Signature__4___1___002_.pdf

PDF 208 KB Posted

Attached to
Competitive Selection OH|DOT17725-1
Contract number
DOT17725-1
Issued by
Ohio

About this file

This document is a Signature Page for Procurement #177-25 from the State of Ohio, Department of Transportation (ODOT), Office of Contract Sales, Purchasing Services. The contract involves ALTA Enterprises as the bidder, with Donald D'Onofrio serving as the Government Segment Manager, and Pamela Boratyn as the ODOT Director. The signature page represents a formal agreement between ALTA Enterprises and the State of Ohio for the procurement of a specified commodity or service.

The procurement is for a Double Barrel Roller, with the contract being executed through an electronic signature process. Donald D'Onofrio signed the document on 2024-10-29 at 10:49:13 UTC, and Pamela Boratyn, represented by Nathan Fling, signed on 2024-11-07 at 19:33:52 GMT. The signature page serves as a binding agreement where ALTA Enterprises acknowledges compliance with all terms, conditions, and requirements of the procurement, and ODOT formally accepts the bidder's offer, effectively forming the contract between the two parties.

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Other files

File Type Posted
177-25_Double_Barrel_Roller.pdf PDF
ODOT_Dynapac_NA-Alta_OH.xlsx XLSX spreadsheet
affirmation_10_24.pdf PDF
ODOT_Co-Op_Program_Information.pdf PDF

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Text version

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

SIGNATURE PAGE

Procurement # 177-25

Commodities Commodity/Service: Double Barrel Roller

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

cHajPay2fNI6_9Io1AY3dc0wC: Donald D'Onofrio
cHajPay2fNI6_untpXX2cYfIB: Government Segment Manager
cHajPay2fNI6_QDJK9vcoX4IF: ALTA Enterprises
cHajPay2fNI6_NgZeHCeBUSkU: 2024-10-29 10:49:13 UTC
2024-10-29T13:25:18+0000
Client IP: 173.91.224.138, Transaction ID: 6Ihjqzmi-qVMdDss_A3wxLQu-y0=
OneSpan
E-SIGNED by Donald D'Onofrio (don.donofrio@altg.com), ID: 1275c976-9509-4bf0-b0af-caf2e5cd8560
2024-11-07T19:33:53+0000
Client IP: 156.63.133.254, Transaction ID: 6Ihjqzmi-qVMdDss_A3wxLQu-y0=
OneSpan
E-SIGNED by Max Fling (nathan.fling@dot.ohio.gov), ID: 4debd17e-24b8-4870-a47a-a2cd486d3f9e

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