Signature.pdf
PDF 435 KB Posted
- Attached to
- Competitive Selection OH|DOT80026-4
- Contract number
- DOT80026-4
- Issued by
- Ohio
About this file
This document is a Signature Page for Procurement #800-26 from the State of Ohio, Department of Transportation (ODOT), Office of Contract Sales, Purchasing Services. The contract is between ODOT and Mike Maurice Trucking LLC, with Brandi Cooper (President) signing on behalf of the company and Pamela Boratyn (Director) signing on behalf of ODOT. The document was electronically signed on March 21, 2025, by Brandi Cooper and later signed on April 4, 2025, by Nathan Fling on behalf of Pamela Boratyn.
The contract is for the procurement of Aggregate, with a contract period extending through February 28, 2025. A key condition stipulates that for all plants submitted under this contract, the AWP (Aggregate Weight Percent) code must remain on the approved/active list throughout the contract period. If a plant's AWP code is not on the approved list at any time, the plant will be subject to contract suspension until documentation is provided showing the AWP code has been re-established on the approved list.
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Other files
| File | Type | Posted |
|---|---|---|
| Affirmation_and_Disclosure__1_.pdf | ||
| 800-26.pdf | ||
| _800-26_Aggregate__800-26_Pricing_2.xlsx | XLSX spreadsheet | |
| _800-26_Aggregate__800-26_Pricing_1.xlsx | XLSX spreadsheet |
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Text version
State of Ohio, Department of Transportation (ODOT)
Office of Contract Sales, Purchasing Services
SIGNATURE PAGE
Procurement # 800-26
Commodity/Service: Aggregate
For all Plants submitted on this contract, if at any time during the contract period (through 2/28/2025) the AWP code is not on the approved/active list, the Plant will be subject to suspension of the contract until they have provided documentation that the AWP code has been re-established on the approved/active list.
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
| rBD5RY6eUJkA_FGfzdi9ayQk1: Mike Maurice Trucking LLC | |
| rBD5RY6eUJkA_ZSBCqZ0WcbgB: Brandi Cooper | |
| rBD5RY6eUJkA_5oV36333ml03: President | |
| rBD5RY6eUJkA_A3dSW7IiC4o3: 2025-03-21 15:54:11 | |
| 2025-03-21T15:54:31+0000 | |
| Client IP: 104.28.76.187, Transaction ID: K9YZG7-ESA4jraQuZQna7zCigc4= | |
| OneSpan | |
| E-SIGNED by Brandi Cooper (mmkatrucks@gmail.com), ID: 72e41b32-a147-4b25-89a0-e776ea28b91e |
| 2025-04-04T16:03:37+0000 | |
| Client IP: 156.63.133.8, Transaction ID: K9YZG7-ESA4jraQuZQna7zCigc4= | |
| OneSpan | |
| E-SIGNED by Nathan Fling (nathan.fling@dot.ohio.gov), ID: 958a964f-90ff-4943-8e42-06e2e5d60f80 |
File details come from the government source that posted it. Updated .