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HomeMy WebLinkAbout063228-R1 - General - Contract - Sherwood Dashiell Enterprises, LLCCSC No. 63228-Rl CITY OF FORT WO TH NOTICE OF INTENT TO EXECUTE RENEWAL April 23, 2026 Sherwood Dashiell Enterprises. LLC Attn: Lauren Wessinger 2800 Harlanwood Drive Fort Worth, TX. 76109 Re: Contract Renewal Notice Fort Worth City Secretary Contract No. 63228 ("Contract") First Renewal Term: June 6, 2026 to June 5, 2027 The above -referenced Contract with the City of Fort Worth expires on June 5, 2026 ("Expiration Date"). This letter is to inform you that the City wishes to exercise its renewal option for the First Renewal Term, which will begin immediately after the Expiration Date as outlined above. All other terms and conditions of the Contract remain unchanged. Please return this signed acknowledgment letter, along with a current copy of your insurance certificate reflecting the City of Fort Worth as the Holder, to the email address set forth below acknowledging receipt of the Contract Renewal Notice. Please log onto PeopleSoft Purchasing at http://fortworthtexas.gov/purchasing to ensure that your company information is correct and up-to-date. If you have any questions concerning this Contract Renewal Notice, please contact me at the telephone number listed below. Sincerely, Jack Brothers Jack Brothers Contract Compliance Specialist Jack.brothers@fortworthtexas.gov 817-392-4481 OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX Contract Expiration — CSC 63228 -RI Page 1 of 2 ACCEPTED AND AGREED: CITY OF FORT WORTH z By: _ 9 Name: William Johnson Title: Assistant City Manager Date: 04/30/2026 APPROVAL RECOMMENDED: By: StefaW Ricks (Apr 29, 2026 17:30:06 CDT) Name: David Carabajal Title: Executive Assistant Chief F04 MM:.W 4FORTnna (�z�,n-ate- '�,•° °°fia dQOn nEXpSQo By. Name: Janette S. Goodall Title: City Secretary VENDOR: Sherwood Dashitrll ENT, LLC. By: C_- Name: Lauren Wessinger 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. BY: Kathryn Agee (pr 28, 202 4:06:57 CDT) Name: Kathryn Agee Title: Senior Management Analyst APPROVED AS TO FORM AND LEGALITY: Name: Keanan M. Hall Title: Sr. Assistant City Attorney CONTRACT AUTHORIZATION: M&C: N/A Date Approved: N/A Form 1295 Certification No.: N/A OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX Contract Expiration — CSC 63229 -RI Page 2 of 2 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 0 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 "Permanent"? *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 If different from the approval date. Expiration Date: 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 ❑✓ No ❑ Contracts need to be routed for CSO processing in the following 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. Permanent Contracts Advanced Funding Agreements Architect Service Community Facilities Completion Agreement Construction Agreement Credit Agreement/ Impact Fees Crossing Agreement Design Procurement Development Agreement Drainage Improvements Economic Development Engineering Services Escrow Agreement Interlocal Agreements Lake Worth Sale Maintenance Agreement/Storm Water Parks/Improvement Parks/Other Amenities Parks/Play Equipment Project Development Property/Purchase (Property owned by the City) Property/Sales (Property owned by the City) Property/Transfers (Property owned by the City) Public Art Sanitary Sewer Main Replacements Sanitary Sewer Rehabilitations Settlements (Employees Only) Streets/Maintenance Streets/Redevelopment Streets/Repairs Streets/Traffic Signals Structural Demolition (City owned properties) Utility Relocation Water Reclamation Facility Water/Emergency Repair Water/Interceptor Water/Main Repairs Water/Main Replacement Water/Sanitary Sewer Rehabilitation Water/Sewer Service Water/Storage Tank CSC 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 ) I day of Nt I (O 2026. The Mindful (Assignor) By: c_,r/ V V Print:. � �Ih1 r��l 'J Title: Vice President of Finance Sherwood Das ' BENT, LLC (Assignee) By: Print:re.� Title: Vice President of Finance 0 Assignment Page t of 3 NOTARY ACKNOWLEDGEMENT On the day of 1 vV 5-0vr— 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 oject By: Print: eSW Title: Vice President of Financ SUBSCRIBED TO before me on this day of `C/k 2026. _,►I SHELLY LEIGH GUERRY Notary ID #12047992 ota Pu t4:��vl_onlic in and for the State of I e My Commission Expires ry February 22, 2029 My commission Expires:P-o NOTARY ACKNOWLEDGEMENT On the �_ day of H Cf CA, 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: Title: Vice President of Financ SUBSCRIBED TO before me on this 3 ��,r• • SHELLY LEIGH GUERRY Notary ID Comm#12ission Expires 92 My Commissfon Expires February 22, 2029 day of 2026. s Notary Public in and for t=Sfate o ► X CMy commission Expires:�a o- Assigment 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 %]tw Z4 Da\4d Caraba) (Apr 13, 2026 09:55:17 CDT) Executive Assistant Chief ZJ-&--., 9./—� Assistant City Manager ATTESTED BY: Jannette Goodall, City Secretary APPROVED AS TO FORM AND LEGALITY: %�W� 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. Keith an A qo,5 Kathryn Agee (ApF9, 2026 14:W 15 CDT) Employee Signature/Date Sr. Management Analyst Title Assignment Pap 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 Shenvood 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 w11109 Request for Taxpayer identification Number and Certification q Ib� n (Rev. March 2024) 1'9reQtlO>stET. Do not Department of the Treasury ao to rvwwjna.pov/Form W9 for Instructlons and the latest Information. send to the IRS. Inters- Revenue Servlco of Form W-9, see gefo s you begln. For guldartce related to the purpose Purpose of Form, below. 