contract agreement · K-3
Discussion and Consideration of Pay Application #2 – Tricon Construction Group, Water Treatment Plant Upgrades – Motion to Approve
Page 2 of 12
Text read by the vision model; check the PDF for anything that matters.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.: ____________________________
Engineer's Project No.: 13603016
Contractor's Project No.: ____________________________
Application No.: 2
Application Date: 9/26/2025
Application Period: From 7/31/2025 to 9/30/2025
<table>
<tr>
<th> </th>
<th> </th>
<th> </th>
</tr>
<tr>
<td>1. Original Contract Price</td>
<td>$12,182,553.00</td>
<td></td>
</tr>
<tr>
<td>2. Net change by Change Orders</td>
<td>$12,420.34</td>
<td></td>
</tr>
<tr>
<td>3. Current Contract Price (Line 1 + Line 2)</td>
<td>$12,194,973.34</td>
<td></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>$801,683.84</td>
<td></td>
</tr>
<tr>
<td>5. Retainage<br>a. 5% X $801,683.84 Work Completed<br>b. 5% X $- Stored Materials<br>c. Total Retainage (Line 5.a + Line 5.b)</td>
<td>$40,084.19<br>$-</td>
<td>$40,084.19</td>
</tr>
<tr>
<td>6. Amount eligible to date (Line 4 - Line 5.c)</td>
<td>$761,599.65</td>
<td></td>
</tr>
<tr>
<td>7. Less previous payments (Line 6 from prior application)</td>
<td>$458,122.32</td>
<td></td>
</tr>
<tr>
<td>8. <b>Amount due this application</b></td>
<td>$303,477.33</td>
<td></td>
</tr>
<tr>
<td>9. Balance to finish, including retainage (Line 3 - Line 4, plus 5c)</td>
<td>$11,433,373.69</td>
<td></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: 9/26/25
PAYMENT OF: $303,477.33
(line 8 or other - attach explanation of the other amount)
Recommended by Engineer
By: [signature]
Title: Senior Project Engineer
Date: 9/29/2025
Approved by Funding Agency
By: ____________________________
Title: ____________________________
Date: ____________________________
Approved by Owner
By: ____________________________
Title: ____________________________
Date: ____________________________
Date: ____________________________
Sources
- revize: Attachment (sJkAosKmF3YbZCU8nafSLzkrjB6ds2.pdf) — where it was found ↗ first seen Oct 12, 2026
- sharepoint (K-3 - Staff Report - Pay App #2 - Tricon Construction Group - Water Treatment Plant Upgrades.pdf) — where it was found ↗ first seen Oct 12, 2026
Attached to agenda item: Discussion and Consideration of Pay Application #2 – Tricon Construction Group, Water...
Data last updated October 15, 2026. Built from the archive's documents; see how the data is built.