LGBTQ Applicant Data Form B2727798.pdf
PDF 2 MB Posted
- Attached to
- RED EVIDENCE - PRO SECURITY TAPE W/WRITING LINE
- Solicitation number
- B2727798
- Issued by
- Pennsylvania
About this file
This is an LGBTQ Applicant Data Form issued by the City of Philadelphia's Procurement Department for use in connection with state and local contract opportunities in Pennsylvania. The form collects voluntary demographic information from applicants regarding LGBTQ business ownership and certification status to support the City's diversity, equity, and inclusion initiatives in procurement. The form inquires whether applicants' businesses are beneficially owned and controlled by individuals who self-identify as lesbian, gay, bisexual, transgender, or queer, and requests information about current LGBTQ Business Enterprise (LGBTBE) certification through the National LGBT Chamber of Commerce or its Philadelphia affiliate, the Independence Business Alliance. Additionally, the form requests details regarding any third-party certifications held by the applicant through agencies such as ESMDC, PAUCP, Disability:IN, or WBENC, as well as identification of any LGBTBE-certified subcontractors involved in the contract opportunity.
The City of Philadelphia uses the data collected through this form to identify LGBTQ-owned businesses currently engaged with the City, to facilitate the inclusion of LGBTQ-certified businesses in the City's vendor database, and potentially to make such data publicly available for future projects. Submission of the form is entirely voluntary, and applicants maintain discretion regarding the level of information disclosed. The form applies to the related contract opportunity for RED EVIDENCE - PRO SECURITY TAPE WITH WRITING LINE, a micro purchase with a contract period from August 18, 2026, through June 30, 2027, to be awarded to the lowest responsive and responsible bidder on a whole or line-item basis.
View the file
Other files
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
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 .