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

This is a Certified Business Enterprise (CBE) Form from the State of California, designed to verify and document the certification status of businesses claiming disadvantaged, minority, women, lesbian/gay/bisexual/transgender, or disabled veteran ownership for the purpose of contract set-asides and compliance reporting. The form requires applicants to provide comprehensive business information including ownership structure, management details, and documentation of the claimed disadvantaged status. The document establishes eligibility criteria, verification requirements, and the obligations of certified entities to maintain their status throughout contract performance.

The CBE Form serves as the primary certification instrument for California state and local contract opportunities, enabling procurement officials to identify and award work to eligible small businesses and socially and economically disadvantaged enterprises. Completed forms must be submitted with contract bids or proposals and are subject to verification and audit by the certifying authority. The certification requires ongoing compliance documentation, including proof of ownership percentages, evidence of control and management by the claimed disadvantaged principal(s), and demonstration that the business meets applicable revenue and employment thresholds. Failure to maintain certification status or provide accurate information may result in decertification, contract suspension, or legal remedies.