HomeMy WebLinkAboutContract 55977-CA1CSC No. 55977-CAI
CITY OF FORT WORTH
ASSIGNMENT
For value received G4 Spatial Technologies LLC ("Assignor"), hereby assigns to G4
Geomatic Resources 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
15839/CSCO 55977 (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 e-mail, and any such signature shall
have the same legal effect as an original.
Dated the day of L4 n e 2023.
G4 Spatial Technologies LLC
(Assignor)
By:
Print: f� �•� Gvwls�
Title: Chief Operating Officer
G4 Geomatic Resources LLC
(Assignee)
By:
tJ
Print: l�o .(�+tGJw 64,
Title: Chief Financial Officer
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
Assignment Page t of
NOTARY ACKNOWLEDGEMENT
On the 0L l day of a, v% r 2023, personally appeared
&.In I-Ja %t� , who acknowledged to me that (s)he is the Chief Operating Officer of G4
Spatial `Technologies LLC ("Assignor"), and that (s)he executed this document for the purposes
and consideration contained herein.
G4 Spatial Technologies LLC
By: L•iAl�
Print: �na� Lea t r4
Title: Chief Operating Officer
SUBSCRIBED TO before me on this A"fZ(b we , 2023.
SHERRY ROEe
Notary Public, State I Texas
Notary 10#40467.2 NAary Public 4/nd- for the State of 74}v s
MyC TvisswEvires07-12.2023 My commission Expires:
NOTARY ACKNOWLEDGEMENT
On the a l day of -T" %C. 2023, personally appeared
L+.15k , who acknowledged to me that (s)he is the Chief Financial Officer of
64 Geomatic Resources LLC ("Assignee"), and that (s)he executed this document for the
purposes and consideration contained herein,
G4 GeomAc Resources L
By:
Print: /�u �n r,Y b a /J 1,
Title: Chief Financial Officer
SUBSCRIBED TO before me on this .�/ day of -J&nc n , 2023.
zo, SHERRY ROE -�
Wary Pft, State of Texas No ary Public in a r the State of 7 �
NoterytDI40M.2 My commission Expires: 7-1g-
My Commission Eores 07-12.2023
Assignment Page 2 of
CONSENT TO ASSIGNMENT
The City of Fort Worth consents to the assignment of G4 Spatial Technologies LLC
("Assignor") to G4 Geomatic Resources LLC ("Assignee"), of all its rights, title, and obligation
owing and all funds due or to become due to Assignor under PSK 15839/CSCO 55977_as long as
all terms required of Assignor in said contracts are met by Assignee.
CITY OF FORT WORTH
Jun 27, 2023
RobertAlldr�(Jun 27, 202315:24 CDT)
Executive Assistant Chief
Date
7—
Jun 27, 2023
Assistant City Manager
Date
Reginald Zeno (Jun 29, 202313:21 CDT)
Jun 29, 2023
ReginaallZeno- Chief Financial Officer
Date
'
Jo Gunn�Jun 29, 202312:52 CDT)
Jun 29, 2023
Jo Ann Gunn — Chief Purchasing Officer
Date
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ATTESTED BY: °°ago
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Jun 29 2023
Jannette Goodall, City Secretary
Date
APPROVED AS TO FORM AND LEGALITY:
City of Fort Worth Assistant City Attorney
Contract Compliance Manager:
By signing I acknowledge that I am the person responsible
for the monitoring and administration of this contract, including ensuring all performance and
reporting requirements.
Ls (f&A49411t, Jun 27, 2023
Employee Signature/Date
Administrative Service Manager
Title OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
Assignment Page 3 of
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Geosystems
Authorized Dealer
G4 CrwmAnc
PCESOURCES
June 7, 2023
Tracy Walter
Management Analyst II — Vendor Management/Pcard
Purchasing Division
City of Fort Worth, Texas
Good day Tracy,
Please accept this letter as acknowledgement of the formation of our new parent company
G4 Geomatic Resources LLC. Our previous companies G4 Spatial Technologies and
Geomatic Resources LLC now all fall under the new name G4 Geomatic Resources LLC
as of May 11, 2021. Our full contact information is listed below.
