Signature__4___1___002_.pdf

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Attached to
Competitive Selection OH|DOT02025-2
Contract number
DOT02025-2
Issued by
Ohio

About this file

This document is a Signature Page for a procurement contract between the State of Ohio, Department of Transportation (ODOT) and Qwick Kurb Inc., under Procurement # 020-25. The signature page serves as a formal acknowledgment of the bidder's understanding and compliance with all terms, conditions, and requirements of the procurement, and signifies the company's entry into a contract with ODOT.

The contract is for Longitudinal Channelizer Systems, with Matthew Schindler, President of Qwick Kurb Inc., executing the document on 2024-12-23. The signature was electronically signed, and the ODOT Director Pamela Boratyn, represented by Nathan Fling, countersigned the document on 2025-01-14, formally accepting the bidder's offer and establishing the ODOT Contract between the State of Ohio and Qwick Kurb Inc.

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Other files

File Type Posted
020-25spec_Bid_Doc..pdf PDF
QK_Signed_Disclosure.pdf PDF
ODOT_Terms___Conditions_with_excel_pricing.pdf PDF
QWICK_KURB_INC_020-25pricing__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 # 020-25

Commodities Commodity/Service: Longitudinal Channelizer Systems

QWICK KURB INC.

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

hNYZNALVdnA6_zxC3AWis8cUR: Matthew Schindler
hNYZNALVdnA6_y3lA4WXX1MwK: President
hNYZNALVdnA6_LMj35xqhtPcN: QWICK KURB INC
hNYZNALVdnA6_8MUDKayWSTID: 2024-12-23 15:58:32 UTC
2024-12-23T15:58:34+0000
Client IP: 47.207.75.8, Transaction ID: I--r9pM1iYZhR9_R1Rjw0g2Jo_Q=
OneSpan
E-SIGNED by Matthew Schindler (matthew@qwickkurb.com), ID: 7ed56576-db80-4cbe-8c6d-31e2fd098042
2025-01-14T13:30:50+0000
Client IP: 156.63.133.8, Transaction ID: I--r9pM1iYZhR9_R1Rjw0g2Jo_Q=
OneSpan
E-SIGNED by Max Fling (nathan.fling@dot.ohio.gov), ID: d2e6f620-42ed-44c0-977c-e089fb30f7c4

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