Appendix B-2 Solicitation & Participation Form.pdf

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CITY OF PHILADELPHIA

OFFICE OF ECONOMIC OPPORTUNITY

APPENDIX B-2

Solicitation & Participation Form

SLBP – Appendix 2 Rev. Date August 2026

RESPONDENT PROJECT #

PROJECT NAME

POSTED DATE ESTIMATED VALUE

List all SBEs and LBEs you have solicited to use for a Commercially Acceptable Function on this Project - copy this form as necessary.

• SBEs and LBEs listed must be certified at the time of contract award.

• Respondent should attach supporting quotations with this form. The City reserves the right to request additional information which must be provided by Respondent within 48 hours of the City's request.

• If OEO did not set participation ranges for this Project, Respondent is still required to complete this form and attach documentation demonstrating Best and Good Faith Efforts to solicit SBEs and LBEs.

SBE and LBE Information

Name of SBE or LBE Contact Information including, address, telephone number, and e-mail address

Scope of Work NAICS Code

Subcontractor or Supplier

Dollar Amount for SBE and LBE

Percent of Total Proposal

Quote Received (Y/N)

Registry (Y/N)

SBE, LBE

or S/LBE

I hereby certify that the above information is accurate to the best of my knowledge (Title) (Signature)

Additional Sheets May Be Used as Necessary

Name of SBE Contact Information including address telephone number and email addressRow1:

Scope of WorkRow1:

NAICS CodeRow1:

Subcontractor or SupplierRow1:

Dollar Amount for SBERow1:

Percent of Total ProposalRow1:

Quote Received YNRow1:

OEO Registry YNRow1:

EthnicityRow1:

Name of SBE Contact Information including address telephone number and email addressRow2:

Scope of WorkRow2:

NAICS CodeRow2:

Subcontractor or SupplierRow2:

Dollar Amount for SBERow2:

Percent of Total ProposalRow2:

Quote Received YNRow2:

OEO Registry YNRow2:

EthnicityRow2:

Name of SBE Contact Information including address telephone number and email addressRow3:

Scope of WorkRow3:

NAICS CodeRow3:

Subcontractor or SupplierRow3:

Dollar Amount for SBERow3:

Percent of Total ProposalRow3:

Quote Received YNRow3:

OEO Registry YNRow3:

EthnicityRow3:

Name of SBE Contact Information including address telephone number and email addressRow4:

Scope of WorkRow4:

NAICS CodeRow4:

Subcontractor or SupplierRow4:

Dollar Amount for SBERow4:

Percent of Total ProposalRow4:

Quote Received YNRow4:

OEO Registry YNRow4:

EthnicityRow4:

Name of SBE Contact Information including address telephone number and email addressRow5:

Scope of WorkRow5:

NAICS CodeRow5:

Subcontractor or SupplierRow5:

Dollar Amount for SBERow5:

Percent of Total ProposalRow5:

Quote Received YNRow5:

OEO Registry YNRow5:

EthnicityRow5:

Submitter:

Project Number:

Posted Date:

Estimated Value:

Signature:

Title:

Project Name:

CITY OF PHILADELPHIA

CONTRACTOR INFORMATION DATA FORM

(MANDATORY FORM TO BE FILLED OUT ENTIRELY FOR PRIMES AND ALL SUBCONTRACTORS)

City of Philadelphia Contract No: __________________ Project Name: ____________________ Prime Contractor Name: ______________________________________________________________ Address:_____________________________________________________________________________

Complete information below for each PRIME AND SUBCONTRACTOR that was solicited for the Project

PRIME AND SUBCONTRACTOR INFORMATION

Federal Tax ID #/ SSN #: Primary Industry NAICS Code:

Full Company Name:

Owner:

Address:

City: Zip Code:

County: Phone Number:

E-Mail:

Date Established: Date Certified:

Demographic*:

Gender:

Certification Status:

No Certification | SBE | LBE | MBE | MWBE | DBE | WBE | Other

Outreach Method:

Dollar Committed to Subcontractor:

Annual Gross Receipts: _______ *indicate the letter that applies

A. $1M or Less C. $23.5M or Less

B. $5M or Less D. $47M or Less

*Demographic: (A) African-American; (B) American Indian or Alaskan Native; (C) Asian-American; (D) Hispanic or Latino American; (E) Native Hawaiian or Other Pacific Islander; (F) White; (G) Other

Untitled

City of Philadelphia Contract No:

Project Name:

Prime Contractor Name:

Address:

Federal Tax ID SSN:

Primary Industry NAICS Code:

Full Company Name:

Owner:

Address_2:

City:

Zip Code:

County:

Phone Number:

EMail:

Date Established:

fill_14:

Ethnicity:

Gender:

fill_23:

Outreach Method:

Dollar Committed to Subcontractor:

Annual Gross Receipts: