LGBTQ_Applicant_Data_Form_B1801234~23.pdf

PDF 2 MB Posted

Attached to
License Tag Stickers
Solicitation number
B2727732
Issued by
Pennsylvania

About this file

This is an LGBTQ Applicant Data Form related to a micro purchase bid solicitation issued by the City of Pennsylvania for license tag stickers. The solicitation seeks bids for license tag stickers with a bid due date of August 24, 2026. Prospective bidders must quote all items to be eligible for award consideration. The contract will be awarded as a whole or by line item, whichever serves the City's best interest, to the lowest responsive and responsible bidder. Specific quantities, pricing terms, and delivery schedules are detailed in the referenced attachment "License tag totals 2027.pdf."

The City will make the award based on lowest responsive and responsible bid pricing. No set-asides, incumbent preferences, or renewal options apply to this micro purchase. Bidders must not deliver or provide services until officially notified by the department. The funding sources for this procurement are contained in the referenced attachment and were not reproduced in the available source material.

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Other files

File Type Posted
MP_Terms_and_Conditions_B1801234~15.pdf PDF
license tag.pdf PDF
Consent_Authorization_B1801234~24.pdf PDF
Tag Specifications 2027.pdf PDF
Seller_SP_Checklist_B1801234~19.pdf PDF
License tag totals 2027.pdf PDF
motor vehicle tag~3.pdf PDF

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Text version

LGBTQ Applicant Opportunity Data

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’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. Response to this form is voluntary.

Applicant Name

Bid or Opportunity #

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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