Signature.pdf

PDF 395 KB Posted

Attached to
Competitive Selection OH|DOT80026-5
Contract number
DOT80026-5
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 involves Rath Builders Supply Inc. as the bidder, with Tisha Jordan signing as Secretary on 2025-03-25, and is countersigned by Pamela Boratyn, Director of ODOT, with the signature executed by Nathan Fling.

The contract is for Aggregate materials and will run through 2/28/2025. 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 removed from the approved list, the contract for that plant will be suspended until documentation proving re-establishment of the AWP code is provided. The document serves as a formal acknowledgment of the bidder's understanding and compliance with all terms, conditions, and requirements of the procurement.

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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

U9zPCXWyaSMH_aIsdBwiQnV8C: Rath Builders Supply Inc
U9zPCXWyaSMH_IPbj2v8xLJEB: Tisha Jordan
U9zPCXWyaSMH_HzGYGbY9peU9: Secretary
U9zPCXWyaSMH_ve4ZOjr96AgF: 2025-03-25 13:50:38
2025-03-25T13:50:58+0000
Client IP: 199.38.204.182, Transaction ID: 6hE7RslDfRiaglCR4thvCvfkOHY=
OneSpan
E-SIGNED by Tisha Jordan (tjordan@rathbuilderssupply.com), ID: aee7d12e-8ef5-4b04-8c26-4dbd069413eb
2025-04-04T16:05:02+0000
Client IP: 156.63.133.8, Transaction ID: 6hE7RslDfRiaglCR4thvCvfkOHY=
OneSpan
E-SIGNED by Nathan Fling (nathan.fling@dot.ohio.gov), ID: 3dc6ac64-a6d3-475c-8ed6-1ff24c575419

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