August 2021
C
ertification of Final Indirect Costs
Cognizant Letter
Firm Name:
Proposed Indirect Cost Rate: (All OH rates must be certified that are applicable)
Combined Rate: Home Rate: Field Rate:
On-Location Rate: On-Site Rate:
Issuance Date of Audit Report (mm/dd/yyyy):
Fiscal Period Covered (mm/dd/yyyy to mm/dd/yyyy):
I the undersigned, certify that I have reviewed the proposal to establish the final indirect cost for the
period as specified above and to the best of my knowledge and belief:
1.) All costs included in this proposal to establish final indirect cost rates are allowable in
accordance with the cost principles of the Federal Acquisition Regulations (FAR) of title 48,
Code of Federal Regulations (CFR), part 31.
2.) This proposal does not include any costs which are expressly unallowable under the cost
principles of the FAR of 48 CFR 31.
Signature: ____________________________________________________________
Name of Certifying Official* (Print):
Title:
Date of Certification (mm/dd/yyyy):
*The “Certifying Official” must be an individual executive or financial officer of the firm at a level no lower than
a Vice President or Chief Financial Officer, or equivalent, who has the authority to make such a representation
of the organization’s financial information.
Re
f. FHWA Directive 4470.1A available on line at:
http://www.fhwa.dot.gov/legsregs/directives/orders/44701a.htm
