Signature__4___1___002_.pdf

PDF 208 KB Posted

Attached to
Competitive Selection OH|DOT26525-4
Contract number
DOT26525-4
Issued by
Ohio

About this file

This document is a Signature Page for a procurement contract (Procurement # 265-25) between the State of Ohio, Department of Transportation (ODOT) and The Safety Company LLC. The document serves as a formal acknowledgment and execution of a contract, with signatures from Evan Tierney, VP of Operations and Technology for The Safety Company LLC, and Nathan Fling signing on behalf of Pamela Boratyn, Director of ODOT.

The contract is for Jetting & Vacuum Truck services, with The Safety Company LLC selected as the awarded bidder. The signature page indicates that the company understands and will comply with all terms, conditions, and requirements of the procurement. The document represents a formal contract between the State of Ohio and The Safety Company LLC, binding both parties to the specified procurement terms. The contract was electronically signed on November 5, 2024 (by Evan Tierney) and November 12, 2024 (by ODOT representatives), suggesting a recent procurement process for specialized transportation-related equipment or services.

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

SIGNATURE PAGE

Procurement # 265-25

Commodities Commodity/Service:

Jetting & Vacuum Truck

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

2024-11-12T12:53:53+0000
Client IP: 156.63.133.254, Transaction ID: axtbMFFS9uz_qhxy5yPHre5ogz0=
OneSpan
E-SIGNED by Max Fling (nathan.fling@dot.ohio.gov), ID: d589d970-32f8-4dcd-af80-0e70c4ad091c
cPhEoNGmO2UL_kA7fcmEP2MYI: 2024-11-05 20:51:02 UTC
cPhEoNGmO2UL_Gl618OdDVbQH: Evan Tierney
cPhEoNGmO2UL_ZeVucroHDZE3: VP of Operations and Technology
cPhEoNGmO2UL_xE0NtmAjrqQU: The Safety Company LLC
2024-11-05T20:51:20+0000
Client IP: 174.207.161.244, Transaction ID: axtbMFFS9uz_qhxy5yPHre5ogz0=
OneSpan
E-SIGNED by Evan Tierney (etierney@mtechcompany.com), ID: f9e8951a-ca14-40cd-93c9-82ab097d2430

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