Contract - 360 Roofing LLC - 6/8/2017 SUPPLEMENTAL AGREEMENT NO. 3
TO "CITY OF ROUND ROCK AGREEMENT
FOR PURCHASE OF GENERAL BUILDING CONSTRUCTION
TRADES SERVICES (ROOFING TRADE) FROM
360 ROOFING,LLC
CITY OF ROUND ROCK §
STATE OF TEXAS § KNOW ALL BY THESE PRESENTS:
COUNTY OF TRAVIS §
COUNTY OF WILLIAMSON §
THIS SUPPLEMENTAL AGREEMENT NO. 3 to "City of Round Rock Agreement for
Purchase of General Building Construction Trades Services (Roofing Trade) from 360 Roofing,
LLC," hereinafter called "Supplemental Agreement No. 3," is made by and between the City of
Round Rock, Texas, a home-rule municipality, hereinafter called "City" and 360 Roofing, LLC,
hereinafter called "360 Roofing."
WHEREAS, City and 360 Roofing executed the referenced "City of Round Rock
Agreement for Purchase of General Building Construction Trade Services (Roofing Trade) from
360 Roofing, LLC," hereinafter called the "Agreement," on May 23, 2013, by Resolution No. R-
13-05-23-G8; and
WHEREAS, pursuant to Section 2.01 of the Agreement, the initial term of the
Agreement was for three (3) consecutive twelve (12) month periods from the effective date of
the Agreement with two (2)allowable consecutive twelve (12) month renewal terms; and
WHEREAS, City and 360 Roofing executed Supplemental Agreement No. 1 amending
certain material terms of the Agreement on June 12, 2014, by Resolution No. R-2014-1502; and
WHEREAS, City and 360 Roofing executed Supplemental Agreement No. 2 renewing
the Agreement for the first of two (2) allowable consecutive twelve (12) month renewal terms on
June 9, 2016, by Resolution No. R-2016-3513; and
WHEREAS, it has now become necessary to execute Supplemental Agreement No. 3 to
amend the original Agreement to extend the term of the Agreement for the second and final
twelve (12)month renewal term; and
NOW THEREFORE, in consideration of the mutual promises and obligations in the
Agreement and this Supplemental Agreement No. 3, City and 360 Roofing agree that said
Agreement is amended and supplemented as follows:
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I.
Pursuant to Section 2.01 of the Agreement, the term of the Agreement is renewed for the
second and final of two (2) allowable twelve (12) month renewal periods. The twelve (12)
month renewal term shall commence upon expiration of the first twelve (12) month renewal
term.
II.
This Supplemental Agreement No. 3 embodies the second and final of two (2) allowable
twelve (12) month renewal periods and shall extend the original Agreement as to time only with
no other changes in terms or conditions of the original Agreement and Supplemental
Agreements.
IN WITNESS WHEREOF, City and 360 Roofing have executed this Supplemental Agreement
No. 3 to be effective as of the last date of due execution by both parties.
CITY OF ROUND ROCK, TEXAS 360 ROOFING,LLC
By: By:
Printed Name: Printed Name: Bryan Wiest
Title: Title: owner
Date Signed: Date Signed: 4/5/17
ATTEST:
By:
Sara L. White, City Clerk
FOR CITY, P ROVED AS TO FORM:
By:
Stephan . Sheets, City Attorney
2
CERTIFICATE OF INTERESTED PARTIES FORM 1295
lofi
Complete Nos.i-4 and 6 if there are interested parties. OFFICE USE ONLY
Complete Nos.1,2,3,5,and 6 if there are no interested parties. CERTIFICATION OF FILING
1 Name of business entity filing form,and the city,state and country of the business entity's place Certificate Number:
of business. 2017-188793
360 Roofing LLC
Austin,TX United States Date Filed:
2 Name of governmental entity or state agency that is a party to the contract for which the form is 04/06/2017
being filed.
City of Round Rock Date Acknowledged:
3 Provide the identification number used by the governmental entity or state agency to track or identify the contract,and provide a
description of the services,goods,or other property to be provided under the contract.
13-05-23-G8
roofing services
4 Nature of interest
Name of Interested Party City,State,Country(place of business
(check applicable)
Controlling I Intermediary
5 Check only if there is NO Interested Party.
X
5 AFFIDAVIT
:No
EEXP.
I swear,or affirm,under penalty of perjury,that the above disclosure is true and correct.
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OF, m. 24.2019 Sly,ture of authorized agent of contracting business entity
AFFIX NOTARY STAMP/SEAL ABOVE
Swo n and subscribed before me,by the said i�-- this the_ day of n'
201,to certify which,witness my hand and seal Affice.
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Signature of officer administering oath Printe ame of officer administering oath Title of officer administering oath
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.0.883
CERTIFICATE OF INTERESTED PARTIES FORM 1295
1 of 1
Complete Nos.1-4 and 6 if there are interested parties. OFFICE USE ONLY
Complete Nos.1,2,3,5,and 6 if there are no interested parties. CERTIFICATION OF FILING
1 Name of business entity filing form,and the city,state and country of the business entity's place Certificate Number:
of business. 2017-188793
360 Roofing LLC
Austin, TX United States Date Filed:
2 Name of governmental entity or state agency that is a party to the contract for which the form is 04/06/2017
being filed.
City of Round Rock Date Acknowledged:
05/23/2017
3 Provide the identification number used by the governmental entity or state agency to track or identify the contract,and provide a
description of the services,goods,or other property to be provided under the contract.
13-05-23-G8
roofing services
4 Nature of interest
Name of Interested Party City,State,Country(place of business
(check applicable)
Controlling I Intermediary
5 Check only if there is NO Interested Party.
1771
X
6 AFFIDAVIT I swear,or affirm,under penalty of perjury,that the above disclosure is true and correct.
Signature of authorized agent of contracting business entity
AFFIX NOTARY STAMP/SEAL ABOVE
Sworn to and subscribed before me, by the said this the day of
20 ,to certify which,witness my hand and seal of office.
Signature of officer administering oath Printed name of officer administering oath Title of officer administering oath
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.0.883