5-MBE_Utilization_Form.docx
DOCX document 24 KB Posted
- Attached to
- Clifton Street Boat Launch
- Solicitation number
- 2026-ITB-352
- Issued by
- New Haven County, Connecticut
About this file
This is an MBE Utilization Form issued by the City of New Haven, Connecticut for the Clifton Street Boat Launch project. The form requires all contractors submitting bids to provide a complete list of subcontractors that will be utilized on the project, including subcontractor names, addresses, types of work, dollar amounts, outreach methods used to secure the subcontractors, and appropriate company classifications as either MBE (Minority Business Enterprise) or WBE (Women Business Enterprise). The Clifton Street Boat Launch project involves repair and construction of a non-motorized boat launch at the end of Clifton Street where it meets the Quinnipiac River, including construction of a 39-foot timber pier on timber piles, a concrete abutment, procurement and installation of an ADA-compliant aluminum gangway and floating boat launch, and repair of the landside platform with a low-profile pre-cast concrete block retaining wall and flatwork. The project will restore public access to the Quinnipiac River and add resiliency and ADA amenities to address damage from rising sea levels and storm surges since the original installation in the late 1990s.
Contractors must certify that they have achieved the City of New Haven's goal of 25 percent participation by minority and women-owned small businesses. Failure to complete and submit the MBE Utilization Form will result in a non-responsive bid submission and rejection of the response. The form requires the contractor's signature, printed name and title, date, and approval by the City's Small Contract Division with corresponding signature, printed name and title, and date.
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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 .