5-MBE_Utilization_Form.docx

DOCX document 24 KB Posted

Attached to
Floyd Little Athletic Center Flooring
Solicitation number
2026-ITB-369
Issued by
New Haven County, Connecticut

About this file

This is an MBE Utilization Form issued by the City of New Haven, Connecticut, for subcontractor listing and documentation on the Floyd Little Athletic Center Flooring project. The project involves flooring replacement in a large hallway, atrium/lobby, two vestibules, and four two-story stairways. Work includes removal of existing resilient flooring, repair of aluminum curtain wall sill plates in vestibules, moisture mitigation on slab-on-grade surfaces, installation of walk-off mats in vestibules, rubber flooring in stairs, and patterned rubber flooring in multiple colors in the hallway and atrium/lobby areas.

The City of New Haven requires all contractors submitting bids to complete the MBE Utilization Form as a mandatory condition of response submission. Contractors must provide a complete list of all subcontractors including company name, address, type of work, dollar amount, outreach method used to secure the subcontractor, and appropriate company classification (MBE or WBE designation). Contractors must certify compliance with the City of New Haven's minority and women-owned small business participation goals, which are set at 25 percent. Failure to complete and submit this form will result in a non-responsive designation and rejection of the bid response.

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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 .