checkbox -Exhibit 6 CBE_Form - rev 2-3-22 (2).xlsx

This is a Certified Business Enterprise (CBE) form submission document related to a California state and local contract opportunity for a bariatric transport chair. The form appears to be a compliance and certification worksheet used to verify CBE status and eligibility for state procurement purposes. The document uses a checkbox format to document the applicant's business classification, certification details, and compliance with California's CBE program requirements. The form revision date is February 3, 2022, indicating it reflects current certification standards and procedures at the time of issuance.

The CBE form serves as a critical documentation tool for vendors seeking to participate in California state and local contracting opportunities, particularly those designated with CBE set-asides or preferences. This particular form submission is associated with the procurement of bariatric transport chairs, a specialized medical equipment category. The form facilitates the verification process by allowing vendors to demonstrate their certified status, business ownership structure, and compliance with program requirements, which may impact their eligibility and competitive positioning in the bidding process. As a standardized certification document, it ensures consistent evaluation across multiple procurement opportunities within the California purchasing system.