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CUF Monitoring Report - CUF Determination Section

Date of CUF review: Enter date of CUF review.

Check this box to see additional guidance for this Section:

Based upon an appropriate review of the contract records, as well as periodic observations of the DBE Firm named above on the contract site, in accordance with the provisions of CFR 49 Part 26 Section 55 (c)(1), the NYS DOT Specifications and Standards; and the Contract Administration Manual (CAM) Section 105, it is found that: (Check One)

Nothing calls into question that the DBE named above has performed a Commercially Useful Function (CUF) on this Contract.

or

There are indicators that the DBE named above has not performed a Commercially Useful Function (CUF) on this Contract as evidenced by the following:

Brief Explanation of Finding: If it is determined that the DBE did not perform a Commercially Useful Function, write brief comments in the Brief Explanation of Finding box.

Actions Taken:

Name(s) and Title(s) of Person(s) who performed the assessment:

Once completed, submit the form to the Compliance Specialist assigned to the contract.

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please email: wldb@dot.ny.gov or call 518-457-2942.

New York State Department of Transportation
Office of Civil Rights
Workforce Learning & Development Bureau