HomeMy WebLinkAboutContract 52813-CA1 CITY OF FORT WORTH CSC # 52813-CAl
ASSIGNMENT
For value received, CTC, Inc. ("Assignor"), hereby assigns to Rio Grande Pacific
Technology, Inc. ("Assignee"), all of its right, title and interest in and to any and all sums of
money now due or to become due from the City of Fort Worth to Assignor under PSK
9321/CSCO 52813 (the "Contracts") and Assignee agrees to assume and perform all duties and
obligations required by Assignor under the terms of the Contracts.
This Assignment constitutes the entire agreement between Assignor and Assignee with
respect to the subject matter hereof. No modification of any provision of this Assignment shall
be effective unless in writing and signed by Assignor and Assignee. This Assignment shall inure
to the benefit of and be binding upon Assignor and Assignee and their respective successors and
assigns. This Assignment shall be governed by the terms of the original Contracts between
Assignor and various other entities and the City of Fort Worth and the laws of the State of Texas,
without application of principles of conflicts of law.
This Assignment may be executed in one or more counterparts each of which shall be
deemed an original but all of which together shall constitute one and the same instrument.
Signed signature pages may be transmitted by facsimile or e-mail, and any such signature shall
have the same legal effect as an original.
Dated the day of Jul 2020_
CTC, Inc.
(Assignor)
By: Qss; �% . %
Print:
Title: Chief Operating Officer
Rio Grande Pacific Technology, Inc. (Assignee)
Print:
Title: Chief Financial Officer
Assignment Pagel of3
NOTARY ACKNOWLEDGEMENT
On the x-3 day of at)m.' 2020, personally appeared
GRt:G A MJ�b .rO\j , who acknowledged to me that whe is.the Chief Operating Officer of
CTC, Inc., and that (s)he executed this document for the purposes and consideration contained
herein.
CTC, Inc.
NORINE A WEGNER
_ Notary ID#130575313
�? 4 My Commission Expires By: l� R�.�?
March 10, 2024 Print:
Title: Chief Operating Officer
SUBSCRIBED TO before me on this Z3 day of Vh ti , 2020.
NORINE A WEGNER
Notary ID#t 30575313 Notary Public in and V the State of iE�,A.S
My Commission Expires
March 10, 2024 My commission Expires: I 4#,tA to,zoz.y
NOTARY ACKNOWLEDGEMENT
n the day of u('vcc, 2020, personally appeared
0. J , who acknowledged to me that (s)he is the Chief Financial Officer of
Rio Grande Pacific Technology, Inc., and that (s)he executed this document for the purposes and
consideration contained herein.
Rio Grande Pacific Technology, Inc.
By:
Print:
Title: Chief Financial Officer
SUBSCRIBED TO before me on this Z E day of 2020.
FS
NORINE A WEGNER
Notary ID#130575313Notary Public in and for the to of ��.XIS
My Commission Expires
March 10, 2024 My commission Expires: Q Z,
Assignment Page 2 of
CONSENT TO ASSIGNMENT
The City of Fort Worth consents to the assignment of CTC, Inc. ("Assignor") to Rio
Grande Pacific Technology, Inc. ("Assignee"), of all its rights, title, and obligation owing and all
funds due or to become due to Assignor under PSK 9321/CSCO 52813, as long as all terms
required of Assignor in said contracts are met by Assignee.
CITY OF FORT WORTH
Dana Burghdoff(Jun 30,20 17:39 CDT Jun 30 2020
Dana Burghdoff, Assistant City Manager DATE
Jun 25,2020
Cynthia Garcia, Assistant Director—FMS DATE
ATTESTED BY:
Jul 1,2020
Mary Kayser, City Secretary Date
APPROVED AS TO FORM AND LEGALITY:
TB Sfron
JB Strong(Jun 3 ,202016:53 CDT)
John B. Strong, Assistant City Attorney
Assignment Pa..-e 3 of
Form w-9 Request for Taxpayer Give Form to the
(Rev.October 2018) Identification Number and Certification requester.Do not
Department of the Treasury send to the IRS.
Intemel Revenue Service ►Go to www.lrs.gov/FormW9 for instructions and the latest information.
1 Name(as shown on your income tax return).Name is required on this line;do not leave this line blank.
Rio Grande Pacific Technology, Inc.
2 Business name/disregarded entity name,if different from above
3 Check appropriate box for federal tax classification of the person whose name is entered on line t.Check only one of the 4 Exemptions(codes apply only to
following seven boxes. certain entities,not individuals;see
instructions on page 3):
p ❑ Individual/sole proprietor or R] C Corporation ❑ S Corporation ❑ Partnership ❑Trusvestate
o e single-member LLC Exempt code COany)
P P Y
+o ❑ Limited liability company.Enter the tax classification(C=C corporation,S=S corporation,P=Partnership)►
o Note:Check the appropriate box in the line above for the tax classification of the single-member owner. Do not check Exemption from FATCA reporting
LLC if the LLC is classified as a single-member LLC that is disregarded from the owner unless the owner of the LLC is code(if any)
d U another LLC that is not disregarded from the owner for U.S.federal tax purposes.Otherwise,a single-member LLC that
is disregarded from the owner should check the appropriate box for the tax classification of its owner.
