Approval of Pay Application #13 – Rathje Construction Co. – Original Town Urbanization – Phase 3 — E-4

AIA Type Document Application and Certification for Payment TO (OWNER): City of Tiffin 300 Railroad St Tiffin, IA 52340 PROJECT: Original Town Urbaniz Ph3 241 W 3rd St IA 52340 APPLICATION NO: 13 PERIOD TO: 7/31/2026 FROM (CONTRACTOR): Rathle Construction Co. 309 44th St P.O. Box 408 Marion, IA 52302-0408 VIA (ARCHITECT): .Architect's PROJECT NO: DISTRIBUTION TO: OWNER ARCHITECT CONTRACTOR CONTRACT FOR: 7476-24 <table> <tr> <th>ITEM</th> <th>DESCRIPTION</th> <th>PLAN QTY</th> <th>UNIT</th> <th>UNIT PRICE</th> <th>SCHEDULED VALUE</th> <th>PREV COMP QTY</th> <th>PREV COMP APPL</th> <th>COMP QTY/%</th> <th>COMP THIS PERIOD</th> <th>COMP AMT</th> <th>STORED MATERIAL</th> <th>COMP QTY/%</th> <th>COMPLETED TO DATE</th> <th>% COMPLETED</th> <th>BALANCE</th> </tr> <tr> <td>48</td> <td>Bituminous Bedding Course</td> <td>657,700 SY</td> <td></td> <td>$29.90</td> <td>$19,866.23</td> <td>657,7000</td> <td>$19,685.24</td> <td>.0000</td> <td>$0.00</td> <td>$0.00</td> <td>657,7000</td> <td>$19,866.24</td> <td>100.00</td> <td>$-0.01</td> </tr> <tr> <td>49</td> <td>Curb and Gutter 36 Wide 9'</td> <td>3,533,400 LF</td> <td></td> <td>$32.70</td> <td>$116,542.18</td> <td>3,534,0000</td> <td>$116,531.80</td> <td>.0000</td> <td>$0.00</td> <td>$0.00</td> <td>3,534,0000</td> <td>$116,531.80</td> <td>100.02</td> <td>$-19.62</td> </tr> <tr> <td>50</td> <td>Pavement HMA Standard Traffic 5'</td> <td>4,805,300 SY</td> <td></td> <td>$45.90</td> <td>$220,583.27</td> <td>4,426,6300</td> <td>$203,131.83</td> <td>376,7700</td> <td>$17,431.44</td> <td>$0.00</td> <td>4,805,3000</td> <td>$220,583.27</td> <td>100.00</td> <td>$0.00</td> </tr> <tr> <td>51</td> <td>Full Depth Reclamation</td> <td>6,203,100 SY</td> <td></td> <td>$4.50</td> <td>$27,913.95</td> <td>6,449,7600</td> <td>$29,023.93</td> <td>.0000</td> <td>$0.00</td> <td>$0.00</td> <td>6,449,7600</td> <td>$29,023.93</td> <td>103.98</td> <td>$-1,109.98</td> </tr> <tr> <td>52</td> <td>Removal Sidewalk</td> <td>971,000 SY</td> <td></td> <td>$9.00</td> <td>$8,739.00</td> <td>993,3600</td> <td>$8,840.24</td> <td>.0000</td> <td>$0.00</td> <td>$0.00</td> <td>993,3600</td> <td>$8,940.24</td> <td>102.30</td> <td>$-201.24</td> </tr> <tr> <td>53</td> <td>Removal Driveway</td> <td>489,000 SY</td> <td></td> <td>$9.00</td> <td>$4,401.00</td> <td>1,145,4900</td> <td>$10,393.41</td> <td>.0000</td> <td>$0.00</td> <td>$0.00</td> <td>1,746,4900</td> <td>$10,393.41</td> <td>23.45</td> <td>$-5,008.41</td> </tr> <tr> <td>54</td> <td>Removal of Pavement</td> <td>800,000 SY</td> <td></td> <td>$9.00</td> <td>$7,200.00</td> <td>804,8500</td> <td>$7,243.86</td> <td>.0000</td> <td>$0.00</td> <td>$0.00</td> <td>804,8500</td> <td>$7,243.86</td> <td>100.61</td> <td>$-43.65</td> </tr> <tr> <td>55</td> <td>Sidewalk PCC 4in</td> <td>1,221,300 SY</td> <td></td> <td>$50.70</td> <td>$61,919.91</td> <td>1,221,3000</td> <td>$61,919.91</td> <td>.0000</td> <td>$0.00</td> <td>$0.00</td> <td>1,221,3000</td> <td>$61,919.91</td> <td>100.00</td> <td>$0.00</td> </tr> <tr> <td>56</td> <td>Sidewalk PCC 6in</td> <td>801,600 SY</td> <td></td> <td>$80.00</td> <td>$64,128.00</td> <td>801,6000</td> <td>$64,128.00</td> <td>.0000</td> <td>$0.00</td> <td>$0.00</td> <td>801,6000</td> <td>$64,128.00</td> <td>100.00</td> <td>$0.00</td> </tr> <tr> <td>57</td> <td>Combined Sidewalk and Retaining Wall</td> <td>82,100 CY</td> <td></td> <td>$275.00</td> <td>$22,677.50</td> <td>88,1600</td> <td>$24,244.00</td> <td>.0000</td> <td>$0.00</td> <td>$0.00</td> <td>88,1600</td> <td>$24,244.00</td> <td>107.38</td> <td>$-1,666.50</td> </tr> <tr> <td>58</td> <td>Concrete