Discussion and Consideration of Approval of State Revolving Fund (SRF) Reimbursement Request #5 – Water Treatment Facility Upgrade Project – Motion to Approve — K.5

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.: 9 Application Date: 5/20/2026 Application Period: From 4/24/2026 to 5/20/2026 <table> <tr> <th> </th> <th> </th> </tr> <tr> <td>1. Original Contract Price</td> <td>$ 12,182,553.00</td> </tr> <tr> <td>2. Net change by Change Orders</td> <td>$ 12,420.34</td> </tr> <tr> <td>3. Current Contract Price (Line 1 + Line 2)</td> <td>$ 12,194,973.34</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>$ 5,053,520.78</td> </tr> <tr> <td>5. Retainage<br>a. 5% X $ 4,668,753.95 Work Completed<br>b. 5% X $ 384,766.83 Stored Materials<br>c. Total Retainage (Line 5.a + Line 5.b)</td> <td>$ 233,437.70<br>$ 19,238.34<br>$ 252,676.04</td> </tr> <tr> <td>6. Amount eligible to date (Line 4 - Line 5.c)</td> <td>$ 4,800,844.74</td> </tr> <tr> <td>7. Less previous payments (Line 6 from prior application)</td> <td>$ 3,896,443.60</td> </tr> <tr> <td>8. Amount due this application</td> <td>$ 904,401.14</td> </tr> <tr> <td>9. Balance to finish, including retainage (Line 3 - Line 4, plus 5c)</td> <td>$ 7,394,128.60</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: 5/21/2026 PAYMENT OF: $ 904,401.14 (line 8 or other - attach explanation of the other amount) Recommended by Engineer By: Clint Weise Title: Senior Project Engineer Date: 5/27/2026 Approved by Funding Agency By: ____________________________ Title: ____________________________ Date: ____________________________ Approved by Owner By: ____________________________ Title: ____________________________ Date: ____________________________ Date: ____________________________