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{\f290\fbidi \froman\fcharset162\fprq2 Times New Roman Tur{\*\falt Times New Roman};}{\f291\fbidi \froman\fcharset177\fprq2 Times New Roman (Hebrew){\*\falt Times New Roman};}
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{\fdbmajor\f31521\fbidi \froman\fcharset161\fprq2 Times New Roman Greek{\*\falt Times New Roman};}{\fdbmajor\f31522\fbidi \froman\fcharset162\fprq2 Times New Roman Tur{\*\falt Times New Roman};}
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{\fdbmajor\f31525\fbidi \froman\fcharset186\fprq2 Times New Roman Baltic{\*\falt Times New Roman};}{\fdbmajor\f31526\fbidi \froman\fcharset163\fprq2 Times New Roman (Vietnamese){\*\falt Times New Roman};}
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{\fhimajor\f31535\fbidi \fswiss\fcharset186\fprq2 Calibri Light Baltic;}{\fhimajor\f31536\fbidi \fswiss\fcharset163\fprq2 Calibri Light (Vietnamese);}{\fbimajor\f31540\fbidi \froman\fcharset0\fprq2 Times New Roman{\*\falt Times New Roman};}
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{\fbimajor\f31546\fbidi \froman\fcharset163\fprq2 Times New Roman (Vietnamese){\*\falt Times New Roman};}{\flominor\f31550\fbidi \froman\fcharset0\fprq2 Times New Roman{\*\falt Times New Roman};}
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{\flominor\f31552\fbidi \froman\fcharset162\fprq2 Times New Roman Tur{\*\falt Times New Roman};}{\flominor\f31553\fbidi \froman\fcharset177\fprq2 Times New Roman (Hebrew){\*\falt Times New Roman};}
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{\fdbminor\f31566\fbidi \froman\fcharset163\fprq2 Times New Roman (Vietnamese){\*\falt Times New Roman};}{\fhiminor\f31570\fbidi \fswiss\fcharset0\fprq2 Calibri{\*\falt Calibri};}
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{\fhiminor\f31576\fbidi \fswiss\fcharset163\fprq2 Calibri (Vietnamese){\*\falt Calibri};}{\fbiminor\f31580\fbidi \froman\fcharset0\fprq2 Times New Roman{\*\falt Times New Roman};}
{\fbiminor\f31579\fbidi \froman\fcharset204\fprq2 Times New Roman Cyr{\*\falt Times New Roman};}{\fbiminor\f31581\fbidi \froman\fcharset161\fprq2 Times New Roman Greek{\*\falt Times New Roman};}
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{\leveltext\leveltemplateid68485135\'02\'03.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \fi-360\li2520\lin2520 }{\listlevel\levelnfc4\levelnfcn4\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace0\levelindent0{\leveltext
\leveltemplateid68485145\'02\'04.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \fi-360\li3240\lin3240 }{\listlevel\levelnfc2\levelnfcn2\leveljc2\leveljcn2\levelfollow0\levelstartat1\lvltentative\levelspace0\levelindent0{\leveltext
\leveltemplateid68485147\'02\'05.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \fi-180\li3960\lin3960 }{\listlevel\levelnfc0\levelnfcn0\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace0\levelindent0{\leveltext
\leveltemplateid68485135\'02\'06.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \fi-360\li4680\lin4680 }{\listlevel\levelnfc4\levelnfcn4\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace0\levelindent0{\leveltext
\leveltemplateid68485145\'02\'07.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \fi-360\li5400\lin5400 }{\listlevel\levelnfc2\levelnfcn2\leveljc2\leveljcn2\levelfollow0\levelstartat1\lvltentative\levelspace0\levelindent0{\leveltext
\leveltemplateid68485147\'02\'08.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \fi-180\li6120\lin6120 }{\listname ;}\listid1117288504}{\list\listtemplateid-1\listhybrid{\listlevel\levelnfc4\levelnfcn4\leveljc0\leveljcn0\levelfollow0\levelstartat1
\levelspace0\levelindent0{\leveltext\leveltemplateid68485143\'02\'00);}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \fi-360\li720\lin720 }{\listlevel\levelnfc4\levelnfcn4\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0
{\leveltext\leveltemplateid68485145\'02\'01.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \fi-360\li1440\lin1440 }{\listlevel\levelnfc2\levelnfcn2\leveljc2\leveljcn2\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext
\leveltemplateid68485147\'02\'02.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \fi-180\li2160\lin2160 }{\listlevel\levelnfc0\levelnfcn0\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\leveltemplateid68485135
\'02\'03.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \fi-360\li2880\lin2880 }{\listlevel\levelnfc4\levelnfcn4\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\leveltemplateid68485145\'02\'04.;}{\levelnumbers\'01;}
\rtlch\fcs1 \af0 \ltrch\fcs0 \fi-360\li3600\lin3600 }{\listlevel\levelnfc2\levelnfcn2\leveljc2\leveljcn2\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\leveltemplateid68485147\'02\'05.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 
\fi-180\li4320\lin4320 }{\listlevel\levelnfc0\levelnfcn0\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\leveltemplateid68485135\'02\'06.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \fi-360\li5040\lin5040 }
{\listlevel\levelnfc4\levelnfcn4\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\leveltemplateid68485145\'02\'07.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \fi-360\li5760\lin5760 }{\listlevel\levelnfc2\levelnfcn2
\leveljc2\leveljcn2\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\leveltemplateid68485147\'02\'08.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \fi-180\li6480\lin6480 }{\listname ;}\listid1892956073}}{\*\listoverridetable
{\listoverride\listid1117288504\listoverridecount0\ls1}{\listoverride\listid71633367\listoverridecount9{\lfolevel\listoverridestartat\levelstartat1}{\lfolevel\listoverridestartat\levelstartat1}{\lfolevel\listoverridestartat\levelstartat1}{\lfolevel
