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HomeMy WebLinkAbout054013-NC1 - General - Contract - Certerra South, LLCFORT WORTH. CSC No. 54013-MCR1 Memorandum Date: 9/2/2026 To: Hye Won Kim, Assistant City Attorney To: Endria Wolde - Sr. Professional Engineer, Transportation Public Works Lauren Prieur - Director, Transportation Public Works To: Jannette Goodall, City Secretary -^ Ate" Re: Rone Engineering Services, LLC to Certerra South, LLC- Name change only Prior Name: Rone Engineering Services, LLC New Name: Certerra South, LLC CSC: 54013 Name change only; tax id numbers remain the same. Approved By: �' f'-_--- Hye Won Kim, Assistant City Attorney Approval Date: 09/09/2026 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 OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX Corporations Section E Q Jane Nelson P.O.Box 13697 .a Secretary of State Austin, Texas 78711-3697 Office of the Secretary of State April 10, 2026 Attn: CT CORPORATION SYSTEM CT Corporation System 701 Brazos Street, Ste. 720 Austin, TX 78701 USA RE: Certerra South, LLC File Number: 805299029 It has been our pleasure to file the Certificate of Amendment for the referenced entity. Enclosed is the certificate evidencing filing. Payment of the filing fee is acknowledged by this letter. If we may be of further service at any time, please let us know. Sincerely, Corporations Section Business & Public Filings Division (512) 463-5555 Enclosure 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: Bernadette DeJoya TID: 10323 Document: 1574128940002 Corporations Section E Q Jane Nelson P.O.Box 13697 .a Secretary of State Austin, Texas 78711-3697 Office of the Secretary of State CERTIFICATE OF FILING OF Certerra South, LLC 805299029 [formerly: Rone Engineering Services, LLC] 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: 04/06/2026 Effective: 04/06/2026 ► AA 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: Bernadette DeJoya TID: 10303 Document: 1574128940002 Filing#:805299029 Document#:1574128940002 Filed On 4/6/2026 received by Upload Form 424 (Revised 05111) Submit in duplicate to: Secretary of State P.Q. Box 13697 Austin, TX 78711-3697 512 463-5555 FAX: 512/463-5709 Filing Fee: See instructions The name of the filing entity is: Rone Engineering Services, LLC Certificate of Amendment Entity Information This space reserved for office use. State the name of the entity as currently shown in the records of the secretary of state. If the amendment changes the name of the entity, state the old name and not the new name. The filing entity is a: (Select the appropriate entity type below.) ❑ For-profit Corporation ❑ Professional Corporation ❑ Nonprofit Corporation El Cooperative Association El Professional Limited Liability Company El Professional Association ❑X Limited Liability Company ❑ Limited Partnership The file number issued to the filing entity by the secretary of state is: 0805299029 The date of formation of the entity is 11/3/2023 Amendments 1. Amended Name (If the purpose of the certificate of amendment is to change the name of the entity, use the following statement) The amendment changes the certificate of formation to change the article or provision that names the filing entity. The article or provision is amended to read as follows: The name of the filing entity is: (state the new name of the entity below) Certerra South, LLC The name of the entity must contain an organizational designation or accepted abbreviation of such term, as applicable. 2. Amended Registered Agent/Registered Office The amendment changes the certificate of formation to change the article or provision stating the name of the registered agent and the registered office address of the filing entity. The article or provision is amended to read as follows: Form 424 TX008BOC -06/13/2011 C T System Online r Registered Agent (Complete either A or B, but not both. Also complete C.) ❑ A. The registered agent is an organization (cannot be entity named above) by the name of: OR ❑ B. The registered agent is an individual resident of the state whose name is: First Name M.I. Last Name Suffix The person executing this instrument affirms that the person designated as the new registered agent has consented to serve as registered agent. C. The business address of the registered agent and the registered office address is: TX Street Address (No P.O. Box) City State Zip Code 3. Other Added, Altered, or Deleted Provisions Other changes or additions to the certificate of formation may be made in the space provided below. If the space provided is insufficient, incorporate the additional text by providing an attachment to this form. Please read the instructions to this form for further information on format. Text Area (The attached addendum, if any, is incorporated herein by