LGBTQ_Applicant_Data_Form_B2627030.pdf
PDF 2 MB Posted
- Attached to
- Classroom Supplies State and local contract opportunity
- Solicitation number
- B2627030
- Issued by
- Pennsylvania
About this file
This is an LGBTQ Applicant Data Form related to a classroom supplies micro purchase opportunity in Pennsylvania. The document appears to be a data collection form designed to gather information from applicants regarding their LGBTQ business certification or ownership status. This form is associated with a micro purchase contract for classroom supplies that will be awarded to the lowest responsive and responsible bidder. Sellers must quote all items listed in the bid to be eligible for award, and no delivery or services should commence until official notification is received from the department. The procurement will result in a requirements contract structure.
The form serves as part of Pennsylvania's diversity and inclusion procurement initiatives, allowing applicants to voluntarily self-identify their LGBTQ business status. This information may be used for tracking, reporting, or awarding preferences as permitted under state procurement regulations. Bidders should note that completion of this form does not guarantee contract award and remains separate from the primary bid submission requirements. All standard micro purchase procedures apply, including the requirement that bidders be deemed both responsive and responsible before consideration for award.
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Other files for this state and local contract opportunity
| File | Type | Posted |
|---|---|---|
| Seller_SOP_Checklist_B2627030.pdf | ||
| Consent_Authorization_B2627030.pdf | ||
| MP_Terms_and_Conditions_B2627030.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: |
File details come from the government source that posted it. Updated .