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25L - AGMT - ON-CALL RIGHT OF WAY SRVS
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25L - AGMT - ON-CALL RIGHT OF WAY SRVS
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Entry Properties
Last modified
8/3/2015 10:29:01 AM
Creation date
7/30/2015 5:10:43 PM
Metadata
Fields
Template:
City Clerk
Doc Type
Agenda Packet
Agency
Public Works
Item #
25L
Date
8/4/2015
Destruction Year
2020
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Local Ass6stnace7h ocedurev Manual, EXTUBI IO-K <br />Consultnnt Certification of Contract Costa and Financial MAnageurent$ystent <br />1. Compliant veRb Generally Accepted AecounfingPrinciples (GAAP) and standards promulgated <br />by ilia Cost Accounting Standards Board (when applicable}; <br />2. Cornpl laut with the terms of tile contract and is lwwrrnd specifically for the contract. <br />1. Not prohibited by 23 CFR, Chapter 1, Part 172 —Administration of Engineering and Dosp <br />Related Service Contracts to the extent req iteeruenfs are applicable to Consultant. <br />All costs must be applied consistently and fahly to allpontmets. All documentation of oampliance must be <br />retained in the project files. <br />Subconsultants (if applicable) <br />Proposed Contract Amount (or amount not to exceed if on-call collcact). $ NA <br />Prune Consultants (if applicable) <br />Proposed To(al Commet Amount (or amount not to exceed if on-call coutract)i $_ NA_ <br />Prime, Iist al subconsultants and proposed subcontract dollar amounts (attnah additional page Ifnccessary),, <br />$ <br />Consultant Certifying (Print Na1ne and Tit to)- <br />Name. N�ILIA I�AVA'ld,� <br />Consultant Certification Signature ax, <br />Date of Certification (ran ') /dcllyyyy): U6t(1912(}1S <br />Consultant ContactInfoxmationt <br />Email; y12ti 61 A 7AV8�gDV1' ptRf ik pS, COM <br />Phone number: eg- 7,0 ( <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 eguivalaut, who has authority to represent thefrnancial information <br />utilized to establish theindirect CostRate proposal submitted in conjunction witlrthe contract. <br />Note, Per23U,. F. C. 1t1 @J(z)f6j,5 <i6epetsNlfmrlsrarvt camlr/y iVftlr fka hTeiR CAST P7Gteip(as oarUainoit Lr 48 CPR, ParOL <br />23 CrAFaav 172.3 D0111 iaussale: Consuffanta4an„'�toat &yrliVfdrmfor rot+ p+' nWdLrgengineer (pgane!cAstgrtretntastsarwlcesas aport), <br />tofftoconract. irirol'EjJdre,StlbfiAlLiRIlnlVS aY)Iaf'lleSpQCaltfl'aCUlIILSf aaHl(Ti6reaCePf6a(16li Rnd6eN$oJi$flva/S to lfCanC(ECef3 CO(lfb5 <br />in local Agency Projece ARits. <br />nlstribi nun: I) original to (Utnm9 Audits and hivoligations <br />2) Retained to local Agency Pfoita Piles <br />Paget 0f2 <br />1,PP 15 -01 January 14,2015 <br />PARAGON <br />'I ? PARrNras <br />25L -316 <br />22 <br />
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