Common use of REQUEST FOR REIMBURSEMENT Clause in Contracts

REQUEST FOR REIMBURSEMENT. Requests for reimbursement must be submitted monthly, if expenditures are made during the month. Reimbursement requests for allowable expenses must be accompanied by a short statement of work describing any tasks completed during the reimbursement period. Reimbursement requests must be supported by actual receipts, cancelled checks, or such other documentation that, in the judgment of the GLO, substantiates the expenditures, if allowable. Reimbursement documentation shall be sent to xxxxxxxxxxxxxx@xxx.xxxxx.xxx and the designated GLO project manager. Failure to comply with this requirement may, at the sole discretion of the GLO, result in a Project delay or cessation of work. Any costs incurred resulting from QPP’s failure to comply with these reimbursement requirements are the responsibility of QPP. DocuSign Envelope ID: 1F47B55B-4FE0-4DF1-B435-6D4C0C7CCA16 BUDGET WILLOW LAKE SHORELINE STABILIZATION & STAR LAKE WATER CONTROL STRUCTURE AT XxXXXXXX NWR CEPRA PROJECT No. 1699 PROJECT COSTS CONTRACTUAL Budget Amount Task 1. Construction $5,655,000.00 TOTAL PROJECT COST NOT TO EXCEED $5,655,000.00 COST SHARING SUMMARY QUALIFIED PROJECT PARTNER (QPP) COST SHARING: 61.9 % of total construction costs USFWS funding $3,500,000.00 QPP TOTAL CONTRIBUTION (61.9% of total project costs): $3,500,000.00 CEPRA COST SHARING: 0.09 % of total construction costs CEPRA Cycle 11: $5,000.00 GOMESA TIER 1: 38% of total construction costs GOMESA Contribution : $2,150,000.00 GLO TOTAL CONTRIBUTION (38.1% of total project costs): $2,155,000.00 TOTAL PROJECT CONTRIBUTIONS $5,655,000.00 4/27/2020 XxXxxxxx National Wildlife Refuge DocuSign Envelope ID: 1F47B55B-4FE0-4DF1-B435-6D4C0C7CCA16 Proposed breakwaters Star Lake Water Control Structure

REQUEST FOR REIMBURSEMENT. Requests The QPP must submit request for reimbursement must be submitted monthly, monthly if expenditures are made during the monthmade. Reimbursement requests for allowable expenses must be accompanied by a short statement of work describing by the QPP and any tasks completed cover letters during the reimbursement period. Reimbursement requests must be supported by actual receipts, cancelled checks, time sheets or such other documentation that, in the judgment judgement of the GLO, substantiates the expenditures, if allowable. Reimbursement documentation All reimbursement requests shall be sent to xxxxxxxxxxxxxx@xxx.xxxxx.xxx the XxxxxxXxxxxxxx@xxx.xxxxx.xxx email address and the designated GLO project managerProject Manager. Failure to comply with this requirement may, at the sole discretion of the GLO, result in a Project delay or cessation of work. Any costs incurred resulting from the QPP’s failure to comply with these reimbursement requirements are the responsibility of the QPP. DocuSign Envelope ID: 1F47B55B-4FE0E4CE202B-4DF1EE37-B4354ADD-9DEF-5D16EA63670E Attachment A GLO Contract No. 19-6D4C0C7CCA16 226-010-B785 BUDGET WILLOW LAKE SHORELINE STABILIZATION & STAR LAKE WATER CONTROL STRUCTURE AT XxXXXXXX NWR Shamrock Island Habitat Protection and Enhancement Phase III CEPRA PROJECT NoNO. 1699 1641 PROJECT COSTS CONTRACTUAL Budget Amount Task 1. Construction AMOUNT E&D updates and construction $5,655,000.00 1,805,518.00 TOTAL PROJECT COST NOT TO EXCEED $5,655,000.00 1,805,518.00 COST SHARING SUMMARY QUALIFIED PROJECT PARTNER (QPP) COST SHARING: 61.9 ): 64% of total construction costs USFWS funding Total Project Costs QPP Federal Commitment (RESTORE Funds) $3,500,000.00 1,085,699.00 QPP Cash Commitment $64,413.00 QPP's TOTAL CONTRIBUTION (61.9$1,150,112.00 CEPRA: 36% of total project costs): $3,500,000.00 CEPRA COST SHARING: 0.09 % of total construction costs CEPRA Cycle 11: $5,000.00 GOMESA TIER 1: 38% of total construction costs GOMESA Contribution : $2,150,000.00 GLO CEPRA's TOTAL CONTRIBUTION (38.1% of total project costs): $2,155,000.00 655,406.00 TOTAL PROJECT CONTRIBUTIONS $5,655,000.00 4/27/2020 XxXxxxxx National Wildlife Refuge 1,805,518.00 9/25/2020 *Includes costs of QPP such as Personnel, Fringe, Travel, Supplies & Indirect DocuSign Envelope ID: 1F47B55B-4FE0E4CE202B-4DF1EE37-B4354ADD-9DEF-5D16EA63670E North Breach Feeder Beach Attachment A GLO Contract No. 19-6D4C0C7CCA16 Proposed breakwaters Star Lake Water Control Structure226-010-B785 General Affirmations To the extent they apply, Qualified Project Partner affirms and agrees to the following, without exception:

