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HomeMy WebLinkAboutContract 52439-CA1 1 P�CEI V CITY SECRETARY En CITY OF FORT WORTH CONTRACTNO._5a�3CJ -C.& 2 Z0?0 ASSIGNMENT CITOFFO CIIyZCRE1 RrH For value received, Arrow International, Inc. ("Assignor"), hereby assigns to Teleflex, 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 CSCO 52439 (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 a-mail, and any such signature shall have the same legal effect as an original. Dated the 13 day of April 2020. Arrow International, Inc. (Assignor) By Print: Dave rice Title: Sr. Director, Commercial Operations Teleflex,LLC (Assignee) By. Print: Dave Price Title: Sr. Director, Commercial Operations Assignment I'agclof3. FT. WOE7"II'e NOTARY ACKNOWLEDGEMENT On the f.� day of A2020, personally appeared yt A-1 , who acknowled ed to me that (s)he is the Sr. Director, Commercial Operations of Arrow International, Inc., and that (s)he executed this document for the purposes and consideration contained herein. Arrow Internat' ""a /'/By: y-- Print: Dave Title: Sr. Director, Commercial Operations SUBSCRIBED TO before the on this ay of ,� 12020. 7rLISA A EDGER-VRANANOTARY PUBt-ICNORTH CAROLINAwAKE COUNTY NotaryPuh ' and for the State of 9 UAA COMM.EXP_03-05.2021 My commission Expires., xpires: NOTARY AC NOWLEDGEMENT On t e � day of r 2020, personally appeared who acknowle ged to me that (s)he is the Sr. Director, Commercial Aerations of Teleflex, LLC, and that (s)he executed this document for the purposes and consideration contained herein. Teleflex, By: Print: Dave Price Title: Sr. Director, Commercial Operations SUBSCRIBED TO before me on this �l� da of LC.� , 2020. LISA A EGGER-VRANA NOTARY PUBLIC NORTH CAROLINA Notary Pu lic ' d fort State of ,7 A�}- WAKE COUNTY My commission Expires:�� h7�N -� MY COMM.EXP.03-05-2021 �r Assignment FT. WOR ,219 CONSENT TO ASSIGNMENT The City of Fort Worth consents to the assignment of Arrow International, Inc. ("Assignor"} to Teleflex, LLC ("Assignee"), of all its rights, title, and obligation owing and all funds due or to become due to Assignor under CSCO 52439, as long as all terms required of Assignor in said contracts are met by Assignee. CITY OF FORT WORTH .Awfw 41n1z,-)Z,0 Dana Burghdoff, A s stant Oi Manager Date � l7 2J Cynthia Garcia,Assistant Director-Purchasing Date ATTESTED BY: e�� :X *f � Mary Kayser S e Date xa �LX� APPROVED AS TO FORM AND LEGALITY: John B. Strong,Assistant City Attorney .Assignment FT. Page 3 of 3 MeleFlme 3015 Carrington Mill Blvd Morrisville, NC 27560 USA Phone: 919-544-8000 teleflex.com April 29, 2019 Re: Assignment Notice-Arrow International, Inc. and Teleflex Medical Incorporated Dear Valued Customer: am pleased to announce that Teleflex is in the process of implementing an internal restructuring to better meet customer needs. The restructuring involves consolidating aspects of the operations of our wholly-owned subsidiaries Teleflex Medical Incorporated and Arrow International, Inc. into Teleflex LLC, another wholly-owned subsidiary. Effective as of August 5, 2019, all products that your organization previously purchased from Teleflex Medical Incorporated and Arrow International, Inc. will now be purchased from Teleflex LLC. Accordingly, please update your records with the order and remittance information provided in the enclosed fact sheet to ensure your orders and payments are processed in a timely manner. As a result, any contracts that you currently have with Arrow International, Inc. and/or Teleflex Medical Incorporated regarding provision of any products, equipment or services by either or both of them will be assigned to Teleflex LLC, effective as of August 5, 2019. In this regard, each of Arrow International, Inc. and Teleflex Medical Incorporated, if and as applicable, acknowledges that the assignment will not discharge any of its obligations under such contracts, and Teleflex LLC hereby confirms its agreement, effective as of such date, to accept and assume all of the rights and obligations of Arrow International, Inc. and/or Teleflex Medical Incorporated, as applicable, under, and to be bound by the terms and provisions of, such contracts. If you have any questions, please contact us at (866) 246-6990 or cs(a-),teleflex.com or visit teleflexllc.com. Thank you for your continued support. Sincerely, Ed Weidner VP, Customer Experience and Commercial Operations For and on behalf of Arrow International, Inc., Teleflex Medical Incorporated and Teleflex LLC Melef lex® Teleflex 3015 Carrington Mill Blvd. Morrisville, NC 27560 USA May 7, 2019 866-246-6990 Fax: 866-804-9881 teleflex.com RE: Teleflex LLC—Sole Source for the Arrow'EZ-101 Intraosseous Vascular Access System Dear Valued Customer: Thank you for your interest in the Arrow°EZ-100 System, which uses a proprietary patented needle and power driver technology. Teleflex is the sole manufacturer of these components. There are no other battery-powered intraosseous products currently available in the global marketplace. Effective August 5, 2019, through our direct sales team, Teleflex LLC, a wholly owned subsidiary of Teleflex Incorporated, will market, sell and/or service all non-federal Arrow EZ-10 device customers within the continental United States. Until then, this responsibility will remain with Arrow International, Inc., another wholly owned subsidiary of Teleflex Incorporated. Please call our customer service to assist you with any questions or concerns at 1-866-246-6990. Sincerely, Mark J. Reis Vice President, Sales Anesthesia and Emergency Medicine Teleflex,the Teleflex logo,Arrow and EZ-10 are trademarks or registered trademarks of Teleflex Incorporated or its affiliates.All other trademarks are trademarks of their respective owners.