5-MBE_Utilization_Form.docx

This is an MBE Utilization Documentation form from the City of New Haven, Connecticut, required for participation in the FY 26-27 New Haven Public Schools Snow Removal/Control and Ice Treatment/Control - Zone 1 contract. The City of New Haven 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 (MBE or WBE). The form mandates that contractors certify achievement of a 25% participation goal for minority and women-owned small businesses. Submission of this completed form is a mandatory requirement; failure to complete and submit the form will result in a non-responsive bid determination and rejection of the response.

The form requires the prime contractor to provide their name, address, and telephone contact information, along with detailed information for each subcontractor including the type of work to be performed, dollar amount of the subcontract, and the outreach method used to identify and secure each subcontractor. The contractor must certify that they have read the City of New Haven's goals for minority and women-owned small business utilization and confirm achievement of the 25% participation requirement through a dated signature from an authorized company representative. The form was last revised on September 25, 2024.