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 2
- Solicitation number
- 2027-HYRFP-398
- Issued by
- New Haven County, Connecticut
About this file
This is a Minority Business Enterprise (MBE) Utilization Documentation form issued by the City of New Haven for contractors bidding on the FY 26-27 New Haven Public Schools Snow Removal/Control and Ice Treatment/Control - Zone 2 contract in Connecticut. Contractors submitting proposals for this on-call snow removal and ice treatment service must complete this form as a mandatory component of their bid submission. The project requires qualified vendors to provide snow plowing equipment and operators for removal and ice treatment services at school grounds, driveways, parking lots, and walkways across designated facilities within Zone 2 during the 2026-2027 season. Contractors bidding on multiple zones must demonstrate sufficient equipment and staffing capacity to handle all proposed zones and must provide a complete equipment list in Appendix A. Failure to complete and submit the MBE Utilization form will result in rejection of the proposal as non-responsive.
The City of New Haven has established a 25% participation goal for minority and women-owned small businesses (MBE/WBE) on this project. Contractors must certify in their submission that they have achieved this 25% participation goal through documented subcontractor listings that include each subcontractor's name, address, type of work, dollar amount, outreach method used to secure the subcontractor, and appropriate company classification designating MBE or WBE status. All subcontractors to be used on the project must be listed by name with corresponding work scope and compensation amounts. The form requires contractor signature and authorization by the City of New Haven's Small and Disadvantaged Business (S&DB) office before approval.
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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 .