HomeMy WebLinkAbout064314-CA1 - Construction-Related - Contract - Ventosa Elite K9 Kennel, Inc. and Ventosa K9 LLCCSC No. 64314-CAl
CITY OF FORT WORTH
ASSIGNMENT
For value received Ventosa Elite K.9 Kennel, Inc. ("Assignor"), hereby assigns to
Ventosa K9 LLC ("Assignee"), all of its right, title and interest in and to any and all sums of
motley now due or to become due f7'om the City of Fort Worth to Assignor under CSC 64314
(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
he effetive finless in writing and signed by Assignor and Assignee. This Assignment shall inure
to thebenefit 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 sane legal effect as an on inal.
Dated the ;> day cif 2026,
Ventosa Elite K9 Kennel, Inc.
By: _
Print:
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Ventosa K9 LLC
(Assignee)
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Title: p S t Gt'Y '!r
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
Assignment
Page :1 oF;3
NOTARY ACKNOWLEDGEMENT
On the Z ` day of SCP 't 2026, personally appeared
who acknowledged to me that s)he is the (Title of \Ientosa Elite K9
Kennel, Inc. ('Assi or"), and. that (s)he executed this document for the purposes and
consideration contained herein,
N S
Ventosa Aare K9 [Se xel, Inc,
Q ary ubtic
Elite: FCSCf'' county
SUI SC Ii F,I 1 C) before e can this , rte day of , 2026. ✓�''%, �r A ��'�•'�*``1
ataxy Pcihlic; in and a l e State cif'
carI nissi0f p;xpire.s: 1'I _....
NOTARY ACKNOWLEDGEMENT
On the VI day of S e prrE�. i. - _. 2026, personally appeared
�4►i; "` ► rap. + �„;na (ho ackxxo [ed cd to nee that (s)h€ is the ('Title:) at Ventoa K9 [T,C"
("Assignee"), and that (s)he executed this document for the purposes and consideration
contained herein,
Ventosa K9 .I L
Icy
Print: L13'—'
Title:
SUBSCRIBED TO before me on this Z day of _5_.��T � a X1326.
d x ' Public in and for the State of N C
y commission Expires:
JARED NORWOOD
Notary Public
Union Co., North Carolina
My Commission Expiire$ Feb. 13, 2028
Assignment flagac t of)
CONSENT TO ASSIGNMENT
The City of Fort Worth consents to the assignment of Ventosa Elite K9 Kennel, Inc.
("Assignor") to Ventosa K9 LLC ("Assignee"), of all its rights, title, and obligations owing and
all funds due or to become due to Assignor under CSC 64314, as long as all terms required of
Assignor in said contracts are met by Assignee.
FORTnna
CITY OF FORT WORTH
a°uanza ao4`
Dascid Carab al (Oct 5, 2026 09:55:15 CDT)
Department Director
Yare- W'a�
Valerie Washington (Oct 5, 2026 10: :03 CDT)
Assistant City Manager Date
ATTESTED BY:
Jannette Goodall, City Secretary
APPROVED AS TO FORM AND LEGALITY:
City of Fort Worth Assistant City Attorney
Contract Compliance Manager:
10/05/2026
Date
10/05/2026
10/05/2026
Date
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.
Aoo o.
Kathryn Agee St 2, 202646:32:47 CDT)
Employee Signature/Date
Title
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
Assignment Page 3 of 3
Form W9 Request for Taxpayer Giv t form to the
(Rev. March 2024) Identification Number and Certification requester. Do not
Internal Re of the Treasury ff Go to wwwdrs. ovlFormW9 for instructions and the latest Information. Se nCi to the IRS.
internal Revenue Service
Before you login. For guidance related to the purpose of Form W'-9, see Purpose of Form, below.
I Name of entityfsnd€victual. An entry is required. (For a sole proprietor or disregarded entity, enter the owner's name on line 1, and enter the businessldisregorded
entity's name on line 2.)
Verttoss K9 LLC
2 Business names/disregarded entity name, if different from above.
m 3a Check the appropriate box for federal tax classification of the entity/lhdividual Whose name is entered on line 1. Check 4 Exemptions (codes apply only to
only one of the following seven boxes. certain entities, not individuals;
c ❑ Indivldual/sole proprietor ❑ C corporation C_.1 S corporation [IPartnership [I]Trust/estata see instructions on page 3);
�-;�
tJ LLC. Enter the tax classification (C - C corporation, S S corporation, P - Partnership) S Exempt payee code (it any)
Note: Check the "Lt..C" box above and, in the an try space, enter the appropriate code (C. S. or P) for the tax
n classification of the LLC, unless it is a disregarded entity. A disregarded entity should instead check the appropriate Exemption from Foreign Account Tax
a box for the lax classification of its owner. Compliance Act (FATCA ) reporting
❑ Other (see instructions) code (if any)
n.
U 3b If on line 3a you checked "Partnership" or Trust/estate, or checked "LLC" and entered "P" as its tax classification (Applies to aeeocrrafs maintained
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 it you have any foreign par
tners, owners, or beneficiaries. See instructions .�
_ ..-.
5 Addro ,s (number street, and apt. or suite no.). See instructions. i Requester's name and address (optionafj
4111 ANSONVILLE RD
e City, state, and CIF' code.,�.�..,.....,.,.......�.......,...�.���.,,�_ __.._.
MARSHVILLE, NC 28148
7 List account number(s) here (optional) rii.,_
Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid soa[at seaurtty numhsr
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 ldsntlflcatfon number
Note; If the o account is in more than one name, see e instructions ertofor line 1. See also What Name and
Number To Give the Requester for guidelines on whose number to enter. 4 1 2 a 4 6 5 1 4
IJTiIII Certification
Underpenalties of perjury, I certify --- �_ —._._.._.--.. �
p fryify 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, )fou_are not requirt sign the certification, but you must provide your correct TIN, See the instructions for Part II, later,
Sign I SignatU.S. o o , ,� � ` � ___ 2-11 ko _ _o
Here U.S.person T:'
ii
Instructions
Section references are to the Internal Revenue Code unless otherwise
noted.
Future developments, For the latest information aboLt 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 lax 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)
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FORT WORTH®
City Secretary's Office
Contract Routing & Transmittal Slip
Contractor's Name: CSC 64314 Ventosa Elite K9 Kennel Inc to Ventosa K9 LLC
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.