5-MBE_Utilization_Form.docx
DOCX document 24 KB Posted
- Attached to
- Environmental Remediation of the City-Owned Property at 198 River Street and Associated Site Improvements
- Solicitation number
- 2026-IFB-310
- Issued by
- New Haven County, Connecticut
About this file
MBE Utilization Form Summary
This is an MBE Utilization Documentation form issued by the City of New Haven, Connecticut, for the Environmental Remediation of the City-Owned Property at 198 River Street and Associated Site Improvements project. The project encompasses four distinct phases over approximately 174 calendar days of construction (excluding Phase 3, which will be completed by a private developer). Phase 1 involves demolition and disposal of PCB-contaminated concrete slabs, excavation and disposal of contaminated soils from three remedial excavation areas, and dewatering and treatment of contaminated groundwater. Phase 2 includes temporary support of excavation installation, foundation excavation, retaining wall construction, and site backfilling and compaction. Phase 4 consists of finalizing temporary support systems, site backfilling, installation of stormwater drainage systems, and underground electrical service installation. The form requires contractors to submit a complete list of all subcontractors including company name, address, type of work, dollar amount, and outreach method used for recruitment.
The form mandates that contractors achieve a minimum of 25% participation by Minority Business Enterprise (MBE) and Women Business Enterprise (WBE) subcontractors. Submission of the completed MBE Utilization Documentation form is mandatory, and failure to complete and submit the form will result in the contractor's response being deemed non-responsive and rejected. Contractors must certify their compliance with the City of New Haven's minority and women-owned small business participation goals by signature. The form requires identification of subcontractor classifications (MBE or WBE status) and documentation of outreach methods used to secure each subcontractor.
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Text version
City of New Haven MBE Utilization Documentation – Sub-Contractor Listing Project Name and ID:
The Contractor herewith submits a complete list of all Subcontractors to be used on the project by name address, type of work, dollar amount, outreach method used to secure subcontractor and appropriate company classification. This form must be completed as part of your submission. Your submission will be deemed non-responsive if the form is not completed and your response will be rejected.
I am representing Certify that I have read the City of New Haven's goals Name Company for use of minority and women owned small businesses and I have achieved the Goal of 25% participation.
Signature Type Name & Title Date Approved by S
CD
- Signature Print Name and Title Date
| Name of Contractor |
| Address |
| Telephone |
| Contact |
| Type of Work |
| Dollar |
Amount Type of Outreach
| MBE |
| WBE |
Rev 9/25/2024[DOCUMENT TITLE] | [Document subtitle]
File details come from the government source that posted it. Updated .