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Local Assistance Procedures Manual EXHIBIT 10-K <br />Consultant Certification of Contract Casts 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 CPR, 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 />Subeansultants (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: <br />Title: President <br />Consultant Certification Signature **: <br />Date of Certification (mmlddlyyyy): January 30 2015 <br />Consultant Contact Information: <br />Email: wkop(c wke-in(Lcom __, <br />Phone number: 714-953-2665 <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 11.4.C. 112(h)(2)(S), Subeornsultants must eomply with the F,4R Cost 1'rdncitti" contained da 48 CFR, Part 31, <br />23 CPR Part 172.3 Definitions state: Consultant means the individual orJ3rm providing engineering and design related services as a parry <br />to See contract. Therefore, subconsultarus as parries ofa contract must complete a certy1cation and send originals to A&1 and keep copies <br />in Local Agency Pt-giea 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 1.5-01 January 14, 2015 <br />