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HomeMy WebLinkAbout057147-CA1 - Construction-Related - Contract - Pacheco Koch Consulting Engineers, Inc. and Westwood Professional Services, Inc.CSC No. 57147-CA1 CITY OF FORT WORTH ASSIGNMENT For value, received Pacheco Koch Consulting Engineers, Inc. ("Assignor"), hereby assigns to Westwood Professional Services, Inc. ("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 CSCO 57147 (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 19 day of August 2026. Pacheco Koch Consulting Engineers, Inc. (Assignor) !%' By: Print: Brian D. O'Neill, P.E., CFM Title: Vice President, Public Infrastructure Westwood Professional Services, Inc. (Assignee) BY: Print: Christopher J. Cha, P.E. Title: Senior Director, Public Infrastructure OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX Assignment Page 1 of 3 NOTARY ACKNOWLEDGEMENT On the I q day of AUSW"r 2026, personally appeared �1tr1 !un 0' N l I , who acknowledged to me that (s)he is an Authorized Signer for Pacheco Koch Consulting Engineers, Inc. ("Assignor"), and that (s)he executed this document for the purposes and consideration contained herein. Pach`e��+sulting Engineers, Inc. By: Print: Brian D. O'Neill, P.E., CFM Title: Vice President, Public Infrastructure SUBSCRIBED TO before me on this l � day of 4St4' � , 2026. ARLISHA JANE RANDALL Notary ID 9132329693 My Commission Expires Notary Publi in a d for the State of GSL January 2+, 2o2>t My commission xpires: jder �M. 2K� 1.o2� NOTARY ACKNOWLEDGEMENT On the M day of Ajf, V &t 2026, personally appeared Q.V,Z-,r� C r\A , who acknowledged to me that (s)he is an Authorized Signer for Westwood Professional Services, Inc. ("Assignee"), and that (s)he executed this document for the purposes and consideration contained herein. Westwood,Prof nal Services, Inc. By: 6�� C� Print: Christopher J. Cha, P.E. Title: Senior Director, Public Infrastructure SUBSCRIBED TO before me on this day of &41 V 2026. I % ANITA M. FREWIN �aw 4t- o_Notary Public, State of Texaa Not' llc in and for the State of Comm. Expires 08-15-2028 My commission Expires: issiEx i Oil n��� Notary ID 129090302 It u Assignment Page 2 of3 CONSENT TO ASSIGNMENT The City of Fort Worth consents to the assignment of Pacheco Koch Consulting Engineers, Inc. ("Assignor") to Westwood Professional Services, Inc. ("Assignee"), of all its rights, title, and obligation owing and all funds due or to become due to Assignor under CSCO 57147 as long as all terms required of Assignor in said contracts are met by Assignee. CITY OF FORT WORTH C. r4yiJ�� f-t&rd &r Christopher Hard r (Aug 27, 2026 07:33:55 CDT) Department Director Date 08/27/2026 Assistant City Manager Date o vvunq poF FORr�°a F° o9.a�d ATTESTED BY: °ono:g ka cam& nEX4544d 08/27/2026 Jannette Goodall, City Secretary Date APPROVED AS TO FORM AND LEGALITY: City of Fort Worth Assistant City Attorney 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. Employee Signature/Date 8-26-2026 Title OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX Assignment Page of \ 45 )\/ \})\ )\\)\) §]\ 2\.; 2« iz [ W-9 Request for Taxpayer Give Form (Rev. October2018) Identification Number and Certification Form to the requester. Do not Department of the Treasury en Internal Revue Service ► Go to www.irs.gov/FormW9 for instructions and the latest information. send to the IRS. 1 Name (as shown on your income tax return). Name is required on this line; do not leave this line blank. Westwood Professional Services, Inc 2 Business name/disregarded entity name, If different from above ami 3 Check appropriate box for federal tax classification of the person whose name is entered on line 1. Check only one of the 4 Exemptions (codes apply only to co following seven boxes. certain entities, not individuals; see a o ❑ IndividuaVsole proprietor or ❑✓ C Corporation ❑ S Corporation ❑ Partnership ❑ TrusVestate instructions on page 3): to °ra single -member LLC Exempt payee code (if any) 5 o �+ ❑ Limited liability company. Enter the tax classification (C=C corporation, S=S corporation, P=Partnership) ► `o Note: Check the appropriate box in the line above for the tax classification of the single -member owner. Do not check Exemption from FATCA reporting H a S LLC if the LLC is classified as a single -member LLC that is disregarded from the owner unless the owner of the LLC is another LLC that is not disregarded from the owner for U.S. federal tax purposes. Otherwise, a single -member LLC that code (if any) N/A is disregarded from the owner should check the appropriate box for the tax classification of its owner. y ❑ Other (see instructions) ► (Applies to accounts maintained outside the U.S.) N 5 Address (number, street, and apt. or suite no.) See instructions. Requester's name and address (optional} 12701 Whitewater Drive, Suite 300 6 City, state, and ZIP code Minnetonka, MN 55343 7 List account number(s) here (optional) Pleaes mail all check payments to: PO Box 856650, Minneapolis, MN 55485 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 security number backup withholding. For individuals, this is generally your social security number ( late). However, for a tote resident alien, sole proprietor, or disregarded entity, see the instructions for Part I, r. For other entities, it is your employer identification number (EIN). If you do not have a number, see How to get a TIN, later. or Note: If the account is in more than one name, see the instructions for line 1. Also see What Name and I Employer identification number Number To Give the Requester for guidelines on whose number to enter. F-7--1 00ww""0©©© LI 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. 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 interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and generally, payments other than interest and dividends, yoy�ot required to sign the certification, but you must provide your correct TIN. See the instructions for Part 11, later. Sign Signature of Here U.S. person ► Date ► I �Z'l �ZoZ3 General Instruldbons 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.gov/FormW9. Purpose of Form An individual or entity (Form W-9 requester) who is required to file an information return with the IRS must obtain your correct taxpayer identification number (TIN) which may be your social security number (SSN), individual taxpayer identification number (ITIN), adoption taxpayer identification number (ATIN), or employer identification number (EIN), to report on an information return the amount paid to you, or other amount reportable on an information return. Examples of information returns include, but are not limited to, the following. • Form 1099-INT (interest earned or paid) • Form 1099-DIV (dividends, including those from stocks or mutual funds) • Form 1099-MISC (various types of income, prizes, awards, or gross proceeds) • Form 1099-B (stock or mutual fund sales and certain other transactions by brokers) • Form 1099-S (proceeds from real estate transactions) • Form 1099-K (merchant card and third party network transactions) • Form 1098 (home mortgage interest), 1098-E (student loan interest), 1098-T (tuition) • Form 1099-C (canceled debt) • Form 1099-A (acquisition or abandonment of secured property) Use Form W-9 only if you are a U.S. person (including a resident alien), to provide your correct TIN. If you do not return Form W-9 to the requester with a TIN, you might be subject to backup withholding. See What is backup withholding, later. Cat. No. 10231 X Form W-9 (Rev. 10-2018) DocuSign Envelope ID: A37FDB5C-070E-4C6D-AF79-52BB429676A3 Westwood November 7, 2023 Tracy Walter Management Analyst II — Vendor Management/Pcard Purchasing Division City of Forth Worth Office Phone: 817-392-6100 Fax: 817-392-8440 Email: Tracy.Walter(&fortworthtexas.gov Dear Ms. Walter, On October 18, 2021, Pacheco Koch Consulting Engineers, Inc. converted from a Texas corporation to a Texas limited liability company and became Pacheco Koch Consulting Engineers, LLC ("PKCE"). Subsequently, on December 31, 2021, Pacheco Koch Consulting Engineers, LLC was acquired by Westwood Professional Services, Inc. ("Westwood"). Sincerely, 1Docu Signed by'. A0D (,oPou8,4 Rob Copouis iD8d80 Senior Vice President Public Infrastructure Division westwoodps.com (ass) 937-5150 FORT WORTH. City Secretary's Office Contract Routing & Transmittal Slip Contractor's Name: CSC 57147 Pacheco Koch Consutling Engineers Inc to Westwood Professional Services, Inc. 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 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.