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: 07/24/26 211 Process Piping Materials $111,340.84 - 66,925.48 66,925.48 60% 44,415.36 212 Process Piping Labor $85,502.50 2,137.56 2,137.56 2% 83,364.94 213 Valves Materials $83,000.00 - 29,765.00 29,765.00 36% 53,235.00 214 Valves Labor $30,614.26 - - 0% 30,614.26 215 Structure 30 - Clearwell - - - 216 Process Piping Materials $62,822.42 7,658.00 9,079.50 16,737.50 27% 46,084.92 217 Process Piping Labor $69,588.64 - - 0% 69,588.64 218 Valves Materials $42,830.00 - 10,554.50 10,554.50 25% 32,275.50 219 Valves Labor $26,450.68 - - 0% 26,450.68 220 Insulation $6,825.00 - - 0% 6,825.00 221 - - - 222 Pollution Control Equipment - - - 223 Vertical Turbine Pumps Materials $115,300.00 2,700.00 112,600.00 115,300.00 100% - 224 Vertical Turbine Pumps Labor $24,601.24 - - 0% 24,601.24 225 Slide Gates Materials $24,155.00 18,116.25 6,038.75 24,155.00 100% - 226 Slide Gates Labor $9,001.40 4,500.70 4,500.70 9,001.40 100% - 227 Clearwell Leak Testing $18,144.00 - - 0% 18,144.00 228 Lab Equipment $7,216.00 - 7,216.00 7,216.00 100% - 229 Filter Media Replacement Materials $49,780.00 49,780.00 49,780.00 100% - 230 Filter Media Replacement Labor $16,480.00 16,480.00 16,480.00 100% - 231 Forced Draft Aerator Materials $125,890.00 - 62,945.00 62,945.00 50% 62,945.00 232 Forced Draft Aerator Labor $14,995.00 749.75 749.75 5% 14,245.25 233 RO System Materials $1,408,500.00 281,700.00 281,700.00 20% 1,126,800.00 234 RO System Labor $203,600.00 - - 0% 203,600.00 235 Chem Sys Chlorine Fluoride Caustic $125,425.00 - 104,302.00 104,302.00 83% 21,123.00 236 Chem Systems Labor $41,582.00 4,158.20 4,158.20 10% 37,423.80 237 - - - Original Contract Totals $ 12,182,553.00 $ 5,404,563.52 $1,235,779.52 $ 872,208.22 $ 7,512,551.26 62% $ 4,670,001.74 EJCDC® C-620 Contractor's Application for Payment © National Society of Professional Engineers for EJCDC. All rights reserved. 00 62 76 - 9 of 11 G:\13\13603\13603021\Pay Apps\Pay App #11\13603021_Tiffin WTP Pay App #1 (IFA)