Exhibit 6 CBE_Form.xlsx

This is a Certified Business Enterprise (CBE) Form utilized by the State of California for vendor certification and compliance purposes related to state and local contracting opportunities. The form serves as documentation for businesses seeking to demonstrate their CBE status and eligibility for participation in California procurement activities, including the UASI 24-EXEC grant opportunity for Kappler Durachem CBRA suits. The document functions as a standardized certification vehicle that contractors must complete to verify their minority, women, and disadvantaged business enterprise credentials in compliance with California's contracting requirements.

The form requires vendors to provide detailed company information, ownership documentation, and financial data to substantiate their claimed CBE classification. Completion and submission of this certification form is a mandatory prerequisite for bid consideration on designated state and local contracts in California. The form establishes the baseline documentation necessary for the State to verify vendor eligibility, track set-aside compliance, and maintain accurate records of certified business participation across state procurement activities.