Exhibit 6 CBE_Form.xlsx

This is a Certified Business Enterprise (CBE) form for the State of California related to contract opportunity 27-0185 Respirator Fit Testing under the T-SPECS procurement system. The form serves as a declaration document for bidders to certify their business enterprise status and eligibility under California's certification programs for disadvantaged, minority, women, disabled veteran, and lesbian, gay, bisexual, and transgender (LGBTQ) business enterprises. The form requests comprehensive information about the bidding entity, including business structure, ownership composition, years in operation, and specific certification status claims supported by appropriate documentation and verification through the California Unified Certification Program (CUCP) or other recognized certification bodies.

The form establishes pricing and contracting terms by requiring bidders to identify any applicable set-asides they qualify for, which may affect their competitive standing and contract award eligibility. Bidders must provide documentation supporting their claimed certifications, including proof of registration with CUCP or equivalent state-approved certification agencies. The form emphasizes compliance with California's commitment to supporting certified business enterprises as prime contractors and subcontractors, with particular focus on maximizing opportunities for underrepresented business classifications. All responses must be accurate and complete, as false certifications may result in contract termination, debarment, and legal penalties.