Discussion and Consideration of Pay Application #9 – Tricon Construction – Tiffin Water Treatment Facility Upgrade Project – Motion to Approve — K.4

<table> <tr> <th>A</th> <th>B</th> <th>C</th> <th>D</th> <th>E</th> <th>F</th> <th>G</th> <th>H</th> <th>I</th> <th>J</th> <th>K</th> <th>L</th> <th>M</th> </tr> <tr> <th>Item No. (Lump Sum Tab) or Bid Item No. (Unit Price Tab)</th> <th>Supplier/Invoice No.</th> <th>Submittal No. (with Specification Section No.)</th> <th>Description of Materials or Equipment Stored</th> <th>Application No. When Materials Placed in Storage</th> <th>Previous Amount Stored ($)</th> <th>Amount Stored this Period ($)</th> <th>Amount Stored to Date (G+H) ($)</th> <th>Amount Previously Incorporated in the Work ($)</th> <th>Amount Incorporated in the Work this Period ($)</th> <th>Total Amount Incorporated in the Work (I+J) ($)</th> <th>Materials Remaining in Storage (L=M) ($)</th> </tr> <tr> <td>105</td> <td>0176660-IN</td> <td>083459-001-1</td> <td>Vault Doors</td> <td>Onsite</td> <td>4</td> <td>$ 21,050.00</td> <td>$ -</td> <td>$ 21,050.00</td> <td>$ -</td> <td>$ 12,050.00</td> <td>$ 12,050.00</td> <td>$ 9,000.00</td> </tr> <tr> <td>213</td> <td>039823</td> <td></td> <td>12" PRV, 8" Gate Valve</td> <td>Onsite</td> <td>6</td> <td>$ 29,765.00</td> <td>$ -</td> <td>$ 29,765.00</td> <td>$ -</td> <td>$ -</td> <td>$ -</td> <td>$ 29,765.00</td> </tr> <tr> <td>217</td> <td>039852</td> <td>402323-001-1</td> <td>8" Gate Valves (3)</td> <td>Onsite</td> <td>6</td> <td>$ 9,034.50</td> <td>$ -</td> <td>$ 9,034.50</td> <td>$ -</td> <td>$ -</td> <td>$ -</td> <td>$ 9,034.50</td> </tr> <tr> <td>223</td> <td>0177001-IN</td> <td>444256-10-001-1</td> <td>LL & HS Pumps / Motors</td> <td>Offsite</td> <td>6</td> <td>$ 112,600.00</td> <td>$ -</td> <td>$ 112,600.00</td> <td>$ -</td> <td>$ -</td> <td>$ -</td> <td>$ 112,600.00</td> </tr> <tr> <td>225</td> <td>040047</td> <td>444276.30-001-0</td> <td>Mechanical Slide Gates</td> <td>Onsite</td> <td>7</td> <td>$ 24,155.00</td> <td>$ -</td> <td>$ 24,155.00</td> <td>$ -</td> <td>$ 18,116.25</td> <td>$ 18,116.25</td> <td>$ 6,038.75</td> </tr> <tr> <td>37</td> <td>50035882168</td> <td>03200-001-3</td> <td>Clearwell Rebar</td> <td>Installed</td> <td>7</td> <td>$ 25,283.00</td> <td>$ -</td> <td>$ 25,283.00</td> <td>$ 25,283.00</td> <td>$ -</td> <td>$ 25,283.00</td> <td>$ -</td> </tr> <tr> <td>37</td> <td>50035881578</td> <td>03200-001-3</td> <td>Clearwell Rebar</td> <td>Installed</td> <td>7</td> <td>$ 24,024.00</td> <td>$ -</td> <td>$ 24,024.00</td> <td>$ 24,024.00</td> <td>$ -</td> <td>$ 24,024.00</td> <td>$ -</td> </tr> <tr> <td>37</td> <td>50035901450</td> <td>03200-001-3</td> <td>Clearwell Rebar</td> <td>Installed</td> <td>7</td> <td>$ 22,318.00</td> <td>$ -</td> <td>$ 22,318.00</td> <td>$ 22,318.00</td> <td>$ -</td> <td>$ 22,318.00</td> <td>$ -</td> </tr> <tr> <td>37</td> <td>50035914613</td> <td>03200-001-3</td> <td>Clearwell Rebar</td> <td>Installed</td> <td>7</td> <td>$ 