5-MBE_Utilization_Form.docx
DOCX document 24 KB Posted
- Attached to
- Dairy and Juice 26-27
- Solicitation number
- 2026-HYRFP-CNH-366
- Issued by
- New Haven County, Connecticut
About this file
This is an MBE Utilization Form issued by the City of New Haven, Connecticut, for use in conjunction with the Dairy and Juice 26-27 contract opportunity. The form requires contractors to submit a complete list of all subcontractors that will be used on the project, including company name, address, type of work to be performed, dollar amount allocated to each subcontractor, the outreach method used to identify and secure each subcontractor, and appropriate company classification. The New Haven Board of Education Food and Nutrition Department is soliciting proposals for the delivery of dairy and juice products to summer camp locations, schools, and the Central Kitchen for the 2026-27 school year. The program encompasses approximately 224 service days annually and serves between 17,500 and 19,000 meals per day across the district.
The City of New Haven has established a mandatory minority and women-owned small business (MBE/WBE) participation goal of 25 percent for this contract. Contractors must certify their achievement of this goal as part of their proposal submission. The MBE Utilization Form is a required document, and any submission lacking this completed form will be deemed non-responsive and rejected. Contractors must provide signatures from authorized representatives and obtain approval from the Small and Disadvantaged Business (S/CD) office before submission. The form requires detailed documentation of outreach efforts used to identify and recruit minority and women-owned business enterprises for subcontracting opportunities on the project.
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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 .