Exhibit6CBEForm.xlsx

This is a Certified Business Enterprise (CBE) Form Exhibit submitted to the County of Los Angeles Department of Animal Care and Control in response to a Request for Statement of Qualifications (RFSQ) for As Needed On-Site Veterinarian Services. The form serves as a certification document for vendors seeking to establish a Master Agreement with the County to provide veterinary services on an as-needed basis. The form captures essential business information from prospective veterinary service providers, including their certification status, business structure, ownership details, and compliance with County requirements for CBE participation.

The CBE Form requires vendors to document their business qualifications, certifications, and eligibility to participate in the County contract opportunity. Key information collected includes vendor identification, business entity type, ownership structure, years in business, and certification status as a certified business enterprise. The form verifies that veterinary vendors meet the County's set-aside requirements for disadvantaged or minority-owned business enterprises if applicable, and confirms their ability to provide high-volume spay/neuter surgeries, perioperative care, medical diagnosis and treatment, vaccinations, emergency treatment, and other veterinary services as specified in the RFSQ. Vendors must complete this certification exhibit to be considered for the Master Agreement award.