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 A B C D E F G H I Work Completed Work Completed (D + E) From and Materials Previous Materials Currently Stored to Date % of Scheduled Balance to Finish Application This Period Stored (not in D or E) (D + E + F) Value (G / C) (C - G) Item No. Description Scheduled Value ($) ($) ($) ($) ($) (%) ($) Original Contract 00 General Requirements - - 01 General Conditions $588,953.00 351,691.83 78,153.74 429,845.57 73% 159,107.43 02 Bond/Buider's Risk Insurance $199,542.00 199,542.00 199,542.00 100% - 03 Allowance EP1 - Generator & ATS $329,890.00 329,890.00 329,890.00 100% - 04 Allowance EP2 Electrical Equipment Line item 167 - - - 05 Allowance - Electrical Service $5,000.00 - - 0% 5,000.00 06 Mobilization $350,000.00 300,000.00 50,000.00 350,000.00 100% - 07 Site Testing $53,736.00 34,409.97 7,090.02 41,499.99 77% 12,236.01 08 Traffic Control $10,000.00 4,000.00 1,000.00 5,000.00 50% 5,000.00 09 Portable Toilets $5,400.00 1,910.12 574.52 2,484.64 46% 2,915.36 10 Dumpster $14,600.00 5,500.00 2,000.00 7,500.00 51% 7,100.00 11 Concrete Washout Pit $2,400.00 960.00 720.00 1,680.00 70% 720.00 12 Erosion Control $8,250.00 4,000.00 1,000.00 5,000.00 61% 3,250.00 13 - - - 14 Existing Conditions - - - 15 Structure Demolition $33,445.00 - - 0% 33,445.00 16 - - - 17 Concrete - - - 18 Structure 10 - Existing Building - - - 19 Rebar - Materials $54,588.00 40,941.00 8,188.20 49,129.20 90% 5,458.80 20 Rebar - Labor $46,399.80 34,799.85 6,959.97 41,759.82 90% 4,639.98 21 Concrete - Materials $165,884.00 107,824.60 41,471.00 149,295.60 90% 16,588.40 22 Concrete - Labor $91,308.20 59,350.33 22,827.05 82,177.38 90% 9,130.82 23 Structure 20 - RO Building - - - 24 Rebar - Materials $84,556.00 76,100.40 4,227.80 80,328.20 95% 4,227.80 EJCDC® C-620 Contractor's Application for Payment © National Society of Professional Engineers for EJCDC. All rights reserved. 00 62 76 - 2 of 11 G:\13\13603\13603021\Pay Apps\Pay App #11\13603021_Tiffin WTP Pay App #1 (IFA)