Signature__4___1___002_.pdf

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Attached to
Competitive Selection OH|DOT26525-3
Contract number
DOT26525-3
Issued by
Ohio

About this file

This document is a Signature Page for Procurement #265-25 from the State of Ohio, Department of Transportation (ODOT), specifically from the Office of Contract Sales, Purchasing Services. The document involves two primary parties: an unnamed bidder (represented by Maria Dahlmann, Secretary/Treasurer) and the State of Ohio, Department of Transportation (represented by Pamela Boratyn, Director, and signed by Nathan Fling).

The procurement is for Jetting & Vacuum Truck services, with the signature page serving as a formal acknowledgment of contract terms and conditions. The document indicates that the bidder has been selected for award and will be bound by all procurement terms. The contract was electronically signed by Maria Dahlmann on 2024-11-07 and countersigned by ODOT representatives, with the final signature completed on 2024-11-12, effectively forming the contract between the parties.

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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

WR8XgvdcVt0L_WxJN2WX8VOAW: Secretary/Treasurer
WR8XgvdcVt0L_o8eJ98lzRXk1: Maria Dahlmann
WR8XgvdcVt0L_1SMsaIkUPBc5:
WR8XgvdcVt0L_2xXMMakfMPEM: 2024-11-07 18:56:55 UTC
2024-11-07T18:57:04+0000
Client IP: 96.68.203.1, Transaction ID: 8vqtqUuAlYu9zSnfPampcMDSVu4=
OneSpan
E-SIGNED by Maria Dahlmann (mariadahlmann@bestequipmentco.com), ID: 854d5bde-28e8-4bc5-bbad-876b726a1cf1
2024-11-12T12:54:09+0000
Client IP: 156.63.133.254, Transaction ID: 8vqtqUuAlYu9zSnfPampcMDSVu4=
OneSpan
E-SIGNED by Max Fling (nathan.fling@dot.ohio.gov), ID: b208a5dc-3e02-4178-b46c-dc679d30987c

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