AppendixDRequiredFormsExhibit11CBEForm.xlsx

This file is a required forms exhibit for the Los Angeles County Department of Public Social Services (DPSS) Request for Statement of Qualifications (RFSQ) for Community Services Block Grant Program services. The RFSQ seeks applications from qualified non-profit community-based and faith-based organizations, as well as public entities, to enter into a Master Agreement with the County to provide services to families and individuals throughout Los Angeles County. The Statement of Qualifications submission deadline is December 19, 2024 at 12:00 noon local time, with a Proposers' Conference scheduled for October 28, 2024 at 2:00 P.M. to discuss the RFSQ. Funding is targeted for Calendar Year 2026, and applicants must submit all required forms as specified in Appendix D to be considered for the Master Agreement.

This Excel workbook file contains the required forms and exhibits that must be completed and submitted as part of the Statement of Qualifications. The specific form referenced is the CBE (Community Business Enterprise) Form, which applicants must include in their submissions. The file serves as an administrative tool to ensure all proposing organizations submit the necessary documentation in the correct format and with all required information completed. A Microsoft Word version of Appendix D is available on the DPSS website for applicant reference.