Approval of Pay Application #12 – Tricon Construction Group – Water Treatment Facility Upgrade [AMENDED] — E-4 [AMENDED]

<table> <tr> <th colspan="2">Progress Estimate - Lump Sum Work</th> <th colspan="2">Contractor's Application for Payment</th> </tr> <tr> <td>Owner:</td> <td>City of Tiffin</td> <td>Owner's Project No.:</td> <td></td> </tr> <tr> <td>Engineer:</td> <td>MSA Professional Services</td> <td>Engineer's Project No.:</td> <td>13603016</td> </tr> <tr> <td>Contractor:</td> <td>Tricon Construction Group</td> <td>Contractor's Project No.:</td> <td></td> </tr> <tr> <td>Project:</td> <td>Water Treatment Plant Upgrades - City of Tiffin</td> <td></td> <td></td> </tr> <tr> <td>Contract:</td> <td></td> <td></td> <td></td> </tr> <tr> <td>Application No.: 12R</td> <td>Application Period: From 07/24/26 to 08/21/26</td> <td>Application Date: 08/21/26</td> <td></td> </tr> <tr> <th colspan="5">Change Orders</th> </tr> <tr> <td>238</td> <td>Change Order #1</td> <td></td> <td></td> <td></td> </tr> <tr> <td>239</td> <td>Electrical Controls Changes</td> <td>$12,420.34</td> <td>-</td> <td>0% 12,420.34</td> </tr> <tr> <td>240</td> <td></td> <td>-</td> <td>-</td> <td>-</td> </tr> <tr> <td>241</td> <td>Change Order #2</td> <td></td> <td></td> <td></td> </tr> <tr> <td>242</td> <td>COR #003R2-Water Service Addition</td> <td>3,545.10</td> <td>3,018.07</td> <td>3,018.07 85% 527.03</td> </tr> <tr> <td>243</td> <td>COR-004+-Xfmr Pad relocate & bollards</td> <td>1,804.21</td> <td>-</td> <td>0% 1,804.21</td> </tr> <tr> <td>244</td> <td>COR-006 - Chem Containment Curbs</td> <td>1,022.01</td> <td>1,022.01</td> <td>1,022.01 100%</td> </tr> <tr> <td>245</td> <td>COR-007 - Bldg 10 Load Brg Wall Chngs</td> <td>2,556.62</td> <td>442.75</td> <td>2,113.87 2,556.62 100%</td> </tr> <tr> <td>246</td> <td>COR-008R-12" Valve Add,6" Valve Deducts</td> <td>(1,619.74)</td> <td>(1,619.74)</td> <td>(1,619.74) 100%</td> </tr> <tr> <td>247</td> <td>COR-010-MCC Rm Intake Duct Addition</td> <td>3,402.31</td> <td>-</td> <td>0% 3,402.31</td> </tr> <tr> <td>248</td> <td>COR-012-Low Lift Pump Efficiency Credit</td> <td>(2,890.94)</td> <td>(2,890.94)</td> <td>(2,890.94) 100%</td> </tr> <tr> <td>249</td> <td></td> <td>-</td> <td>-</td> <td>-</td> </tr> <tr> <td>250</td> <td></td> <td>-</td> <td>-</td> <td>-</td> </tr> <tr> <td>251</td> <td></td> <td>-</td> <td>-</td> <td>-</td> </tr> <tr> <td>252</td> <td></td> <td>-</td> <td>-</td> <td>-</td> </tr> <tr> <td>253</td> <td></td> <td>-</td> <td>-</td> <td>-</td> </tr> <tr> <td>254</td> <td></td> <td>-</td> <td>-</td> <td>-</td> </tr> <tr> <td>255</td> <td></td> <td>-</td> <td>-</td> <td>-</td> </tr> <tr> <td>256</td> <td></td> <td>-</td> <td>-</td> <td>-</td> </tr> <tr> <td>257</td> <td></td> <td>-</td> <td>-</td> <td>-</td> </tr> <tr> <td colspan="2">Change Order Totals</td> <td>$ 20,239.91</td> <td>$(27.85)</td> <td>$ 2,113.87 $ 2,086.02 10% $ 18,153.89</td> </tr> <tr> <th colspan="5">Original Contract and Change Orders</th> </tr> <tr> <td>Project Totals</td> <td></td> <td>$ 12,202,792.91</td> <td>$ 6,640,315.19</td> <td>$ 1,912,395.91 $ 801,479.18 $ 9,354,190.28 77% $ 2,848,602.63</td> </tr> </table>