25FS0032_-_Commercially_Useful_Function_(CUF).pdf
PDF 179 KB Posted
- Attached to
- 25FS0032 - Vehicle Gate Maintenance State and local contract opportunity
- Solicitation number
- 0000036532
- Issued by
- Fresno County, Inyo County, Kings County, Madera County, Mariposa County, Merced County, Mono County, Monterey County, San Benito County, Tulare County, Fremont City, Fresno City, Kingsburg City, Inyokern CDP, Monterey Park City, Madera City, Madera Acres CDP, Madera Ranchos CDP, Corte Madera Town, Mariposa CDP, Merced City, University of California-Merced CDP, Mono City CDP, Monterey City, Kings Beach CDP, Monterey Park Tract CDP, East Tulare Villa CDP, Tulare City, Mono Vista CDP, California
About this file
This document is a Commercially Useful Function (CUF) Certification Form from the State of California Department of Veterans Affairs, with a solicitation number of 25FS0032. The form is designed for certified Small Businesses (SB), Micro Businesses (MB), and Disabled Veteran Business Enterprises (DVBE) to demonstrate their ability to perform a meaningful role in a contract by meeting specific commercially useful function requirements under Government Code and Military and Veterans Code.
The form requires businesses to answer five key questions about their potential contract participation, including whether they will be responsible for executing a distinct element of work, carrying out contract obligations through performance or supervision, performing work normal to their business functions, and avoiding excessive subcontracting. The form emphasizes that a "No" response to questions 1-3 or a "Yes" response to question 4 may result in the quote being deemed non-responsive and disqualified. Businesses are also required to provide a written statement detailing their proposed role, services, and goods to meet the commercially useful function requirement, with the understanding that additional clarifying information may be requested by the state prior to award.
View the file
Other files for this state and local contract opportunity
| File | Type | Posted |
|---|---|---|
| 25FS0032_-_Bid_Rate_Sheet.xlsx | XLSX spreadsheet | |
| 25FS0032_-_CCC_042017.pdf | ||
| 25FS0032_-_Exhibits_A-D.pdf | ||
| 25FS0032_-_IFB_Letter.pdf | ||
| DVBEProgramRequirements_-_Contracts_-_Revision_Date_012022.pdf | ||
| 25FS0032_-_Addendum__1.pdf | ||
| 25FS0032_-_Bidders_Certification.pdf | ||
| 25FS0032_-_GSPD-05-105_-_Bidder_Declaration.pdf | ||
| 25FS0032_-_STD_204.pdf | ||
| 25FS0032_-_STD_205.pdf | ||
| 25FS0032_-_Sample_Insurance_Template.pdf | ||
| 25FS0032_-_Bidders_Checklist.pdf | ||
| 25FS0032_-_STD_213_sample_agreement.pdf | ||
| 25FS0032_-_CALIFORNIA_CIVIL_RIGHTS_LAWS_CERTIFICATION.pdf | ||
| 25FS0032_-_DGS_PD_843_-_DVBE_Declarations_v_9_2019.pdf | ||
| 25FS0032_-_Darfur_Contracting_Act_Cert_Rev._12.19_-_print.pdf |
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Text version
State of California Department of Veterans Affairs
COMMERCIALLY USEFUL FUNCTION (CUF) CERTIFICATION FORM
CV 012 (REV. 08/2023) Page 1 of 2
Solicitation Number:
Every certified SB, MB & DVBE must complete this form if they will perform an element of the work.
1. CONTRACTOR NAME (Completing Form) "DOING BUSINESS AS" (DBA) NAME: OSDS REF # (Currently certified firms only): Expiration Date:
2. COMMERCIALLY USEFUL FUNCTIONS (CUF)
All certified Small Business, Micro Business, and/or DVBE prime contractors, subcontractors or suppliers must meet the commercially useful function requirements under Government Code, Section 14837 (d)(4) (for SB) and Military and Veterans Code, Section 999(b)(5)(B) (for DVBE).
Please answer the following questions, as they apply to your company for the goods and services being acquired in this solicitation:
Mark all that apply: DVBE Small Business Micro Business
1 If awarded a contract, will your business be responsible for the execution of a distinct element of the resulting work? Yes No
2 If awarded a contract, will your business carry out the obligation of the contract by actually performing, managing, or supervising the work involved? Yes No
3 If awarded a contract, will you perform work that is normal for your business, service and functions? Yes No
4 If awarded a contract, will your business subcontract a portion of the work greater than would be expected by normal industry practices? Yes No
5 If awarded a contract, will your business role be 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 SB and/or DVBE participation? Yes No
A response of "No" in questions 1-3 or a response of "Yes" in question 4 may result in your quote being deemed non-responsive and disqualified.
3. WRITTEN STATEMENT
Provide a written statement below detailing the role, services and goods your company will provide to meet the commercially useful function requirement. At the State's option prior to award, you may be required to submit additional clarifying information
State of California Department of Veterans Affairs
CV 012 (REV. 08/2023) Page 2 of 2
AUTHORIZING SIGNATURE (REQUIRED)
The signatory of this document must be the certified business owner (or authorized representative in the case of a corporation) and as such, hereby certifies under penalty of perjury under the laws of the State of California that all information provided herein is truthful and accurate.
AUTHORIZED REPRESENTATIVE SIGNATURE: TITLE:
PRINTED NAME: DATE:
State of California Department of Veterans Affairs
CV 012 (REV. 08/2023) Page 1 of 2 Every certified SB, MB & DVBE must complete this form if they will perform an element of the work.
1. CONTRACTOR NAME (Completing Form)
2. COMMERCIALLY USEFUL FUNCTIONS (CUF)
All certified Small Business, Micro Business, and/or DVBE prime contractors, subcontractors or suppliers must meet the commercially useful function requirements under Government Code, Section 14837 (d)(4) (for SB) and Military and Veterans Code, Section 999(b)(5)(B) (for DVBE).
Please answer the following questions, as they apply to your company for the goods and services being acquired in this solicitation:
Mark all that apply:
If awarded a contract, will your business be responsible for the execution of a distinct element of the resulting work?
If awarded a contract, will your business carry out the obligation of the contract by actually performing, managing, or supervising the work involved?
If awarded a contract, will you perform work that is normal for your business, service and functions?
If awarded a contract, will your business subcontract a portion of the work greater than would be expected by normal industry practices?
If awarded a contract, will your business role be 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 SB and/or DVBE participation?
A response of "No" in questions 1-3 or a response of "Yes" in question 4 may result in your quote being deemed non-responsive and disqualified.
3. WRITTEN STATEMENT
State of California Department of Veterans Affairs
COMMERCIALLY USEFUL FUNCTION (CUF) CERTIFICATION FORM
CV 012 (REV. 08/2023) Page 2 of 2
AUTHORIZING SIGNATURE (REQUIRED)
The signatory of this document must be the certified business owner (or authorized representative in the case of a corporation) and as such, hereby certifies under penalty of perjury under the laws of the State of California that all information provided herein is truthful and accurate.
9.0.0.2.20101008.1.734229
| SolicitationNumber: 25FS0032 |
| DoingBusinessAs: |
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| ExpirationDate: |
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| Yes: |
| No: |
| ProvideAWrittenStatement: |
| AuthorizedRepresentative: |
| Title: |
| PrintedName: |
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