staff report memo · K-6

Discussion and Consideration of Approval of State Revolving Fund (SRF) Reimbursement Request #3 – Water Treatment Facility Upgrade Project – Motion to Approve — K.6

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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.: 7 Application Date: 3/27/2026 Application Period: From 2/21/2026 to 3/27/2026 <table> <tr> <th> </th> <th> </th> <th> </th> </tr> <tr> <td>1. Original Contract Price</td> <td>$ 12,182,553.00</td> <td></td> </tr> <tr> <td>2. Net change by Change Orders</td> <td>$ 12,420.34</td> <td></td> </tr> <tr> <td>3. Current Contract Price (Line 1 + Line 2)</td> <td>$ 12,194,973.34</td> <td></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>$ 2,861,085.19</td> <td></td> </tr> <tr> <td>5. Retainage<br>a. 5% x $ 2,577,764.99 Work Completed<br>b. 5% x $ 283,320.20 Stored Materials<br>c. Total Retainage (Line 5.a + Line 5.b)</td> <td>$ 128,888.25<br>$ 14,166.01<br>$ 143,054.26</td> <td></td> </tr> <tr> <td>6. Amount eligible to date (Line 4 - Line 5.c)</td> <td>$ 2,718,030.93</td> <td></td> </tr> <tr> <td>7. Less previous payments (Line 6 from prior application)</td> <td>$ 2,380,846.68</td> <td></td> </tr> <tr> <td>8. Amount due this application</td> <td>$ 337,184.25</td> <td></td> </tr> <tr> <td>9. Balance to finish, including retainage (Line 3 - Line 4, plus 5c)</td> <td>$ 9,476,942.41</td> <td></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: 3/27/26 PAYMENT OF: $ 337,184.25 (line 8 or other - attach explanation of the other amount) Recommended by Engineer By: [signature] Title: Senior Project Engineer Date: April 2, 2026 Approved by Funding Agency By: __________________________ Title: __________________________ Date: _________________________ Approved by Owner By: __________________________ Title: __________________________ Date: _________________________ Date: _________________________ Date: _________________________

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Attached to agenda item: K-6 Discussion and Consideration of Approval of State Revolving Fund (SRF) Reimbursement...

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