HomeMy WebLinkAbout059716-CA1 - General - Contract - TJP Enterprises dba All American Tire Recyclers and LTR Intermediate Holding, Inc. dba Liberty TireCSC No. 59716-CAl
CITY OF FORT WORTH
ASSIGNMENT
For value_ recei ed_ I _Bnterprises_dba_All_American Tire_Recyclers . (Assignor"), -
hereby assigns to IkI T Intermediate Holding, Inc dba Liberty Tire Recycling, LLC ("Assignee"),
all of its right, titre afrd 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 59716 (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 1(2 day of cC her y 2026.
TJP Enterprises dba All American Tire Recyclers
(Assign
By:
Print: I.V p
Title:
r_T,2 W&)
Ht`P Intermediate Holding, Inc dba Li3ae�rt y Tire
Recycling, LLC n n I
By:
Print:
Title: Vice Prresi nt.�11p''Fin n e
"Or�&A v, O P— 1 I,c Ly t
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
Assignment Page] of 3
NOTARY ACKNOWLEDGEMENT
On the t0 day of ak rn.bex 2026, personally appeared
cS:i `2a t- , who acknowledged to me that (s)he is the Vice President of Finance of
TJP-Enterprises dba All American Tito Recyclers ("Assignor')—aud that (s)he executed this
document for the purposes and consideration contained herein.
TJP Ente • 'i es d a All American Tire Recyclers
By:
Print: 0 U cx'tsiI/
Title: of Finance CQ3
SUBSCRIBED TO before me on this )O day of Se lexr�\�ex, 2026.
_ __ NtlM�aR.t�OAKItamY
�o�r'YP�s ASFILEY EI.IZABETti JACKSON
?x° ' i Notary Public, State pf -fexas
• 4� Comm. Expires 01.09-2027 Notary ubli aiT or the St to of '73(,
"n ° Notary ID 134133659
My commission Expires: I
NOTARY ACKNOWLEDGEMENT
On the / day of cn7_X' 2026, personally appeared
rc who acknowledged to me that (s)he is the Vice President of Finance
of UtT Intermediate Holding, Inc dba Liberty Tire Recycling, LLC ("Assignee"), and that (s)he
execu ed this document for the purposes and consideration contained herein.
LT. L 0&)
bIH'Int
LLC
By:
Print: 4)
Title: Vi
SUBSCRIBED TO before me on this Jo day of Se pk- mL Q, , 2026•
`a`ti�P''�., ASHLEY ELIZABETH JACKSON
Notary Publi an for the SYate of
^Notary Public, State of Texas
*� Comm. Expires 01-09-2027 My commission Expires:
'��,,,°,;,,r` Notary 10 134133659
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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 W Intermediate Holding, Inc dba Liberty Tire Recycling, LLC
(Assignee), of all its riglilts, titl`e, and obligation owing_ and all funds due or to] ecnmedueto.
Assignor under CSC 59716 as long as all terms required of Assignor in said contracts are met by
Assignee.
CITY OF FORT WORTH
09/21/2026
Department Director
✓aLW-�L
Valerie Washington (Sep 21, 2026 14:37:27 CDT)
Assistant City Manager Date
4FOHT Il0A
Pa° Ap°o
ATTESTED BY:
_ ode=° o+p
.... y:umm�-w % QdCy nEXP Soo
Date
09/21/2026
09/21/2026
Jannette Goodall, City Secretary Date
APPROVED AS TO FORM AND LEGALITY:
gym?
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.
Jeff Code ep 1, 2026 14:12:27 CDT)
Employee Sign e/Date
9/21/2026
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 59716 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.