HomeMy WebLinkAboutContract 55646-CA1CSC No. 55646-CA1
CITY OF FORT WORTH
ASSIGNMENT
For value received Bio-Aquatic Testing, Inc. ("Assignor"), hereby assigns to Eurofins
Environment Testing. Ecotoxicology, LLC ("Assignee"), all of its right, title and interest in and
to any and all sums ofmoney now due or to become due from the City of Fort Worth to Assignor
under CSCO 55646 (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 telms 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 cJ 2025.
Bio-Aquatic Testing, Inc.
(Assignor)
By:
Plint:
Title: Chief Operating Officer
Eurofins Environment Testing Ecotoxicology LLC
(Assignee)
• ,.,��
By: _ • �IA--
Print:
Title: Chief Financial Officer
OFFICIAL RECORD
CITY SECRETARY
Fr. WORTH, TX
Assignment PageloB
NOTARY ACKNOWLEDGEMENT
On the c�9 day of <�UttL1 2025, personally appeared
, who acknowledged to me that (s)he is the Chief Operating Officer of Bio-
Aquatic Testing, Inc. ("Assignor"), and that (s)he executed this document for the purposes and
consideration contained herein.
Bio-Aquatic Teci g,In .
By: -
Print:
Title: Chief Operating Officer
SUBSCRIBED TO before me on this O9 o day of1�(-�,�/j , 2025.
, R,+i ►i+; : DEDRAQUICK lie in and for the State of �t 5
=•: :*= My Notary 1D # 131332495 My commission Expires: , '-�~ 97. :;? � j
E*res 0dober 27, 2025
NOTARY ACKNOWLEDGEMENT
On the day of �DAJ
2025, personally appeared
who acknowledged tL that (s)he is the Chief Financial Officer of
Eurofins Environment Testing Ecotoxicology, LLC ("Assignee"), and that (s)he executed this
document for the purposes and consideration contained herein.
Eurofins , vironm esting Ecotoxicology, LLC
By:
Print:
Title: Chief Financial Officer
SUBSCRIBED TO before me on this day of 22025.
DEDRAQUICK c in and forth S�tto�of,. �jCLt $
My Notary ID # 131332495 My commission Expires: i ,�7+�-5-
- Of
Expires October 27, 2025
Assignment Page 2 oF3
CONSENT TO ASSIGNMENT
The City of Fort Worth consents to the assignment of Bio-Aquatic Testing,
Inc.("Assignor") to Eurofins Environment Testing Ecotoxicology, LLC ("Assignee"), of all its
rights, title, and obligation owing and all funds due or to become due to Assignor under CSCO
55646 as long as all terms required of Assignor in said contracts are met by Assignee.
CITY OF FORT WORTH
Ch'c� FtArde-r 08/01/2025
Christopher Harder (Abg 1, 202513:40:48 CDT)
Department Director Date
r-scAc�-.0' , 08/05/2025
Assistant City Manager Date
ana
od
Pao 9.10
ATTESTED BY: o* =p
*p
q� h., Gaon nEzasaa 08/06/2025
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.
Employee Signature/Date
Contract Services Administrator
Title
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
Assignment Page 3 of
Fen„ W*9 Request for Taxpayer
(Rov. March 2024) Identification Number and Certification
Department of the Treasury Go to www.irs.gov/ForfnWg for instructions and the latest information.
Internal Revenue Service
Before you begin. For guidance related to the purpose of Form W-9, see f-'urpose o(Fornr, below.
1 Name of enlity/individual_ An entry is required. (For a sole proprietor or disregarded entity, enter rho owner's name on line 1
entity's name on line 2.)
EUrofins EnvfronmentTestftt Ecotoxicology, L L C -
2 Business name/disregarded entity name., if different from above.
Eurofins Environment Testing Ecotoxicology
3a Check the appropriate box for federal tax classification of the entity/individual whose name is entered on line 1. Check
only one of the following seven boxes.
n Individual/sole proprietor t"T_ C corporation ❑ S corporation ❑ Parinorship ❑ Trust/estate
/estate
I I G. Fntnr thr. Mx classification (C - C corporation, $ -a col polatioi r, P - Par Inrn sl ri1 r) C
Note: Ch%k the " t G' box above and, in the entry space, enter tha npprolyiate code (G. S, or P) for the tax
rlarsifiaalion of tho LLC, unless it Is a disregarded entity. A disregarded ontily should instood check the rpproprinte
box for the tax clansifloation of its rnvnua
n other (see instructions)
3b If on line 3a you checked "F'arti ieiship" or'Trusueslato," or checked 1 LG" and enter ad " P" as its tax classification,
c+nd you are providing this form to a partnership, trust or estate in which you hava an ownership interest, check
this box if you hove any fowign partners, cwnars, or henefidi cries. See instructions
Give form to the
requester. Do not
send to the IRS.
