Signature__4___1___002_.pdf
PDF 485 KB Posted
- Attached to
- Competitive Selection OH|DOT01125-4
- Contract number
- DOT01125-4
- Issued by
- Ohio
About this file
The document is a Signature Page for Procurement #011-25 from the State of Ohio Department of Transportation (ODOT), Office of Contract Sales, Purchasing Services. The procurement involves an Automated Flagger Assistance Device (AFAD) contract, with Site Safe LLC identified as the awarded bidder. The document includes signatures from Leo Pappas, Sales Representative of Site Safe LLC, and was counter-signed by Pamela Boratyn, Director of ODOT, effectively forming the contract between the state and the vendor.
The contract awards two specific AFAD models to Site Safe LLC: the North America Traffic / RCF 2.4 at a unit price of $14,896.60 and the Safety Technologies, Inc. / AF-54 at a unit price of $15,004.44. The procurement appears to be for traffic safety equipment used in road construction and maintenance zones. The signature page serves as formal acknowledgment of the bidder's understanding of all terms, conditions, and requirements, and signifies the company's authorization to enter into the contract with the Ohio Department of Transportation.
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Other files
| File | Type | Posted |
|---|---|---|
| 011_spec.docx | DOCX document | |
| ODOT_Affermation_and_Disclosure_Form__1_.pdf | ||
| ODOT_Co-Op_Program_Information.pdf | ||
| ODOT_Terms___Conditions_with_excel_pricing.pdf | ||
| AFAD_Pricing__1_.xlsx | XLSX spreadsheet |
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Text version
State of Ohio, Department of Transportation (ODOT) Office of Contract Sales, Purchasing Services
SIGNATURE PAGE
Procurement # 011-25
Commodities Commodity/Service: Automated Flagger Assistance Device (AFAD
Based upon the above, we recommend that Bid Invitation 011-25 be awarded as follows:
AUTOMATED FLAGGER ASSISTANCE DEVICE (AFAD)
BRAND/MODEL ITEM BIDDER UNIT PRICE
North America Traffic / RCF 2.4 3 Site Safe LLC $14,896.60 Safety Technologies, Inc. / AF-54 4 Site Safe LLC $15,004.44
C: ORE Electronic File
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
| 7I0iAdDRPDgM_CWDqq4EdqKg4: 2024-12-26 12:49:23 UTC | |
| 7I0iAdDRPDgM_IzzmyQSzaygS: Leo Pappas | |
| 7I0iAdDRPDgM_EBd8SNqMIjwL: Sales Representative | |
| 7I0iAdDRPDgM_k2qgNqB2QDwJ: Site-Safe LLC | |
| 2024-12-26T12:49:24+0000 | |
| Client IP: 173.197.137.82, Transaction ID: o-Igmp0cG-e1pqMbZWQMtnNvK80= | |
| OneSpan | |
| E-SIGNED by Leo Pappas (lpappas@sitesafeonline.com), ID: 0f441872-2d0f-4a79-8e61-a635046106c0 |
| 2025-01-14T13:45:26+0000 | |
| Client IP: 156.63.133.8, Transaction ID: o-Igmp0cG-e1pqMbZWQMtnNvK80= | |
| OneSpan | |
| E-SIGNED by Max Fling (nathan.fling@dot.ohio.gov), ID: 3de4a4e8-1ec0-4720-9ed0-92c568521386 |
File details come from the government source that posted it. Updated .