COMMERCIALLY_USEFUL_FUNCTION.pdf
PDF 40 KB Posted
- Attached to
- WIRELESS 5 G MODEMS FOR CCTV
- Solicitation number
- 0726*329
- Issued by
- California
About this file
This is a Commercially Useful Function (CUF) Certification Form (DOT ADM-3025, Revised July 2024) issued by the California Department of Transportation (Caltrans) in support of a wireless 5G modem procurement for the 2028 Summer Olympic Games in Los Angeles. The form requires bidders to certify their ability to perform a commercially useful function on the contract by confirming responsibility for executing a distinct element of work, actually performing or managing the work, providing services normal to their business operations, and limiting subcontracting to industry-standard practices. Bidders must respond to five certification questions regarding their role and capacity, with negative responses to questions one through three or affirmative responses to question four resulting in disqualification of the bid as non-responsive.
The form serves as a compliance mechanism for Caltrans District 7's procurement of wireless 5G routers to support traffic management activities during the 2028 Summer Olympics. Bidders must certify under penalty of perjury that all information provided is true and correct by signing the bid response, whether submitted as a Request for Quote or Notice to Bidder Solicitation. The certification addresses small business (SB) and disabled veteran business enterprise (DVBE) participation requirements, ensuring that awarded contractors maintain substantive operational roles rather than serving as pass-through entities. The form includes fields for contractor name, certification responses, written statements, and documentation of relevant certifications or participations.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| SOLICITATION_0726.329.docx | DOCX document | |
| BIDDER_INSTRUCTIONS.pdf |
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
The document you are trying to load requires Adobe Reader 8 or higher. You may not have the Adobe Reader installed or your viewing environment may not be properly configured to use Adobe Reader.
For information on how to install Adobe Reader and configure your viewing environment please see http://www.adobe.com/go/pdf_forms_configure.
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
DPAC
| Solicitation: |
| EveryRO: |
| Name: |
| CertNumber: |
| Date: |
| ReadOnly: |
| SB: 0 |
| MB: 0 |
| DVBE: 0 |
| Item: |
| YES: 0 |
| YES: 0 |
| YES: 0 |
| YES: 0 |
| YES: 0 |
| NO: 0 |
| NO: 0 |
| NO: 0 |
| NO: 0 |
| NO: 0 |
| comments: |
| Heading: |
File details come from the government source that posted it. Updated .