12-z11 - COM MPL Slavery Disclosure Affidavit.pdf
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- Attached to
- Milwaukee Public Library - Midtown Project
- Solicitation number
- MPL-25-013
- Issued by
- Milwaukee County, Mattoon Village, Wisconsin
About this file
The document is an Affidavit of Compliance form from the City of Milwaukee Public Library, specifically addressing the disclosure of participation in or profits derived from slavery by contractors. The form is required for contractors whose businesses existed during or prior to the slavery era (1865) and is only mandatory if not already on file with the City of Milwaukee. Effective May 31, 2014, contractors must complete this affidavit prior to entering into a contract, indicating whether they have found any records of investments or profits from slavery.
The form requires contractors to check one of two boxes: either confirming they have searched records and found no evidence of slavery-related investments, or disclosing any findings from their search. The document provides space for detailed findings and requires an authorized signature, printed name, and date. Contractors are instructed to submit this form with their bid or proposal through Bonfire as specified in the solicitation. The purpose of this document is to promote transparency and accountability regarding historical business practices related to slavery.
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Text version
AFFIDAVIT OF COMPLIANCE
DISCLOSURE OF PARTICIPATION IN OR PROFITS DERIVED FROM SLAVERY BY CONTRACTORS
Only required if not already on file with the City of Milwaukee.
Company Name:
Address:
City: State: Zip:
This affidavit of compliance will be the contractor's sworn statement that publicly discloses any slavery policies sold by any companies, or profits from slavery by industries or their predecessors who are doing business with the City of Milwaukee as defined in the Milwaukee Code of Ordinances 310-14. Effective May 31, 2014, only Contractors whose company was established during the slavery era, shall complete this Affidavit prior to entering into a contract.
Please check one:
☐ This business was in existence during or prior to the slavery era (1865). I have searched any and all records for records of investments or profits from slavery, and have found no such records.
☐ This business was in existence during or prior to the slavery era (1865). I have searched any and all records for records of investments or profits from slavery, and am disclosing the findings below.
Findings being disclosed (please attach additional pages, if necessary):
I hereby declare that all statements are true, accurate and complete as of the date furnished to the City of Milwaukee.
Authorized Signature:
Printed Name: Date:
PLEASE SUBMIT THIS FORM WITH YOUR BID OR PROPOSAL THROUGH BONFIRE AS
INSTRUCTED IN THE SOLICITATION.
| Company Name 1: |
| State: |
| Zip: |
| Printed Name: |
| Date: |
| Company Address: |
| City: |
| Findings Disclosed: |
| Group1: Off |
File details come from the government source that posted it. Updated .