If you have any questions, please feel free to call me at 972-922-4459 or email at
rodnev.walsh(& a4ar. com.
Sincerely,
A� G)a"
Rodney Walsh
President, G4 Geomatic Resources LLC
G4 Geomatic Resources LLC
2914 Story Road West, Irving, TX 75038
Office 817-691-5328 Fax 413-228-0557
G4GR.COM
Corporations Section �� E O
P.O.Box 13697
Austin, Texas 78711-3697 `X
Office of the Secretary of State
CERTIFICATE OF FILING
OF
G4 Geomatic Resources, LLC
File Number: 804060347
Ruth R. Hughs
Secretary of State
The undersigned, as Secretary of State of Texas, hereby certifies that a Certificate of Formation for the
above named Domestic Limited Liability Company (LLC) has been received in this office and has been
found to conform to the applicable provisions of law.
ACCORDINGLY, the undersigned, as Secretary of State, and by virtue of the authority vested in the
secretary by law, hereby issues this certificate evidencing filing effective on the date shown below.
The issuance of this certificate does not authorize the use of a name in this state in violation of the rights
of another under the federal Trademark Act of 1946, the Texas trademark law, the Assumed Business or
Professional Name Act, or the common law.
Dated: 05/11/2021
Effective: 05/11/2021
V
:�7
44 4C-01�
Ruth R. Hughs
Secretary of State
Come visit us on the internet at https://www. sos. texas.gov/
Phone: (512) 463-5555 Fax: (512) 463-5709 Dial: 7-1-1 for Relay Services
Prepared by: Stacey Ybarra TID: 10306 Document: 1050127710005
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.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.
G4 Geomatic Resources, LLC
2 Business name/disregarded entity name, if different from above
3 Check a ro riate box for federal tax classification of the person whose name is entered on line 1. Check only one of the 4 Exemptions codes apply ono to
� pp P P Y p� ( PP Y Y
following seven boxes. certain entities, not individuals; see
a Instructions on page 3):
o ❑ Individual/sole proprietor or ElC Corporation ElS Corporation ElPartnership ❑ Trust/estate
c single -member LLC Exempt payee code (If any)
a a
v ❑✓ Limited liability company. Enter the tax classification (C=G corporation, S=S corporation, P-Partnership) ► s
p >? Note. Check the appropriate box in the fine above for the tax classification of the single -member owner. Do not check Exemption from FATCA reporting
c LLC If the LLC is classified as a single -member LLC that is disregarded from the owner un#ess the owner of the LLC Is code if an
.0 another LLC that is not disregarded from the owner for U.S, federal tax purposes. Otherwise, a single -member LLC that { Y)
fs v is disregarded from the owner should check the appropriate box for the tax classification of its owner.
4
❑ Other (see Instructions) ► {Applies to accounts m Weird outside the U.S.)
rn 5 Address (number, street, and apt. or suite no.) See instructions. Requester's name and address (optional)
A 2914 Story Road West
6 City, state, and ZIP code
Irvina. TX 75038
7 List account numbers) 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 I Employer identification number
Number To Give the Requester for guidelines on whose number to enter. M87
-I 1�9IOI6I2 SIOj
JiM Certification
Linder 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 US. 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 tign the certification, but you must provide your correct TIN. See the instructions for Part 11. 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
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-MISC (various types of income, prizes, awards, or gross
proceeds)
• Form 1099-B (stock or mutual fund sales and certain other
transactions by brokers)
• Farm 1090-S (proceeds from real estate transactions)
• Form 1099-K (merchant card and third party network transactions)
• Form 1098 (home mortgage interest), 1096-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
allen), 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)