Discussion and Consideration of Pay Application #12 – Miron Construction – Tiffin Recreation Center Project – Motion to Approve — K.2

(%8) 11((==== ')68-*-'%8)3*0-%&-0-8=-2796%2') 04/06/2026 8,-7 ')68-*-'%8) -7 -779)( %7 % 1%88)6 3* -2*361%8-32 320= %2( '32*)67 23 6-+,87 9432 8,) ')68-*-'%8) ,30()6 8,-7 ')68-*-'%8) (3)7 238 %**-61%8-:)0= 36 2)+%8-:)0= %1)2( )<8)2( 36 %08)6 8,) '3:)6%+) %**36()( &= 8,) 430-'-)7 &)03;  8,-7 ')68-*-'%8) 3* -2796%2') (3)7 238 '3278-898) % '3286%'8 &)8;))2 8,) -779-2+ -2796)6 7  %98,36->)( 6)46)7)28%8-:)36463(9')6%2(8,)')68-*-'%8),30()6 IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). '328%'8 463(9')6 2%1) Brian Berg Brian Berg 4,32) *%< c/o FBL Financial Group Inc. (319) 393-8318 %'2S  %'2S)\X  1323 Boyson Rd )1%-0 [email protected] %((6)77 Hiawatha, IA 52233-2210 -2796)6 7 %**36(-2+'3:)6%+) 2%-' -2796)6% Farm Bureau Property & Casualty Insurance Company 13773 -2796)( -2796)6& MEDIAQUEST SIGN COMPANY, LLC MEDIAQUEST SIGNS -2796)6' 5100 20TH AVE SW -2796)6( CEDAR RAPIDS, IA 524044875 -2796)6) -2796)6* '3:)6%+)7 ')68-*-'%8)291&)6 6):-7-32291&)6 8,-7 -7 83 ')68-*= 8,%8 8,) 430-'-)7 3* -2796%2') 0-78)( &)03;,%:) &))2 -779)( 83 8,)-2796)( 2%1)( %&3:) *36 8,) 430-'= 4)6-3( -2(-'%8)(  238;-8,78%2(-2+ %2= 6)59-6)1)28 8)61 36 '32(-8-32 3* %2= '3286%'8 36 38,)6 (3'91)28 ;-8, 6)74)'8 83 ;,-', 8,-7 ')68-*-'%8) 1%= &) -779)( 36 1%= 4)68%-2 8,) -2796%2') %**36()( &= 8,) 430-'-)7 ()7'6-&)( ,)6)-2 -7 79&.)'8 83 %00 8,) 8)617 )<'097-327%2('32(-8-3273*79',430-'-)70-1-877,3;21%=,%:)&))26)(9')(&=4%-('0%-17 -276 %((0 79&6 430-'=)** 430-'=)<4 086 8=4)3*-2796%2') -27( ;:( 430-'=291&)6 11((==== 11((==== 0-1-87 A '311)6'-%0+)2)6%00-%&-0-8= )%',3''966)2')  1000000 CPP6023084 01/14/2026 01/14/2027 (%1%+)836)28)( '0%-171%() 3''96 46)1-7)7 )ESGGYVVIRGI  100000 1)()<4 %R]SRITIVWSR  5000 4)6732%0 %(:-2.96=  1000000 +)2 0%++6)+%8)0-1-8%440-)74)6 +)2)6%0%++6)+%8)  2000000 463 2000000 430-'= .)'8 03' 463(9'87'31434%++  38,)6  %98313&-0)0-%&-0-8= '31&-2)(7-2+0)0-1-8  A CPP6023084 01/14/2026 01/14/2027 )EEGGMHIRX 1000000 %2=%983 &3(-0=-2.96= 4IVTIVWSR  OWNED 7',)(90)( &3(-0=-2.96= 4IVEGGMHIRX  AUTOS ONLY %9837 ,-6)( 2323;2)( 4634)68=(%1%+)  AUTOS ONLY AUTOS ONLY 4IVEGGMHIRX  A 91&6)00%0-%& 3''96 CU 0001931 01/14/2026 01/14/2027 )%',3''966)2')  5000000 )<')770-%& '0%-171%() %++6)+%8)  5000000 ()( 6)8)28-32  10000  ;36/)67'314)27%8-32 4)6 38, A %2()1403=)67 0-%&-0-8= 78%898) )6 =2 WC 6005989 01/14/2026 01/14/2027 1000000 %2=46346-)8364%682)6)<)'98-:) )0)%',%''-()28  3**-')61)1&)6)<'09()(# N 2% 1ERHEXSV]MR2, )0(-7)%7))%)1403=))  1000000 -J]IWHIWGVMFIYRHIV ()7'6-48-323*34)6%8-327FIPS[ )0(-7)%7)430-'=0-1-8  1000000 ()7'6-48-323*34)6%8-32703'%8-327:),-'0)7 %'36(%HHMXMSREP6IQEVOW7GLIHYPIQE]FIEXXEGLIHMJQSVIWTEGIMWVIUYMVIH PROJECT #250120 CITY OF TIFFIN COMMUNITY RECREATION CENTER BP#2 INC MISC SUPPLY WORK AT LOCATION 5100 20TH AVE SW CEDAR RAPIDS IA 52404- STORED MATERIAL $50,150 MIRON CONSTRUCTION CO, SUNSHINE LEASING LLP, CITY OF TIFFIN, AURA ARCHITECTURE ARE IS LISTED AS ADDITIONAL INSURED WITH WAIVER OF SUBROGATION, ON PRIMARY AND NONCONTRIBUTORY, ONGOING AND COMPLETED OPERATIONS- PER PROJECT ON GENERAL LIABILITY AND GOVERNMENTAL IMMUNITIES-CITY OF TIFFIN- 30 DAY CANCELLATION ')68-*-'%8),30()6 '%2')00%8-32 MIRON CONSTRUCTION CO, INC 335 FRENCH CT SW 7,390(%2=3*8,)%&3:)()7'6-&)(430-'-)7&)'%2')00)(&)*36) CEDAR RAPIDS , IA 52404 8,) )<4-6%8-32 (%8) 8,)6)3* 238-') ;-00 &) ()0-:)6)( -2 %''36(%2');-8,8,)430-'=463:-7-327 %98,36->)(6)46)7)28%8-:) Jon Swartz, Underwriting Vice President 1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD