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HomeMy WebLinkAbout061989-CA1 - General - Contract - TJP Enterprises dba All American Tire Recyclers and LRT Intermediate Holding, Inc. dba Liberty TireCSC No. 61989-CAl CITY OF FORT WORTH • ASSIGNiVIENT For value received TJP Enterprises dba All American Tire Recyclers ("Assignor"), hereby assigns to LRT Intermediate Holding, Inc dba Liberty Tire Recycling,.LLC ,("Assignee"), all of its right, title and interest in and to any and all slims of money now due or to become --due--- . from the City of Fort Worth to Assignor under CSC 61989 (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 sha11 inure to the benefit of and be binding upon Assignor and Assignee and their respective successors and M� r assigns. This Assignment shall be governed by the terms of the o igma Co t a s betwe n Assignor and various other entities and,the City of Fort Worth and the St t o Te*'a , without application of principles of conflicts of law. s y�yff'l �� o{ t f , itttIn1 ' 't ' }, .. }, 4.V.k'*It dr+ r''�a.}..}tLCiP. ' R*.:b%.".e*ew°iM1_fW:.5iYe ^Y' £.+-,,,:FY-... Nf-:n•.C -..,. "J r�mra'i • 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 day of 2026. TIP Enterprises dba All American Tire Recyclers (Assignor) By: Print: Coo ( �, . P Ke_ r Title:. V3 Coo LRT Intermediate Holding, Inc dba Liberty Tire. Recycling, .LLC Vice President OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX Assignment Page 1 of 3 NOTARY ACKNOWLEDGEMENT On the 3 ! day of 01 11 CA Lkt> f— 2026, personally appeared c )ni k Q(A`( ," , who acknowledge o me that (s)he is the Vice President of Finance of TJP Enterprises dba All American Tire Recyclers ("Assignor"), and that (s)he executed this document for the purposes and consideration contained herein. TJP Ente s a All ,American Tire Recyclers By: Print: Jo Otj�L Title: sid_ eft ofT a s€ COO) OI�J t� - SUBSCRIBED TO before me on this ( day of , 2026. ,0L,ta" 1,4P MARLENA HALLUA AzkA NotaryPubllc,StateofTexas otary 1ublic in and for the State o Notary ID# 135507103 .E� �tyC:zmmissinnEires03 t8-2029 My commission Expires: (C �muum.• NOTARY ACKNOWLEDGEMENT On the Z day of 9 Q. ) 2 b 1 - 2026, personally appeared PQVJ2t1, who ackno ledged to me that (s)he is the Vice President of Finance of LWt Intermediate Holding, Inc dba Liberty Tire Recycling, LLC ("Assignee"), and that (s)he executed this document for the purposes and consideration contained herein. LRT Intimediate H din Inc c4a Tire Recycling, LLC By: Print: (�r�- v2__ Title: Vice Presi l en f F' ance SUBSCRIBED TO before me on this 2. day of _P.s�e( . "I , 2026. APURVA PARIKH &�y,, t.Notary Pub,Bo, State of Taxes Notary Pub 'c in and for the State of `( ys '� Comm. Expires 12-01-2029 My commission Expires: (2fp) 12.e'`2j Notary ID 131367778 Assignment Page 2 of 3 CONSENT TO ASSIGNMENT The City of Fort Worth consents to the assignment of TJP Enterprises dba All American Tire Recyclers ("Assignor") to LRT Intermediate Holding, Inc dba Liberty Tire Recycling, LLC ("Assignee"), of all its rights, title, and obligation owing and all funds due or to become due to Assignor under CSC 61989 as long as all terms required of Assignor in said contracts are met by Assignee. CITY OF FORT WORTH 09/09/2026 Cody Whittenburg (Sep 9, 2026 12:54:13 CDT) Department Director ()4i /' - Valerie Washington (Sep 9, 2026 14:14:13 CDT) Assistant City Manager Date 4 f Fong°9aa ATTESTED BY: �14M- Aix andbagb4 Date 09/09/2026 09/09/2026 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 Ruben A. Diaz / 9/9/2026 Title OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX Assignment Page 3 of 3 Form W'9 Request for Taxpayer Give form to the (Rev. March 2024) Identification Number and Certification I requester. Do not Department Revenue f the Treasury Go to www.irs.gov/FormW9 for instructions and the latest information. send to the IRS. Internal Service 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.) LTR INTERMEDIATE HOLDINGS, INC 2 Business name/disregarded entity name, if different from above. LIBERTY TIRE SERVICES, LLC & Liberty Tire Recycling LLC 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 Fonly 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 e ❑ LLC. Enter the tax classification (C = C corporation, S = S corporation, P = Partnership) . . . . Exempt payee code (if any) 5 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 for Exemption from Foreign Account Tax 0 2 box the tax classification of its owner. Compliance Act (FATCA) reporting 0 ❑ Other (see instructions) code (if any) 3b If on line 3a you checked "Partnership" or "Trust/estate," or checked "LLC" and entered "P" as its tax classification, accounts (Applies to maintained as and you are providing this form to a partnership, trust, or estate in which you have an ownership interest, check outside the UuStates.) this box if you have any foreign partners, owners, or beneficiaries. See instructions . . . . . . . . ❑ 5 Address (number, street, and apt. or suite no.). See instructions. Requester's name and address (optional) 600 RIVER AVENUE, 3RD FLOOR 6 City, state, and ZIP code PITTSBURGH, PA 15212 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 withholding. For individuals, this is generally your social security number (SSN). However, for a 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 now to get a or TIN, later. r = 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. identification number 4171-13141414121914 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 Signatureof Here U.S. personDate 1 I a -;L-111,.4..11, 2le 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 61989 TJP Enterprises dba All American Tire Recyclers to LTR Intermediate Holdings dba Liberty Tire Recycling Subject of the Agreement: Consent of Assignment 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.