5-MBE_Utilization_Form.docx
DOCX document 24 KB Posted
- Attached to
- NHPS - Door Repairs and Replacements
- Solicitation number
- 2025-IFB-281
- Issued by
- New Haven County, Connecticut
About this file
The document is a Minority Business Enterprise (MBE) Utilization Form issued by the City of New Haven for a door repairs and replacements project for the New Haven Public Schools (NHPS). The form requires contractors to submit a comprehensive list of subcontractors, including their names, addresses, work types, dollar amounts, and outreach methods. The project involves performing time and materials repairs, adjustments, and replacements for interior and exterior doors and related hardware throughout the school district, with a mandatory goal of 25% minority and women-owned small business participation.
The form emphasizes strict compliance requirements, stating that submissions will be deemed non-responsive and rejected if the MBE Utilization Form is not fully completed. Contractors must certify their understanding of the City of New Haven's goals for minority and women-owned business participation and provide detailed documentation of their subcontractor engagement. The document includes fields for contractor information, type of work, dollar amounts, and classification of minority (MBE) and women-owned (WBE) businesses, with a revision date of 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 .