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California Safe Harbor Indirect Cost Rate Program <br />1. What form of business entity is the Firm? <br />Sole Proprietorship_ Partnership C Corporation _ S Corporation x <br />Other <br />2. What types of services will the Firm provide for this contract? (Select all that apply.) <br />Architectural and Engineering Services <br />Preliminary Engineering <br />Surveying <br />Mapping or Architectural Related Services <br />Program Management <br />Design Engineering <br />Feasibility Studies <br />Other Right of Way Services <br />3. Does the Firm have prior government contracting experience? Yes X No <br />4. Does the general ledger contain separate direct and indirect accounts for the following? <br />Labor Yes X No <br />Non -Labor Yes X No <br />5. Does the company have a system in place to identify and remove form the indirect cost <br />pools all unallowable cost? Yes No <br />6. Does the firm assign a unique identification/project number in your accounting system for <br />each contract/project? <br />Yes X No <br />7. Is indirect and direct labor separated by contract/project/cost objectives on employee <br />timesheets with unique reporting codes? <br />Yes X No <br />SHR Form ty ounce 28 - 223 5/17/2022 5 <br />