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California Safe Harbor Indirect Cost Rate Program <br />Questionnaire for Evaluating Consultant Firm's Financial Management <br />System <br />Consultant Firm Name Monument ROW, Inc <br />Firm Headquarters Address 200 Spectrum Center, Suite 300 <br />Irvine, CA 92618 <br />Accounting Records <br />• Location where Accounting records are held 8 Cobblestone Court, Laguna Niguel, CA 92677 <br />• Name and Title Amber Costello, President <br />• Email and Phone acostello@monumentrow.com 562.260.0507 <br />• Mailing Address 200 Spectrum Center, Suite 300 <br />Irvine, CA 92618 <br />To be eligible for Safe Harbor indirect cost rate (SHR), the Consultant Firm's financial <br />management system must be adequate to accumulate and track direct labor and other <br />direct costs by contract, segregate indirect costs, and remove unallowable costs in <br />accordance with 48 CFR 31 for the different business segments. <br />Instructions <br />1. Answer all questions and provide an explanation and additional supporting <br />documentation where requested. <br />2. If additional space is required, please attach a separate sheet and refer to items <br />being answered by number. <br />Has the Firm developed an indirect cost rate in the past? Yes No x <br />If "Yes", you are NOT ELIGIBLE to use the SHR. <br />DO NOT CONTINUE with this Questionnaire and please complete <br />the AASHTO Appendix B ICQ and provide an ICR Schedule. <br />Is the Firm a Prime Consultant Firm on a Caltrans contract > $3.5M Yes No x <br />Or Local Government contract > $1 M, regardless of the participation <br />Amount? <br />If "Yes", you are NOT ELIGIBLE to use the SHR. <br />DO NOT CONTINUE with this Questionnaire and please complete the <br />AASHTO Appendix B ICQ and provide an AUDITED ICR Report. <br />SHR Form ty ounce 28 - 222 5/17/2022 4 <br />