LGBTQ AOD FY27~4.pdf

PDF 2 MB Posted

Attached to
MDE PeACEqPRO Annual Hosting and Support Agreement
Solicitation number
B2727614
Issued by
Pennsylvania

About this file

This is an LGBTQ Applicant Opportunity Data form issued by the City of Philadelphia's Procurement Department as part of the MDE PeACEqPRO Annual Hosting and Support Agreement opportunity. The form collects diversity data from applicants regarding LGBTQ business ownership and certification status. The document requests information about whether applicants' businesses are beneficially owned and controlled by individuals who self-identify as Lesbian, Gay, Bisexual, Transgender, or Queer, and whether the business holds current LGBTBE certification from the National LGBT Chamber of Commerce (NGLCC) through its Philadelphia affiliate, the Independence Business Alliance (IBA). Applicants must also disclose any additional third-party certifications from agencies such as ESMDC, PAUCP, Disability:IN, or WBENC, and identify any subcontractors certified as LGBTBE.

Submission of this form is entirely voluntary, and applicants authorize the City to use the collected data for other projects at its discretion and to potentially make the information publicly available. The City is utilizing this data collection as part of its commitment to diversity, equity, and inclusion in municipal procurement and to identify LGBTQ-owned businesses for inclusion in the City's vendor database. No specific pricing terms, award amounts, or contract duration information is detailed in this particular form, as it functions solely as a data collection instrument separate from the core contracting opportunity.

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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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