Signature.pdf

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Attached to
Competitive Selection OH|DOT226A24-1
Contract number
DOT226A24-1
Issued by
Ohio

About this file

This document is a Signature Page for Procurement #226A-24 from the State of Ohio, Department of Transportation (ODOT) Office of Contract Sales, Purchasing Services. The contract involves Fairborn Equipment Midwest as the bidder, with the document executed electronically by Ben Rebosky, Vice President of Operations, on March 6, 2024, and countersigned by Nathan Fling on behalf of ODOT Director Jack Marchbanks on March 12, 2024.

The procurement is for Overhead Door Services covering Districts 1, 7, and the Central Office of ODOT. The Signature Page serves as a formal acknowledgment that the bidder understands and will comply with all terms and conditions of the procurement, and is prepared to enter into a contract with the State of Ohio, Department of Transportation if selected for award. The document does not provide specific details about pricing, service levels, or contract duration, but represents a critical step in the formal procurement and contracting process for the specified overhead door services.

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Text version

State of Ohio, Department of Transportation (ODOT)

Office of Contract Sales, Purchasing Services

SIGNATURE PAGE

Procurement # 226A-24

Commodity/Service: Overhead Door Services - Districts 1, 7, and Central Office

This Signature Page must be completed and submitted with a Bidder’s sealed bid package to serve 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 and submission of this Signature Page shall serve as acknowledgment that the

Bidder will enter into a Contract with the State of Ohio, Department of Transportation if selected for award of the above-referenced procurement, and understands, upon Contract award, 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

iaZoXLOla5EB_kAOXQOTSpPEO: Fairborn Equipment Midwest
iaZoXLOla5EB_8RSep66lEZ86: Ben Rebosky
iaZoXLOla5EB_hxTYY3HkHMUY: Vice President of Operations
iaZoXLOla5EB_fGtIIRTuanEM: 2024-03-06 13:41:49 UTC
2024-03-06T13:41:55+0000
Client IP: 216.196.199.146, Transaction ID: GERY5UzSdLGrvQdmMBHcdgWpKHE=
OneSpan
E-SIGNED by Ben Rebosky (reboskyb@fairbornequipmentohio.com), ID: 091721ad-d6a6-48a5-ac5d-b8aa6e532aff
2024-03-12T17:08:13+0000
Client IP: 156.63.133.8, Transaction ID: GERY5UzSdLGrvQdmMBHcdgWpKHE=
OneSpan
E-SIGNED by Nathan Fling (nathan.fling@dot.ohio.gov), ID: c91d1825-45a5-4bb3-a2ce-7df8994db28b

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