LGBTQ AOD_B2627357.pdf
PDF 2 MB Posted
- Attached to
- Forfeiture Petition Service
- Solicitation number
- B2627357
- Issued by
- Pennsylvania
About this file
This is a Lesbian, Gay, Bisexual, Transgender, and Queer (LGBTQ) Applicant Opportunity Data collection form issued by the City of Philadelphia's Procurement Department. The form gathers information from applicants interested in contracting with the City of Philadelphia to identify the number of LGBTQ-owned businesses currently doing business with the municipality. The questionnaire requests applicants to disclose whether their business is beneficially owned and controlled by persons who self-identify as LGBTQ, whether they hold current LGBTQ Business Enterprise (LGBTBE) certification from the National LGBT Chamber of Commerce (NGLCC) through the Philadelphia-based Independence Business Alliance (IBA), and details regarding any additional third-party certifications held such as MBE, WBE, DSBE, or DBE designations. The form also requests information on subcontractors who may be certified as LGBTBE.
The City of Philadelphia explicitly states that submission of this form is entirely voluntary and that responses will be used to expand the City's vendor database to include LGBTQ-certified businesses and to support the municipality's commitment to diversity, equity, and inclusion in public procurement. The City reserves the discretion to use the collected data for other projects and may make the information publicly available. Applicants must provide their business name and corresponding bid or opportunity number when submitting the form to the City's Procurement Department located at 1401 JFK Boulevard, Room 1700B, Philadelphia, PA 19102-1685.
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Other files
| File | Type | Posted |
|---|---|---|
| Micro Purchase_Terms_Conditions_B2627357.pdf | ||
| Consent_Authorization_B2627357.pdf | ||
| Seller_SOP_Checklist_B2627357.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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