HomeMy WebLinkAboutContract 54811-CA1CSC No. 54811-CA1
CITY OF FORT WORTH
ASSIGNMENT
For value received EZGO Division of Textron Inc ('Assignor"), hereby assigns to
Textron E-Z-GO L,LC (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 54811
(the "Contracts") and Assi g n ee 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 ofprinciples 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 {h day of 1 UL) U's 2024.
JJ Textron Inc
(Assignor)
By.
Print: Janct Fogarty u
Title: Vice President & Deputy General Counsel
Textron E-Z-GO LLC
(Assl g n ee)
B • —
Print: Rocco Sica
Title: Vice President, General Counsel & Secretary
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
Assignment Page I of3
NOTARY ACKNOWLEDGEMENT
On the 5 to day of P U U St. 2024, personally appeared
Rinet Po Af , who acknowledged to i� that (s)he is the Vice President and Deputy
General Cotidsel of Textron Inc ("Assignor"), and that (s)he executed this document for the
purposes and consideration contained herein.
SUBSCRIBED TO before me on this 5� day of Avq U,s f , 2024.
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WTARY PUBLIC Notary Public in and for the State P-h()T5l An d
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NOTARY ACKNOWLEDGEMENT
On the day of Au) u t �' 2024, personally appeared
�Sccs j' c.. - who acknowledged to me that (s)he is the Vice President, General
Counsel, and Secretary of Textron E-Z-GO LLC. ("Assignee"), and that (s)he executed this
document for the purposes and consideration contained herein.
SUBSCRIBED TO before me on this 6 � day of /4-i-Li ;,,, I/ 2024.
C�
Notary Public in and for the State of-c�fr
My commission Expires: -?tom_! Zgzy
Assignment Page 2 of 3
CONSENT TO ASSIGNMENT
The City of Fort Worth consents to the assignment of EZGO Division of Textron Inc
("Assignor") to Textron E-Z-GO LLC ("Assignee"), of all its rights, title, and obligation owing
and all funds due or to become due to Assignor under CSCO 54811 as long as all terms required
of Assignor in said contracts are met by Assignee.
CITY OF FORT WORTH
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Deputy Department Director
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Assistant City Manager
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ATTESTED BY: d° - *=p
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Jannette Goodall, City Secretary
APPROVED AS TO FORM AND LEGALITY:
City of Fort Worth Assistant City Attorney
Contract Compliance Manager:
Aug 21, 2024
Date
Aug 26, 2024
Date
Aug 27, 2024
Date
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.
Aug 21, 2024
Employee Signature/Date
District Superintendent
Title
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
Assignment Page 3 of
Ui Business Organizations Trademarks
Filing Number: 80530926-4
Original Date of Filing: November 17. 2023
Formation Date: NA
Tax ID: 32092531089
Name:
Textron E-Z-GO LLC
Address:
1451 Marvin Griffin Road
Augusta, GA 30906 USA
Fictitious Name:
NIA
Jurisdiction:
DE, USA
Foreign Formation
June 15, 2023
Date:
REGISTERED AGENT
!Name
C T Corporation System
Order I Return to Search
Notary Account HelplFees Briefcase Logout
BUSINESS ORGANIZATIONS INQUIRY- VIEW ENTITY
Entity Type: Foreign Limited Liability Company (LLC)
Entity Status: In existence
FEIN: 932708904
I- FILIrJG F.iSTORY'_
1999 Bryan st Suite 900
Dallas, TX 75201-3176 USA
M"AGFMFF,T
rS SL 7,:EG N IME S ASSOCIATED ENTITIES I N ITI AL ADDRE Sf
Inactive Date
W11111111119 Request for Taxpayer
Give Form to the
Form
(Rev. October2018) Identification Number and Certification
requester. Do not
Treasury
send to the IRS.
Internal
Revenue Si► Go to www.irs.gov/FormlM9 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.
Textron Inc.
2 Business name/disregarded entity name, if different from above
Textron E-Z-GO LLC
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
following seven boxes.
certain entities, not individuals; see
a
instructions on page 3):
o
❑ Individual/sole proprietor or d❑ C Corporation [IS Corporation ❑ Partnership ❑ TrusVestate
c
single -member LLC
Exempt payee code (if any) 5
CL
❑ Limited liability company. Enter the tax classification (C=C corporation, S=S corporation, P=Partnership) ►
p y
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
++ w
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)
IL
w
another LLC that is not disregarded from the owner for U.S. federal tax purposes. Otherwise, a single -member LLC that
is disregarded from the owner should check the appropriate box for the tax classification of its owner.
