LGBTQ Applicant Data Form B2627076.pdf

This is an LGBTQ Applicant Opportunity Data Form B2627076 submitted to the City of Philadelphia in Pennsylvania for a micro purchase opportunity related to an OTIS Projector. The form serves as a voluntary data collection instrument designed to identify companies beneficially owned and controlled by Lesbian, Gay, Bisexual, Transgender, and Queer (LGBTQ) persons interested in doing business with the City. Applicants are required to provide their business name, bid or opportunity number, and respond to questions regarding their LGBTQ business status and certifications. The form inquires whether the applicant's business is beneficially owned and controlled by persons who self-identify as LGBTQ, whether the business holds current certification as an LGBTBE through the National LGBT Chamber of Commerce (NGLCC) via the Philadelphia-based Independence Business Alliance (IBA), and whether any subcontractors involved in the opportunity are LGBTBE certified.

The form also requests information regarding any additional third-party certifications held by the applicant, such as those from the Eastern Minority Supplier Development Council (ESMDC), Pennsylvania Unified Certification Program (PAUCP), Disability:IN, or Women's Business Enterprise National Council (WBENC). Applicants must list all LGBTBE-certified subcontractors by business name if applicable. The micro purchase will be awarded as a whole or by line item, whichever serves the City's best interest, to the lowest responsive and responsible bidder. Completion of the LGBTQ Applicant Opportunity Data Form is voluntary and the collected information will be used to identify LGBTQ businesses currently engaged with the City and to facilitate inclusion of LGBTQ-certified businesses into the City's vendor database as part of the City's commitment to diversity, equity, and inclusion in procurement activities.