Packet: Tiffin Regular City Council Meeting (05/19/2026)

Miron Construction Co., Inc. REQUEST FOR PAYMENT DATE: 02/17/2026 PROJECT NAME: City of Tiffin Community Recreation Center ADDRESS: Tiffin, IA CONTRACT FOR: Fi-10.11/Building Signage MIRON PROJECT: 250120 REQUEST NUMBER: INVOICE NUMBER: CONTRACT #: 250120-000024 VENDOR #: 00017426 PERIOD FROM: TO: INVOICE DATE: ORIGINAL CONTRACT AMOUNT $84,100.00 APPROVED CHANGE ORDERS AS OF 02/17/2026 $16,200.00 ADJUSTED CONTRACT AMOUNT $100,300.00 TOTAL COMPLETED TO DATE PREVIOUS REQUESTS FOR PAYMENT N/A TOTAL EARNED THIS REQUEST LESS % RETAINAGE CURRENT PAYMENT DUE $50,150 VENDOR: MediaQuest Signs SIGNED: [signature] TITLE: Tyler Johnson *** REQUESTS WILL NOT BE PROCESSED UNTIL THEY ARE SUBMITTED TO MIRON VIA E-MAIL IN A PDF FORMAT TO [email protected] OR ORIGINALS ARE RECEIVED IN OUR CORPORATE OFFICE: PO BOX 509 NEENAH, WI 54957-0509. FAX COPIES WILL NOT BE ACCEPTED. EACH PAY REQUEST MUST INCLUDE AN UP TO DATE SCHEDULE OF VALUES, INCLUDING SUB TIER SUPPLIER/CONTRACTOR BREAKDOWN AND CURRENT PAYMENT STATUS. CHANGE ORDERS ISSUED TO DATE MUST BE REFLECTED ON THE CURRENT SCHEDULE OF VALUES.