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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 />Subconsultants (if applicable) <br />Proposed Contract Amount (or amount not to exceed if on -call contract): $ TBD <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 />Consultant Certifying (Print Name and Title): <br />Name: __,_ Chrisl,,o hn er M. Diaz, PE, G <br />Title: Principal <br />Consultant Certification Signature <br />Date of Certification (mmtddlyyay): 0112912015 _ <br />Consultant Contact Information: <br />Email: _ oluis(a d azvanrrpLan pom <br />Phone number: 714-245-2920 <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.S.C. 112(b)(2)(B), Subconsultants must comply with the FAR Cost Principles contained in 48 CFA Part 31. <br />23 CFR Part 172.3 Definitions state: Consultant means the individual orfirm providing engineering and design related services as apart <br />to the eontract. Therefore, subconsultants as parties of a contract must complete a cert69cation and send originals to A&1 and keep copies <br />in Local Agency Project Files. <br />Distribution: 1) Original to Caltrans?.udits mid Investigations <br />2) Retained in Local Agency Project Riles <br />Page 2 of 2 <br />LPP 15-01 January 14, 2015 <br />