Packet: Tiffin Regular City Council Meeting (01/20/2026)

Application and Certificate For Payment -- page 3 To Owner: Miron Constuction INC Application No: 4 Date: 12/12/25 Period To: 12/31/25 From (Contractor): Price Electric Contractor's Job Number: CA-250877 Project: Tiffin Rec Center BP2 Architect's Project No: Work Completed Materials Completed and Item Scheduled Previous Presently Stored Stored to Date Balance to Finish Number Description Value Application This Period % Retention Memo 710 Mobilization 10,000.00 10,000.00 0.00 0.00 10,000.00 100.00 0.00 300.00 900 Rental 10,000.00 3,000.00 1,000.00 0.00 4,000.00 40.00 6,000.00 120.00 901 Submittals 5,000.00 2,500.00 2,500.00 0.00 5,000.00 100.00 0.00 150.00 RFC-001 ASI-02 Transformer Pad 2,751.89 2,751.89 0.00 0.00 2,751.89 100.00 0.00 82.56 RFC-002 Deduct to change to MC cable -7,358.01 -7,358.01 0.00 0.00 -7,358.01 100.00 0.00 -220.74 Application Total 673,333.88 76,163.88 49,229.00 158,750.00 284,142.88 42.20 389,191.00 8,524.29