Signature__51_.pdf

PDF 275 KB Posted

Attached to
Competitive Selection OH|DOT21324-1
Contract number
DOT21324-1
Issued by
Ohio

About this file

This document is a Signature Page for Procurement #213-24 from the State of Ohio, Department of Transportation (ODOT), specifically from the Office of Contract Sales and Purchasing Services. The document involves Force America Distributing LLC as the bidder, with Ryan Pobuda (Vice President of Sales) executing the signature page, and Nathan Fling signing on behalf of ODOT Director Jack Marchbanks.

The procurement is for Central Hydraulic Systems, with the signature page serving as a formal acknowledgment of the bidder's understanding and compliance with all procurement terms and conditions. By executing this document, Force America Distributing LLC commits to entering into a contract with ODOT if selected, and ODOT confirms its acceptance of the bidder's offer. The signature page represents a critical step in the formal contracting process, establishing the mutual agreement between the state agency and the vendor for the specified commodity or service.

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Other files

File Type Posted
213-24_Bid_document.pdf PDF
FORCE_America_-_213-24_Updated_Pricing.xlsx XLSX spreadsheet
FORCE_America_-_Affirmation_and_Disclosure.pdf PDF

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Text version

State of Ohio, Department of Transportation (ODOT)

Office of Contract Sales, Purchasing Services

SIGNATURE PAGE

Procurement #213-24

Commodity/Service: Central Hydraulic Systems

This Signature Page must be completed and submitted with a Bidder’s sealed bid package to serve 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 and submission of this Signature Page shall serve as acknowledgment that the

Bidder will enter into a Contract with the State of Ohio, Department of Transportation if selected for award of the above-referenced procurement, and understands, upon Contract award, 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: ________________________________________________________

Original Signature: _____________________________________________________________

Print Name of Officer: ___________________________________________________________

Title of Signing Officer: __________________________________________________________

Date: _________________________________________

FOR USE BY THE OHIO DEPARTMENT OF TRANSPORTATION ONLY:

Pursuant to Section 30 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):

Nathan Fling, Signing on behalf of Director of Transportation, Jack Marchbanks

Jack Marchbanks, Ph. D.

Director

State of Ohio, Department of Transportation

ITK4jt1wwFwF_QO1lwooT5yk4: Force America Distributing LLC
ITK4jt1wwFwF_eGQ6IeznoXgA: Ryan Pobuda
ITK4jt1wwFwF_a6OpuNNrAF80: Vice President of Sales
ITK4jt1wwFwF_ZGeAnlysfRgR: 2024-01-09 21:11:26 UTC
2024-01-09T21:11:36+0000
Client IP: 167.224.109.242, Transaction ID: vFFbvuuInkifSsm-kZ3lEWliL_8=
OneSpan
E-SIGNED by Ryan Pobuda (rpobuda@forceamerica.com), ID: 62d3fbcd-de85-4da7-bad6-bb435e3f8369
2024-01-17T21:24:46+0000
Client IP: 156.63.133.8, Transaction ID: vFFbvuuInkifSsm-kZ3lEWliL_8=
OneSpan
E-SIGNED by Nathan Fling (nathan.fling@dot.ohio.gov), ID: 1e81a151-68cb-489d-b381-0831be87002c

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