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: 07/24/26 118 Metal Storage Systems $6,947.00 - - 0% 6,947.00 119 Fire Extinguishers $854.00 - - 0% 854.00 120 - - - 121 Furnishings - - - 122 Lab Casework $18,810.00 - - 0% 18,810.00 123 - - - 124 Plumbing - - - 125 Bldg 20 Trench Drains/UG Plumbing Mat $26,000.00 26,000.00 26,000.00 100% - 126 Bldg 20 Trench Drains/UG Plumbing Labor $25,000.00 25,000.00 25,000.00 100% - 127 Bldg 20 AG Plumbing Materials $5,000.00 - - 0% 5,000.00 128 Bldg 20 AG Plumbing Materials Labor $20,000.00 - - 0% 20,000.00 129 Bldg 20 Plumbing Fixtures $15,500.00 - 14,666.58 14,666.58 95% 833.42 130 Bldg 20 AG Plumbing Labor $28,000.00 - - 0% 28,000.00 131 Bldg 10 AG Plumbing Materials $5,000.00 - - 0% 5,000.00 132 Bldg 10 AG Plumbing Labor $20,000.00 - - 0% 20,000.00 133 Insulation $5,000.00 - - 0% 5,000.00 134 - - - 135 HVAC/Dehumidifier - - - 136 EF & Destrat $37,066.00 - - 0% 37,066.00 137 EUH $9,492.00 - - 0% 9,492.00 138 GUH $3,660.00 - - 0% 3,660.00 139 LV & Dampers $15,828.00 - - 0% 15,828.00 140 Split & F/CU $20,788.00 - - 0% 20,788.00 141 Dehumidifiers $18,166.00 - - 0% 18,166.00 142 Duct Material $4,003.00 - - 0% 4,003.00 143 HVAC Materials $4,497.00 - - 0% 4,497.00 144 HVAC Labor $117,908.00 - - 0% 117,908.00 145 Insulation $10,000.00 - - 0% 10,000.00 146 Test & Balance $5,750.00 - - 0% 5,750.00 147 - - - 148 Electrical & Controls - - - EJCDC® C-620 Contractor's Application for Payment © National Society of Professional Engineers for EJCDC. All rights reserved. 00 62 76 - 6 of 11 G:\13\13603\13603021\Pay Apps\Pay App #11\13603021_Tiffin WTP Pay App #1 (IFA)