and entoy the business/disregarded
4 Exemptions (codes apply only to
ceitxrin dntiGes. riot individuals,
see instructions on page 3):
Exempt payee code (if any)
Exemption from Foreign Awount Tnx
Cur piwice Ant (FATCA) reporting
code (if any)
(AppYas toaccounls,maintained
outside the United 5(ates,)
5 Address (number, streot, and apt, or suilo no.), See instnrctions. Rpquesier's name and address (opliunal)
343West Main St_,
6 City, state, and ZIP code
Leolar Pa 17540-
7 List accuunt numbers) here (optional)
Taxpayer Identification Number (I
Fnler your TIN at rile appropriate box. The TIN provided must match the name given on lino 1 to avoid social security number _ }
backup withholding, For ind)victuals, this is generally your social security ntiml7er (SSN), 1-lowevev, fora []—T-
ontities,resident alien. sole proprietor, or' dlsrcgarl:W entity, see the instructions for Part I, later, Forother it is your employer identification number (EIN). 11 you do not have a nunibor, see Now to get a or
TIN, later. Employer identification number J}
Note: If the account is in snore than one name., see the instructions for line 1, See eiso Whal Name and ( 3 1 3 I - 12 l 4 17 1 3 I 1 0 I 0 I
Number To Give the Requester for guidelines on whose number to enter.
Certification
Under penalties of perjury,) 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 frilled to report all interest and dividends on your tax return, For real estate transactions, tern 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 rei{ulred to sign the certification, but you roust provide your correct TIN, See the instructions for Part I1, later.
Sign 1Signature of
Here I U.S. person �j/i'ti�j+�ti/� Date 1/1l2025
General Instru btions 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
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.rrs_9ov/FOrmtN9.
What's New
Line 3a has been modified to eltarify 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.
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 informatlon
regarding the status of its indirect foreign partners, owners, or
henoficlaries, so that It can satisfy any applicable reporting
regulrements, 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)
Corporations Section r E p\
P.O.Box 13697
Austin, Texas 78711-3697��+,�1
Jane Nelson
Secretary of State
Office of the Secretary of State
CERTIFICATE OF FILING
OF
Eurofins Environment 'Testing Ecotoxicology, LLC
File Number: 805964766
The undersigned, as Secretary of State of Texas, hereby certifies that an Application for Registration for
the above named Foreign Limited Liability Company (LLC) to transact business in this State 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 the authority of the entity to transact business in
this State from and after the effective date shown below for the purpose or purposes set forth in the
application under the name of
Eurofins Environment Testing Ecotoxicology, LLC
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: 03/20/2025
Effective: 03/20/2025
Jane Nelson
Secretary of State
Come visit its on the internet at https://ivivw.sos. texas.gov/
Phone: (512) 463-5555 Fax: (512) 463-5709 Dial: 7-1-1 for Relay Services
Preoared bv: Bernadette DeJova TID: 10308 Document: 1462415410002
• <. :
10+ e u rof ins Environment Testing Ecotoxicology, LLC
BANKING INFORMATION
FID# 33-2473100
Payment Options
1. ACH & WIRE:
Citibank
One Penns Way
New Castle, DE 19720
Beneficiary: Eurofins Environment Testing Ecotoxicology, LLC
Account Number: 54318487
Routing/ABA Number: 031100209
Swift Number: CITIUS33
Please email remittance documentation to cus20lar(@nsc.eurofinsus.com
2. CHECK:
Please include details of payment on check stub including the invoice number and amount paid.
Lockbox Address:
Eurofins Environment Testing Ecotoxicology, LLC
PO BOX 3072
Carol Stream, IL 60132-3072
Overnight Address: (FedEx, UPS, Etc.)
