Commercially_Useful_Function_(CUF)_Template.pdf
PDF 49 KB Posted
- Solicitation number
- 0000000595
- Issued by
- San Diego County, Berkeley City, California
About this file
This is a Commercially Useful Function (CUF) Certification Form from the California Department of Veterans Affairs that must be completed by certified Small Business, Microbusiness, and/or Disabled Veteran Business Enterprise (DVBE) contractors, subcontractors, or suppliers. The form contains five key questions that contractors must answer regarding their ability to execute distinct elements of work, manage operations, perform normal business functions, handle subcontracting appropriately, and verify they are not acting as a pass-through entity.
The form requires contractors to certify under penalty of perjury that they meet the commercially useful function requirements under Government Code Section 14837(d)(4) for Small Businesses and Military and Veterans Code Section 999(b)(5)(B) for DVBEs. The document must be signed by the certified business owner or authorized representative of the corporation to verify all information provided is truthful and accurate. The form includes fields for the contractor's name, "doing business as" (DBA) name, and OSDS reference number for currently certified firms.
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Text version
State of California Contract Number:
Department of Veterans Affairs
Commercially Useful Function (CUF) Certification Form
1. CONTRACTOR NAME
“DOING BUSINESS AS” (DBA) NAME: OSDS REF # (CURRENTLY CERTIFIED FIRMS ONLY):
2. COMMERCIALLY USEFUL FUNCTIONS (CUF)
All certified Small Business, Microbusiness, and/or DVBE 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:
If awarded a contract, will your business be responsible for the execution of a distinct element of the work of the contract? Yes ☐ No ☐
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 ☐
If awarded a contract, will you perform work that is normal for your business, service and functions? Yes ☐ No ☐
If awarded a contract, will your business subcontract a portion of the work greater than would be expected by normal industry practices? Yes ☐ No ☐
If awarded a contract, will your businesses 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 ☐
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.
OWNER’S/AUTHORIZED REPRESENTATIVE SIGNATURE: DATE:
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