CDOT Form 1432 "Commercially Useful Function Questionnaire" - Colorado

What Is CDOT Form 1432?

This is a legal form that was released by the Colorado Department of Transportation - a government authority operating within Colorado. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on March 1, 2017;
  • The latest edition provided by the Colorado Department of Transportation;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of CDOT Form 1432 by clicking the link below or browse more documents and templates provided by the Colorado Department of Transportation.

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Download CDOT Form 1432 "Commercially Useful Function Questionnaire" - Colorado

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Colorado Department of Transportation
COMMERCIALLY USEFUL FUNCTION QUESTIONNAIRE
Instructions: The Contractor shall submit a Form 1432 for each DBE/ESB firm to be counted toward the contract goal(s) upon
completion of the firm’s subcontract. CDOT will not authorize final payment until a Form 1432 has been received for each firm.
Contractor:
DBE/ESB:
Project Code:
Dates of Performance:
DBE/ESB Questions (Must be completed by a manager or owner of the DBE/ESB firm):
What work did your firm perform on this job?
Did your firm subcontract out any portion of its work? If so, to whom and what portion of work?
Did your firm lease any employees or lease/rent equipment to perform the work? If so, what resources and from whom?
Did your firm supply any materials to another firm? If so, what materials and from what source were they acquired (i.e. self-
manufactured, withdrew from inventory, purchased from another supplier, etc)?
DBE/ESB Signature:
Name:
Title:
Phone Number:
Contractor Questions (Must be completed by the Contractor after completion of the top portion by the DBE/ESB):
To your knowledge, are the statements provided above true and correct?
Was the work performed consistent with the Form 1415 and/or Form 205 submitted to CDOT? If not, please describe.
Did your firm provide any assistance (negotiation, payroll, employees, equipment, etc.) to the DBE/ESB during this project? If so,
please describe.
Contractor Signature:
Name:
Title:
Phone Number:
Project Engineer Questions
To the best of your knowledge, is the information provided above true and correct? If no, please describe.
Did you see any activity which appeared to violate the commercially useful function of the subcontractor? If so, please describe.
Engineer Signature:
Name:
Date:
Phone Number:
CDOT #1432 03/17
Colorado Department of Transportation
COMMERCIALLY USEFUL FUNCTION QUESTIONNAIRE
Instructions: The Contractor shall submit a Form 1432 for each DBE/ESB firm to be counted toward the contract goal(s) upon
completion of the firm’s subcontract. CDOT will not authorize final payment until a Form 1432 has been received for each firm.
Contractor:
DBE/ESB:
Project Code:
Dates of Performance:
DBE/ESB Questions (Must be completed by a manager or owner of the DBE/ESB firm):
What work did your firm perform on this job?
Did your firm subcontract out any portion of its work? If so, to whom and what portion of work?
Did your firm lease any employees or lease/rent equipment to perform the work? If so, what resources and from whom?
Did your firm supply any materials to another firm? If so, what materials and from what source were they acquired (i.e. self-
manufactured, withdrew from inventory, purchased from another supplier, etc)?
DBE/ESB Signature:
Name:
Title:
Phone Number:
Contractor Questions (Must be completed by the Contractor after completion of the top portion by the DBE/ESB):
To your knowledge, are the statements provided above true and correct?
Was the work performed consistent with the Form 1415 and/or Form 205 submitted to CDOT? If not, please describe.
Did your firm provide any assistance (negotiation, payroll, employees, equipment, etc.) to the DBE/ESB during this project? If so,
please describe.
Contractor Signature:
Name:
Title:
Phone Number:
Project Engineer Questions
To the best of your knowledge, is the information provided above true and correct? If no, please describe.
Did you see any activity which appeared to violate the commercially useful function of the subcontractor? If so, please describe.
Engineer Signature:
Name:
Date:
Phone Number:
CDOT #1432 03/17