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Home My WebLink AboutPBS&J 3bCity of Santa. la Clerk of the Council } AGREEMENT TERMINATION FORM COTC Office Use Only Please complete this form when the attached agreement and all . ' ' 22 amendments (if any) are no longer in effect. C,T t o(� f 50a E A h tt . Return form to the Clerk of the Council Office (M-30). # ? ` nr P, 1 F1 Call 647-6520 if you have any questions. The agreement with 1 f S ,/� tag) (3a) No. /*^�(jo�— )2 oO Oo was completed on and final payment has been made. (List all amendments. Use space below if needed.) Department: w02y1 Phone/Ext.: A27-12 Signature:/ Date: Revised 08-23-10 b1/ A-2008-128-002 MAYOR Miguel A. Pulido MAYOR PRO TEM Claudia C. Alvarez _ 1 COUNCIL MEMBERS P. David Benavides Carlos Bustamante Michele Martinez Vincent F. Sarmiento CITY OF S A N TA A N A Sal Tinajero PLANNING & BUILDING AGENCY 20 Civic Center Plaza (M-20) P.O. Box 1988 • Santa Ana, California 92702 (714) 667-2700 • Fax (714) 973-1461 www.santa-ana.org July 16, 2010 Ruta K. Thomas PBS&J 12301 Wilshire Blvd., Ste. 430 Los Angeles, CA 90025 CITY MANAGER David N. Ream CITY ATTORNEY Joseph W. Fletcher CLERK OF THE COUNCIL Maria D. Huizar Re: Agreement with the City of Santa expiring June 30, 2010 ("the Agreement")/Extension of Term Dear Ms. Thomas: Pursuant to the provisions of paragraph 3 of the Agreement referenced above, the term of the Agreement is hereby extended from June 30, 2010 to and until June 30, 2011. Except as provided in this letter, all terms and conditions of the Agreement shall remain in full force and effect. Very truly yours, 012� JU M. TREVINO EXECUTIVE DIRECTOR PLANNING AND BUILDING AGENCY cc: Hally Soboleske, Associate Planner Tonia Zerba, Senior Accounting Assistant Clerk of the Council's Office Joe Fletcher, City Attorney ATKINS November 1, 2011 Ms. Tonia Zerba Senior Accounting Assistant City of Santa Ana Planning and Building Agency 20 Civic Center Plaza, M-20 Santa Ana, CA 92701 Re: City of Santa Ana Master Services Agreement PBSU Name Change Dear Ms. Zerba: Atkins North America, Inc. 12301 Wilshire Boulevard, Suite 430 Los Angeles, California 90025 Telephone: +1.310.268.8132 Fax: +1.310.268.8175 www.atkinsgIobal.com/northamerica Effective April 1, 2011, PBSU officially became Atkins North America, Inc. as a result of an acquisition that took place in 2010. The Federal Tax ID number, banking information, insurance coverages and company management, however, remain unchanged. This letter is to provide notice of the name change. The Consultant identified as PBSU in the current Master Services Agreement with the City of Santa Ana, is now Atkins North America, Inc., a Florida corporation. Please be assured that this name change will result in no changes of personnel assigned to the contracts, nor will it result in any decrease in services to the City of Santa Ana. We highly value our relationship with the City and will continue to provide the kind of service that you expect and deserve. Please let me know if you have any questions or concerns. Sincerely, (�f Ruta K. Thomas, REA CEQA/NEPA Senior Group Manager Form W'9 Request for Taxpayer Give Form to the (Rev. January 2011) Identification Number and Certification fequestef. Do not Department of the Treasury send to the IRS. IMemat Reverie Service Name (as shown on your income tax return) Atkins North America, Inc. m r$ Business namddianigarded entity name, It different from above (formerly Post, Buckley, Schuh it Jernigan, Inc. or PBS&J) Check appropriate box for federal tax classification (required): ❑ IndividuaVeole proprietor ✓❑ C Corporation ❑ S Corporation ❑ Partnership ❑ Trust/estate ❑ Umtted liability company. Enter the tax classification (C=C corporation, S-S corporation, P=partnership) ► jJ Other (am Instructions) ► Address (number, street. and apt or suite no.) 4030 W. Boy Scout Blvd., Suite 700 City, state, and ZIP code Tampa, FL 33607 Ust account number(s1 name and address ❑ Exempt payee Enter your TIN in the appropriate box. The TIN provided must match the name given on the "Name" line 1 8ociaf secui ty number to avoid backup withholding. For individuals, this is your social security number However, for a - m - resident alien, sole proprietor, or disregarded entity, see the Part I instructions onn page 3. For other entities, it is your employer identification number (EIN). If you do not have a number, see !-low to get a TIN on page 3. Note. If the account is in more than one name, see the chart on page 4 for guidelines on whose Employer idorNMioation number number to enter. 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. 1 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. 1 am a U.S. citizen or other U.S. person (defined below). 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 ORA), 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 o1 page 4. rere .&a«ro of Hn► A- &0� Date► qNZ-01/ General Instructions Section references are to the Internal Revenue Code unless otherwise noted. Purpose of Form A person who is required to file an information return with the IRS must obtain your correct taxpayer identification number (rIN) to report, for example, income paid to you, real estate transactions, mortgage interest you paid, acquisition or abandonment of secured property, cancellation of debt, or contributions you made to an IRA Use Form W-9 only 9 you are a U.S. person (including a resident alien), to provide your correct TIN to the person requesting it (the requester) and, when applicable, to: 1. Certify that the TIN you are giving is correct (or you are waiting for a number to be issued), 2. Certify that you are not subject to backup withholding, or 3. Claim exemption from backup withholding if you are a U.S. exempt payee. If applicable, you are also certifying that as a U.S. person, your allocable share of any partnership Income from a U.S. trade or business Is not subject to the withholding tax on foreign partners' share of effectively connected income. Note. If a requester gives you a form other than Form W-9 to request your TIN, you must use the requester's form if it is substantially similar to this Form W-9. Definition of a U.S. person. For federal tax purposes, you are considered a U.S. person if you are: • An individual who is a U.S. citizen or U.S. resident alien, • A partnership, corporation, company, or association created or organized in the United States or under the laws of the United States, • An estate (other than a foreign estate), or • A domestic trust (as defined in Regulations section 301.7701-7). Speoial rules for partnerships. Partnerships that conduct a trade or business In the United States are generally reputed to pay a withholding tax on any foreign partners' share of income from such business. Further, in certain cases where a Form W-9 has not been received, a partnership is required to presume that a partner is a foreign person, and pay the withholding tax. Therefore, If you are a U.S. person that is a partner in a partnership conducting a trade or business in the United States, provide Form W-9 to the partnership to establish your U.S. status and avoid withholding on your share of partnership income. Cat. No. 10231X Form W-9 (Rev.1-2011)