5-MBE_Utilization_Form.docx

This is an MBE Utilization Form issued by the City of New Haven for use on state and local contract opportunities, specifically for the FY 26-27 New Haven Public Schools Snow Removal/Control and Ice Treatment/Control - Zone 4 project in Connecticut. The form requires contractors to submit a complete listing of all subcontractors to be used on the project, including subcontractor name, address, type of work, dollar amount, outreach method used to secure the subcontractor, and appropriate company classification. Contractors must demonstrate compliance with the City of New Haven's minority and women-owned small business participation goals. The form explicitly states that submission of the completed form is mandatory and that failure to complete and submit the form will result in the response being deemed non-responsive and rejected.

The City of New Haven has established a minimum goal of 25 percent participation from minority-owned businesses (MBE) and women-owned businesses (WBE). Contractors must certify that they have read the city's goals and have achieved the 25 percent participation target. The form requires the contractor's name, address, and telephone contact information, as well as the signature and title of an authorized representative and the date of submission. Additionally, the form must be approved by the Supply and Contracting Department, with signature, printed name, title, and date of approval documented on the form.