Signature__4___1___002_.pdf

PDF 220 KB Posted

Attached to
Competitive Selection OH|DOT04425-9
Contract number
DOT04425-9
Issued by
Ohio

About this file

This document is a Signature Page for a State of Ohio, Department of Transportation (ODOT) procurement, specifically Procurement #044-25. The contract involves Selking International LLC as the bidder, with ODOT's Director Pamela Boratyn (signed by Nathan Fling) executing the contract. The document represents a multiple award procurement process for the state transportation department.

The procurement is for Truck Tractors with Conventional Cab and Tandem Axle as the specified commodity/service. The signature page serves as a formal acknowledgment that Selking International LLC will comply with all terms, conditions, and requirements of the procurement, and has been selected for award. The document was electronically signed by Brock Selking (Agent) on 2024-10-14 and by ODOT representatives on 2024-10-15, indicating the contract's recent execution. The signature page establishes the formal contract between Selking International LLC and the State of Ohio Department of Transportation.

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Text version

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

SIGNATURE PAGE

Procurement # 044-25

Commodities Commodity/Service:

Truck Tractor Conventional Cab Tandem Axle

MULTIPLE AWARD:

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

iiPJLKGYjIgZ_DCuMmzFYHpwA: 2024-10-14 12:44:03 UTC
iiPJLKGYjIgZ_gykifoQY1DM1: Agent
iiPJLKGYjIgZ_fpLrkMap1DoS: Brock Selking
iiPJLKGYjIgZ_njuT2Sb1k60M: Selking International LLC
2024-10-14T12:44:19+0000
Client IP: 184.18.191.91, Transaction ID: Nl20ZTtK-iTEZT1elcMmdpXcVoM=
OneSpan
E-SIGNED by Brock Selking (brockselking@selkinginternational.com), ID: acb8ba9c-9607-4fc9-8197-a0e360f70f6e
2024-10-15T12:44:07+0000
Client IP: 156.63.133.8, Transaction ID: Nl20ZTtK-iTEZT1elcMmdpXcVoM=
OneSpan
E-SIGNED by Max Fling (nathan.fling@dot.ohio.gov), ID: 56aa4b05-771e-43d7-aff5-e0f2d5657b61

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