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I . 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 on -call contract): $ <br />25,000.00 <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 />Consultant Certifying (Print Name and Title): <br />Name: Ralph W. Guide IV <br />Title: <br />President of Survey Operations <br />Consultant Certification Signature **: <br />Date of Certification (mm/dd/yyyy): <br />Consultant Contact Information: <br />01-29-15 <br />Email: rguidaiv@guidasurveying.com <br />Phone number: 949-777-2000 <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.C. 112(b)(2)(B), Subconsultants must comply with the FAR Cost Principles contained in 48 CFR, Part 31. <br />23 CPR Part 172.3 Definitions stater Consultant means the individual or firm providing engineering and design related services as a party <br />to the contract. Therefore, subconsultants as parties ofa contract must complete a certification and send originals to A&1 and keep copies <br />in Local Agency Project Files. <br />Distribution: 1) Original to Caltrans Audits and Investigations <br />2) Retained in Local Agency Project Files <br />Page 2 of 2 <br />LPP 15-01 January 14,2015 <br />