COMMERCIALLY_USEFUL_FUNCTION.pdf

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Attached to
CCTV BOSCH CAMERAS AND ACCESSORIES
Solicitation number
0726*328
Issued by
California

About this file

This is a Commercially Useful Function (CUF) Certification Form (DOT ADM-3025, Revised July 2024) issued by the State of California Department of Transportation (Caltrans) for use in connection with a CCTV Bosch Cameras and Accessories procurement supporting the LA2028 Summer Olympics. The form serves as a certification mechanism for bidders to demonstrate that their business will perform a genuine commercially useful function on the contract rather than serve as a pass-through entity. Bidders must affirmatively respond to questions regarding whether their business will execute a distinct element of work, perform or manage the work directly, provide services normal to their business operations, and avoid excessive subcontracting beyond normal industry practices. Responses of "No" to questions one through three or "Yes" to question four regarding pass-through participation may result in the bid being deemed non-responsive and disqualified from consideration.

Bidders executing this form certify under penalty of perjury that all information provided is true and correct. The form is designed to ensure that Small Business (SB) and Disadvantaged Veteran Business Enterprise (DVBE) participation goals are achieved through legitimate business engagement rather than artificial arrangements. Caltrans requires this certification as part of the competitive bidding process to maintain program integrity and ensure that contract awards support genuine minority and veteran-owned business participation. The form does not establish pricing, set-asides, or funding mechanisms but rather functions as a qualifying documentation requirement within Caltrans' broader procurement framework for this Olympic-related infrastructure project.

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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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