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Home My WebLink AboutContract 54148-NC1CSC No. 54148-NC1 Memorandum Date: 5/4/2023 To: Assistant City Attorney Return to: Tracy Walter — FMS/Vendor Management Re: Eagle Contracting, LP to Eagle Contracting, LLC - Name Change Request Prior Name: Eagle Contracting, LP New Name: Eagle Contracting, LLC CSCO(s): 54148 Supplier Id: 7000001665 Reason for Name Change: Supplier has changed entity status however is maintaining the same tax id number. Reviewed & Approved by: A,&, P- DipsiM�y Asst. City Attorney May 4, 2023 Date OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX 5700 Park Asta Circle ' Fort Worth, TX76244 r (S17) 379-9897 ~ .y CONTRACTING eaglecontracting,cam April 26, 2023 City of Fort Worth Village Creek WRF 4500 Wilma Lane Arlington, Texas 76012 Attn: Suzy Abbe RE: 102652 Village Creek WRF Digester Mixing, Flare, and Dome Improvements Phase I Dear Mrs. Long, For your accounting purposes, effective immediately, our company name has been changed as follows: from Eagle Contracting, Inc to Eagle Contracting, LLC We kindly ask you to update your records accordingly and to address all future business correspondence to our new company name. Attached is our new W-9. If you have any further questions regarding the change of our name, please feel free to contact us at any time. Sincerely, IKA4W, , I I Martha M. Gonzalez -Munoz Project Manager Eagle Contracting L.L.C. P.O. Box 1600 1 5700 Park Vista Cir Fort Worth, TX 76244 Main 817.379.1897 Cell 682.583.3098 www.eaglecontractinglp.com OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX INNOVATIVE BUILDS IN THE WATER AND WASTEWATER INDUSTRY Form (Rev. IN Departi Internal om m CM m a 0 a c ao a o U N O. N m a: W-9 Request for Taxpayer Give Form to the lovember2017) Identification Number and Certification requester. Do not vent of the Treasury send to the IRS. Revenue Service ► Go to www.irs.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. EAGLE CONTRACTING LLC 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 1. Check only one of the 4 Exemptions (codes apply only to following seven boxes. certain entities, not individuals; see ✓❑ Individual/sole proprietor or ❑ C Corporation ❑ S Corporation ❑ Partnership ❑ Trust/estate instructions on page 3): single -member LLC Exempt payee code (if any) ❑ Limited liability company. Enter the tax classification (C=C corporation, S=S corporation, P=Partnership) ► 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) 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. ❑ Other (see instructions) ► (AppOes to a¢ounts maintained outside the U.S.) 5 Address (number, street, and apt. or suite no.) See instructions. Requester's name and address (optional) 5700 PARK VISTA CIRCLE 6 City, state, and ZIP code FORT WORTH TEXAS 76244 7 List account number(s) 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 security number backup withholding. For individuals, this is generally your social security number (SSN). However, for a 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 Now 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. (T� 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 sec property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and generally, payments other than interest and dividen3i<ycuhre not required to sga-ihe-�Vertification, byyye tt st provide your correct TIN. See the instructions for Part 11, later. Here U.S. person / C _,P� Date ► General Instructions Section references are to the Internal Revenue Code unless otherwise noted. Future developments. For the latest information about developments related to Form W-9 and its instructions, such as legislation enacted after they were published, go to www.irs.gov/FormW9. Purpose of Form An individual or entity (Form W-9 requester) who is required to file an information return with the IRS must obtain your correct taxpayer identification number (TIN) which may be your social security number (SSN), individual taxpayer identification number (ITIN), adoption taxpayer identification number (ATIN), or employer identification number (EIN), to report on an information return the amount paid to you, or other amount reportable on an information return. Examples of information returns include, but are not limited to, the following. • Form 1099-INT (interest earned or paid) • Form 1099-DIV (dividends, including those from stocks or mutual fu nds) • Form 1099-MISC (various types of income, prizes, awards, or gross proceeds) • Form 1099-B (stock or mutual fund sales and certain other transactions by brokers) • Form 1099-S (proceeds from real estate transactions) • Form 1099-K (merchant card and third party network transactions) • Form 1098 (home mortgage interest), 1098-E (student loan interest), 1098-T (tuition) • Form 1099-C (canceled debt) • Form 1099-A (acquisition or abandonment of secured property) Use Form W-9 only if you are a U.S. person (including a resident alien), to provide your correct TIN. If you do not return Form W-9 to the requester with a TIN, you might be subject to backup withholding. See What is backup withholding, later. Cat. No. 10231X Form W-9 (Rev. 11-2017) , s 5 f;f Ofrice of the Secretary of State Filed in the Office of the a{_ Corporations Section Secretary of State of Texas Filing 4. 804318633 211612022 s P.O. Box 13697 Document #: 1121149620005 Austin, Texas 78711-3697 Image Generated Electronically (Form 503) for Web Filing ASSUMED NAME CERTIFICATE FOR FILING W ITB THE SECRETARY OF STATE 1. The assumed name under which the busimg or professional service is or is to be conducted or rendered is: Eagle Contracting, LP 2_ The name of the entity as stated in its certificate of formation, application for registration, or comparable document is. Eagle Contracting, LL 3_ The state, countrv, or other juri.scliction under the laws of which it was incorporated, organized or associated is T._ E A*, 4. The period, not to exceed 10 years, during which the assumed name will be used is 0211512023 5. The entity is a ; Domestic Limited Liability Company LL 6. The entity's principal office address is: 5700 Park Vista Circle, Fort Worth, TIC, USA 76244 7. The county or counties where business or professional serviceF, are being or are to b� c nducted or rendered under such assumed name are: ALL COUNTIES 8. The undersigned, if acting in the capacity of an attorney -in -fact of the entity, certifies that the entity has duty authorized the attorney -in -fact in writing to execute this document. The undersigned _Y_ .- al.:. J__..._.__a _A.'. - a_ iL-----UT---------- 11. 1_... C__•l.. . 1._.:--Y-.- -t_ ... —__*._ll 1`. 1..