LGBTQ AOD FY27~29.pdf
PDF 2 MB Posted
- Attached to
- Rubber Floor Matting - Black
- Solicitation number
- B2728254
- Issued by
- Pennsylvania
About this file
This is an LGBTQ Applicant Opportunity Data Collection Form from the City of Philadelphia's Procurement Department designed to gather diversity information from bidders on state and local contracts. The form is administered by the City of Philadelphia and requests applicants to provide information regarding their business ownership and certification status related to LGBTQ enterprise designations. The form collects data on whether applicants' businesses are beneficially owned and controlled by persons who self-identify as Lesbian, Gay, Bisexual, Transgender, or Queer, and whether they hold current LGBTBE certification through the National LGBT Chamber of Commerce (NGLCC) via the Independence Business Alliance (IBA). Additionally, the form inquires about certifications from other third-party certifying agencies such as ESMDC, PAUCP, Disability:IN, or WBENC, and requests identification of any LGBTBE-certified subcontractors involved in the project.
The City of Philadelphia uses this data collection form to identify LGBTQ-owned businesses currently doing or seeking to do business with the City as part of its commitment to diversity, equity, and inclusion in procurement. Submission of the form is entirely voluntary, and applicants agree that the City may use the submitted data for other projects and may make it publicly available at its discretion. The form does not establish pricing terms, set-asides, or other contractual requirements; rather, it serves as a supplemental data collection instrument to support the City's vendor database development and diversity program initiatives.
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Other files
| File | Type | Posted |
|---|---|---|
| Small Order Purchase Checklist ~8.pdf | ||
| Contracts Consent Agreement~83.pdf | ||
| FY 27 Micro Purchase Terms and Conditions~27.pdf | ||
| Spec Sheet for Rubber Matting with Photo.docx | DOCX document |
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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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