Signature.pdf

PDF 395 KB Posted

Attached to
Competitive Selection OH|DOT10026-29
Contract number
DOT10026-29
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 Piqua Materials Inc. as the bidder/vendor and is formally executed by Ryan Garrison (sales manager) on 2025-03-21, with final approval from Pamela Boratyn, ODOT Director, signed on 2025-04-04.

The procurement is for Aggregate materials, and the signature page serves as a formal acknowledgment and contract between Piqua Materials Inc. and the State of Ohio. By executing this document, the bidder agrees to comply with all terms, conditions, and requirements of the procurement. The signature page represents ODOT's acceptance of the bidder's offer and establishes the contractual relationship for the specified aggregate commodity/service. While specific pricing, quantity, and detailed contract terms are not elaborated in this document, it represents the official binding agreement between the parties.

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Other files

File Type Posted
Affirmation___Disclosure__Piqua_.pdf PDF
100-26.pdf PDF
Piqua_100-26.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 # 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

OgzK7NwOdjI6_5k2AG4eJBiA6: Piqua Materials Inc
OgzK7NwOdjI6_5wks1JTYSswF: Ryan Garrison
OgzK7NwOdjI6_SuTSpcUe70IY: sales manager
OgzK7NwOdjI6_YCgSYA1UkRIY: 2025-03-21 11:54:06
2025-03-21T11:54:31+0000
Client IP: 66.35.22.253, Transaction ID: eufoRU6W2g6eQePBu5aET7mbcE8=
OneSpan
E-SIGNED by Ryan Garrison (ryan.garrison@jrjnet.com), ID: a01fc624-36cf-4a2b-9714-c88b8468e74e
2025-04-04T15:33:35+0000
Client IP: 156.63.133.8, Transaction ID: eufoRU6W2g6eQePBu5aET7mbcE8=
OneSpan
E-SIGNED by Nathan Fling (nathan.fling@dot.ohio.gov), ID: bdcc1672-939f-4327-9675-1fc9e1b4e4fa

File details come from the government source that posted it. Updated .