5-MBE_Utilization_Form.docx

DOCX document 24 KB Posted

Attached to
Rice Soccer Field Improvements
Solicitation number
2025-IFB-287
Issued by
New Haven County, Connecticut

About this file

This is a Minority and Women Business Enterprise (MBE/WBE) Utilization Form issued by the City of New Haven, Connecticut, for the Rice Soccer Field Improvements project. The form requires contractors to submit a complete list of all subcontractors proposed for use on the project, including subcontractor name, address, type of work to be performed, dollar amount, outreach method used to secure the subcontractor, and appropriate company classification. The project involves turf improvements to Rice Soccer Field, including grading and hydroseeding per plans and specifications. Submission of the completed MBE/WBE Utilization Form is mandatory; failure to complete and submit the form will result in the contractor's response being deemed non-responsive and rejected.

The form establishes a goal of 25 percent participation by minority and women-owned small businesses on this project. Contractors must certify that they have read the City of New Haven's MBE/WBE goals and have achieved the required 25 percent participation level. The form requires the contractor to identify whether each subcontractor is classified as an MBE, WBE, or neither, and to document the outreach method used to secure each subcontractor. The contractor's authorized representative must sign and date the certification, and the form must be approved by the City's relevant department before the contractor's bid can be accepted.

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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 .