\listoverridestartat\levelstartat1}{\lfolevel\listoverridestartat\levelstartat1}{\lfolevel\listoverridestartat\levelstartat1}{\lfolevel\listoverridestartat\levelstartat1}{\lfolevel\listoverridestartat\levelstartat1}{\lfolevel\listoverridestartat
\levelstartat1}\ls2}{\listoverride\listid1892956073\listoverridecount9{\lfolevel\listoverridestartat\levelstartat1}{\lfolevel\listoverridestartat\levelstartat1}{\lfolevel\listoverridestartat\levelstartat1}{\lfolevel\listoverridestartat\levelstartat1}
{\lfolevel\listoverridestartat\levelstartat1}{\lfolevel\listoverridestartat\levelstartat1}{\lfolevel\listoverridestartat\levelstartat1}{\lfolevel\listoverridestartat\levelstartat1}{\lfolevel\listoverridestartat\levelstartat1}\ls3}
{\listoverride\listid71633367\listoverridecount0\ls4}{\listoverride\listid1892956073\listoverridecount0\ls5}{\listoverride\listid1117288504\listoverridecount9{\lfolevel\listoverridestartat\levelstartat1}{\lfolevel\listoverridestartat\levelstartat1}
{\lfolevel\listoverridestartat\levelstartat1}{\lfolevel\listoverridestartat\levelstartat1}{\lfolevel\listoverridestartat\levelstartat1}{\lfolevel\listoverridestartat\levelstartat1}{\lfolevel\listoverridestartat\levelstartat1}{\lfolevel\listoverridestartat
\levelstartat1}{\lfolevel\listoverridestartat\levelstartat1}\ls6}}{\*\pgptbl {\pgp\ipgp0\itap0\li0\ri0\sb0\sa0}{\pgp\ipgp0\itap0\li0\ri0\sb0\sa0}{\pgp\ipgp0\itap0\li0\ri0\sb0\sa0}{\pgp\ipgp0\itap0\li0\ri0\sb0\sa0}}{\*\rsidtbl \rsid819\rsid29443\rsid158490
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\rsid13790242\rsid13912248\rsid14228543\rsid14242141\rsid14301231\rsid14317916\rsid14373425\rsid14501148\rsid14554612\rsid14642045\rsid15092870\rsid15156154\rsid15214044\rsid15215740\rsid15220120\rsid15346215\rsid15367319\rsid15538316\rsid16001657
\rsid16123460\rsid16124570\rsid16386129\rsid16546207\rsid16646322\rsid16656838\rsid16718371\rsid16744158}{\mmathPr\mmathFont34\mbrkBin0\mbrkBinSub0\msmallFrac0\mdispDef1\mlMargin0\mrMargin0\mdefJc1\mwrapIndent1440\mintLim0\mnaryLim1}{\info
{\author Ostapczuk, Anna}{\operator Magda Tymoszewicz}{\creatim\yr2024\mo1\dy19\hr10\min20}{\revtim\yr2024\mo7\dy9\hr12\min1}{\version57}{\edmins123}{\nofpages2}{\nofwords558}{\nofchars3350}{\*\company Hewlett-Packard Company}{\nofcharsws3901}
{\vern49169}}{\*\xmlnstbl {\xmlns1 http://schemas.microsoft.com/office/word/2003/wordml}}\paperw11906\paperh16838\margl1418\margr1418\margt1418\margb1134\gutter0\ltrsect 
\deftab708\widowctrl\ftnbj\aenddoc\hyphhotz425\trackmoves0\trackformatting1\donotembedsysfont1\relyonvml0\donotembedlingdata0\grfdocevents0\validatexml1\showplaceholdtext0\ignoremixedcontent0\saveinvalidxml0
\showxmlerrors1\noxlattoyen\expshrtn\noultrlspc\dntblnsbdb\nospaceforul\formshade\horzdoc\dgmargin\dghspace180\dgvspace180\dghorigin1418\dgvorigin1418\dghshow1\dgvshow1
\jexpand\viewkind1\viewscale120\pgbrdrhead\pgbrdrfoot\splytwnine\ftnlytwnine\htmautsp\nolnhtadjtbl\useltbaln\alntblind\lytcalctblwd\lyttblrtgr\lnbrkrule\nobrkwrptbl\snaptogridincell\allowfieldendsel\wrppunct
\asianbrkrule\rsidroot3347792\newtblstyruls\nogrowautofit\usenormstyforlist\noindnmbrts\felnbrelev\nocxsptable\indrlsweleven\noafcnsttbl\afelev\utinl\hwelev\spltpgpar\notcvasp\notbrkcnstfrctbl\notvatxbx\krnprsnet\cachedcolbal \nouicompat \fet0
{\*\wgrffmtfilter 2450}\nofeaturethrottle1\ilfomacatclnup0{\*\ftnsep \ltrpar \pard\plain \ltrpar\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid16656838 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 
\f31506\fs22\lang1045\langfe1033\cgrid\langnp1045\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid14317916 \chftnsep 
\par }}{\*\ftnsepc \ltrpar \pard\plain \ltrpar\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid16656838 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang1045\langfe1033\cgrid\langnp1045\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid14317916 \chftnsepc 
\par }}{\*\aftnsep \ltrpar \pard\plain \ltrpar\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid16656838 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang1045\langfe1033\cgrid\langnp1045\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid14317916 \chftnsep 
\par }}{\*\aftnsepc \ltrpar \pard\plain \ltrpar\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid16656838 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang1045\langfe1033\cgrid\langnp1045\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid14317916 \chftnsepc 
\par }}\ltrpar \sectd \ltrsect\linex0\headery709\footery1684\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid12341056\sftnbj {\*\pnseclvl1\pnucrm\pnstart1\pnindent720\pnhang {\pntxta .}}{\*\pnseclvl2\pnucltr\pnstart1\pnindent720\pnhang {\pntxta .}}
{\*\pnseclvl3\pndec\pnstart1\pnindent720\pnhang {\pntxta .}}{\*\pnseclvl4\pnlcltr\pnstart1\pnindent720\pnhang {\pntxta )}}{\*\pnseclvl5\pndec\pnstart1\pnindent720\pnhang {\pntxtb (}{\pntxta )}}{\*\pnseclvl6\pnlcltr\pnstart1\pnindent720\pnhang {\pntxtb (}
{\pntxta )}}{\*\pnseclvl7\pnlcrm\pnstart1\pnindent720\pnhang {\pntxtb (}{\pntxta )}}{\*\pnseclvl8\pnlcltr\pnstart1\pnindent720\pnhang {\pntxtb (}{\pntxta )}}{\*\pnseclvl9\pnlcrm\pnstart1\pnindent720\pnhang {\pntxtb (}{\pntxta )}}\pard\plain \ltrpar
\qr \li0\ri0\nowidctlpar\wrapdefault\hyphpar0\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10384178 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang1045\langfe1033\cgrid\langnp1045\langfenp1033 {\rtlch\fcs1 \af1 \ltrch\fcs0 
\strike\f1\lang1045\langfe1045\langfenp1045\insrsid10429951\charrsid14642045 
\par }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\lang1045\langfe1045\langfenp1045\insrsid13728849\charrsid16744158 Za\'b3\'b9cznik nr}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\lang1045\langfe1045\langfenp1045\insrsid16744158  }{\rtlch\fcs1 \af1 \ltrch\fcs0 
\f1\lang1045\langfe1045\langfenp1045\insrsid16744158\charrsid16744158 3}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\cf6\lang1045\langfe1045\langfenp1045\insrsid16744158  }{\rtlch\fcs1 \af1 \ltrch\fcs0 
