5-MBE_Utilization_Form.docx

This is an MBE Utilization Form issued by the City of New Haven in Connecticut for documentation of subcontractor participation on construction projects. The form requires contractors to submit a complete list of all subcontractors to be used on projects, including subcontractor names, addresses, types of work, dollar amounts, outreach methods used to secure the subcontractors, and appropriate company classifications. The form applies to the Emergency Demolition of 306 Dixwell Avenue project, which involves the demolition of a mixed-use building with the foundation remaining. The contractor is responsible for debris disposal and all contaminants, and must provide a Licensed Environmental Professional and submit required applications and plans including an Activity and Use Limitation (AWP) through the State Department of Public Health, sidewalk permits, and street obstruction permits from the City of New Haven Transportation, Traffic & Parking Department, along with traffic and pedestrian drawings. The form must be completed during the award and contract process when the selected contractor meets with the Small Contractor Development Division.

The City of New Haven has established a mandatory goal of 25 percent participation by minority-owned businesses (MBE) and women-owned businesses (WBE) on this project. Contractors must certify that they have read the city's MBE/WBE goals and have achieved the 25 percent participation requirement. The form requires contractors to document the outreach methods used to identify and secure subcontractors and to classify each subcontractor as either MBE or WBE. The form must be signed by the contractor and approved by the Small Contractor Development Division. Optional elements include permanent fence installation upon job completion.