Discussion and Consideration of Pay Application #9 – Miron Construction – Tiffin Recreation Center – Motion to Approve — K-3

• Building Excellence. lltens Inc Subcontractor/Supplier Contract List January 2026 Miron Project Name: City of Tiffin Community Recreation Center Miron Project#: 250120 Contract#: 250120-000025 Contract Amount: $ 719,950.00 Requested Original Sub-tier Payment for Material Phone Contract/ Previous this month's Balance Lien Waiver Sub-tier Name PO# Descriotion Address # Estimate Amount Pavments billina Remainina Rec'd 1 -f'PAA/,1;_ �U,of'. PTt/.5 £JJJv'< /,S,,pp :S&/9 -,.,µ �z:'{ l�� tzo 12457.86 150,100.00 35562.14 2 £t,£oT J/.;A-r d/.10 3 --re1t/l/r- tfa/1/Tf)/1{/2 l�.a,.,?/£� it4 ��-� 27> l'lt:>.LJOO 28,500.00 161,500.00 4 /21<T AMrl A.«oe, vUx>:5" /?/41) j ••l/1/U ,<Jo/J� Jl!',,7 "-/? SOo 38,370.00 9130.00 5 ,ote'T 50V' e,c /J.u ffe -� ,,, 6 1 /J.£�.tMr rRN <' !;t,US It£ 0 7 11... u,07 1.o ,,, A"'t""",/'IE 8800.00 t.N1<.1. 4 ,t}if2.6 C../S/vN 13�r�.,.,-� A 1R., :Z:z..oA �D 8 tv,'1..:>�&J I (!; IJEflh;J 9 I(!J./F5'7A'£/T B .m JfldA,, 1,,d.. < t7�/1t1o /J,.,,,, -r JA -:,,� -; �I ti "t'.s-co ·-= 4500.00 0 0 Yes 10 Labor, Misc Material, etc. � <') w TOTAL: 'hf. 9Zo $13207.86 $ 216,970.00 $ 214,992.14 $ u.. .... <t N N � Chanae Orders (at ootion of Miron's Proiect Manaaer) "' co 1 i.i.. ....<t<') 2 J, <t 3 .... a, co 0 4 0 a, TOTAL: -$ $ $ $ co co 00 � N u.. Please email completed form to: [email protected] 0 Q Please provide a detailed breakdown showing the amount to be paid to each sub-tier (subcontractor or supplier) on all pay requests. This information should } also be identified on your Schedule of Values. In addition, we ask that you provide Lien Waivers from your sub-tiers. If for any reason lien waivers are not �C received and payment has not been met, Miron will hold future payments due to your company until it is confirmed that the previous pay requests have been � paid out. Cl ·;;; ::, '-' 0 0