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HomeMy WebLinkAboutContract 60365-CA1CSC No. 60365-CAl CITY OF FORT WORTH ASSIGNMENT For value received Eagle Remediation and Demolition Services LLC ("Assignor"). hereby assigns to Pacific West 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 213671CSCO 60365 (the "Contracts") and Assignee agrees to assume and perform all duties and obligations required by Assignor under the terns 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 19`I' day of March 2024. Eagle Remediatian and Demolition Services LLC ( Assignor); B '� i Print: Mark Anderson Title: Senior Vice President Environmental Pacific West LLC (Assignee) By: v Print: Title: Ryan Stringham Vice President Finance OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX Assi4-nnient Vm c I „I'3 NOTARY ACKNOWLEDGEMENT On the 19th day of March 2024, personally appeared Mark Anderson, who acknowledged to me that (s)he is the Chief Operating Officer of Eagle Remediation and Demolition Services LLC ("Assignor''). and that (s)he executed this document for the purposes and consideration contained herein. Eagle Remediat r D ` oli k6i Ices LLC By: �'4! Print: Mark Anderson Title: Senior Vice President Environmetal SUBSCRIBED TO before nee on this 19th day of March 2024. $r•"''''!;•. PATRICIA LEE dAFESu &,Okm •:':� My Notary ID# 1308945Q3 Notary Public in and for the State of Texas Expires November 8, 2424 My commission Expires: 11 /09/2024 NOTARY ACKNOWLEDGEMENT On the day of YA --I,yr- 2024, personally appeared PacG,h j�jy-jY��.(�`�y� , who acknowledged to me that (s)he is the Chief Financial Officer of ific West 0-C (`-Assignee'), and that (s)he executed this document for the purposes and consideration contained herein. Pacific West LLC By: I% Print: Ryan Stringha>n Title: Vice President Finance SUBSCRIBED TO before me on this day of VV1 Q1V C,�\ , 2024. SU7ANNE JOHNSON cjo'i 4Notary I'u6lic -State of Utah(k Comm. No, 721673 My Commission Expires on �{ Nov 22, 2fl25 Notary Public n and for the State of Ik� My commission Expires: N 3V 2a , 90-a S Assi�,nrllent I',we ? ,1I'3 CONSENT TO ASSIGNMENT The City of Fort Worth consents to the assignment of Eagle Rernediation and Demolition Services LLC ("Assignor") to Pacific West LLC ("Assignee"). of all its rights. title, and obligation owing and all funds due or to become due to Assignor under PSK ? 1367/CSCO 60365 as long as all terns required of Assignor in said contracts are met by Assignee. CITY OF FORT WORTH Cady Wh t burg (Mar , 202412:37 CDT) Mar 29, 2024 Department Director Date V01-W44-� Mar 29 2024 Valerie Washington (Mar29, 202415:30 CDT) Assistant City Manager pate ppF FO or 4a 0 ATTESTED BY: ono o�xd 0 o o o d P�aa r°°°,5°a Apr 1, 2024 atlnnEXA oo. lannette Goodall. City Secretary Date APPROVED AS TO FORM AND LEGALITY: aE-1 City of Fort Worth Assistant City Attorney Contract Compliance Manager: By signing I acknowledge that I ain the person responsible for the monitoring and administration of this contract, including ensuring all performance and reporting requirements. 4M a r 27, 2024 Employee Signature/Date Environmental Supervisor ritlt OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX Assiunment Past 3 ol'3 J PACIFIC NEST Pacific West LLC 1555 West 2200 South, Suite A Salt Lake City, UT 84119 01/26/2024 RE: Company name change This is to inform you that our company has recently changed the business name from Eagle Remediation & Demolition Services LLC to Pacific West LLC. DBA Pacific West Environmental and Infrastructure. The name change came into effect on January 1, 2024. We have created a new name to reflect our expanded business and services offerings. Please note that our name change will not impact on our ongoing cooperation and agreed terms. We kindly request that you change our name on your records. We appreciate your business and look forward to continuing our valuable cooperation. Thank you for your continued business. Sincerely, Pacific West LLC. F 4 0 Q -', directsos.statetx.us/corp_inquiry/Lorp_inquiry-entity.asp?:Sfilrngnumber-BO1334273&:Nsession_id-74552980&:Ndocument_number-1339150190002&pgcunent-l&Spagefrom-8LNorder_item type _id- 10&:Nmrp_type _id-&:Nfiling_type _id-&... Q * [] & C. S¢gge ted Sites In e-Services 1 Internal... U Adobe Sign, an Ado... & AccurintE I 1 © PS Test Bwi—ents a Purchasing- Wdoo..11 Welcome to i cCP CFWnet.org I City of- 0 SCSDireot - An Onli.. © Supplier © Paymenti Q New Tab » [] All Boot UCC Business Organizations Trademarks Filing Number: 801324273 Original Dare of Filing: October22, 2019 Formation Date, MA Tax ID: 187C5629154 Name: Pacific West, LLC Address: 1515 W 220C S , Suite C Saft Lake City, UT 84119 USA Fictitious Name: Pacific West Utah Builders, LLC Jurisdiction UT, USA Foreign Formation August9, 1996 Date: REGISTERED AGENT 111 The Trau b Law Office, P C. Order I Return to Search Notary Account HelprFees Briefcase LogoLa BUSINESS ORGANIZATIONS INQUIRY - VIEW ENTITY Entity Type: Foreign Limited Liability Company (LLC) Entity Status: In existence FEIN: 87C562915 C FILJ NO HISTORri iiiiiiiiiiiiiiiiiiiiiiii� .o'r'-.f,..3EPdEhi JE ASSOCATED ENTITIES INIT1AiADD Address Inactive Date 3701 Shoal Creek Blvd, Suite 401 Austln. TX 73757 USA Request for Taxpayer Give Form to the Form (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. Pacific West LLC 2 Business nameldisregarded entity name, if different from above Pacific West Environmental and Infrastructure 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 c following seven boxes. certain entities, not individuals; see Q o ❑ Individuali proprietor or ❑ C Corporation ❑ S Corporation Fel Partnership ❑ Trust/estate instructions on page 3): e single -member LLC Exempt payee code (if any) ❑� Limited liability company. Enter the tax classification (C-C corporation, S=S corporation, P-Partnership) ► P `p « 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 H .r LLC 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) (LC o another Lthat is not disregarded from the owner for U.S. federal tax purposes. Otherwise, a single -member LLC that h is disregarded from the owner should check the appropriate box for the tax classification of its owner. ❑ Other (see instructions) ► (Applies 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) 1555 W 2200 S, Suite A 6 City, state, and ZIP code Salt Lake City, UT 84119 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 (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. 8 P7 - D 5 6 2 9 1 5 LM 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 11, later. Sign Signature of 4011� Here U.S. person ► 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 ► 11.12 �l Z2 • 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), 109B-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)