HomeMy WebLinkAbout063228-CA1 - General - Contract - The Mindful Project and Sherwood Dashiell ENT, LLCCSC No. 63228-CAl
CITY OF FORT WORTH
ASSIGNMENT
For value received The Mindful Project ("Assignor"), hereby assigns to Sherwood
Dashiell ENT, 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 CSC 63228
(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 3 I day of fAI(CAk 2026.
The N
(Assig
By:
Print:
Title:
Vice President of Finance U
Sherwood Das ' 11 ENT, LLC
(Assignee)
By:
Print: re.� (,.)QSS,
Title: Vice President of Finance
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
Assignment Pale 1 of 3
NOTARY ACKNOWLEDGEMENT
On the day of I vV S r (A-- 2026, personally appeared
who acknowledged to me that (s)he is the Vice President of Finance of
The Mindful Project ("Assignor"), and that (s)he executed this document for the purposes and
consideration contained herein.
The Mindful eject
By:
Print: � eSSi
Title: Vice President of Financeo
SUBSCRIBED TO before me on this day of (-d'- 2026.
ON,
=LEIGHERRY992 eta Pu lie in and for the State of pires ry29 My commission Expires: b
NOTARY ACKNOWLEDGEMENT
On the day of r " ( cr C)",- 2026, personally appeared
who acknowledged to me that (s)he is the Vice President of Finance
of Sherwood Dashiell ENT, LLC ("Assignee"), and that (s)he executed this document for the
purposes and consideration contained herein.
Sherwood D ell ENT, LLC
By:
Print: e55
Title: Vice President of Financ6l
SUBSCRIBED TO before me on this 3
=22,
RRY
le;
92ires 9
day of a 2026.
s
Notary Public in and for the Sfate o��,'
My commission Expires: 0
Assignment Page 2 of 3
CONSENT TO ASSIGNMENT
The City of Fort Worth consents to the assignment of The Mindful Project ("Assignor") to
Sherwood Dashiell ENT, LLC ("Assignee"), of all its rights, title, and obligation owing and all
funds due or to become due to Assignor under CSC 63228 as long as all terms required of
Assignor in said contracts are met by Assignee.
CITY OF FORT WORTH
TiM OAS
Davjd Carabajr(Apr 13, 2026 09:55:17 CDT)
Executive Assistant Chief
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Assistant City Manager
ATTESTED BY:
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Jannette Goodall, City Secretary
APPROVED AS TO FORM AND LEGALITY:
City of Fort Worth Assistant City Attorney
Contract Compliance Manager:
04/13/2026
Date
Date
04/14/2026
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.
Kath ri A geld
Kathryn Agee (Apr 9. 2026 14:5 :15 CDT)
Employee Signature/Date
Sr. Management Analyst
Title
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
Assignment Page 3 of 3
The Mindful Project
March 15, 2026
Re: FWPD Mindful Project PSA
ID: 0000009073
Please be advised that The Mindful Project, a nonprofit entity, is in the process of
dissolution, anticipated to be completed in 2026. Upon dissolution, the curriculum and
programming previously administered by The Mindful Project will be conducted under
Sherwood Dashiell Ent, LLC.
The parties are currently awaiting execution of a one-year renewal. Subject to the finalization
of such agreement, the next cohort of the program is anticipated to commence on or after
September 1, 2026.
Should you require any additional information, please do not hesitate to contact the
undersigned.
Sincerely,
Lauren Wessinger
Executive Director
602-318-9142
lauren@themindfulproject.co
2800 Harlanwood Drive I Fort Worth, Texas 1 76109
Form IN-9 Request for Taxpayer
formt
Identification Number and Certification requester. Do not
Department of the Treasury Go to www.k-&gov/FonnW9 for Inatructione and the latest information. send to the IRS.
Internal Revenue Service of Fonn W-9, see Pu
Before you begin. For guldance related to the purpose ►pose of Form, below.
1 Name of entkyAndvidum. An entry is required" (Fors Bole proprietor or dlaregerded entity, ante► the owner s name on Ilne 1, end amen the twsiness/d sregarded
entity's name on line 2.)
Sherwood Dashiell ENT, LLC
2 Business nama/disregarded entity name, If different from above.
of
ID
K
C
0
_►
a13
N
3e Check the appropriate box for federal tax classification of the entityAndividual whose name Is entered on line 1. Check
only one of the following seven boxes.
