LGBTQ Form~60.pdf
PDF 2 MB Posted
- Attached to
- Public Safety - Challenge Coin
- Solicitation number
- B2627155
- Issued by
- Pennsylvania
About this file
This is an LGBTQ Business Applicant Opportunity Data Collection Form issued by the City of Philadelphia's Procurement Department in support of a Public Safety Challenge Coin micro purchase opportunity. The form serves as a voluntary data collection instrument designed to identify companies beneficially owned and controlled by Lesbian, Gay, Bisexual, Transgender, and Queer persons interested in conducting business with the City of Philadelphia. The form requests applicants to disclose whether their business is LGBTQ-owned, whether it holds current certification as a Lesbian, Gay, Bisexual, Transgender Business Enterprise (LGBTBE) through the National LGBT Chamber of Commerce (NGLCC) via the Independence Business Alliance (IBA) in Philadelphia, and whether any subcontractors involved in the project hold LGBTBE certification.
The data collected through this form will be maintained by the City of Philadelphia and may be used at the City's discretion for other projects and potentially made publicly available. Applicants are not required to complete the form, as response is entirely voluntary. The form also requests information regarding any additional third-party certifications held by LGBTQ-owned businesses, such as certifications from the Eastern Minority Supplier Development Council (ESMDC), Pennsylvania Unified Certification Program (PAUCP), Disability:IN, or Women's Business Enterprise National Council (WBENC). This initiative reflects the City of Philadelphia's broader commitment to diversity, equity, and inclusion across all procurement activities.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Consent_Authorization AG.pdf | ||
| side 1.pdf | ||
| OPS lapel pins~1.pdf | ||
| Seller Checklist AG.pdf | ||
| mp tandc.pdf | ||
| challenge coin_current.pdf | ||
| philadelphia skyline.jpg | JPG image |
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
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 #:
LGBTQ Applicant Opportunity DataLGBTQ Applicant Opportunity Data
CCIITTY Y OF OF PHIPHILALADDELPHELPHIIA
1401 JFJFK K BBllvvdd. . RoRooom m 117700B B - - PhPhiillaaddeellpphhiiaa, , PA PA 1199110022--11668855 www.phila.gov/procurement
| 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: |
File details come from the government source that posted it. Updated .