Signature__4___1___002_.pdf
PDF 390 KB Posted
- Attached to
- Competitive Selection OH|DOT04726-1
- Contract number
- DOT04726-1
- Issued by
- Ohio
About this file
This is a Signature Page for a procurement contract between the State of Ohio, Department of Transportation (ODOT) and Chas E Phipps Company for Procurement #047-26. The document serves as a formal acknowledgment and execution of contract terms, with signatures from Pat Collins (Senior Estimator) for the bidding company and Pamela Boratyn (Director of ODOT) representing the state agency.
The contract is specifically for Bridge Deck Sealant, a commodity/service procurement. The Signature Page indicates that Chas E Phipps Company has been selected for award and will be bound by all terms and conditions of the procurement. The document was electronically signed on 2025-06-26 by Pat Collins and subsequently approved by ODOT on 2025-07-18, effectively forming the contract between the state transportation department and the successful bidder.
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Other files
| File | Type | Posted |
|---|---|---|
| 047-26_spec.pdf | ||
| ODOT_Co-Op_Program_Information.pdf | ||
| ODOT_Terms___Conditions_with_excel_pricing.pdf | ||
| ODOT_047-26_pricing.xlsx | XLSX spreadsheet | |
| ODOT_047-26_AFFIRMATION_AND_DISCLOSURE.docx.pdf |
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Text version
State of Ohio, Department of Transportation (ODOT)
Office of Contract Sales, Purchasing Services
SIGNATURE PAGE
Procurement # 047-26
Commodities Commodity/Service: Bridge Deck Sealant
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
| xNFDCpbwkmEM_8KrAUyVUxBE1: Chas E Phipps Company | |
| xNFDCpbwkmEM_Z32VMpQC5fo5: Pat Collins | |
| xNFDCpbwkmEM_3cypcAIcbv4E: Senior Estimator | |
| xNFDCpbwkmEM_zafVoECunZwL: 2025-06-26 14:51:17 | |
| 2025-06-26T14:52:08+0000 | |
| Client IP: 162.155.104.146, Transaction ID: 6TntXi3Vz2LWjv1rNedpp5rytNM= | |
| OneSpan | |
| E-SIGNED by Pat Collins (pcollins@chasephipps.com), ID: 54adc9fb-0e99-411b-8ddf-e763c96a89fe |
| 2025-07-18T19:25:48+0000 | |
| Client IP: 156.63.133.8, Transaction ID: 6TntXi3Vz2LWjv1rNedpp5rytNM= | |
| OneSpan | |
| E-SIGNED by Nathan Fling (nathan.fling@dot.ohio.gov), ID: 8f1d2f15-0da7-4244-b8eb-581b21e07f10 |
File details come from the government source that posted it. Updated .