California_Safe_Harbor_Rate_Form.pdf
PDF 85 KB Posted
- Attached to
- US 50/BUS 80 Community Connectivity Project
- Solicitation number
- 25-053-RFP
- Issued by
- Yolo County, California
About this file
This is a California Safe Harbor Indirect Cost Rate (SHR) Program form used by the City of West Sacramento for the US 50/BUS 80 Community Connectivity Project consultant services solicitation. The form serves as a certification document for consultant firms to establish their eligibility and financial management system compliance for applying indirect cost rates to state and local contracts. The SHR program permits eligible consultant firms to apply standardized indirect cost rates of 120% for home office work and 90% for field work, eliminating the need for firms to develop individual Federal Acquisition Regulations (FAR)-compliant indirect cost rates. To qualify, firms must not be prime consultants on Caltrans contracts exceeding $3.5 million or local government contracts exceeding $1 million, and must not have utilized the SHR for more than three years on state or federally funded contracts. Additionally, firms must lack relevant contract cost history, previously accepted indirect cost rates, or existing provisional rate agreements with cognizant agencies.
The form requires consultant firms to certify that their financial management systems comply with 2 CFR 200, Subpart D standards, which mandate adequate accounting systems to accumulate, track, and segregate allowable, allocable, and reasonable direct labor and other direct costs by contract while removing unallowable expenses. The questionnaire component assesses the firm's accounting infrastructure, including general ledger organization, project cost tracking, timesheet procedures, written policies on accounting and billing practices, vehicle mileage documentation, and employee classification methodology. All responses are certified as accurate by company management, with supporting documentation required for Caltrans contracts. The form references regulatory standards from Title 48 CFR Part 31, 2 CFR 200 Subpart D, Title 23 U.S.C. Chapter 1 Section 112, and the AASHTO Uniform Audit & Accounting Guide (2016 Edition).
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Text version
California Safe Harbor Indirect Cost Rate Program
SHR Form Revised 9/25/2020 1
Consultant Firm Certification of Eligibility and Certification of Financial Management System
Consultant Firm Name _____________________________________________________________
Local Agency (if applicable) _______________________________________________________
Contract Number / Federal Project Number ________________________________________
Contract Total $ ___________________________________________________________________
For Subconsultant Firms – estimated % of work to be performed ____________________ %
Safe Harbor Indirect Cost Rate (SHR): Home: 120% and/or Field: 90% Field SHR will be utilized for contracts where the work deliverables are not completed from the consultant offices (i.e. Construction Inspection, Material Testing, Sources Inspection, others).
Consultant Firm Certification of Eligibility
I, the undersigned, certify that I am eligible to use the Safe Harbor indirect cost rate as I:
1. Am not a Prime Consultant Firm on a Caltrans contract > $3.5M, or Local Government contract > $1M, regardless of the participation amount.
2. Have not used SHR for more than three (3) years since entering the program on a state or federally funded contract.
AND
1. Do not have relevant contract cost history to use as a base for developing a Federal Acquisition Regulations (FAR) of Title 48, Code of Federal Regulations (CFR), Part 31 compliant ICR.
2. Do not have a previously accepted ICR by a cognizant agency, or with an audited/accepted actual ICR, and do not have an existing contract with a provisional rate.
Certification of Financial Management System
I, the undersigned, certify that our financial management system in place for this contract and moving forward meets the standards for the Safe Harbor indirect cost rate requirements and financial reporting, accounting records, internal and budget control as set forth in 2 CFR 200, Subpart D. These standards require consulting firms have an accounting system
SHR Form Revised 9/25/2020 2 adequate to accumulate, and track allowable, allocable, and reasonable direct labor and other direct costs by contract; segregate indirect costs and remove unallowable costs.
Print Name ________________________________________________
Signature ________________________________________________ (Electronic Signature Allowed)
Title ________________________________________________
Date Completed _______________________
Note: The certification of this Safe Harbor Rate was made by, and are the responsibility of, the Company’s management.
Definition of Terms
Direct Cost is any cost that is identified specifically with a particular cost objective. Direct costs are not limited to items that are incorporated in the end products as material or labor.
Costs identified specifically with a contract are direct costs of that contract. All costs identified with other final cost objectives of the contractor are direct costs of those objectives, 48 CFR 31.202.
Indirect or overhead cost is any cost that is not directly identified with a single final cost objective but is identified with two or more final cost objectives or with at least one intermediate cost objective, 48 CFR 31. 203.
References
Title 48 Code of Federal Regulations (CFR) Part 31 -Federal cost principles.
Title 48 CFR Chapter 99, Subchapter B - Procurement Practices and Cost Accounting Standards.
Title is 2 CFR 200 Subpart D, Standards for Financial and Program Management.
Title 23 United States Code (U.S.C.), Chapter 1, Section 112 - Letting of Contracts.
