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MOUNo.: M-025-18 <br />SCAG Project/OWP No.: 225-356472.11 <br />Exhibit C <br />In -Kind Report Format <br />Use Agency Letterhead _ <br />IN -KIND MATCH REPORT <br />Email In -Kind Report to: <br />accountsoavableCdscaz.ca.zov <br />Basil Pangs <br />Chief Financial Officer _ <br />at <br />_. <br />__I <br />_� <br />*s Date: <br />��1 SCAG OWP#:I <br />jn Kurr,Match Rep2rt#:1 <br />�� <br />_-��,..i. <br />_ `j <br />_ _ Reporting Period: <br />Southern California Association of Governments <br />900 Wilshire Blvd, 17th Floor <br />Los Angeles, CA 90017 <br />Projcot Title: <br />_ <br />Cost Categories <br />Hourly <br />Rate <br />Hours <br />Amount <br />Fringe Rate <br />Fringe <br />MCRate* <br />HIC <br />Amount <br />Direct Labor C/assification(s): <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />Subtotal- Direct Labor <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />Other Direct Costs / ODCs) <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />Subtotal - ODCs: <br />$0.00 <br />$0.00 <br />$0.00 <br />TOTAL for IN -KIND MATCH <br />SO.001 <br />1 <br />$0.00 <br />I, , certify that this in -kind match report and the information attached is true and correct. I also certify that <br />all eligible and required documentation is on fie for this report and that I am the person duty authorized to sign this certification on behalf of my agency. <br />I further certify that our agency is not using any federal funds to match expenditure funds. <br />-�_ <br />- <br />T <br />Signature <br />-. <br />Tiale <br />Print Name <br />Date <br />�_-- <br />'IfappGcable, for credit of vmduM costs for work provided as m-kmd conmbiIDoq a subrecipem must submit an approved Indhees Cass Allocation Plan (ICAP) or Indirect Cost Rate <br />Proposal (IC") to SCAG on an amtwl basis for SCAGs review. Its subrecipient has not received a negotiated indirect cost rate prevuarly, then the sub-recgsm may elect to charge a <br />do mmmds rate of 10% of modified total deect carts (MTDC). <br />February26, 2019 <br />Page 20 <br />25C-22 <br />