LGBTQ Applicant Opportunity Data Sheet B2626867.pdf
PDF 2 MB Posted
- Attached to
- Roofing Felt Paper
- Solicitation number
- B2626867
- Issued by
- Pennsylvania
About this file
This is an LGBTQ Applicant Opportunity Data Sheet issued by the City of Philadelphia for bid opportunity B2626867 related to a roofing felt paper micro purchase in Pennsylvania. The form serves as a voluntary data collection instrument designed to identify businesses beneficially owned and controlled by persons who self-identify as Lesbian, Gay, Bisexual, Transgender, or Queer (LGBTQ) that wish to conduct business with the City. The micro purchase will be awarded as a whole or by line item, whichever is in the best interest of the City, to the lowest responsive and responsible bidder. Sellers must quote all items to be eligible for award, and services or products should not be delivered until notification is received from the department.
The data collection form gathers information regarding applicant LGBTBE certification status through the National LGBT Chamber of Commerce (NGLCC) or its local Philadelphia affiliate, the Independence Business Alliance (IBA), as well as any additional third-party certifications held by the applicant such as MBE, WBE, DSBE, or DBE designations. The form also requests identification of any subcontractors certified as LGBTBE by NGLCC/IBA. The City intends to use the submitted data to identify LGBTQ businesses currently doing business with the City and to facilitate the inclusion of LGBTQ certified businesses in the City's vendor database. By submitting this form, applicants agree that the City may use the data for other projects and may make it publicly available. Response to the form is entirely voluntary and does not affect bid eligibility or award decisions.
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Other files
| File | Type | Posted |
|---|---|---|
| Micro Purchase Terms and Conditions B2626867.pdf | ||
| Seller SOP Checklist B2626867.pdf | ||
| Consent and Authorization B2626867.pdf |
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Text version
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 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 #
| 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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