attachment_11,_cuf_evaluation.pdf
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- Attached to
- RFP 25-3021 - Alternative Methodology
- Solicitation number
- 0000037189
- Issued by
- California
About this file
This is a DGS OBAS Form 201, a Commercially Useful Function Evaluation Form required by the State of California, effective January 1, 2004, under Chapter 623, Statutes of 2003. The form applies to all Small Businesses, Micro-Businesses, and Disabled Veteran Business Enterprises performing work on state contracts. The form serves as a certification mechanism to ensure that participating small business entities perform legitimate work rather than serve as pass-through entities for funding purposes.
Per Government Code Section 14837, a business performing a commercially useful function must satisfy five criteria: execute a distinct element of contract work; actually perform, manage, or supervise the work involved; perform work normal to its business and function; assume responsibility for negotiating prices, determining quality and quantity, ordering, installing when applicable, and making payments for products and materials; and not subcontract work beyond normal industry practices. Both the supplier's authorized representative and the buyer/cardholder must certify compliance with these requirements by signature and date. The form explicitly prohibits contractors, subcontractors, or suppliers from serving as extra participants in transactions designed solely to create the appearance of small business participation.
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Text version
DGS 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
| Supplier Name: |
| Authorized Representative: |
| Date: |
| BuyerCardholders printed name: |
| Date_2: |
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