The URL can be used to link to this page

Home My WebLink AboutContract 54091-NC1CSC No. 54091-NC1 MEMORANDUM Date: 9/15/2023 To: Assistant City Attorney From: Tracy Walter — FMS/Vendor Management Re: Name Change Only: Bean Electrical Inc. to Bean Electrical LLC Prior Name: Bean Electrical Inc. New Name: Bean Electrical LLC Supplier id: 0000027137 CSCO: 54091 Note: Supplier updated name only and the tax id (EIN) number remained the same. APPROVED BY: Assistant City Attorney Sep 15, 2023 OFFICIAL RECORD CITY SECRET RY FT. ORM, TX 821 1•'. hauoi Avc IF(r1'I NVq )p1 IN NI NIN 1Y1 June 15, 2023 City of Fort Worth Clint Hoover Engineering Manager 200 Texas Street Fort Worth, Texas 76102-6314 Facsimile: (817) 392-8654 I am sending this notice pursuant to our contracts with the City of Forth Worth CSN #55733 Area 1, CSN #53451 Area 2, CSN #53376 Area 3, CSN #55732 Area 4. On May 1, 2023, Bean Electrical, Inc. (the "Company") entered into a transaction which resulted in a change of ownership pursuant to which all of the equity of the Company was acquired by Lumin8 Transportation Technologies, LLC ("Lumin8"), a Colorado -based intelligent transportation systems, traffic signal, and street lighting provider (https://lumin8.com/). As part of the acquisition, Bean Electrical, Inc. converted into Bean Electrical, LLC through the filing of a certificate of conversion with the Secretary of State of Texas. While the ownership and name have changed, the Company's operations and EIN remain the same as before. Please find attached an updated W9 for your records. Let me know if you have any questions. We look forward to continue providing the best service to the City of Fort Worth and expanding our offerings with the support of Lumin8. SincerO9y Ff C,hiti Bea V.P. SW Region CC: Fort Worth City Attorney's Office 200 Texas Street Fort Worth, Texas 76102 I3e Electrical, lit. TECL 17979 Regulated �l by `The��T�eyxalsC /De�p�a�rtment of Licensing and Regulations, P.O. Box 12157, Austin, Texas 78711, 1 800 803 9202, 512 463 6599, website AV L.AliA3'�.1.L=10..1Y t .]:.2/19W 41, 0 0) if, 0 E. KV) C LI: rn 0 E () LZ 0 1— 0 E 0 2 tf, 1c Form • (Rev. October2018) Department of the Treasury Internal Revenue Service Request for Taxpayer Identification Number and, Certification ► Go to www.irs.gov/FormW9 for instructions and the latest information. Give Form to the requester. Do not send to the IRS. fl Print or type. See Specific Instructions on page 3. 1 Name (as shown on your income tax return). Name is required on this line; do not leave this line blank. Bean Electrical, 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 following seven boxes. 4 Exemptions certain entities, instructions Exempt payee Exemption code (if any) (Applies to accounts (codes apply only to not individuals; see on page 3): code (if any) IJ Individual/sole proprietor or MI C Corporation III S Corporation Partnership El Trust/estate single -member LLC • 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. LLC if the LLC is classified as a single -member LLC that is disregarded from the owner unless the owner another LLC that is not disregarded from the owner for U.S. federal tax purposes. Otherwise, a single is disregarded from the owner should check the appropriate box for the tax classification of its owner. El Other (see instructions) ► ► from FATCA reporting Do not check of the LLC is -member LLC that maintained outside the U.S.) 5 Address (number, street, and apt. or suite no.) See instructions. 821 E. Enon Ave. Requester's name and address (optional) 6 City, state, and ZIP code Fort Worth, TX 76140 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 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 How to get a TIN, later. Note: If the account is in more than one name, see the instructions for line 1. Also see What Name and Number To Give the Requester for guidelines on whose number to enter. Social security number or Employer identification number 7 5 2 0 4 1 7 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. I 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. I 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 o 'fm 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 d'v' nds on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secure perty, cancellation of debt, contributions to an individual retirement arrangement (IRA), and generally, payments other than interest and dividends, yo are h equired to sign the certification, but you must provide your correct TIN. See the instructions for Part II, later. Sign Here Signature of U.S. person II. - 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) Date I. —31-ZQL3 • Form 1099-DIV (dividends, including those from stocks or mutual funds) • 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. 10-2018)