5-MBE_Utilization_Form.docx

This is an MBE Utilization Form issued by the City of New Haven, Connecticut, for documentation of subcontractor participation on the Long Wharf Waterfront Play Structure project. 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 form must be completed and submitted as part of the bid response; failure to complete and submit the form will result in a non-responsive submission and rejection of the bid response.

The City of New Haven has established a minority and women-owned small business participation goal of 25 percent for this project. Contractors must certify that they have read the city's goals for use of minority-owned businesses (MBE) and women-owned businesses (WBE) and have achieved the 25 percent participation goal. The contractor must provide signature certification on the form, including the name and title of the authorized representative and the date of submission. The form requires identification of whether each subcontractor is classified as an MBE or WBE.