Signature__4___1___002_.pdf
PDF 442 KB Posted
- Attached to
- Competitive Selection OH|DOT82325-1
- Contract number
- DOT82325-1
- Issued by
- Ohio
About this file
The document is a Signature Page for a Multiple Award procurement by the State of Ohio, Department of Transportation (ODOT), specifically Procurement #823-25. The contract involves Rath Builders Supply Inc. as the bidder, with Tisha Jordan signing on behalf of the company in her capacity as Secretary. On the ODOT side, the document is signed by Pamela Boratyn (as signed by Nathan Fling), Director of the State of Ohio Department of Transportation.
The procurement is for Quick Setting Concrete Patching Material, which appears to be a commodity/service contract. The document serves as a formal acknowledgment of contract terms, with the bidder agreeing to comply with all procurement requirements. While specific pricing, quantities, and detailed contract terms are not provided in this signature page, the document indicates this is a multiple award contract, suggesting multiple vendors may be selected to provide the specified concrete patching material for ODOT's transportation infrastructure needs.
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Text version
State of Ohio, Department of Transportation (ODOT) Office of Contract Sales, Purchasing Services
SIGNATURE PAGE
Procurement # 823-25
Commodities Commodity/Service:
Quick Setting Concrete Patching Material
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
| itXmsQkL6447_J8a093AAQBQD: Rath Builders Supply Inc. | |
| itXmsQkL6447_5JsBgdRxDu4N: Tisha Jordan | |
| itXmsQkL6447_xQf60KWRJQw5: Secretary | |
| itXmsQkL6447_Pm7I2cZGbuA2: 2025-01-31 16:35:06 | |
| 2025-01-31T16:35:10+0000 | |
| Client IP: 199.38.204.182, Transaction ID: JxR8yOVpErIbs5qvsifQG-Z-m4E= | |
| OneSpan | |
| E-SIGNED by Tisha Jordan (tjordan@rathbuilderssupply.com), ID: 1828e281-2241-4ce3-b18b-36eaff0514bb |
| 2025-02-05T15:52:06+0000 | |
| Client IP: 156.63.133.254, Transaction ID: JxR8yOVpErIbs5qvsifQG-Z-m4E= | |
| OneSpan | |
| E-SIGNED by Max Fling (nathan.fling@dot.ohio.gov), ID: 7690fa87-31f5-4aa0-8468-92d1a069fe04 |
File details come from the government source that posted it. Updated .