LGBTQ Applicant Opportunity Data Sheet B2727883.pdf
PDF 2 MB Posted
- Solicitation number
- B2727883
- Issued by
- Pennsylvania
About this file
This is an LGBTQ Applicant Opportunity Data Sheet for the City of Philadelphia related to a micro purchase opportunity (Bid #B2727883) for IFSTA Hazardous Materials for First Responders, 6th edition, print materials in Pennsylvania. The form collects voluntary data from applicants to identify companies beneficially owned and controlled by Lesbian, Gay, Bisexual, Transgender, and Queer persons seeking to do business with the City. The document requests information regarding applicant certification status, including whether the business is certified as an LGBTBE by the National LGBT Chamber of Commerce through the Independence Business Alliance or by other third-party certifying agencies such as ESMDC, PAUCP, Disability:IN, or WBENC. Additionally, the form inquires whether any subcontractors are LGBTBE certified and requests identification of those subcontractors by business name.
The City of Philadelphia intends to use the submitted data to identify LGBTQ businesses currently conducting business with the City and to facilitate inclusion of LGBTQ certified businesses into the City's vendor database. The micro purchase will be awarded as a whole or by line item, whichever serves the City's best interest, to the lowest responsive and responsible bidder. Completion of the form is entirely voluntary, and applicants agree that the City may use the submitted data for other projects and may make it publicly available. No delivery or services are to commence until notification is received from the department.
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Other files
| File | Type | Posted |
|---|---|---|
| Micro Purchase Terms and Conditions B2727883.pdf | ||
| Consent and Authorization B2727883.pdf | ||
| Seller SOP Checklist B2727883.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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