LGTBQ Applicant Opportunity Data Sheet -Bid B2727803~1.pdf

PDF 2 MB Posted

Attached to
Mailroom office blinds
Solicitation number
B2727803
Issued by
Pennsylvania

About this file

This is an LGBTQ Applicant Opportunity Data Sheet form issued by the City of Philadelphia for Bid B2727803, related to a mailroom office blinds micro purchase opportunity in Pennsylvania. The form is designed to collect demographic and certification data from applicants to identify and track LGBTQ-owned businesses participating in City procurement. Applicants are asked to indicate whether their business is beneficially owned and controlled by persons who self-identify as lesbian, gay, bisexual, transgender, or queer, and whether they hold current LGBTBE certification through the National LGBT Chamber of Commerce (NGLCC) or its Philadelphia affiliate, the Independence Business Alliance (IBA). The form also inquires about any additional third-party certifications held by the applicant through agencies such as ESMDC, PAUCP, Disability:IN, or WBENC, as well as the number and names of any subcontractors certified as LGBTBE.

The City of Philadelphia intends to use the data collected through this form to identify the number of LGBTQ businesses currently doing business with the City and to facilitate the inclusion of LGBTQ-certified businesses into the City's vendor database. Completion of the form is entirely voluntary, and by submitting it, applicants consent to the City's discretionary use of the submitted data for other projects and potential public disclosure. The related micro purchase for mailroom office blinds will be awarded as a whole or by line item—whichever serves the City's best interest—to the lowest responsive and responsible bidder, with all items required to be quoted for eligibility for award.

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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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