5-MBE_Utilization_Form.docx

DOCX document 24 KB Posted

Attached to
NHPS - Bathroom Repairs
Solicitation number
2025-IFB-282
Issued by
New Haven County, Connecticut

About this file

The document is a Minority Business Enterprise (MBE) Utilization Form from the City of New Haven, specifically related to the New Haven Public Schools (NHPS) Bathroom Repairs project. The form requires contractors to submit a comprehensive list of subcontractors, including their names, addresses, types of work, dollar amounts, and outreach methods used to secure their services. The city has established a goal of 25% participation for minority and women-owned small businesses, and contractors must complete this form as part of their submission or risk having their response rejected.

The contract opportunity involves a time and materials proposal for a general contractor to perform bathroom repairs and renovations across various schools in the District. The form emphasizes the importance of diverse business participation, requiring contractors to demonstrate their efforts to engage minority and women-owned businesses. Contractors must provide detailed information about their subcontractors, including their classification as Minority Business Enterprise (MBE) or Women Business Enterprise (WBE), and the specific dollar amounts and types of work each subcontractor will perform.

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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 .