Signature.pdf

PDF 394 KB Posted

Attached to
Competitive Selection OH|DOT10026-3
Contract number
DOT10026-3
Issued by
Ohio

About this file

This document is a Signature Page for a procurement contract issued by the State of Ohio, Department of Transportation (ODOT), Office of Contract Sales, Purchasing Services. The procurement is identified as Procurement #100-26, and involves CF Poeppelman Inc. as the bidder. The document serves as a formal acknowledgment and acceptance of contract terms between ODOT and the selected bidder, with signatures from Ben Poeppelman (President of CF Poeppelman Inc.) and Nathan Fling signing on behalf of Pamela Boratyn, the ODOT Director.

The contract pertains to the procurement of Aggregate, though specific details about quantity, pricing, or delivery terms are not provided in this signature page. The document indicates that the bidder (CF Poeppelman Inc.) has been selected for award and will be bound by all terms and conditions of the procurement. The signature page is the final step in formally establishing the contract between the state transportation department and the winning bidder, with both parties acknowledging their agreement through their authorized representatives' signatures.

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Other files

File Type Posted
_100-26_Aggregate__100-26_Pricing.xlsx XLSX spreadsheet
100-26.pdf PDF
_Affirmation_and_Disclosure.pdf 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

HbqBhYBBQocB_wv2uOklKbFMK: CF Poeppelman Inc
HbqBhYBBQocB_jm7mW5Wyvmw2: Ben Poeppelman
HbqBhYBBQocB_f4QSMOavZtsS: President
HbqBhYBBQocB_7IsNEsRiENkN: 2025-03-20 19:26:35
2025-03-20T19:26:40+0000
Client IP: 65.185.5.140, Transaction ID: lp7SEk3G6FSz_E23hsNWGFC7mGo=
OneSpan
E-SIGNED by Ben Poeppelman (ben@poeppelmanmaterials.com), ID: 158e9c58-31a5-4e37-b9f9-5850c1f0e9d5
2025-04-04T15:33:19+0000
Client IP: 156.63.133.8, Transaction ID: lp7SEk3G6FSz_E23hsNWGFC7mGo=
OneSpan
E-SIGNED by Nathan Fling (nathan.fling@dot.ohio.gov), ID: f4acc717-913d-4443-87d4-0eb0ba43f653

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