5-MBE_Utilization_Form.docx

This is an MBE Utilization Form required by the City of New Haven for contractor submissions on the Truman School HVAC Replacement Project in Connecticut. The form mandates that contractors provide a complete list of all subcontractors to be used on the project, including subcontractor name, address, type of work to be performed, dollar amount allocated, outreach method used to secure the subcontractor, and appropriate company classification. The City of New Haven has established a 25% participation goal for minority and women-owned small businesses (MBE/WBE). Contractor submissions that do not include a completed MBE Utilization Form will be deemed non-responsive and rejected.

The form requires the prime contractor to certify in writing that they have reviewed the City of New Haven's MBE/WBE participation goals and have achieved the required 25% participation threshold. Contractors must identify whether each subcontractor qualifies as an MBE, WBE, or neither. The completed form must be signed by an authorized representative of the contractor and approved by the City of New Haven's Small and Disadvantaged Business division. Failure to meet the MBE/WBE participation goal or to properly document subcontractor utilization through this form will result in rejection of the contractor's proposal.