5-MBE_Utilization_Form.docx

DOCX document 24 KB Posted

Attached to
Dixwell Community House Signage
Solicitation number
2025-IFB-279
Issued by
New Haven County, Connecticut

About this file

The document is a City of New Haven Minority Business Enterprise (MBE) Utilization Form for the Dixwell Community House Signage project. The form requires contractors to provide a comprehensive list of subcontractors, including their names, addresses, work types, dollar amounts, and outreach methods. The form mandates a 25% participation goal for minority and women-owned small businesses, with contractors required to certify their achievement of this goal. Failure to complete the form may result in a non-responsive submission and potential rejection.

The form serves as a critical documentation tool for ensuring diverse subcontractor participation in the project, which involves creating a comprehensive signage package for the Dixwell Community House. The signage will include vehicular traffic direction, pedestrian directional signage, and interior wayfinding solutions. While specific dollar amounts are not detailed in the provided document, the form emphasizes the importance of outreach to minority and women-owned businesses, with a clear mandate to achieve the 25% participation goal through transparent documentation and reporting.

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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 .