Exhibit 6 - CBE_Form - 20210714 - final (1).xlsx

This file is a Certified Business Enterprise (CBE) Form used by the State of California for procurement purposes. The document serves as a certification and verification tool for businesses claiming disadvantaged, minority, women, or other special business status to qualify for set-aside opportunities in state contracting. The form requires detailed company information including business ownership structure, years in operation, annual revenues, and documentation of the claimed certification status. The form is designed to support compliance with California's contracting requirements related to diversity and inclusion goals in public procurement, particularly for specialized medical equipment and supplies such as the 2.7 mm Arthroscopy Accessory System referenced in the associated contract opportunity.

The CBE Form functions as both a declaration and supporting documentation package for businesses seeking to participate in state purchasing opportunities. Completion of this form is typically required at the time of bid submission or proposal response and serves as the basis for vendor qualification determinations. The form requires certification under penalty of perjury regarding the accuracy of business information provided and may trigger additional verification by procurement officials. Vendors must maintain current certification status and provide updated documentation if circumstances change during the contract period. This certification is critical for contractors seeking to qualify for price preferences, set-aside contracts, or other procurement advantages reserved for eligible business enterprises under California law.