15,090.70</td> <td>$ -</td> <td>$ 15,090.70</td> <td>$ 15,090.70</td> <td>$ -</td> <td>$ 15,090.70</td> <td>$ -</td> </tr> <tr> <td>216</td> <td>Y774097</td> <td>402323-001-2</td> <td>Clearwell Top Vent Pipes</td> <td>Onsite</td> <td>8</td> <td>$ 2,820.00</td> <td>$ -</td> <td>$ 2,820.00</td> <td>$ -</td> <td>$ -</td> <td>$ -</td> <td>$ 2,820.00</td> </tr> <tr> <td>218</td> <td>040370</td> <td>402323-001-1</td> <td>2" ARV Valve</td> <td>Onsite</td> <td>8</td> <td>$ 1,520.00</td> <td>$ -</td> <td>$ 1,520.00</td> <td>$ -</td> <td>$ -</td> <td>$ -</td> <td>$ 1,520.00</td> </tr> <tr> <td>100</td> <td>0177182-IN</td> <td>077233-001-3</td> <td>Clearwell Bilco Roof Hatches</td> <td>Onsite</td> <td>8</td> <td>$ 5,193.00</td> <td>$ -</td> <td>$ 5,193.00</td> <td>$ -</td> <td>$ -</td> <td>$ -</td> <td>$ 5,193.00</td> </tr> <tr> <td>228</td> <td>CC Receipt</td> <td>444276.60-001-1</td> <td>Lab Equipment - CL Mtr & Spectrophotometer</td> <td>Onsite</td> <td>8</td> <td>$ 7,216.00</td> <td>$ -</td> <td>$ 7,216.00</td> <td>$ -</td> <td>$ -</td> <td>$ -</td> <td>$ 7,216.00</td> </tr> <tr> <td>129</td> <td>Pay App #1</td> <td>220000-001-3</td> <td>AG Plumbing Fixtures</td> <td>Offsite</td> <td>8</td> <td>$ 14,666.58</td> <td>$ -</td> <td>$ 14,666.58</td> <td>$ -</td> <td>$ -</td> <td>$ -</td> <td>$ 14,666.58</td> </tr> <tr> <td>171</td> <td>044841</td> <td>269000-001-3</td> <td>Instrumentation</td> <td>Onsite</td> <td>8</td> <td>$ 65,106.00</td> <td>$ -</td> <td>$ 65,106.00</td> <td>$ -</td> <td>$ -</td> <td>$ -</td> <td>$ 65,106.00</td> </tr> <tr> <td>170</td> <td>044987</td> <td>262416-001-0</td> <td>Panelboards, Xfmr, Ctrl Stations</td> <td>Onsite</td> <td>9</td> <td>$ -</td> <td>$ 22,746.00</td> <td>$ -</td> <td>$ -</td> <td>$ -</td> <td>$ -</td> <td>$ 22,746.00</td> </tr> <tr> <td>235</td> <td>58947853055</td> <td>444416.001-1</td> <td>Chem Pumps, FM's, Misc Matl</td> <td>Onsite</td> <td>9</td> <td>$ -</td> <td>$ 61,337.00</td> <td>$ 61,337.00</td> <td>$ -</td> <td>$ -</td> <td>$ -</td> <td>$ 61,337.00</td> </tr> <tr> <td>69</td> <td>26-550</td> <td>055300-001-2</td> <td>FRP Embedded Angles</td> <td>Onsite</td> <td>9</td> <td>$ -</td> <td>$ 15,500.00</td> <td>$ 15,500.00</td> <td>$ -</td> <td>$ -</td> <td>$ -</td> <td>$ 15,500.00</td> </tr> <tr> <td>105</td> <td>0177334-IN</td> <td>077233-001-3</td> <td>Roof Hatches (Pumps)</td> <td>Onsite</td> <td>9</td> <td>$ -</td> <td>$ 7,785.00</td> <td>$ 7,785.00</td> <td>$ -</td> <td>$ -</td> <td>$ -</td> <td>$ 7,785.00</td> </tr> <tr> <td>171</td> <td>045057</td> <td>269000-001-3</td> <td>LT's, TT's, Switches, PT's</td> <td>Onsite</td> <td>9</td> <td>$ -</td> <td>$ 14,439.00</td> <td>$ 14,439.00</td> <td>$ -</td> <td>$ -</td> <td>$ -</td> <td>$ 14,439.00</td> </tr> <tr> <th>Totals</th> <th></th> <th></th> <th></th> <th></th> <th></th> <th>$ 379,841.78</th> <th>$ 121,807.00</th> <th>$ 501,648.78</th> <th>$ 86,715.70</th> <th>$ 30,166.25</th> <th>$ 116,881.95</th> <th>$ 384,766.83</th> </tr> </table>