LGBTQ_Applicant_Data_Form_B2727779.pdf
PDF 2 MB Posted
- Attached to
- Solid Blue Unisex Pullover Pajamas
- Solicitation number
- B2727779
- Issued by
- Pennsylvania
About this file
This is an LGBTQ Applicant Data Form issued by the City of Philadelphia's Procurement Department as part of the city's commitment to diversity, equity, and inclusion in municipal contracting. The form collects voluntary information from applicants regarding LGBTQ business ownership and certification status for the procurement opportunity related to Solid Blue Unisex Pullover Pajamas in Pennsylvania. The form requests applicants to disclose whether their business is beneficially owned and controlled by individuals who self-identify as Lesbian, Gay, Bisexual, Transgender, or Queer, and whether the business holds current LGBTBE certification through the National LGBT Chamber of Commerce (NGLCC) via its Philadelphia affiliate, the Independence Business Alliance (IBA). Applicants must also identify any additional third-party certifications from agencies such as ESMDC, PAUCP, Disability:IN, or WBENC, and disclose whether any subcontractors hold LGBTBE certification.
The data collected through this form will be used by the City of Philadelphia to identify LGBTQ-owned businesses currently conducting business with the municipality and to facilitate the inclusion of LGBTQ-certified enterprises in the city's vendor database. The form explicitly states that response is entirely voluntary and that submitted data may be used at the city's discretion for other projects and may be made publicly available. This micro-purchase award will be granted as a whole or by line item, whichever serves the city's best interests, and will be awarded to the lowest responsive and responsible bidder, with all items required to be quoted for eligibility.
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Other files
| File | Type | Posted |
|---|---|---|
| Seller_SP_Checklist_B2727779.pdf | ||
| MP_Terms_and_Conditions_B2727779.pdf | ||
| Consent_Authorization_B2727779.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 .