About this file

This is an Appendix form from the City of Philadelphia's Office of Economic Opportunity, prepared in conjunction with a Request for Proposals for Pet Wellness and Pet Insurance Benefits. The form serves as a Small Business Enterprise (SBE) information document that bidders must complete when submitting proposals to provide voluntary benefits for Pet Wellness and Pet Insurance to the City's active employees.

The form requires proposing contractors to identify and list all SBE subcontractors and suppliers, including their contact information, addresses, telephone numbers, and email addresses. Bidders must specify the scope of work for each SBE participant, provide their NAICS codes, indicate whether each entity is a subcontractor or supplier, state the dollar amount allocated to each SBE, calculate the percentage of the total proposal represented by SBE participation, confirm whether a quote was received from each entity, and verify registry status. The form includes certification language requiring the submitting official to attest to the accuracy of the information provided. Additional sheets may be appended as necessary to accommodate multiple SBE participants or more detailed information beyond the space provided on the primary form.

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Text version

O F

F

IC

E O

F E

C O

N O

M

IC

O P

P O

R T

U N

IT

Y

S B

P

A pp en di x

E In fo rm at io n

N am e o f S

E

C on ta ct

I nf or m at io n in cl ud in g ad dr es s, t el ep ho ne nu m be r, a nd e

-m ai l a dd re ss co pe o f

W o rk

N A

IC

C od e

S ub co nt ra ct or o r S up pl ie r

D ol la r

A m ou nt f or

E

P er ce nt o f

T ot al P ro p os al

Q uo te

R ec ei ve d (Y

/N

R eg is tr y (Y

/N

I h er eb y ce rt ify th at th e a bo ve in fo rm at io n is a cc u ra te t o th e b es t o f m y kn o w le dg e

(T itl e)

A d di tio na l S he e ts M ay B e U se d a s

N ec e ss ar y

File details come from the government source that posted it. Updated .