1 Name of.mltyAndMduW, An entry Is required. (For a sole proprietor or dlmvgsrded entity, enter the owner's name on line 1, and enter the business/disregarded entity's name on line 2.) Sherwood Dashiell ENT, LLC 2 Business namerdisregwded entity name, R ditmnt from above. 30 Check the appropriate box for federal tax classification of the entityAndMdual whose name Is entered on line 1. Check only one of the following seven boxes. ❑ Individual/sole proprietor ❑ C corporation ❑ S corporation ❑ Partnership ❑ TruaV0,We Q✓ LLc. Ester the tax classification (C = C corporation, S = S corporation, P = Partnership) . . , Nots: Check the °LLC, box above and, in the entry space, enter the appropriate code (C, S, or P) for the tax classMcation of the LLC, unless It Is a disregarded entity. A disregarded entity should Instead check the appropriate box for the tax clasOcstlm Of its Owner. ❑ Other (see instructions) 4 Exemptions (codes apply only to certain entities, not Individuals; see Instructions on page 3): Exempt payee code (rf any) Exemption from Foreign Account Tax Compliance Act (FATCA) reporting code (R arry) 3b R on line 3a you checked 'Partnership" or'TrusWestats.' or checked "LLC" and entered "P' as its tax classification, and you we providing this forth to a partnership. trust, or estate In whlch you have an ownershlp Interest, check PW to accounts maintained this box R you have any foreign partners, owners, or beneficiaries. See Instructions . . . . . . . . . ❑ I outside the United States_) S Address (number, street, and apt or suite no.). See Instructions. 2800 Harlanwood Drive e City, state, and ZIP code Fort Worth, TX 76109 7 Ust account number(s) here (optional Identification Nu Requester's name and address (optional) Ester your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid I Social security nurrkbw backup withholding. For individuals, this Is generally your social security number (SSN). However, fora = M resident alien, sole proprietor, or disregarded entity, see the Instructions for Part I, later. For other entitles, it Is your employer identification number (EIN). If you do not have a number, see Haw to got a or TIN, later. Fmpioyr idsntlnaatbn rrtrnbw Note: If the account Is in more than one name, see the Instructions for line 1. See also What Name and Number To Gfve the Requester for guidelines on whose number to enter. 4 7 - 4 0 6 5 2 2 $ Certification Under penalties of perjury. I certify than 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 Wthholding, 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 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. 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. Certifkxtion lnsbuctlorts. You must cross out Item 2 above R 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, Rem 2 does not apply. For mortgage Interest paid, acquisition or abandonment of secured property, cancel) on of debt, contributions to an Individual retirement arrangement QRA), and, generally, payments other than interest and dividends(Atou are not required 0 sl n the certification, but you must provide your correct TIN. See the instructions for Part 11, later. Sign u.&'hrr. xN I r � b Here us pars 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.gov1FormW9. What's New New line 3b has been added to this form. A Now -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 Now -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 1r-1 Line 3a has been modified to clarify how a disregarded entity completes this line. An LLC that Is a disregarded entity should check the Purpose of Form appropriate box for the tax classification of its owner. Otherwise, It should cheek the "LLC" box and enter Its appropriate tax classification. An Individual or entity (Form W-9 requester) who Is rsqulred to file an Information return with the IRS Is giving you this fort because they CaL No. 10231X Form W-9 (Rev. 3-2024) ' Corporations Section T FF pi P.0.13ox 13697 5 Austin, Texas 78711-3697 `v Ycon 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 Ank Carlos H. Cascos Secretary of State Come visit us on the internet at http.•//www,sos.slate.tx.us/ 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: Sherwood Dashiell Enterprises. LLC Subject of the Agreement: First Renewal Term: June 6, 2026 to June 5, 2027 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: June 6, 2026 If different from the approval date. Expiration Date: June 5, 2027 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. *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.