Local Business Entity Cert.pdf
PDF 67 KB Posted
- Solicitation number
- 21260925113655
- Issued by
- Philadelphia County, Philadelphia City, Pennsylvania
About this file
This document is a Local Business Entity or Local Impact Certification form issued by the City of Philadelphia for applicants seeking consideration as a positive factor in contract award evaluations. The certification allows applicants to demonstrate compliance with criteria established under Mayoral Executive Order No. 04-12 and Section 17-109(3)(b) of the Philadelphia Code. Applicants may certify as a Local Business Entity by meeting specific requirements within the preceding 12 to 18 months, including filing a Business Income and Receipts Tax return with the City, maintaining a valid Commercial Activity License and all necessary permits, continuously occupying and staffing an office within the City, and satisfying at least one of three conditions: maintaining their principal place of business in the City or meeting at least two of the following criteria—employing more than 60 percent of full-time employees as Philadelphia residents, having more than 50 percent of full-time employees work in the City at least 60 percent of the time, or reporting more than 75 percent of gross receipts as Philadelphia receipts on their tax return.
Alternatively, applicants may certify for Local Impact status by committing to employ City residents and perform contract work within the City in the event of contract award. The certification form requires applicants to check all applicable options, obtain authorized signatures with dates, and include a statement in their application materials referencing this certification. This appendix appears to be part of a Request for Proposal related to a Child Savings Account Program in partnership with the Keystone Scholars Program in Pennsylvania, though the specific contract details, pricing terms, funding amounts, and response deadlines are not detailed in this certification document.
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Other files
| File | Type | Posted |
|---|---|---|
| PS Small Order Purchase.pdf | ||
| Appendix B - Cost Proposal Template.xlsx | XLSX spreadsheet | |
| Small Purchase Disclaimer_Acknowledgements_Reservation of Rights_8.27.26.pdf | ||
| CSA RFP_Questions and Answers.pdf | ||
| RFP Addendum.pdf | ||
| LGBTQ Data Form.pdf | ||
| Child Savings Accounts RFP_Revised.pdf |
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Text version
APPENDIX D
LOCAL BUSINESS ENTITY OR LOCAL IMPACT CERTIFICATION
Instructions: Applicants who seek as a positive factor in the City’s consideration of their application that they meet the Local Business Entity or Local Impact criteria as provided in Mayoral Executive Order No.
04-12 should complete this Certification and return it with their application. Applicants providing this Certification should also include in a separate section of their application labeled “Local Business Entity or Local Impact Certification,” a statement that the Applicant believes it has met the Local Business Entity or Local Impact criteria “as set forth in the attached Local Business Entity or Local Impact Certification.” Check all appropriate certification options that are applicable to Applicant and sign below:
Applicant Name: _______________________________________________________________________
Local Business Entity Certification
I certify that the Applicant named above is a Local Business Entity because Applicant complies with the following criteria set forth in Section 17-109(3)(b) of the Philadelphia Code:
I. During the preceding 12 months, Applicant has filed a Business Income and Receipts Tax return with the City establishing that Applicant conducted business within the City within the calendar year preceding the filing of the return; and
II. During the preceding 18 months, Applicant:
A. Has continuously maintained a valid Commercial Activity License and all other licenses and permits necessary to conduct business with the City;
B. Has continuously occupied and staffed an office within the City, where business is conducted; and
(1) Applicant’s principal place of business is located in the City; or
(2) Applicant continuously satisfied at least two of the three following requirements (Check those applicable to Applicant):
(a) More than 60% of Applicant's full-time employees are reported as Philadelphia Residents on the City of Philadelphia Annual Reconciliation of Employer Wage Tax;
(b) More than 50% of Applicant’s full-time employees work in the City at least 60% of the time; or
(c) More than 75% of Applicant’s gross receipts are reported on Applicant’s Business and Income Receipt Tax return as Philadelphia receipts.
Local Impact Certification
I certify that in the performance of a contract resulting from this RFP, the Applicant named above will employ City residents.
I certify that in the performance of a contract resulting from this RFP, the Applicant will perform the work in the City.
Authorized Signature Date
Print Name and Title
| Applicant Name: |
| Date: |
| Print Name and Title: |
| Check Box1: Off |
| Check Box2: Off |
| Check Box3: Off |
| Check Box4: Off |
| Check Box5: Off |
| Check Box6: Off |
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