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
This is an MBE Utilization Documentation form required by the City of New Haven for the Environmental Remediation of the City-Owned Property at 198 River Street and Associated Site Improvements project. The form mandates that all contractors submit a complete list of subcontractors to be used on the project, including company names, addresses, types of work, dollar amounts, outreach methods used to secure subcontractors, and appropriate company classifications (MBE or WBE designation). The form submission is a mandatory requirement, and any submission lacking a completed form will be deemed non-responsive and rejected. Contractors must certify that they have reviewed the City of New Haven's minority and women-owned small business participation goals and have achieved the required 25 percent participation goal. The form requires signatures from the contractor representative and City of New Haven personnel, along with printed names, titles, and dates of approval.
This documentation requirement is part of the City of New Haven's broader procurement compliance framework for environmental remediation services. The form establishes accountability for subcontractor diversity and outreach efforts, ensuring contractors demonstrate good faith efforts to engage minority and women-owned businesses throughout their supply chain. The 25 percent MBE/WBE participation threshold is a material requirement for contract award, with the completed utilization form serving as evidence of compliance with the City's Small Contractor Development Program mandates and Commission on Equal Opportunities requirements. Contractors failing to meet these minority and women-owned business participation goals or failing to properly document their subcontracting strategy will be ineligible for contract award, regardless of price or other bid qualifications.
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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 .