The URL can be used to link to this page

Home My WebLink AboutContract 52578-R2 CSC No. 52578-R2 CITY OF FORT WORTH REQUEST TO EXERCISE RENEWAL OPTION August 4, 2020 Environmental Improvements Inc. Attn: Michael Carpenter 517 N. Kealy Lewisville, TX 75057 Re: Contract Renewal Notice Purchase No. CSCO 52578 SS-PO105154 (the "Contract") Renewal Term No. 2: October 1, 2020 to September 30, 2021 The above referenced Contract with the City of Fort Worth expires on September 13, 2020 (the "Expiration Date"), Pursuant to the Contract, contract renewals are at the mutual agreement of the parties. This letter is to inform you that the City is requesting to renew the Contract for an additional one (1) year period, which will begin immediately after the Expiration Date. All other terms and conditions of the Contract remain unchanged. To agree to renew the Contract for an additional one (1) year period, please sign and return this request to exercise renewal option, along with a copy of your current insurance certificate, to the address set forth below. Please log onto PeopleSoft Purchasing at http://fortworthtexas.gov/t)tuchasing to insure that your company information is correct and up-to-date. If you have any questions concerning this Contract Renewal Notice, please contact me at the telephone number listed below. Sincerely, �2Cuuca .Saes Monica Saenz/Admin Assistant 817-392-8267 OFFICIAL RECORD CITY SECRETARY FT.WORTH, TX Contract Renewal Page 1 of 2 ACCEPTED AND AGREED: CITY OF FORT WORTH CONTRACT COMPLIANCE MANAGER: By signing I acknowledge that I am the person responsible for the monitoring and administration of this contract, including I3y; Dana Burghdoff(Sep25,20 9:50CD ensuring all performance and reporting Name: Dana Burghdoff requirements. Title: Assistant City Manager I { By: a .� APPROVAL RECOMMENDED: Name: M in Ph' ips Title: Engineering Manager Chrisf0 r-harder g g g By: Christopher Harder(Sep 24,20200756 CDT) Name: Chris Harder APPROVED AS TO FORM AND Title: Water Director LEGALITY: go�vvnn�� v Foodoo OR o oo oo op d d� o a o- 1d ATTEST: o o rex *dv By: D Black(Sep 24,20201T:28 CDT) psaap Name: Doug Black ��°naa44 Title: Sr. Assistant City Attorney Ya't^ Ronald P. Cot By: 'for RonaldP.Gonzales(Sep 25,202010:58CDQ _ CONTRACT AUTHORIZATION: Name: Mary J. Kayser M&C: Title: City Secretary Date Approved: Form 1295 Certification No,: 3_ (Date) By: Name: r Title: —Aza, OFFICIAL RECORD CITY SECRETARY FT.WORTH, TX Contract Renewal Page 2 of 2 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 www,lrs,gov/FormIN9 for Instructions and the latest Information. t Name(as shown on your Income tax return).Name Is required on this line;do not leave this line blank, ENVIRONMENTAL IMPROVEMENTS,INC. 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 P Y p ( P Y Y following seven boxes. certain entities,not individuals;see o instructions on page 3): cc ❑ Indlvlduallsole proprietor or Z C Corporation ❑S Corporation ❑ Partnership ❑Trust/estate ai single-member LLC Exempt payee code(if any) j;2 ❑ 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 c to LLO 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) C another LLC that is not disregarded from the owner for U.S.federal tax purposes.Otherwise,a single-member LLC that o' is disregarded from the owner should check the appropriate box for the tax classification of its owner. ❑ Other(see instructions)► (APO.a to a wnt:mein1u0nedW1W0 the u s.l 5 Address(number,street,and apt.or suite no.)See Instructions, Requester's name and address(optional) 1183 BRITTMOORE RD.,STE.100 MAILING:PO BOX 79266 B City,state,and ZIP code HOUSTON,TX 77043 HOUSTON,TX 77279 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,etrrthis this is generally your social security number(SSN) However,for a -m resident alien,sole proprietor;or disregarded entity,see the instructions for Part I,later.For other entitles,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 I Employer Identification number Number To Give the Requester for guidelines on whose number to enter, 8 2 3 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 notlfled 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 the certification,but you must provide your correct TIN.See the instructions for Part 11,later. Sign Signature of j ff Here U.S.person► Date►Q General Instructions ►Form 1099-DIV(dividends;including those from stocks or mutual funds) Section references are to the In Revenue Coda 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 wwwdrs.gov/FormIN9. .Form 1099-5(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(tultion) idantification 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 properly) 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.10.7.0t8)