K-2 - Pay Application #1 – Maxwell Construction, Tiffin Heights West Watermain Extension

<table> <tr> <th>Item #</th> <th>Description</th> <th>Quantity</th> <th>Unit</th> <th>Unit Price</th> <th>Total</th> <th colspan="2">TOTALS THIS PERIOD</th> <th colspan="2">COMPLETED TO DATE</th> </tr> <tr> <td></td> <td></td> <td></td> <td></td> <td></td> <td></td> <td>Quantity</td> <td>Cost</td> <td>Quantity</td> <td>Cost</td> <td>%</td> </tr> <tr> <td>1</td> <td>Sanitary Sewer, PVC Truss, 8-inch</td> <td>265</td> <td>LF</td> <td>$48.00</td> <td>$12,720.00</td> <td>0.00</td> <td>$0.00</td> <td>0.00</td> <td>$0.00</td> <td>0.00%</td> </tr> <tr> <td>2</td> <td>Sanitary Sewer, PVC Truss, 10-inch</td> <td>2,751</td> <td>LF</td> <td>$68.00</td> <td>$187,988.00</td> <td>0.00</td> <td>$0.00</td> <td>0.00</td> <td>$0.00</td> <td>0.00%</td> </tr> <tr> <td>3</td> <td>20' PVC Sanitary Sewer Manhole (9 Structures)</td> <td>107.78</td> <td>EA</td> <td>$420.00</td> <td>$44,877.60</td> <td>0.00</td> <td>$0.00</td> <td>0.00</td> <td>$0.00</td> <td>0.00%</td> </tr> <tr> <td>4</td> <td>Connect to Existing Sanitary Sewer Manhole</td> <td>1</td> <td>EA</td> <td>$1,500.00</td> <td>$1,500.00</td> <td>0.00</td> <td>$0.00</td> <td>0.00</td> <td>$0.00</td> <td>0.00%</td> </tr> <tr> <td>5</td> <td>Gas Crossings</td> <td>2</td> <td>EA</td> <td>$2,000.00</td> <td>$4,000.00</td> <td>0.00</td> <td>$0.00</td> <td>0.00</td> <td>$0.00</td> <td>0.00%</td> </tr> <tr> <td>6</td> <td>Sanitary Sewer Tees/Elbows</td> <td>3,016</td> <td>LS</td> <td>$2.00</td> <td>$6,032.00</td> <td>0.00</td> <td>$0.00</td> <td>0.00</td> <td>$0.00</td> <td>0.00%</td> </tr> <tr> <td>7</td> <td>Sanitary Sewer Casing</td> <td>1</td> <td>LS</td> <td>$65.00</td> <td>$65.00</td> <td>0.00</td> <td>$0.00</td> <td>0.00</td> <td>$0.00</td> <td>0.00%</td> </tr> <tr> <td>8</td> <td>Driveway/Roadway Granular Surfacing</td> <td>89</td> <td>TON</td> <td>$30.00</td> <td>$2,670.00</td> <td>0.00</td> <td>$0.00</td> <td>0.00</td> <td>$0.00</td> <td>0.00%</td> </tr> <tr> <td>9</td> <td>Granular Trench Backfill</td> <td>75</td> <td>LF</td> <td>$205.00</td> <td>$15,375.00</td> <td>0.00</td> <td>$0.00</td> <td>0.00</td> <td>$0.00</td> <td>0.00%</td> </tr> <tr> <td>10</td> <td>Sanitary Compacted Trench Backfill</td> <td>2,441</td> <td>LF</td> <td>$12.00</td> <td>$29,292.00</td> <td>0.00</td> <td>$0.00</td> <td>0.00</td> <td>$0.00</td> <td>0.00%</td> </tr> <tr> <th colspan="6">SANITARY SEWER TOTAL</th> <th colspan="2">$311,174.00</th> <th colspan="2"></th> <th></th> </tr> </table> <table> <tr> <th>Item #</th> <th>Description</th> <th>Quantity</th> <th>Unit</th> <th>Unit Price</th> <th>Total</th> <th colspan="2">TOTALS THIS PERIOD</th> <th colspan="2">COMPLETED TO DATE</th> </tr> <tr> <td></td> <td></td> <td></td> <td></td> <td></td> <td></td> <td>Quantity</td> <td>Cost</td> <td>Quantity</td> <td>Cost</td> <td>%</td> </tr> <tr> <td>1</td> <td>6" PVC