Contract - 360 Roofing, LLC - 6/9/2016SUPPLEMENTAL AGREEMENT NO.2
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 §
COUNTY OF TRAVIS §
COUNTY OF WILLIAMSON §
KNOW ALL BY THESE PRESENTS:
THIS SUPPLEMENTAL AGREEMENT NO. 2 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. 2," 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, it has now become necessary to execute Supplemental Agreement No. 2 to
amend the original Agreement to extend the term of the Agreement for the first of two (2)
allowable consecutive twelve (12) month renewal terms; and
NOW THEREFORE, in consideration of the mutual promises and obligations in the
Agreement and this Supplemental Agreement No. 2, City and 360 Roofing agree that said
Agreement is amended and supplemented as follows:
I.
Pursuant to Section 2.01 of the Agreement, the term of the Agreement is renewed for the
first of two (2) allowable twelve (12) month renewal periods. The twelve (12) month renewal
term shall commence upon expiration of the Agreement.
00356427/ss2
iM
This Supplemental Agreement No. 2 embodies the first 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.
IN WITNESS WHEREOF, City and 360 Roofing have executed this Supplemental Agreement
No. 2 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: am Printed Name:s�—
Title: Title:
Date Signed: r Date Signed:�-
ATTEST:
By:
Sara L. White, City Clerk
FOR CITY, PROVED AS TO FORM:
By:
Step an . eets, City Attorney
2
Complete Nos. 1- 4 and 6 if there are interested parties.
Complete Nos. 1, 2, 3, 5, and 6 if there are no interested parties.
1 Name of business entity filing form, and the city, state and country of the business entity's place
of business.
360 Roofing LLC
Austin, TX United States
or state agency that is a party to
being filed.
City of Round Rock
FORM 1295
1of1
OFFICE USE ONLY
CERTIFICATION OF FILING
Certificate Number:
2016-61582
Date Filed:
05!25/2016
Date Acknowledged:
g 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.
R -13-05-23-G8
Roofing
4
City of Round Rock
Nature of interest
I City, state, Country (place of business) (check applicable)
Name of Interested Party -„„.,.,,n;„ intprme
5 Check only if there is NO interested Party. ❑
Round Rock, TX United States I X
6 AFFIDAVIT I swear, or affirm, under penalty of perjury, that the above disclosure is true and correct.
�amacma �
�,,,FR�rPU Sarah Nichol® Diaz --�
x Notary Public
State of Texas Sign re of authorized agent of contracting business entity
�yT of
Comm. EXP. M-24-2019
A r %
SwOr to and subscribed before me, by the said
"�ylrtrii�., `JU'.l� ,this the ��� day of
2- y to certify which, witness my hand and seal of Odice.
j
,�� r ' ��' V ' " Title of officer admini ering oati�
15ignature of officer adminis ering oath Printed: a of officer administering oath
www.ethics.state.tx.us
Version V1.0.1021
Forms provided by Texas Ethics Commission
Forms provided by Texas Ethics Commission www.ethics.state.tx.us version V1.0.1021
CERTIFICATE OF INTERESTED PARTIES
FORM 1295
10f1
Complete Nos. 1- 4 and 6 if there are interested parties.
Complete Nos. 1, 2, 3, 5, and 6 if there are no interested parties.
OFFICE USE ONLY
CERTIFICATION OF FILING
Certificate Number:
2D16-61582
Date Filed:
05/25/2016
Date Acknowledged:
06/03/2016
1 Name of business entity filing form, and the city, state and country of the business entity's place
of business.
360 Roofing LLC
Austin, TX United States
2 Name of governmental entity or state agency that is a party to the contract for which the form is
being filed.
City of Round Rock
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.
R -13-05-23-G8
Roofing
4
Name of Interested Party
City, State, Country (place of business)
Nature of interest
(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 V1.0.1021