LGBTQ Form~66.pdf
PDF 2 MB Posted
- Attached to
- OVA Storage
- Solicitation number
- B2626859
- Issued by
- Pennsylvania
About this file
This is an LGBTQ business identification and data collection form issued by the City of Philadelphia's Procurement Department in support of a micro purchase opportunity for OVA Storage in Pennsylvania. The form serves as a voluntary survey instrument designed to identify companies beneficially owned and controlled by lesbian, gay, bisexual, transgender, and queer (LGBTQ) persons seeking to conduct business with the City. The form requests information regarding the applicant's business ownership structure, current LGBTQ Business Enterprise (LGBTBE) certification status through the National LGBT Chamber of Commerce (NGLCC) and its local Philadelphia affiliate, the Independence Business Alliance (IBA), and any additional third-party certifications from agencies such as the Eastern Minority Supplier Development Council, Pennsylvania Unified Certification Program, Disability:IN, or Women's Business Enterprise National Council. The form also inquires whether any subcontractors engaged for the contracting opportunity hold LGBTBE certification, requiring applicants to list certified subcontractors by business name.
The City of Philadelphia has indicated that responses to this form are entirely voluntary and that the submitted data may be used at the City's discretion for other projects and potentially made publicly available. This data collection initiative supports the City's broader commitment to diversity, equity, and inclusion in municipal procurement and is intended to identify LGBTQ-owned businesses currently or potentially doing business with the City, thereby facilitating efforts to expand the City's vendor database with LGBTQ certified enterprises. The micro purchase award will be made as a whole or by line item, at the City's discretion, to the lowest responsive and responsible bidder, with the requirement that all items be quoted for award eligibility.
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Other files
| File | Type | Posted |
|---|---|---|
| Seller Checklist AG~6.pdf | ||
| Consent_Authorization AG~6.pdf | ||
| mp tandc~7.pdf | ||
| bid image examples.pdf |
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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 .