Institutions of Higher Education may of to in the upper right block below. revise “State Ohio” “Owner” If the Project is locally administered, delete the signature in the lower left block and the “Owner’s Concurrence” associated rows of the table below. SIGNATURES IN WITNESS WHEREOF, the parties hereto have executed this Agreement as of the date set forth below: STATE OF OHIO «INSERT CM’S NAME» Signature Signature Printed Name Printed Name Title Title Date OWNER’S CONCURRENCE by «insert name» Owner’s Signature Printed Name Title Purchase Order No. If the CM is a corporation, partnership, sole proprietorship, or limited liability company, use the table above. If the CM is a joint venture or special purpose entity, use the table below. Then delete the unused table and this note. STATE OF OHIO «INSERT CM’S NAME» by «insert name» by «insert Contracting name» Joint Venturer/Member’s Authority’s Signature Signature Printed Name Printed Name Title Title Date
Institutions of Higher Education may revise “State of Ohio” to “Owner” in the upper right block below. If the Project is locally administered, delete the “Owner’s Concurrence” signature in the lower left block and the associated rows of the table below. SIGNATURES IN WITNESS WHEREOF, the parties hereto have executed this Agreement as of the date set forth below: «INSERT CM’S NAME» STATE OF OHIO Signature Signature Printed Name Printed Name Title Title Date OWNER’S CONCURRENCE by «insert Owner’s name» Signature Printed Name Title Purchase Order No. If the CM is a corporation, partnership, sole proprietorship, or limited liability company, use the table above. If the CM is a joint venture or special purpose entity, use the table below. Then delete the unused table and this note. «INSERT CM’S NAME» STATE OF OHIO by «insert Joint Venturer/Member’s name» by «insert Contracting Authority’s name» Signature Signature Printed Name Printed Name Title Title Date