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Home My WebLink About061573-CO3 - Construction-Related - Contract - Capko Concrete Structures LLCCSC 61573-0O3 FORT WORTH. City of Fort Worth r Change Order Request Project Name 2024 Sidewalk Improvements Unit Price Construction Contract City Sec # 61573 Client Project #(s) Various Projects Project Unit Price Construction Contract for Sidewalk Improvements Projects Contractor Capko Concrete Structures, LLC Change Order # 3 Date 10/16/2025 City Project Mgr. I Fanta Kaba City Inspector N/A Contract Time Dept. TPW Totals I 1CD1 Original Contract Amount Extras to Date Credits to Date Pending Change Orders (in M&C Process) Revised Contract Amount $1,500,000.00 1 $1,500,000.00 Original Funds Available for Change Orders $0.00 Remaining Funds Available for this CO $0.00 Additional Funding (if necessary) CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT 0.00°/a MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST + 25%) $1,875,000.00 JUSTIFICATION (REASONS) FOR CHANGE ORDER This change order is to add additional bid items to the contract. These items are needed for the construction of the sidewalk improvements at Hardy St & Cleckler Ave Sidewalk project (CPN 104759) as well as driveway improvements for the E Berry St & E Seminary Dr Sidewalk project (CPN 104219). The City has reviewed the proposed pricing and deem the prices are reasonable. It is understood and agreed that the acceptance of this Change Order by the contractor constitutes an accord and satisfaction and represents payment in full (both time and money) for all costs arising out of, or incidental to, the above Change Order. The Project/Program Manager signing below acknowledges that Ifd,TAQVs%6R i&VQATrIdsponsible for the monttg6Rk Ntiknistration of this contract, includina'ensuring all performance and reporting requirements. Contractor's Company Name Contractor (Name) Contract Signature Date Capkoconcretestructures I John Capko I 10/17/2025 Inspector/Inspection Supervisor Date Project and Contract Compliance Manager Date Fa- Kaba Oc[ 20, 2035 08:53:38 CDT 10/20/2025 Program Manager Date Senior Capital Project Officer Date 11/14/2025 'La 11/14/2025 P i `,.+, s ck Nav n, a sl5'11:24Cn: Date Director, Contracting Department (Dept) Date 11/14/2025 —"7 11/18/2025 aaw_ Date 11/18/2025 AsWatapWity Manager Date 11/23/2025 Council Action (if required) 4Qu FORT °�a ATTEST: Jannette Goodall, City Secretary aaBn nezp544p M&C Number I M&C Date Approved OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX FORT WORTH City of Fort Worth Change Order Additions Project Name 2024 Sidewalk Improvements Unit Price Construction Contract City Sec # 61573 Client Project # Various Projects Contractor Capko Concrete Structures, LLC PM Fanta Kaba Inspector N/A Change Order Submittal # O3 Date 10116/2025 ADDITIONS DEPT Qty Unit Unit Cost Total 158 02 Remove Step TPW 0 SF 0.00 159 0241.1400 Remove Conc Valley Gutter TPW 0 SY 12.00 0.00 160 3201.0111 4'Wide Asphalt Pvmt Repair, Residential TPW 0 LF 60.00 0.00 161 3201.0654 Conc Pvmt Repair, HES, Residential TPW 0 SY 225.00 0.00 162 3211.0112 6" Flexible Base, Type A, GR-1 TPW 0 SY 45.00 0.00 163 13217.0102 6" SLD Pvmt Marking HAS (Y) TPW 0 IF $5.00 0.00 164 3217.5001 Curb Address Painting TPW 0 EA 100.00 0.00 165 3312.2001 1" Water Service, Meter Reconnection TPW 0 EA 500.00 0.00 166 3312.2003 1 "Water Service TPW 0 EA 3,000.00 0.00 167 3312.20041" Private Water Service TPW 0 LF 125.00 0.00 168 9999.001410" Concrete Driveway TPW 0 SF $23.05 0.00 TPW $0.00 Sub Total Additions $0.00 Change Order Additions Page 2 of 3 FOa� H City of Fort Worth Change Order Deletions Project Name 1 2024 Sidewalk Improvements Unit Price Construction Contract City Sec # 61573 Client Project # I Various Projects Contracto Capko Concrete Structures, LLC PM Fanla Kaba Inspector N/A Change Order Submittal # 0 Date 10/16/2025 Change Order Deletions Page 3 of 3 CS61573-CNCO-2024 Sidewalk Improvements Unit Price Construction Contract - Change Order#3 Final Audit Report Created: 2025-10-17 By: Andrea Munoz (Andrea. Munoz@fortworthtexas.gov) Status: Canceled / Declined Transaction ID: CBJCHBCAABAAIOEd57HSXRdXGIHb6r_gtduhL-TFQ5tI 2025-11-04 "CS61573-CNCO-2024 Sidewalk Improvements Unit Price Cons truction Contract - Change Order #3" History Document created by Andrea Munoz(Andrea.Munoz@fortworthtexas.gov) 