5-03 - MPL Slavery Disclosure Affidavit.pdf
PDF 955 KB Posted
- Solicitation number
- MPL-25-011
- Issued by
- Milwaukee County, Mattoon Village, Wisconsin
About this file
This document is an Affidavit of Compliance form from the Milwaukee Public Library, designed to disclose a contractor's participation in or profits derived from slavery during the era before 1865. The form is required for contractors doing business with the City of Milwaukee, specifically those established during the slavery era (prior to 1865), as mandated by Milwaukee Code of Ordinances 310-14, effective May 31, 2014.
The affidavit requires businesses to declare whether they were in existence prior to 1865 and to search their historical records for any investments or profits from slavery. Contractors must either attest that they have found no such records or disclose any findings related to slavery-era profits. The completed form must be submitted through Bonfire as instructed in the solicitation, with an authorized signature and date. 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.
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| Printed Name: |
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File details come from the government source that posted it. Updated .