Packet: Tiffin Regular City Council Meeting (10/06/2026)

Stored Material Summary Contractor's Application For (Contract): Application Number: Roberts Ferry Rd & Village Dr Traffic Signal Improvements 1 Application Period: Application Date: From 06/02/2026 to 09/20/2026 9/25/2026 A B C D E F G Submittal Stored Previously Subtotal Amount Incorporated in Work Materials LS Bid Supplier No. (with Storage Date Placed Amount Stored Completed and Stored to Date Remaining in Item Description of Materials or Equipment Stored Amount Amount Invoice No. Specification Location into Storage this Month ($) Date (D + E) (Month/ Storage ($) No. ($) ($) Section No.) (Month/Year Year) (D + E - F) 5 265060 Pedestal Pole, 10' Black 9/2026 $6,400.00 $6,400.00 $6,400.00 6 265060 Pedestal Pole, 10' Black 9/2026 $1,300.00 $1,300.00 $1,300.00 3 265060 12" 3 Section Black 9/2026 $8,750.00 $8,750.00 $8,750.00 1 265060 12" 3 Section Black 9/2026 $1,250.00 $1,250.00 $1,250.00 2 265060 12" 4 Section Black 9/2026 $2,900.00 $2,900.00 $2,900.00 3 265060 12" 5 Section Black 9/2026 $3,500.00 $3,500.00 $3,500.00 11 265060 Ped-Black 9/2026 $6,000.00 $6,000.00 $6,000.00 24 265060 APS Push Button 9/2026 $13,600.00 $13,600.00 $13,600.00 25 265060 AG-0142-30-62-PNC 9/2026 $780.00 $780.00 $780.00 26 265060 AG-0144-114-96-PNC 9/2026 $1,100.00 $1,100.00 $1,100.00 27 265060 AG-0144-66-96-PNC 9/2026 $900.00 $900.00 $900.00 35 265060 P44 Cabinet 9/2026 $22,000.00 $22,000.00 9/2026 $22,000.00 $0.00 36 265060 Commander 9/2026 $5,500.00 $5,500.00 $5,500.00 37 265060 E11B Signal Sense 1000 - 2 Battery 9/2026 $6,500.00 $6,500.00 $6,500.00 38 265060 EDI 16CH 9/2026 $1,850.00 $1,850.00 $1,850.00 39 265060 Miovision Detection System 9/2026 $28,600.00 $28,600.00 $28,600.00 40 265060 Opticom GPS System 9/2026 $8,450.00 $8,450.00 $8,450.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Totals $0.00 $119,380.00 $119,380.00 $22,000.00 $97,380.00 EJCDC® C-620 Contractor's Application for Payment © National Society of Professional Engineers for EJCDC. All rights reserved. 00 62 76 - 6 of 6 G:\13\13603\13603030\Construction\14 Pay Applications\Pay Application 01\13603030 - Roberts Ferry & Village Drive Signal - Pay Application #01.xlsx