5-MBE_Utilization_Form.docx
DOCX document 25 KB Posted
- Solicitation number
- 2027-ITB-387
- Issued by
- New Haven County, Connecticut
About this file
This is an MBE Utilization Documentation form from the City of New Haven, Connecticut, submitted in connection with the Alling Memorial Golf Course Renovation Project for Holes #1, 8, 9, 10, 18, and the Putting Green. The contractor must provide a complete listing of all subcontractors to be used on the project, including their names, addresses, types of work, dollar amounts, outreach methods used to secure the subcontractors, and company classifications. The form requires the contractor to certify compliance with the City of New Haven's minority and women-owned small business participation goals of 25 percent. The contractor must complete this form during the award and contract process when meeting with the Small Contractor Development Division.
The project is a prevailing wage bid that involves the renovation of twelve sand bunkers and construction of a new 4,000 square foot putting green. The contractor must have a minimum of five years of golf course experience, and the project supervisor must meet the same qualification requirement. Contractors are responsible for providing all project materials, including drainage, sod, bunker sand, fill, and topsoil, as well as for any damage to existing irrigation equipment. Payment shall be invoiced on an AIA Payment Certificate Form based on the required project schedule of values. The MBE Utilization Form serves as documentation to ensure compliance with the City of New Haven's diversity and inclusion requirements for subcontractor participation on this public works project.
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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. During the award/contract process, the selected contractor will be required to complete this form when meeting with the Small Contractor Development Division. ( 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 06/24/2026[DOCUMENT TITLE] | [Document subtitle]
File details come from the government source that posted it. Updated .