Remitco
Attn: Eurofins Environment Testing Ecotoxicology, LLC
Box 3072
5450 N. Cumberland Ave.
Chicago, IL 60656
Eurofins Environment Testing Ecotoxicology, LLC
Accounts Receivable
343 W. Main Street, Leola, PA 17540
Phone: (717) 656-2300
cus20lar(@nsc.eurofinsus.com • www.EurofinsUS.com
388 Greenwich Street, New York, NY 10013
DATE - 03/21/2025
To whom It May Concern:
Account Confirmation Certificate
We certify that EUROFINS ENVIRONMENT TESTING ECOTOXICOLOGY LLC holds the below list of account(s) with Citibank N.A. Delaware
Name of Company
EUROFINS ENVIRONMENT TESTING ECOTOXICOLOGY LLC
Company Address
343 WEST MAIN STREET LEOLA PA 17540 US
Citibank Branch
Citibank N.A. Delaware
Swift Code
CITIUS33
ABA Routing Number
031100209
Tax ID
33-2473100
Account Account Name
54318487 EUROFINS ENVIRONMENT
TESTING ECOTOXICOLOGY LLC
We thank you for banking with us
Your Citi Representative
Annette Morales
US Service Department Manager
Senior Vice President
Treasury and Trade Solutions
Date Opened
01/14/2025
Cryslafi Sfior is
Section Manager
Currency Status
USD OPEN
1 of 1
tiff e u rof i n s
Environment Testing
Bio-Aquatics
Dear valued customer,
I am pleased to announce that the assets of Bio-Aquatic Testing have been acquired by Eurofins
Environment Testing Ecotoxicology, LLC, part of Eurofins Environment Testing US as of March 1st,
2025. Please know that our relationship will not change; operations and the experienced staff,
that you know and trust, remain the same. Chris Robason is the Business Unit Manager and all
other staff including our Lab Manager, QA/QC Officer, Sr. Toxicologists, and the Lab and Field
Technicians remain unchanged. Our Carrollton, TX and Honolulu, HI location and sampling field
offices remain the same and will only continue to grow. The company will have a new tax ID
number and banking information that will be provided in a separate cover.
We are excited to be a part of Eurofins, the global leader in the scientific testing market with
over 950 laboratories in 60 different countries. Eurofins Environment Testing US operations
include a network of over 70 laboratories and over 40 service centers. We now have an
unprecedented level of expertise, greater capacity and a broader range of testing services at our
disposal to meet all your analytical and logistical needs that extends well beyond just
wastewater monitoring. We will provide details of the enhanced services now available soon.
In the meantime, if you have any questions, please contact me at 972-242-7750 x 111 or
Chris.Robason@et.eurofinsus.com (note: crobason@bio-aquatic.com is also still valid).
We value the successful relationship we've created with you and look forward to continuing to
service your analytical testing needs. Thank you for your continued support.
Sincerely,
CoAorw R&Mb&%
Chris Robason
Business Unit Manager
Eurofins Environment Testing Bio-Aquatics
Form W=9 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/FormW9 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.)
Eurofins Environment Testina EcotoxicologV, LLC
2 Business name/disregarded entity name, if different from above.
Eurofins Environment Testing Ecotoxicology
6
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
ro
only one of the following seven boxes.
certain entities, not individuals;
°
o
❑ Individual/sole proprietor ❑ C corporation ❑ S corporation ❑ Partnership ❑ Trust estate
see instructions on page 3):
® 1.1 C. Fnter tha tax rlassific_.ation (C - C corporation, 3 - 3 corporation, P - Partnership) . . . . C
Exempt payee code (if any) 5
U
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
box
Exemption from Foreign Account Tax
o w
for the tax classification of its owner.
Compliance Act (FATCA) reporting
,• y
i
❑ Other (see instructions)
code (if any)
a u
?t;
3b If on line 3a you checked "Partnership" or "Trust/estate," or checked "LLC" and entered "P" as its tax classification,
(Applies to accounts maintained
4
and you are providing this form to a partnership, trust, or estate in which you have an ownership interest, check
this box if you have any foreign partners, owners, or beneficiaries. See instructions . . . . . . . . . ❑
outside the United States.)
a)
5 Address (number, street, and apt. or suite no,). See instructions. Requester's name and address (optional)
343 West Main St,
6 City, state, and ZIP code
Leola, Pa 17540
7 List account number(s) here (optional)
LjQ0 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 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. 3 3— 2 4 7 3 I 1 I 0 I 0
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 II, later.
Sign Signature of
Here I U.S. person QyCi/ Date 1 /1 /2025
General Instruri ions New line 3b has been added to this form. A flow -through entity is
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.
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)