Approval of State Revolving Fund (SRF) Reimbursement Request #7 - Water Treatment Facility Upgrade Project — E-4

Progress Estimate - Lump Sum Work Contractor's Application for Payment Owner: City of Tiffin Owner's Project No.: Engineer: MSA Professional Services Engineer's Project No.: 13603016 Contractor: Tricon Construction Group Contractor's Project No.: Project: Water Treatment Plant Upgrades - City of Tiffin Contract: Application No.: 12 Application Period: From 06/27/26 to 07/23/26 Application Date: 07/24/26 180 Bldg 10 - Foundations (Exc&BF) $25,630.00 12,815.00 12,815.00 25,630.00 100% - 181 Bldg 20 - RO Fundations (Exc&BF) $45,250.00 45,250.00 45,250.00 100% - 182 Bldg 20 - Aeration Tank Found (Ex&BF) $15,640.00 15,640.00 15,640.00 100% - 183 Bldg 30 - Foundations (Exc&BF) $37,650.00 18,825.00 18,825.00 50% 18,825.00 184 - - - 185 Exterior Improvements - - - 186 Asphalt Paving (Trail) $22,130.00 22,130.00 22,130.00 100% - 187 Concrete Paving (Site) $130,288.00 - - 0% 130,288.00 188 Chain Link Fencing $32,250.00 - - 0% 32,250.00 189 Seeding $6,914.00 - - 0% 6,914.00 190 - - - 191 Utilities - - - 192 A - 12" W to Clearwell $32,544.00 29,289.60 29,289.60 90% 3,254.40 193 B - 8" W to Clearwell $25,663.00 20,530.40 5,132.60 25,663.00 100% - 194 C - UG Storm Sewer North $48,686.00 38,948.80 38,948.80 80% 9,737.20 195 D - 12" W Aerator to Clearwell $18,549.00 16,694.10 1,854.90 18,549.00 100% - 196 E - 12" W Bldg 10 to Bldg 20 $8,554.00 7,698.60 7,698.60 90% 855.40 197 G - UG Storm Sewer East $67,822.00 67,822.00 67,822.00 100% - 198 H & J- UG Storm Sewer West/South $87,552.00 83,174.40 4,377.60 87,552.00 100% - 199 K - UG Storm Sewer Clearwell West $42,500.00 - - 0% 42,500.00 200 F - UG Sanitary Manholes & Piping $165,835.00 149,251.50 16,583.50 165,835.00 100% - 201 Roof Drains $2,500.00 - 2,000.00 2,000.00 80% 500.00 202 Bldg 20 - Process Drain Manhole $8,500.00 8,500.00 8,500.00 100% - 203 - - - 204 Process Integration (Piping) - - - 205 Structure 10 - Existing Bldg - - - 206 Process Piping Materials $55,103.74 - 17,745.00 17,745.00 32% 37,358.74 207 Process Piping Labor $37,550.00 - - 0% 37,550.00 208 Valves Materials $9,500.00 - 9,500.00 9,500.00 100% - 209 Valves Labor $8,250.28 - - 0% 8,250.28 210 Structure 20 - RO Building - - - EJCDC® C-620 Contractor's Application for Payment © National Society of Professional Engineers for EJCDC. All rights reserved. 00 62 76 - 8 of 11 G:\13\13603\13603021\Pay Apps\Pay App #11\13603021_Tiffin WTP Pay App #1 (IFA)