LGBTQ AOD FY27~3.pdf
PDF 2 MB Posted
- Attached to
- PAPER TOWEL DISPENSER
- Solicitation number
- B2727608
- 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 information about Lesbian, Gay, Bisexual, Transgender, and Queer (LGBTQ) businesses interested in contracting with the City. The form is part of Philadelphia's commitment to diversity, equity, and inclusion in municipal procurement and seeks to identify LGBTQ-owned businesses currently doing business with the City and facilitate their inclusion in the City's vendor database. Applicants are asked to provide their business name, bid or opportunity number, and respond to questions regarding beneficial ownership and control by LGBTQ individuals, current LGBTQ Business Enterprise (LGBTBE) certification status through the National LGBT Chamber of Commerce (NGLCC) or its local Philadelphia affiliate the Independence Business Alliance (IBA), and any additional third-party certifications such as MBE, WBE, DSBE, DBE, or certifications from organizations including the Eastern Minority Supplier Development Council, Pennsylvania Unified Certification Program, or Disability:IN.
The form further requires applicants to disclose information about certified LGBTBE subcontractors participating in the contract opportunity. Submission of the form is entirely voluntary, and by submitting it, applicants agree that the City may use the submitted data for other projects and may make it publicly available. The form does not establish specific pricing terms, set-asides, funding requirements, or contract award details; rather, it functions as a data collection instrument to support the City's broader procurement diversity initiatives and vendor development efforts.
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Other files
| File | Type | Posted |
|---|---|---|
| Contracts Consent Agreement~57.pdf | ||
| FY 27 Micro Purchase Terms and Conditions~7.pdf | ||
| Small Purchase Checklist~97.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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