LGBTQ_Application_Data_Form_B2627033.pdf

This is an LGBTQ Application Data Form for the City of Philadelphia's Office of Innovation and Technology (OIA) related to a transmitter procurement opportunity. The document serves as a bidder qualification form requiring applicants to provide organizational information and demonstrate compliance with the City's LGBTQ business enterprise requirements. The form collects data on applicant business structure, ownership, certification status, and commitment to diversity and inclusion practices. Bidders must complete this form as part of the application package to be considered for the micro purchase award, which will be granted to the lowest responsive and responsible bidder. All line items must be quoted by applicants to maintain eligibility for award consideration.

The form emphasizes the City of Philadelphia's commitment to supplier diversity and equitable procurement practices by requesting detailed information about LGBTQ ownership and control of bidding entities. Completion and submission of this application data form is mandatory for bid responsiveness, and failure to provide accurate information may result in bid rejection or disqualification. The document does not address specific pricing, contract terms, or renewal options but functions as a prerequisite qualification document within the broader procurement process for the OIA Transmitter contract opportunity in Pennsylvania.