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HomeMy WebLinkAbout2026-02-17 I01H_01 Waukee Public Safety Building_Pmt Est 26AGENDA ITEM: CITY OF WAUKEE, IOWA CITY COUNCIL MEETING COMMUNICATION MEETING DATE: February 17, 2026 AGENDA ITEM:Consideration of approval of Payment Estimate No. 26 (Combined) for the Waukee Public Safety Building Project in the amount of $425,208.64. FORMAT:Consent Agenda SYNOPSIS INCLUDING PRO & CON: The new Public Safety Building (Station 92) is substantially completed and the building is now fully occupied by both the Police and Fire Departments. Pay Estimate 26 for the Waukee Public Safety Building project relates to costs primarily associated with the release of retainage for the project. The building is considered 99.81% complete with a remaining payout of approximately $57,000 for construction work and $265,000 in retainage for the various contracts. FISCAL IMPACT INCLUDING COST/BENEFIT ANALYSIS: Payment Estimate No. 26 is in the amount of $425,208.64. COMMISSION/BOARD/COMMITTEE COMMENT: STAFF REVIEW AND COMMENT: RECOMMENDATION: Approve Pay Estimate No. 26 ATTACHMENTS: I. Pay Estimate No. 26 PREPARED BY:Brad Deets, City Administrator REVIEWED BY: PUBLIC NOTICE INFORMATION – NAME OF PUBLICATION: DATE OF PUBLICATION: I1H1 Document G736™ – 2009 Project Application and Project Certificate for Payment, Construction Manager as Adviser Edition AIA Document G736 – 2009 (formerly G722™CMa – 1992). Copyright © 1981, 1992 and 2009. All rights reserved. “The American Institute of Architects,” “American Institute of Architects,” “AIA,” the AIA Logo, and “AIA Contract Documents” are trademarks of The American Institute of Architects. This document was produced at 16:39:30 ET on 02/05/2026 under Order No.4104251064 which expires on 12/31/2026, is not for resale, is licensed for one-time use only, and may only be used in accordance with the AIA Contract Documents® Terms of Service. To report copyright violations, e-mail docinfo@aiacontracts.com. User Notes: (3B9ADA4C) 1 APPLICATION NO:26 Distribution to:TO OWNER:City of Waukee 230 W. Hickman Road Waukee, IA 50263===== PROJECT: Waukee Public Safety Building 815 NW 20th Street Waukee, IA 50263===== PERIOD TO: December 31, 2025 ATTENTION:Brad Deets VIA CONSTRUCTION MANAGER:Ryan Companies US, Inc.PROJECT NOS:6173-000 / 21841001 OWNER: CONSTRUCTION MANAGER: ARCHITECT: OTHER : PROJECT APPLICATION FOR PAYMENT PROJECT CERTIFICATE FOR PAYMENT Application is made for Payment, as shown below, in connection with the Project. AIA Document G737™–2009, Summary of Contractors' Applications for Payment, is attached. 1. TOTAL CONTRACT SUMS (Item A Totals)28,868,514.50 2. TOTAL NET CHANGES BY CHANGE ORDERS (Item B Totals)440,718.55 3. TOTAL CONTRACT SUM TO DATE (Item C Totals)29,309,233.05 In accordance with the Contract Documents, based on evaluation of the Work and the data comprising this Application, the Construction Manager certifies to the Owner that to the best of its knowledge, information and belief the Work has progressed as indicated; the quality of the Work is in accordance with the Contract Documents; and the Construction Manager recommends to the Owner and Architect that the Contractors be paid the AMOUNTS set forth in the attached Summary of Contractors' Applications for Payment. 