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Local Assistance Procedures Manual gXHIBIT 10 -K <br />Consultant Certification of Contract Costs and Financial Management System <br />L Compliant with Generally Accepted Accounting Principles (CIAAP) and standards promulgated <br />by the Cost Accounting Standards Board (when applicable): <br />1 Compliant with the terms of the contract and is incurred specifically for the contract. <br />3, Not prohibited by 22 CFR, Chapter 1, Part 172 — Administration of Engineering 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 documentation of compliance must be <br />retained in the project files. <br />Subconsultants (if applicable) <br />Proposed Contract Amount (or amount not to exceed if on -call contract); i <br />Prime Consultants (if applicable) s <br />Proposed Total Contract Amount (or amount not to exceed if on-call contract), $ m <br />Prime, list all subconsultants and proposed subcontract dollar amounts (attach additional page if necessary): <br />Consultant Certifying �(Print Name and Title): <br />Title' <br />Consultant Certification Signature * *: <br />Date of Certification (mmddfyyyy)r <br />Consultant Contact Information; <br />Phone number. _ L ( Q-5 <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 equivalent, who has authority to represent the financial information <br />utilized to establish the Indirect Cost Rate proposal submitted in conjunction with the contract. <br />Note: Per 23 VAC. 112(b)(2)(8), Subconndtants mast comply wid, the FAR Cao Principles contained &148 CFR, Part 31. <br />23 CFR Part 172,3 Definitions stater Consultant rnenas the indfviiduol or, jirni ppovlding engineerZag an¢ design refntect serrot`csr us a pov(le <br />to div eontract, Theref ore, subconsuftants as pal- ties ofa eanmeetnurst cornplere a certification and send originals toA &land keep copies <br />In Local Agency Project "Iles. <br />ntstritualow t) Originat to Caltrans Audits and Invoivalona <br />2) Retained in Local Agency Proiect F'iluc <br />Page 2 of 2 <br />11PP 15.01 January 14, 2015 <br />25L -33 <br />