Signature.pdf
PDF 390 KB Posted
- Attached to
- Competitive Selection OH|DOT06226-15
- Contract number
- DOT06226-15
- Issued by
- Ohio
About this file
This document is a Signature Page from the State of Ohio, Department of Transportation (ODOT), Office of Contract Sales, Purchasing Services, for Procurement #062-26. The contract involves Palmer Bros Concrete as the bidder, with Jessica Serrato from Accounts Receivables signing on behalf of the company. The document was executed electronically, with signatures from both the bidder and Pamela Boratyn, Director of ODOT, representing the formal acceptance of the bid.
The contract is for Ready Mix Concrete, serving as an agreement between ODOT and Palmer Bros Concrete. The signature page indicates that the bidder understands and will comply with all terms, conditions, and requirements of the procurement. While specific pricing, quantities, and detailed contract terms are not provided in this document, it serves as a formal acknowledgment of the contract award and the bidder's commitment to fulfill the procurement requirements for ready mix concrete services.
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Other files
| File | Type | Posted |
|---|---|---|
| 062-26.pdf | ||
| 062-26_-_PALMER_BROS._CONCRETE__04_28_25_.xls | XLS spreadsheet | |
| AFFIRMATION___DISCLOSURE_FORM.pdf |
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Text version
State of Ohio, Department of Transportation (ODOT)
Office of Contract Sales, Purchasing Services
SIGNATURE PAGE
Procurement # 062-26
Commodity/Service: Ready Mix Concrete
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
| Zl87y35mlkc4_2hNnUxP4sKg8: Palmer Bros Concrete | |
| Zl87y35mlkc4_8axea3neTlgA: JESSICA SERRATO | |
| Zl87y35mlkc4_XTKBLmxQwnES: ACCOUNTS RECEIVABLES | |
| Zl87y35mlkc4_gWq9wh0WoKQZ: 2025-05-06 14:07:29 | |
| 2025-05-06T14:07:36+0000 | |
| Client IP: 38.67.213.244, Transaction ID: J7INrbTh0Fwdia4XnvTCCo5CjD8= | |
| OneSpan | |
| E-SIGNED by JESSICA SERRATO (jhall@palmerconcrete.com), ID: 82fac63c-9ee2-41f2-8bff-9ee115f3ba8c |
| 2025-05-20T18:57:41+0000 | |
| Client IP: 156.63.133.254, Transaction ID: J7INrbTh0Fwdia4XnvTCCo5CjD8= | |
| OneSpan | |
| E-SIGNED by Nathan Fling (nathan.fling@dot.ohio.gov), ID: 49453dbc-080b-4ed7-bd68-1d1694a422d1 |
File details come from the government source that posted it. Updated .