Signature__4___1___002_.pdf

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Attached to
Competitive Selection OH|DOT04525-1
Contract number
DOT04525-1
Issued by
Ohio

About this file

This document is a Signature Page for a statewide contract from the State of Ohio, Department of Transportation (ODOT), specifically under Procurement # 045-25. The contract involves Madex Construction Co., which has been selected as the successful bidder, with signatures from Michael Dobronos (President) and Nathan Fling executing the document on behalf of ODOT Director Pamela Boratyn.

The contract is for Statewide REBUILD and/or REPAIR of Noise Wall Parts, a commodity/service procurement. The signature page serves as a formal acknowledgment that Madex Construction Co. understands and will comply with all terms, conditions, and requirements of the procurement, and enters into a contract with ODOT. The document was electronically signed on 2025-01-30, indicating the contract's effective date and establishing a formal agreement between the state agency and the selected contractor for noise wall part repairs or rebuilding services.

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Text version

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

SIGNATURE PAGE

Procurement # 045-25

Commodities Commodity/Service:

Statewide REBUILD and/or REPAIR: Noise Wall Parts

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

l0tNN8phYgQC_OE7cgZ06XfsO: Michael DOBRONOS
l0tNN8phYgQC_JSAg89OYIdk9: President
l0tNN8phYgQC_f40Rnm1sYBIP: 2025-01-30 18:27:46
l0tNN8phYgQC_4SMJlGZO2zEM: Madex Construction Co.
2025-01-30T18:27:49+0000
Client IP: 107.10.47.171, Transaction ID: _CZ-YpmB0AfEmgAodAXqjuFzFTE=
OneSpan
E-SIGNED by Michael DOBRONOS (miked@madexconstruction.com), ID: e3357a19-553d-4e12-a942-92f2eef11be5
2025-01-30T19:05:23+0000
Client IP: 156.63.133.254, Transaction ID: _CZ-YpmB0AfEmgAodAXqjuFzFTE=
OneSpan
E-SIGNED by Max Fling (nathan.fling@dot.ohio.gov), ID: 4d8caa94-7629-4c71-91e3-2acdb1eacc9e

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