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Contract - Karl Kietzke - 1/12/2017 SUPPLEMENTAL AGREEMENT NO. 1 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. 1 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") for provision of building consulting services for certain City construction projects; and WHEREAS, it has now become necessary to amend the Agreement to modify the term and increase the not-to-exceed fee 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; 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, which is estimated to be approximately nine (9) menths ffem the af_r.tive date no later than August 31,2017. 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 Fifty Thousand DA-11-ars; ^^a 44^ rents ($50,000nm One Hundred 00368986/ss2 Thousand Dollars and No Cents ($100,000.00). 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. 1 in duplicate originals. CITY OF ROUND ROCK,TEXAS KARL KIETZKE By: `' ' ` By: ��1��1, Printed Name: me'Printed Nalc� Title: Title: i On5i- Date Signed: • 2•,��- Date Signed: FOR CITY,ATTEST: By. &UAL A&�ft7 Sara L. White, City Clerk FORCIT , PPROVED AS TO FORM: By: Stephan L. Sh ets, City Attorney 2 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. 2016-149277 Kietzke Consulting 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 12/28/2016 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 Construction consultant Nature of interest 4 Name of Interested Party City,State,Country(place of business) (check applicable) Controlling I Intermediary City of Round Rock Round Rock,TX United States X 5 Check only if there is NO Interested Party. ❑ 6 AFFIDAVIT I swear,or affirm,under penalty of perjury,that the above disclosure is true and correct. LETICIA HERNANDEZ My Commission Expires April 7,2018 . ignature o uthoriz agent of contracting business entity AFFIX NOTARY STAMP/SEAL ABOVE i , Sworn to and subscribed before me,by the said �%k 7 this the ck°J day of � 20l a ,to certify which,witness my hand and seal of office. J1 &�A �Q J,-.--Y— C�La Signature of officer administering oath Prin d name of officer administering oath Title of officer administering oath Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.0.277 CERTIFICATE OF INTERESTED PARTIES FORM 1295 10f 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. 2016-149277 Kietzke Consulting 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 12/28/2016 being filed. City of Round Rock Date Acknowledged: 01/10/2017 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 Construction consultant Nature of interest 4 Name of Interested Party City,State,Country(place of business) (check applicable) Controlling I Intermediary City of Round Rock Round Rock,TX United States X 5 Check only if there is NO Interested Party. ❑ 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 V1.0.2,