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

Contractor's Application for Payment Owner: City of Tiffin Engineer: MSA Professional Services Contractor: Tricon Construction Group Project: Water Treatment Plant Upgrades - City of Tiffin Contract: Water Treatment Plant Upgrades Owner's Project No.: Engineer's Project No.: 13603016 Contractor's Project No.: Application No.: 12R Application Date: 8/21/2026 Application Period: From 7/24/2026 to 8/21/2026 <table> <tr> <th> </th> <th> </th> <th> </th> </tr> <tr> <td>1. Original Contract Price</td> <td>$ 12,182,553.00</td> <td></td> </tr> <tr> <td>2. Net change by Change Orders</td> <td>$ 20,148.91</td> <td></td> </tr> <tr> <td>3. Current Contract Price (Line 1 + Line 2)</td> <td>$ 12,202,701.91</td> <td></td> </tr> <tr> <td>4. Total Work completed and materials stored to date<br>(Sum of Column G Lump Sum Total and Column G Unit Price Total)</td> <td>$ 9,354,190.28</td> <td></td> </tr> <tr> <td>5. Retainage<br>a. 5% X $ 8,552,711.10 Work Completed<br>b. 5% X $ 801,479.18 Stored Materials<br>c. Total Retainage (Line 5.a + Line 5.b)</td> <td>$ 427,635.56<br>$ 40,073.96<br>$ 467,709.52</td> <td></td> </tr> <tr> <td>6. Amount eligible to date (Line 4 - Line 5.c)</td> <td>$ 8,886,480.76</td> <td></td> </tr> <tr> <td>7. Less previous payments (Line 6 from prior application)</td> <td>$ 7,136,897.24</td> <td></td> </tr> <tr> <td>8. Amount due this application</td> <td>$ 1,749,583.52</td> <td></td> </tr> <tr> <td>9. Balance to finish, including retainage (Line 3 - Line 4, plus 5c)</td> <td>$ 3,316,221.15</td> <td></td> </tr> </table> Contractor's Certification The undersigned Contractor certifies, to the best of its knowledge, the following: Contractor: Tricon Construction Group Signature: Mary R. Stone Date: 8-27-2026 PAYMENT OF: $ 1,749,583.52 (line 8 or other - attach explanation of the other amount) Recommended by Engineer By: [signature] Title: Senior Project Engineer Date: 8/27/2026 Approved by Funding Agency By: [signature] Title: [title] Approved by Owner By: [signature] Title: [title] Date: [date] Date: [date]