contract agreement · E-5
Approval of Pay Application #11 – Tricon Construction Group – Water Treatment Plant Upgrades — E-5
Page 2 of 11
Text read by the vision model; check the PDF for anything that matters.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: ____________________________
Sources
- revize: E-5 (168KAwK7FKhM5xQCqSzzOPGxkg9ZEL.pdf) — where it was found ↗ first seen Oct 12, 2026
Attached to agenda item: E-5 Approval of Pay Application #11 – Tricon Construction Group – Water Treatment Plant Upgrades
Data last updated October 15, 2026. Built from the archive's documents; see how the data is built.