Steps</td> <td>72,000 SF</td> <td></td> <td>$150.00</td> <td>$10,800.00</td> <td>103,0000</td> <td>$15,450.00</td> <td>.0000</td> <td>$0.00</td> <td>$0.00</td> <td>103,0000</td> <td>$15,450.00</td> <td>143.06</td> <td>$-4,650.00</td> </tr> <tr> <td>59</td> <td>Detectable Warning</td> <td>374,000 SF</td> <td></td> <td>$47.25</td> <td>$17,671.50</td> <td>434,0000</td> <td>$20,506.50</td> <td>.0000</td> <td>$0.00</td> <td>$0.00</td> <td>434,0000</td> <td>$20,506.50</td> <td>116.04</td> <td>$-2,835.00</td> </tr> <tr> <td>60</td> <td>Driveway Paved PCC 6'</td> <td>727,000 SY</td> <td></td> <td>$74.40</td> <td>$54,088.80</td> <td>998,7900</td> <td>$89,645.97</td> <td>.0000</td> <td>$0.00</td> <td>$0.00</td> <td>998,7900</td> <td>$89,645.97</td> <td>129.13</td> <td>$-16,757.17</td> </tr> <tr> <td>61</td> <td>Driveway Granular</td> <td>34,000 TN</td> <td></td> <td>$31.00</td> <td>$1,054.00</td> <td>18,0600</td> <td>$659.86</td> <td>.0000</td> <td>$0.00</td> <td>$0.00</td> <td>18,0600</td> <td>$559.86</td> <td>53.12</td> <td>$494.14</td> </tr> <tr> <td>62</td> <td>Slope Protection Wood Excelsior Mat</td> <td>7,000 SQ</td> <td></td> <td>$100.00</td> <td>$700.00</td> <td>.0000</td> <td>$0.00</td> <td>82,1800</td> <td>$8,218.00</td> <td>$0.00</td> <td>82,1800</td> <td>$8,218.00</td> <td>174.00</td> <td>$-7,518.00</td> </tr> <tr> <td>63</td> <td>Stabilizing Crop Seeding Fertilizing (Urban)</td> <td>.500 AC</td> <td></td> <td>$1,500.00</td> <td>$750.00</td> <td>.0000</td> <td>$0.00</td> <td>.0000</td> <td>$0.00</td> <td>.0000</td> <td>.0000</td> <td>$0.00</td> <td>.00</td> <td>$750.00</td> </tr> <tr> <td>64</td> <td>Conventional Seeding Seeding Fert and Mulching</td> <td>1,250 AC</td> <td></td> <td>$3,500.00</td> <td>$4,375.00</td> <td>.0000</td> <td>$0.00</td> <td>1,6100</td> <td>$5,635.00</td> <td>$0.00</td> <td>1,6100</td> <td>$5,635.00</td> <td>128.80</td> <td>$-1,260.00</td> </tr> <tr> <td>65</td> <td>Perimeter Slope Sediment Control Device 9'</td> <td>300,000 LF</td> <td></td> <td>$3.00</td> <td>$900.00</td> <td>575,0000</td> <td>$1,725.00</td> <td>.0000</td> <td>$0.00</td> <td>$0.00</td> <td>575,0000</td> <td>$1,725.00</td> <td>191.67</td> <td>$-625.00</td> </tr> <tr> <td>66</td> <td>Perimeter+Slope Sediment Control Device 12'</td> <td>300,000 LF</td> <td></td> <td>$4.00</td> <td>$1,200.00</td> <td>.0000</td> <td>$0.00</td> <td>.0000</td> <td>$0.00</td> <td>.0000</td> <td>.0000</td> <td>$0.00</td> <td>.00</td> <td>$1,200.00</td> </tr> <tr> <td>67</td> <td>Remove Perimeter+Slope Sediment Control Device</td> <td>600,000 LF</td> <td></td> <td>$0.50</td> <td>$300.00</td> <td>.0000</td> <td>$0.00</td> <td>575,0000</td> <td>$267.50</td> <td>$0.00</td> <td>575,0000</td> <td>$267.50</td> <td>95.83</td> <td>$12.50</td> </tr> <tr> <td>68</td> <td>Revetment Class D'</td> <td>20,000 TN</td> <td></td> <td>$80.00</td> <td>$1,200.00</td> <td>11,2400</td> <td>$874.40</td> <td>.0000</td> <td>$0.00</td> <td>$0.00</td> <td>11,2400</td> <td>$874.40</td> <td>56.20</td> <td>$525.60</td> </tr> <tr> <td>69</td> <td>Erosion Stone</td> <td>5,000 TN</td> <td></td> <td>$120.00</td> <td>$600.00</td> <td>8,3100</td> <td>$997.20</td> <td>.0000</td> <td>$0.00</td> <td>$0.00</td> <td>8,3100</td> <td>$997.20</td> <td>166.20</td> <td>$-397.20</td> </tr> <tr> <td>70</td> <td>SWPPP Management</td> <td>LS</td> <td></td> <td>$0.00</td> <td>$6,300.00</td> <td>80.0000%</td> <td>$5,040.00</td> <td>20.0000%</td> <td>$1,260.00</td> <td>$0.00</td> <td>100.0000%</td> <td>$6,300.00</td> <td>100.00</td> <td>$0.00</td> </tr> </table>