\f1\lang1045\langfe1045\langfenp1045\insrsid13107683\charrsid16744158 do SWZ
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\wrapdefault\hyphpar0\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid13107683 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\lang1045\langfe1045\langfenp1045\insrsid15367319 DZP}{\rtlch\fcs1 \af1 \ltrch\fcs0 
\f1\lang1045\langfe1045\langfenp1045\insrsid10384178\charrsid16744158 .26.}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\lang1045\langfe1045\langfenp1045\insrsid14242141 13}{\rtlch\fcs1 \af1 \ltrch\fcs0 
\f1\lang1045\langfe1045\langfenp1045\insrsid2295730\charrsid16744158 .2024}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\lang1045\langfe1045\langfenp1045\insrsid10384178\charrsid16744158              
\par                                                                      
\par }\pard \ltrpar\qc \li0\ri0\nowidctlpar\wrapdefault\hyphpar0\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid3347792 {\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\lang1045\langfe1045\langfenp1045\insrsid2843417\charrsid16744158 
\par }{\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\lang1045\langfe1045\langfenp1045\insrsid15214044\charrsid16744158 O\'8cWIADCZENIE}{\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\lang1045\langfe1045\langfenp1045\insrsid6167580\charrsid16744158  WYKONAWCY}{\rtlch\fcs1 \af1 
\ltrch\fcs0 \b\f1\lang1045\langfe1045\langfenp1045\insrsid10437856 /WYKONAWCY WSP\'d3LNIE UBIEGAJ\'a5CEGO}{\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\lang1045\langfe1045\langfenp1045\insrsid13514220\charrsid16744158  SI\'ca O UDZIELENIE ZAM\'d3WIENIA}{
\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\lang1045\langfe1045\langfenp1045\insrsid3347792\charrsid16744158 
\par }{\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\lang1045\langfe1045\langfenp1045\insrsid4282178\charrsid16744158 
\par }\pard \ltrpar\qc \li0\ri0\nowidctlpar\wrapdefault\hyphpar0\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid4016247 {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\lang1045\langfe1045\langfenp1045\insrsid4016247\charrsid12783045 - uwzgl\'eadniaj
\'b9ce przes\'b3anki wykluczenia z art. 5k lub art. 5l Rozporz\'b9dzenia nr 833/2014 oraz art. 7 ust. 1 ustawy o szczeg\'f3lnych rozwi\'b9zaniach w zakresie przeciwdzia\'b3ania wspieraniu agresji na Ukrain\'ea oraz s\'b3u\'bf\'b9cych ochronie bezpiecze
\'f1stwa narodowego
\par }\pard \ltrpar\qc \li0\ri0\nowidctlpar\wrapdefault\hyphpar0\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid5443905 {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\lang1045\langfe1045\langfenp1045\insrsid5443905\charrsid12783045 
\par sk\'b3adane na podstawie art. 125 ust. 1 ustawy Pzp
\par }\pard \ltrpar\qj \li0\ri0\nowidctlpar\wrapdefault\hyphpar0\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid5570853 {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\lang1045\langfe1045\langfenp1045\insrsid8925477\charrsid12783045 
\par }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\lang1045\langfe1045\langfenp1045\insrsid15156154\charrsid12783045 
\par }\pard \ltrpar\qj \li0\ri0\sa120\sl259\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10686985 {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\lang1045\langfe1045\langfenp1045\insrsid5570853\charrsid12783045 
na potrzeby post\'eapowania prowadzonego w trybie podstawowym bez negocjacji, kt\'f3rego przedmiotem jest}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\lang1045\langfe1045\langfenp1045\insrsid4867986  \'9cwiadczenie}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 
\f1\fs20\lang1045\langfe1045\langfenp1045\insrsid12329935  }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\lang1045\langfe1045\langfenp1045\insrsid4867986\charrsid4867986 us\'b3ugi}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 
\f1\fs20\lang1045\langfe1045\langfenp1045\insrsid4867986 : }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\lang1045\langfe1045\langfenp1045\insrsid4867986 P}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 
\b\f1\fs20\lang1045\langfe1045\langfenp1045\insrsid12329935\charrsid12329935 rzeprowadzenia w formie stacjonarnej pi\'eaciu 2-dniowych szkole\'f1 z zakresu stosowania metody Dialogu Motywuj\'b9cego w pracy z klientem}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 
\b\f1\fs20\lang1045\langfe1045\langfenp1045\insrsid8140392  }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\lang1045\langfe1045\langfenp1045\insrsid8140392\charrsid8140392 dla cz\'b3onk\'f3w GKRPA oraz kurator\'f3w s\'b9dowych}{\rtlch\fcs1 \af1\afs20 
\ltrch\fcs0 \b\f1\fs20\lang1045\langfe1045\langfenp1045\insrsid9372699 
\par }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\lang1045\langfe1045\langfenp1045\insrsid10686985\charrsid10686985 
\par }\pard \ltrpar\qj \li0\ri0\sa200\sl276\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid11469038 {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 
\f1\fs20\expnd0\expndtw4\lang1045\langfe1045\langfenp1045\insrsid11469038\charrsid12783045 Dzia\'b3aj\'b9c w imieniu i na rzecz: 
\par }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\expnd0\expndtw4\lang1045\langfe1045\langfenp1045\insrsid11469038\charrsid8589124 
...........................................................................................................................................
\par }\pard \ltrpar\qj \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid11469038 {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\expnd0\expndtw4\lang1045\langfe1045\langfenp1045\insrsid11469038\charrsid8589124 
...........................................................................................................................................
