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Home My WebLink About061573-CO4 - Construction-Related - Contract - Capiko Concrete Structures, LLCCSC No. 61573-004 FORT WORTH . City of Fort Worth 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 # 4 Date 7/28/2026 City Project Mgr. Fanta Kaba City Inspector F N/A Dept. Original Contract Amount Extras to Date Credits to Date Pending Change Orders (in M&C Process) Contract Cost to Date TPW Totals Contract Time (CD) $1,500,000.00 $1,500,000.00 $1,500,000.00 $1,500,000.00 Amount of Proposed Change Order $0.00 $0.00 Revised Contract Amount $1,500,000.00 Original Funds Available for Change Orders Remaining Funds Available for this CO $0.00 Additional Funding (if necessary) CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT MAXALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST+ 25%) $1,500,000.00 $0.00 0.00% $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 for the Campus Dr & Seminary Dr sidewalk improvements project (CPN 104218). The City has reviewed the proposed pricing by comparing unit prices to similar items on the following existing City construction contracts to determine that the proposed unit prices are reasonable: Grate Inlet: CSC 60585: Arterial Roadway Improvements Improvements for Keller Hicks Rd from Lauren Way to US 377 ; CSC 59204: Trinity Lakes South Phase 1; CSC 63072-FP3: Hulen Trails Phase 3; CSC 59068: Walnut Creek Sanitary Sewer Interceptor Extension Phase 1; Pipe Underdrain: CSC 61324: Historic Southside Improvements; CSC 64220: Water and Sanitary Sewer Replacement Contract 2019 WSM-H; CSC 61025: Sanitary Sewer Rehabilitation Contract 111; CSC 64918: Water and Sewer Replacement Contract 2019 WSM-L Project Part 1; CSC 64842: Water and Sanitary Sewer Replacement Contract 2020 WSM-i Project; CSC 58172: M-210 Mockingbird Colonial Country Club Project; CSC 60779: Water and Sanitary Sewer Replacement Contract 2020, WSM-K Project; CSC 64264: Water and Sanitary Sewer Replacement Contract 2022, WSM-J. 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 he/she is the person responsible for the monitoring and administration of this contract, including ensuring all performance and reporting requirements. Contractor's Company Name Contractor (Name) Contract Signature Date Capko Concrete Structures,llc John Capko `'" 404- 08/19/2026 Inspector/Inspection Supervisor Date Project and Contract Compliance Manager Date 08/19/2026 Program Manager Date Senior Capital Project Officer Date 08/21/2026 -' -f 08/21/2026 Ass s' ri _... ..:. Date 08/26/2026 Director, Contracting Department (Dept) ? Date 08/27/2026 Assistant - Date i tant City Manager Date 9 08/27/2026 r,' 09/01 /2026 Council Action (if required) M&C Number I NA ATTEST: Po ,inT°nea % ad Jannette Goodall, City Secretary M&C Date Approved I NA 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 NIA Change Order Submittal # ® Date 7I28I2026 ADDITIONS DEPT I Qty I Unit I Unit Cost I Total 169 13349.5006 Remove and Replace Inlet Top, 10' 1 TPW 1 01 EA 1 $5,000.001 $0.00 170 13346.0108 6" Pipe Underdrain, Type 8 1 TPW 1 01 LF 85.00 0.00 171 13349,9001 2' x 2' Grate Inlet, screened top and collared connection I TPW 1 01 EA 1 $2,160.001 $0.00 TPW $0.00 Sub Total Additions $0.00 Change Order Additions Page 2 of 3 FORT WORTH City/ of Fort Worth Change Order Deletions 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 NIA Change Order Submittal # ® Date 7/26/2026 Change Order Deletions Page 3 of 3 FORTWORTH. Routing and Transmittal Slip Transportation & Public Works, Department DOCUMENT TITLE: 2024 Sidewalk Improvements Unit Price Construction Contract — Change Order #4 M&C: 24-0274 CPN: Various CSO: 61573 DOC#: 1 Date: 8/19/2026 To: Name Department Initials Date Out 1. John J Capko IV Vendor - signature A` JC 08/19/2026 2. Alexandra Ripley TPW - review 08/19/2026 3. Fanta Kaba TPW - signature FK� 08/19/2026 4. Chad Allen TPW - signature C Chad Allen 08/21 /2026 5. Lissette Acevedo TPW - signature o�v 08/21 /2026 6. Patricia Wadsack TPW - signature pLW 08/26/2026 7. Lauren Prieur TPW - signature xjev Lauren Pd-1 08/27/2026 8. Doug Black Legal - signature Dou las Black � 08/27/2026 9. Jesica McEachem CMO - signature CA 09/01 /2026 10. Jannette Goodall CSO - signature , ,n 09/01/2026 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: ❑YES NNo RUSH: DYES NNo SAME DAY: ❑YES NNo NEXT DAY: El YES ❑No ROUTING TO CSO: NYES ❑No Action Reguired• ❑ As Requested ❑ For Your Information N Signature/Routing and or Recording ❑ Comment ❑ File ❑ Attach Signature, Initial and Notary Tabs Return To: TPWContractsAFortWorthTexas.gov 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: If different from the approval date. Expiration 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 following order: 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.