LGBTQ_Applicant_Data_Form_B2727525.pdf
PDF 2 MB Posted
- Attached to
- Cold Lunches for PPR Gustine Recreation Center
- Solicitation number
- B2727525
- Issued by
- Pennsylvania
About this file
This is an LGBTQ Applicant Data Form issued by the City of Philadelphia's Procurement Department to collect diversity and inclusion information from vendors interested in doing business with the municipality. The form requests applicants to self-identify as Lesbian, Gay, Bisexual, Transgender, or Queer (LGBTQ) business owners and to provide information regarding current certifications as an LGBTQ Business Enterprise (LGBTBE) through the National LGBT Chamber of Commerce (NGLCC) via the Independence Business Alliance (IBA), which serves as the local Philadelphia affiliate. The form also inquires whether applicants hold certifications from other recognized third-party certifying agencies, including the Eastern Minority Supplier Development Council (ESMDC), Pennsylvania Unified Certification Program (PAUCP), Disability:IN, or Women's Business Enterprise National Council (WBENC), and requests identification of any LGBTQ-certified subcontractors participating in the contract opportunity.
The City of Philadelphia has indicated that submission of this form is entirely voluntary and is being used to gather data on LGBTQ-owned businesses currently doing business with the City and to facilitate the inclusion of LGBTQ-certified businesses in the City's vendor database. Applicants acknowledge that by submitting the form, the City may use the collected data for other projects and may make such data publicly available at its discretion. This data collection initiative represents the City's commitment to diversity, equity, and inclusion across all aspects of municipal procurement operations.
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Other files
| File | Type | Posted |
|---|---|---|
| Seller_SOP_Checklist_B2727525.pdf | ||
| MP_Terms_and_Conditions_B2727525.pdf | ||
| Consent_Authorization_B2727525.pdf | ||
| Sample Lunch Menu~1.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 .