Laserfiche WebLink
Local Assistance Procedures Manual EXHIBIT 10-K <br />Consultant Certification of Contract Costs and Financial Management System <br />1, Compliant with Generally Accepted Accounting Principles (GAAP) and standards promulgated <br />by the Cost Accounting Standards Board (when applicable). <br />2. Compliant with the terms of the contract and is incurred specifically for the contract. <br />3. Not prohibited by 23 CFR, Chapter 1, Part 172 — Administration of Engineering and Design <br />Related Service Contracts to the extent requirements are applicable to Consultant. <br />All costs must be applied consistently and fairly to all contracts. All documentation of compliance must be <br />retained in the project files. <br />Sabenasultants (if applicable) <br />Proposed Contract Amount (or amount not to exceed if on-call contract): $ �_ <br />Prime Consultants (if applicable) <br />Proposed Total Contract Amount (or amount not to exceed if on-call contract); $ <br />Prime, list all subconsultants and proposed subcontract dollar amounts (attach additional page if necessary): <br />dp7l/ $ <br />$ <br />$ <br />$ <br />$ <br />Consultant Certifying (Print Name and Title); <br />Name: --- a o -7'7" A ° L1 T7.,.� b Art s""". Sr'r�. e✓1 <br />Title: <br />Consultant Certification Signature **; <br />Date of Certification (mm/dd/yyyy): J--tl Nf2' /0, ZCS! g <br />Consultant Contact Information: <br />Email: -5—cZ77-62 Gt041-� ,,,vC. &4.✓i <br />Phone number; 61-0 <br />**An individual executive or financial officer of the consultant's organization at a level no lower than a Vice <br />President or Chief Financial Officer, or equivalent, who has authority to represent the financial information <br />utilized to establish the Indirect Cost Rate proposal submitted in conjunction with the contract. <br />Note, Per 23 U.SC 112(6)(2)(B), SuBconsuttants must comply with the FAR Cast Principles contained in 48 CFX Part 31, <br />23 CFRPart 172.3 ➢trim bans state,, Consultant means the individual arfzrm providing engineonng and design related services as a party <br />to the connotes, 77nrrjam,, subconsultacts as parties of a contract must complete a certification and send originals to A&7 and keep copies <br />in Local Agency Project Files. <br />Distribuiioup 1) Original to Colton Audits and Investigations <br />2) Retained in Local Agency Project Files <br />Page 2 ort <br />111,1' 15.01 January 14, 2015 <br />