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Local Assistance Procedures Manual EXHIBIT 16-I{ <br />Consultant Certiflcalloo 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 />8ubconsultants (if applicable) <br />Proposed Contract Amount (or amount not to exceed if on -call contract): $ <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: Edward Lok N <br />"Title: Architect <br />Consultant Certification Signature <br />Date of Certification (mnnlddtyyyy): Januaiy 30. 20f 5, <br />Consultant Contact Information: <br />Email: lok,n a boaarchitecture,com <br />Phone number: O: 562-91.24900 C: 3I0-480-7730 <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: Pei-23 14S.C. I12(b)(2)(B), Sitbeoasuttmtts r+mtst comply With life FAR Cost Priuefl7les cotttaiiied iti 48 CFR$ Part 31. <br />23 CFR Part 172.3 Definiltons state: Consultant semis the htdrridaal ar frrm fx-oniding eagttteering mxf design related services as apm7y <br />to the conawet..Therefine, sabcoasaltaws aspartles ofa contract nurst coneplete a eertication and send originals to Aci7 and keep copies <br />in Local Agency Project Fifes. <br />nisn9bidtow I)Qriginalto Caltrans Auditsandinvestigations <br />2) Retained in Local Ageacy Project Flies <br />Page 2 of 2 <br />LPP 15-01 Jnnuary 14,2015 <br />