Packet: Tiffin City Council Regular Meeting (03/03/2026)

Contractor's Application for Payment Owner: City of Tiffin Owner's Project No.: Engineer: MSA Professional Services Engineer's Project No.: 13603016 Contractor: Tricon Construction Group Contractor's Project No.: Project: Water Treatment Plant Upgrades - City of Tiffin Contract: Water Treatment Plant Upgrades Application No.: 6R Application Date: 2/20/2026 Application Period: From 1/24/2026 to 2/20/2026 1. Original Contract Price $ 12,182,553.00 2. Net change by Change Orders $ 12,420.34 3. Current Contract Price (Line 1 + Line 2) $ 12,194,973.34 4. Total Work completed and materials stored to date iS 2,506,154.41 (Sum of Column G Lump Sum Total and Column G Unit Price Total) $ 2,506, 154.41 5. Retainage a 5% X $ 2,333,704.91 Work Completed $ 116,685.25 b. 5% X $ 172,449.50 Stored Materials $ 8,622.48 c. Total Retainage (Line 5.a + Line 5.b) $ 125,307.73 6. Amount eligible to date (Line 4 - Line 5.c) $ 2,380,846.68 7. Less previous payments (Line 6 from prior application) $ 1 823,406.04 8. Amount due this application $ 557,440.64 9. Balance to finish, including retainage (Line 3 - Line 4, plus 5c) $ 9,814,126.66 Contractor's Certification The undersigned Contractor certifies, to the best of its knowledge, the following: Contractor: “[ri con Construction Grovp Signature: arr Y . CTO Date: 2/25 o0se PAYMENT OF: S 557,440.64 (line 8 or other - attach explanation of the other amount) Recommended by Engineer Approved by Owner By: ene— By: Title: | Senior Project Engineer Title: Date: = 2/25/2026 Date: Approved by Funding Agency By: By: Title: Title: Date: Date: EJCDC® C-620 Contractor's Application for Payment © National Society of Professional Engineers for EJCDC. All rights reserved. 00 62 \ABesehvOk\dhares\Projects\active\Tiffin WTP (25-012-IA)\3-Tricon\PaymentApplications\Pay Application