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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 />Subeonsultants (if applicable) <br />Proposed Contract Amount (or amount not to exceed if on -call contract): $ 50 000.00 <br />Prince Consultants (if applicable) <br />Proposed Total Contract Amount (or amount not to exceed if on -call contract): $ 150,000.00 <br />Prime, list all subconsultants and proposed subcontract dollar amounts (attach additional page if necessary): <br />Diaz Yourman & Associates $ 25,000.00 <br />Guida Surveying $ 25,000,00 <br />Consultant Certifying (Print Name and Title): <br />Name: Matt Ulukaya <br />Title: <br />Consultant Certification Signature **: <br />Date of Certification (mm/dd/yyyy): ,_ 01/30/2015 <br />Consultant Contact Information: <br />Email: Matt.Ulukaya6'i).accm-n.com <br />Phone number: (714) 567-2642 <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.S.0 112(b)(2)(B), Subconsadtarus must comply with the FAR Cost Principles contained in 48 CFR, Part 31 <br />23 CFR Part 172.3 Z3eftnitions- state: Consultant means the individual orfrnm providing engineering and design related serrkes as a p arty <br />to the contract, Therefore, subconsultants as parties ofa contract most complete ea cart fuzztion and send originals to AM and keep copier <br />in Local.Agency Project Files <br />Distribution: 1) Original to Caltrans Audits and investigations <br />2) Retained in Local Agency Project Niles <br />Page 2 of 2 <br />LPP 15-01 January 14, 2015 <br />