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

CONSTRUCTION DISBURSEMENT REQUEST Borrower: City of Tiffin Contact: Doug Boldt, City Administrator Street Address: 300 Railroad Street; PO Box 259 Email: [email protected] City, State, Zip Tiffin, IA 52340 Phone: 319 545-2572 SRF Project #: FS-52-25-DWSRF-001 Request Date: 8/18/2026 Final Request Yes or Revenue Loan Other Funding DNR Permit #(s): 2025-0171W Request #: 7 No: NO D0814R Loan Amount: Loan Amount Amount Expenses $ 14,384,000.00 Tricon Construction Legal and Muncipal Administrative Contract Other Construction Other Construction Other Construction Other Funding Advisor Expenses Expenses Engineering ($12,182,553.00) Contract if Applicable Contract if Applicable Contract if Applicable Total Expenses SRF Request Amount Request Amount Initiation Fee $ 71,920.00 $ 71,920.00 Request #1 $ 217,793.28 $ 1,823,406.04 $ 2,041,199.32 $ 2,041,199.32 Request #2 $ 31,797.65 $ 557,440.64 $ 589,238.29 $ 589,238.29 Request #3 $ 21,646.08 $ 337,184.25 $ 358,830.33 $ 358,830.33 Request #4 $ 32,283.66 $ 1,178,412.67 $ 1,210,696.33 $ 1,210,696.33 Request #5 $ 37,912.22 $ 904,401.14 $ 942,313.36 $ 942,313.36 Request #6 $ 41,585.15 $ 1,048,697.06 $ 1,090,282.21 $ 1,090,282.21 Request #7 $ 35,125.33 $ 1,287,355.44 $ 1,322,480.77 $ 1,322,480.77 Request #8 $ - Request #9 $ - Request #10 $ - Request #11 $ - Request #12 $ - Request #13 $ - Request #14 $ - Request #15 $ - Request #16 $ - Request #17 $ - Request #18 $ - Request #19 $ - Request #20 $ - Request #21 $ - Request #22 $ - Total $ - $ - $ 418,143.37 $ 7,136,897.24 $ - $ - $ - $ 7,626,960.61 $ 7,626,960.61 $ - I hereby certify that this request for disbursement of is a true and accurate request for disbursement; that it is made in accordance with the terms and conditions of the above Available to Draw referenced Agreements; and that the corresponding invoices attached to the request and this request represents eligible project costs not previously requested or to be requested $ 6,757,039.39 from other sources. Typed or Printed Name and Title Signature of Authorized Representative