©2019 Teleflex Incorporated.All rights reserved.MC-000964rev5 ArrowGetting ready for Teleflex LLC Beginning on August 5t' Teleflex Medical and • together Set • Telleflex LLC as a ew s L• Her today. efle What's, sL�ayung the salve? • Your Teleflex Medical/Arrow representative remains the same • Your Contract Number and Customer Number remain the same as your current Teleflex Medical Incorporated/ Arrow International, Inc. numbers Deed help? If you have any questions about setting up Teleflex LLC as a new supplier, or have any questions about your Teleflex account, please contact csoteleflex.com or call 866-246-6990. TOO Set up Teleflex LLC as a new supplier today, for a simpler tomorrow. Here's the information you'll need to set us up Company Information BUSINESS NAME Teleflex LLC. ................................................................................................................................................................................................................................................................. ....._........................................................ ....... ........ .. . ADDRESS 3015 Carrington Mill Blvd., Morrisville, NC 27560 .............................................................................................................................................................................................................................................................................................................................................. EIN 83-1629418 ................................................................... ....................................................................................................................................................................................................................................................................... WEBSITE teleflex.com .......-.......................................................... ............................................................................................................................................................................................................................................................................... PRODUCT Teleflex, Arrow, Deknatel, Hudson RCI, LMA, Pilling, Rusch, Vascular Solutions, BRANDS Vidacare, Weck D-U-N-S NUMBER 08-139-6390 Order Placement Remittance Address for Payment EDI ID Qualifier:ZZ, ID:TELEFLEXLLC or Beneficiary: Teleflex Funding LLC ZZ/TELEFLEXLLC Account#: 4708086079 .................................................................. ...........I.............................................................._..............— _..... EMAIL ORDERS csnteleflex.com Bank. Wells Fargo Bank, N.A. ...................................... ....................... .................................................................................................... REMITTANCES VIA 420 Montgomery Street PHONE ORDERS 1-866-246-6990 WIRE OR ACH San Francisco, CA 94104 SWIFT: WFBIUS6S ABA: 121000248 Account Number Email: tfxremitoteleflex.com .................................................................. .....................................................................I.............................. Your account number with Teleflex LLC will be the same as REMITTANCES VIA Teleflex Funding LLC your account number with Teleflex Medical Incorporated CHECK(STANDARD PO Box 936729 and Arrow International, Inc. Need a new account number? MAILING) Atlanta, GA 31193-6729 Reachout to us at csCa�teleflex.com. .................................................................. ...........................--.................................................................. REMITTANCES VIA Teleflex Funding LLC CHECK(OVERNIGHT Attn: PO Box 936729 DELIVERY) 3585 Atlanta Avenue Timing Hapeville, GA 30354-1705 Do you have a vendor form to be completed? Send it to csnteleflex.com. Today through August 4,2019: No change in how you _ place orders and pay invoices. Place orders with Teleflex K`~ Medical Incorporated and/or Arrow International, Inc. ctioK August 5,2019 and beyond: New orders should be ; placed with Teleflex LLC. re wre General Inquires Teleflex Email: csnteleflex.com Phone: 1-866-246-6990 LLC tl Teleflex,the Teleflex logo,Arrow,Deknatel,Hudson RCI,LMA,Pilling,Rusch,Vascular Solutions,Vidacare and Weck are trademarks or registered trademarks of Teleflex Incorporated or its affiliates,in the U.S.and/or other countries.0 2019 Teleflex Incorporated.All rights reserved.MC-005296 QQ Request for Taxpayer Form 'gal 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 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. TELEFLEX LLC 2 Business name/disregarded entity name,If 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 mP Y P� ( PP Y Y ro following seven boxes. certain entities,not Individuals;see o- instructions on page 3): o ❑ Individual/sole proprietor or ❑ C Corporation ❑ S Corporation ❑ Partnership ❑Trust/estate aito single-member LLC Exempt payee code(i(any) a0 ✓❑ Limited liability company.Enter the tax classification(C=C corporation,S=S corporation,P=Partnership)0- C `0 2 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 c 'rn LLC if the LLC Is classified as a single-member LLC that is disregarded from the owner unless the owner of the LLC is ( uanother LLC that Is not disregarded from the owner for U.S.federal tax purposes.Otherwise,a single-member LLC that code if any) y is disregarded from the owner should check the appropriate box for the tax classification of Its owner. m ❑ Other(see instructions)► (App es to occounfs molnfalned aufslde the U.S.) (0 5 Address(number,street,and apt.or suite no.)See Instructions. Requester's name and address(optional) in 3015 Carrington Mill Blvd. 6 City,state,and ZIP code Morrisville, NC 27560 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 .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. M83 - 1 6 1 21 _ 9 1 T41 8 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 P ign t certification,but you must provide your correct TIN.See the instructions for Part 11,later. Sign I Signature of Here U.S.person► l /A 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 .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 wwwJrs.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( IN)which may be your social security number •Form 1099-C(canceled debt) (SSN),Individual taxpayer identification number(]TIN),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) Melef lex® 3015 Carrington Mill Blvd. Morrisville, NC 27560 USA 866.246.6990 teleflex.com March 1, 2019 Subject: Teleflex Direct-Only Products Dear Valued Customer: Effective January 1, 2018, the products listed below are available exclusively through your Teleflex sales representative or Teleflex Customer Service. Item Numbers Description 77700 Rusch® DispoLED® Laryngoscope Handle 88800 Rusch®DispoGripTM Laryngoscope Handle 4550000 —4550010 Rusch®GreenLiteTM Single-Use Laryngoscope Miller Blades 4551001 - 4551004 Rusch®Green Lite TM Single-Use Laryngoscope Mac Blades 4650000 —4650010 Rusch® EquipLiteTM Single-Use Laryngoscope Miller Blades 4651000 - 4651035 Rusch® EquipLiteTM Single-Use Laryngoscope Mac Blades 4670000 —4671004 Rusch®TruLite Secure TM Single-Use Laryngoscope Blade & Handle 175010 — 175050 LMA® Supreme TM Single-Use Airways Rusch®AirtragTM System • Airtraq A-390 WiFi Camera • Airtraq SP Blades • AirtragTM AvantTM Optics and Blades • Airtraq Universal Phone Adapter 4150110 - 4150150 Rusch®PolarisT"' Single-Use Laryngoscope Mac Blades 4150002 - 4150040 Rusch®PolarisTM Single-Use Laryngoscope Miller Blades We appreciate your business and look forward to continuing to serve your needs. Should you have any questions, please contact your local Teleflex sales representative, or Customer Service at 866.346.6990. Sincerely, Amber Smith Product Manager, Emergency Medicine Airtraq and Avant are trademarks or registered trademarks of Prodol Meditec S.A. Teleflex,the Teleflex logo,DispoGrip, DispoLED,EquipLite,GreenLite,LMA,LMA Fastrach,LMA Supreme,Polaris, ROsch and TruLite Secure are registered trademarks of Teleflex Incorporated or its affiliates,in the U.S.and/or other countries.©2019 Teleflex Incorporated.All rights reserved.MC-003981 Rev2 MeleFlex® Teleflex January 1, 2019 3015 Carrington Mill Blvd. Morrisville, NC 27560 USA Phone: 866-246-6990 Fax: 866-804-9881 teleflex.com RE: Teleflex—Exclusive Distributor for the Rusch®AirtragTM System Dear Valued Customer: Thank you for your interest in the Rusch®AirtragT'A System. The Rusch°AirtragT" System includes; Rusch®AirtragT" A-390 WIFI Camera, Rusch°AirtragTIA SP Laryngoscope Blades, and Rusch® AirtragW AvantT" Laryngoscope Blades and Optics. Teleflex Incorporated is the exclusive sole source distributor of the Rusch®Airtrag71 System to customers within the United States and Canada. The Rusch°AirtragT11 System is available for purchase through our direct Anesthesia and Emergency Medicine sales team. For more information please contact your local representative or our customer service team: +1-866- 246-6990. Sincerely, 4 Mark J. Reis Vice President, Sales Anesthesia and Emergency Medicine Airtraq and Avant are trademarks or registered trademarks of Prodol Meditec S.A. Teleflex,the Teleflex logo,and ROsch are trademarks or registered trademarks of Teleflex Incorporated or its affiliates.All other trademarks are trademarks of their respective owners.©2019 Teleflex Incorporated.All rights reserved.MC-004247rev1 /\ &�/ | 00 | � R S ( E *Q;lm« § ® G a !�s ��Iq - ® Z4 0 t Co ° PF - � } ■ § / \ _ ( � I � � | k \ . \ \ � - / � § Q ± : \ / �| l \ � E - � ) / � | i k � ! � f { � { ( � |