Signature.pdf
PDF 401 KB Posted
- Attached to
- Competitive Selection OH|DOT31326-5
- Contract number
- DOT31326-5
- Issued by
- Ohio
About this file
This document is a Signature Page for Procurement #313-26 from the State of Ohio, Department of Transportation (ODOT), specifically from the Office of Contract Sales, Purchasing Services. The contract involves National Shotcrete LLC as the bidder, with signatures from Julian Beglin (Vice President, Business Operations & Engineering) for the company, and Pamela Boratyn (Director) representing ODOT. The document serves as a formal acknowledgment and execution of the contract between the state agency and the selected vendor.
The procurement is for Culvert Maintenance services, with the signature page indicating that National Shotcrete LLC has been selected as the awarded vendor. The document confirms that the bidder understands and will comply with all terms, conditions, and requirements of the procurement. While specific pricing, contract duration, and detailed service parameters are not explicitly outlined in this signature page, the document represents the formal agreement and authorization for the culvert maintenance contract between ODOT and National Shotcrete LLC.
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Other files
| File | Type | Posted |
|---|---|---|
| AFFIRMATION_AND_DISCLOSURE_-_NATIONAL_SHOTCRETE_LLC_DBA_NATIONAL_GUNITE.pdf | ||
| 313-26.pdf | ||
| NG_Final_313Pricing__02_12_25__rev1__1__Updated_03_09_25_.xlsx | XLSX spreadsheet | |
| king-ms-d1.pdf | ||
| MS-D1_sds-en.pdf |
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Text version
State of Ohio, Department of Transportation (ODOT)
Office of Contract Sales, Purchasing Services
SIGNATURE PAGE
Procurement # 313-26
Commodity/Service: Culvert Maintenance
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
| 8Wt7DYiq3cQP_Fu0JAe3BV40D: National Shotcrete LLC | |
| 8Wt7DYiq3cQP_109pwahbHZMH: Julian Beglin | |
| 8Wt7DYiq3cQP_Z6zgsWoi7AoH: Vice President, Business Operations & Engineering | |
| 8Wt7DYiq3cQP_xI29L1LISuEV: 2025-03-14 14:29:37 | |
| 2025-03-14T14:31:38+0000 | |
| Client IP: 74.81.109.106, Transaction ID: clhpyH0pDxOdpULms3sjVI16AMU= | |
| OneSpan | |
| E-SIGNED by Julian Beglin (beglinj@laurelmanagementcompany.com), ID: f23383c3-a6b8-46ec-87ba-fb18327277ee |
| 2025-03-14T15:21:36+0000 | |
| Client IP: 156.63.133.8, Transaction ID: clhpyH0pDxOdpULms3sjVI16AMU= | |
| OneSpan | |
| E-SIGNED by Nathan Fling (nathan.fling@dot.ohio.gov), ID: 32aba8c6-d500-4cb7-847c-8518b11fb2dc |
File details come from the government source that posted it. Updated .