5-MBE_Utilization_Form.docx

DOCX document 24 KB Posted

Attached to
Fort Wooster Park Improvements
Solicitation number
2026-ITB-370
Issued by
New Haven County, Connecticut

About this file

This is a Minority Business Enterprise (MBE) Utilization Documentation form issued by the City of New Haven, Connecticut, for the Fort Wooster Park Improvements project. The form requires contractors to submit a complete listing of all subcontractors to be used on the project, including company name, address, type of work to be performed, dollar amount allocated, outreach method used to identify the subcontractor, and appropriate company classifications. The project involves site removals and preparation, new paths and picnic areas, new plantings, and site furnishings. Submission of the completed form is mandatory; failure to complete and submit the form will result in the bid being deemed non-responsive and rejected.

The City of New Haven has established a 25% participation goal for minority and women-owned small businesses on this project. Contractors must certify that they have read the city's MBE goals and have achieved the required 25% participation threshold in their subcontractor utilization. The form requires contractors to identify whether subcontractors are classified as MBE (Minority Business Enterprise) or WBE (Women Business Enterprise) and to document the outreach methods employed to secure each subcontractor. The form was last revised on September 25, 2024.

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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 .