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Local Assistance Procedures Manual EXHIBIT to -K <br />Consultant Certification of Contract Costs and .€7nancial Management System <br />1. Compliant with Generally Accepted Accounting Principles (GAAP) and standards promulgated <br />by the Cost Accounting Standards Hoard (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 extant 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 tomes. <br />Subeonsultants (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 arnount 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: > > C f - ( no'l Cil <br />Title: A S S e C-1 CL - <br />Consultant Certification Signature **: <br />Date of Certification (mm/ddlyyyy): <br />Consultant Contact Information: <br />Email: jose.hernandez@kpff,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 US..C. 112(b)(2)(S). subcorsultmrts must comply with the FAR Cort Principles contained br 48 CFR, Part 31. <br />23 CFR Part 172.3 Definitions state: Consrdtaw means the indivldaal or firm providing etiginev ing and design related services as a party <br />to the contract. Therefore, subcmvrullants as parties ofa contract must coniplele a certification and send originals to A&I and keep copiers <br />in Local Agency Project Files. <br />instrl6utimn 1) original to Caltrans Audits and Investigations <br />2) Retained in Local Agency Project Files <br />Page 2 of 2 <br />LPP 15-61 January 14, 2015 <br />