FY27 LGBTQ_Applicant_Data_Form - 2728091.pdf
PDF 2 MB Posted
- Attached to
- Deck Scale Maintenance
- Solicitation number
- B2728091
- Issued by
- Pennsylvania
About this file
This is an LGBTQ Applicant Data Form issued by the City of Philadelphia's Procurement Department as part of a diversity, equity, and inclusion initiative for state and local contract opportunities in Pennsylvania. The form collects voluntary data from applicants regarding beneficial ownership and control by individuals who self-identify as Lesbian, Gay, Bisexual, Transgender, or Queer. The document requests information on current LGBTBE certification status through the National LGBT Chamber of Commerce (NGLCC) via the Philadelphia-based Independence Business Alliance (IBA), as well as any additional third-party certifications from agencies such as ESMDC, PAUCP, Disability:IN, or WBENC. Applicants are also asked to identify any subcontractors certified as LGBTBE. The contract opportunity specifically relates to Deck Scale Maintenance services, with a requirements contract term beginning Date of Award through June 30, 2027, followed by three optional one-year renewal periods.
The City of Philadelphia uses the data collected through this form to identify LGBTQ-owned businesses currently conducting business with the municipality and to facilitate their inclusion in the City's vendor database. Submission of the form is entirely voluntary, and applicants grant the City discretion to use the provided data for other projects and to make it publicly available. All questions regarding the bid should be directed through the Q & A tab, and any required site visits must be requested through that same mechanism. Applicants should not contact listed bid personnel directly and should not deliver or provide services until officially notified by the Department.
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Other files
| File | Type | Posted |
|---|---|---|
| FY27 - Consent_Authorization - 2728091.pdf | ||
| FY27 SOP Terms and Conditions - 2728091.pdf | ||
| Price Increase-Decrease Instructions~1.docx | DOCX document | |
| FY27 Seller Checklist - Small Purchases - 2728091.pdf |
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Text version
1. Is Applicant’s business beneficially owned and controlled by persons who self-identify as Lesbian, Gay, Bisexual, Transgender or Queer?
2. Is Applicant’s business currently certified as a Lesbian, Gay, Bisexual, Transgender, Business Enterprise (LGBTBE) by the National LGBT Chamber of Commerce (NGLCC) through their local Philadelphia affiliate, the Independence Business Alliance (IBA)?
a. If yes, Applicant is currently certified by NGLCC/IBA as an LGBTBE, is Applicant's business also certified by any other third party certifying agency such as Eastern Minority Supplier Development Council (ESMDC), Pennsylvania Unified Certification Program (PAUCP), Disability:IN or Women's Business Enterprise National Council (WBENC)?
If yes please identify the name of the certifying agency and category of certification (e.g., MBE, WBE, DSBE, DBE):
Certifying Agency:
Certification Category:
3. For this contracting opportunity, are any of Applicant's subcontractors certified by NGLCC/IBA? If yes, how many subcontractors are certified as LGBTBE?
Please list all by business name below.
As part of the City of Philadelphia’s commitment to diversity, equity and inclusion in all aspects of City procurement, the City is collecting data to identify the number of companies beneficially owned and controlled by Lesbian, Gay, Bisexual, Transgender and Queer persons who wish to do business with the City (collectively, “LGBTQ businesses”). The data will be used to identify the number of LGBTQ businesses currently doing business with the City. It will also assist in efforts to include LGBTQ certified businesses into the City’s vendor database.
By submitting this form you are agreeing that the City may, in its discretion, use the data submitted for other projects and may cause it to become publicly available.
Response to this form is entirely voluntary.
Applicant Name:
Bid or Opportunity #:
LGBTQ Applicant Opportunity DataLGBTQ Applicant Opportunity Data
CCIITTY Y OF OF PHIPHILALADDELPHELPHIIA
1401 JFJFK K BBllvvdd. . RoRooom m 117700B B - - PhPhiillaaddeellpphhiiaa, , PA PA 1199110022--11668855 www.phila.gov/procurement
| CertifiedLGBTEYes: Y |
| CertifiedLGBTENo: N |
| Certification: |
| LGBTQTypeYes: Y |
| LGBTQTypeNo: N |
| CertifiedNGLCCNo: N |
| CertifiedNGLCCYes: Y |
| LGBTQTypeY: Off |
| LGBTQTypeN: Off |
| CertifiedLGBTEY: Off |
| CertifiedLGBTEN: Off |
| CertifiedNGLCCY: Off |
| CertifiedNGLCCN: Off |
| Subconsultants: |
| BusinessName3: |
| BusinessName4: |
| BusinessName5: |
| Reset: |
| btnContinue: |
| CertifyingAgency: |
| BusinessName: |
| BusinessName2: |
| ApplicantName: |
| BidNumber: |
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