LGBTQ Applicant Data Form B2727348.pdf
PDF 2 MB Posted
- Attached to
- DISPLAY/PICTURE FRAMES State and local contract opportunity
- Solicitation number
- B2727348
- Issued by
- Pennsylvania
About this file
This is an LGBTQ Applicant Data Form issued by the City of Philadelphia's procurement office for contract opportunity B2727348. The form is part of Philadelphia's commitment to diversity, equity, and inclusion in city procurement and is designed to collect data on businesses beneficially owned and controlled by Lesbian, Gay, Bisexual, Transgender, and Queer persons seeking to do business with the city. The related contract opportunity involves the procurement of display and picture frames as a micro purchase, awarded as a whole or by line item to the lowest responsive and responsible bidder. Sellers must quote all items to be eligible for award, with a contract requirements period of July 1, 2026 through June 30, 2027.
The data collection form requests information on applicant business ownership, current LGBTBE certification status through the National LGBT Chamber of Commerce and Independence Business Alliance, additional third-party certifications such as MBE, WBE, DSBE, or DBE credentials, and identification of any LGBTBE-certified subcontractors. Submission of the form is entirely voluntary, and applicants agree that the City may use the submitted data for other projects and make it publicly available. No delivery of products or services should commence until the applicant receives formal notification from the department.
View the file
Other files for this state and local contract opportunity
| File | Type | Posted |
|---|---|---|
| PHL-Contracts-Consent_Authorization B2727348.pdf | ||
| Micro Purchase Terms and Conditions FY26 B2727348.pdf | ||
| Seller SOP Checklist B2727348.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: |
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