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CONSTRUCTION DISBURSEMENT REQUEST Borrower: City of Tiffin Contact: Doug Boldt, City Administrator Street Address: 300 Railroad Street; PO Box 259 Email: [email protected] City, State, Zip Tiffin, IA 52340 Phone: 319 545-2572 SRF Project #: FS-52-25-DWSRF-001 Request Date: 3/3/2026 Final Request Yes or Revenue Loan Other Funding DNR Permit #(s): 2025-0171W Request #: 2 No: NO D0814R Loan Amount: Loan Amount Amount Expenses $ 14,384,000.00 Tricon Construction Other Construction Other Construction Other Construction Legal and Muncipal Administrative Contract Contract if Contract if Contract if Other Funding Advisor Expenses Expenses Engineering ($12,182,553.00) Applicable Applicable Applicable Total Expenses SRF Request Amount Request Amount Initiation Fee $ 71,920.00 $ 71,920.00 Request #1 $ 217,793.28 $ 1,823,406.04 $ 2,041,199.32 $ 2,041,199.32 Request #2 $ 31,797.65 $ 557,440.64 $ 589,238.29 Request #3 $ - Request #4 $ - Request #5 $ - Request #6 $ - Request #7 $ - Request #8 $ - Request #9 $ - Request #10 $ - Request #11 $ - Request #12 $ - Request #13 $ - Request #14 $ - Request #15 $ - Request #16 $ - Request #17 $ - Request #18 $ - Request #19 $ - Request #20 $ - Request #21 $ - Request #22 $ - Total $ - $ - $ 249,590.93 $ 2,380,846.68 $ - $ - $ - $ 2,702,357.61 $ 2,113,119.32 $ - I hereby certify that this request for disbursement of is a true and accurate request for disbursement; that it is made in accordance with the terms and conditions of the Available to Draw above referenced Agreements; and that the corresponding invoices attached to the request and this request represents eligible project costs not previously requested or to be $ 12,270,880.68 requested from other sources. Typed or Printed Name and Title Signature of Authorized Representative

Sources

  • revize: Agenda packet (packet_2026-03-03_69b80a70-7c35-4dc3-b01e-966369bd0f18.pdf) — where it was found ↗ first seen Oct 12, 2026

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