LGBTQ_Applicant_Data_Form_B2727365.pdf
PDF 2 MB Posted
- Attached to
- contain 20x8ft 6in w/2roll door new modified w/electrical, lighting, roof turbines per eng white she
- Solicitation number
- B2727365
- Issued by
- Pennsylvania
About this file
This is an LGBTQ Applicant Opportunity Data Form used by the City of Philadelphia to collect diversity and inclusion information from businesses bidding on city contracts. The form is designed to identify companies beneficially owned and controlled by individuals who self-identify as Lesbian, Gay, Bisexual, Transgender, or Queer (LGBTQ) and to track participation of LGBTQ-certified businesses in city procurement. The specific contract opportunity referenced involves the provision of a modified shipping container measuring 20 feet by 8 feet 6 inches with a two-roll door, new electrical and lighting systems, and roof turbines according to engineering specifications. The container is to be delivered within 60 to 90 days after receipt of order. Response to the applicant data form is voluntary and carries no penalty for non-completion.
The form collects data on whether applicant businesses are beneficially owned and controlled by LGBTQ individuals, whether they hold current LGBTQ Business Enterprise (LGBTBE) certification from the National LGBT Chamber of Commerce (NGLCC) through the Philadelphia-based Independence Business Alliance (IBA), and whether they hold concurrent certifications from other recognized agencies such as the Eastern Minority Supplier Development Council, Pennsylvania Unified Certification Program, Disability:IN, or the Women's Business Enterprise National Council. Applicants are also asked to identify any LGBTBE-certified subcontractors involved in the project. The City uses this information to build its vendor database, assess current LGBTQ business participation, and advance its commitment to diversity, equity, and inclusion in public procurement.
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Other files
| File | Type | Posted |
|---|---|---|
| Consent_Authorization_B2727365.pdf | ||
| SOP_Terms_and_Conditions_B2727365.pdf | ||
| SEA BOX QUOTE.pdf | ||
| Seller_SP_Checklist_B2727365.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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