Exhibit 6 - CBE_Form - 20210714 - final.xlsx

This is a Certified Business Enterprise (CBE) Form related to a California state and local contract opportunity for outpatient building furniture (Contract No. 743-26142/HHOPT-50107/HH26-1474). The document serves as a certification and participation form for disadvantaged business enterprises seeking to qualify or demonstrate compliance with CBE requirements for this furniture procurement project.

The form contains standardized certification fields, ownership documentation requirements, and participation metrics for small and minority-owned businesses. It establishes eligibility criteria and verification procedures for contractors and subcontractors involved in the outpatient building furniture supply and installation. The document includes sections for business classification, ownership percentages, years in operation, and documentation of disadvantaged status, with provisions for ongoing compliance monitoring and record-keeping throughout the contract term.