LGBTQ_Applicant_Data_Form_ B2727622.pdf

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Attached to
CPOC PROMOTIONAL ITEMS
Solicitation number
B2727622
Issued by
Pennsylvania

About this file

This is an LGBTQ Applicant Opportunity Data Form related to a City of Philadelphia micro purchase opportunity for CPOC Promotional Items in Pennsylvania. The form is designed to collect voluntary demographic data from applicants regarding LGBTQ business ownership and certification status. Applicants are asked to indicate whether their business is beneficially owned and controlled by persons who self-identify as Lesbian, Gay, Bisexual, Transgender, or Queer, and whether they hold current certification as an LGBTBE through the National LGBT Chamber of Commerce (NGLCC) and its local Philadelphia affiliate, the Independence Business Alliance (IBA). The form also requests information about any additional third-party certifications held by the applicant, such as MBE, WBE, DSBE, or DBE designations from certifying agencies including ESMDC, PAUCP, Disability:IN, or WBENC. Additionally, applicants must disclose whether any of their subcontractors hold LGBTBE certification and identify these certified subcontractors by business name.

The City of Philadelphia is collecting this data as part of its commitment to diversity, equity, and inclusion in municipal procurement, with the stated purpose of identifying LGBTQ-owned businesses currently doing business with the City and facilitating inclusion of LGBTQ certified businesses into the City's vendor database. The micro purchase for promotional items will be awarded as a whole or by line item, whichever serves the City's best interest, to the lowest responsive and responsible bidder. All bidders must submit quotes for all items to be eligible for award and must include specification sheets for all items quoted. Applicants should not deliver or provide services until notified by the department. Response to the LGBTQ data form is entirely voluntary and does not affect bidding eligibility or award consideration.

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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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