5-MBE_Utilization_Form.docx

This is an MBE Utilization Form for the City of New Haven, Connecticut, required for submission on the On-Call Street Sweeping Disposal contract opportunity. The form mandates that all contractors provide a complete listing of subcontractors to be used on the project, including company names, addresses, types of work to be performed, dollar amounts, outreach methods used to secure each subcontractor, and appropriate company classifications. The form requires contractor certification that the City of New Haven's minority and women-owned small business participation goal of 25% has been achieved. Submission of this completed form is mandatory; failure to complete and submit the form will result in the contractor's response being deemed non-responsive and rejected.

The form serves as documentation of the contractor's good faith efforts to meet the City of New Haven's MBE and WBE utilization requirements for this street sweeping debris disposal project. Contractors must identify whether each listed subcontractor qualifies as a Minority Business Enterprise (MBE) or Women Business Enterprise (WBE), along with the outreach method employed to identify and recruit each subcontractor. The form includes signature lines for contractor certification and approval by the City of New Haven's relevant department, with a revision date of September 25, 2024.