AppendixB_RequiredForms_CBEForm.xlsx

This is a required forms document for the Los Angeles County Workers' Compensation Claims Third-Party Administration Services contract opportunity. The file contains a Certified Business Enterprise (CBE) form that bidders must complete and submit as part of their proposal package. The form serves as Appendix B to the solicitation and establishes documentation requirements for contractors regarding their business enterprise certification status. Bidders are required to accurately complete all sections of the CBE form to demonstrate their eligibility and compliance with applicable certification requirements. The form must be submitted by the proposal due date to be considered for contract award. Current contractors have been approved through June 30, 2027, with new contracts effective July 1, 2027, for an indefinite term with potential renewals as authorized by the County.

The CBE form requires bidders to provide detailed information about their business enterprise classification, including documentation of any relevant certifications held. This form is a mandatory submission requirement, and failure to complete and submit it may result in proposal disqualification. The form applies to all bidders competing for the workers' compensation claims third-party administration services contract with Los Angeles County, regardless of business size or structure. Completion of the CBE form is part of the County's procurement compliance process and ensures that all contractors meet established certification and eligibility standards prior to contract execution.