Discussion and Consideration of Change Order #2 – Tricon Construction – Tiffin Water Treatment Facility Upgrade Project – Motion to Approve — K.4

Change Order Request Form 4. Cost Impact <table> <tr> <th>Description</th> <th>Quantity</th> <th>Unit Cost</th> <th>Total Cost</th> </tr> <tr> <td>Additional Material</td> <td>1</td> <td>38.72</td> <td>38.72</td> </tr> <tr> <td>Additional Labor</td> <td>3</td> <td>70.00</td> <td>210.00</td> </tr> <tr> <td colspan="3">Subtotal</td> <td>248.72</td> </tr> <tr> <td colspan="3">Overhead/Profit</td> <td></td> </tr> <tr> <td colspan="3"><b>Total Cost</b></td> <td><b>248.72</b></td> </tr> </table> 5. Schedule Impact [X] No impact [ ] Adds ________ working days [ ] Other: _______________________ 6. Submitted By Contractor Name: Hawkeye Insulation Specialists, Inc. Submitted By: Michael J Devaney Title: President Signature: Date: Nov. 19, 2025 7. Approval [ ] Approved [ ] Denied [ ] Pending Further Review Approved By: ____________________________ Title: _________________________________ Signature: _____________________________ Date: _________________________________