Signature.pdf

PDF 392 KB Posted

Attached to
Competitive Selection OH|DOT89926-1
Contract number
DOT89926-1
Issued by
Ohio

About this file

This document is a Signature Page for Procurement #899-26 from the State of Ohio, Department of Transportation (ODOT), specifically from the Office of Contract Sales, Purchasing Services. The contract involves JEM Industrial Maintenance Corp as the bidder, with signatures from Jorge E. Moheyer (President & C.E.O.) and Nathan Fling representing ODOT Director Pamela Boratyn executing the document.

The procurement is for Crack and Joint Sealant, a commodity/service for transportation infrastructure maintenance. The signature page serves as a formal acknowledgment of the contract terms, with the bidder agreeing to comply with all procurement requirements. The document indicates that JEM Industrial Maintenance Corp has been selected as the awarded vendor, and the contract will bind the company to the specified terms and conditions. The contract was electronically signed on 2025-06-04 by the company representative and subsequently approved by ODOT officials.

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Other files

File Type Posted
899-26.pdf PDF
AFFIMATION___DISC._899-26.pdf PDF
CrackMaster-3405_SDS.pdf PDF
Crackmaster-pf-type-iv_TDS.pdf PDF
Tack-Away_TDS.pdf PDF
CrackMaster-3405_MP_COC.pdf PDF
Crackmaster-pf-type-iv_SDS.pdf PDF
Tack-Away_COA.pdf PDF
TackAway_SDS.pdf PDF
899-26_BID_TO_ODOT_CRACKSEALER__06_02_25_.xlsx XLSX spreadsheet
CrackMaster-PF_Type-IV_COC.pdf PDF
Crackmaster-3405_COC.pdf PDF
CrackMaster-Sealants_Brochure.pdf PDF
TackAway_Brochure.pdf PDF
crackmaster-3405_TDS.pdf PDF
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Text version

State of Ohio, Department of Transportation (ODOT)

Office of Contract Sales, Purchasing Services

SIGNATURE PAGE

Procurement # 899-26

Commodity/Service: Crack and Joint Sealant

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):

Pamela Boratyn as signed by Nathan Fling

Pamela Boratyn

Director

State of Ohio, Department of Transportation

C5DHYSGQyFE3_MOs9J1W1Z1cH: JEM Industrial Maintenance Corp
C5DHYSGQyFE3_Rq3uvl4y9M4R: JORGE E. MOHEYER
C5DHYSGQyFE3_ACw7OHVuOQgO: PRESIDENT & C.E.O.
C5DHYSGQyFE3_Cp3yPrTPMXYP: 2025-06-04 16:15:35
2025-06-04T16:15:47+0000
Client IP: 136.226.53.105, Transaction ID: enBhHGZESJOeA2fVGrVob-7oVNA=
OneSpan
E-SIGNED by JORGE E. MOHEYER (jem.industrial@gmail.com), ID: f6ccd0a7-8633-4fc4-b592-203e15563092
2025-06-16T19:59:39+0000
Client IP: 156.63.133.8, Transaction ID: enBhHGZESJOeA2fVGrVob-7oVNA=
OneSpan
E-SIGNED by Nathan Fling (nathan.fling@dot.ohio.gov), ID: d27ecbe4-2254-4106-88a0-44b440eae448

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