5-MBE_Utilization_Form.docx

This is an MBE Utilization Form submitted to the City of New Haven, Connecticut, for the On Call Portable Restroom and Services contract. The form requires contractors to provide a comprehensive list of all subcontractors to be used on the project, including their names, addresses, types of work, dollar amounts, outreach methods used to secure them, and appropriate company classifications. The form must be completed and submitted as part of the proposal response; failure to complete and submit the form will result in the response being deemed non-responsive and rejected.

The City of New Haven has established a goal requiring 25% participation by minority-owned businesses (MBE) and women-owned businesses (WBE) on this project. Contractors must certify that they have read the City's MBE/WBE goals and have achieved the 25% participation requirement. The form requires the contractor's signature, printed name, title, and date, along with approval signature, printed name, title, and date from the City's Section on Community Development. The contractor must provide detailed information for each subcontractor, including the outreach method used to secure their participation and designation as either MBE or WBE to demonstrate compliance with the city's diversity requirements.