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Local Assistance Procedures Manual EXHIBIT 10-K <br />Consultant Certification of Contract Costs and Financial Management System <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 />Subconsultants (it'applicable) <br />Proposed Contract Amount (or amount not to exceed if on-call contract): $ TBD <br />Prime Consultants (if applicable) <br />Proposed Total Contract Amount (or amount not to exceed if on-call contract): $ TBD <br />Prime, list all Subconsultants and proposed subcontract dollar amounts (attach additional page if necessary) <br />NA <br />Consultant Certifying (Print Name and Title): <br />Name: Ralph Guida, IV, PS <br />Title: President <br />Consultant Certification Signature ** <br />Date of Certification (mm/dd/yyyy): 10/1.3/2016 _ <br />Consultant Contact Information: <br />Email: rguidaiv a guidasurveying.cotn <br />Phone number: (949) 777-2000 <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. 11.2(b)(2)(B), Subconctdtaws anal conrpll, with the FAR Cost Principles contained is 48 CFR, Parl 31 <br />23 CFR Part 172.3 De <br />firrilions state. Consultant means Ore in<livl<kral nr firm providing engirraering and design related s¢rrrces as n party <br />Ito the cwuract. 77ierefbre, Subconsultants as parties ora contract most eoniptete to certification and send at glnals to AM and keep copies <br />in Local Agency Prrrject Files. <br />nisrrlbulion: 1) Original to Caltrans Audits and Inmstigations <br />2) Retained in Local Agency Project Piles <br />L,PP 15-01 <br />20B-42 <br />Page 2 of 2 <br />January 14, 2015 <br />