4. TOTAL COMPLETED & STORED TO DATE (Item F Totals)29,252,384.56 5. RETAINAGE (Item H Totals)265,155.71 6. LESS PREVIOUS TOTAL PAYMENTS (Item I Totals)28,562,020.21 TOTAL OF AMOUNTS CERTIFIED ...........................................................425,208.64 7. CURRENT PAYMENT DUE (Item J Totals)425,208.64 CONSTRUCTION MANAGER: By:Date: The undersigned Construction Manager certifies that to the best of its knowledge, information and belief this Project Application for Payment is an accurate compilation of the Contractors' Applications for Payment, attached hereto. CONSTRUCTION MANAGER: By:Date: State of: In accordance with the Contract Documents, based on evaluation of the Work, the data comprising this Application, and the Construction Manager's recommendation, the Architect certifies to the Owner that to the best of its knowledge, information and belief the Work has progressed as indicated; the quality of the Work is in accordance with the Contract Documents; and the Contractors are entitled to payments of the AMOUNTS set forth in the attached Summary of Contractors' Applications for Payment. County of: ARCHITECT: Subscribed and sworn to before me this day of By:Date: Notary Public: My Commission expires: Document G737™ – 2009 Summary of Contractors' Applications for Payment, Construction Manager as Adviser Edition AIA Document G737 – 2009(formerly G723™CMa – 1992). Copyright © 1992 and 2009. All rights reserved. “The American Institute of Architects,” “American Institute of Architects,” “AIA,” the AIA Logo, and “AIA Contract Documents” are trademarks of The American Institute of Architects. This document was produced at 16:39:25 ET on 02/05/2026 under Order No.4104251064 which expires on 12/31/2026, is not for resale, is licensed for one-time use only, and may only be used in accordance with the AIA Contract Documents® Terms of Service. To report copyright violations, e-mail docinfo@aiacontracts.com. User Notes: (3B9ADAAE) 1 APPLICATION NO.:26 APPLICATION DATE:February 05, 2026 AIA Document G732, Application and Certificate for Payment, has been completed by each Contractor. The content of those G732 forms is summarized below.PERIOD FROM:December 01, 2025 PERIOD TO:December 31, 2025 In tabulations below, amounts are in US dollars.PROJECT NOS.:Ryan Co.: 6173-000 / OPN: 21841001 0 A B C D E F G H I J K L DESCRIPTION OF WORK CONTRACTOR'S NAME ORIGINAL CONTRACT SUM NET CHANGES IN THE WORK CONTRACT SUM TO DATE WORK IN PLACE TO DATE STORED MATERIALS (Not in D or I) TOTAL COMPLETED AND STORED TO DATE (D + E) RETAIN- AGE % RETAINAGE AMOUNT PREVIOUS PAYMENTS CURRENT PAYMENT (F – H – I) BALANCE TO FINISH (C – F) % COMPL. (F ÷ C) General Const DDVI 2,905,000.00 142,569.13 3,047,569.13 3,047,025.24 0.00 3,047,025.24 5.00%152,351.26 2,890,255.51 4,418.47 543.89 99.98% Building Concrete Jordison Const 1,271,000.00 -1,563.00 1,269,437.00 1,269,437.00 0.00 1,269,437.00 0.00%0.00 1,269,437.00 0.00 0.00 100.00% Precast Material Enterprise Precast 1,833,316.00 -2,822.13 1,830,493.87 1,830,493.87 0.00 1,830,493.87 0.00%0.00 1,830,493.87 0.00 0.00 100.00% Steel Material TSF Structures 1,932,100.00 6,640.00 1,938,740.00 1,938,740.00 0.00 1,938,740.00 0.00%0.00 1,938,740.00 0.00 0.00 100.00% Erection Northwest Steel 1,064,188.00 13,560.00 1,077,748.00 1,077,748.00 0.00 1,077,748.00 0.00%0.00 1,077,748.00 0.00 0.00 100.00% Metal Panels Forman Ford 575,239.00 0.00 575,239.00 575,239.00 0.00 575,239.00 0.00%0.00 575,239.00 0.00 0.00 100.00% Roofing Academy Roofing 998,000.00 5,530.75 1,003,530.75 1,003,530.75 0.00 1,003,530.75 0.00%0.00 1,003,530.75 0.00 0.00 100.00% Glass & Glazing Ford Metro 1,069,100.00 2,740.33 1,071,840.33 1,071,840.33 0.00 1,071,840.33 0.00%0.00 1,071,840.33 0.00 0.00 100.00% Overhead Doors Skold Door 310,000.00 1,346.00 311,346.00 311,346.00 0.00 311,346.00 0.00%0.00 295,778.70 15,567.30 0.00 100.00% Frame & Drywall Hilsabeck Schacht 2,562,500.00 49,158.98 2,611,658.98 2,611,658.98 0.00 2,611,658.98 0.00%0.00 2,479,746.97 131,912.01 