Watermain</td> <td>20</td> <td>LF</td> <td>$35.00</td> <td>$685.00</td> <td>20.00</td> <td>$685.00</td> <td>20.00</td> <td>$685.00</td> <td>100.00%</td> </tr> <tr> <td>2</td> <td>12" PVC Watermain</td> <td>2,416</td> <td>LF</td> <td>$60.00</td> <td>$144,960.00</td> <td>1,724.00</td> <td>$103,440.00</td> <td>1,724.00</td> <td>$103,440.00</td> <td>100.00%</td> </tr> <tr> <td>3</td> <td>12" PVC Redrained Joint Watermain</td> <td>596</td> <td>LF</td> <td>$40.00</td> <td>$23,840.00</td> <td>472.00</td> <td>$18,880.00</td> <td>472.00</td> <td>$18,880.00</td> <td>100.00%</td> </tr> <tr> <td>4</td> <td>Directional Drill 12" Watermain</td> <td>113</td> <td>LF</td> <td>$135.00</td> <td>$15,255.00</td> <td>113.00</td> <td>$15,255.00</td> <td>113.00</td> <td>$15,255.00</td> <td>100.00%</td> </tr> <tr> <td>5</td> <td>Bore & Jack 12" Watermain w/22" Casing</td> <td>105</td> <td>LF</td> <td>$770.00</td> <td>$80,850.00</td> <td>105.00</td> <td>$80,850.00</td> <td>105.00</td> <td>$80,850.00</td> <td>100.00%</td> </tr> <tr> <td>6</td> <td>6" Gate Valve</td> <td>1</td> <td>EA</td> <td>$2,500.00</td> <td>$2,500.00</td> <td>1.00</td> <td>$2,500.00</td> <td>1.00</td> <td>$2,500.00</td> <td>100.00%</td> </tr> <tr> <td>7</td> <td>12" Gate Valve</td> <td>14</td> <td>EA</td> <td>$4,950.00</td> <td>$69,300.00</td> <td>14.00</td> <td>$69,300.00</td> <td>14.00</td> <td>$69,300.00</td> <td>100.00%</td> </tr> <tr> <td>8</td> <td>Fire Hydrant Assembly</td> <td>8</td> <td>EA</td> <td>$7,600.00</td> <td>$60,800.00</td> <td>8.00</td> <td>$60,800.00</td> <td>8.00</td> <td>$60,800.00</td> <td>100.00%</td> </tr> <tr> <td>9</td> <td>Seamless Welding of Existing Watermain</td> <td>2</td> <td>LS</td> <td>$350.00</td> <td>$700.00</td> <td>2.00</td> <td>$700.00</td> <td>2.00</td> <td>$700.00</td> <td>100.00%</td> </tr> <tr> <td>10</td> <td>Miscellaneous Water Fittings</td> <td>2</td> <td>LS</td> <td>$33,600.00</td> <td>$67,200.00</td> <td>2.00</td> <td>$67,200.00</td> <td>2.00</td> <td>$67,200.00</td> <td>100.00%</td> </tr> <tr> <td>11</td> <td>Water Testing</td> <td>1</td> <td>LS</td> <td>$900.00</td> <td>$900.00</td> <td>1.00</td> <td>$900.00</td> <td>1.00</td> <td>$900.00</td> <td>100.00%</td> </tr> <tr> <td>12</td> <td>Watermain Compacted Trench Backfill</td> <td>3,028</td> <td>LF</td> <td>$8.00</td> <td>$24,224.00</td> <td>3,028.00</td> <td>$24,224.00</td> <td>3,028.00</td> <td>$24,224.00</td> <td>100.00%</td> </tr> <tr> <th colspan="6">WATER TOTAL</th> <th colspan="2">$481,523.00</th> <th colspan="2"></th> <th></th> </tr> </table> <table> <tr> <th>Item #</th> <th>Description</th> <th>Quantity</th> <th>Unit</th> <th>Unit Price</th> <th>Total</th> <th colspan="2">TOTALS THIS PERIOD</th> <th colspan="2">COMPLETED TO DATE</th> </tr> <tr> <td></td> <td></td> <td></td> <td></td> <td></td> <td></td> <td>Quantity</td> <td>Cost</td> <td>Quantity</td> <td>Cost</td> <td>%</td> </tr> <tr> <td>1</td> <td>Traffic Control</td> <td>1</td> <td>LS</td> <td>$12,000.00</td> <td>$12,000.00</td> <td>0.50</td> <td>$6,000.00</td> <td>0.50</td> <td>$6,000.00</td> <td>50.00%</td> </tr> <tr> <td>2</td> <td>Rock