Signature__4___1___002_.pdf
PDF 400 KB Posted
- Attached to
- Competitive Selection OH|DOT05525-41
- Contract number
- DOT05525-41
- Issued by
- Ohio
About this file
This document is a Signature Page for Procurement #055-25 from the State of Ohio, Department of Transportation (ODOT), specifically for the Towing and Recovery Incentive Payment (TRIP) Program. The contract involves Flag City Towing and Recovery LLC as the bidder, with Kris Stafford (Operations Manager) executing the document, and Pamela Boratyn, Director of ODOT, formally accepting the bid on behalf of the state agency.
The procurement is a multiple award contract for towing and recovery services, with the signature page serving as a formal acknowledgment of the bidder's compliance with all terms, conditions, and requirements of the procurement. The document indicates that Flag City Towing and Recovery LLC has been selected for award and will be bound by the contract's terms. The signature page was electronically signed on 2025-06-16, with both the bidder and ODOT representatives completing their respective sections, effectively forming the contract between the company and the State of Ohio Department of Transportation.
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Other files
| File | Type | Posted |
|---|---|---|
| 055-25.pdf | ||
| 1-Affirmation_and_Disclosure.pdf | ||
| 1-filled_out_trip_questions.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 # 055-25
Commodities Commodity/Service: Towing and Recovery Incentive Payment (TRIP) Program 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
| 0KLjyjcy5xM0_XVKvoXrCErE0: 2025-06-16 11:44:55 | |
| 0KLjyjcy5xM0_7kJcNnPPzL8J: Operations Manager | |
| 0KLjyjcy5xM0_egniQG81pK07: Kris Stafford | |
| 0KLjyjcy5xM0_VSo0Z242UeMD: Flag City Towing and Recovery LLC | |
| 2025-06-16T11:45:07+0000 | |
| Client IP: 75.242.228.208, Transaction ID: s2EIotvsySaCXdrn8bsIhifq9B8= | |
| OneSpan | |
| E-SIGNED by Kris Stafford (kstafford@flagcitywrecker.com), ID: 8bd11770-b59b-4337-8976-e52983f1d40c |
| 2025-06-16T19:46:38+0000 | |
| Client IP: 156.63.133.8, Transaction ID: s2EIotvsySaCXdrn8bsIhifq9B8= | |
| OneSpan | |
| E-SIGNED by Max Fling (nathan.fling@dot.ohio.gov), ID: 7586d544-e8dd-444d-90b8-b7989fc69b97 |
File details come from the government source that posted it. Updated .