contract agreement · K-3

Consideration of Pay Application #5 – Tricon Construction Group – Water Treatment Plant Upgrades – Motion to Approve

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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.: 13603016 Engineer's Project No.: 13603016 Contractor's Project No.: Application No.: 5 Application Date: 1/23/2026 Application Period: From 12/1/2025 to 1/23/2026 <table> <tr> <th> </th> <th> </th> <th> </th> </tr> <tr> <td>1. Original Contract Price</td> <td>$</td> <td>12,182,553.00</td> </tr> <tr> <td>2. Net change by Change Orders</td> <td>$</td> <td>12,420.34</td> </tr> <tr> <td>3. Current Contract Price (Line 1 + Line 2)</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>1,919,374.78</td> </tr> <tr> <td>5. Retainage<br>a. 5% X $ 1,898,324.78 Work Completed<br>b. 5% X $ 21,050.00 Stored Materials<br>c. Total Retainage (Line 5.a + Line 5.b)</td> <td>$</td> <td>94,916.24<br>1,052.50<br>95,968.74</td> </tr> <tr> <td>6. Amount eligible to date (Line 4 - Line 5.c)</td> <td>$</td> <td>1,823,406.04</td> </tr> <tr> <td>7. Less previous payments (Line 6 from prior application)</td> <td>$</td> <td>1,671,253.98</td> </tr> <tr> <td>8. Amount due this application</td> <td>$</td> <td>152,152.06</td> </tr> <tr> <td>9. Balance to finish, including retainage (Line 3 - Line 4, plus 5c)</td> <td>$</td> <td>10,371,567.30</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: 1/23/2026 PAYMENT OF: $152,152.06 (line 8 or other - attach explanation of the other amount) Recommended by Engineer By: [signature] Title: Senior Project Engineer Date: January 26, 2026 Approved by Funding Agency By: [signature] Title: [title] Approved by Owner By: [signature] Title: [title] Date: ____________________________ Date: ____________________________

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