Exhibit 10-A - A&e Consultant Audit Request Letter And Checklist Form

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Local Assistance Procedures Manual
EXHIBIT 10-A
A&E Consultant Audit Request Letter and Checklist
E
10-A A&E C
A
R
L
C
XHIBIT
ONSULTANT
UDIT
EQUEST
ETTER AND
HECKLIST
(For Proposed A&E Consultant Contracts of $1 Million or More)
[Attach this form to local agency cover letter for transmittal]
Department of Transportation
Date: _________________________________
Audits and Investigations, MS 2
Federal Project Number: __________________
Attention: External Audit Manager
Project Description: ______________________
P.O. Box 942874
_______________________________________
Sacramento, CA 94274-0001
Dear External Audit Manager:
The following information is attached for proposed A&E consultant contract number _______________ at a
proposed cost of $ _______________, with ___________________________________________________
[Consultant’s Name, Address, Contact Name, Phone Number]
1. Proposed contract between the local agency and the consultant.
2. Cost proposal(s) for prime consultant and subconsultant.
3. Names, mailing addresses, phone numbers, and email addresses for all subconsultants.
Name of local agency contact person, phone number, and e-mail address.
4.
5. All that apply: Consultant generated Indirect Cost Rate(s) schedule prepared in accordance with
applicable Code of Federal Regulations (CFRs) and/or Safe Harbor Indirect Cost Rate certification
and supplemental questionnaire, see:
DLA-OB 13-07 - Safe Harbor Indirect Cost Rate for Consultant
Contracts.
6. A completed Internal Control Questionnaire
(AASHTO Uniform Audit and Accounting
Guide,
Appendix B).
Exhibit 10-K Consultant Certification of Contract Costs and Financial Management System,
7.
completed for the prime and all subconsultants. If requesting to use the Safe Harbor Indirect Cost
Rate see:
DLA-OB 13-07 - Safe Harbor Indirect Cost Rate for Consultant
Contracts.
8. Include one of the following; if applicable:
a. A copy of the prior fiscal year and most recently completed fiscal year Cognizant approved
indirect cost rate(s) and approved State Department of Transportation letters for the consultant
(must be provided if issued);
b. A copy of the prior fiscal year and most recently completed fiscal year Indirect Cost Rate(s)
Schedule and audited report by an independent Certified Public Accountant (CPA). If a CPA-
audited Indirect Cost Rate is available for the appropriate fiscal year (applicable one-year
accounting period), then the consultant must use the Indirect Cost Rate(s), or lower
(see 23 CFR 172.7(b) for guidelines), in the cost proposal.
Page 1 of 2
LPP 15-01
January 14, 2015

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