V
W
❑ Other (see instructions) ►
(Applies to accounts m inteined outside the U.S.)
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5 Address (number, street, and apt. or suite no.) See instructions. Requester's name and address (optional)
1451 Marvin Griffin Rd
6 City, state, and ZIP code
Augusta, GA 30906
7 List account number(s) here (optional)
KM Taxpayer Identification Number (TIN)
Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid I Social security number
backup withholding. For individuals, this is generally your social security number (SSN). However, for a I T11
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 I Employer Identification number
Number To Give the Requester for guidelines on whose number to enter. MO5 ii
- OI3I1I5jj 4I6 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 sign the certification, but you must provide your correct TIN. See the instructions for Part 11, later.
Sign Signature of .per
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/F6rmW9.
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 ► 1 I li. ( 20 2 9
• 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),
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
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)
X
ZfN
000499
IRS DEPARTMENT OF THE TREASURY
INTERNAL REVENUE SERVICE
PHILADELPHIA PA 19255-0023
000499.351073.324490.27690 1 MS 0.561 916
TEXTRON E-Z-GO LLC
DANA L GOLDBERG SOLE MBR
40 WESTMINSTER ST
PROVIDENCE RI 02903
RECEIVED
AUG 14 2023
TAX DEPARTMENT
Date of this notice: 08-08-2023
Employer Identification Number:
93-2708804
Form: SS-4
Number of this notice: CP 575 A
For assistance you may call us at:
1-800-829-4933
IF YOU WRITE, ATTACH THE
STUB OF THIS NOTICE.
WE ASSIGNED YOU AN EMPLOYER IDENTIFICATION NUMBER
Thank you for applying for an Employer Identification Number (EIN). We assigned you
EIN 93-2708804. This EIN will identify your entity, accounts, tax returns, and
documents, even if you have no employees. Please keep this notice in your permanent
records.
Taxpayers request an EIN for their business. Some taxpayers receive CP575 notices
when another person has stolen their identity and are opening a business using their
information. If you did not apply for this EIN, please visit, www.irs.gov/
einnotrequested.
When filing tax documents, making payments, or replying to any related correspondence,
it is very important that you use your EIN and complete name and address exactly as
shown above. Any variation may cause a delay in processing, result in incorrect
information in your account, or even cause you to be assigned more than one EIN. If
the information is not correct as shown above, please make the correction using the
attached tear -off stub and return it to us.
Based on the information received from you or your representative, you must file the
following forms by the dates shown.
Form 941
Form 940
04/30/2024
01/31/2025
If you have questions about the forms or the due dates shown, you can call us at the
phone number or write to us at the address shown at the top of this notice. If you
need help in determining your annual accounting period (tax year), see Publication
538, Accounting Periods and Methods.
We assigned you a tax classification (corporation, partnership, etc.) based on
information obtained from you or your representative. It is not a legal determination
of your tax classification and is not binding of the IRS. If you want a legal
determination of your tax classification, you may request a private letter ruling
from the IRS under the guidelines in Revenue Procedure 2020-1, 2020-1 I.R.B. 1 (or
superseding Revenue Procedure for the year at issue). Note: Certain tax
classification elections can be requested by filing Form 8832, Entity Classification
Election. See Form 8832 and its instructions for additional information.
(IRS USE ONLY) 575A 08-08-2023 TEXT B 0509908461 SS-4
If you are required to make federal tax deposits for employment taxes (Forms 941, 943,
940, 944, 945, CT-1, or 1042), excise taxes (Form 720), or corporate income taxes
(Form 1120), you will receive a welcome Package shortly which includes instructions
for making your deposits electronically through the Electronic Federal Tax Payment
System (EFTPS). A Personal Identification Number (PIN) for EFTPS will also be sent to
you under separate cover. Please activate the PIN once you receive it, even if you
have requested the services of a tax professional or representative. For more
information about EFTPS, refer to Publication 996, Electronic Choices to Pay All Your
Federal Taxes. If you need to make a deposit immediately, you will need to make
arrangements with your Financial Institution to complete a wire transfer.
