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Home My WebLink AboutContract 56330-CA1 CSC No. 56330-CA1 CITY OF FORT WORTH ASSIGNMENT For value,received Appctize Technologies, Inc. ("Assignor"),hereby assigns to SpotOn Transact,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 165361CSCO 56330(A) (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 instrumeoL Signed signature pages may be transmitted by facsimile or c-mail,and any such signature shall have the same legal effect an original. Dated the day of d 2022. Appetize Technologies,Inc. (Assignor) Print�Mt ewHap� Title: Secretary SpotOn Transact,LLC (Assignee) By: Print: Matthew H Title: President Assignment r,,;:t s OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX / NOTARY ACKNOWLEDGEMENT On l6 day of ti 2022, personally appeared who aclmoa,Icd to me that (s)he is the Secretary of Appetize Technologies" Inc. ("Assignor'), and that (s)hc exccutcd this document for the purposcs and consideration contained herein. Appetize Technologies,Inc. l� Prirtt Matthew Hyman Title: Secretary SUBSCRIBED TO bcforc me on this day of 2022. tZ G.Wit.•, -per,¢•y� r d for the S Of e>r r - y commission Expires: ��,�•t'aip µtH,�� NOTARY ACKNOWLEDGEMENT On the (6 day of 2022, personally appeared who aclmoWl dged to me that (s)he is the President of SpotOn Transact, L "Assignec'7, and that (s)he executed this document for the purposes and consideration contained herein. SpotOn Transact,LLC By - — Print: Matthew H r Title: President SUBSCRIBED TO bcforc me on this /44day of ,2022. �-- ` �� 5iee•Mi �: _ 4�sr p41y'f lic in and for the S y commission Expires: ��usco��6•�� Anipffow PaCc:ar i OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX CONSENT TO ASSIGN--%= The City of Fort Worth consents to the assigimeat of Appedze Technologies, Inc. ("Assignor')to SpotOn Tfansact,LLC("assignee'),of all its rigtits,title_and obligation owing and all fiends due or to become due to assignor under PSK 16536 CSCO 56330(A) as long as all terms required of Assignor in said contracts are met by assignee. CITY OF FORT M-ORTH R--at� r1 z#no- Sep 2, 2022 ReglKatd Zeno(Sep 2,2022 08:38 CDT) _ Reginal Z,eno-Chief Financial Offirer Date .4.t&7,e& Sep 2, 2022 Anthmy Rousseau:A.�sistaut Director—FMS Date �.s1-0,oR r�aa� ° E.o �o�d ATTESTED BY: dv o Sep 6 2022 a a ette S.Goodall(Sep 6,2022 09: DT) ' a 000000000°°° Jannette Csoodall,Cite Secretarti D e aa�SEX ASoaa APPROVED AS TO FOUNT.AND LEGALITY: O John B.Strong,assistant City Attorney Contract Compliance Manager: By simung I aclrnowledge that I am the person responsible for the monitoring and adm tration of this contract,including ensuring all performance and reporting requirements. x--X - Sep 1 , 2022 Employee Signature'Date Asst. Facilities & Public Events Director Title OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX Form 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.irs.gov1FormW9 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. SpotOn Transact LLC 2 Business name/disregarded 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 a only to mP Y P� ( PPN Y following seven boxes, certain entities,not individuals;see a instructions on page 3): a ElIndividual/sole proprietor or ❑ C Corporation ElS Corporation ❑ Partnership ❑TrusVestate c single-member LLC Exempt payee code(if any) 2 Q Limited liability company.Enter the tax classification(C=C corporation,S=S corporation,P=Partnership)► C 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 " v LLC if the LLC is classified as a single-member LLC that is disregarded from the owner unless the owner of the LLC is ( danother LLC that is not disregarded from the owner for U.S.federal tax purposes.Otherwise,a single-member LLC that code if any) w is disregarded from the owner should check the appropriate box for the tax classification of its owner. d ❑ Other(see instructions)► oppfle 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) 100 California Street,Suite 900 6 City,state,and ZIP code San Francisco,CA 94111 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(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 FT7 77N,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. M81 -F4T91T2 8 7 2 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 the certification,but you must provide your correct TIN.See the instructions for Part II,later. Sign Signature of Here U.S.person► \ 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 www.lrs.gov1FormW9. •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) § � 0 , ) ) & LU U LLJ H ! \ } LIn E \ % ( ) 0 ) / c o � 2 / \ ( u i j \ \ ! . @ §) / < ., w E` / z ® z ii §Ln / ] � : S §� £ \ ® 0 <0 ! . / J k ° °° § _ q ® � ®} \t � &�«k ® / RF I_- w7zg7 mnm § e ° �.. Id 2 E = pet ` \ =\k.j k \ \ Jd£4g 2 < - Appetize To Whom It May Concern: As of September 16,2021,Appetize Technologies has been acquired by SpotOn. Even though with the change in ownership,we will stillbe retaining the Appetize Technology entity and Tax ID to avoid any inconvenience to our client and vendors. Anotification willbe sent once Appetize Technologies has been fully integrated into the parent `s organization. ?--115-1 Jack Chalfant Controller 877.559.4225 6601 Center Dr W,Suite 700,Los Angeles,CA 90045 Now part of SpotOn