REQUEST FOR REIMBURSEMENT. Requests The QPP must submit requests for reimbursement must be submitted monthly, monthly if expenditures are made during the monthmade. Reimbursement requests for allowable expenses must be accompanied by a short statement of work by the QPP and any cover letters provided by the professional service provider describing any tasks completed during the reimbursement period. Reimbursement requests must be supported by actual receipts, cancelled checks, time sheets or such other documentation that, in the judgment of the GLO, substantiates the expenditures, if allowable. Reimbursement documentation All reimbursement requests shall be sent to xxxxxxxxxxxxxx@xxx.xxxxx.xxx XxxxxxXxxxxxxx.xxx.xxxxx.xxx email address and the designated GLO project managerProject Manager. Failure to comply with this requirement may, at the sole discretion of the GLO, result in a Project delay or cessation of work. Any costs incurred resulting from QPP’s failure to comply with these reimbursement requirements are the responsibility of QPP. DocuSign Envelope ID: 1F47B55B-4FE06DA615C5-4DF13630-B4354A0D-9DCF-6D4C0C7CCA16 F57578BB2614 BUDGET WILLOW LAKE SHORELINE STABILIZATION & STAR LAKE WATER CONTROL STRUCTURE AT XxXXXXXX NWR XXXXX BAY OYSTERCATCHER HABITAT RESTORATION CEPRA PROJECT NoNO. 1699 1694 PROJECT COSTS CONTRACTUAL Budget Amount Task 1. Construction AMOUNT Restoration of Habitat $5,655,000.00 1,155,000.00 TOTAL PROJECT COST NOT TO EXCEED $5,655,000.00 1,155,000.00 CONSTRUCTION COST SHARING SUMMARY QUALIFIED PROJECT PARTNER (QPP) COST SHARING: 61.9 % of total construction costs USFWS funding $3,500,000.00 QPP TOTAL CONTRIBUTION (61.9% of total project costs): $3,500,000.00 CEPRA COST SHARING: 0.09 % of total construction costs CEPRA Cycle 11: 11 $5,000.00 GOMESA TIER 1: 38$1,150,000.00 GLO TOTAL CONTRIBUTION: 100% of total construction costs GOMESA Contribution : Total Construction Costs $2,150,000.00 GLO TOTAL CONTRIBUTION (38.1% of total project costs): $2,155,000.00 1,155,000.00 TOTAL PROJECT CONTRIBUTIONS $5,655,000.00 4/27/2020 XxXxxxxx National Wildlife Refuge 1,155,000.00 11/22/2019 Texas City DocuSign Envelope ID: 1F47B55B-4FE06DA615C5-4DF13630-B4354A0D-9DCF-6D4C0C7CCA16 Proposed breakwaters Star Lake Water Control StructureF57578BB2614 Galveston Bay Bayou Vista Xxxxx Bay Project Location Galveston West Bay Tiki Island North Deer Island Project Restoration Site West Bay

