6-1c - COM MPL Slavery Disclosure Affidavit.pdf

955 KB Posted

Attached to
MPL Snow & Ice Removal Services
Solicitation number
MPL-25-012
Issued by
Milwaukee County, Mattoon Village, Wisconsin

About this file

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The document is an Affidavit of Compliance form issued by the City of Milwaukee Public Library, specifically addressing the disclosure of participation in or profits derived from slavery by contractors. Effective May 31, 2014, the form requires contractors whose companies were established during the slavery era (prior to 1865) to complete this affidavit before entering into a contract with the city. Contractors must search their records and either attest that they found no records of investments or profits from slavery, or disclose any findings related to such historical financial activities.

The form is a mandatory submission requirement for bid or proposal submissions through the Bonfire platform, as instructed in the solicitation documents. Contractors must provide their company name, address, and an authorized signature verifying the truthfulness and completeness of their disclosure. The ordinance (Milwaukee Code of Ordinances 310-14) aims to promote transparency about historical business practices related to slavery, requiring companies with pre-1865 origins to investigate and report on their past financial connections to slavery.

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8-1a - 25-012 Bid Form - Request for Pricing Fillable.pdf PDF
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4-1e - COM MPL Non-Collusion Affidavit.pdf PDF
7-1b - 25-012 Branch Aerial Images.pdf PDF
2-1h - Blank W-9.pdf PDF
1-1d - COM MPL OEI Form A.pdf PDF
5-1g - COM MPL LBE Affidavit.pdf PDF

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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 .