Discussion and Consideration of Pay Application #8 – Miron Construction, Recreation Center – Motion to Approve

Application and Certificate For Payment Page 1 To Owner: Miron Constuction INC Project: Tiffin Rec Center BP2 Application No: 4 Date: 12/12/2025 335 French Ct SW 335 French Ct SW Cedar Rapids, IA 52404 Cedar Rapids, IA 52404 Period To: 12/31/25 Architect's Project No: From Price Electric Contractor Job (Contractor): 405 N Troy Rd CA-250877 Number: Contract Date: Robins, IA 52328 Via (Architect): Contract For: Phone: 319 393-6406 Contractor's Application For Payment Change Order Summary Additions Deductions Original contract sum 677,940.00 Change orders approved in previous months by owner Net change by change orders -4,606.12 2,751.89 -7,358.01 Date Contract sum to date 673,333.88 Number Approved Change Total completed and stored to date 284,142.88 orders approved Retainage this month 3.0% of completed work 3,761.79 Totals 3.0% of stored material 4,762.50 Net change by change orders -4,606.12 Total retainage 8,524.29 The undersigned Contractor certifies that to the best of the Contractor's knowledge, information, and Total earned less retainage 275,618.59 belief the work covered by this Application for Payment has been completed in accordance with the Contract Documents, that all amounts have been paid by the Contractor for work for which previous Certificates for Payment were issued and payments received from the Owner, and that current Less previous certificates of payment 73,878.96 payment shown herein is now due. 0.000% of taxable amount 0.00 Contractor: No Sales or Use Tax By: ____________________________________ Date: _____________ Current sales tax 0.00 State of: __________________ County of: ______________________ Subscribed and sworn to before me this _____ day of ____________, _________ (year). Notary public: _____________________________ Current payment due 201,739.63 My commission expires ____________________. Balance to finish, including retainage 397,715.29 Architect's Certificate for Payment In accordance with the Contract Documents, based on on-site observations and the Architect: data comprising the above application the Architect certifies to the Owner that to the best of the Architect's knowledge, information and belief the Work has progressed as By: _____________________________ Date: ____________ indicated, the quality of the Work is in accordance with the Contract Documents, and the Contractor is entitled to payment of the Amount Certified. This Certification is not negotiable. The Amount Certified is payable only to the Contractor named herein. Issuance, payment, and acceptance of payment are without prejudice to any rights of the Owner or Contractor under this Amount Certified: $ ___________________________ Contract.