LGBTQ AOD FY27~21.pdf
PDF 2 MB Posted
- Attached to
- Washing Machine Installation and Repairs
- Solicitation number
- B2728000
- Issued by
- Pennsylvania
About this file
This file is an LGBTQ Applicant Opportunity Data collection form from the City of Philadelphia's Procurement Department. The form serves as a voluntary self-identification and certification tracking tool designed to gather demographic information about businesses beneficially owned and controlled by Lesbian, Gay, Bisexual, Transgender, and Queer persons seeking to do business with the City. The data collected through this form will be used to identify the number of LGBTQ businesses currently engaged with the City and to facilitate the inclusion of LGBTQ certified businesses into the City's vendor database. The form does not specify procurement deadlines, project timelines, or contract award dates, as it functions as an informational data collection instrument rather than a solicitation with defined response periods.
The form requests applicants to disclose their LGBTQ business ownership status and provide LGBTBE certification information through the National LGBT Chamber of Commerce and its Philadelphia affiliate, the Independence Business Alliance. Additionally, applicants are asked to identify any current certifications held through other third-party certifying agencies such as ESMDC, PAUCP, Disability:IN, or WBENC, along with their respective certification categories. The form also requests identification of any subcontractors certified as LGBTBE businesses. Submission of this form is entirely voluntary, and by submitting, applicants authorize the City of Philadelphia to use the collected data for other projects at its discretion and potentially make the information publicly available. No pricing terms, funding amounts, or contract-specific financial information are addressed in this data collection form.
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Other files
| File | Type | Posted |
|---|---|---|
| Contracts Consent Agreement~75.pdf | ||
| FY 27 Micro Purchase Terms and Conditions~19.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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