Signature.pdf
PDF 393 KB Posted
- Attached to
- Competitive Selection OH|DOT06226-1
- Contract number
- DOT06226-1
- 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 #062-26. The contract involves Adams Bros Concrete Products LTD as the bidder, with signatures from Tyler Eubanks (Sale Tech Rep) and formal acceptance by Pamela Boratyn, Director of ODOT. The document was electronically signed on 2025-04-29, with both the bidder and ODOT representatives executing the signature page.
The contract is for Ready Mix Concrete, serving as an acknowledgment that the bidder understands and will comply with all terms, conditions, and requirements of the procurement. The signature page serves as a formal contract between Adams Bros Concrete Products LTD and the State of Ohio, Department of Transportation, binding the company to the procurement's terms and conditions. The document indicates that the bidder has been authorized to submit the response and execute contracts on behalf of their company.
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Other files
| File | Type | Posted |
|---|---|---|
| 062-26.pdf | ||
| 062-26_Pricing_Page__03_21_25_.xls | XLS spreadsheet | |
| affirmation_and_Disclosure__1_.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
| 2025-04-29T19:27:39+0000 | |
| Client IP: 156.63.133.8, Transaction ID: USQ133jHcC_wSRiVMoXWIK4RdgI= | |
| OneSpan | |
| E-SIGNED by Nathan Fling (nathan.fling@dot.ohio.gov), ID: 12e3152e-3f4c-4858-994c-6009a328ac9e |
| t2b2IJxYik09_sIN8QL5YwHcK: Adams Bros Concrete Products LTD | |
| t2b2IJxYik09_4nrcRa44JHEW: Tyler Eubanks | |
| t2b2IJxYik09_8iqLTuracGw7: Sale Tech Rep | |
| t2b2IJxYik09_cr3fSLsgm4ER: 2025-04-29 19:17:41 | |
| 2025-04-29T19:17:54+0000 | |
| Client IP: 76.190.98.10, Transaction ID: USQ133jHcC_wSRiVMoXWIK4RdgI= | |
| OneSpan | |
| E-SIGNED by Tyler Eubanks (teubanks@adamsbrosconcrete.com), ID: 4400a05d-ec31-4b2f-9d43-4daa86e7a309 |
File details come from the government source that posted it. Updated .