Signature__4___1___002_.pdf

PDF 464 KB Posted

Attached to
Competitive Selection OH|DOT111A25-3
Contract number
DOT111A25-3
Issued by
Ohio

About this file

This document is a Signature Page for Procurement #111-25 from the State of Ohio, Department of Transportation (ODOT) Office of Contract Sales, Purchasing Services. The contract involves MH Corbin LLC as the bidder, with the document serving as a formal acknowledgment of the company's understanding and compliance with procurement terms. The signature page was executed electronically, with Marshall Corbin, President of MH Corbin LLC, signing on 2025-01-22, and Pamela Boratyn (as signed by Nathan Fling) representing ODOT's acceptance.

The procurement is for CV2X Connected Vehicle Equipment, designated as a multiple award contract. The signature page indicates that MH Corbin LLC has been selected for award and will be bound by the terms and conditions of the procurement. The document serves as a formal contract between the State of Ohio, Department of Transportation, and MH Corbin LLC, with the signing representing the company's authorization to submit a response and execute contracts on its behalf. The specific details of the connected vehicle equipment, pricing, and contract duration are not fully elaborated in this signature page document.

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

SIGNATURE PAGE

Procurement # 111-25

Commodities Commodity/Service:

CV2X Connected Vehicle Equipment

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

2025-01-30T17:45:37+0000
Client IP: 156.63.133.254, Transaction ID: U64GjfC1T4F8AT7zamNZ_mj8bDo=
OneSpan
E-SIGNED by Max Fling (nathan.fling@dot.ohio.gov), ID: eca1c704-9915-4d2c-9d1e-02bc851ef4ae
FCmHOXtJ9LAM_dokh9BXjJ8AQ: 2025-01-22 16:13:28
FCmHOXtJ9LAM_7J9Jjspz7iI6: President
FCmHOXtJ9LAM_c9zLdi5E7xQA: MH Corbin LLC.
FCmHOXtJ9LAM_07kCA8qxZVIU: Marshall Corbin
2025-01-22T16:13:31+0000
Client IP: 74.218.213.134, Transaction ID: U64GjfC1T4F8AT7zamNZ_mj8bDo=
OneSpan
E-SIGNED by Marshall Corbin (bcorbin@mhcorbin.com), ID: 43c599bb-5e72-4d89-882f-277abb0543d5

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