5-MBE_Utilization_Form.docx

DOCX document 24 KB Posted

Attached to
Kitchen Fire Suppression 26-27 State and local contract opportunity
Solicitation number
2026-HYRFP-CNH-351
Issued by
New Haven County, Connecticut

About this file

This is an MBE Utilization Form issued by the City of New Haven for subcontractor documentation on the Kitchen Fire Suppression 26-27 project for New Haven Public Schools in Connecticut. 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 project involves providing full testing, inspection, preventive maintenance, on-call repairs, and emergency services for kitchen fire suppression systems at New Haven Public Schools locations, with preventative inspections required on a semi-annual basis. Contractors must submit bids for regular and overtime hourly wage rates and a percent markup over original material invoices.

The City of New Haven has established a 25% minority and women-owned business (MBE/WBE) participation goal for this project. Contractors must certify that they have achieved this goal as a mandatory requirement; failure to complete and submit the MBE Utilization Form will result in the bid being deemed non-responsive and rejected. Contractors are required to document their outreach methods used to identify and secure subcontractors and must classify each subcontractor as either an MBE or WBE. Submission of this completed form is a prerequisite for bid acceptance.

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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 .