0.00 100.00% Fire Protection Elite Fire Sprinkler 364,700.00 0.00 364,700.00 364,700.00 0.00 364,700.00 0.00%0.00 364,700.00 0.00 0.00 100.00% Mech & Plumbing Kruck Plumbing 5,947,000.00 67,676.51 6,014,676.51 6,014,676.51 0.00 6,014,676.51 0.00%0.00 6,014,676.51 0.00 0.00 100.00% Elec & Comm Van Maanen 4,711,425.00 233,320.85 4,944,745.85 4,944,745.85 0.00 4,944,745.85 0.81%39,998.05 4,689,272.77 215,475.03 0.00 100.00% Audio-Visual TriCity Electric 602,832.00 -4,351.00 598,481.00 598,481.00 0.00 598,481.00 0.00%0.00 598,481.00 0.00 0.00 100.00% Earthwork Wenthold 803,330.50 379.00 803,709.50 804,050.10 0.00 804,050.10 5.00%40,202.51 763,847.60 0.00 -340.60 100.04% SWPPP Absolute 155,000.00 -95,391.00 59,609.00 50,452.00 0.00 50,452.00 5.00%2,522.60 46,923.35 1,006.05 9,157.00 84.64% Site Concrete Jordison Const 1,110,000.00 26,594.13 1,136,594.13 1,136,594.13 0.00 1,136,594.13 0.00%0.00 1,079,764.34 56,829.79 0.00 100.00% Landscape & Irrig Alpha Landscapes 653,784.00 -4,670.00 649,114.00 601,625.80 0.00 601,625.80 5.00%30,081.29 571,544.51 0.00 47,488.20 92.68% 0.00 0.00 0.00 0.00 0.00 0.00 0.00%0.00 0.00 0.00 0.00 0.00% 0.00 0.00 0.00 0.00 0.00 0.00 0.00%0.00 0.00 0.00 0.00 0.00% TOTALS $28,868,514.50 $440,718.55 $29,309,233.05 $29,252,384.56 $0.00 $29,252,384.56 0.91%$265,155.71 $28,562,020.21 $425,208.65 $56,848.49 99.81% Waukee Public Safety Building: Pay Application No. 26 Pay Apps Due to Ryan Co: 1/23/2026 Pay Apps Due to OPN: 2/06/2026 Council Packet Info to Waukee: 2/11/2026 by midnight Council Approval: 2/17/2026 Payment Due to Prime Contractors no later than: 2/19/2026 Prime Contractors Current (less retainage) Bid Package #1: General Construction (DDVI) 4,418.47 Bid Package #2: Building Concrete (Jordison Construction) Bid Package #3: Precast Material (Enterprise Precast) Bid Package #4: Steel Material & Misc. Metals (TSF Structures) Bid Package #5: Precast & Steel Erection (Northwest Steel) Bid Package #6: Metal Panels (Forman Ford) Bid Package #7: Roofing (Academy Roofing) Bid Package #8: Glass & Glazing (Ford Metro) Bid Package #9: Overhead Doors (Skold Door) 15,567.30 Bid Package #10: Framing, Drywall & Ceilings (Hilsabeck Schacht) 131,912.01 Bid Package #11: Fire Protection (Elite Fire Sprinkler) Bid Package #12: Mechanical & Plumbing (Kruck Plumbing & Heating) Bid Package #13: Electrical & Communications (Van Maanen Electric) 215,473.08 Bid Package #14: Audio-Visual (Tri-City Electric) Bid Package #15: Earthwork & Utilities (Wenthold Excavating) Bid Package #16: SWPPP (Absolute Group) 1,006.05 Bid Package #17: Site Concrete (Jordison Construction) 56,829.79 Bid Package #18: Landscaping & Irrigation (Alpha Landscapes) Pay Application Subtotal 425,206.70 Document G706® – 1994 Contractor's Affidavit of Payment of Debts and Claims AIA Document G706 – 1994. Copyright © 1970 and 1994. All rights reserved. “The American Institute of Architects,” “American Institute of Architects,” “AIA,” the AIA Logo, and “AIA Contract Documents” are trademarks of The American Institute of Architects. This document was produced at 10:03:54 ET on 09/25/2025 under Order No.4104251064 which expires on 10/22/2025, is not for resale, is licensed for one-time use only, and may only be used in accordance with the AIA Contract Documents® Terms of Service. To report copyright violations, e-mail docinfo@aiacontracts.com. User Notes:(3B9ADA54) 1 PROJECT:(Name and address)ARCHITECT’S PROJECT NUMBER: Waukee Public Safety 21841001 815 NW 20th St Waukee, IA 50263 CONTRACT FOR: Bid Package #10: Framing, Drywall, & Ceilings TO OWNER: (Name and address)CONTRACT DATED: 12.18.2023 City of Waukee 230 Hickman Rd Waukee, IA 