Rebuild Emerging Vendors Program Application

Thank you for your interest in the City of Philadelphia’s Rebuild Initiative Emerging Vendors Program for businesses located in Philadelphia. Firms accepted into the EVP will be eligible to participate as Emerging Vendors (EVs) and be counted toward an Economic Opportunity Plan (EOP) related diversity goals while receiving the back-end support and technical assistance needed to become a Minority Business Enterprise (MBE), Woman Business Enterprise (WBE), or Disabled Small Business Enterprise (DSBE) certified with a recognized third-party certifying agency.

Section 1: Entity Information

Tax ID Number(Required)

9 digit Federal Tax ID; firms are strongly encouraged not to use SSN as the tax ID. Tax ID Numbers can be easily obtained from the IRS at no charge.

Business Name(Required)

DBA Name

Company Type(Required)

Section 2: Business Contact Information

Main Company Email(Required)

Main Phone(Required)

Mobile Phone(Required)

(To receive future communication, event notification and reminders.)

Main Fax

Company Website

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Section 3: Primary Owner Information

Name(Required)

First Last

Title

Email(Required)

Phone(Required)

Phone Ext.

Ethnicity(Required)

Gender(Required)

Citizenship(Required)

Section 4: Business Information

Business Description(Required)

NAICS Codes(Required)

https://www.naics.com/search/

Average Gross Receipts Over Last 3 Years(Required)

Does Applicant, Firm or Employee Have a Relevant Professional Certification License or Registration? (List All)(Required)

Does Business Have a Current Philadelphia Commercial Activity License?(Required)

Does Business Have a Current City of Philadelphia Tax Clearance Certificate?(Required)

https://rev.phila.gov/taxcompliance/

Does Business Have General Liability Insurance?(Required)

Does Business Have a Bank Account?(Required)

Is your firm already certified as a minority-owned business (MBE) or woman-owned business (WBE)?

Minority-Owned Business (MBE)

Woman-Owned Business (WBE)

Declaration

I declare that I have completed the information contained in this registration and to the best of my knowledge and belief it is true, correct and complete. I understand that the information provided in this Emerging Vendor Registration for the City of Philadelphia will be provided to and used by State Agencies and Universities for official business related to the procurement of State contracts.(Required)

I Agree

Section 6: Additional Documents

After submitting your application to the City of Philadelphia’s Rebuild Emerging Vendors Program, a representative from Surety Bond Associates will send you an email with instructions on how to upload the following additional documents to determine your acceptance into EVP:

Proof of Citizenship–Driver’s License or US Passport
Bank signature as proof of control of bank account
Copy of current City of Philadelphia Tax Compliance Certificate
City of Philadelphia Commercial Activity License
Copy of licenses applicable to the business (e.g. architectural registration, trade licenses or certification)
Certification of General Liability Insurance
Proof of legal business structure (if applicable), e.g., Articles of Incorporation or Partnership Agreement

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