Signature__4___1___002_.pdf

PDF 222 KB Posted

Attached to
Competitive Selection OH|DOT04425-10
Contract number
DOT04425-10
Issued by
Ohio

About this file

This document is a Signature Page for a procurement issued by the State of Ohio, Department of Transportation (ODOT), specifically Procurement #044-25. The contract involves Truck Country of Indiana Inc as the bidder, with ODOT's Director Pamela Boratyn (signed by Nathan Fling) executing the contract. This is a multiple award contract for the Office of Contract Sales, Purchasing Services.

The contract is for Truck Tractor Conventional Cab Tandem Axle commodities. David Hibner, Sales Manager for Truck Country of Indiana Inc, executed the signature page electronically on 2024-11-08, and ODOT's representative signed on 2024-11-12. The document serves as a formal acknowledgment that the bidder understands and will comply with all procurement terms and conditions, and that they are entering into a contract with the State of Ohio Department of Transportation. The signature page effectively forms the contract between ODOT and the successful bidder.

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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

F5TAZ3o1vWQU_4WdBnDmgwMU4: David Hibner
F5TAZ3o1vWQU_WQdekWnZGG4O: Sales Manager
F5TAZ3o1vWQU_4iQQCv775UgC: 2024-11-08 21:06:01 UTC
F5TAZ3o1vWQU_V2cI5DMVALQB: Truck Country of Indiana Inc
2024-11-08T21:06:19+0000
Client IP: 216.255.16.122, Transaction ID: -Z59giRCv8ozZGdl5R9m6KXa8ug=
OneSpan
E-SIGNED by David Hibner (davidhibner@truckcountry.com), ID: f69539ff-7314-425a-ad08-8c8047645302
2024-11-12T13:01:13+0000
Client IP: 156.63.133.8, Transaction ID: -Z59giRCv8ozZGdl5R9m6KXa8ug=
OneSpan
E-SIGNED by Max Fling (nathan.fling@dot.ohio.gov), ID: e2919fd3-7d02-4d88-abf2-994f13b7854f

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