50263 OWNER: ARCHITECT: CONTRACTOR: SURETY: OTHER: STATE OF: Iowa COUNTY OF: Dallas The undersigned hereby certifies that, except as listed below, payment has been made in full and all obligations have otherwise been satisfied for all materials and equipment furnished, for all work, labor, and services performed, and for all known indebtedness and claims against the Contractor for damages arising in any manner in connection with the performance of the Contract referenced above for which the Owner or Owner's property might in any way be held responsible or encumbered. EXCEPTIONS: SUPPORTING DOCUMENTS ATTACHED HERETO: CONTRACTOR:(Name and address) 1.Consent of Surety to Final Payment. Whenever Surety is involved, Consent of Surety is required. AIA Document G707, Consent of Surety, may be used for this purpose Indicate Attachment Yes No Hilsabeck Schacht, Inc. 617 S. 19th Street West Des Moines, IA 50265 BY: The following supporting documents should be attached hereto if required by the Owner: (Signature of authorized representative) 1.Contractor's Release or Waiver of Liens, conditional upon receipt of final payment. (Printed name and title) 2.Separate Releases or Waivers of Liens from Subcontractors and material and equipment suppliers, to the extent required by the Owner, accompanied by a list thereof. Subscribed and sworn to before me on this date: Notary Public: 3.Contractor's Affidavit of Release of Liens (AIA Document G706A). My Commission Expires: HSI Hilsabeck Schacht Inc. 617 S 19thth St. West Des Moines, IA 50265 Ph: 515-221-3243 Fax: 515-223-1379 February 3, 2026 City of Waukee 230 W. Hickman Road Waukee, IA 50263 Re: Waukee Public Safety Project BP #10 Framing, Drywall & Ceilings -Early Release of Retainage Hilsabeck Schacht, Inc. is here by requesting early release of the retainage for the above-mentioned project is the sum of $130,582.98. We have completed our contract and the applicable punch list items. Sincerely, Jerry Atcheson 515-208-4069 Document G706® – 1994 Contractor's Affidavit of Payment of Debts and Claims AIA Document G706 – 1994. Copyright © 1970 and 1994. All rights reserved. “The American Institute of Architects,” “American Institute of Architects,” “AIA,” the AIA Logo, and “AIA Contract Documents” are trademarks of The American Institute of Architects. This document was produced at 16:22:22 ET on 08/20/2025 under Order No.4104251064 which expires on 10/22/2025, is not for resale, is licensed for one-time use only, and may only be used in accordance with the AIA Contract Documents® Terms of Service. To report copyright violations, e-mail docinfo@aiacontracts.com. User Notes:(3B9ADA50) 1 PROJECT:(Name and address)ARCHITECT’S PROJECT NUMBER: Waukee Public Safety 21841001 815 NW 20th St Waukee, IA 50263 CONTRACT FOR: Bid Package #17: Site Concrete TO OWNER: (Name and address)CONTRACT DATED: 12.18.2023 City of Waukee 230 Hickman Rd Waukee, IA 50263 OWNER: ARCHITECT: CONTRACTOR: SURETY: OTHER: STATE OF: Iowa COUNTY OF: Dallas The undersigned hereby certifies that, except as listed below, payment has been made in full and all obligations have otherwise been satisfied for all materials and equipment furnished, for all work, labor, and services performed, and for all known indebtedness and claims against the Contractor for damages arising in any manner in connection with the performance of the Contract referenced above for which the Owner or Owner's property might in any way be held responsible or encumbered. EXCEPTIONS: SUPPORTING DOCUMENTS ATTACHED HERETO: CONTRACTOR:(Name and address) 1.Consent of Surety to Final Payment. Whenever Surety is involved, Consent of Surety is