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

This is a Certified Business Enterprise (CBE) form exhibit related to a California radiation detectors procurement (26-0470/472). The form serves as documentation for certifying business enterprise status in connection with this state contract opportunity. The exhibit provides a checkbox-based format for vendors to declare and verify their CBE certification status, which is a key requirement for participation in California state and local contracting opportunities. The form includes fields for business identification, certification verification, and declaration of minority or women-owned business enterprise (MWBE) status where applicable.

The form functions as a compliance and eligibility verification document that bidders must complete and submit as part of their proposal packages. It establishes the vendor's certified business enterprise status in accordance with California requirements and enables the state to track set-aside compliance for small business, minority-owned, and women-owned enterprise participation. The completion and submission of this exhibit is mandatory for bid consideration and serves as the basis for determining contract award eligibility under applicable small business preference programs.