Signature__68__126-25__14_.pdf

PDF 209 KB Posted

Attached to
Competitive Selection OH|DOT12625-5
Contract number
DOT12625-5
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 Shur-Tite Products as the bidder, with David Riker (Chief Sales Officer) executing the signature page. The document serves as a formal acknowledgment of the bidding process and contract acceptance, with Nathan Fling signing on behalf of ODOT Director Jack Marchbanks.

The procurement is for Barrier Reflectors, Linear Delineation Systems, and Flexible Delineation Posts. The signature page indicates that Shur-Tite Products has been selected for award and will be bound by all terms and conditions of the procurement. The document was electronically signed on 2024-09-27, with both the bidder and ODOT representatives completing their respective sections, formally establishing the contract between the company and the State of Ohio Department of Transportation.

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Other files

File Type Posted
126-25pricing__5_.xlsx XLSX spreadsheet
Affirmation_and_Disclosure__11_.pdf PDF
ODOT_Co-Op_Program_Information.pdf PDF
126-25_Bid_Document.pdf PDF
ODOT_Terms___Conditions.pdf PDF

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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

2024-09-27T15:29:20+0000
Client IP: 156.63.133.8, Transaction ID: ji9byQAN-TkxSnuP1bdwrn8MDyQ=
OneSpan
E-SIGNED by Max Fling (nathan.fling@dot.ohio.gov), ID: d24b5562-25c8-4a74-9cb8-34e9bf6fa4b9
IFec0MIr0D4V_3DoYOKKVNv48: Chief Sales Officer
IFec0MIr0D4V_UMWuaif7BhE7: Shur-Tite Products
IFec0MIr0D4V_2F5xhLHRRKET: David Riker
IFec0MIr0D4V_5LWGIg6jgZgI: 2024-09-27 14:42:44 UTC
2024-09-27T14:43:00+0000
Client IP: 104.202.235.229, Transaction ID: ji9byQAN-TkxSnuP1bdwrn8MDyQ=
OneSpan
E-SIGNED by David Riker (david@shur-tite.com), ID: f418e9a8-8f13-4fad-b5f2-d5bb75682a9e

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