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Local Assistance Procedures Manual l7.'IIIIDIT 10-R <br />Consultant Certification of Contract Costs and Financial 14lnnagement System <br />1. Compliant with Generally Accepted Accounting Principles (GAAP) and standards promulgated <br />by the Cost Accounting Standards Board (when applicable). <br />2. ConipliantWitiltheternis of the contract and is incorredspeoffically, for the contract. <br />3. Not prohibited by 23 CPR, 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): $ _, NA-- <br />Prime <br />A_Prime Consultants (if applicable) <br />Proposed Total Contract Amount (or amount not to exceed if on-call contract): $ NA <br />Prime, list all subconsultants and proposed subcontract dollar amounts (attach additional page if necessary) <br />Consultant Certifying (Print Name and Title): <br />Name: get i'A l,itVkmg _ <br />Title: FWIP841 MR CEO <br />Consultant Certification Signature *": ----- <br />Date of Certification (muddcl/yyyy): 0610912015 <br />Consultant Contact Information: <br />smait: ofy ao pAI'a ul, - FArhAzr$. am <br />Phone number: C.T14) 3'Ig - 33l( I e.1G{'. 20l <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: Par 23 U.S.C. 112(b)(2)(D), Subconsullarlsmnst comply iellh the FAR Cost Principles con/abed in 48 CFR, Pnr13l. <br />23 C'FR Part 172.3 Dejinitlons slate: Consultant means de individual orJ nnprovirh'ng eueshleering and design, relatedservices as aparly <br />to ilia contract. Thorofare, snhconsullmrts nsparties ofn conircret anal complete a cer/Ificn/ion mrdsend ar(g/rats la A&lmut keep coptes <br />in Local Agency Project files. <br />Distribution: QOriginul(o CLarans Auditsandhrvestigalions <br />2) Retained in i.ocal Agency ProlcolPiics <br />UP 15-01 <br />/III1, PARAGON <br />Page 2 of 2 <br />January 1A, 2015 <br />CERTIFICATIONS 122 <br />