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

This is a Certified Business Enterprise (CBE) Form submitted as Exhibit 6 for a California state and local contract opportunity regarding the procurement of a 48-inch medical sled for bariatric use with brand-specific requirements. The form serves as a certification document for vendor eligibility and compliance verification in the bidding process for this medical equipment procurement. The document contains checkbox fields and structured data collection formats designed to capture essential business information, certification status, and vendor qualifications required for participation in this California state procurement.

The CBE Form functions as a standardized certification tool to verify that bidding vendors meet minority, women, and disadvantaged business enterprise (MWDBE) requirements or other applicable set-aside criteria established by the State of California. The form includes sections for documenting business ownership, certifications held, compliance history, and other relevant qualifications necessary for contract award consideration. This certification requirement is typical for state-level procurements in California and ensures transparency and compliance with state contracting regulations and diversity goals.