Signature.pdf
PDF 432 KB Posted
- Attached to
- Competitive Selection OH|DOT49126-1
- Contract number
- DOT49126-1
- Issued by
- Ohio
About this file
This document is a Signature Page for Procurement #491-26 from the State of Ohio, Department of Transportation (ODOT), specifically from the Office of Contract Sales, Purchasing Services. The procurement involves INSTRUTEK INC as the bidder, with Josh Shank (Regional Sales Manager) executing the document on behalf of the company. The signature page was e-signed on 2025-07-24, and subsequently countersigned by Pamela Boratyn, Director of ODOT, on 2025-07-29.
The procurement is for a Hamburg Wheel Track Tester, a specialized piece of equipment used in transportation infrastructure testing. The document serves as a formal contract between ODOT and INSTRUTEK INC, binding both parties to the terms and conditions outlined in the procurement. The signature page acknowledges the bidder's understanding and compliance with all procurement requirements and signifies ODOT's acceptance of INSTRUTEK INC's offer. While specific pricing, detailed terms, and contract duration are not explicitly stated in this signature page, the document represents the final step in awarding the contract for the specified commodity/service.
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Text version
State of Ohio, Department of Transportation (ODOT)
Office of Contract Sales, Purchasing Services
SIGNATURE PAGE
Procurement # 491-26
Commodity/Service: Hamburg Wheel Track Tester
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
| 8aE7OXDgmpgN_qWe9S3sh4jgS: INSTROTEK INC | |
| 8aE7OXDgmpgN_c9yuxDRE1rQD: Josh Shank | |
| 8aE7OXDgmpgN_tVYfkuZQZMgV: Regional Sales Manager | |
| 8aE7OXDgmpgN_wVBpEuK2bVAK: 2025-07-24 19:43:05 | |
| 2025-07-24T19:43:09+0000 | |
| Client IP: 173.95.22.114, Transaction ID: o_dDFhwGTdEdfjFUuoLykIp2EYY= | |
| OneSpan | |
| E-SIGNED by Josh Shank (jshank@instrotek.com), ID: 21d97608-84f3-4872-b05b-8428a524419d |
| 2025-07-29T15:18:01+0000 | |
| Client IP: 156.63.133.254, Transaction ID: o_dDFhwGTdEdfjFUuoLykIp2EYY= | |
| OneSpan | |
| E-SIGNED by Nathan Fling (nathan.fling@dot.ohio.gov), ID: 6895e842-0a75-44da-a2cd-0e377d1a16a6 |
File details come from the government source that posted it. Updated .