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HomeMy WebLinkAbout060363-CA2 - General - Contract - Giant Gene's Plumbing & Drain and Roto Rooter Services CompanyCSC No. 60363-CA2 CITY OF FORT WORTH ASSIGNMENT For value received Giant Gene's Plumbing & Drain ("Assignor"), hereby assigns to Roto Rooter Services Company ("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&e 36 day of ,�!y 2026, Giant Gene's Plumbing & Drain (Assignor) By: Print: ,/ Title: Mice•P�stdcnt Roto Rooter Services Company (Assignee) By: _._ . Print: Title: Vice President of finance OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX Assignment Page t of NOTARY ACIKNOWLEOGEWNT on the 3Q_ day of POMrt41iY awmw who acknow ed t e chat a he to the ViQQ Proident o i moft cif Gidnt GGcoe s Plumbing & Drain ("Assignor"), and that Whe executed Chia dmmm €4f 0% PUNIK s and consideration contained herein. SUBSCRIBED TO before me on this Giant Gene's Plumbin$.4,Dmin By - Print: Title: Wee -President of -Finance — Rey commission Expires: _L�. 1.P�6J-Iq NOTARY ACKNOWLEDGEMENT On the � day of _,Ttfu 2026, personally appeared who ackn&4fedged to me that (s)he is the Vice President of Finance of 1kotAootq,8ervices Company ("Assignee"), and that (s)he executed this document for the purposes and consideration contained herein. Roto Ruiccs �rt Print: 4% �r Title: Vice President of Fin SUBSCRIBED TO before me on th�-A day of � 4t 2026, rotary Public an f e , t to o My commission E res: Assignment Pagc 2 of 3 CONSENT TO ASSIGNMENT The City of Fort Worth consents to the assignment of Giant Gene's Plumbing & Drain ("Assignor") to Roto Rooter Services Company ("Assignee"), of all its rights, title, and obligation owing and all funds due or to become due to Assignor under CSC 60363 as long as all terms required of Assignor in said contracts are met by Assignee. CITY OF FORT WORTH i1- Marilyn Marvin, Director Valerie Washington (Aug 21, 2026 15:26:41 CDT) Valerie Washington, Assistant City Manager �FOgj �o ATTESTED BY: 8 Jannette Goodall, City Secretary APPROVED AS TO FORM AND LEGALITY: Im City of Fort Worth Assistant City Attorney Contract Compliance Manager: 08/21 /2026 Date 08/21 /2026 Date 08/21/2026 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. Jeffrey Cope (Aug 20, 2026 10:35:57 CDT) Employee Signature/Date Purchasing Mananger Title OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX Assignment Page 3 of Form Wig Request for Taxpayer Give form to the (Rev. March 2024) Identification Number and Certification requester. Do not Dof the Treasury Go to www.trs.gov1FormW9 for Instructions and the latest information. Send to the IRS. Internal Revenue enue Service Internal Before you begin. For guidance related to the purpose of Form W-9, see Purpose of Form, below. 1 Name of entityAndivldual. 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.) Roto Rooter Services Company 2 Business name/disregarded entity name, if different from above. 3a Check the appropriate box for federal tax classification of the entityhndividual whose name is entered on line 1. Check 4 Exemptions (codes apply only to 0) only one of the following seven boxes, certain entities, not Individuals; a ❑ Individuaysole proprietor ❑ C corporation ❑ S corporation ❑ Partnership ❑ Trust/estate see instructions on page 3): ❑ LLC. Enter the tax classification (C = C corporation, S = S corporation, P = Partnership) . . . Exempt payee code (if any) 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 Exemption from Foreign Account Tax O box for the tax classification of its owner. Compliance Act (FATCA) reporting ❑ Other (see instructions) code (if any) 3b It on line 3a you checked 'Partnership" or "Trust/estate," or checked "LLC" and entered "P" as its tax classification, i (Applies to accounts maintained and you are providing this form to a partnership, trust, or estate in which you have an ownership interest, check this box if have foreign ❑ outside the United States.} you any partners, owners, or beneficiaries, See instructions 5 Address (number, street, and apt. or suite no.). See Instructions. Requester's name and address (optional) 3817 Conflans Rd 6 City, state, and ZIP code Irving, Tx 75061 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 1 to avoid Social securfty number backup withholding. For individuals, this is generally your social security number (SSN. However, fora resident alien, sole proprietor, or disregarded entity, see the instructions for Part I, later, For other — m - entities, it is your employer identification number (EIN). If you do not have a number, see Now to get a or 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. 4 2 — 0 1 4 1 4 1 9 1 3 1 0 1 0 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 Instru 110 out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have fail d to report all interest a dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid, acquisition or aband ment of ec red props cancellation of debt, contributions to an individual retirement arrangement ORA), and, generally, payments other than interest an divide ds ou are fired to sign the certification, but you must provide your cone TIN. ape the i structions for Part II, later. Sign Sign atu o1,4 Here I U.S. peron Date I I 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.gov1FomtW9. What's New Line 3a has been modified to clarity 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 R 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) H070- HOOTER PLUMBING ,& DRAIN SERVICE 4/20/2026 To Whom it may concern: Roto-Rooter Services Company 4600 Marsalis