❑ Individual/sole proprietor ❑ C corporation ❑ S corporation ❑ Partnership ❑ Trusivestate
❑✓ LLC. Enter the tax classification (C = C corporation, S = S corporation, P = Partnership) . . . _
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 for the tax classification of Its owner.
❑ Other (see Instructions)
4 Exemptions (codes apply only to
certain entities, not Individuals;
See Instructions on page 3):
Exempt payee code (if any)
Exemption from Foreign Account Tax
Compliance Act (FATCA) reporting
code (If any)
3b If on line 3a you checked "Partnership" or'Trustlestate," or checked 'LLC* and entered "P" as its tax classification, t
and you are providing this forth to a partnership, trust, or estate In which you have an ownership Interest, check o accounts mafntelrted�� Stares
this box if you have any foreign partners, owners, or beneficiaries. See Instructions . . . . . . . . . 01 outside die
5 Address (number, street, and apt or suite no.). See Instructions.
2800 Harlanwood Drive
e city, stets, and ZIP code
Fort Worth, TX 76109
7 ust account numbers) here (optional
Number
Requester's name and address (optional)
Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid
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 1, later. For other
entitles, it is your employer Identification number (EIN). If you do not have a number, see How to get a
TIN, later.
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.
Certification
soclel security number
- M -
or
Employer fdentl6cardon number
4 7- 4 0 6 5 2 2 8
Under penalties of perjury, I certify that:
1. The number shown on this form is rrty correct taxpayer Identification number (or 1 am wafting 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 Intemal Revenue
Service (IRS) that I am subject to backup withholding as a result of a fallure to report all Interest or dividends, or (c) the IRS has notified me that I am
no longer subject to backup withholding; and
3. I am a U.S. citizen or other U.S. person (defined below); and
4. The FATCA oode(s) entered on this form (if any) Indicating that I am exempt from FATCA reporting is correct.
Certification instructions. You must cross out ttem 2 above If you have been notified by the IRS that you are currently subject to backup withholding
because you have falled to report all Interest and dividends on your tax retum. For real estate transactions, Item 2 does not apply. For mortgage interest paid,
acquisition or abandonment of secured property, cancell9kon of debt, contributions to an Individual retirement arrangement ORA), and, generally, payments
other than Interest and dividend ou are not required t6 sl n the certification, but you must provide your correct TIN. See the Instructions for Part II, later.
Sign Sig turn of �� W 2—t,
Here us. We kA
General Instructions
Section references are to the Intemai 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.1rs.gov1FormW9.
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 Inforration
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 (Forth 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 -IF off;
P.O.Box 13697 C. �
Austin, Texas 78711-3697
x
Y
Office of the Secretary of State
CERTIFICATE OF FILING
OF
Sherwood Dashiell Enterprises, LLC
File Number: 802215848
Carlos H. Cascos
Secretary of State
The undersigned, as Secretary of State of Texas, hereby certifies that a Certificate of Formation for the
above named Domestic Limited Liability Company (LLC) 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 filing effective on the date shown below.
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: 05/15/2015
Effective: 05/15/2015
Carlos H. Cascos
Secretary of State
Come visit us on the internet at http://Wvvw.sos.state.tx.usl
Phone: (512) 463-5555 Fax: (512) 463-5709 Dial: 7-1-1 for Relay Services
Prepared by: Jennifer Williams TID: 10306 Document: 606852690002
FORT WORTH.
City Secretary's Office
Contract Routing & Transmittal Slip
Contractor's Name: CSC 63228 The Mindful Project to Sherwood Dashiell ENT LLC
Subject of the Agreement: Consent of Assignment
M&C Approved by the Council? * Yes ❑ No M
If so, the M&C must be attached to the contract.
Is this an Amendment to an Existing contract? Yes ❑ No 0
If so, provide the original contract number and the amendment number.
Is the Contract "Permanent"? *Yes ❑ No 0
If unsure, see backpage for permanent contract listing.
Is this entire contract Confidential? *Yes ❑ No 0 If only specific information is
Confidential, please list what information is Confidential and the page it is located.
Effective Date: NA
If different from the approval date.
Expiration Date: NA
If applicable.
Is a 1295 Form required? * Yes ❑ No ED
*If so, please ensure it is attached to the approving M&C or attached to the contract.
Project Number: If applicable. NA
*Did you include a Text field on the contract to add the City Secretary Contract (CSC)
number? Yes 0 No ❑
Contracts need to be routed for CSO processing in the followingorder:
rder:
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.