LGBTQ Data Form.pdf
PDF 2 MB Posted
- Solicitation number
- 21260915145555
- Issued by
- Philadelphia County, Philadelphia City, Pennsylvania
About this file
This is an LGBTQ Data Form document related to a Pennsylvania state and local contract opportunity seeking technical guidance services for Hydrologic & Hydraulic Engineering Report submissions associated with flood development in riverine and coastal flooding areas. The form appears to be a diversity and inclusion questionnaire designed to collect information about contractor demographics and LGBTQ business certification status. The document requests detailed information regarding the applicant organization's ownership structure, including whether the business is LGBTQ-owned, LGBTQ-managed, or has LGBTQ individuals in key decision-making positions. The form also inquires about the percentage of LGBTQ ownership and requests documentation or certification numbers if applicable.
The document serves as a compliance and outreach tool to encourage participation from LGBTQ-owned and LGBTQ-certified businesses in the contracting process. Completion of this form does not appear to be a binding requirement but rather an optional submission to support diversity initiatives and preferential consideration opportunities. The information collected through this form may be used to track contractor demographics, identify underutilized business groups, and support the state's commitment to inclusive procurement practices in infrastructure and engineering-related contract opportunities.
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Other files
| File | Type | Posted |
|---|---|---|
| Local Business Entity Cert.pdf | ||
| reservation of rights h&H study.pdf | ||
| PS Small Order Purchase.pdf | ||
| h&h study rfp.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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