11._DFW_1038_-_CUF_Evaluation_Worksheet.pdf

State of California - Department of Fish and Wildlife

COMMERCIALLY USEFUL FUNCTION (CUF) EVALUATION AND DETERMINATION WORKSHEET

DFW 1038 (REV. 12/01/21) Page 1 of 2 Mark the supplier type being evaluated

PRIME SUBCONTRACTOR

SB/DVBE Certification # #______________ #______________ Mark the Certification Type SB MB DVBE SB MB DVBE Supplier Name Doing Business As Name (if any) Evaluation Date RFQ or Requisition Number

Description of goods to be evaluated

Note: SB and/or DVBE certification does not make a supplier CUF compliant.

Instructions for CUF Evaluation and Determination

Based on the documentation submitted by the supplier, answer each of the following questions for each SB and/or DVBE (prime or subcontractor). Indicate whether the SB and/or DVBE supplier appears to meet each requirement by checking the appropriate box for each question.

1. Supplier must be responsible for the execution of a distinct element of the work.

a) The bidder has indicated on the Bidder Declaration form(DFW 1082) that the goods will be provided by the SB and/or DVBE company in relation to the scope of work.

YES NO

b) Are the goods the supplier is providing described in the Bidder Declaration scope of work and/or considered to be distinct elements of the contract work?

YES NO

2. Supplier must carry out the obligation by performing, managing, or supervising the work involved.

a) On DFW 1082, does the supplier commit to its obligation to performing, managing, and/or supervising the work?

YES NO

3. Will the supplier be responsible for all the following:

a. Negotiating price

b. Determining quality and quantity

c. Ordering

d. Making payment

e. Installing (if applicable)

YES NO

State of California - Department of Fish and Wildlife

COMMERCIALLY USEFUL FUNCTION (CUF) EVALUATION AND DETERMINATION WORKSHEET

DFW 1038 (REV. 12/01/21) Page 2 of 2

4. Supplier performs work that is normal for its business services and functions.

a) Describe the supporting documentation either provided by the supplier (DFW 1082, STD 843) and

SB/DVBE certif ications, UNSPSC, or website below that supports the supplier is performing work that is normal for its business services and functions (Attach supporting documents).

Supporting Information:

b) Based on the information on the DFW 1082, do the goods appear to be consistent with this supplier normal activities?

YES NO

5. Supplier is not further subcontracting portions of work that are more than expected by industry standard

a) Is this supplier a Prime performing all the work?

If “Yes”, check the box and complete compliance determination If “No”, check the box and proceed to question b)

YES NO

b) Based on the percentage of goods that will be subcontracted as stated on the DFW 1082, is this amount normal per industry standards?

YES NO

Compliance Determination

If the answer to all f ive (5) questions is “YES”, the vendor is CUF compliant.

If the answer to any of the five (5) questions is “NO", the supplier is NOT CUF compliant.

Refer to SCM Vol. F 3.A2.8 to understand why a supplier that is not CUF compliant cannot be used.

Is this supplier CUF compliant? YES NO Evaluator Printed Name

Evaluator Signature

Program Name

SCM Vol. F 3.A2.8