\par }\pard \ltrpar\qc \li0\ri0\sa200\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid9906432 {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \i\f1\fs20\lang1045\langfe1045\langfenp1045\insrsid11469038\charrsid12783045 (pe\'b3
na nazwa Wykonawcy/}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\lang1045\langfe1045\langfenp1045\insrsid9906432\charrsid12783045 Wykonawcy wsp\'f3lnie ubiegaj\'b9cego}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 
\f1\fs20\lang1045\langfe1045\langfenp1045\insrsid11469038\charrsid12783045  si\'ea o udzielenie}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid11469038\charrsid12783045  }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 
\f1\fs20\lang1045\langfe1045\langfenp1045\insrsid11469038\charrsid12783045 zam\'f3wienia)}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\expnd0\expndtw4\lang1045\langfe1045\langfenp1045\insrsid13912248\charrsid12783045 
\par {\listtext\pard\plain\ltrpar \s15 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f1\fs20\lang1045\langfe1045\langfenp1045\insrsid16718371\charrsid12783045 \hich\af1\dbch\af0\loch\f1 1.\tab}}\pard\plain \ltrpar\s15\ql \fi-360\li360\ri0\sb240\sl276\slmult1
\nowidctlpar\wrapdefault\hyphpar0\aspalpha\aspnum\faauto\ls1\adjustright\rin0\lin360\itap0\pararsid16123460\contextualspace \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang1045\langfe1033\cgrid\langnp1045\langfenp1033 {\rtlch\fcs1 
\af1\afs20 \ltrch\fcs0 \f1\fs20\lang1045\langfe1045\langfenp1045\insrsid16718371\charrsid12783045 O\'9cwiadczam}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\lang1045\langfe1045\langfenp1045\insrsid3347792\charrsid12783045 , }{\rtlch\fcs1 \af1\afs20 
\ltrch\fcs0 \f1\fs20\lang1045\langfe1045\langfenp1045\insrsid2035156\charrsid12783045 i\'bf}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\lang1045\langfe1045\langfenp1045\insrsid3347792\charrsid12783045  nie podlega}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 
\f1\fs20\lang1045\langfe1045\langfenp1045\insrsid16718371\charrsid12783045 m}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\lang1045\langfe1045\langfenp1045\insrsid3347792\charrsid12783045  wykluczeniu}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 
\f1\fs20\lang1045\langfe1045\langfenp1045\insrsid16718371\charrsid12783045  z post\'eapowania na podstawie art. 108 ust. 1 ustawy}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\lang1045\langfe1045\langfenp1045\insrsid2191549\charrsid12783045  }{\rtlch\fcs1 
\af1\afs20 \ltrch\fcs0 \f1\fs20\lang1045\langfe1045\langfenp1045\insrsid5793780\charrsid12783045 Pzp}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\lang1045\langfe1045\langfenp1045\insrsid14301231\charrsid12783045 .}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 
\f1\fs20\lang1045\langfe1045\langfenp1045\insrsid16718371\charrsid12783045 
\par {\listtext\pard\plain\ltrpar \s15 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f1\fs20\lang1045\langfe1045\langfenp1045\insrsid16123460\charrsid12783045 \hich\af1\dbch\af0\loch\f1 2.\tab}}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 
\f1\fs20\lang1045\langfe1045\langfenp1045\insrsid16123460\charrsid12783045 O\'9cwiadczam, i\'bf nie podlegam wykluczeniu z post\'eapowania na podstawie art. 109 ust.}{\rtlch\fcs1 \ab\af1\afs20 \ltrch\fcs0 
\f1\fs20\lang1045\langfe1045\langfenp1045\insrsid16123460\charrsid12783045  1}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\lang1045\langfe1045\langfenp1045\insrsid16123460\charrsid12783045  }{\rtlch\fcs1 \ab\af1\afs20 \ltrch\fcs0 
\f1\fs20\lang1045\langfe1045\langfenp1045\insrsid16123460\charrsid12783045 pkt }{\rtlch\fcs1 \ab\af1\afs20 \ltrch\fcs0 \f1\fs20\lang1045\langfe1045\langfenp1045\insrsid29443\charrsid12783045 1}{\rtlch\fcs1 \ab\af1\afs20 \ltrch\fcs0 
\f1\fs20\lang1045\langfe1045\langfenp1045\insrsid16123460\charrsid12783045 , }{\rtlch\fcs1 \ab\af1\afs20 \ltrch\fcs0 \f1\fs20\lang1045\langfe1045\langfenp1045\insrsid29443\charrsid12783045 4}{\rtlch\fcs1 \ab\af1\afs20 \ltrch\fcs0 
\f1\fs20\lang1045\langfe1045\langfenp1045\insrsid16123460\charrsid12783045  i 7}{\rtlch\fcs1 \ab\af1\afs20 \ltrch\fcs0 \f1\fs20\lang1045\langfe1045\langfenp1045\insrsid16744158\charrsid12783045  }{\rtlch\fcs1 \ab\af1\afs20 \ltrch\fcs0 
\f1\fs20\lang1045\langfe1045\langfenp1045\insrsid16123460\charrsid12783045 ustawy Pzp.
\par {\listtext\pard\plain\ltrpar \s15 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f1\fs20\insrsid10384178\charrsid12783045 \hich\af1\dbch\af0\loch\f1 3.\tab}}\pard \ltrpar\s15\ql \fi-360\li360\ri0\sb240\sl276\slmult1\nowidctlpar
\tx8505\wrapdefault\hyphpar0\aspalpha\aspnum\faauto\ls1\adjustright\rin0\lin360\itap0\pararsid10619282\contextualspace {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid10384178\charrsid12783045 [UWAGA: zastosowa\'e6, gdy zachodz\'b9 przes\'b3
anki wykluczenia z art. 108 ust. 1 pkt 1, 2 i 5}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid29443\charrsid12783045  lub art. 109 ust. 1 pkt 4 i 7}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid10384178\charrsid12783045 
, a wykonawca korzysta z procedury samooczyszczenia, o kt\'f3rej mowa w art. 110 ust. 2 ustawy Pzp]}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\cf17\insrsid10384178\charrsid12783045  }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 
\f1\fs20\lang1045\langfe1045\langfenp1045\insrsid2035156\charrsid12783045 O\'9cwiadczam, \'bfe zachodz\'b9 w stosunku do mnie podstawy wykluczenia z post\'eapowania na podstawie art. \'85}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 
\f1\fs20\lang1045\langfe1045\langfenp1045\insrsid4747685\charrsid12783045 \'85\'85}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\lang1045\langfe1045\langfenp1045\insrsid2035156\charrsid12783045  ustawy }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 