REQUEST FOR REIMBURSEMENT. Requests The QPP must submit requests for reimbursement must be submitted monthly, monthly if expenditures are made during the monthmade. Reimbursement requests for allowable expenses must be accompanied by a short statement of work by the QPP and any cover letters provided by the professional service provider describing any tasks completed during the reimbursement period. Reimbursement requests must be supported by actual receipts, cancelled checks, time sheets or such other documentation that, in the judgment of the GLO, substantiates the expenditures, if allowable. Reimbursement documentation All reimbursement requests shall be sent to xxxxxxxxxxxxxx@xxx.xxxxx.xxx XxxxxxXxxxxxxx.xxx.xxxxx.xxx email address and the designated GLO project managerProject Manager. Failure to comply with this requirement may, at the sole discretion of the GLO, result in a Project delay or cessation of work. Any costs incurred resulting from QPP’s failure to comply with these reimbursement requirements are the responsibility of QPP. DocuSign Envelope ID: 1F47B55B-4FE0Attachment A GLO Contract No. 22-4DF1113-B435031-6D4C0C7CCA16 E006 BUDGET WILLOW LAKE ANAHUAC NWR SHORELINE STABILIZATION & STAR LAKE WATER CONTROL STRUCTURE AT XxXXXXXX NWR PROTECTION CEPRA PROJECT NoNO. 1699 1681 PROJECT COSTS CONTRACTUAL Budget Amount Task 1. AMOUNT Construction of Rock Breakwaters $5,655,000.00 19,450,000.00 TOTAL PROJECT COST NOT TO EXCEED $5,655,000.00 19,450,000.00 QPP COST SHARING SUMMARY QUALIFIED PROJECT PARTNER (QPP) COST SHARING: 61.9 % of total construction costs USFWS funding $3,500,000.00 QPP ): QPP's TOTAL CONTRIBUTION (61.9% of total project costs): $3,500,000.00 4,000,000.00 GLO COST SHARING SUMMARY CEPRA COST SHARING: 0.09 % of total construction costs CEPRA Cycle 11: $5,000.00 GOMESA TIER 1: 38% of total construction costs GOMESA Contribution $15,445,000.00 GLO TOTAL CONTRIBUTION: $2,150,000.00 GLO TOTAL CONTRIBUTION (38.1% of total project costs): $2,155,000.00 15,450,000.00 TOTAL PROJECT CONTRIBUTIONS $5,655,000.00 4/27/2020 XxXxxxxx National Wildlife Refuge DocuSign Envelope ID: 1F47B55B-4FE019,450,000.00 Attachment A GLO Contract No. 22-4DF1113-B435031-6D4C0C7CCA16 Proposed breakwaters Star Lake Water Control StructureE006 Project Location Map GENERAL AFFIRMATIONS TO THE EXTENT APPLICABLE, Qualified Project Partner affirms and agrees to the following, without exception:

REQUEST FOR REIMBURSEMENT. Requests The QPP must submit requests for reimbursement must be submitted monthly, monthly if expenditures are made during the monthmade. Reimbursement requests for allowable expenses must be accompanied by a short statement of work by the QPP and any cover letters provided by the professional service provider describing any tasks completed during the reimbursement period. Reimbursement requests must be supported by actual receipts, cancelled checks, time sheets or such other documentation that, in the judgment of the GLO, substantiates the expenditures, if allowable. Reimbursement documentation All reimbursement requests shall be sent to xxxxxxxxxxxxxx@xxx.xxxxx.xxx XxxxxxXxxxxxxx.xxx.xxxxx.xxx email address and the designated GLO project managerProject Manager. Failure to comply with this requirement may, at the sole discretion of the GLO, result in a Project delay or cessation of work. Any costs incurred resulting from QPP’s failure to comply with these reimbursement requirements are the responsibility of QPP. DocuSign Envelope ID: 1F47B55B-4FE0D7C020A6-4DF16BD6-B4354F99-6D4C0C7CCA16 8FE0-52219301E6AF Attachment A GLO Contract No. 20-132-004-C187 BUDGET WILLOW LAKE ANAHUAC NWR SHORELINE STABILIZATION & STAR LAKE WATER CONTROL STRUCTURE AT XxXXXXXX NWR PROTECTION CEPRA PROJECT NoNO. 1699 1681 PROJECT COSTS CONTRACTUAL Budget Amount Task 1. AMOUNT Construction of Rock Breakwaters $5,655,000.00 7,416,667.00 TOTAL PROJECT COST NOT TO EXCEED $5,655,000.00 7,416,667.00 DESIGN COST SHARING SUMMARY QUALIFIED PROJECT PARTNER (QPP) COST SHARING: 61.9 ): 40% of total construction costs USFWS funding $3,500,000.00 QPP Total Construction Costs QPP's TOTAL CONTRIBUTION (61.9% of total project costs): $3,500,000.00 CEPRA 2,966,667.00 CONSTRUCTION COST SHARING: 0.09 % of total construction costs SHARING SUMMARY CEPRA Cycle 11: $5,000.00 GOMESA TIER 1: 38$4,445,000.00 GLO TOTAL CONTRIBUTION: 60% of total construction costs GOMESA Contribution : Total Construction Costs $2,150,000.00 GLO TOTAL CONTRIBUTION (38.1% of total project costs): $2,155,000.00 4,450,000.00 TOTAL PROJECT CONTRIBUTIONS $5,655,000.00 4/27/2020 XxXxxxxx National Wildlife Refuge 7,416,667.00 DocuSign Envelope ID: 1F47B55B-4FE0D7C020A6-4DF16BD6-B4354F99-6D4C0C7CCA16 Proposed breakwaters Star Lake Water Control Structure8FE0-52219301E6AF Trinity Bay Attachment A GLO Contract No. 20-132-004-C187 East Bay Project Location Galveston Bay High Island Project Locations