LGBTQ_Applicant_Data_Form_B2727955.pdf
PDF 2 MB Posted
- Attached to
- Pressure Washing Services
- Solicitation number
- B2727955
- Issued by
- Pennsylvania
About this file
This is an LGBTQ Applicant Data Form related to a Pressure Washing Services micro purchase opportunity issued by a Pennsylvania municipality. The form is designed to collect information from applicants regarding their LGBTQ business certification or ownership status, likely to track diversity participation in procurement activities. The pressure washing services procurement is structured as a requirements contract to be awarded as a whole or by line item, whichever serves the City's best interest, to the lowest responsive and responsible bidder. Prospective vendors must quote all items listed to maintain eligibility for award consideration. Services are not to commence until official notification is received from the contracting department.
The form requires applicants to provide documentation of LGBTQ certification or self-identification to qualify for any applicable set-asides or diversity preferences that may be available under the City's procurement policies. No specific pricing information, response deadlines, or contract term details are provided within this particular document. Completion of the LGBTQ Applicant Data Form appears to be a prerequisite for participation in this micro purchase, indicating the municipality's commitment to inclusive procurement practices and supplier diversity initiatives.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| MP_Terms_and_Conditions_B2727955.pdf | ||
| Seller_SOP_Checklist_B2727955.pdf | ||
| Consent_Authorization_B2727955.pdf |
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 .