\f1\fs20\lang1045\langfe1045\langfenp1045\insrsid5793780\charrsid12783045 Pzp }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\lang1045\langfe1045\langfenp1045\insrsid2035156\charrsid12783045 (podaj\'b9c maj\'b9c\'b9 zastosowanie podstaw\'ea wykluczenia spo
\'9cr\'f3d wymienionych w art. 108 ust. 1 pkt 1,}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\lang1045\langfe1045\langfenp1045\insrsid5793780\charrsid12783045  }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 
\f1\fs20\lang1045\langfe1045\langfenp1045\insrsid2035156\charrsid12783045 2 i 5 }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\lang1045\langfe1045\langfenp1045\insrsid29443\charrsid12783045 lub art. 109 ust. 1 pkt 4 i 7 }{\rtlch\fcs1 \af1\afs20 
\ltrch\fcs0 \f1\fs20\lang1045\langfe1045\langfenp1045\insrsid2035156\charrsid12783045 ustawy}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\lang1045\langfe1045\langfenp1045\insrsid29443\charrsid12783045  Pzp}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 
\f1\fs20\lang1045\langfe1045\langfenp1045\insrsid2035156\charrsid12783045 ). Jednocze}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\lang1045\langfe1045\langfenp1045\insrsid1450534\charrsid12783045 \'9cnie o\'9cwiadczam, \'bfe w zwi\'b9zku z\~}{\rtlch\fcs1 
\af1\afs20 \ltrch\fcs0 \f1\fs20\lang1045\langfe1045\langfenp1045\insrsid2035156\charrsid12783045 ww. okoliczno\'9cci\'b9, na podstawie art. 110 ust. 2 ustawy}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 
\f1\fs20\lang1045\langfe1045\langfenp1045\insrsid13257560\charrsid12783045  Pzp}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\lang1045\langfe1045\langfenp1045\insrsid11293760\charrsid12783045  podj\'b9\'b3em nast\'eapuj\'b9ce \'9crodki}{\rtlch\fcs1 
\af1\afs20 \ltrch\fcs0 \f1\fs20\lang1045\langfe1045\langfenp1045\insrsid2035156\charrsid12783045  naprawcze}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\lang1045\langfe1045\langfenp1045\insrsid1211408\charrsid12783045  i zapobiegawcze}{\rtlch\fcs1 
\af1\afs20 \ltrch\fcs0 \f1\fs20\lang1045\langfe1045\langfenp1045\insrsid2035156\charrsid12783045  }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \i\f1\fs20\lang1045\langfe1045\langfenp1045\insrsid2035156\charrsid12783045 (nale\'bfy wskaza\'e6)}{\rtlch\fcs1 
\af1\afs20 \ltrch\fcs0 \f1\fs20\lang1045\langfe1045\langfenp1045\insrsid2035156\charrsid12783045 :}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\lang1045\langfe1045\langfenp1045\insrsid10384178\charrsid12783045  }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 
\f1\fs20\lang1045\langfe1045\langfenp1045\insrsid2035156\charrsid12783045 \'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\lang1045\langfe1045\langfenp1045\insrsid1450534\charrsid12783045 
\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\lang1045\langfe1045\langfenp1045\insrsid16123460\charrsid12783045 \'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 
\f1\fs20\lang1045\langfe1045\langfenp1045\insrsid819\charrsid12783045 
\par }\pard \ltrpar\s15\ql \li360\ri0\sb240\sl276\slmult1\nowidctlpar\wrapdefault\hyphpar0\aspalpha\aspnum\faauto\adjustright\rin0\lin360\itap0\pararsid16123460\contextualspace {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 
\f1\fs20\lang1045\langfe1045\langfenp1045\insrsid13257560\charrsid12783045 \'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85}{\rtlch\fcs1 
\af1\afs20 \ltrch\fcs0 \f1\fs20\lang1045\langfe1045\langfenp1045\insrsid1450534\charrsid12783045 \'85\'85\'85\'85}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\lang1045\langfe1045\langfenp1045\insrsid13257560\charrsid12783045 
\par {\listtext\pard\plain\ltrpar \s15 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f1\fs20\lang1045\langfe1045\langfenp1045\insrsid158490\charrsid12783045 \hich\af1\dbch\af0\loch\f1 4.\tab}}\pard \ltrpar\s15\ql \fi-360\li360\ri0\sb240\sl276\slmult1
\nowidctlpar\wrapdefault\hyphpar0\aspalpha\aspnum\faauto\ls1\adjustright\rin0\lin360\itap0\pararsid158490\contextualspace {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\lang1045\langfe1045\langfenp1045\insrsid158490\charrsid12783045 O\'9cwiadczam, \'bf
e nie zachodz\'b9 w stosunku do mnie przes\'b3anki wykluczenia z post\'eapowania na podstawie art.  7 ust. 1 ustawy z dnia 13 kwietnia 2022 r.}{\rtlch\fcs1 \ai\af1\afs20 \ltrch\fcs0 
\i\f1\fs20\lang1045\langfe1045\langfenp1045\insrsid158490\charrsid12783045  }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\lang1045\langfe1045\langfenp1045\insrsid158490\charrsid12783045 o szczeg\'f3lnych rozwi\'b9zaniach w zakresie przeciwdzia\'b3
ania wspieraniu agresji na Ukrain\'ea oraz s\'b3u\'bf\'b9cych ochronie bezpiecze\'f1stwa narodowego (t.j. Dz. U. z }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\lang1045\langfe1045\langfenp1045\insrsid14501148 2024}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 
\f1\fs20\lang1045\langfe1045\langfenp1045\insrsid14501148\charrsid12783045  }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\lang1045\langfe1045\langfenp1045\insrsid158490\charrsid12783045 poz. }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 
\f1\fs20\lang1045\langfe1045\langfenp1045\insrsid14501148 507}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\lang1045\langfe1045\langfenp1045\insrsid14501148\charrsid12783045  }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 
\f1\fs20\lang1045\langfe1045\langfenp1045\insrsid158490\charrsid12783045 z zm.)}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\lang1045\langfe1045\super\langfenp1045\insrsid158490\charrsid12783045 \chftn {\footnote \ltrpar \pard\plain \ltrpar
