HomeMy WebLinkAbout060363-CA1 - General - Contract - Tri-Star Legacy, Inc. and Giant Gene's Plumbing & DrainCSC No. 60363-CA1
CITY OF FORT WORTH
ASSIGNMENT
For value received Tri-Star Legacy, Inc. ("Assignor"), hereby assigns to Giant Gene's
Plumbing & Drain ("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 CSC 60363
(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 � 1
/
day of /�e�� „' a^^ y 2026.
Tri-Star Legacy, Inc.
(Assignor)
By:
Print:
Title: Vice President of Finance
Giant Gene's Plumbing & Drain
(Assignee)
By:
Print: `�^� �ti�,,��(h,i+-�
Title: Vice President of Finance
�FFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
Assignment Page 1 of'3
CITY �F FORT WURTH
ASSIGNMENT
For value received Tri-Star Legacy, Inc. ("Assignor"), hereby assigns to Giant Gene's
Plurnbing & Drain ("Assignee"). alI of its right, titIe and interest in and to any and aIl sums of
maney now due or to become due from the City of Fort Worth to Assignar ur�der CSC 60363
(the "Contracts") and Assignee agrees to assume and perform all duties and obligations required
by Assignor under the terms of the Cont7racts.
This Assignment constitutes the entire agreement between Assignor and Assignee with
respect ta the subject matter hereof. No modification of any provision of this Assigriment shall
be effective unless in writing and signed by Assignor and Assignee. This Assignment shall inure
to the benefit of and he binding upon Assignor and Assignee ar�d their respective successors and
assigxis. This Assignm� nt 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,
withaut applicatian of grinciples of conflicts of law.
This Assignment may be executed in one or more counterparts each of which shall be
deemed an original but a11 of which together shall constitute one and the same instrument.
Signed signature pages may be nansmitted by facsi_mile or e-mail, and any such signature shall
have the same legal effect a.s an original.
Dated #he � day of ���j 1: '.,t �1 �� — 2Q26.
Tri-Star Legacy, Inc.
(Assignor)
By: (.(�if.t� 1 � ���
�LU��
Pnnt:
Title: Vice President of Finance
Giant Gene's Plumbing & Drain
(Assignee)
By:
P���:
Title: Vice President of Finance
Assignment Pa;e i of3
NOTARY ACKNOWLEDGEMENT
4n tlte 1�� day of ( � 202b, personally appeared
���(�.%.�y�l �i I���i[�> who acknowledged ta me that {s)he is the Vice President of Finance of
Tri-Star Lega.cy, Inc. ("Assignor"), a.nd ihat (s)he executed this document for the purposes and
consideration contained herein �--
Tri-Star e acy Inc.
BY� �,11..t-C_S�/
Print:
Title: Vice President of Finance
� �"
SUBSCRIBED TO hefore me on this �� day of ,[1(�tAR �'� . 2026.
_ �
r
� . . . . . . . . - �� .l � �_ i, i � �. �.
; $6�ARY p�j�n LESLIE BURNS : - - . _,._
Notary Public Notary Public in and for the tate of ���,�j,Q'S
* + State of Texas �
�� Q`° lo # � 3�0�0909 � My commission Expires: `�j � � �
,�'of'� My Comm. Expires 08-D&2028 �
— �
NOTARY ACKNOWLEDGEMENT
�n the day of 2026, personally appeaxed
, who acknowledged to me that (s)he is the Vice President of Finance
of Gia.nt Gene's Plzunbing & Draizx ("Assignee"), and that (s)he executed t}�s document for the
pt�rposes and consideration contained herein.
Giant Gene's Plumbing & Drain
By:
Prini:
Title: Vice President of Finance
SUBSCRIBED TO before me on this day of , 2Q26.
Natary Public in and for the State of
My cammission Expires:
Assignment Page 2 of 3
NOTARY ACKNOWLEDGEMENT
On the day of 2026, personally appeared
, who acknowledged to me that (s)he is the Vice President of Finance of
Tri-Star Legacy, Inc. ("Assignor"), and that (s)he executed this document for the purposes and
consideration contained herein.
Tri-Star Legacy, Inc.
By:
Print:
Title: Vice President of Finance
SUBSCRIBED TO before me on this day of
Notary Public in and for the State of
My commission Expires:
NOTARY ACKNOWLEDGEMENT
, 2026.
On the ( �'�' day of �-Q/{> 2026, personally appeared
S�(��(/���, who acknowledger� that (s)he is the Vice President of Finance
of Giant Gene's Plumbing & Drain ("Assignee"), and that (s)he executed this document far the
purposes and consideration contained herein.
