K-5 - Pay Application 8 - Woodruff Construction - Public Works Building

TO: City of Tiffin DATE: October 10, 2022 PROJECT NO.: 11870.02 ATTENTION: Doug Boldt PROJECT: Tiffin Public Works Building RE: Pay Application #8 WE ARE SENDING YOU ☒ Attached ☐ Under separate cover via hand the following items: ☐ Contract ☐ Prints/Plans ☐ Samples ☐ Specifications ☐ Pay Request ☐ Copy of Letter ☐ Change Order ☐ <table> <tr> <th>COPIES</th> <th>DATE</th> <th>NO.</th> <th>DESCRIPTION</th> </tr> <tr> <td>1</td> <td></td> <td>8</td> <td>Pay Application</td> </tr> <tr> <td>1</td> <td></td> <td></td> <td>Typical Woodruff Fraud Awareness Letter</td> </tr> </table> THESE ARE TRANSMITTED as checked below: ☒ For approval ☐ No exceptions taken ☐ Resubmit copies for approval ☒ For your use ☐ Make corrections noted ☐ Submit copies for distribution ☐ As requested ☐ For review and comment ☐ Return corrected prints ☐ Rejected see remarks ☐ FOR BIDS DUE REMARKS: Retain one copy for your records. Print one copy and remit along with payment to Woodruff Construction. Note: All certificate of insurance are the same as last pay request so they have not been included.