Local Business Entity Cert.pdf
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- Solicitation number
- 21260909083539
- Issued by
- Philadelphia County, Philadelphia City, Pennsylvania
About this file
This file is an Appendix D Local Business Entity or Local Impact Certification form for the City of Philadelphia, specifically related to a contract opportunity with the Water Revenue Bureau (WRB) for Business Analyst support regarding implementation of the Basis2 billing system. The certification form allows applicants to document their eligibility for consideration as a positive factor in the City's evaluation process under Mayoral Executive Order No. 04-12. Applicants seeking local business entity status must demonstrate compliance with criteria established in Section 17-109(3)(b) of the Philadelphia Code, which requires filing a Business Income and Receipts Tax return with the City within the preceding 12 months and maintaining a valid Commercial Activity License and continuously staffed office within the City for the preceding 18 months. Additionally, applicants must either maintain their principal place of business in Philadelphia or satisfy at least two of three alternative requirements: employing more than 60% of full-time employees as Philadelphia residents, having more than 50% of full-time employees work in the City at least 60% of the time, or reporting more than 75% of gross receipts as Philadelphia receipts.
The certification form also provides an alternative Local Impact Certification pathway for applicants who commit to employing City residents and performing contract work within Philadelphia. Applicants must complete all applicable certification sections, provide supporting documentation with their application, and include a separate statement affirming their belief that they meet the specified criteria. The form requires authorized signature with date, applicant name, and title. No specific pricing terms, contract amounts, or performance timelines are detailed within this certification document itself, as it serves solely as a qualification and eligibility verification form for consideration in the City's procurement evaluation process.
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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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