Signature__79_.pdf
PDF 209 KB Posted
- Attached to
- Competitive Selection OH|DOT03625-3
- Contract number
- DOT03625-3
- Issued by
- Ohio
About this file
This document is a Signature Page for Procurement #036-25 from the State of Ohio, Department of Transportation (ODOT), specifically involving the Office of Contract Sales and Purchasing Services. The contract involves Octane Forklifts Inc. as the bidder, with signatures from Jeff Blasdel (President) and Nathan Fling signing on behalf of Jack Marchbanks, the ODOT Director.
The procurement is for List Trucks, with the signature page serving as a formal acknowledgment of contract terms and conditions. The document indicates that Octane Forklifts Inc. has been selected for award and will be bound by all procurement requirements. The contract was electronically signed on August 30, 2024, with both the company representative and the ODOT Director executing the document, which formally establishes the contract between Octane Forklifts Inc. and the State of Ohio Department of Transportation.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Affirmation___Disclosure_Form_-_OCTANE.pdf | ||
| ODOT_Terms___Conditions.pdf | ||
| 036-25_Bid_Document.pdf | ||
| 036-25_Lift_Trucks_-_OCTANE.xlsx | XLSX spreadsheet | |
| ODOT_Co-Op_Program_Information.pdf |
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Text version
State of Ohio, Department of Transportation (ODOT) Office of Contract Sales, Purchasing Services
SIGNATURE PAGE
Procurement # 036-25
Commodity/Service: List Trucks
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
| icbyog20Zgk0_Ho5BBSt4tCMJ: 2024-08-30 13:36:50 UTC | |
| icbyog20Zgk0_KDSAjcYRCm8C: President | |
| icbyog20Zgk0_H9DEOSR0gp8O: Jeff Blasdel | |
| icbyog20Zgk0_0hxMzslKVZAI: Octane Forklifts Inc. | |
| 2024-08-30T13:36:55+0000 | |
| Client IP: 50.219.176.163, Transaction ID: Uthw_grp4pN5KxiTydaGC7ILZLg= | |
| OneSpan | |
| E-SIGNED by Jeff Blasdel (jeff@octaneforklifts.com), ID: f87aa8eb-c55f-42f2-981c-c19f15af79cc |
| 2024-08-30T15:04:14+0000 | |
| Client IP: 156.63.133.254, Transaction ID: Uthw_grp4pN5KxiTydaGC7ILZLg= | |
| OneSpan | |
| E-SIGNED by Max Fling (nathan.fling@dot.ohio.gov), ID: 8609d0ca-1c24-44f1-ac25-ef0b30af24a7 |
File details come from the government source that posted it. Updated .