Packet: Tiffin Regular City Council Meeting (06/02/2026)

Stored Materials Summary Contractor's Application for Payment owner City of Tiffin Engineers Projet Nos Engineer: Contractor: MSA Tricon Contractor's Project No.: 25-0125-IA Project: Contract: Application No.: 9 Application Period: From 5/1/2026 to 5/31/2026 Application Date: 5/22/26 A B Cc D E F G | H | I J | K | L M Item No. (Lump Sum Submittal No. (with Application No. Materials Stored Incorporated in Work Materials Remaining in Tab) or Bid Item No. Specification Section No.) When Materials Amount Previously |Amount Incorporated in Total Amount Storage (Unit Price Tab) Supplier Invoice No. Description of Materials or Equipment Placed in Storage] Previous Amount Amount Stored this | Amount Stored to Date| Incorporated inthe | the Work this Period ($)} Incorporated in the (I-L) Stored Stored Period (G+H) Work Work ($) ($) ($) ($) ($) (J+K) Storage Location (S) 105 0176660-IN 083459-001-1 |Vault Doors Onsite 4 S 21,050.00 | $ - S 21,050.00] $ - |S 12,050.00} $ 12,050.00} $ 9,000.00 039823, S 29,765.00 S - S$ 29,765.00 213 039852 402323-001-1 12" PRV, 8" Gate Valve Onsite 6 S 29,765.00 | $ - S - |S - 217 039852 402323-001-1 |8" Gate Valves (3) Onsite 6 S 9,034.50 |S - 1S 9,034.50] S - |S - S 1$ 9,034.50 223 0177001-IN 444256.10-001-1 |LL & HS Pumps/ Motors Offsite 6 S$ 112,600.00 | $ - S 112,600.00] $ - |S - S -| $112,600.00 225 040047 444276.30-001-0 |Mechaniclal Slide Gates Onsite 7 S 24,155.00 | $ - S 24,155.00] $ - |S 18,116.25 | S$ 18,116.25] $ 6,038.75 37 50035882168 03200-001-3 Clearwell Rebar Installed 7 S 25,283.00 | $ - S 25,283.00}$ 25,283.00 | $ - S 25,283.00) S$ + 37 50035881578 03200-001-3 Clearwell Rebar Installed 7 S 24,024.00 | $ - S 24,024.00} $ 24,024.00 | $ - S 24,024.00} S$ ;| 37 50035901450 03200-001-3 Clearwell Rebar Installed 7 S 22,318.00 | $ - | S 22,318.00]$ 22,318.00 |$ - | S 22,318.00] 5$ - 37 50035914613 03200-001-3 Clearwell Rebar Installed 7 S 15,090.70 | $ - S 15,090.70] $ 15,090.70 | $ - S 15,090.70} $ + 216 Y774097 402323-001-2 |Clearwell Top Vent Pipes Onsite 8 S 2,820.00 | S - |S 2,820.00] $ - |S - S 1S 2,820.00 218 040370 402323-001-1 |2" ARV Valve Onsite 8 S 1,520.00] $ - 1S 1,520.00] $ - |$ - $ 1 $ 1,520.00 100 0177182-IN 077233-001-3 |Clearwell Bilco Roof Hatches Onsite 8 S 5,193.00] S - 1S 5,193.00] $ - 1S - S 15S 5,193.00 Lab Equipment - CL Mtr & 228 CC Receipt 444276.60-001-1 |Spectrophotometer Onsite 8 S 7,216.00 | S - | S$ 7,216.00] $ - 1S - S |S 7,216.00 129 Pay App #1 220000-001-3_ {AG Plumbing Fixtures Offsite 8 S 14,666.58 |S - S 14,666.58] $ - |S - S 1 $ 14,666.58 171 044841 269000-001-3 Instrumentation Onsite 8 S 65,106.00 | $ - S 65,106.00} $ - |S - S 1S 65,106.00 Panelboards, Xfmr, Ctrl S 22,746.00 S + S 22,746.00 170 044987 262416-001-0 {Stations Onsite 9 S - |S 22,746.00 S - |S - 235 58947B53055 444416.001-1 Chem Pumps, FM's, Misc Matl Onsite 9 S - 1S 61,337.00 | S$ 61,337.00] $ - |S - S 1S 61,337.00 69 26-550 055300-001-2 _|FRP Embedded Angles Onsite 9 5 - |S 15,500.00 | $ 15,500.00} $ -|$ -| $ 1 $15,500.00 105 0177334-IN 077233-001-3 Roof Hatches (Pumps) Onsite 9 S - |S 7,785.00} $ 7,785.00} $ - |S - S 1$ 7,785.00 171 045057 269000-001-3 LT's, TT's, Switches, PT's Onsite 9 S - 1S 14,439.00 | $ 14,439.00] $ - |S - S 1S 14,439.00 Totals} $ 379,841.78|$ 121,807.00|$ 501,648.78} S$ 86,715.70}$ 30,166.25|$ 116,881.95|$ 384,766.83