5-MBE_Utilization_Form.docx

DOCX document 24 KB Posted

Attached to
Unitized Breakfast 26-27
Solicitation number
2026-HYRFP-CNH-349
Issued by
New Haven County, Connecticut

About this file

This is an MBE Utilization Form submitted by the City of New Haven, Connecticut, as part of the procurement process for the Unitized Breakfast 26-27 contract supporting the Board of Education Food Service. The form requires contractors to submit comprehensive documentation of all subcontractors that will be utilized on the project, including subcontractor names, addresses, types of work to be performed, dollar amounts, and outreach methods used to secure their participation. The City of New Haven is soliciting proposals for breakfast items to support the school system's meal program, which operates for approximately 182-190 days annually.

The City of New Haven has established a minority and women-owned business enterprise (MBE/WBE) participation goal of 25% for this project. Contractors must certify their achievement of this goal and provide detailed subcontractor classifications indicating MBE and WBE status. Submission of a completed MBE Utilization Form is mandatory; failure to complete and submit the form will result in the contractor's response being deemed non-responsive and subject to rejection. The form was last revised on September 25, 2024, and requires contractor signature and approval by the City's relevant department.

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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 .