1-Vendor Diversity Business Classification Form.pdf

This is a Vendor Diversity Business Classification Form from the City of Allentown, Pennsylvania, used to collect and maintain vendor demographic and business classification information. The form requires vendors to provide company legal name, primary contact information, business address, remit-to address, phone, fax, and email details. Vendors must indicate their business classifications by selecting all applicable categories, including Small Business, Minority Business Enterprise, Women Business Enterprise, Service Disabled Veteran-Owned, Veteran Business Enterprise, Historically Underutilized Business Zone, or other designations. The form must be completed annually or whenever a company's classification changes, with the completed and signed form submitted to purchasing.agent@allentownpa.gov. The certifying official must print their name, title, and date the form, attesting under penalty of perjury that the provided information is true and accurate.

The form serves as an administrative requirement for vendor registration and eligibility determination with the City of Allentown but does not establish pricing terms, contract amounts, or funding sources. No specific contract award values, performance metrics, or contract terms are referenced in this classification document. The form functions solely as a database maintenance tool to track vendor diversity status and enable the city to monitor compliance with any applicable small business or minority business enterprise procurement goals or set-asides that may apply to individual solicitations.