required. AIA Document G707, Consent of Surety, may be used for this purpose Indicate Attachment Yes No Jordison Construction, Inc. 12014 Ridgemont Drive Urbandale, IA 50323 BY: The following supporting documents should be attached hereto if required by the Owner: (Signature of authorized representative) 1.Contractor's Release or Waiver of Liens, conditional upon receipt of final payment. (Printed name and title) 2.Separate Releases or Waivers of Liens from Subcontractors and material and equipment suppliers, to the extent required by the Owner, accompanied by a list thereof. Subscribed and sworn to before me on this date: Notary Public: 3.Contractor's Affidavit of Release of Liens (AIA Document G706A). My Commission Expires: APPLICATION AND CERTIFICATE FOR PAYMENT TO OWNER:City of Waukee Iowa PROJECT:Waukee Public Safety Facility APPLICATION NO.:234428-RETAINAGEDistribution to: 230 W Hickman Road PERIOD TO:1/31/2026 OWNER Waukee, IA 50263 VIA CONSTR MANGER: Ryan Companies, US Inc.PROJECT NOS.:ARCHITECT 111 E Grand Ave., Suite 200 CONTRACTOR FROM CONTRACTOR:SKOLD DOOR & FLOOR COMPANY Des Moines, IA 50309 5730 NE 17th Street Procore CONTRACT DATE:12/18/2023 Des Moines, IA 50313 VIA ARCHITECT: OPN Architects CONTRACT FOR:Sectional Overhead Doors The undersigned Contractor certifies that to the best of the Contractor's knowledge, infor- CONTRACTOR'S APPLICATION FOR PAYMENT mation and belief the Work covered by this Application for Payment has been completed Application is made for payment, as shown below, in connection with the Contract.in accordance with the Contract Documents, that all amounts have been paid by the Continuation Sheet, AIA Document G703, is attached.Contractor for Work for which previous Certificates for Payment were issued and payments received from the Owner, and that current payment shown herein is now due. 1. ORIGINAL CONTRACT SUM……………...…………………..$310,000.00 2. Net changed by Change Orders ……………………...…….$1,346.00 CONTRACTOR: 3. CONTRACT SUM TO DATE (Line 1 + 2) …………...……………$311,346.00 4. TOTAL COMPLETED & STORED TO DATE ……...…………$311,346.00 By:_________________________________Date:__________________January 27, 2026 (Column G on G703) 5. RETAINAGE:State of: IOWA a. _5_ % of Completed Work $0.00 County of: POLK (Column D + E on G703)Subscribed and Sworn to before b. _5_% of Stored Material $0.00 me this day: (Column F on G703) Total Retainage (Line 5a + 5b or Total in Column I of G703)$0.00 6. TOTAL EARNED LESS RETAINAGE………………………..$311,346.00 (Line 6 less Line 5 Total)Notary Public: 7. LESS PREVIOUS CERTIFICATES FOR PAYMENT CERTIFICATE FOR PAYMENT (Line 6 from prior Certificates)……………………………………………………$295,778.70 8. CURRENT PAYMENT DUE …………………………………….$15,567.30 In accordance with the Contract Documents, based on on-site observation and the data 9. BALANCE TO FINISH, INCLUDING RETAINAGE comprising this application, the Construction Manager and Architect certifies to the Owner (Line 3 less Line 6)$0.00 that to the best of their knowledge, information and belief the Work has progressed as indicated, the quality of the Work is in accordance with the Contract Documents, and the Contractor is entitled to payment of the AMOUNT CERTIFIED CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS AMOUNT CERTIFIED…………………...……………..