Giant Gene' Plum ' g& Drain
By: �
Print: .5 H „r Me.�r,l h4,.,
Title: Vice Pr ident of Finance
SUBSCRIBED TO before me on this j�� day of , 2026.
J� s�' TIFFANI BEAYER
4� �^ Notary PubNt
; ,,-_ , ��P��- ., . �, ° State of Ohio
Y °`'- ; s My Comm. Expires
°.y { ,c;' o` January 27, 2031
��
Notary u ic in and for the St te of
My commission Expires: 0 �� Z� � 7,��'� I
. �
Assignment Page 2 of3
C�NSENT TO ASSIGNMENT
The City of Fort Worth consents to the assignment of Tri-Star Legacy, Inc. ("Assignor") to Giant
Gene's Plumbing & Drain ("Assignee"), of a11 its rights, title, and obligation owing and all futids
due or to become due to Assignor under CSC b0363 as long as ali terms required of Assignor in
said contracts are met by Assignee.
CITY 4F FORT WORTH
,� �c
'; �a��li �J�7�-c,�
Marilyn Marvin, Director
✓a�� W��
Valerie Washinqton (Mar 9, 2026 10:25:22 CDT)
Valerie Washington, Assistant City Manager
p o� FORT�aad
a''�'�� �9�0
G!`g o•�0
ATTESTED BY: pp° �oo o� =d
� ,� � o d
�c#a /� .J�.�a-c> a°°� �E4p54a
Jannette GoodaIl, City Secretary
03/09/2026
Date
03/09/2026
Date
03/09/2026
Date
APPROVED AS TO FORM AND LEGALITY:
% ou��
City of Fort Worth Assistant City Attorney
Contract Compliance Manager:
By signing I acknowledge tilat I am the person responsible
for the monitoring and administration of tlus contract, including ensuring al l performance and
reporting requirements.
��f ., �i�.oa .��.
a Guevara (Mar 9, 6 09:1721 CDT)
Employee Signature/Date
Assistant Property Management Director
Title
C�] � � [�1,1�:7 xd�7:� �7
C� � �'�'� xy:� � �_l:�'1
FT. WORTH, TX
Assignment Page 3 of3
Roro-
I�OnTER:
PLUMBIIYG &
DNAlfll SERYlCE
SEWER ANp pRAiN CLEANING * PLUMBING REPAIR
02/06/2026
city of Fortworth
200 Texas Street, For# Worth, �FX 76102
We are writingtofarrr3ally notifyyou of a recent change in ownership of our business. As part of ti�is
transition, our company will be operating under a new pusiness name and updated campany
information, effective 1/i/2p26.
Please note the follawing c�anges:
Former B�siness Name:
Tri-5tar Legacy
New Business Name:
Giant Gene's Plumbing and Drain
DBA Roto-Rooter Plumbing, Drains, and Water CLeanup
PLease note any invqice dated before 1/1/26 shouEd be addressed to Tri-Star Legacy; invoices
dated or� or after 1/1/2fi should be addressed to Giant Gene`s Plumbing and Drain.
We ki ndly ask that you update your records to refilect our new business name for all future
correspondence, invoicing, and accaunts payable purposes. O�ar maFling address, phone nus�-iber,
and other cantact details remain as listed on aur letterhead. Please note that our fax number has
been discontinuedand should no langerbe used. Ptease see attached list of email addresses to be
updated.
If yo� require anyadditiona! documentation, such as a W-9, COI or �ormal awnership confirmation,
please let us know and we will pro�ide it promptly.
Thankyou for your cpntir�ued partnership. We appreciate your assistance in updating your records
and lookforward to our continued business reiationship.
5in erely,
�
Am ber Stanford �
Office Administraior
Gian# Gene's Pl�mbing and Drain LLC
DBA Roto-Rooter Plurnbing, brains, and Water Cfeanup
817-336-5708
ROTO•ROOTER SERVlCES • 4600 MARSALfS • FORT WORTH, TEXAS 76117 •(817}336-5708 • FAx: (817) 831-7802
Residential • CommerciQl • Municipal • Industrial
Texas State Baard of Plumbing Examiners POB 420Q, AuStin TX (512) 936-5200 Gene Brierly M-45819
FtwAtirni�C��.aneStarRota.cam - W9's; COI's;
5�asan.vassarCa��an�starroto.con� - Acct. Receivable
Dis�atchC�lonestarrato.com - work orders
���m ��g Request for Taxpayer Give farm to the
�RP�. n����n zoz4� ldentificr�tion Number and Certific�tion requester. Do not
�epartme�c or ��,e zreasu�y senrJ to the fRS.
internal Revenue Service Go to www.irs,gav/ForrttW9 for instructions and the latest inforrnation.
