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HomeMy WebLinkAboutContract 57355-CA1 CSC No.57355-CA1 CITY OF FORT WORTH ASSIGNMENT For value received, Wilson Office Interiors, LLC ("Assignor"), hereby assigns to wilsonbauhaus Interiors, LLC ("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 15615/CSCO 57355 (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 lik"' day of r t 2022. Wilson Office riors, LLC (Assignor) By: Print: Title: Chief Operating Officer wilsonbauhaus riors, LL (Assign By: Print"' p, osy Title: Chief Financial Offil OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX Assignment Page I of NOTARY ACKNOWLEDGEMENT On the day of 2022, personally appeared who acknowledged to me that (s)he is the Chief Operating Officer of Wilson Office Interiors, LLC, and that (s)he executed this document for the purposes and consideration contained herein. Wilson Offi rio , By: —= Print: Title: Chief Operating Officer SUBSCRIBED TO before me on this day of. Al'.� , 2022. DANYELLE MARiN Ay Notary ID#12g2302T8 N Public in for the State of � 15 December 11,2024 My commission Expires: ��;. DANYELD 1�280N2T8 My Notary i TARY ACKNOWLEDGEMENT Expires December 11,2024 F OF On the _ day of _xa,1 2022, personally appeared r!n 5fi , who acknowledged Yo me that (s)he is the Chief Financial Officer of wilsonbauhaus Inte ' rs, LLC, and that (s)he executed this document for the purposes and consideration contained herein. wilsonbauhaus fors LL B : Print r—v, f-vt �✓ J Title: Chief Financial Offic SUBSCRIBED TO before me on this ,e15,1-- day of , 2022. DMYELLE MARIN My Notary.ID#129230278 No Public in d for the State of. S "T;; Q+t= Expires December 11,2024 My commission Expires: I OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX Assignment Page 2 of4 CONSENT TO ASSIGNMENT The City of Fort Worth consents to the assignment of Wilson Office Interiors, LLC ("Assignor") to wilsonbauhaus Interiors, LLC (Assignee"), of all its rights, title, and obligation owing and all funds due or to become due to Assignor under PSK 15615/CSCO 57355 as long as all terms required of Assignor in said contracts are met by Assignee. CITY OF FORT WORTH May 2,2022 Reginald Zeno(May 2,2022 08:38 CDT) Reginald Zeno, Interim Assistant City Manager Date May 1,2022 Cynthia Garcia, Assistant Director—FMS Date ATTESTED BY: d ap'0�°FoRr.*& °0 d 0 P. May 4,2022 �a �e�t� s r7aCG v a ° P. Jannette S.Goodall(Ma'y 4,2022 09:26 CDT) �A 0 o* d Jannette Goodall, City Secretary ��a °° Ay °O°O°°pO°°° Date n��EXASaA APPROVED AS TO FORM AND LEGALITY: John B. Strong,Assistant City Attorney Contract Compliance Manager: By signing I acknowledge that I am the person responsible for the monitoring and administration of this contract, including ensuring all performance and reporting requirements. May 1,2022 Employee Signature/Date Assistant Director Title OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX Assignment Page 3 of Form W=9 Request for Taxpayer Give Form to the (Rev.October2018) identification Number and Certification requester.Do not Department of the Treasury send to the IRS. Internal Revenue Service ►Go to wwwJrs.gov/For7nW9 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. wilson bauhaus interiors, LLC 2 Business nameldis regarded entity name,It different from above M 3 Check appropriate box for federal tax classification of the person whose name is entered on line 1.Check only one of the 4 Exemptions codes apply only to � P Y P� ( PP Y Y m following seven boxes. certain entities,not individuals;see a instructions on page 3): 0 ❑ Individual/sole proprietor or ❑ C Corporation ❑ S Corporation p❑ Partnership ❑Trust/estate single-member LLC Exempt payee code(if any) ao 41 ❑✓ Limited liability company.Enter the tax classification(C=C corporation,S=S corporation,P=Partnership)► S 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 to LLC if the LLC is classified as a single-member LLC that is disregarded from the owner unless the owner of the LLC is y) .16 E another LLC that is not disregarded from the owner for U.S.federal tax purposes.Otherwise,a single-member LLC that co de(if an is disregarded from the owner should check the appropriate box for