Loading...
HomeMy WebLinkAbout059354-NC1 - General - Contract - On Track Career AcademyFORT WORTH;, Memorandum Date: 4/23/2026 CSC No. 59354-NC1 To: Hye Won Kim, Assistant City Attorney To: Brandon Callicoat —Superintendent, Transportation & Public Works Lauren Prieur — Director, Transportation & Public Works L.— Lauren Pnaur To: Jannette Goodall, City Secretary 'k Re: Name Change Only: On Track Truck Driving School LLC to One Track Career Academy LLC Prior Name: On Track Truck Driving School LLC New Name: One Track Career Academy LLC CSC: 59354 Name change only; tax id number remains the same. Approved By: Hye Won Kim, Assistant City Attorney Approval Date: 04/27/2026 OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX Financial Management Services Purchasing — Vendor Management City of Fort Worth • 100 Fort Worth Trail, Fort Worth, TX 76102 817-392-0000 • FAX 817-392-0000 (9/t gwek CAREER ACADEMY LLC Dear Valued Clients and Partners, We are pleased to inform you that On Track Truck Driving School LLC has officially changed its name to: On Track Career Academy LLC This name change reflects our continued growth and commitment to expanding our training programs and career development services. Please note that this change is in name only. There will be no changes to our ownership, management, services, or contact information. All existing agreements, contracts, and obligations will remain in full effect under the new name. We kindly ask that you update your records to reflect our new business name moving forward. If you have any questions or require additional information, please do not hesitate to contact us. Thank you for your continued support. Sincerely, Kenya Mobley Owusu 817-902-7188 TREASURY/IRS AND OMB USE ONLY DRAFT LU 0 Z 0 t Form . Request for Taxpayer Give form to the Identification Number and Certification requester. Do not (Rev. January2026) send to the IRS. Department of the Treasury Go to www.irs.gov/Formw9 for instructions and the latest information. Internal Revenue Service Before you begin. For guidance related to the purpose of Form W-9, see Purpose of Form, on page 2. 1 Name of entity/individual An entry is required. (For a sole proprietorship or disregarded entity, enter the owner's name on line 1, and enter the business/ disregarded entity's name on fine 2.) ON TRACK CAREER ACADEMY LLC 2 Business name/disregarded entity name, 4 different from above. ON TRACK CAREER ACADEMY LLC ri 3a Check the appropriate box for federal tax classification of the enfitylndividual whose name is entered on line 1. Check only 4 Exemptions (codes apply only to certain entities, not individuals; CD one of the following seven boxes. see instructions on page 4): CL © Individual/sole proprietor ❑ C corporation ❑✓ S corporation ❑ Partnership ❑ Trust/estate 0 ti ® LLC. Enter the tax classification (C = C corporation, S - S corporation, P =Partnership) Exempt payee code (if any c NOW Check the "LLC" box above and, in the entry space. enter the appropriate code (C, S, or P) for the tax 7 classification of the LLC, unless it is a disregarded entity, A disregarded entity should instead check the appropriate Exemption from Foreign Account Tax box for the tax classification of its owner. Compliance Act (FATCA) reporting y ❑ Other (see instructions) code (Ff any) u C If on line 3a you checked "Partnership' or "TrusVestale," or checked "LLC" and entered "P" as its tax classification, m3b (AFPlles to accounts mamtamed 0 0 and you are providing this form to a partnership, trust, or estate in which you have an ownership interest, check this ❑ outside the United States.) box if you have any foreign partners, owners„ or beneficiaries. See instructions . . . . . m rn 5 Address (number, street, and apt. or suite no). See instructions. Requester's name and address (optional) 500 E FRONT ST #160 6 City, state, and ZIP code ARLINGTON TX 76011 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 I social security number 1 to avoid backup withholding. For individuals, this is generally your social security number (SSN). Do not report the employer identification number (EIN) of a sole proprietorship or — — disregarded entity. For a resident alien, sole proprietor, or disregarded entity, see the instructions for Part I, later. For other entities, it is your EIN. If you do not have a number, or Employer identification 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 E-12 4 6 4 4 $ 9 What Name and Number To Give the Requester for guidelines on whose number to enter. • . , 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; and 5. ❑ I am exempt from information reporting as a U.S. digital asset broker within the meaning of Regulations section 1.6045-1(g)(4)(i) (A)(1) (other than a registered investment adviser). I claim exempt status under Regulations section 1.6045-1(c)(3)(l)(B)(12). 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 in7(IRAr aid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangementandgenerally, payments other than interest and dividends, you are not required to sign the certification, but you must provicorrect TI '�' structions for Part II, later. Sign Here signature of U.S. person DatebV / / 10231x Form W-9 (Rev. 1-2026) Created 6J27/25 v 0 Z 0 4 -n Corporations Sections E Q P.O.Box 13697 a Austin, Texas 78711-3697 ` Office of the Secretary of State CERTIFICATE OF FILING OF ON TRACK CAREER ACADEMY LLC 803148508 [formerly: ON TRACK TRUCK DRIVING SCHOOL, LLC] Jane Nelson Secretary of State The undersigned, as Secretary of State of Texas, hereby certifies that a Certificate of Amendment for the above named entity 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. Dated: 03/25/2024 Effective: 03/26/2024 R W AQo Uui Jane Nelson Secretary of State Come visit us on the internet at https://www.sos.texas.gov/ Phone: (512) 463-5555 Fax: (512) 463-5709 Dial: 7-1-1 for Relay Services Prepared by: Linda Galaviz TID: 10303 Document: 1347270410003 FORT WORTH. City Secretary's Office Contract Routing & Transmittal Slip Contractor's Name: CSC 59354- On Track Truck Driving School to On Track Career Academy Subject of the Agreement: Name change, supplier kept same tax id number. 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 21 *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.