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 3
- Solicitation number
- 2027-HYRFP-399
- Issued by
- New Haven County, Connecticut
About this file
This is an MBE Utilization Form for the City of New Haven, Connecticut, required as part of contractor submissions for the FY 26-27 New Haven Public Schools Snow Removal/Control and Ice Treatment/Control services. The form requires contractors to submit a complete list 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 certify that they have reviewed the City of New Haven's goals for minority and women-owned small business participation and have achieved the required 25% participation goal. The form specifies that submission of a completed MBE Utilization Form is mandatory; failure to complete and submit the form will result in a non-responsive designation and rejection of the contractor's response.
The form requires contractors to identify whether subcontractors are classified as Minority Business Enterprises (MBE) or Women Business Enterprises (WBE) and to document the outreach methods used to identify and secure each subcontractor. The contractor must sign and date the certification, along with approval by the City of New Haven's Small Contracting Division (SCD). This MBE utilization requirement of 25% participation reflects the City's commitment to promoting equitable business opportunities and ensuring that minority and women-owned enterprises have meaningful participation in public contracting opportunities.
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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 .