COMMERCIALLY_USEFUL_FUNCTION.pdf
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- Solicitation number
- 5626*123
- Issued by
- California
About this file
This document is a Commercially Useful Function (CUF) Certification Form (DOT ADM-3025, Revised July 2024) issued by the California Department of Transportation (Caltrans) for use in state contracting opportunities. The form requires contractors to certify their business's role and capacity in contract performance through a series of yes/no questions addressing whether the contractor will execute a distinct element of work, perform or manage the work directly, supply goods or services normal to their business operations, and whether subcontracting will exceed normal industry practices. Contractors must also attest that they will not serve merely as pass-through entities to create the appearance of small business (SB) or disadvantaged veteran business enterprise (DVBE) participation. The form requires signed certification under penalty of perjury, with responses of "No" to questions 1-3 or "Yes" to question 4 resulting in disqualification of the bid as non-responsive.
This certification form applies to the LifeMark 400 Dual Carriage Record Automated Re-Striping System solicitation, a California Department of Transportation contract for an automated system designed to manage re-striping of longitudinal traffic markings without requiring a rear operator. The system addresses deteriorating traffic lines caused by weather, vehicle wear, and fading while improving worker safety by eliminating the need for personnel to walk on roadways during layout line preparation. The procurement also aims to address workforce challenges by enabling new personnel to quickly develop striping skills, reducing dependency on experienced but diminishing operator availability. The form serves as a prerequisite compliance document for all bidders and must be completed accurately to ensure bid responsiveness and eligibility for contract award consideration.
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Other files
| File | Type | Posted |
|---|---|---|
| BIDDER_INSTRUCTIONS.pdf | ||
| SOLICITATION_RQS_5626.123.docx | DOCX document |
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STATE OF CALIFORNIA • DEPARTMENT OF TRANSPORTATION
COMMERCIALLY USEFUL FUNCTION (CUF) CERTIFICATION FORM
DOT ADM-3025 (REV 07/2024)
State of California Department of Transportation Form Title: Commercially Useful Function (CUF) Certification Form Form Number: DOT ADM-3025 (Revised July 204) ADA Notice ADA Notice This document is available in alternate accessible formats. For more information, contact the Forms Management Unit at 279 234 2284, Teletype 711, in writing at Forms Management Unit, 1120 N Street, Mail Station 89, Sacramento, California 95814, or by email at Forms.Management.Unit@dot.ca.gov This document is available in alternative accessible formats. For more information, please contact the Forms Management Unit at (279) 234-2284, TTY 711, in writing at Forms Management Unit, 1120 N Street, MS-89, Sacramento, CA 95814, or by email at Forms.Management.Unit@dot.ca.gov.
1. CONTRACTOR NAME
2. COMMERCIALLY USEFUL FUNCTION (CUF)
Mark all that apply If awarded a contract, will your business be responsible for the execution of a distinct element of the resulting work and/or goods?
If awarded a contract, will your business carry out the obligation of the contract by actually performing, managing, or supervising the work and/or goods involved?
If awarded a contract, will you perform work and / or supply goods that is normal for your business, service, and functions?
If awarded a contract, will your business subcontract a portion of the work and/or goods 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
By signing the bid response (Request For Quote/Notice To Bidder Solicitation), you are certifying under penalty of perjury that the information provided on the CUF Certification Form is true and correct.
Certification, By signing the bid response (Request For Quote/Notice To Bidder Solicitation), you are certifying under penalty of perjury that the information provided on the CUF Certification Form is true and correct.
Forms Management Unit Caltrans DOT ADM-3025: Commercially Useful Function (CUF) Certification Form
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