AppendixBExhibit5CBEForm.xlsx

This is a Certified Business Enterprise (CBE) Form associated with a Request for Applications (RFA) issued by the County of Los Angeles Department of Public Health's Office of Women's Health for Domestic Violence Supportive Services (DVSS) and Domestic Violence Services for All (DVSFA) programs in Los Angeles County. The form functions as an exhibit to the RFA and serves as a certification document for applicant organizations seeking to demonstrate their status as certified business enterprises. The spreadsheet-based form appears structured to collect and verify CBE certification information from applicants responding to the RFA, which seeks qualified organizations to provide case management and/or legal services related to domestic violence support in Los Angeles County.

The CBE Form is a compliance and certification exhibit required as part of the application submission process. Applicants must complete and submit this form to verify their certified business enterprise status, which may be relevant to contract award considerations, set-asides, or other program requirements established by the County of Los Angeles. The form serves as documentation to support applicant eligibility and organizational qualifications within the contracting framework established by the RFA for these domestic violence support services.