Signature__4___1___002_.pdf
PDF 448 KB Posted
- Attached to
- Competitive Selection OH|DOT14026-1
- Contract number
- DOT14026-1
- Issued by
- Ohio
About this file
This document is a Signature Page for Procurement #140-26 from the State of Ohio Department of Transportation (ODOT), Office of Contract Sales, Purchasing Services. The contract is a Multiple Award involving Norwalk Concrete IND INC. as the bidder. The document serves as a formal acknowledgment of the bidder's understanding and compliance with procurement terms, and represents the company's entry into a contract with ODOT.
The procurement covers Precast Concrete Catch Basins, Precast Concrete Risers, and Catch Basin Grates. Robb Smithson, Sales and Engineering Manager for Norwalk Concrete IND INC., signed the document on 2025-01-24, and ODOT Director Pamela Boratyn (as signed by Nathan Fling) countersigned on 2025-01-30, finalizing the contract. The signature page indicates this is a multiple award contract, suggesting multiple vendors may be selected to provide the specified precast concrete infrastructure components for transportation projects.
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Other files
| File | Type | Posted |
|---|---|---|
| 140-26.pdf | ||
| 140_Pricing__12_26_24_.xlsx | XLSX spreadsheet | |
| Affirmation_and_Disclosure-Signed.pdf | ||
| ODOT_Terms___Conditions_with_excel_pricing.pdf |
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Text version
State of Ohio, Department of Transportation (ODOT) Office of Contract Sales, Purchasing Services
SIGNATURE PAGE
Procurement # 140-26
Commodities Commodity/Service: Precast Concrete Catch Basins, Precast Concrete Risers and Catch Basin Grates
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
| nH743tcXcJc9_ZrXWR90AJUoA: Norwalk Concrete IND INC. | |
| nH743tcXcJc9_NIIXfwim1vw5: Robb Smithson | |
| nH743tcXcJc9_wMrCFJhc7Hk5: Sales and Engineering Manager | |
| nH743tcXcJc9_8dfdk3l8AdMA: 2025-01-24 13:23:02 | |
| 2025-01-24T13:23:05+0000 | |
| Client IP: 173.241.236.210, Transaction ID: 5WtM9t7NPIDdkaqrYN9QzmO_iLY= | |
| OneSpan | |
| E-SIGNED by Robb Smithson (rsmithson@nciprecast.com), ID: 6cacc2e8-096f-468d-8182-fb75f894086c |
| 2025-01-30T20:56:30+0000 | |
| Client IP: 156.63.133.254, Transaction ID: 5WtM9t7NPIDdkaqrYN9QzmO_iLY= | |
| OneSpan | |
| E-SIGNED by Max Fling (nathan.fling@dot.ohio.gov), ID: 775ce1dc-b7ab-41ae-9d48-a48e4de8f101 |
File details come from the government source that posted it. Updated .