Signature.pdf
PDF 197 KB Posted
- Attached to
- Competitive Selection OH|DOT199B24-1
- Contract number
- DOT199B24-1
- Issued by
- Ohio
About this file
This document is a Signature Page for Procurement #199B-24 issued by the State of Ohio's Department of Transportation (ODOT), specifically through the Office of Contract Sales and Purchasing Services. The contract involves Safety Kleen Systems Inc. as the bidder, with signatures from Shaynn Mahan (SVP Sales) for the company and Nathan Fling signing on behalf of ODOT Director Jack Marchbanks.
The procurement is for Disposal Services for Used Oil, with the signature page serving as a formal acknowledgment of the contract terms and conditions. The document indicates that Safety Kleen Systems Inc. has been selected as the awarded vendor for this procurement, and both parties have electronically signed the document on March 13-19, 2024. The signature page represents a binding agreement between Safety Kleen Systems Inc. and the State of Ohio Department of Transportation for the specified disposal services.
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Other files
| File | Type | Posted |
|---|---|---|
| Affirmation.pdf | ||
| 199B-24.pdf | ||
| SKS_Pricing_ODOT_.xlsx | XLSX spreadsheet |
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Text version
State of Ohio, Department of Transportation (ODOT)
Office of Contract Sales, Purchasing Services
SIGNATURE PAGE
Procurement # 199B-24
Commodity/Service: Disposal Services for Used Oil
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
| 2024-03-19T18:23:29+0000 | |
| Client IP: 156.63.133.8, Transaction ID: 10r47x5A03_YlkkU77lTXgb6wMc= | |
| OneSpan | |
| E-SIGNED by Nathan Fling (nathan.fling@dot.ohio.gov), ID: c0e91e73-1b39-412d-ac96-58fc45039c5e |
| wmIR7ERJNjkK_lKpMsySeIBoZ: Safety Kleen Systems Inc | |
| wmIR7ERJNjkK_s1cHg5TG3JIQ: Shaynn Mahan | |
| wmIR7ERJNjkK_uuKahKzEtZkH: SVP Sales | |
| wmIR7ERJNjkK_XR5FlQLnEPc9: 2024-03-13 14:57:43 UTC | |
| 2024-03-13T14:57:47+0000 | |
| Client IP: 155.203.3.100, Transaction ID: 10r47x5A03_YlkkU77lTXgb6wMc= | |
| OneSpan | |
| E-SIGNED by Shaynn Mahan (mahan.shaynn@cleanharbors.com), ID: 2df3dc8f-8c28-4c57-b1ff-e63c320aa67e |
File details come from the government source that posted it. Updated .