contract agreement · E-5

Approval of Pay Application #11 – Tricon Construction Group – Water Treatment Plant Upgrades — E-5

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Contractor's Application for Payment Owner: City of Tiffin Engineer: MSA Professional Services Contractor: Tricon Construction Group Project: Water Treatment Plant Upgrades - City of Tiffin Contract: Water Treatment Plant Upgrades Owner's Project No.: _______________________ Engineer's Project No.: 13603016 Contractor's Project No.: _______________________ Application No.: 11R Application Date: 7/29/2026 Application Period: From 6/27/2026 to 7/31/2026 <table> <tr> <th> </th> <th> </th> <th> </th> </tr> <tr> <td>1. Original Contract Price</td> <td>$</td> <td>12,182,553.00</td> </tr> <tr> <td>2. Net change by Change Orders</td> <td>$</td> <td>20,148.91</td> </tr> <tr> <td>3. Current Contract Price (Line 1 + Line 2)</td> <td>$</td> <td>12,202,701.91</td> </tr> <tr> <td>4. Total Work completed and materials stored to date<br>(Sum of Column G Lump Sum Total and Column G Unit Price Total)</td> <td>$</td> <td>7,512,523.41</td> </tr> <tr> <td>5. Retainage<br>a. 5% X $ 6,640,315.19 Work Completed<br>b. 5% X $ 872,208.22 Stored Materials<br>c. Total Retainage (Line 5.a + Line 5.b)</td> <td>$</td> <td>332,015.76<br>43,610.41<br>375,626.17</td> </tr> <tr> <td>6. Amount eligible to date (Line 4 - Line 5.c)</td> <td>$</td> <td>7,136,897.24</td> </tr> <tr> <td>7. Less previous payments (Line 6 from prior application)</td> <td>$</td> <td>5,854,291.80</td> </tr> <tr> <td>8. Amount due this application</td> <td>$</td> <td>1,282,605.44</td> </tr> <tr> <td>9. Balance to finish, including retainage (Line 3 - Line 4, plus 5c)</td> <td>$</td> <td>5,065,804.67</td> </tr> </table> Contractor's Certification The undersigned Contractor certifies, to the best of its knowledge, the following: Contractor: Tricon Construction Group Signature: Mary K. Stone Date: 7/24/2026 PAYMENT OF: $1,282,605.44 (line 8 or other - attach explanation of the other amount) Recommended by Engineer By: Clint Wiener Title: Senior Project Engineer Date: July 29, 2026 Approved by Funding Agency By: ____________________________ Title: ____________________________ Approved by Owner By: ____________________________ Title: ____________________________ Date: ____________________________ Date: ____________________________

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Attached to agenda item: E-5 Approval of Pay Application #11 – Tricon Construction Group – Water Treatment Plant Upgrades

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