Fort Worth, TX 76117 Phone 817-336-5708 We are writing to formally notify you of a recent change in ownership of our business. As part of this transition, our company will be operating under a new business name effective 4/1/2026. Former Business Name: Giant Gene's Plumbing and Drain DBA Roto-Rooter Plumbing, Drains, and Water Cleanup New Business Name: Roto-Rooter Services Company Please note any invoice dated before 4/1/2026 should be addressed to Giant Gene's Plumbing and Drain. Invoices dated after 4/i/2026 should be addressed to Roto-Rooter Services Company. We kindly ask you to update your records to reflect our new business name for all future correspondence, invoicing, and accounts payable purposes. Our mailing address is the same but the remit to address has changed. Remit addresses for payments: 5672 Collection Center Drive Chicago, IL 60693 Our W9 is attached for your records. Should you need a COI, please contact our office. Thank you for your continued partnership. We appreciate your assistance in updating your records and look forward to our continued business relationship. COI request-A/R susan.vassar;u;:rrs_c.coni, verlena.scro insii1 rrsc.com Work Orders rotorooter.workorders:"a,�rrsc.com Ryan Throne General Manager Roto-Rooter Services Company mot„ w'9 Request for Taxpayer Give rout to the tom. Marc, 2W4) Identification Number and Certlflcation requester. Do not IMs RDepartmave uhe Treasury Go to wwwJra.govlFormWB for InsbucUons and the Mtest Information. sand to the IRS. Before you begin. For guidance related to the purpose of Form W-9, we Purpose of Form, below. None of entlyAndivldual. An entry Is required. (For a sole proprietor or dl3Mwded entity, enter the owner's name on #Ins 1. and enter the busineas/dlsregarded entity's name on line 2.) Roto Rooter Services Cam; Business name/disregarded entity name, If dditml from stove. 3a Check the appropriate box for federal tax clasefficalbn of the ontltyllndividual whose name is entered on line 1. Check only one of the following seven boxes. ❑ In lividuaysoie proprietor WC corporation ❑ S corporation ❑ Pew ❑ T► Wesfate ❑ LLC. Enter the tax classification (C a C corporation, S = S corporation, P . Partnership) Note: Chock the 'LLC' lox above and. In t1w entry space, enter the appropdate code tC, % or P) for the tax clasWcation of ere I.I.C. unless it Is a disregarded entity. A disregarded entity should instead check the appropriate box for the tax classification of its owner. ❑ Other (see ktstnrctlorra) 3b B on Ilm 3a you checked "PaAmrsiklp" or "Tnut/eatate," or checked `LLC" and entered "P" as its tax cWs~ Ion, and you are providing this form to a partnership, trust, or estate in which you have an ownership interest, check this lox If you have any foreign partners, owners, or beneficierl". See Instructions . . . . . . . . . ❑ 5 Address (number, street, and W. or suite no.). See Instr alone. 3817 Conflans Rd City, state. and ZIP code no, Tx 75061 7 Lien account number(a) here (optko I 4 Exemptions (codes apply only to certain entities, not individuals; see fruntructions on page 3): Exempt payee cod a (it any) Exemption from Foreign Account Tax Compliance Act (FATCA) reporting code iN -0 (Pasties to accowts maEntalrred okrtarde the tlnw seat".) Requester's tame and address (optlonaq Enter your TIN in the appropriate box. The TIN provided must match the name given on One 1 to avoid Social NDuft number backup withholding. For (rtdividuals. this is generally your social securtty number (SSN). However, for a resident alien, sole proprietor, or disregarded entity, see the Instructions for Part I, later. For other - M- entities, it is your employer identification number (EIN). If you do not have a number, see How to get a 71N, Tatar. Or Employer Identlllcadon number Note: If the account is in more than one name, see the Instnrctions for line 1. See also What Name and Number To Give the Requester for guidelines on whose number to enter. 4 2 - 0 1 4 1 9 1 9 1 3 1 0 1 0 Under penalties of perjury, I certify that: 1. The number shown on this form is my correct taxpayer Identification number (of 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 wuhhokiirtg; and 3. 1 am a U.S. citizen or other U.S. person (dented below); and 4. The FATCA code(s) entered on this form (N any) indicating that I am exempt from FATCA reporting is correct. Cordflcatlon lnstructdo out item 2 above If you have been notified by the IRS that you are currently subjectidi to backup wtthhortg because you have fad to reportI interest a dividends on your tax return. For real estate transactions, Rem 2 does not apply, For mortgage interest paid, acquisition or abai ment of ed prop cancellation of debt, contributions to an individual retirement arrangement (IRA), and, generally, payments ocher than Interest an di are fired to sign the certification, but you must provide your correct TIN. Sea the Instructions for Part 11. later. Sign Here I ups pa't°^� Date VW10 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.lrs.gov1FormW9. What's New Line 3a has been modified to clafriy how a disregarded entity completes this One. 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 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) FORT WORTH. City Secretary's Office Contract Routing & Transmittal Slip Contractor's Name: CSC 60363 Giant Gene's Plumbing & Drain to Roto Rooter Services Company 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. Ism 1295 Form required? * Yes ❑ No ❑✓ *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 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.