LGBTQ_Applicant_Data_Form_B2627129.pdf
PDF 2 MB Posted
- Attached to
- Paper Bags, various sizes
- Solicitation number
- B2627129
- Issued by
- Pennsylvania
About this file
This is an LGBTQ Applicant Opportunity Data Form issued by the City of Philadelphia in conjunction with a micro purchase solicitation for paper bags of various sizes (Bid/Opportunity #B2627129). The form is designed to collect voluntary demographic information from applicants regarding LGBTQ business ownership and certification status. The City intends to award the contract as a whole or by line item, whichever serves the City's best interests, to the lowest responsive and responsible bidder. Applicants must quote all items to be eligible for award and shall not deliver products until receiving notification from the department.
The data collection form requests information regarding whether the applicant's business is beneficially owned and controlled by individuals who self-identify as LGBTQ, current certification status through the National LGBT Chamber of Commerce (NGLCC) via the Independence Business Alliance (IBA), any additional third-party certifications such as MBE, WBE, DSBE, or DBE designations, and identification of any LGBTBE-certified subcontractors involved in the contract performance. The City utilizes this information to identify LGBTQ-owned businesses currently conducting business with the municipality and to facilitate inclusion of LGBTQ certified businesses in the City's vendor database. Response to the form is entirely voluntary, with no apparent pricing terms, set-asides, or funding information specified in the application document itself.
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Other files
| File | Type | Posted |
|---|---|---|
| Consent_Authorization_B2627129.pdf | ||
| MP_Terms_and_Conditions_B2627129.pdf | ||
| Seller_SP_Checklist_B2627129.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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