LGBTQ_Applicant_Data_Form_B2727609.pdf
PDF 2 MB Posted
- Attached to
- Puck Lock Brackets for Work Vans
- Solicitation number
- B2727609
- Issued by
- Pennsylvania
About this file
This is an LGBTQ Applicant Data Form related to a micro purchase solicitation for Puck Lock Brackets for Work Vans issued by a Pennsylvania municipality. The form appears to be a certification or data collection document designed to gather information from applicants regarding their LGBTQ business status or ownership. The solicitation indicates that the award will be made as a whole or by line item, whichever serves the City's best interest, to the lowest responsive and responsible bidder. All items must be quoted to qualify for award consideration. Bidders are instructed not to deliver products or provide services until receiving formal notification from the purchasing department.
The specific details regarding pricing terms, set-asides, quantities of brackets required, response deadlines, and award criteria are not contained within this LGBTQ Applicant Data Form document itself. The form functions as a supplementary certification document rather than a standalone solicitation notice. Any women-owned, minority-owned, or LGBTQ-owned business designations claimed on this form would be relevant to potential set-aside preferences or scoring advantages if the municipality has established such provisions in their micro purchase policies.
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Other files
| File | Type | Posted |
|---|---|---|
| Seller_SP_Checklist_B2727609.pdf | ||
| Consent_Authorization_B2727609.pdf | ||
| MP_Terms_and_Conditions_B2727609.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 .