The IRS is committed to helping all taxpayers comply with their tax filing
obligations. If you need help completing your returns or meeting your tax
obligations, Authorized a -file Providers, such as Reporting Agents or other payroll
service providers, are available to assist you. Visit www.irs.gov/mefbusproviders
for a list of companies that offer IRS a -file for business products and services.
IMPORTANT REMINDERS:
* Keep a copy of this notice in your permanent records. This notice is issued
only one time and IRS will not be able to generate a duplicate copy for you.
You may give a copy of this document to anyone asking for proof of your EIN.
* Use this EIN and your name exactly as they appear at the top of this notice
on all your federal tax forms.
* Refer to this EIN on your tax -related correspondence and documents.
* Provide future officers of your organization with a copy of this notice.
Your name control associated with this EIN is TEXT. You will need to provide this
information, along with your EIN, if you file your returns electronically.
Safeguard your EIN by referring to Publication 4557, Safeguarding Taxpayer Data:
A Guide for Your Business.
You can get any of the forms or publications mentioned in this letter by visiting our
website at www.irs.gov/forms-pubs or by calling 800-TAX-FORM (800-829-3676).
If you have questions about your EIN, you can contact us at the phone number or
address listed at the top of this notice. If you write, please tear off the stub at
the bottom of this notice and include it with your letter. If you do not need to
write us, do not complete, and return this stub.
Thank you for your cooperation.
(IRS USE ONLY) 575A 08-08-2023 TEXT B 0500908461 SS-4
M
W.
000499
Keep this part for your records. CP 575 A (Rev. 1-2022)
Return this part with any correspondence
so we may identify your account. Please
correct any errors in your name or address.
CP 575 A
0509908461
Your Telephone Number Best Time to Call DATE OF THIS NOTICE: 08-08-2023
C ) - EMPLOYER IDENTIFICATION NUMBER: 93-2708804
FORM: SS-4 NOBOD
INTERNAL REVENUE SERVICE
PHILADELPHIA PA 19255-0023
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TEXTRON E-Z-GO LLC
DANA L GOLDBERG SOLE MBR
40 WESTMINSTER ST
PROVIDENCE RI 02903
0
I I
February 29, 2024
{Contact Name}
{Company Name}
{Address}
{City), {Region} {Postal Code}
Dear Valued Customer,
Effective January 1, 2024, the E-Z-GO business of Textron Inc. will move into a new legal entity within
Textron, Textron E-Z-GO LLC. E-Z-GO will remain a part of the Textron Specialized Vehicles business.
In connection with this change, we wish to assign our current contract(s) with you to Textron E-Z-GO LLC
(the "Assignment"). In accordance with the terms of your contract(s), we hereby request your consent to
the Assignment.
Please sign the enclosed copy of this letter to acknowledge your consent and return it to the Legal
Department at 1451 Marvin Griffin Rd, Augusta GA 30906, or to TSVLegaldepartment@textron.com. We
ask that you send us the signed consent no later than December 29, 2023.
This move will not impact the operations of the E-Z-GO business or its relationship with you, but you
should be aware of a few administrative matters as you continue to do business with us:
Purchase Orders, Beginning January 1, 2024, purchase orders should be issued to
Documentation & Invoices: Textron E-Z-GO LLC, and we will use our new name on our
documentation and invoices.
Tax identification: The Tax Identification Number for the E-Z-GO business will change. A
copy of the letter from the IRS attached.
Payments: Our banking information has not changed; please continue to transmit
payments as you do today.
Sales tax exemption forms: You may need to update your state sales tax exemption forms with our
new name. Updated forms should be emailed to
fssctaxaudit(a textron.com, with 'Textron E-Z-GO LLC Customer
Exemption' in the subject line.
If you have any questions regarding this matter, please contact your E-Z-GO credit, sales or customer
service representative.
0
I I
Thank you for your cooperation in this matter, and for doing business with E-Z-GO.
Sincerely,
Elizabeth Light
Director, Commercial Accounts Finance
[cc:]
Enclosure
The undersigned hereby consents to the Assignment as of the date set forth below:
[Customer Name]
Signature:
Name:
Title:
Date: