5-MBE_Utilization_Form.docx

This is an MBE Utilization Form issued by the City of New Haven for use on state and local contract opportunities. The form requires contractors to provide a complete listing of all subcontractors to be utilized on projects, including their names, addresses, types of work, dollar amounts, outreach methods used to secure their services, and appropriate company classifications. The submission of a completed form is mandatory; failure to complete and submit the form will result in a non-responsive bid designation and rejection of the contractor's response. Contractors must certify that they have reviewed the City of New Haven's goals for minority and women-owned small business participation and have achieved the required 25% participation goal.

The form serves as documentation of compliance with the City of New Haven's minority and women-owned business enterprise requirements. Contractors must identify each subcontractor's MBE or WBE classification status and document the specific outreach method employed to secure each subcontractor. The form requires the signature and certification of the contractor or authorized representative, along with approval documentation from the relevant city department. This utilization form applies to the Grocery 26-27 solicitation issued by the New Haven Board of Education Food and Nutrition Department for food items supporting the 2026 summer program and 2026-27 school year, which serves approximately 17,500 to 19,000 meals per day across approximately 224 service days.