2025-10-17 - 1:54:18 PM GMT- IP address: 204.10.90.100 Document emailed to john@capkoconcretestructures.com for signature 2025-10-17 - 7:18:32 PM GMT Document emailed to Ann Estes (ann.estes@fortworthtexas.gov) for filling 2025-10-17 - 7:18:32 PM GMT Document emailed to Fanta Kaba (fanta.kaba@fortworthtexas.gov) for signature 2025-10-17 - 7:18:33 PM GMT Email viewed by Ann Estes (ann.estes@fortworthtexas.gov) 2025-10-17 - 7:20:41 PM GMT- IP address: 104.47.64.254 �b Form filled by Ann Estes (ann.estes@fortworthtexas.gov) Form filling Date: 2025-10-17 - 7:20:52 PM GMT - Time Source: server- IP address: 204.10.90.100 Email viewed by john@capkoconcretestructures.com 2025-10-17 - 8:36:55 PM GMT- IP address: 146.75.164.0 C16 Signer john@capkoconcretestructures.com entered name at signing as John Capko 2025-10-17 - 10:00:12 PM GMT- IP address: 47.37.118.90 )b Document e-signed by John Capko Qohn@capkoconcretestructures.com) Signature Date: 2025-10-17 - 10:00:14 PM GMT - Time Source: server- IP address: 47.37.118.90 FoRTWORTHq I Pa -"Y Adobe rob Acrobat Sign Email viewed by Fanta Kaba (fanta.kaba@fortworthtexas.gov) 2025-10-20 - 1:52:59 PM GMT- IP address: 208.184.124.181 Document e-signed by Fanta Kaba (fanta.kaba@fortworthtexas.gov) Signature Date: 2025-10-20 - 1:53:38 PM GMT - Time Source: server- IP address: 208.184.124.181 Document emailed to Chad Allen (Chad.Allen@fortworthtexas.gov) for signature 2025-10-20 - 1:53:41 PM GMT Document declined by Chad Allen (Chad.Allen@fortworthtexas.gov) Decline reason: Need more detailed justification for prices. 2025-11-04 - 10:33:53 PM GMT- IP address: 208.184.124.181 FoRTWORTHq I P--Ily Adobe Acrobat Sign FORT WORTH. Routing and Transmittal Slip Transportation & Public Works Department DOCUMENT TITLE: 2024 Sidewalk Improvements Unit Price Construction Contract — Change Order #3 M&C: 24-0274 CPN: Various CSO: 61573 DOC#: 1 Date: 5/22/2025 To: Name Department Initials Date Out 1. John J Capko IV Vendor - signature Vk, jc 10/17/25 2. Ann Estes TPW -review AE 10/17/25 3. Fanta Kaba TPW -signature FK 10/20/25 4. Chad Allen TPW - signature 11/14/25 5. Lissette Acevedo TPW - signature 11/14/25 6. Patricia Wadsack TPW - signature 11/14/25 7. Lauren Prieur TPW - signature 11/18/25 8. Doug Black Legal - signature oo e,a=ek 11/18/25 9. Jesica McEachern CMO - signature CA 11/23/25 10. Jannette Goodall CSO - signature „e—, 11/25/2025 12. TPW Contracts TPW DOCUMENTS FOR CITY MANAGER'S SIGNATURE: All documents received from any and all City Departments requesting City Manager's signature for approval MUST BE ROUTED TO THE APPROPRIATE ACM for approval first. Once the ACM has signed the routing slip, Jay will review and take the next steps. NEEDS TO BE NOTARIZED: DYES RNo RUSH: DYES NNo SAME DAY: DYES NNo NEXT DAY: DYES ❑No ROUTING TO CSO: NYES ❑No Action Required: ❑ As Requested ❑ For Your Information N Signature/Routing and or Recording ❑ Comment ❑ File ❑ Attach Signature, Initial and Notary Tabs Return To: TPWContracts(&FortWorthTexas.�zov at ext. 7233 for pick up when completed. Thank you! FORT WORTH, City Secretary's Office Contract Routing & Transmittal Slip Contractor's Name: Capko Concrete Structures LLC Subject of the Agreement: 2024 Sidewalk Improvements Unit Price Construction Contract M&C Approved by the Council? * Yes ❑ No 8 If so, the M&C must be attached to the contract. Is this an Amendment to an Existing contract? Yes ❑ No 8 If so, provide the original contract number and the amendment number. Is the Contract "Permanent"? *Yes 8 No ❑ If unsure, see back page for permanent contract listing. Is this entire contract Confidential? *Yes ❑ No 8 If only specific information is Confidential, please list what information is Confidential and the page it is located. Effective Date: Expiration Date: If different from the approval date. If applicable. Is a 1295 Form required? * Yes ❑ No 8 *If so, please ensure it is attached to the approving M&C or attached to the contract. Project Number: If applicable. *Did you include a Text field on the contract to add the City Secretary Contract (CSC) number? Yes 8 No ❑ Contracts need to be routed for CSO processing in the followingoder:. 1. Katherine Cenicola (Approver) 2. Jannette S. Goodall (Signer) 3. Allison Tidwell (Form Filler) *Indicates the information is required and if the information is not provided, the contract will be returned to the department.