DPR-204_CUF_Questionnaire_12-17.pdf
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- Attached to
- EM-25-113 Weather Tower & Shelter Trailer
- Solicitation number
- 0000038921
- Issued by
- California
About this file
This is a Commercially Useful Function (CUF) Questionnaire from the State of California Department of Pesticide Regulation related to contract opportunity EM-25-113 for a Weather Tower & Shelter Trailer, which includes one shelter and tower trailer and one 33-foot aluminum weather tower. The questionnaire must be completed and submitted by all bidders, and is mandatory for bid responsiveness when certified Small Business (SB) or Disabled Veteran Business Enterprise (DVBE) prime contractors are involved—whether operating as direct manufacturers or service providers, using subcontractors, or bidding as subcontractors themselves. The form requires the applicant firm to verify that it meets all five CUF requirements under Military and Veterans Code Section 999 and Government Code Section 14837.
The five CUF requirements mandate that the certified SB or DVBE firm be responsible for executing a distinct element of work, perform or manage the work involved, conduct work normal to its business functions, perform the work itself rather than excessive subcontracting beyond standard industry practices, and add value through direct performance rather than serving as a pass-through entity. The questionnaire requires completion of business information, certification number, and an authorizing signature from the certified firm's owner or corporate officer, who must certify under penalty of perjury that all information provided is truthful and accurate. The document indicates checkboxes for certification groups and a space for a doing-business-as (DBA) name.
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Text version
State of California Department of Pesticide Regulation CUF Questionnaire DPR- 204 (Est. 10/2017)
COMMERCIALLY USEFUL FUNCTION (CUF) QUESTIONNAIRE
All bidders must complete the CUF Verification Form and include it with the bid responses.
This form must be completed and returned in order for the bid to be considered responsive if any of the following are involved:
• Certified SB/DVBE prime contractors who are not the direct manufacturer of the contracted goods or direct provider of contracted services and not using subcontractors
• Certified SB/DVBE prime contractors using any subcontractors
• Certified SB/DVBE subcontractors
Military and Veterans Code Section 999 and Government Code Section 14837 establish that a certified SB or DVBE must perform a “CUF”. CUF is defined as a business that meets ALL of the following five requirements.
BUSINESS NAME AND INFORMATION
VENDOR NAME: OFFICE OF SMALL BUSINESS AND DISABLED VETERAN
BUSINESS ENTERPRISE SERVICES (OSDS) CERT NUMBER:
(CURRENTLY CERTIFIED FIRMS ONLY)
1. Is the applicant firm responsible for the execution of the distinct element of the work of the contract or purchase order? Yes___ No___
2. Will the applicant firm carry out its obligation on a contract or purchase order by actually performing, managing, or supervising the work involved? Yes___ No___
3. Will the applicant firm perform work on a contract or purchase order that is normal for its business, services and functions? Yes___ No___
4. Does the applicant firm perform the work themselves, rather than further subcontracting a portion of the work that is greater than would be expected by normal industry practices?
Yes___ No___
5. Does this applicant firm add value by performing the work themselves, rather than being an extra participant in a transaction, contract, or project through which funds are passed in order to obtain the appearance of SB, MB and or DVBE?
Yes___ No___
AUTHORIZING SIGNATURE (REQUIRED)
The signatory of this document must be the certified firms owner (or officer 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.
OWNERS/OFFICER’S SIGNATURE DATE:
| VENDOR NAME DOING BUSINESS AS DBA NAME: |
| OFFICE OF SMALL BUSINESS AND DISABLED VETERAN BUSINESS ENTERPRISE SERVICES OSDS CERT NUMBER CURRENTLY CERTIFIED FIRMS ONLY: |
| Group1: Off |
| Group2: Off |
| Group3: Off |
| Group4: Off |
| Group5: Off |
File details come from the government source that posted it. Updated .