staff report memo · K-7
Discussion and Consideration of Approval of State Revolving Fund (SRF) Reimbursement Request #2 – Water Treatment Facility Upgrade Project – Motion to Approve — K.7
Page 3 of 14
Text read by the vision model; check the PDF for anything that matters.Contractor's Application for Payment
<table>
<tr>
<th>Owner:</th>
<td>City of Tiffin</td>
<th>Owner's Project No.:</th>
<td></td>
</tr>
<tr>
<th>Engineer:</th>
<td>MSA Professional Services</td>
<th>Engineer's Project No.:</th>
<td>13603016</td>
</tr>
<tr>
<th>Contractor:</th>
<td>Tricon Construction Group</td>
<th>Contractor's Project No.:</th>
<td></td>
</tr>
<tr>
<th>Project:</th>
<td colspan="3">Water Treatment Plant Upgrades - City of Tiffin</td>
</tr>
<tr>
<th>Contract:</th>
<td colspan="3">Water Treatment Plant Upgrades</td>
</tr>
</table>
Application No.: 6R Application Date: 2/20/2026
Application Period: From 1/24/2026 to 2/20/2026
<table>
<tr>
<th></th>
<th></th>
<th></th>
<th></th>
</tr>
<tr>
<td>1. Original Contract Price</td>
<td></td>
<td>$</td>
<td>12,182,553.00</td>
</tr>
<tr>
<td>2. Net change by Change Orders</td>
<td></td>
<td>$</td>
<td>12,420.34</td>
</tr>
<tr>
<td>3. Current Contract Price (Line 1 + Line 2)</td>
<td></td>
<td>$</td>
<td>12,194,973.34</td>
</tr>
<tr>
<td>4. Total Work completed and materials stored to date<br>(Sum of Column G Lump Sum Total and Column G Unit Price Total)</td>
<td></td>
<td>$</td>
<td>2,506,154.41</td>
</tr>
<tr>
<td>5. Retainage<br>a. 5% X $ 2,333,704.91 Work Completed<br>b. 5% X $ 172,449.50 Stored Materials<br>c. Total Retainage (Line 5.a + Line 5.b)</td>
<td></td>
<td>$</td>
<td>116,685.25<br>8,622.48<br>125,307.73</td>
</tr>
<tr>
<td>6. Amount eligible to date (Line 4 - Line 5.c)</td>
<td></td>
<td>$</td>
<td>2,380,846.68</td>
</tr>
<tr>
<td>7. Less previous payments (Line 6 from prior application)</td>
<td></td>
<td>$</td>
<td>1,823,406.04</td>
</tr>
<tr>
<td>8. Amount due this application</td>
<td></td>
<td>$</td>
<td>557,440.64</td>
</tr>
<tr>
<td>9. Balance to finish, including retainage (Line 3 - Line 4, plus 5c)</td>
<td></td>
<td>$</td>
<td>9,814,126.66</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: 2/25/2026
PAYMENT OF: $557,440.64
(line 8 or other - attach explanation of the other amount)
Recommended by Engineer
By: Clint Weber
Title: Senior Project Engineer
Date: 2/25/2026
Approved by Funding Agency
By:
Title:
Approved by Owner
By:
Title:
Date: ____________________________ Date: ____________________________
Sources
- revize: K.7 (Sbu1Pt61WLVoqEFr9zCgXFcupGAav4.pdf) — where it was found ↗ first seen Oct 12, 2026
Attached to agenda item: K-7 Discussion and Consideration of Approval of State Revolving Fund (SRF) Reimbursement...
Data last updated October 15, 2026. Built from the archive's documents; see how the data is built.