6-03 - COM MPL Slavery Disclosure Affidavit.pdf
PDF 955 KB Posted
- Solicitation number
- MPL-25-014
- Issued by
- Milwaukee County, Mattoon Village, Wisconsin
About this file
This is an Affidavit of Compliance Disclosure form required by the City of Milwaukee for contractors seeking to do business with the municipality, specifically applicable to the Milwaukee Public Library's Request for Proposal for Library Books & Media Materials. The affidavit requires contractors established during or prior to the slavery era (1865) to disclose any historical investments in or profits derived from slavery by their companies or their predecessors. Contractors must complete and submit this form with their bid or proposal through the Bonfire platform as instructed in the solicitation. The form requests company identification information including name, address, city, state, and zip code, along with the authorized representative's signature, printed name, and date of submission.
The affidavit presents two disclosure options for qualifying contractors: those who have searched company records and found no evidence of slavery-related investments or profits, and those who have identified such records and must provide detailed findings on the form. Contractors must declare under oath that all statements provided are true, accurate, and complete as of the submission date to the City of Milwaukee. This compliance disclosure is only required if the contractor does not already have this affidavit on file with the City of Milwaukee, streamlining the process for repeat vendors while ensuring new contractors meet the city's ethical standards regarding historical slavery disclosures as mandated by Milwaukee Code of Ordinances 310-14, effective May 31, 2014.
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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 .