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

This is a Certified Business Enterprise (CBE) Form used for demonstrating contractor compliance with certification requirements for the State of California. The form serves as documentation that bidders or vendors meet the CBE eligibility criteria established for state and local contract opportunities, specifically relating to the NOHO HC EQUIP - General/Office Acquisitions procurement (Opportunity ID: 939004). The form requires contractors to provide detailed information about their business entity, ownership structure, and certification status to verify their qualifications as a certified business enterprise eligible to participate in California state and local contracting opportunities.

The form revision dated February 3, 2022, establishes the required documentation and attestation standards for CBE certification at the time of bid submission. This exhibit functions as a compliance verification tool within the procurement process, requiring contractors to complete comprehensive sections detailing their business classification, ownership composition, and minority or women-owned business enterprise (MWBE) status where applicable. Contractors must accurately complete and submit this form to demonstrate they meet all applicable set-aside requirements and certification criteria mandated by California for this general office acquisitions procurement.