reference.) ❑ Add each of the following provisions to the certificate of formation. The identification or reference of the added provision and the full text are as follows: ❑ Alter each of the following provisions of the certificate of formation. The identification or reference of the altered provision and the full text of the provision as amended are as follows: Delete each of the provisions identified below from the certificate of formation. Statement of Approval The amendments to the certificate of formation have been approved in the manner required by the Texas Business Organizations Code and by the governing documents of the entity. Form 424 TX008BOC -06/13/2011 C T System Online 7 Effectiveness of Filing (Select either A, B, or c.) A. ❑X This document becomes effective when the document is filed by the secretary of state. B. ❑ This document becomes effective at a later date, which is not more than ninety (90) days from the date of signing. The delayed effective date is: C. ❑ This document takes effect upon the occurrence of a future event or fact, other than the passage of time. The 90th day after the date of signing is: I ne following event or fact will cause the document to take errect in me manner described below: Execution The undersigned signs this document subject to the penalties imposed by law for the submission of a materially false or fraudulent instrument and certifies under penalty of perjury that the undersigned is authorized under the provisions of law governing the entity to execute the filing instrument. Date: 4-3-26 By: Signature of authorized person Anam Usman Printed or typed name of authorized person (see instructions) Form 424 TX008BOC -06/13/2011 C T System Online 8 w-9 Form (Rev. March 2024) Department of the Treasury Internal Revenue Service Request for Taxpayer Identification Number and Certification Go to www.irs.gov/FormW9 for instructions and the latest information. Before you begin. For guidance related to the purpose of Form W-9, see Purpose of Form, below. 1 Name of entity/individual. 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.) Certerra South, LLC 2 Business name/disregarded entity name, if different from above. m 3a Check the appropriate box for federal tax classification of the entity/individual 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; o- c ❑ Individual/sole proprietor ❑ C corporation ❑ S corporation ❑ Partnership ❑ Trust/estate see instructions on page 3): 0 •c ✓❑ LLC. Enter the tax classification (C = C corporation, S = S corporation, P = Partnership) . . . . C Exempt payee code (if any) O C Note: Check the "LLC" box above and, in the entry space, enter the appropriate code (C, S, or P) for the tax 0 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) a O y= v 3b If on line 3a you checked "Partnership" or "Trust/estate," or checked "LLC" and entered "P" as its tax classification, (Applies to accounts maintained m and you are providing this form to a partnership, trust, or estate in which you have an ownership interest, check outside the United States.) this box if you have any foreign partners, owners, or beneficiaries. See instructions . . . . . . . . . ❑ cn 5 Address (number, street, and apt. or suite no.). See instructions. Requester's name and address (optional) 8908 Ambassador Row 6 City, state, and ZIP code Dallas, TX 75247 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 security number backup r in,sole withholding. For individuals, or s, ts is generally yyour social s number r However, for a - m - resident alien, sole proprietor, or disregarded entity, see the instructions for Part I, later. For other entities, it is your employer identification number (EIN). If you do not have a number, see How to get a or TIN, later. Employer identification number 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. 3 4 — 2 0 1 0 6 9 8 Give form to the requester. Do not send to the IRS. 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. I 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. I 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, you are not required to sign the certification, but you must provide your correct TIN. See the instructions for Part II, later. Sign I Signature of Here u.s. person Date 4-13-26 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.gov/FormW9. 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 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 54013 Rone Engineering Services, LLC to Certerra South, LLC- Name change only Subject of the Agreement: Name change -Supplier kept same tax id number M&C Approved by the Council? * Yes ❑ No II 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 back page 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 0 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.