BLf36JxxWP4LBG4KReASwUVeU= | |
| OneSpan | |
| E-SIGNED by Richard T Vernal III (office@rtvernalpaving.com), ID: 922b362e-9ebe-47c3-a4eb-87742ab1f1af |
File details come from the government source that posted it. Updated .