Signature.pdf
PDF 394 KB Posted
- Attached to
- Competitive Selection OH|DOT10026-28
- Contract number
- DOT10026-28
- Issued by
- Ohio
About this file
This document is a Signature Page for Procurement #100-26 from the State of Ohio, Department of Transportation (ODOT), specifically from the Office of Contract Sales, Purchasing Services. The contract involves Palmer Bros Concrete as the bidder, with Jessica Serrato signing on behalf of the company in her capacity as Accounts Receivables representative. The document was formally executed with signatures from both the company representative and Pamela Boratyn, Director of ODOT, with Nathan Fling countersigning on behalf of the department.
The procurement is for Aggregate, a commodity/service procurement, with the signature page serving as a formal acknowledgment of the contract terms and conditions. The document indicates that Palmer Bros Concrete has been selected as the awarded vendor and will be bound by all specified procurement requirements. While specific pricing, volume, or detailed service terms are not explicitly outlined in this signature page, the document represents the official contract formation between ODOT and Palmer Bros Concrete for the specified aggregate procurement.
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Other files
| File | Type | Posted |
|---|---|---|
| AFFIRMATION___DISCLOSURE_FORM.pdf | ||
| Prec_Agg_II_-_Portage.xlsx | XLSX spreadsheet | |
| 100-26.pdf |
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Text version
State of Ohio, Department of Transportation (ODOT)
Office of Contract Sales, Purchasing Services
SIGNATURE PAGE
Procurement # 100-26
Commodity/Service: Aggregate
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
| tTetYjtmONAO_fM6ubKJVYsI3: Palmer Bros Concrete | |
| tTetYjtmONAO_ngL4qbmyhEo5: JESSICA SERRATO | |
| tTetYjtmONAO_8exM2qQzXv4F: ACCOUNTS RECEIVABLES | |
| tTetYjtmONAO_UI56bCWyKyc5: 2025-03-21 12:04:11 | |
| 2025-03-21T12:04:20+0000 | |
| Client IP: 64.246.111.5, Transaction ID: 2_VbmWaBK7uA_KiSVTa2C5fbwzg= | |
| OneSpan | |
| E-SIGNED by JESSICA SERRATO (jhall@palmerconcrete.com), ID: 3fdfdab3-060b-4da6-b84b-8f2839055a7a |
| 2025-04-04T15:35:32+0000 | |
| Client IP: 156.63.133.8, Transaction ID: 2_VbmWaBK7uA_KiSVTa2C5fbwzg= | |
| OneSpan | |
| E-SIGNED by Nathan Fling (nathan.fling@dot.ohio.gov), ID: 3b9bae55-fec1-434d-a28d-1cef93f6ec3d |
File details come from the government source that posted it. Updated .