LGBTQ Applicant Opportunity Data Sheet B2626868.pdf
PDF 2 MB Posted
- Attached to
- Black Anti Slip Tape
- Solicitation number
- B2626868
- Issued by
- Pennsylvania
About this file
This is an LGBTQ Applicant Opportunity Data Sheet issued by the City of Philadelphia for a micro purchase opportunity (B2626868) involving Black Anti Slip Tape. The form is designed to collect voluntary demographic information from applicants regarding their ownership structure and certifications related to LGBTQ business enterprises. The document does not specify quantities, delivery dates, site visits, or bidder meetings, as it functions primarily as a data collection instrument rather than a detailed procurement notice.
The City of Philadelphia intends to use the collected data to identify LGBTQ-owned businesses currently conducting business with the municipality and to expand LGBTQ certified businesses within the City's vendor database. Applicants are requested to disclose whether their business is beneficially owned and controlled by individuals who self-identify as LGBTQ, whether they hold current LGBTBE certification from the National LGBT Chamber of Commerce (NGLCC) through the Philadelphia-based Independence Business Alliance (IBA), and whether they hold certifications from other recognized agencies such as ESMDC, PAUCP, Disability:IN, or WBENC. The form also requests information regarding any NGLCC/IBA-certified subcontractors. Submission of this form is entirely voluntary, and the City reserves the right to use the data for other projects and make it publicly available. For the micro purchase award, the City will select the lowest responsive and responsible bidder, and all line items must be quoted for bid eligibility.
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Other files
| File | Type | Posted |
|---|---|---|
| Consent and Authorization B2626868.pdf | ||
| Seller SOP Checklist B2626868.pdf | ||
| Micro Purchase Terms and Conditions B2626868.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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