LGBTQ_Applicant_Data_Form_B2626818.pdf

This is an LGBTQ Applicant Opportunity Data Form utilized by the City of Philadelphia in Pennsylvania to collect diversity and inclusion metrics from bidders participating in municipal procurement opportunities. The form is designed to identify businesses beneficially owned and controlled by individuals who self-identify as Lesbian, Gay, Bisexual, Transgender, or Queer (LGBTQ) and to assess the current participation of LGBTQ-certified enterprises in City contracting. The specific contracting opportunity referenced is a micro purchase for Heavy Duty Shelving, which will be awarded as a whole or by line item—whichever serves the City's best interest—to the lowest responsive and responsible bidder. Sellers must quote all items to be eligible for award and are instructed not to deliver products or services until notified by the purchasing department.

The form collects data regarding whether an applicant's business is beneficially owned and controlled by LGBTQ persons, whether the business holds certification as an LGBTQ Business Enterprise (LGBTBE) from the National LGBT Chamber of Commerce (NGLCC) through the Philadelphia-based Independence Business Alliance (IBA), and whether the applicant holds concurrent certifications from other third-party agencies such as the Eastern Minority Supplier Development Council, Pennsylvania Unified Certification Program, Disability:IN, or Women's Business Enterprise National Council. Additionally, the form requests identification of any LGBTBE-certified subcontractors participating in the contract. Response to the form is voluntary, and the City intends to utilize the collected data to expand LGBTQ business participation in its vendor database and municipal procurement processes as part of its commitment to diversity, equity, and inclusion.