Packet: Tiffin Regular City Council Meeting (09/01/2026)

Miron-Construction Co., ine: CONTINUATION SHEE AIA DOCUMENT G703 Page: 4 AIA DOCUMENT. G702, APPLICATION AND: CERTIFICATE FOR PAYMENT, ‘containing Contractor’s:signed. Cettification is attached, APPLICATION NUMBER: 16 Jn tabulation below, amounts are stated te the nearest. cert. APPLICATION DATE: 08/26/2026 INVOICE NO.: Use Column | on Contracts where variable retainage for'line items may apply, PERIOD TO: 68/31/2096 50120-0018 _PROJECT.NO: 250120 A \ B ¢ 5B Eo F 6 H ] SCHEDULED-YALUE WORK COMPLETED (D+E) : j sa | : MATERIAL |coMPLETED| pur:|ERS BALANCE ITEM NO. _e DESCRIRTION-OF WORK ORIGINAL | Giperg ‘Al ORDERS | CURRENT ae FRY PPLICATION THIS PERIOD |" ‘ S TorEeD PRESENTLY: , AND STOREDM%( a TODATE G /C) To FINISH 2° IRETAINAGE 218 Landscaping Allowance 75,000.00) ~F5,000.00)va 0.00) 9,00) 0.00) 8.00] 0.00 a) 0.08 0.801 i220 Unreleased Add #8 Allowemos: 10060.061 — -10;000.09) 0.00 0:00 0.00 0.00 ooo} 0 0.00 0:00) Popa tal Bask GO) adh ooced 11,903. 140: Eee NL WE Md a AIA DOCUMENT G70a - APPLICATION.AND CERTIFICATE FOR PAYMENT ; THE AMERICAN INSTITUTE QF ARGHITEGTS 1735 NEW-VORK AVENUE: