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LGBT-Owned Business Enterprises (LGBTBEs) Survey

Vendor Name

Vendor Address

City

State

Zip Code

1. Is your business located in the Counties of Cook, DuPage, Kane, Lake, McHenry, or Will in the State of Illinois?

Yes

2. Is your business located in the City of Chicago?

Yes

3. in the State of Illinois?

Yes

4. Does any individual who identifies as LGBT have ownership in your business? For purposes of this survey, LGBT means any individual who identifies as lesbian, gay, bisexual, or transgender?

Yes

4a. If yes, what percentage of the business is owned by one or more individuals who identify as LGBT? If no, answer N/A.

5. Is your business certified by the National LGBT Chamber of Commerce?

Yes

5a. If yes, what is/are your business’s area(s) of specialty(ies)? Please list applicable NIGP Codes below. If no, answer N/A.

6. Is your business certified by the Metropolitan Water Reclamation District of Greater Chicago (MWRDGC) as an MBE or WBE?

Yes

6a. If yes, what is/are your business’s area(s) of specialty(ies)? Please list applicable NIGP Codes below. If no, answer N/A.

7. Is your business certified by MWRDGC as a VBE?

Yes

7a. If yes, what is/are your business’s area(s) of specialty(ies)? Please list applicable NIGP Codes below. If no, answer N/A.

8. Is your firm certified by the Illinois Department of Transportation (IDOT), City of Chicago, Chicago Transit Authority (CTA), PACE, or Metra as an MBE, WBE, SBE, or VBE?

Yes

8a. If yes, what is/are your business’s area(s) of specialty(ies)? Please list applicable NIGP Codes below. If no, answer N/A.

9. Has your business bid on MWRD work within the past two (2) years?

Yes

9a. If yes, what specification numbers or project names? If no, answer N/A.

10. If your business has bid on MWRD work within the past two (2) years, has it been awarded a contract by MWRD?

Yes

10a. If yes, what is the contract number? If no, answer N/A.

11. Has your business been utilized on a MWRD contract as subcontractor or supplier within the past two (2) years?

Yes

11a. If yes, what specification numbers or project names? If no, answer N/A.

12. Has your business bid on work with another government entity such as Cook County, the State of Illinois, or MWRD’s sister agencies within the past two (2) years?

Yes

12a. If yes, which government entity and project name(s)? If no, answer N/A.

13. If your business has bid on other government work within the past two (2) year, has it been awarded a contract by such entity?

Yes

13a. If yes, which government entity and project name(s)? If no, answer N/A.

14. Has your business been utilized on another government entity’s contract as a subcontractor or supplier within the past two (2) years?

Yes

14a. If yes, which government entity and project name(s)? If no, answer N/A.

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