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Home My WebLink About063951-NC1 - General - Contract - Teledyne FLIR Defense, LLCFORT WORTH. CSC No. 63951-NC1 Memorandum Date: 8/28/2026 To: Hye Won Kim, Assistant City Attorney To: Brenda Ray — Purchasing Manager, Fire GMS Gina Santillan - Assistant Fire Director, Fire GMS To: Jannette Goodall, City Secretary Re: Teledyne FLIR Defense, Inc to LLC- Entity Classification Only Prior Name: Teledyne FLIR Defense, Inc New Name: Teledyne FUR Defense, LLC CSC: 63951 Legal entity classification only; tax id numbers remain the same. Approved By: Hye Won Kim, Assistant City Attorney Approval Date: 09/02/2026 OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX 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 %1 TELEDYNE FLIR Defense July 2, 2026 Notice of Legal Entity Conversion and Name Change Teledyne FLIR Defense, Inc. Conversion to Teledyne FLIR Defense, LLC To Whom It May Concern: Effective June 29, 2026, Teledyne FLIR Defense, Inc. converted to a Delaware limited liability company and is now known as Teledyne FLIR Defense, LLC. This change is limited to our legal entity form and name. Teledyne FLIR Defense, LLC remains the same operating business, and all existing contracts, purchase orders, agreements, rights, obligations, and liabilities continue without interruption. In addition, our FEIN (77-0619113) remains unchanged. Please update your vendor records to reflect our new legal name: Teledyne FLIR Defense, LLC All future correspondence, contractual documents, invoices, remittances, and payments should reference Teledyne FLIR Defense, LLC. If you have any questions or require additional documentation, please contact our Credit Department at survcreditteam(& tel edyne. com. Sincerely, 77 vzokm TJ Blair Director, Credit & Collections (508) 331-8143 1 tblair(a�Teledyne.com W TELEDYNE FLIR Defense 25 Esquire Road, North Billerica, MA 01862 USA This document does not contain export -controlled information I TELEDYNE FLIR I www.teledyneflir.com Teledyne Confidential; Commercially Sensitive Business Data Form W-9 I Request for Taxpayer Give form to the (Rev. March 2024) Identification Number and Certification I requester. Do not Department of the Treasury I send to the IRS. Internal Revenue Service I 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.) Teledyne FLIR Defense, LLC 2 Business name/disregarded entity name, if different from above. 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 monly one of the following seven boxes, certain entities, not individuals; a o ❑ Individual/sole 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) . . . . C Exempt payee code (if any) o Note: Check the "LLC" box above and, in the entry space, enter the appropriate code (C, S, or P) for the tax Exemption from Foreign Account Tax classification of the LLC, unless it is a disregarded entity. A disregarded entity should instead check the appropriate 0 i box for the tax classification of its owner. Compliance Act (FATCA) reporting ❑ Other (see instructions) code (if any) ao 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 and you are providing this form to a partnership, trust, or estate in which you have an ownership interest, check have foreign beneficiaries. See instructions ❑ outside the United States.) this box if you any partners, owners, or . . . . . . . . . o 5 Address (number, street, and apt, or suite no.). See instructions. Requester's name and address (optional) U) 1024 S. Innovation Way 6 City, state, and ZIP code Stillwater, OK 74074 7 List account number(s) here (optional) I aXpayEF IUCIIUIIGdUUII i'lU111UCf t 1 IIV) 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 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. 7 7 — 0 6 1 9 1 1 3 IThIII 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 _ Signature of - --- r� Here U.S. person f t *' -+-,............... ✓ , _ 1 Date f 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 63951 Teledyne FLIR Defense, Inc. to LLC Subject of the Agreement: Entity Classification update only - 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.