LGBTQ_Applicant_Data_Form_ B2727626.pdf
PDF 2 MB Posted
- Attached to
- CPOC PROMOTIONAL ITEMS
- Solicitation number
- B2727626
- Issued by
- Pennsylvania
About this file
This is an LGBTQ Applicant Opportunity Data Form for a City of Philadelphia micro purchase opportunity (B2727626) for promotional items managed by the CPOC department. The form is designed to collect diversity and inclusion data from applicants bidding on the contract. Applicants are required to quote all items to be eligible for award, and the micro purchase will be awarded as a whole or by line item, whichever serves the City's best interest, to the lowest responsive and responsible bidder. No delivery or services should commence until notification is received from the department.
The form requests voluntary disclosure regarding LGBTQ business ownership and certification status. Specifically, applicants must indicate whether their business is beneficially owned and controlled by persons identifying as Lesbian, Gay, Bisexual, Transgender, or Queer, and whether they hold current certification as an LGBTBE through the National LGBT Chamber of Commerce (NGLCC) via the Philadelphia-based Independence Business Alliance (IBA). The form also inquires about additional third-party certifications from entities such as ESMDC, PAUCP, Disability:IN, or WBENC. Applicants must identify any NGLCC/IBA-certified subcontractors involved in the project. The City collects this data to track LGBTQ business participation and to facilitate the inclusion of certified LGBTQ enterprises in the vendor database as part of its commitment to diversity, equity, and inclusion in procurement activities.
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Other files
| File | Type | Posted |
|---|---|---|
| Seller_SP_Checklist_ B2727626.pdf | ||
| MP_Terms_and_Conditions_ B2727626.pdf | ||
| Cooling towel Bid B2727626.pdf | ||
| Consent_Authorization_ B2727626.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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