$______________ Total changes approved in previous months by Owner $1,346.00 $0.00 Total approved this Month $0.00 to the amount certified.) TOTALS $1,346.00 $0.00 CONSTRUCTION MANAGER: NET CHANGES by Change Order $1,346.00 By:_________________________________Date:__________________ ARCHITECT: By:_________________________________Date:__________________ This Certificate is not negotiable. The AMOUNT CERTIFIED is payable only to the Con- tractor named herein. Issuance, payment and acceptance of payment are without prejudice to any rights of the Owner or Contractor under this Contract. (Attach explanation if amount certified differs from the amount applied for Initial all figures on this Application and on the Continuation Sheet that are changed to conform January 27, 2026 CONTINUATION SHEET AIA DOCUMENT G703 PAGE 1 OF 1 PAGE APPLICATION NO:234428-RETAINAGE Skold Door & Floor Company, Inc.APPLICATION DATE: 1/27/2026 5730 NE 17th Street PERIOD TO: 1/31/2026 Des Moines, IA 50313 PROJECT NO: CONTRACT FOR: CONTRACT DATE: 12/18/2023 A B C D E F G H I ITEM DESCRIPTION OF WORK SCHEDULED WORK COMPLETED MATERIALS TOTAL %BALANCE RETAINAGE NO. VALUE FROM PREVIOUS THIS PERIOD PRESENTLY COMPLETED (G/C)TO FINISH APPLICATION STORED AND STORED (C-G) (D+E)(NOT IN TO DATE 5% D OR E)(D+E+F) Spec Section 08 3613 Sectional Overhead Doors 1 Shop Drawings 5,000.00 5,000.00 5,000.00 100%0.00 250.00 2 Material 110,000.00 110,000.00 110,000.00 100%0.00 5,500.00 3 Installation 8,200.00 8,200.00 8,200.00 100%0.00 410.00 Spec Section 08 4333 Four-Fold Doors 4 Shop Drawings 5,000.00 5,000.00 5,000.00 100%0.00 250.00 5 Material 166,900.00 166,900.00 166,900.00 100%0.00 8,345.00 6 Installation 8,800.00 8,800.00 8,800.00 100%0.00 440.00 7 P&P Bond 6,100.00 6,100.00 6,100.00 100%0.00 305.00 8 CR036 1,346.00 1,346.00 1,346.00 100%0.00 67.30 GRAND TOTALS 311,346.00 311,346.00 0.00 0.00 311,346.00 100%0.00 15,567.30 Document G706® – 1994 Contractor's Affidavit of Payment of Debts and Claims AIA Document G706 – 1994. Copyright © 1970 and 1994. All rights reserved. “The American Institute of Architects,” “American Institute of Architects,” “AIA,” the AIA Logo, and “AIA Contract Documents” are trademarks of The American Institute of Architects. This document was produced at 10:06:48 ET on 09/25/2025 under Order No.4104251064 which expires on 10/22/2025, is not for resale, is licensed for one-time use only, and may only be used in accordance with the AIA Contract Documents® Terms of Service. To report copyright violations, e-mail docinfo@aiacontracts.com. User Notes:(3B9ADA5A) 1 PROJECT:(Name and address)ARCHITECT’S PROJECT NUMBER: Waukee Public Safety 21841001 815 NW 20th St Waukee, IA 50263 CONTRACT FOR: Bid Package #9: Overhead Doors TO OWNER: (Name and address)CONTRACT DATED: 12.18.2023 City of Waukee 230 Hickman Rd Waukee, IA 50263 OWNER: ARCHITECT: CONTRACTOR: SURETY: OTHER: STATE OF: Iowa COUNTY OF: Dallas The undersigned hereby certifies that, except as listed below, payment has been made in full and all obligations have otherwise been satisfied for all materials and equipment furnished, for all work, labor, and services performed, and for all known indebtedness and claims against the Contractor for damages arising in any manner in connection with the performance of the Contract referenced above for which the Owner or Owner's property might in any way be held responsible or encumbered. EXCEPTIONS: SUPPORTING DOCUMENTS ATTACHED HERETO: CONTRACTOR:(Name and address) 1.Consent of Surety to Final Payment. Whenever Surety is involved, Consent of Surety is required. AIA Document G707, Consent of Surety, may be used for this purpose Indicate Attachment Yes No Skold Door Company 5730 NE 17th Street Des Moines, IA 50313 BY: The following supporting documents should be attached hereto if required by the Owner: (Signature of authorized representative) 1.Contractor's Release or Waiver of Liens, conditional upon receipt of final payment. (Printed name and title) 2.Separate Releases or Waivers of Liens