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Contract - Karl Kietzke - 9/14/2017 SUPPLEMENTAL AGREEMENT NO. 2 TO "CITY OF ROUND ROCK AGREEMENT FOR CONSULTING SERVICES FOR BUILDING CONSTRUCTION PROJECTS" WITH KARL KIETZKE CITY OF ROUND ROCK ) STATE OF TEXAS ) KNOW ALL BY THESE PRESENTS: COUNTY OF WILLIAMSON ) COUNTY OF TRAVIS ) This SUPPLEMENTAL AGREEMENT NO. 2 to "City of Round Rock Agreement for Consulting Services for Building Construction Projects" (the "Agreement") is made by and between the City of Round Rock, Texas (hereinafter referred to as the "City"), and Karl Kietzke (hereinafter referred to as "Consultant"). RECITALS: WHEREAS, the City and Consultant previously executed an Agreement (hereinafter referred to as the "Agreement") on April 28, 2017 for provision of building consulting services for certain City construction projects in an amount not-to-exceed Fifty Thousand and No/100 Dollars ($50,000.00); and WHEREAS, Supplemental No. 1 was executed on January 12, 2017 by Resolution No. R-2017-4071, modifying the term and increasing the not-to-exceed fee to One Hundred Thousand and No/100 Dollars ($100,000.00) as a result of an increase in the scope of services, specifically the addition of building construction consulting services related to the Old Settlers Park Multi-Purpose Field Complex Project; and WHEREAS, it has now become necessary to further amend the Agreement to modify the term and increase the not-to-exceed fee an additional One Hundred Thousand and No/100 Dollars ($100,000.00) as a result of an increase in the scope of services, specifically additional building consulting services related to the Old Settlers Park Multi-Purpose Field Complex Project and other ongoing construction projects; NOW, THEREFORE, premises considered, the City and Consultant agree that said Agreement is amended as follows: I. Section 1.01 of the Agreement shall be amended as follows: B. The term of this Agreement shall expire upon successful completion of the services no later-+1-,a n„� st 2017. 00383902/ss2 ��24 R-t15G II. Section 1.03 of the Agreement shall be amended as follows: A. The consulting fee shall be Seventy-Five and No Cents ($75.00) per hour, not- to-exceed One Hu r-e Thousand Doll fs an No Cents ($100,000.00Two Hundred Thousand and No/100 Dollars ($200,000.00). III. With the exception of the terms set forth herein, there shall be no other changes in the terms or conditions of the original Agreement and those such terms and conditions shall remain effective. IN WITNESS WHEREOF, the City and Consultant have executed this Supplemental Agreement No. 2 in duplicate originals. CITY OF ROUND ROCK, TEXAS KARL KIETZKE 9 A. By: By: -"I & �x' Printed Name: AMMA M Printed Name: &,r k CC, Title: OAV�{'L Title: 0,.�A Su �- Date Signed: 1 Date Signed: FOR CITY, ATTEST: By: �M� . lkaa Sara L. White, City Clerk FOR*CITYPP,RONED AS TO FORM: By: StephAttorney 2 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. 2017-255877 Karl Kietzke Round Rock,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 08/31/2017 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. Cc2017 Consulting 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 6 AFFIDAVIT I swear,or affirm,under penalty of perjury,that the above disclosure is true and correct. �,'PY P� �' LETICIA HERNANDEZ s My Commission Expires April T,2018 .'' •s�4"(OXF ' Signature of auti ed agent contracting business entity AFFIX NOTARY STAMP/SEAL ABOVE Sworn to and subscribed before me,by the said i this the ' day of 20 _,to certify which,witness my hand and seal of office. ,4�t-1 A^ L ignature o officer adminis eying oath Printed name of officer administering oath Title of officer administering oath Forms provided by Texas Ethics Commission vvww.ethics.state.tx.us Version V1.0.3337 CERTIFICATE OF INTERESTED PARTIES FORM 1295 10f1 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. 2017-255877 Karl Kietzke Round Rock,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 08/31/2017 being filed. City of Round Rock Date Acknowledged: 08/31/2017 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. Cc2017 Consulting 4 Nature of interest Name of Interested Party City,State,Country(place of business) (check applicable) Controlling Intermediary 5 Check only if there is NO Interested Party. 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 V1.0.3337