Approval of State Revolving Fund (SRF) Reimbursement Request #10 - Water Treatment Facility Upgrade Project — E-5

INVOICE TO MAKE A PAYMENT BY CREDIT CARD, PLEASE REQUEST A SECURE LINK VIA COLLECTIONS@MSA- PS.COM. A 3% SERVICE FEE WILL BE ADDED TO INVOICES PAID BY CREDIT CARD. PAST DUE BALANCES ARE SUBJECT TO AN INTEREST RATE OF 1.5% PER MONTH. Invoice No: 034637 Invoice Date: 10/26/2026 City of Tiffin Invoice Terms: Due upon receipt PO Box 259 Project No: R13603021.00 300 Railroad Street Project Manager: Clint Wienen Tiffin, IA 52340 Client Liaison: Andrew Inhelder Customer Ref: From 09/13/2026 To 10/10/2026 R13603021.00 Tiffin Water Treatment Facility Upgrade Bidding & CRS Progress detail Percent Previous Current Remaining Phase Fee complete billing billing contract Bidding 32,000.00 100.00% 32,000.00 0.00 0.00 Construction Administration 374,000.00 76.59% 270,424.30 16,035.50 87,540.20 Post Construction 44,000.00 0.00% 0.00 0.00 44,000.00 Subtotal 450,000.00 70.77% 302,424.30 16,035.50 131,540.20 R13603021.00.300 - RPR Subtotal RPR 22,349.41 Total 38,384.91 Please include the MSA Invoice Number and Project Number with your payment. ACH Payments: Check Payments: [email protected] MSA Account Number: 101065930 1230 South Boulevard Routing Number: 075901590 Baraboo, WI 53913 Bank Information: ACH/Wire, Baraboo State Bank, 101 3rd Avenue Baraboo, WI 53913