LGBTQ Applicant Opportunity Data Sheet B2627080~1.pdf
PDF 2 MB Posted
- Attached to
- Elevator Safety Rescue Block
- Solicitation number
- B2627113
- 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 (B2627080) regarding an Elevator Safety Rescue Block. The form serves as a voluntary data collection instrument to identify companies beneficially owned and controlled by Lesbian, Gay, Bisexual, Transgender, and Queer (LGBTQ) persons seeking to conduct business with the City. The micro purchase will be awarded as a whole or by line item, whichever serves the city's best interest, to the lowest responsible bidder. Sellers must quote all items to be eligible for award and should not deliver or provide services until officially notified by the Department.
The data sheet requests information regarding LGBTQ business certification status, including whether the applicant's business is certified as an LGBTBE by the National LGBT Chamber of Commerce (NGLCC) through the Philadelphia affiliate Independence Business Alliance (IBA), or by other third-party certifying agencies such as ESMDC, PAUCP, Disability:IN, or WBENC. Applicants are also asked to identify any LGBTQ-certified subcontractors. The City of Philadelphia intends to use the collected data to identify LGBTQ businesses currently engaged with the City, enhance inclusion efforts in the vendor database, and may make the data publicly available at its discretion. Submission of this form is entirely voluntary and does not obligate participation in the contracting opportunity.
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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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