Local Business Entity Cert.pdf
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- Solicitation number
- 21260824154345
- Issued by
- Philadelphia County, Philadelphia City, Pennsylvania
About this file
This is a Local Business Entity or Local Impact Certification form for the City of Philadelphia, required as an appendix to applications submitted in response to a Request for Proposals (RFP) from the Philadelphia Police Department for a comprehensive domestic violence training program for sworn personnel. Applicants seeking to receive positive consideration for meeting Local Business Entity or Local Impact criteria under Mayoral Executive Order No. 04-12 must complete and submit this certification with their application. The form permits applicants to certify compliance with one or more qualifying criteria, which must be referenced in a separate section of the application clearly labeled "Local Business Entity or Local Impact Certification."
The Local Business Entity Certification requires applicants to demonstrate that during the preceding 12 months they filed a Business Income and Receipts Tax return with the City establishing business operations within the preceding calendar year, and that during the preceding 18 months they maintained a valid Commercial Activity License and all necessary permits while continuously occupying and staffing a City office. Additionally, applicants must verify either that their principal place of business is located in the City or that they satisfy at least two of three requirements: more than 60% of full-time employees are Philadelphia residents per the Annual Reconciliation of Employer Wage Tax, 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. The Local Impact Certification requires applicants to certify that they will employ City residents and perform work within the City if awarded the contract.
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Other files
| File | Type | Posted |
|---|---|---|
| PS Small Order Purchase - Domestic Violence Training 1.pdf | ||
| PPD DV Training RFP Questions.pdf | ||
| LGBTQ Data Form.pdf | ||
| PS Small Order Purchase.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 |
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| Check Box6: Off |
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