Signature.pdf
PDF 211 KB Posted
- Attached to
- Competitive Selection OH|DOT13924-1
- Contract number
- DOT13924-1
- Issued by
- Ohio
About this file
This document is a Signature Page for Procurement #139-24 from the State of Ohio, Department of Transportation (ODOT), Office of Contract Sales, Purchasing Services. The contract involves Potters Industries as the bidder, with Becky Tarkenton signing on behalf of the company, and Nathan Fling signing on behalf of ODOT Director Jack Marchbanks.
The procurement is for Glass Beads for Traffic Paint, serving as a formal contract between the State of Ohio and Potters Industries. The document serves as an acknowledgment of the bidder's understanding and compliance with all procurement terms and conditions, and establishes the formal contract between ODOT and the successful bidder. The signature page indicates the official acceptance of the bidder's offer and forms the basis of the contractual agreement for the specified commodity.
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Other files
| File | Type | Posted |
|---|---|---|
| 139-24pricing.xlsx | XLSX spreadsheet | |
| 139-24_Bid_Document.pdf | ||
| Affirmation_and_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 # 139-24
Commodity/Service: Glass Beads for Traffic Paint
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):
Nathan Fling, Signing on behalf of Director of Transportation, Jack Marchbanks
Jack Marchbanks, Ph. D.
Director State of Ohio, Department of Transportation
| CFdh1czmZ4s9_WEn5YRwVl4cD: 2024-06-27 13:49:59 UTC | |
| CFdh1czmZ4s9_gOAlz0BYuEsO: Becky Tarkenton | |
| CFdh1czmZ4s9_j2Huc9cUmYoA: Bid Administrator | |
| CFdh1czmZ4s9_1cekNJU84poH: Potters Industries | |
| 2024-06-27T13:50:11+0000 | |
| Client IP: 73.113.232.58, Transaction ID: Fz0uSbpWYZG9OJLIJRxw9IQOwuI= | |
| OneSpan | |
| E-SIGNED by Becky Tarkenton (becky.tarkenton@pottersindustries.com), ID: 065b14e4-2ba8-4420-8a80-35c69067c93d |
| 2024-07-10T16:07:21+0000 | |
| Client IP: 156.63.133.8, Transaction ID: Fz0uSbpWYZG9OJLIJRxw9IQOwuI= | |
| OneSpan | |
| E-SIGNED by Max Fling (nathan.fling@dot.ohio.gov), ID: 55518ffb-c87a-4e9e-bffb-1fe9b873c684 |
File details come from the government source that posted it. Updated .