LGBTQ_Applicant_Data_FormB2727664.pdf
PDF 2 MB Posted
- Attached to
- Canva Business Licenses
- Solicitation number
- B2727664
- Issued by
- Pennsylvania
About this file
This is an LGBTQ Applicant Data Form submitted to the City of Pennsylvania in relation to a Canva Business Licenses micro purchase contract opportunity. The form serves as a self-certification document for applicants seeking to provide business licensing services through the Canva platform. The procurement is being awarded as a whole or by line item, whichever serves the City's best interests, to the lowest responsive and responsible bidder. Prospective sellers must quote all items to remain eligible for award consideration and are instructed not to deliver services or products until receiving formal notification from the relevant department.
The form collects demographic information regarding applicant ownership and composition, specifically regarding LGBTQ representation and certification status. As a micro purchase, this contract represents a small-dollar procurement opportunity for Canva Business License services. Bidders should anticipate that pricing will be a determining factor in award selection, and all submission requirements must be met to qualify for consideration. No specific pricing terms, set-asides, incumbency information, or funding amounts are detailed within this particular applicant data form, as it functions primarily as a certification and demographic disclosure document rather than a comprehensive procurement specification document.
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Other files
| File | Type | Posted |
|---|---|---|
| Consent_Authorization_B2727664.pdf | ||
| Seller Checklist_B2727664.pdf | ||
| MP_TermsandConditions_B2727664.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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