the tax classification of its owner. y ❑ Other(see instructions)► (Applies to accounts maintained outside the U S) y 5 Address(number,street,and apt.or suite no.)See instructions. Requester's name and address(optional) an 5051 Pulaski Street 6 City,state,and ZIP code Dallas,TX 75247 7 List account number(s)here(optional) ORM 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 security number backup withholding.For individuals,this is generally your social security number(S However,for a —m resident alien,sole proprietor,or disregarded entity,see the instructions for Part I,later.For other entities,it is your employer identification number(EIN).If you do not have a number,see How to get a TIN, later. or Note:If the account is in more than one name,see the instructions for line 1.Also see What Name and Employer identification number Number To Give the Requester for guidelines on whose number to enter. M88 —[1] 0 7 0 9 M6O _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 I 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 all 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 t e certification,but you must provide your correct TIN.See the instructions for Part 11,later. Sign Signature of Here U.S.person► Date III- Form• 1099-DIV(dividends,including th se from stocks or mutual General Instructions 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 .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/FormW9. •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) Corporations Section ��E Q John B. Scott P.O.Box 13697 �,�� �tt) Secretary of State Austin,Texas 78711-3697 `X Office of the Secretary of State CERTIFICATE OF FILING OF wilson bauhaus interiors, llc File Number: 804441214 The undersigned, as Secretary of State of Texas, hereby certifies that a Certificate of Formation for the above named Domestic Limited Liability Company (LLC) has been received in this office and has been found to conform to the applicable provisions of law. ACCORDINGLY, the undersigned, as Secretary of State, and by virtue of the authority vested in the secretary by law, hereby issues this certificate evidencing filing effective on the date shown below. The issuance of this certificate does not authorize the use of a name in this state in violation of the rights of another under the federal Trademark Act of 1946, the Texas trademark law, the Assumed Business or Professional Name Act, or the common law. Dated: 02/21/2022 Effective: 02/21/2022 f John B. Scott Secretary of State Come visit us on the internet athttps://www.sos.texas.gov/ Phone: (512)463-5555 Fax: (512)463-5709 Dial: 7-1-1 for Relay Services Prepared by: Linda Galaviz TID: 10306 Document: 1122326210002 W j I son wilsonbauhaus Interiors b a u h a u S 1341 W. Mockingbird Lane N r ER10i Suite 1100W Dallas, TX 75247 Good morning, We are excited to announce that, effective 04/01/2022 Bauhaus Interiors Group, Inc. and Wilson Office Interiors, LLC. have merged and are now known as wilsonbauhaus Interiors, LLC. This transition was done with our clients in mind, combining two longstanding enterprises doubles our amazing talent and expertise to help our clients achieve their project goals. We look forward to continuing our work and expect a transition with minimal disruption. Please see the attached W-9 form for updated information. We ask that you update all future remittance, for new invoices, to: wilsonbauhaus Interiors, LLC. 5051 Pulaski Street Dallas, TX 75247 Billing inquiries will now be submitted to accounting@wilsonbauhaus.com. We look forward to maintaining our relationship and appreciate your assistance in getting our profiles updated. If you have any questions, you may reach us by email at accounting@wilsonbauhaus.com or by phone at (972) 488-4187. We are also sending an updated W-9 form and ACH information. Invoices should be remitted to the company and address listed on the invoice. If you have a Wilson Office Interiors invoice, then still make payment to the old account and remittance address. The new remittance is only effective for invoices generated after 4/1/2022. Thank you and we look forward to maintaining our strong relationship, r JLr Chris Ricci Account Manager