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Local Assistance Procedures Manual EXHIBIT 10 -K <br />Consultant Certification of Contract Costs and Financial Management System <br />1. Compliant with Generally Accepted Accounting Principles (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 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 out -call contract): $ <br />Prime Consultants (if applicable) <br />Proposed Total Contract Amount (or amount not to exceed if on -call contract): $ <br />Prime, list all subconsultants and proposed subcontract dollar amounts (attach additional page if necessary): <br />$ <br />Consultant Certifying (Print Name and Title): <br />Name: _Ednvarcl 1 ok Ng _ <br />Title: - Architect <br />Consultant Certification Signature " *: c!(.. -.t <br />Date of Certification (mnnldd /yyyy): _7mnrmy 30, 2015 <br />Consultant Contact Information: <br />Email: lok ng�ba tarchitecinne.cam <br />Phone number: O: 562 -912 -7900 C:310- 480 -7730 <br />* *An individual executive or financial officer of the consultant's organization at a level no louver 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: Pei-23 U.S.C. 112(h)(2)(B), Subconsultants durst comply with the FAR Cost Principles contained in 48 CPR, Part 31. <br />23 CFR Part 172.3 Definitions state: Consultant means the individual or firm providitig engineering and design related services as a pmvy <br />to lire conhact. Therefore, subconsultants os parties ofa conhtact must complete a certification and send originals to Ml andkeep copies <br />in Local Agency Project Files. <br />Distribution: t) Origieat to Caltrmis Audits and bivestigations <br />2) Retained in Local Agency Project Piles <br />LPP 15 -01 <br />25M -176 <br />Page 2 of 2 <br />January 14, 2015 <br />