LGBTQ_Applicant_Data_Form_B2727840.pdf
PDF 2 MB Posted
- Attached to
- US National and City Flags
- Solicitation number
- B2727840
- Issued by
- Pennsylvania
About this file
This is an LGBTQ Applicant Data Form related to a micro purchase solicitation for US National and City Flags issued by a Pennsylvania municipality. The form serves as a certification document for vendors to self-identify as LGBTQ-owned businesses and provide relevant business information for the purpose of tracking applicant diversity in the procurement process. The solicitation is for the supply of flags, with the award to be made as a whole or by line item, whichever serves the City's best interests, to the lowest responsive and responsible bidder. All items must be quoted by interested vendors to be considered for a whole award. Vendors are instructed not to deliver products or provide services until formal notification is received from the department.
The LGBTQ Applicant Data Form collects voluntary self-identification information from bidders regarding their business ownership status and eligibility for potential diversity preferences or set-asides in the procurement process. This form is part of the City's diversity and inclusion initiatives and does not obligate any preference in award decisions but serves to document applicant demographics for reporting purposes. The form's inclusion in the solicitation package indicates the municipality's commitment to tracking participation from LGBTQ-owned enterprises and promoting equitable access to contracting opportunities. Completion of the form is typically voluntary and confidential, used solely for statistical and monitoring purposes related to the City's procurement objectives.
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Other files
| File | Type | Posted |
|---|---|---|
| Seller_SOP_Checklist_B2727840.pdf | ||
| Micro Purchase Terms and Conditions 2026_B2727840.pdf | ||
| Consent_Authorization_B2727840~1.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: |
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