Before ypu begin. Fqr guidance refated #o the purpose of Form W-9, see FUrpose of Farm, below.
--_ __ -
1 Name nt enlity�ndividuaL An enfry is required (For a sole propr�etor or disregarded entity, enter the owner's narne or� line 1, and enter the business/disregarded
eniity's name on line 2.)
Giant Gene`s Plumbinq and prains LLC
2 Business name/dlsreqarded entity name, it different from a�iov�:,
c+i
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m
a
0
�
ai C
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U
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y
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3a Check the appropriate bpx for federal tax class'rficatian ot the en;itylfndividual whose name Is entered on ',ine 1, Check
only one of the tollowfng seven bqxes.
❑ Individual/sole proprietor ❑ G corporation � S corporation [] PaRnership ❑ TrusVestata
✓� LLC. Enter the tax cl�ssification (C = G corporation, S= S corporalion, P= Parinership) . . S
Note: Gheck the "LlG" box aqpve and, in the enhy space, enter the appropriate cocie (C, 5, or P} for the tax
classi#icatipn of ihe LLC, unless it is a disregardecl entlty. A disregarded eniity shnuld mstead check the �ppropriate
box tor ihe tax Ciassiiication of iis nwner.
❑ Other (see instruclionsj
4 Exemptions {codes appiy only to
certain entities, r�ot individuals;
see insYructions on page 3�:
Exempt payee code (i �ny)
Exemption from Fareign Account T�vc
Compliance Act (FATCA) report�ng
code {N any}
3b 11 nn line 3a you checked "Par€nership" or "TrusUestaie," or checked "LLC" and entered "P" as its tax ciassification,
and you are providing this form to a partnership, irust, or est<aYe in which you h�ve an ownership intaoest, checE< 1ppP�1es fa accounts maintained
this box if you have any foreign pzrtners, owraers, or e,enet�ciarir,s, See instr,�cl3ans . . . � oufsida the Unlfed Stafes_)
Address {num6er, sfreet, and apt. or suife no.j. 5ee instruc[ions.
4600 N{arsafis St.
B City, state, and ZIP code
Fort Wprth, TX 76317
7 List accoEint n�mber[5) here {optianal)
� Taxpayer ldentificatian Number �1'IN)
� Requesters name and a8dress {optipnal)
Entar your TIN in the appropnate box, The TIN prnvfded must match the na�n� given on line 1 to avoic7
backup withholding. For individuals, this is generally your social security number (S5N). However, for a
resident alien, sole proprietor, ar disregarded entity, see tlie insiructions for Part I, later, For othar
entities, it is your employer identificatfon number (EEN). If ��ou do not have a nurrfber, see Now to gat a
T1N, ialer.
Nnte: If the account is in more than ons name, see the instructions for line 1. See also What Narne and
Num6er To G1ve the Requester for g�aidelines on whose number to enter.
� Certification
_
lJRder p�nalties of perjury, I certify that:
I Social securify numher
�I.___� - �_l�l _
or
I Employe�idenlificafionnumber
3 9 I- 4 7 9 I 8 4 7 7
�, 7he numb�r shown on this form is niy correct tax�ayer identiticatinn number (or I an, waifing for a numbPr tn be issued to mej; and
2. I am not subject to bacKup withholding because (a) I am exempt from backup withhold€i�g, or (b) I ha�a nqi 6een notified by the li�ternal Revenue
5en�ice (IRS} that E am subject to backup withholding as a resuit oi a failure to report all intarest or dividends, or {c) t�e IR5 has natified n�e tt�at I am
no long�r s�hject to backu� withholding; and
3. I am a U.S. citizen or other U.S. person {defined beiow), and
4. The FATGA code(s) entered on this forrn (if any} inclicatir�g that I am exempi from FATCA reporting is correcl
Certification instructions, You must cross out item 2 abovE� it you have been noti#ied by the IRS that you are currentiy subjeci to backup withholding
because you €�a�e iailed to report all interest and dividends on your tax refurn. �or raaf Pstate transactions, item 2 does not apply. For mortgage €nterest paid,
acqulsition or abandonment of sec�3red property, canceliation of debt, corrtri6utions to an indivfdual retirement arrangement {IFA}, and, generally, payrnents
other ihan mterest and dividends, ou are �ot required to sign the certification, but yo�i rnust provide your cnrrect T�N. 5ee the fnstructions far Part II, later.
