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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 Cast 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 />Subconsultauts (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 />$ <br />Consultant Certifying (Print Name and Title): <br />II r <br />Name: )i'7 _� C: ____I _e- <br />Title: /�� 5 5 C C) CL'l L_ <br />Consultant Certification Signature * *: <br />Date of Certification (nun/dd/yyyy): <br />Consultant Contact Information: <br />Email: jose.Irernandez@lcpff.com <br />Phone number: (562) 437 -9100 <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.0 111(b)(1)(B), SubwnsuRants must comply with the FAR Cost Principles contained in 48 CFR, Port 31. <br />23 CFR Part 172.3 Definitions slate: Consultant mean the inrlivirhtal or firm providing engineering and design related services as a party <br />to die contract. Therefore, subeonsallaws as parties of a contract tnust complete a certification mid send originals to Ad1 and keep copies <br />M Local Agency Project Piles, <br />DisndUudou: I) original [o Caltrans Audits and Investigations <br />2) Retained In Local Agency Project Files <br />LPP 15 -01 <br />25C -30 <br />Page 2 of 2 <br />January 14, 2015 <br />