Signature__83_.pdf

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Attached to
Competitive Selection OH|DOT17025-5
Contract number
DOT17025-5
Issued by
Ohio

About this file

This document is a Signature Page for Procurement #170-25 from the State of Ohio, Department of Transportation (ODOT), specifically for the Office of Contract Sales, Purchasing Services. The contract involves Southeastern Equipment Co. Inc. as the bidder, with the document signed electronically by Chris Kurz, Regional Sales Manager, and countersigned by Nathan Fling on behalf of ODOT Director Jack Marchbanks.

The procurement is for Wheel Loaders, with the contract awarded for all sections of the bid. The signature page serves as a formal acknowledgment and execution of the contract, binding Southeastern Equipment Co. Inc. to the terms and conditions specified in the procurement. The document indicates that the company has been selected for award and will comply with all requirements of the procurement. While specific pricing, detailed terms, and contract duration are not explicitly outlined in this signature page, the document represents the official agreement between ODOT and the successful bidder for the wheel loader procurement.

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State of Ohio, Department of Transportation (ODOT) Office of Contract Sales, Purchasing Services

SIGNATURE PAGE

Procurement # 170-25

Commodity/Service: Wheel Loaders – Awarded all sections bid

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

M9OhWRICClYM_G5MBNQlvIo0I: 2024-06-26 21:09:25 UTC
M9OhWRICClYM_9bOCdvYewDUL: Chris Kurz
M9OhWRICClYM_U4AKumIB0Q0E: Regional Sales Manager
M9OhWRICClYM_5EzP9lYdNds9: Southeastern Equipment Co. Inc.
2024-06-26T21:09:36+0000
Client IP: 174.254.54.44, Transaction ID: ltOuXjkcxAdgaLhfEdiSU9Gp3VA=
OneSpan
E-SIGNED by Chris Kurz (ckurz@southeasternequip.com), ID: daa5940d-6fc2-4187-960a-02888ab75a6a
2024-07-10T15:58:32+0000
Client IP: 156.63.133.8, Transaction ID: ltOuXjkcxAdgaLhfEdiSU9Gp3VA=
OneSpan
E-SIGNED by Max Fling (nathan.fling@dot.ohio.gov), ID: ab8ef7f9-f035-4e22-a3f1-d887d1f4fb48

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