Attachment_6_-_CUF_Certification.pdf

Complete one (1) CUF Certification for the portion of the contract that the bidder and/or each certified Small Business (SB) and/or Disabled Veteran Business Enterprise (DVBE) identified on the Bidder Declaration will be performing.

CUF statute (Government Code 14837 and Military and Veterans Code 999) requires that the contractor and subcontractor provide goods/services described in the scope of work and/or considered to be distinct element of the contract work.

Supplier Name:

Certification Type (SB or DVBE):

Certification number:

Prime or Subcontractor?

1. List the specific services the supplier will provide in relation to the Scope of Work:

2. List reasons why the services are a normal and consistent function of the supplier; provide support (e.g.

UNSPSC, certification, resumes, licenses, educational degrees, website, past performance, etc.):

3. Will the supplier provide products, inventories, materials, and supplies as well as perform ALL the following duties?

(If supplier is not providing any goods, mark "N/A")

1. Negotiating Price

2. Determining quality and quantity

3. Ordering

4. Making payment

5. Installing

NIA□ Yes □ No□ By signing this form the offeror is certifying under penalty of perjury that the work performed by the prime contractor and subcontractor or DVBE subcontractor listed on the contract is CUF compliant.

Authorized Representative (Print): __________________________ Date: ____________

Authorized Representative (Sign): __________________________ [REQUIRED]

RFP-24-004

ATTACHMENT 6 - COMMERCIALLY USEFUL FUNCTION (CUF) CERTIFICATION

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