Appendix_B_Exhibit_5_CBE_form.xlsx

This is a Certified Business Enterprise (CBE) form exhibit prepared by the County of Los Angeles, Department of Public Health, for the Nutrition Support Services for Eligible Ryan White Program Clients in Los Angeles County solicitation. The form serves as documentation for bidder certification and compliance verification purposes within the application process. The CBE form requires applicant organizations to provide detailed information regarding their business entity status, ownership structure, and certification credentials relevant to participating in this County of Los Angeles procurement.

The form functions as a standardized certification document designed to verify an applicant's eligibility and qualifications as a certified business enterprise. It captures essential organizational data necessary for the County to assess bidder compliance with applicable set-aside requirements and local business participation goals. The form is a component of the broader application package and must be completed accurately and submitted with the overall application response to the County of Los Angeles Department of Public Health for evaluation and award consideration.