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Local Assistance Procedures Manual EXHIBIT 10-K <br />Consultant Certification of Contract Costs and Financial Management System <br />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): $ 50,000* <br />Prime Consultants (if applicable) <br />Proposed Total Contract Amount (or amount not to exceed if on -call contract): $ 200,000' <br />Prime, list all subconsulta is and proposed subcontract dollar amounts (attach additional page if necessary) <br />Absolute Consulting Engineers $ 8,0W <br />BOA Architecture <br />$ 8,000* <br />Coast Surveying, Inc. <br />$ 9,0W <br />Counts Unlimited, Inc. <br />$ 5,000. <br />OMB Electrical Engineers, Inc. <br />$ 10,000* <br />WKE, Inc. <br />$ 10,000` <br />.Estimated amount only <br />Consultant Certifying (Print Name and Title): <br />Name: Daniel Chow <br />Title: President/CEO <br />Consultant Certification Signature *' <br />Date of Certification (mmlddlyyyy): Jalmary 30. 20 55 <br />Consultant Contact Information: <br />Email: dchow a willdan.com <br />Phone number: 714.978,8200 <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), Subaon,sultants most enmply with the FAR Cost Principles contained in 48 CYR, Part 31, <br />23 CRR Part 172.3 IJefinitions state: Consultant means the individual or firm providing engineering and design related services as a party <br />to itle contract. Therefore, subconsultanis as parties of 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 I5d11 January 14, 2015 <br />