Contract - HDR Enginering, Inc. - 6/23/2016STATE OF TEXAS §
COUNTY OF WILLIAMSON §
SUPPLEMENTAL CONTRACT NO. 1
TO CONTRACT FOR ENGINEERING SERVICES
FOR 2015-2017 ON-CALL TRAFFIC OPERATIONS ENGINEERING SERVICES
WORK AUTHORIZATION
FIRM: HDR ENGINEERING, INC. ("Engineer")
ADDRESS: 810 Hesters CrossinLr, Suite 120, Round Rock, TX 78681
This Supplemental Contract No. 1 to Contract for Engineering Services is made by and between
the City of Round Rock, Texas, hereinafter called the "City" and HDR Engineering, Inc.,
hereinafter called the "Engineer".
WHEREAS, the City and Engineer executed a Contract for Engineering Services, hereinafter
called the "Contract", on the 13th day of August, 2015 for the 2015-2017 On -Call Traffic
Operations Engineering Services Project in the amount of $100,000.00; and
WHEREAS, it has become necessary to amend the Contract so that the contract term shall
terminate at the close of business day on December 31, 2018;
NOW THEREFORE, premises considered, the City and the Engineer agree that said Contract
is amended as follows:
I.
Article 3, Contract Term shall be amended so that the contract term shall terminate at the close of
business day on December 31, 2018.
IN WITNESS WHEREOF, the City and the Engineer have executed this Supplemental
Contract in duplicate.
Supplemental Contract Rev. 12/01/08
0199.1535;00358518 84275
v ,201J0, Fe�b3 -
HDR E GINEERING, INC.
By:
g
Date
CITY OF /D�ROCK APP WED AS T FORM:
By:
Alan cGraw, Mayor Steph L. Sheets, City Attorney
k -7-3�1�
Date
Supplemental Contract Rev.12/01/08
0199.1535;00358518 84275
CERTIFICATE OF INTERESTED PARTIES
FORM 3.295
lafl
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
Certificate Number:
1 Name of business entity filing form, and the city, state and country of the business entity's place
of business.
2016-64292
HDR Engineering, Inc.
Round Rock, TX United States
Date Filed:
06/01/2016
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
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.
2015-2017 On Call Traffic
Professional Engineering Services
4 Name of Interested Party
City, State, Country (place of business)
Nature of interest
(check applicable)
Controlling
I Intermediary
HDR, Inc.
Omaha, NE United States
X
Little, George A.
Omaha, NE United States
X
Keen, Eric L.
Omaha, NE United States
X
Felker, Brent R.
Davis, CA United States
X
O'Reilly, Charles L.
Boston, MA 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.
MICHELLE M BRITTON
NOTARY PUBLIC
:,IrV:•'t; State of Texas
'"•'F,a(t�}' Corntn. Fes. 06-27-2017
Sig aturf;jlliuthori� d ag nt of ntracting business entity
� � f
AFFIX NOTARY STAMP / SEAL ABOVE
Sworn to and subscribed before me, by the said r/ [ (! C L / Z this the
day of U,A/l�,
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 adminisidring oath
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.0.1021
CERTIFICATE OF INTERESTED PARTIES
FORM 3.295
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
Certificate Number:
1 Name of business entity filing form, and the city, state and country of the business entity's place
of business.
2016-64292
HDR Engineering, Inc.
Round Rock, TX United States
Date Filed:
06/01/2016
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
Date Acknowledged:
06/03/2016
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.
2015-2017 On Call Traffic
Professional Engineering Services
4
Name of Interested Party
City, State, Country (place of business)
Nature of interest
(check applicable)
Controlling
I Intermediary
HDR, Inc.
Omaha, NE United States
X
Little, George A.
Omaha, NE United States
X
Keen, Eric L.
Omaha, NE United States
X
Felker, Brent R.
Davis, CA United States
X
O'Reilly, Charles L.
Boston, MA 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