from Subcontractors and material and equipment suppliers, to the extent required by the Owner, accompanied by a list thereof. Subscribed and sworn to before me on this date: Notary Public: 3.Contractor's Affidavit of Release of Liens (AIA Document G706A). My Commission Expires: Bond Number: B0350739 The Cincinnati Insurance Company PO Box 145496 Cincinnati, OH 45250 January 16, 2026 The Cincinnati Insurance Company Elizabeth Anne von Harz, Attorney-in-Fact 16th January 2026 Certificate Of Completion Envelope Id: 6462C098-89A3-4E8B-B83F-9150A794008E Status: Completed Subject: Complete with Docusign: Pay App No. 26_Project Manual.pdf Source Envelope: Document Pages: 41 Signatures: 2 Envelope Originator: Certificate Pages: 5 Initials: 0 Beth Bertlshofer AutoNav: Enabled EnvelopeId Stamping: Enabled Time Zone: (UTC-06:00) Central Time (US & Canada) 533 South Third Street, Suite 100 Minneapolis, MN 55415 Beth.Bertlshofer@RyanCompanies.com IP Address: 208.76.191.38 Record Tracking Status: Original 2/9/2026 8:16:55 AM Holder: Beth Bertlshofer Beth.Bertlshofer@RyanCompanies.com Location: DocuSign Signer Events Signature Timestamp Ryan Pigneri Ryan.Pigneri@RyanCompanies.com Project manager Ryan Companies US, Inc. Security Level: Email, Account Authentication (None) Signature Adoption: Pre-selected Style Using IP Address: 4.1.86.200 Sent: 2/9/2026 8:17:55 AM Viewed: 2/9/2026 8:19:30 AM Signed: 2/9/2026 8:19:59 AM Electronic Record and Signature Disclosure: Not Offered via Docusign Aaron Twedt atwedt@opnarchitects.com Security Level: Email, Account Authentication (None) Signature Adoption: Pre-selected Style Using IP Address: 140.82.188.2 Sent: 2/9/2026 8:20:02 AM Viewed: 2/9/2026 8:21:00 AM Signed: 2/9/2026 8:21:17 AM Electronic Record and Signature Disclosure: Accepted: 2/9/2026 8:21:00 AM ID: a2f96843-8c79-4f3c-976f-9064b91522a1 In Person Signer Events Signature Timestamp Editor Delivery Events Status Timestamp Agent Delivery Events Status Timestamp Intermediary Delivery Events Status Timestamp Certified Delivery Events Status Timestamp Carbon Copy Events Status Timestamp Witness Events Signature Timestamp Notary Events Signature Timestamp Envelope Summary Events Status Timestamps Envelope Sent Hashed/Encrypted 2/9/2026 8:17:55 AM Certified Delivered Security Checked 2/9/2026 8:21:00 AM Signing Complete Security Checked 2/9/2026 8:21:17 AM Envelope Summary Events Status Timestamps Completed Security Checked 2/9/2026 8:21:16 AM Payment Events Status Timestamps Electronic Record and Signature Disclosure ELECTRONIC RECORD AND SIGNATURE DISCLOSURE From time to time, Ryan Companies US, Inc. 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All notices and disclosures will be sent to you electronically Unless you tell us otherwise in accordance with the procedures described herein, we will provide electronically to you through the DocuSign system all required notices, disclosures, authorizations, acknowledgements, and other documents that are required to be provided or made available to you during the course of our relationship with you. To reduce the chance of you inadvertently not receiving any notice or disclosure, we prefer to provide all of the required notices and disclosures to you by the same method and to the same address that you have given us. Thus, you can receive all the disclosures and notices electronically or in paper format through the paper mail delivery system. If you do not agree with this process, please let us know as described below. Please also see the paragraph immediately above that describes the consequences of your electing not to receive delivery of the notices and disclosures