���� Signature of /
Here U.S, person Raie //Z/�
/ -
General Instruetio � New line 3b has been �idded to this #orm. A flow-through entity is
' d t I t th' I' t d� t th t t h d
Section references are tp the Iniernal Aevenue Code unless otherwise
i�oted.
Future develnpments. For the latesl information abc�ut developments
relaied to Form W-9 and its instructions, such as legislation enacted
afterthey were pubEished, ga to www.irs.gnvlFormW9
What'S NeW
l_n�e 3a has been modifiad 10 r.larify how a disrec�arded eniity comK�letes
this li�e. An LLC that is a cfisregarded enfity should check the
appropriate bnx ic�r the tax classification of its owner. C}tha�rwise, it
should check the "L�C" box and �n1er fts apprnpriafe tax classification.
req�ure o cornp e e 3s ine a in �ca e a i as irect or �ndirect
toreign �artners, owners, or 6ene#iciaries whert it provides ihe Form W-9
to another flow thrn€agh €�ntlty fr� whlch it �as an ownership interest. This
change is intended ta prcwide a ilow-through entity with information
regarding i��e siatus of its indirect foreign partners, owners, or
benetici�ries, so that it can satisty any �pplicabie reporting
requirements, �or example, a partnership thaf has any indirect toreign
pa�tners may be required to complete Schedules K-2 and K-3, See the
Partnership Enstructinr�s tor Schedules K-2 and K-3 (Form 10fi5j.
Purpose of Form
An ii7dividua! or entity [Form W-9 requesterj who is required ta fila an
information return wfth the tRS is giving you this form bacause they
CaT. No. 10231X Forrn i�-9 {Re�, 3-202A}
Corporalioi�s Scctioci ;�� E, _ �j�,,
P.O.BoK 13697 ��i � ,��
Austitt Te�as 78711-3697 i� � ��,�'
. �,;.
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Of�ce of the 5ecretary of State
CERTIFICATE OF FILING
OF
Giax�t Gen.e's Plumbing and Drains LLC
�'ile Number: 806168800
Jane Nelso�l
Secretar�� of Stat�e
The undersigned, as Secretary of State of Texas, hereUy certifies that a Certificate of Formation for the
above etamed Domestic Limited Liability Company (.LLC) has been received in this office and has been
foand to conform to the applicable provisions of la��.
ACCORDINGLY, the undersigned, as Seeretary of State, and by virtue of the authority vested in the
secretary by law, hereby issues this certificate evidencing tiling effective on the date shown below.
The issuance of this certificate does not authorize the use of a na3ne in this state in violation of t�e rights
of another under the federal Trademark Act af 1946, the Texas trademark ]aw, the Assurned Business or
Professiof�al Name Act, or ti�e common law.
Dated: 08/13/2025
Effective: 08/13/2025
�* �
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Jane Nelson
Secretary of State
C'o�ne �•rsh �is orr the uzler�aet at h�tps..�:-lrtiru�.sos�. rexrrs-�nw�
Phoiic: (512) 4� ;->j55 F"ax: (�12) 46i-i709 Dial: 7-1-1 for Rclay Sen�ices
Prepared b}°: Mia Dalhover TID: 1030fi Docuu�en�_ 150896fi53Q0U2
F�RT��RTHo
City Secretary's Office
Contract Routing & Transmittal Slip
Contractor's Name: CSC 60363 Tri-Star Legacy Inc to Giant Gene's Plumbing & Drain
Subject of the Agreement: Consent of Assignment
M&C Approved by the Council? * Yes ❑ No ❑✓
If �so, the M&C must be attached to the contract.
Is this an Amendment to an Existing contract? Yes ❑ No ❑✓
If �so, provide the original contract number and the amendment number.
Is the Contract "PermanenY'? *Yes ❑ No 0
If �unsure, see back page for permanent contract listing.
Is this entire contract Confidential? *Yes ❑ No ❑✓ If only specific information is
Confidential, please list what information is Confidential and the page it is located.
Effective Date: NA Expiration Date: NA
If different from the approval date. If applicable.
Is� 1295 Form required? * Yes ❑ No ❑✓
*If �so, please ensure it is attached to the approving M&C or attached to the contract.
Proj ect Number: If applicable. NA
*Did you include a Text field on the contract to add the City Secretary Contract (CSC)
number? Yes ❑✓ No ❑
Contracts need to be routed for CSO processin� in the followin� order:
1. Katherine Cenicola (Approver)
2. Jannette S. Goodall (Signer)
3. Allison Tidwell (Form Filler)
*Indicates the information is required and if the information is not provided, the contract will be
returned to the department.
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