Signature__56_.pdf
PDF 274 KB Posted
- Attached to
- Competitive Selection OH|DOT86524-2
- Contract number
- DOT86524-2
- Issued by
- Ohio
About this file
This document is a Signature Page for Procurement #865-24 from the State of Ohio, Department of Transportation (ODOT), specifically from the Office of Contract Sales, Purchasing Services. The signature page involves JT Dillard LLC as the bidder, with David Elbert (General Manager) executing the document, and Nathan Fling signing on behalf of ODOT Director Jack Marchbanks.
The procurement is for Live Bottom Dump Bodies, with the signature page serving as a formal acknowledgment of the bidder's understanding and compliance with all terms, conditions, and requirements of the procurement. By executing this document, JT Dillard LLC agrees to enter into a contract with ODOT if selected, and the document represents the formal acceptance of the bidder's offer by the Ohio Department of Transportation. The signature page authorizes the company to submit a formal response and execute contracts on the company's behalf, effectively establishing the contractual relationship for the specified commodity.
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Text version
State of Ohio, Department of Transportation (ODOT)
Office of Contract Sales, Purchasing Services
SIGNATURE PAGE
Procurement #865-24
Commodity/Service: Live Bottom Dump Bodies
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: ________________________________________________________
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
| DblamPjqzVcM_j44BrbU2Gl4S: JT Dillard LLC | |
| DblamPjqzVcM_PAqEBnqf1jAY: David Elbert | |
| DblamPjqzVcM_34cLBVTV574X: General Manager | |
| DblamPjqzVcM_e31mBCVOYX4D: 2024-01-08 14:33:02 UTC | |
| 2024-01-08T14:33:08+0000 | |
| Client IP: 104.2.158.138, Transaction ID: jmuLS7IPTxPJyRxz0mj6AOGfI7E= | |
| OneSpan | |
| E-SIGNED by David Elbert (david.elbert@zaymat.com), ID: d8227602-b7f9-4b53-8a01-b4c0d9dd3957 |
| 2024-01-17T21:13:50+0000 | |
| Client IP: 156.63.133.8, Transaction ID: jmuLS7IPTxPJyRxz0mj6AOGfI7E= | |
| OneSpan | |
| E-SIGNED by Nathan Fling (nathan.fling@dot.ohio.gov), ID: 3f4ce55b-d9b4-4e82-89af-699750c999a5 |
File details come from the government source that posted it. Updated .