electronically from us. How to contact Ryan Companies US, Inc.: You may contact us to let us know of your changes as to how we may contact you electronically, to request paper copies of certain information from us, and to withdraw your prior consent to receive notices and disclosures electronically as follows: To contact us by email send messages to: graham.belmont@ryancompanies.com To advise Ryan Companies US, Inc. of your new email address To let us know of a change in your email address where we should send notices and disclosures electronically to you, you must send an email message to us at graham.belmont@ryancompanies.com and in the body of such request you must state: your previous email address, your new email address. We do not require any other information from you to change your email address. If you created a DocuSign account, you may update it with your new email address through your account preferences. To request paper copies from Ryan Companies US, Inc. To request delivery from us of paper copies of the notices and disclosures previously provided by us to you electronically, you must send us an email to graham.belmont@ryancompanies.com and in the body of such request you must state your email address, full name, mailing address, and telephone number. We will bill you for any fees at that time, if any. To withdraw your consent with Ryan Companies US, Inc. To inform us that you no longer wish to receive future notices and disclosures in electronic format you may: i. decline to sign a document from within your signing session, and on the subsequent page, select the check-box indicating you wish to withdraw your consent, or you may; ii. send us an email to graham.belmont@ryancompanies.com and in the body of such request you must state your email, full name, mailing address, and telephone number. We do not need any other information from you to withdraw consent.. The consequences of your withdrawing consent for online documents will be that transactions may take a longer time to process.. Required hardware and software The minimum system requirements for using the DocuSign system may change over time. The current system requirements are found here: https://support.docusign.com/guides/signer-guide- signing-system-requirements. Acknowledging your access and consent to receive and sign documents electronically To confirm to us that you can access this information electronically, which will be similar to other electronic notices and disclosures that we will provide to you, please confirm that you have read this ERSD, and (i) that you are able to print on paper or electronically save this ERSD for your future reference and access; or (ii) that you are able to email this ERSD to an email address where you will be able to print on paper or save it for your future reference and access. Further, if you consent to receiving notices and disclosures exclusively in electronic format as described herein, then select the check- By selecting the check-box next to that: You can access and read this Electronic Record and Signature Disclosure; and You can print on paper this Electronic Record and Signature Disclosure, or save or send this Electronic Record and Disclosure to a location where you can print it, for future reference and access; and Until or unless you notify Ryan Companies US, Inc. as described above, you consent to receive exclusively through electronic means all notices, disclosures, authorizations, acknowledgements, and other documents that are required to be provided or made available to you by Ryan Companies US, Inc. during the course of your relationship with Ryan Companies US, Inc..