Signature__4___1___002_.pdf

PDF 206 KB Posted

Attached to
Competitive Selection OH|DOT17725-2
Contract number
DOT17725-2
Issued by
Ohio

About this file

This document is a Signature Page for a procurement contract from the State of Ohio, Department of Transportation (ODOT), specifically Procurement #177-25. The contract involves Ohio Machinery Co. as the bidder, with Kevin Keefer (Controller) executing the document on behalf of the company. The signature page was signed electronically by Kevin Keefer on 2024-10-30 and countersigned by Pamela Boratyn, Director of ODOT, on 2024-11-07.

The procurement is for a Double Barrel Roller, a commodity/service for ODOT's Office of Contract Sales, Purchasing Services. The signature page serves as a formal acknowledgment that Ohio Machinery Co. understands and will comply with all terms, conditions, and requirements of the procurement. By executing this document, the company agrees to enter into a contract with the State of Ohio, Department of Transportation and will be bound by all associated terms and conditions. The document represents the final step in formally awarding the contract to the selected bidder.

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Other files

File Type Posted
177-25_Double_Barrel_Roller__1_.xlsx XLSX spreadsheet
ODOT_Co-Op_Program_Information.pdf PDF
177-25_Double_Barrel_Roller.pdf PDF
Document_241022_104859.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

CbDkCyz3J4E4_r4ULJEsPNUcU: Kevin Keefer
CbDkCyz3J4E4_r4OsiH0XVxAP: Controller
CbDkCyz3J4E4_nZjJ80aTCxQ8: 2024-10-30 12:18:09 UTC
CbDkCyz3J4E4_J7vbmkAClCMA: Ohio Machinery Co.
2024-10-30T12:18:29+0000
Client IP: 74.218.74.2, Transaction ID: lnspJ6KXWTFHjpYU-1DrMW-JfrE=
OneSpan
E-SIGNED by Kevin Keefer (kkeefer@ohiocat.com), ID: af2d2955-c284-4f73-82d1-161b4beaeb1b
2024-11-07T19:57:18+0000
Client IP: 156.63.133.254, Transaction ID: lnspJ6KXWTFHjpYU-1DrMW-JfrE=
OneSpan
E-SIGNED by Max Fling (nathan.fling@dot.ohio.gov), ID: 6478a531-50c6-4bab-977b-7a2dbf829058

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