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Local Assistance Procedures Manual EXHIBIT 10-IC <br />Consultant Certification of Contract Costs and Financial Management System <br />1. Compliant with Generally Accepted Accounting Principles (GAAP) and standards promulgated by <br />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 on -call contract): $ 21640 (i t s2% of Estimated NTE Contract) <br />Prime Consultants (if applicable) <br />Proposed Total Contract Amount (or amount not to exceed if on -call contract): $ 200,000 (EstimAted motto Exceed) <br />Prime, list all subconsultants and proposed subcontract dollar amounts (attach additional page if necessary) <br />ACT Consulting Engineers, Inc. <br />Diaz-Xourrnan & Associates Inc. <br />Consultant Certifying (Print Name and Title): <br />$11,820 (estimated) <br />$11,820 (estimated) <br />Name: Mike Chesney, PE <br />Title: Vice President I Proiect Mani er <br />Consultant Certification Signature **: <br />Date of Certification (mm/dd/yyyy): January 30, 2015 <br />Consultant Contact Information: <br />Email: iiiehesney@r.nbakerintl.com <br />Phone number: <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 U&C. 112(b)(2)(B), 5ubconsulants must comply with the FAR Cost Principles contained In 48 CFR, Part 31. <br />23 CFR Part 172.3 Definitions state: Consultant means the individual or -firm providing engineering and design related services as aparty <br />to the contract, Therefore, subconsultants as partles of a cantract must complete a certification and send originals to 11d7 and beep copies <br />in Local Agency Project Files. <br />Distribution: 1) (higinalto Calnuns Audits and Investigations <br />2) Retained in Local Agency Project Files <br />Page 2 of 2 <br />LPP 15-01 January 14, 2015 <br />