\qj \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid158490 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang1045\langfe1033\cgrid\langnp1045\langfenp1033 {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 
\cs28\f1\fs16\super\insrsid158490 \chftn }{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\insrsid158490  }{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\cf18\insrsid158490 Zgodnie z tre\'9cci\'b9 art. 7 ust. 1 ustawy z dnia 13 kwietnia 2022 r. }{\rtlch\fcs1 
\ai\af1\afs16 \ltrch\fcs0 \i\f1\fs16\cf18\insrsid158490 o szczeg\'f3lnych rozwi\'b9zaniach w zakresie przeciwdzia\'b3ania wspieraniu agresji na Ukrain\'ea oraz s\'b3u\'bf\'b9cych ochronie bezpiecze\'f1stwa narodowego, zwanej dalej \'84ustaw\'b9\'94, }{
\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\cf18\insrsid158490 z }{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\cf18\lang1045\langfe1045\langfenp1045\insrsid158490 post\'eapowania o udzielenie zam\'f3
wienia publicznego lub konkursu prowadzonego na podstawie ustawy Pzp wyklucza si\'ea:}{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\cf18\insrsid158490 
\par }\pard \ltrpar\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid14501148 {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\cf18\lang1045\langfe1045\langfenp1045\insrsid158490 1) }{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 
\f1\fs16\cf18\lang1045\langfe1045\langfenp1045\insrsid14501148\charrsid15220120 wykonawc\'ea oraz uczestnika konkursu wymienionego w wykazach okre\'9clonych w rozporz\'b9dzeniu 765/2006 i rozporz\'b9dzeniu 269/2014 albo wpisanego na list\'ea
 na podstawie decyzji w sprawie wpisu na list\'ea rozstrzygaj\'b9cej o zastosowaniu \'9crodka, o kt\'f3rym mowa w art. 1 pkt 3;}{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\cf18\lang1045\langfe1045\langfenp1045\insrsid14501148 
\par }{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\cf18\lang1045\langfe1045\langfenp1045\insrsid10686985 2)}{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\cf18\lang1045\langfe1045\langfenp1045\insrsid14501148\charrsid15220120 wykonawc\'ea
 oraz uczestnika konkursu, kt\'f3rego beneficjentem rzeczywistym w rozumieniu ustawy z dnia 1 marca 2018 r. o przeciwdzia\'b3aniu praniu pieni\'eadzy ora
z finansowaniu terroryzmu (Dz. U. z 2023 r. poz. 1124, 1285, 1723 i 1843) jest osoba wymieniona w wykazach okre\'9clonych w rozporz\'b9dzeniu 765/2006 i rozporz\'b9dzeniu 269/2014 albo wpisana na list\'ea lub b\'ead\'b9
ca takim beneficjentem rzeczywistym od dnia 24 lutego 2022 r., o ile zosta\'b3a wpisana na list\'ea na podstawie decyzji w sprawie wpisu na list\'ea rozstrzygaj\'b9cej o zastosowaniu \'9crodka, o kt\'f3rym mowa w art. 1 pkt 3;}{\rtlch\fcs1 \af1\afs16 
\ltrch\fcs0 \f1\fs16\cf18\lang1045\langfe1045\langfenp1045\insrsid14501148 
\par }\pard \ltrpar\qj \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid14501148 {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\cf18\lang1045\langfe1045\langfenp1045\insrsid10686985 3)}{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 
\f1\fs16\cf18\lang1045\langfe1045\langfenp1045\insrsid14501148\charrsid15220120 wykonawc\'ea oraz uczestnika konkursu, kt\'f3rego jednostk\'b9 dominuj\'b9c\'b9 w rozumieniu art. 3 ust. 1 pkt 37 ustawy z dnia 29 wrze\'9cnia 1994 r. o rachunkowo\'9c
ci (Dz. U. z 2023 r. poz. 120, 295 i 1598) jest podmiot wymieniony w wykazach okre\'9clonych w rozporz\'b9dzeniu 765/2006 i rozporz\'b9dzeniu 269/2014 albo wpisany na list\'ea lub b\'ead\'b9cy tak\'b9 jednostk\'b9 dominuj\'b9c\'b9 od dnia 2
4 lutego 2022 r., o ile zosta\'b3 wpisany na list\'ea na podstawie decyzji w sprawie wpisu na list\'ea rozstrzygaj\'b9cej o zastosowaniu \'9crodka, o kt\'f3rym mowa w art. 1 pkt 3.}}}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 
\f1\fs20\lang1045\langfe1045\langfenp1045\insrsid158490\charrsid12783045 .
\par {\listtext\pard\plain\ltrpar \s15 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f1\fs20\lang1045\langfe1045\langfenp1045\insrsid158490\charrsid12783045 \hich\af1\dbch\af0\loch\f1 5.\tab}}\pard \ltrpar\s15\ql \fi-360\li360\ri0\sb240\sl276\slmult1
\nowidctlpar\wrapdefault\hyphpar0\aspalpha\aspnum\faauto\ls1\adjustright\rin0\lin360\itap0\pararsid9194436\contextualspace {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\lang1045\langfe1045\langfenp1045\insrsid158490\charrsid12783045 O\'9cwiadczam, \'bf
e nie zachodz\'b9 w stosunku do mnie przes\'b3anki wykluczenia z post\'eapowania na podstawie art. 5k lub art. 5l Rozporz\'b9dzenia Rady (UE) nr 833/2014 z dnia 31 lipca 2014 r. dotycz\'b9cego \'9crodk\'f3w ograniczaj\'b9cych w zwi\'b9zku z dzia\'b3
aniami Rosji destabilizuj\'b9cymi sytuacj\'ea na Ukrainie (Dz. U. UE. L. z 2014 r. Nr 229, str. 1 z p\'f3\'9fn. zm.), {\*\bkmkstart _Hlk134186185}w brzmieniu nadanym rozporz\'b9dzeniem Rady (UE) 2022/576 w sprawie zmiany rozporz\'b9
dzenia (UE) nr 833/2014 dotycz\'b9cego \'9crodk\'f3w ograniczaj\'b9cych w zwi\'b9zku z dzia\'b3aniami Rosji destabilizuj\'b9cymi sytuacj\'ea na Ukrainie (Dz. Urz. UE nr L 111 z 8.4.2022, str. 1)}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 
\f1\fs20\lang1045\langfe1045\super\langfenp1045\insrsid158490\charrsid12783045 {\*\bkmkend _Hlk134186185} \chftn {\footnote \ltrpar \pard\plain \ltrpar
\s31\qj \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid158490 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \fs20\lang1045\langfe1045\loch\af31506\hich\af31506\dbch\af31505\cgrid\langnp1045\langfenp1045 {
\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \cs28\f1\fs16\super\insrsid158490\charrsid1011229 \chftn }{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\insrsid158490\charrsid1011229 \hich\af1\dbch\af31505\loch\f1 \hich\f1  Zgodnie z tre\'9c\loch\f1 \hich\f1 ci\'b9
\loch\f1 \hich\f1  art. 5k ust. 1 rozporz\'b9\loch\f1 \hich\f1 dzenia 833/2014: Zakazuje si\'ea\loch\f1 \hich\f1  udzielania lub dalszego wykonywania wszelkich zam\'f3\loch\f1 \hich\f1 wie\'f1\loch\f1 \hich\f1  publicznych lub koncesji obj\'ea\loch\f1 
tych zakresem dyrektyw w\~\hich\f1 sprawie zam\'f3\loch\f1 \hich\f1 wie\'f1\loch\f1  publicznych, a\~\hich\f1 tak\'bf\loch\f1 e zakresem art.\~10 ust.\~\hich\af1\dbch\af31505\loch\f1 1, 3, ust.\~6 lit.\~a)\hich\f1 \endash \loch\f1 e), ust.\~8, 9 i\~
10, art.\~11, 12, 13 i\~14 dyrektywy 2014/23/UE, art.\~7 i\~8, art.\~10 lit.\~b)\hich\f1 \endash \loch\f1 f) i\~lit. h)\hich\f1 \endash \loch\f1 j) dyrektywy 2014/24/UE, art.\~18, art.\~21 lit.\~b)\hich\f1 \endash \loch\f1 e) i\~lit. g)\hich\f1 \endash 
\loch\f1 i), art.\~29 i\~30 dyrektywy 2014/25/UE oraz art.\~13 lit.\~a)\hich\f1 \endash \loch\f1 d), li\hich\af1\dbch\af31505\loch\f1 t\hich\af1\dbch\af31505\loch\f1 . f)\hich\f1 \endash \loch\f1 h) i\~lit. j) dyrektywy 2009/81/WE na\~rzecz lub z\~
\hich\f1 udzia\'b3\loch\f1 em:
\par {\listtext\pard\plain\ltrpar \s31 \rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \fs16\lang1045\langfe1045\loch\af1\hich\af1\dbch\af31505\langfenp1045\insrsid158490\charrsid1011229 \hich\af1\dbch\af31505\loch\f1 a)\tab}}\pard \ltrpar
\s31\ql \fi-284\li426\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls3\adjustright\rin0\lin426\itap0\pararsid158490 {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\insrsid158490\charrsid1011229 \hich\af1\dbch\af31505\loch\f1 \hich\f1 
obywateli rosyjskich lub os\'f3\loch\f1 \hich\f1 b fizycznych lub prawnych, podmiot\'f3\loch\f1 \hich\f1 w lub organ\'f3\loch\f1 w z\~\hich\f1 siedzib\'b9\loch\f1  w\~Rosji;
\par {\*\bkmkstart _Hlk102557314}{\listtext\pard\plain\ltrpar \s31 \rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \fs16\lang1045\langfe1045\loch\af1\hich\af1\dbch\af31505\langfenp1045\insrsid158490\charrsid1011229 \hich\af1\dbch\af31505\loch\f1 b)\tab}
\hich\af1\dbch\af31505\loch\f1 \hich\f1 os\'f3\loch\f1 \hich\f1 b prawnych, podmiot\'f3\loch\f1 \hich\f1 w lub organ\'f3\loch\f1 w, do\~\hich\f1 kt\'f3\loch\f1 \hich\f1 rych prawa w\'b3\loch\f1 \hich\f1 asno\'9c\loch\f1 \hich\f1 ci bezpo\'9c
\hich\af1\dbch\af31505\loch\f1 \hich\f1 rednio lub po\'9c\loch\f1 rednio w\~ponad 50\~\hich\f1 % nale\'bf\'b9\loch\f1  do\~podmiotu, o\~\hich\f1 kt\'f3\loch\f1 rym mowa w\~lit.\~\hich\f1 a) niniejszego ust\'ea\loch\f1 pu; lub{\*\bkmkend _Hlk102557314}

\par {\listtext\pard\plain\ltrpar \s31 \rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \fs16\lang1045\langfe1045\loch\af1\hich\af1\dbch\af31505\langfenp1045\insrsid158490\charrsid1011229 \hich\af1\dbch\af31505\loch\f1 c)\tab}\hich\af1\dbch\af31505\loch\f1 \hich\f1 os\'f3
\loch\f1 \hich\f1 b fizycznych lub prawnych, podmiot\'f3\loch\f1 \hich\f1 w lub organ\'f3\loch\f1 \hich\f1 w dzia\'b3\loch\f1 \hich\f1 aj\'b9\loch\f1 cych w\~imieniu lub pod kierunkiem podmiotu, o\~\hich\f1 kt\'f3\loch\f1 rym mowa w\~lit.\~a) lub b) nin
\hich\af1\dbch\af31505\loch\f1 \hich\f1 iejszego ust\'ea\loch\f1 pu,
\par }\pard \ltrpar\s31\qj \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid158490 {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\chshdng0\chcfpat0\chcbpat8\insrsid158490\charrsid1011229 \hich\af1\dbch\af31505\loch\f1 
Zgodnie z art. 5l }{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\insrsid158490\charrsid1011229 \hich\af1\dbch\af31505\loch\f1 \hich\f1 rozporz\'b9\loch\f1 dzenia 833/2014}{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 
\f1\fs16\chshdng0\chcfpat0\chcbpat8\insrsid158490\charrsid1011229 \hich\af1\dbch\af31505\loch\f1 \hich\f1 : Zakazuje si\'ea\loch\f1 \hich\f1  udzielania bezpo\'9c\loch\f1 \hich\f1 redniego lub po\'9c\loch\f1 \hich\f1 
redniego wsparcia, w tym udzielania finansowania i pomocy finansowej lub przyznawania jakichkolwiek innych korzy\'9c\loch\f1 ci w ramach programu Unii, Euratomu l\hich\af1\dbch\af31505\loch\f1 \hich\f1 ub krajowego programu pa\'f1\loch\f1 \hich\f1 stwa cz
\'b3\loch\f1 \hich\f1 onkowskiego oraz um\'f3\loch\f1 w w rozumieniu }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\insrsid158490\charrsid1011229 \hich\af1\dbch\af31505\loch\f1 HYPERLINK "https://sip.lex.pl/" \\
l "/document/69074894?cm=DOCUMENT"}{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\insrsid158490\charrsid1011229 {\*\datafield 901601ddef0200000083920e000000005003a100000000690061280100002f}}}{\fldrslt {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 
\cs30\f1\fs16\chshdng0\chcfpat0\chcbpat8\insrsid158490\charrsid1011229 \hich\af1\dbch\af31505\loch\f1 \hich\f1 rozporz\'b9\loch\f1 dzenia}}}\sectd \ltrsect
\linex0\headery709\footery1684\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid12341056\sftnbj {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\chshdng0\chcfpat0\chcbpat8\insrsid158490\charrsid1011229 \hich\af1\dbch\af31505\loch\f1 \hich\f1 
 (UE, Euratom) 2018/1046, na rzecz jakichkolwiek os\'f3\hich\af1\dbch\af31505\loch\f1 \hich\f1 b prawnych, podmiot\'f3\loch\f1 \hich\f1 w lub organ\'f3\loch\f1 \hich\f1 w z siedzib\'b9\loch\f1 \hich\f1  w Rosji, kt\'f3\loch\f1 \hich\f1 re w ponad 50 % s
\'b9\loch\f1 \hich\f1  w\'b3\loch\f1 \hich\f1 asno\'9c\loch\f1 \hich\f1 ci\'b9\loch\f1 \hich\f1  publiczn\'b9\loch\f1 \hich\f1  lub s\'b9\loch\f1 \hich\f1  pod kontrol\'b9\loch\f1 \hich\f1  publiczn\'b9}{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 
\f1\fs16\insrsid158490\charrsid1011229 \hich\af1\dbch\af31505\loch\f1  w\~\hich\f1 tym podwykonawc\'f3\loch\f1 \hich\f1 w, dostawc\'f3\loch\f1 \hich\f1 w lub podmiot\'f3\loch\f1 w, na\~\hich\f1 kt\'f3\loch\f1 \hich\f1 rych zdolno\'9c\loch\f1 \hich\f1 
