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Contract - Cobos Design & Construction (Carpentry) - 6/8/2017 SUPPLEMENTAL AGREEMENT NO. 3 TO "CITY OF ROUND ROCK AGREEMENT FOR PURCHASE OF GENERAL BUILDING CONSTRUCTION TRADES SERVICES (CARPENTRY TRADE) FROM COBOS DESIGN& CONSTRUCTION,INC." 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 Trade Services (Carpentry Trade) from Cobos Design & Construction, Inc.," 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 Cobos Design & Construction, Inc., hereinafter called"Cobos." WHEREAS, City and Cobos executed the referenced "City of Round Rock Agreement for Purchase of General Building Construction Trade Services (Carpentry Trade) from Cobos Design & Construction, Inc.," hereinafter called the "Agreement," on May 23, 2013, by Resolution No. R-13-05-23-G6; 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 Cobos executed Supplemental Agreement No. 1 amending certain material terms of the Agreement on June 12, 2014, by Resolution No. R-2014-1486; and WHEREAS, City and Cobos 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-2016-3502; 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 Cobos agree that said Agreement is amended and supplemented as follows: 00374715/ss2 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 Cobos 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 COBOS DESIGN & CONSTRUCTION, INC. By: By. Printed Name: Printed Name: Title: Title: Date Signed: Date Signed: c G - 12 ATTEST: By: oftak Sara L. White, City Clerk FOR CITY, ROVED AS T FORM: By: Stephan . Sheets, City Attorney 2 CERTIFICATE OF INTERESTED PARTIES FORM 1295 toll Complete Nos.i-a and 6 it there are interested parties. OFFICE USE ONLY Complete Nos.1,2,3,5.and 6 it 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. 2017-189623 Cobos Design&Construction,Inc 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 04/07/2017 being Tiled. City of Round Rock,Texas 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 Carpentry Trade Services Hourly Carpentry Trade Services q 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. LINDA RODRIGUEZ r Notary 10#7772760 \ r My Commission Expires w` Jan 27.2021 -e , "" 4 Signature of horized agent of contracting business entity AFFIX NOTARY STAMP/SEAL ABOVE Sworn to and subscribed before me.by the said r;� J �� �?�'� this the day of 20 to certify which,witness my hand and seal of office. c Si nature of officer admi Istering oath Printed name of officer administering oath Title of officer adfininistering 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. 2017-189623 Cobos Design&Construction, Inc 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 04/07/2017 being filed. City of Round Rock,Texas 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. Carpentry Trade Services Hourly Carpentry Trade Services Nature of interest 4 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. 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