Signature__68__126-25__12_.pdf
PDF 141 KB Posted
- Attached to
- Competitive Selection OH|DOT12625-4
- Contract number
- DOT12625-4
- Issued by
- Ohio
About this file
This document is a Signature Page for Procurement #126-25 from the State of Ohio, Department of Transportation (ODOT), Office of Contract Sales, Purchasing Services. The contract involves Luciol Systems Co as the bidder, with Nicolas Skrzypczak signing on behalf of the company. The signature page serves as a formal acknowledgment of the bidder's understanding and compliance with all terms, conditions, and requirements of the procurement, and indicates the company's entry into a contract with the State of Ohio Department of Transportation.
The procurement is for Barrier Reflectors, Linear Delineation Systems, and Flexible Delineation Posts. The document indicates that Luciol Systems Co has been selected for award of this procurement and will be bound by all terms and conditions included. The contract is formally accepted by Nathan Fling, signing on behalf of Jack Marchbanks, Ph.D., the Director of ODOT. The signature page was electronically signed on 2024-09-27 at 15:45:13 UTC, suggesting this is a current or upcoming contract for transportation-related safety equipment.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| ODOT_Terms___Conditions.pdf | ||
| ODOT_Co-Op_Program_Information.pdf | ||
| 126-25_Bid_Document.pdf | ||
| 126-25pricing__2_.xlsx | XLSX spreadsheet | |
| _Affirmation_and_Disclosure_Document__Affirmation_and_Disclosure.docx | DOCX document |
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
State of Ohio, Department of Transportation (ODOT) Office of Contract Sales, Purchasing Services
SIGNATURE PAGE
Procurement # 126-25
Commodity/Service: Barrier Reflectors, Linear Delineation Systems and Flexible Delineation Posts
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):
Nathan Fling, Signing on behalf of Director of Transportation, Jack Marchbanks
Jack Marchbanks, Ph. D.
Director
State of Ohio, Department of Transportation
| ozwX1prCuAcU_gKvVes2SGKE2: 2024-09-27 15:45:13 UTC | |
| ozwX1prCuAcU_r7tlZvKr9Uk7: Nicolas Skrzypczak | |
| ozwX1prCuAcU_H1ILb2znSPAI: Luciol Systems Co | |
| ozwX1prCuAcU_YCwTLVrSDvAP: Member | |
| 2024-09-27T15:45:14+0000 | |
| Client IP: 68.40.98.210, Transaction ID: z4Bjp8P46_eg6qr2kdsYQhkPaV8= | |
| OneSpan | |
| E-SIGNED by Nicolas Skrzypczak (nskrzypczak@luciolsystems.com), ID: 4ffd2795-512a-43a0-9a98-b0e583b9904c |
File details come from the government source that posted it. Updated .