5-MBE_Utilization_Form.docx
DOCX document 24 KB Posted
- Attached to
- FY 26-27 New Haven Public Schools Snow Removal/Control and Ice Treatment/Control - Zone 5
- Solicitation number
- 2027-HYRFP-401
- Issued by
- New Haven County, Connecticut
About this file
This is a Minority Business Enterprise (MBE) Utilization Form submitted to the City of New Haven, Connecticut for the FY 26-27 New Haven Public Schools Snow Removal/Control and Ice Treatment/Control - Zone 5 contract opportunity. Contractors submitting proposals are required to complete and submit this documentation as part of their bid package, with failure to do so resulting in a non-responsive submission and automatic rejection. The form requires contractors to provide a complete list of all subcontractors to be utilized on the project, including company name, address, type of work, dollar amount, outreach method used to secure the subcontractor, and appropriate company classification. Contractors must certify that they have read the City of New Haven's minority and women-owned small business participation goals and have achieved the required 25% participation goal.
The form mandates that contractors document their subcontractor selections and certify compliance with the 25% MBE/WBE utilization requirement through signatures from both the contractor and City of New Haven officials. This documentation requirement is critical to the bid evaluation process and serves as a mechanism to ensure that minority and women-owned business enterprises receive meaningful participation opportunities on public school district projects in Connecticut. The form revision date is 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 .