LGBTQ Applicant Data Form B2727439.pdf
PDF 2 MB Posted
- Attached to
- MAIINTENACE FOR CANON FORMULA IMAGERS
- Solicitation number
- B2727439
- Issued by
- Pennsylvania
About this file
This is an LGBTQ Applicant Data Form related to a micro purchase opportunity for maintenance services for Canon formula imagers in Pennsylvania. The contract opportunity is structured as a micro purchase to be awarded as a whole or by line item, whichever serves the City's best interest, to the lowest responsive and responsible bidder. All sellers must quote all items to be eligible for award consideration. The contract term runs from July 1, 2026, through June 30, 2027. Bidders are instructed not to deliver or provide services until receiving formal notification from the department.
The form itself appears to be a demographic data collection document designed to track applicant information related to LGBTQ status, likely used for diversity monitoring and compliance reporting purposes associated with the procurement process. Specific pricing terms, set-aside provisions, incumbent information, and detailed funding sources are not evident in the file summary provided, though the micro purchase designation suggests this is a smaller-value procurement with streamlined competitive procedures.
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Other files
| File | Type | Posted |
|---|---|---|
| Seller SOP Checklist B2727439.pdf | ||
| Micro Purchase Terms and Conditions FY27 B2727439.pdf | ||
| Price Increase Language B2727439.docx | DOCX document | |
| PHL-Contracts Consent Authorization B2727439.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 .