Local Business Entity Cert.pdf
PDF 67 KB Posted
- Solicitation number
- 21260730153640
- Issued by
- Philadelphia County, Philadelphia City, Pennsylvania
About this file
This is a Local Business Entity Certification form established by the City of Philadelphia under Mayoral Executive Order No. 04-12, applicable to applicants seeking consideration as a positive factor in the city's evaluation of their proposals. The certification document provides two distinct pathways for applicant qualification: Local Business Entity (LBE) status and Local Impact Certification. Applicants may elect to pursue LBE certification by demonstrating compliance with specific criteria set forth in Section 17-109(3)(b) of the Philadelphia Code, which requires filing a Business Income and Receipts Tax return within the preceding 12 months and maintaining for the preceding 18 months a valid Commercial Activity License, all necessary business permits, and a continuously occupied and staffed office within the city. Additionally, applicants must establish either that their principal place of business is located in Philadelphia or satisfy at least two of three employment and revenue requirements: more than 60% of full-time employees are Philadelphia residents, more than 50% of full-time employees work in the city at least 60% of the time, or more than 75% of gross receipts are reported as Philadelphia receipts.
Alternatively, applicants may pursue Local Impact Certification by certifying that they will employ city residents in contract performance and conduct work within the city limits. The form requires applicants to check applicable certification options and obtain authorized signatures with printed names, titles, and dates. This certification is submitted as part of a broader application package and must be accompanied by a separate statement identifying the applicant's belief that it has met the applicable criteria. No pricing terms, funding amounts, contract values, or other financial details are specified in this certification document, as it serves solely as a qualification criterion for local business consideration rather than as a procurement instrument itself.
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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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