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 Form required by the City of New Haven for the Environmental Remediation of 198 River Street and Associated Site Improvements project. The form mandates that all bidders submit a complete list of subcontractors including company name, address, type of work, dollar amounts, outreach methods used to secure the subcontractors, and appropriate company classifications. Contractors must certify that they have reviewed the City of New Haven's minority and women-owned business goals and achieved the required 25 percent participation rate by Minority Business Enterprises (MBEs) and Women Business Enterprises (WBEs). The form requires the contractor's signature, printed name and title, and date, along with approval by the City's Small Contractor Development (SCD) office. Submission of a completed MBE Utilization Form is mandatory, and failure to complete and submit the form will result in a non-responsive bid rejection.

The form emphasizes that contractors must demonstrate documented outreach efforts to secure MBE and WBE subcontractors as part of their bid submission. The classification of subcontractors as MBE, WBE, or both must be clearly identified on the form. This requirement aligns with the City of New Haven's Small Contractor Development Program mandates and is a critical component of bid evaluation and contract award criteria for this environmental remediation and site improvement project.

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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 .