FE
❑ Other(see Instructions)► 44nvues to a wms.90t&.d..Mide me u.s1
5 Address(number,street,and apt.or suite no.)See instructions. Requester's name and address(optionao
6100 Southwest Blvd.,Suite 410
w -
B City,state,and ZIP code
Fort Worth,TX 76109
7 List account numbers)here(optional)
Taxpayer Identification Number(TIN)
Enter your TIN in the appropriate box.The TIN provided must match the name given on line 1 to avoid Social seeu ft member
backup withholding.For individuals,this is generally your social security number,late.However,for a -m -
resident alien,sole proprietor,or disregarded entity,see the instructions for Part 1,later.For other
entities,it is your employer identification number(EIN).ff you do not have a number,see How to get a MI
TIN,later. Or
Note:If the account is in more than one name,see the instructions for line 1.Also see What Name and I Employer identification number
Number To Give the Requester for guidelines on whose number to enter.
M81 - 2 3 6 8 0 1 5 0
Certification _
Under penalties of perjury,I certify that:
1.The number shown on this form is my correct taxpayer identification number(or I am waiting for a number to be issued to me);and
2.1 am not subject to backup withholding because:(a)I am exempt from backup withholding,or(b)I have not been notified by the Internal Revenue
Service(IRS)that I am subject to backup withholding as a result of a failure to report all interest or dividends,or(c)the IRS has notified me that 1 am
no longer subject to backup withholding;and
3.1 am a U.S.citizen or other U.S.person(defined below);and
4.The FATCA code(s)entered on this form(if any)indicating that I am exempt from FATCA reporting is correct.
Certification instructions.You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because
you have failed to report ajl interest and dividends on your tax return.For real estate transactions,item 2 does not apply.For mortgage interest paid,
acquisition or abandonment of secured property,cancellation of debt,contributions to an individual retirement arrangement(IRA),and generally,payments
other than interest and dividends,you are not required to sign the certification,but you must provide your correct TIN.See the instructions for Part 11,later.
�ign Signahreof
re u.s.versa+► Date►
General Instructions •Form 1099-DIV(dividends,including those from stocks or mutual
funds)
Section references are to the Internal Revenue Code unless otherwise •Form 1099-MISC(various types of income,prizes,awards,or gross
noted. proceeds)
Future developments.For the latest information about developments o Form 1099-B(stock or mutual fund sales and certain other
related to Form W-9 and its instructions,such as legislation enacted transactions by brokers)
after they were published,go to www.irs.gov/ForrnW9. .Form 1099-S(proceeds from real estate transactions)
Purpose of Form •Form 1099-K(merchant card and third party network transactions)
An individual or entity(Form W-9 requester)who is required to file an •Form 1098(home mortgage interest),1098-E(student loan interest),
information return with the IRS must obtain your correct taxpayer 1098-T(tuition)
identification number(TIN)which may be your social security number •Form 1099-C(canceled debt)
(SSN),individual taxpayer identification number(ITIN),adoption .Form 1099-A(acquisition or abandonment of secured property)
taxpayer identification number(ATIN),or employer identification number
(EIN),to report on an information return the amount paid to you,or other Use Form W-9 only if you are a U.S.person(including a resident
amount reportable on an information return.Examples of information alien),to provide your correct TIN.
returns include,but are not limited to,the following. If you do not return Form W-9 to the requester with a TIN,you might
•Form 1099-INT(interest earned or paid) be subject to backup withholding.See What is backup withholding,
later.
Cat.No.10231X Form W-9(Rev.10-2018)
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Memorandum
Date: 6/25/2020
To: JB Strong,Assistant City Attorney
FW To: Dana Burghoff,Assistant City Manager
Retum to: Tracy Walter,Vendor Management-Purchasing
Re: CTC, Inc to Rio Grande Pacific Technology, Inc—Consent to
Assignment/Name change
Prior Name: CTC, Inc. (Supplier id—0000025454)
New Name: Rio Grande Pacific Technology, Inc (Supplier id—7000001279)
CSCO-52813
TB s varr
APPROVED BY:JB Strong(Jun ,202016:53 CDT)
JB Strong,Assistant City Attorney
APPROVAL DATE: J u n 30, 2020
RIOTECH
Ref: Change of Name
Effective April 1, 2020 our company name is changing as follows:
From: CTC, Inc. EIN: 42-1730078
To: Rio Grande Pacific Technology, Inc. (RioTech) EIN: 81-2368050
We kindly ask you to update your records accordingly and to address all future business correspondence
to our new company name.
Please also note that all invoices should now be issued using the new company name.
Other than the company name and EIN number, all other details and structures of the company as well as
current contracts and other agreements remain unchanged.
If you have any further questions regarding the change of our name. Please feel free to contact us at:
RioTech
6100 Southwest Blvd, Suite 410
Fort Worth,TX 76109
817-731-7187
Email: info@riotechnology.com
Or
RioTech
9605 Camp Bowie West
Fort Worth, 76116
6 100 Southwest Blvd. Suite 4 10, Fort Worth, 76109www.riotechnology.com