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Home My WebLink AboutContract 62178-NC1CSC No. 62178-NC1 Memorandum Date: 4/4/2025 To: Hye Kim, Assistant City Attorney To: David J. Kastendick — Senior Project Manager Lauren Prieur — Director, Transportation and Public Works From: Tracy Walter — Management Analyst II/FMS Vendor Management Re: Name Change Only- Flatiron Constructors, Inc to Flatiron Dragados Constructors, Inc. Prior Name: Flatiron Constructors, Inc. New Name: Flatiron Dragados Constructors, Inc. Supplier id: 7000004615 Effective Date: CSCO: 01/31/2025 62178 APPROVED BY: Assistant City Attorney APPROVAL DATE: A p r 4, 2 0 2 5 OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX FLATIRON DRAGADOS February 24, 2025 City of Fort Worth David Kastendick Transportation and Public Works 200 Texas Street Fort Worth, TX 76102 RE: Wagley Robertson Road; Notice of Change of Name Dear David, We are writing to inform you that, effective on or about January 17, 2025, Flatiron Constructors, Inc. ("FCI") changed its legal name to Flatiron Dragados Constructors, Inc. ("FDCI"). This change is in name only and the legal and financial structure and operations remain UNCHANGED; FCI, now FDCI, will remain fully bound by the Contract and all associated obligations. FDCI will continue to be qualified. Should a change order, contract amendment, or other contract document be necessary to reflect this change in the contract or accounting, please advise. The tax identification does not change. We can provide further information, if required. We appreciate your understanding and consideration during this transition. Ensuring the performance of the Contract according to its terms remains our utmost priority. Should you have any questions, please do not hesitate to contact us. We value your business and look forward to continuing our successful partnership. Flatiron Dragados Constructors, Inc. Brad Fox Project Manager LEGALW474402711 Form Request for Taxpayer Give form to the (Rev. March 2024) Identification Number and Certification requester. Do not Department of the Treasury Go to www.irs.gov/F`ormW9 for instructions and the latest information. send to the IRS. Internal Revenue Service 9 Before you begin. For guidance related to the purpose of Form W-9, see Purpose of Form, below. 1 Name of entity/individual. An entry is required. (For a sole proprietor or disregarded entity, enter the owner's name on line 1, and enter the business/disregarded entity's name on line 2.) FLATIRON DRAGADOS CONSTRUCTORS, INC. 2 Business name/disregarded entity name, if different from above. f3 3a Check the appropriate box for federal tax classification of the entity/individual whose name is entered on line 1. Check 4 Exemptions (codes apply only to 0 only one of the following seven boxes. certain entities, not individuals; C- c ❑ Individual/sole proprietor ❑✓ C corporation ❑ S corporation ❑ Partnership ❑ Trustlestate see instructions on page 3): 0 C ❑ LLC. Enter the tax classification (C = C corporation, S = S corporation, P = Partnership) . . . . Exempt payee code (if any) o Note: Check the "LLC" box above and, in the entry space, enter the appropriate code (C, S, or P) for the tax classification of the LLC, unless it is a disregarded entity. A disregarded entity should instead check the appropriate Exemption from Foreign Account Tax o box for the tax classification of its owner. Compliance Act (FATCA) reporting ❑ Other (see Instructions) code (if any) IL 4= 3b If on line 3a you checked "Partnership" or "Trust/estate," or checked "LLC" and entered "P" as its tax classification, (Applies accounts maintained y and you are providing this form to a partnership, trust, or estate in which you have an ownership interest, check outsidea the United States.) this box if you have any foreign partners, owners, or beneficiaries. See Instructions . . . . . . . . ❑ ( n 5 Address (number, street, and apt. or suite no.). See instructions. Requester's name and address (optional) 385 INTERLOCKEN CRESCENT, SUITE 900 6 City, state, and ZIP code BROOMFIELD, CO 80021 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 I — 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 or TIN, later. Employer identification number Note: If the account is in more than one name, see the instructions for line 1. See also What Name and Number To Give the Requester for guidelines on whose number to enter. M84 — 11 2 4 5 0 0 12 JiM 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(11� Date 1121125 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. What's New Line 3a has been modified to clarify how a disregarded entity completes this line. An LLC that is a disregarded entity should check the appropriate box for the tax classification of its owner. Otherwise, it should check the "LLC" box and enter its appropriate tax classification. New line 3b has been added to this form. A flow -through entity is required to complete this line to indicate that it has direct or indirect foreign partners, owners, or beneficiaries when it provides the Form W-9 to another flow -through entity in which it has an ownership interest. This change is intended to provide a flow -through entity with information regarding the status of its indirect foreign partners, owners, or beneficiaries, so that it can satisfy any applicable reporting requirements. For example, a partnership that has any indirect foreign partners may be required to complete Schedules K-2 and K-3. See the Partnership Instructions for Schedules K-2 and K-3 (Form 1065). Purpose of Form An individual or entity (Form W-9 requester) who is required to file an information return with the IRS is giving you this form because they Cat. No. 10231X Form W-9 (Rev. 3-2024) UCC Business Organizations Trademarks Account Help/Fees Briefcase Logout Filing Number: 800348775 Entity Type: Foreign For -Profit Corporation Original Date of Filing: May 25, 2004 Entity Status: In existence Formation Date: N/A Tax ID: 32015167185 FEIN: 841245002 Name: Flatiron Dragados Constructors, Inc. Address: 385 INTERLOCKEN CRESCENT SUITE 900 Broomfield, CO 80021-4201 USA Fictitious Name: N/A Jurisdiction: DE. USA Foreign Formation August 25, 1999 Date: BUSINESS ORGANIZATIONS INQUIRY -VIEW ENTITY REGISTERED AGENT NAMES PAgt'_AGEMErT ASSUMED NAfr1PZ ASSOCIATED ENTITIES Name Address Corporation Service Company dPo/a CSC-Lavryers Incorporaling Service Company 211 E. 7th Street, Suite 620 Ausln. TX 78701-3218 USA