Signature__4___1___002_.pdf

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

INTEROFFICE COMMUNICATION:

AWARD

The Office of Roadway Engineering (ORE) has reviewed the submitted bid for pricing sheets within Ohio Buys and propose the following awards. This recommendation is based on the bid amounts

(lowest responsive per item) for the specified items.

As discussed, and confirmed with the Office of Contracts/Contract Sales, this contract type (split award) is Buy Ohio eligible; however, no bidder included a Buy Ohio preference form so no preferences could be assumed, and the award recommendation reflects this accordingly.

Additionally, one vendor (American Roadway Logistics, Inc) submitted a bid for Item 3; however, their Affirmation & Disclosure Form indicated a location for state data that is outside of the U.S. In consultation with the Office of Contracts/Contract Sales, it was determined that we are unable to offer an award to this vendor for Item 3.

No bids were received for Item 5.

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

Horizon Signal / AFAD-TM (TM only)1 A&A Safety Inc $16,637.50 John Thomas, Inc. / Sentinel AFAD 2 John Thomas Inc/Company$14,775.00

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

Synergy Technology, LLC / AF-100 5 [No Award] --- Ver-Mac / Flagger-Mac 6 Bain Enterprises $11,495.00

Wanco, Inc. / WAFAD 7 A&A Safety Inc $14,197.50

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