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Local Assistance Procedures Manual EXHIBIT 10.11 <br />Consultant Certification of Contract Costs and Financial ManagementS atom <br />1. Compliant with Cianekraily Accepted AacoutiengPr nciples (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,l72—Adminishation of Engincering 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 docutneittntion of compliance tnustbe <br />retaimad in the projectflles, <br />Sabconsultants (ifapplicabie) <br />Proposed Contract Amount (or amount not to exceed if on -pal) contract); $ <br />prime Consaltaats (iirapplicable) t] <br />Proposed Total Contract Amoruit (or amount not to exceed if on -call contract); $ f <br />Prime, list all subconsultamst and proposed subcontract dollar amounts (attach additional page if necessary): <br />Consultant Certifying (Print Name and Title); <br />Name <br />Title: <br />$ <br />$ <br />Consultant Certification Signature * *; <br />Date of Cettification (mmtdd/yyyy): <br />Consultant Contact Information, <br />Phone number; fi' # - ✓ ' tifj 7 <br />* *An individual executive or financial; officer of the consultant's organization at a level no lowerthsn 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 sabmitted in canpurtotion witli the contract, <br />Notc; Per23USr- Xt2( b) p,j( B}, Subconsuhants 'a I's tnatptyavr`th(heMA Cost h1 otpteawntaluedla48CA't3 Patin <br />23 C R eart 172.Mftnhiow slaw Constdami mean the individuut or, fh•tn pt avBNng arrgtneel inganddesign relatedaerutces as apapd, <br />to fha aaturxzcG :hereftev, snbaansrtttants as parties ofa Contract must complete a cert$oatton andsend m1gtnatsto A &I and keep copies <br />in Lanai AgeneyhvJect Flies. <br />Distribution: I) C)dgind to CaltranD Audits and lnostigilim3 <br />2) Retained in Lewd Ageney Feijest Flies <br />Page, 2 of 2 <br />UP 15.61 Januai y 14, 2625 <br />25L -279 <br />