Creek Dam</td> <td>24</td> <td>EA</td> <td>$750.00</td> <td>$18,000.00</td> <td>6.00</td> <td>$4,500.00</td> <td>6.00</td> <td>$4,500.00</td> <td>25.00%</td> </tr> <tr> <td>3</td> <td>Class D Rip Rap</td> <td>52</td> <td>TON</td> <td>$60.00</td> <td>$3,120.00</td> <td>0.00</td> <td>$0.00</td> <td>0.00</td> <td>$0.00</td> <td>0.00%</td> </tr> <tr> <td>4</td> <td>Filter Sock Inlet Protection</td> <td>1,475</td> <td>EA</td> <td>$2.00</td> <td>$2,950.00</td> <td>200.00</td> <td>$400.00</td> <td>200.00</td> <td>$400.00</td> <td>27.14%</td> </tr> <tr> <td>5</td> <td>Filter Sock Inlet Protection</td> <td>7</td> <td>EA</td> <td>$75.00</td> <td>$525.00</td> <td>4.00</td> <td>$300.00</td> <td>4.00</td> <td>$300.00</td> <td>57.14%</td> </tr> <tr> <td>6</td> <td>Seeding Work</td> <td>4.6</td> <td>ACRE</td> <td>$4,700.00</td> <td>$22,660.00</td> <td>0.00</td> <td>$0.00</td> <td>0.00</td> <td>$0.00</td> <td>0.00%</td> </tr> <tr> <td>7</td> <td>Finish Grading</td> <td>1</td> <td>LS</td> <td>$16,000.00</td> <td>$16,000.00</td> <td>0.50</td> <td>$8,000.00</td> <td>0.50</td> <td>$8,000.00</td> <td>50.00%</td> </tr> <tr> <td>8</td> <td>SWPPP Maintenance</td> <td>1</td> <td>LS</td> <td>$2,800.00</td> <td>$2,800.00</td> <td>0.00</td> <td>$0.00</td> <td>0.00</td> <td>$0.00</td> <td>0.00%</td> </tr> <tr> <th colspan="6">MISCELLANEOUS TOTAL</th> <th colspan="2">$19,400.00</th> <th colspan="2"></th> <th></th> </tr> </table> <table> <tr> <th>Item #</th> <th>Description</th> <th>Quantity</th> <th>Unit</th> <th>Unit Price</th> <th>Total</th> <th colspan="2">TOTALS THIS PERIOD</th> <th colspan="2">COMPLETED TO DATE</th> </tr> <tr> <td>1</td> <td>EXTRA WORK ORDERS</td> <td></td> <td></td> <td></td> <td></td> <td></td> <td></td> <td></td> <td></td> <td></td> </tr> <tr> <th colspan="6">EXTRA WORK ORDER COST</th> <th colspan="2"></th> <th colspan="2"></th> <th></th> </tr> </table> Summary of Request <table> <tr> <th>Total Contract</th> <td>$870,652.00</td> <th>500,923.00</th> <th>500,923.00</th> <th>% Complete</th> </tr> <tr> <th>Extra Work Orders</th> <td>$ -</td> <th>$ -</th> <th>$ -</th> <th></th> </tr> <tr> <th>Total Contract w/ EWOs</th> <td>$870,652.00</td> <th>500,923.00</th> <th>500,923.00</th> <th>57.53%</th> </tr> <tr> <th>Less Retainage of Completed Work (0%)</th> <td>$ -</td> <th>$ -</th> <th>$ -</th> <th></th> </tr> <tr> <th>Total Retainage / Dues</th> <td>$ -</td> <th>$ -</th> <th>$ -</th> <th></th> </tr> <tr> <th>Total Earned Line Retainage</th> <td>$ -</td> <th>$ -</th> <th>$ -</th> <th></th> </tr> <tr> <th>Less Previously Approved Pay Requests</th> <td>$ -</td> <th>$ -</th> <th>$ -</th> <th>To finish (w/o): $569,729.00</th> </tr> </table> Previously Approved Pay Requests: PAID? DATE Pay App#: - Total Previously Approved Pay Requests $ - Balance Due This Month $ 500,923.00 Balance Overdue $ - Total Balance Due $ 500,923.00 Thank you! 1 1/2% (18% per annum) per month late payment charge will be added to accounts 30 days past due.