LGBTQ Applicant Opportunity Data Form B2727498.pdf

PDF 2 MB Posted

Attached to
Bid- Reiter Cummings Inspired Gravid Traps
Solicitation number
B2727498
Issued by
Pennsylvania

About this file

Summary of LGBTQ Applicant Opportunity Data Form B2727498

This is an LGBTQ Applicant Opportunity Data Form issued by the City of Philadelphia as part of its commitment to diversity, equity, and inclusion in procurement. The form is designed to collect voluntary data from applicants bidding on contract opportunities, specifically to identify companies beneficially owned and controlled by Lesbian, Gay, Bisexual, Transgender, and Queer (LGBTQ) persons. The form applies to the Bid for Reiter Cummings Inspired Gravid Traps contract in Pennsylvania and requests applicants to provide their business name and bid number, along with information about their LGBTQ business ownership status and relevant certifications.

The form collects three categories of information: whether the applicant's business is beneficially owned and controlled by LGBTQ-identified persons; whether the business is certified as a Lesbian, Gay, Bisexual, Transgender Business Enterprise (LGBTBE) by the National LGBT Chamber of Commerce (NGLCC) through its Philadelphia affiliate, the Independence Business Alliance (IBA); and whether any subcontractors are LGBTQ-certified. The form also allows applicants to report certifications from other third-party agencies such as the Eastern Minority Supplier Development Council (ESMDC), Pennsylvania Unified Certification Program (PAUCP), Disability:IN, or Women's Business Enterprise National Council (WBENC). The collected data will be used to identify LGBTQ businesses currently doing business with the City and to facilitate inclusion of LGBTQ certified businesses in the City's vendor database. Response to the form is entirely voluntary.

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PHL-Contracts-Consent_Authorization B2727498.pdf PDF
Micro Purchase Terms and Conditions B2727498.pdf PDF
gravid trap.png PNG image
Seller_SOP_Checklist B2727498.pdf PDF

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LGBTQ Applicant Opportunity Data

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’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. Response to this form is voluntary.

Applicant Name

Bid or Opportunity #

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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