Signature.pdf
PDF 433 KB Posted
- Attached to
- Competitive Selection OH|DOT53626-1
- Contract number
- DOT53626-1
- Issued by
- Ohio
About this file
This document is a Signature Page for a procurement contract from the State of Ohio, Department of Transportation (ODOT), specifically Procurement #536-26. The contract involves Environmental Solutions & Innovations, with Shaun Kline serving as the Vice President, and is signed by both the company representative and Pamela Boratyn, the Director of ODOT.
The contract is for Pavement Marking Degradation Data Analysis services. The document serves as a formal acknowledgment that the bidder (Environmental Solutions & Innovations) understands and will comply with all terms, conditions, and requirements of the procurement. The signature page indicates that the company has been selected for award and will be bound by the contract's terms. The document was electronically signed on October 31, 2025 by Shaun Kline and on November 13, 2025 by Nathan Fling on behalf of Pamela Boratyn, finalizing the agreement between the parties.
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Other files
| File | Type | Posted |
|---|---|---|
| 536-26_Score_Sheet.xlsx | XLSX spreadsheet | |
| Affirmation_and_Disclosure_Form_ESI.pdf | ||
| 536-26.pdf | ||
| Cost_Proposal_ESI.xlsx | XLSX spreadsheet | |
| P25412_ODOT_Degradation_Analysis.pdf |
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Text version
State of Ohio, Department of Transportation (ODOT)
Office of Contract Sales, Purchasing Services
SIGNATURE PAGE
Procurement # 536-26
Commodity/Service: PAVEMENT MARKING DEGRADATION DATA ANALYSIS
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 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
| Lr2PxU5cp58O_f8L5WamRTooW: Environmental Solutions & Innovations | |
| Lr2PxU5cp58O_TihG6rhk7xwA: Shaun Kline | |
| Lr2PxU5cp58O_QBvqfMjuPeIP: Vice President | |
| Lr2PxU5cp58O_NZBJMidqg6c8: 2025-10-31 14:33:23 | |
| 2025-10-31T14:33:31+0000 | |
| Client IP: 76.125.189.207, Transaction ID: 9MSt2fBWYlOKmB-phFE8PZJzGCg= | |
| OneSpan | |
| E-SIGNED by Shaun Kline (skline@envsi.com), ID: cbbb9ff7-20b4-457f-8275-ad18223fa6e0 |
| 2025-11-13T19:48:00+0000 | |
| Client IP: 156.63.133.8, Transaction ID: 9MSt2fBWYlOKmB-phFE8PZJzGCg= | |
| OneSpan | |
| E-SIGNED by Nathan Fling (nathan.fling@dot.ohio.gov), ID: b3d8ce2f-de00-4860-9f3d-3477c6f91330 |
File details come from the government source that posted it. Updated .