5-MBE_Utilization_Form.docx

DOCX document 24 KB Posted

Attached to
On-Call Cooling Equipment Maintenance and Repairs
Solicitation number
2026-ITB-335
Issued by
New Haven County, Connecticut

About this file

This is an MBE Utilization Form submitted to the City of New Haven for an on-call cooling equipment maintenance and repairs contract with the New Haven Board of Education. The form requires contractors to submit a complete list of all subcontractors to be used on the project, including company name, address, type of work, dollar amount, outreach method used to secure the subcontractor, and appropriate company classification. The contractor must certify that they have reviewed the City of New Haven's minority and women-owned business goals and achieved the required 25% participation threshold. The contract itself seeks formal bids from qualified and licensed HVAC contractors to provide on-call repair services for chilled water and air-cooled HVAC equipment throughout the New Haven Public Schools district. The selected contractor shall furnish all labor, materials, tools, equipment, supervision, and qualified technicians necessary to diagnose, repair, maintain, and restore chilled water and air-cooled systems and associated components in accordance with manufacturer specifications, industry standards, and applicable codes.

The contract is structured on an as-needed, on-call basis as directed by the Facilities Department, with the objective of establishing a reliable service provider capable of responding promptly, performing high-quality repairs, and maintaining accurate billing and documentation while ensuring cost-effective service delivery. The submission will be deemed non-responsive if the MBE Utilization Form is not completed. The form requires certification of compliance with the 25% minority and women-owned business participation goal established by the City of New Haven, indicating that diversity in subcontracting is a critical requirement for contract award.

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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 .