LGBTQ_Applicant_Data_Form B2727994.pdf
PDF 2 MB Posted
- Attached to
- CCOM Folding Tables and Chairs
- Solicitation number
- B2727994
- Issued by
- Pennsylvania
About this file
This is an LGBTQ Applicant Opportunity Data Form issued by the City of Philadelphia's Procurement Department for the CCOM Folding Tables and Chairs micro purchase opportunity (Bid #B2727994). The City is collecting voluntary data to identify LGBTQ-owned businesses interested in conducting business with the municipality. The form requests applicants to provide their business name and bid number while disclosing whether their company is beneficially owned and controlled by individuals who self-identify as Lesbian, Gay, Bisexual, Transgender, or Queer. Bids for folding tables and chairs are due September 16, 2026, with award going to the lowest responsive and responsible bidder on a whole or line-item basis, whichever serves the City's interests. Bidders must quote all line items to remain eligible for award.
The form inquires whether applicants hold current LGBTBE certification from the National LGBT Chamber of Commerce through the Independence Business Alliance and whether they possess certifications from other third-party agencies such as ESMDC, PAUCP, Disability:IN, or WBENC. Applicants are also asked to identify any NGLCC/IBA-certified subcontractors involved in the project. The City reserves the right to use submitted data for other procurement projects and may make it publicly available. Submission of this form is entirely voluntary, and vendors must submit this documentation through the PHLContracts.phila.gov portal along with their quotes and an executed Consent & Authorization form confirming their Local Business Entity certification status.
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Other files
| File | Type | Posted |
|---|---|---|
| Micro Purchase Terms and Conditions B2727994.pdf | ||
| Consent_Authorization B2727994.pdf | ||
| Tables No Fold Only Legs.png | PNG image | |
| Steel Chairs.png | PNG image | |
| Seller Checklist - B2727994.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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