Signature__4___1___002_.pdf
PDF 399 KB Posted
- Attached to
- Competitive Selection OH|DOT023A26-7
- Contract number
- DOT023A26-7
- 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 #023A-26. The contract involves Truck Country of Indiana Inc. as the bidder, with signatures from Duane Hoersten (Sales Representative) and official acceptance from Pamela Boratyn, Director of ODOT, represented by signatories Nathan Fling and Max Fling.
The procurement is for Single & Tandem Axle Cab & Chassis commodities, indicating a multiple-award contract for transportation vehicle chassis. The document serves as a formal acknowledgment that the bidder understands and will comply with all contract terms and conditions, and has been authorized to submit a response and execute contracts on behalf of their company. While specific pricing details are not provided in this signature page, the document represents the formal agreement between ODOT and Truck Country of Indiana Inc. for the procurement of specified transportation vehicle chassis.
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Other files
| File | Type | Posted |
|---|---|---|
| 2-_Pricing_Document__023A-26_Addendum_1.xlsx | XLSX spreadsheet | |
| 023A-26.pdf | ||
| 2-023A-26_Aff___Disc_1.pdf | ||
| 2-_Pricing_Document__023A-26_Addendum_1_1.xlsx | XLSX spreadsheet |
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Text version
State of Ohio, Department of Transportation (ODOT) Office of Contract Sales, Purchasing Services
SIGNATURE PAGE
Procurement # 023A-26
Commodities Commodity/Service: Single & Tandem Axle Cab & Chassis 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
| 5psRepPTaig3_jUHKIV3o63g3: 2025-07-21 16:27:18 | |
| 5psRepPTaig3_0B4tc8blcVE9: Duane Hoersten | |
| 5psRepPTaig3_kYJoxplNUYsO: Sales Representative | |
| 5psRepPTaig3_urM2YBRsrFQU: Truck Country of Indiana Inc. | |
| 2025-07-21T16:27:36+0000 | |
| Client IP: 216.255.16.122, Transaction ID: m29EY39UsWfjD7dAEAggz5kDJ-8= | |
| OneSpan | |
| E-SIGNED by Duane Hoersten (duanehoersten@truckcountry.com), ID: c05ba181-bcb9-4cd8-843c-26153d289e9e |
| 2025-07-23T12:55:04+0000 | |
| Client IP: 156.63.133.8, Transaction ID: m29EY39UsWfjD7dAEAggz5kDJ-8= | |
| OneSpan | |
| E-SIGNED by Max Fling (nathan.fling@dot.ohio.gov), ID: 079d9756-eccd-4ad5-b93e-d85605c386aa |
File details come from the government source that posted it. Updated .