Signature.pdf

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Attached to
Competitive Selection OH|DOT22525-4
Contract number
DOT22525-4
Issued by
Ohio

About this file

This document is a Signature Page for Procurement #225-25 from the State of Ohio, Department of Transportation (ODOT), specifically involving the Office of Contract Sales and Purchasing Services. The contract involves Southeastern Equipment Co. as the bidder/vendor, with signatures from Chris Kurz (Sales Manager) and official execution by ODOT Director Pamela Boratyn, represented by Nathan Fling.

The procurement is for Road Maintenance Brooms, with the document serving as a formal contract acknowledgment and authorization. The signature page confirms that Southeastern Equipment Co. has been selected for award and agrees to be bound by all terms and conditions of the procurement. The contract was electronically signed on October 1st, 2024, with both the vendor and ODOT representatives completing their respective signature sections, indicating mutual agreement and readiness to proceed with the contractual arrangement for road maintenance equipment.

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

SIGNATURE PAGE

Procurement # 225-25

Commodity/Service: Road Maintenance Brooms

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

cwHEvoNC0BYZ_uMDiLKHi0GID: Chris Kurz
cwHEvoNC0BYZ_clpnb9i0frIL: Sales Manager
cwHEvoNC0BYZ_14BHnqhu1ikA: 2024-10-01 18:04:12 UTC
cwHEvoNC0BYZ_mBoOpQxrBy4N: Southeastern Equipment Co.
2024-10-01T18:04:20+0000
Client IP: 216.194.98.119, Transaction ID: d6TorZBE9oWDqXk3XcResjXbhKs=
OneSpan
E-SIGNED by Chris Kurz (ckurz@southeasternequip.com), ID: 87c9021f-6eca-458c-b259-23b43163daa3
2024-10-01T19:53:48+0000
Client IP: 156.63.133.254, Transaction ID: d6TorZBE9oWDqXk3XcResjXbhKs=
OneSpan
E-SIGNED by Max Fling (nathan.fling@dot.ohio.gov), ID: f7b6c801-e9ee-47ae-8498-47f8eef1d8e4

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