10._attachment_9,_cuf_evaluation.pdf

OBAS Form 201

COMMERCIALLY USEFUL FUNCTION EVALUATION FORM

(rev. 10/14)

Supplier Name: ________________________________________________________

On January 1, 2004, Chapter 623, Statutes of 2003, became effective and requires all Small Businesses, Micro-Businesses and Disabled Veteran Business Enterprises to perform a “commercially useful function” in any contract they perform for the State.

Per GC 14837, Section 1: A business that is performing a commercially useful function is one that does ALL of the following:

1) Is responsible for execution of a distinct element of the work of the contract.

2) Carries out its obligation by actually performing, managing, or supervising the work involved.

3) Performs work that is normal for its business, services and function

4) Is responsible, with respect to products, inventories, materials, and supplies required for the contract, for negotiating price, determining quality and quantity, ordering, installing, if applicable, and making payment.

5) Is not further subcontracting a portion of the work that is greater than that expected to be subcontracted by normal industry practices.

Note: A contractor, subcontractor, or supplier will not be considered to perform a commercially useful function if the contractor’s, subcontractor’s, or supplier’s role is limited to that of an extra participant in a transaction, contract, or project through which funds are passed in order to obtain the appearance of small business or microbusiness participation.

Supplier’s Certification:

I certify that my company meets all five of the criteria listed above.

Authorized Representative Date

Buyers Certification:

Buyer has determined that a CUF will be performed by this supplier.

Buyer/Cardholder’s printed name Date

IFB 24-3009 Attachment 9 California Department of Social Services Page 1 of 1