Title 23 CFR, Chapter 1, Part 172 - Procurement, Management, and Administration of Engineering and Design Related Services.
American Association of State Highway and Transportation Officials (AASHTO) Uniform Audit & Accounting Guide (2016 Edition).
SHR Form Revised 9/25/2020 3
Caltrans Contract
If participating on a Caltrans Contract, also attach a completed copy of the following Safe Harbor Indirect Cost Rate Questionnaire for Evaluating Consultant Firm’s Financial Management System.
SHR Form Revised 9/25/2020 4
Questionnaire for Evaluating Consultant Firm’s Financial Management System Consultant Firm Name _____________________________________________________________
Firm Headquarters Address _________________________________________________________
Accounting Records
• Location where Accounting records are held ________________________
• Name and Title _____________________________________________________
• Email and Phone ____________________________________________________
• Mailing Address _____________________________________________________
To be eligible for Safe Harbor indirect cost rate (SHR), the Consultant Firm’s financial management system must be adequate to accumulate and track direct labor and other direct costs by contract, segregate indirect costs, and remove unallowable costs in accordance with 48 CFR 31 for the different business segments.
Instructions
1. Answer all questions and provide an explanation and additional supporting documentation where requested.
2. If additional space is required, please attach a separate sheet and refer to items being answered by number.
Has the Firm developed an indirect cost rate in the past? Yes ____ No ___ If “Yes”, you are NOT ELIGIBLE to use the SHR.
DO NOT CONTINUE with this Questionnaire and please complete the AASHTO Appendix B ICQ and provide an ICR Schedule.
Is the Firm a Prime Consultant Firm on a Caltrans contract > $3.5M Yes ____ No ___ Or Local Government contract > $1M, regardless of the participation Amount?
If “Yes”, you are NOT ELIGIBLE to use the SHR.
DO NOT CONTINUE with this Questionnaire and please complete the AASHTO Appendix B ICQ and provide an AUDITED ICR Report.
SHR Form Revised 9/25/2020 5
1. What form of business entity is the Firm?
Sole Proprietorship ___ Partnership ____ C Corporation __ S Corporation __
Other __________________________________________________
2. What types of services will the Firm provide for this contract? (Select all that apply.)
Architectural and Engineering Services ____ Program Management ____
Preliminary Engineering ____ Design Engineering ____
Surveying ____ Feasibility Studies ____
Mapping or Architectural Related Services ____ Other _____________________
3. Does the Firm have prior government contracting experience? Yes ____ No ____
4. Does the general ledger contain separate direct and indirect accounts for the following?
Labor Yes ___ No _____ Non-Labor Yes ____ No ____
5. Does the company have a system in place to identify and remove form the indirect cost pools all unallowable cost? Yes_____ No ____
6. Does the firm assign a unique identification/project number in your accounting system for each contract/project?
Yes _____ No _____
7. Is indirect and direct labor separated by contract/project/cost objectives on employee timesheets with unique reporting codes?
Yes _____ No _____
SHR Form Revised 9/25/2020 6
8. Do you have written policies on the following cost categories?
Accounting Yes ___ No ____ Overtime Yes _____ No ____
Billing Yes ___ No ____ Direct/Indirect Expenses Yes _____ No ____
Timesheet Preparation Yes ___ No ____ Prevailing Wage Yes _____ No ____
Bonus Yes ___ No ____
9. What types of employee status will the Firm provide for this contract?
Non-exempt ____ Exempt-salaried ___ Exempt-hourly ___ Contract Employee ___
Other __________________________________________________
10. Does the Firm pay overtime for exempt employees?
Yes _____ No ___
11. Besides labor, does the Firm normally bill/invoice the following as direct contract/project costs? (Select all that apply)
Vehicle _____ Shipping ______
Computer/CADD _____ Lab ______
Printing _____ Travel ______
Specialty Equipment ____ (List below)
Other (List below) ______
12. Are mileage logs maintained for all vehicles? If no, please explain below.
Explanation _____________________________________________________________________
Where is the vehicle stored after work? ___________________________________________
Does employee use vehicle for personal use? Yes ______________________ No_______
What is the recovery/billing rate used for Firm or personal vehicle mileage reimbursement?
$ ________ per mile
SHR Form Revised 9/25/2020 7
I certify that to the best of my knowledge and belief the responses to this questionnaire are accurate.
Print Name ________________________________________________
Signature ________________________________________________ (Electronic Signature Allowed)
Title ________________________________________________
Date Completed _______________________
Note: The certification of this Safe Harbor Rate was made by, and are the responsibility of, the Company’s management.
| Consultant Firm Certification of Eligibility and Certification of Financial Management System |
| Consultant Firm Certification of Eligibility |
| Certification of Financial Management System |
| Questionnaire for Evaluating Consultant Firm’s Financial Management System |
File details come from the government source that posted it. Updated .