ci polega si\'ea\loch\f1  w\~rozumieniu dyrektyw w\~\hich\f1 sprawie zam\'f3\loch\f1 \hich\f1 wie\'f1\loch\f1  publicznyc\hich\af1\dbch\af31505\loch\f1 h, w\~przypadku gdy przypada na\~nich ponad 10\~\hich\f1 % warto\'9c\loch\f1 \hich\f1 ci zam\'f3
\loch\f1 wienia.}}}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\lang1045\langfe1045\langfenp1045\insrsid158490\charrsid2182175 
\par {\listtext\pard\plain\ltrpar \s15 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f1\fs20\lang1045\langfe1045\langfenp1045\insrsid2182175\charrsid2182175 \hich\af1\dbch\af0\loch\f1 6.\tab}}\pard \ltrpar\s15\ql \fi-360\li360\ri0\sa160\sl259\slmult1
\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls1\adjustright\rin0\lin360\itap0\pararsid2182175\contextualspace {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\lang1045\langfe1045\langfenp1045\insrsid2182175\charrsid2182175 O\'9cwiadczam, i\'bf spe\'b3
niam warunki udzia\'b3u w post\'eapowaniu okre\'9clone przez Zamawiaj\'b9cego w\~rozdziale }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\lang1045\langfe1045\langfenp1045\insrsid2182175\charrsid2182175 VIII SWZ}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 
\f1\fs20\lang1045\langfe1045\langfenp1045\insrsid2182175\charrsid2182175 .}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\lang1045\langfe1045\langfenp1045\insrsid2182175 
\par {\listtext\pard\plain\ltrpar \s15 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f1\fs20\lang1045\langfe1045\langfenp1045\insrsid2182175\charrsid2182175 \hich\af1\dbch\af0\loch\f1 7.\tab}}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 
\f1\fs20\lang1045\langfe1045\langfenp1045\insrsid2182175\charrsid2182175 O\'9cwiadczam, \'bfe w celu wykazania spe\'b3niania warunk\'f3w udzia\'b3u w post\'eapowaniu, okre\'9clonych przez Zamawiaj\'b9cego w rozdziale }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 
\b\f1\fs20\lang1045\langfe1045\langfenp1045\insrsid2182175\charrsid2182175 VIII SWZ}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \i\f1\fs20\lang1045\langfe1045\langfenp1045\insrsid2182175\charrsid2182175 , }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 
\f1\fs20\lang1045\langfe1045\langfenp1045\insrsid2182175\charrsid2182175 polegam na zasobach nast\'eapuj\'b9cego/ych podmiotu/\'f3w: \'85....\'85\'85\'85\'85..\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85
\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85, w nast\'eapuj\'b9cym zakresie:
\par }\pard \ltrpar\s15\ql \li360\ri0\sa160\sl259\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin360\itap0\pararsid2182175\contextualspace {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 
\f1\fs20\lang1045\langfe1045\langfenp1045\insrsid2182175\charrsid2182175 \'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85.........................................
\par {\listtext\pard\plain\ltrpar \s15 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f1\fs20\insrsid5397921\charrsid12783045 \hich\af1\dbch\af0\loch\f1 8.\tab}}\pard \ltrpar\s15\qj \fi-360\li360\ri0\sb240\sl276\slmult1
\nowidctlpar\wrapdefault\hyphpar0\aspalpha\aspnum\faauto\ls1\adjustright\rin0\lin360\itap0\pararsid12141059\contextualspace {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid5397921\charrsid12783045 O\'9cwiadczam,  \'bf
e wszystkie informacje podane  w powy\'bfszyc}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid7025074\charrsid12783045 h  o\'9cwiadczeniach  s\'b9 aktualne }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid5397921\charrsid12783045 i\~zgodne z prawd
\'b9 oraz zosta\'b3y przedstawione z pe\'b3n\'b9 \'9cwiadomo\'9cci\'b9 konsekwencji wprowadzenia Zamawiaj\'b9cego w b\'b3\'b9d przy przedstawianiu}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\expnd-1\expndtw-6\insrsid5397921\charrsid12783045  }{
\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid5397921\charrsid12783045 informacji}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid7025074\charrsid12783045 .}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 
\strike\f1\fs20\lang1045\langfe1045\langfenp1045\insrsid819\charrsid12783045 
\par }\pard\plain \ltrpar\qj \li4774\ri0\nowidctlpar\wrapdefault\hyphpar0\aspalpha\aspnum\faauto\adjustright\rin0\lin4774\itap0\pararsid3347792 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang1045\langfe1033\cgrid\langnp1045\langfenp1033 {
\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\lang1045\langfe1045\langfenp1045\insrsid4329453\charrsid16744158 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\wrapdefault\hyphpar0\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid16656838 {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\lang1045\langfe1045\langfenp1045\insrsid5448185\charrsid16744158 
\par }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\lang1045\langfe1045\langfenp1045\insrsid15156154\charrsid16744158 
\par }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\lang1045\langfe1045\langfenp1045\insrsid158490\charrsid16744158 
\par 
\par }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\lang1045\langfe1045\langfenp1045\insrsid15156154\charrsid16744158 
\par }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\lang1045\langfe1045\langfenp1045\insrsid15156154 
\par }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\lang1045\langfe1045\langfenp1045\insrsid12141059 
\par 
\par 
\par 
\par 
\par 
\par }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\lang1045\langfe1045\langfenp1045\insrsid12141059\charrsid16744158 
\par }\pard \ltrpar\qc \li0\ri0\nowidctlpar\wrapdefault\hyphpar0\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid5448185 {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\lang1045\langfe1045\langfenp1045\insrsid5448185\charrsid16744158 NINIEJSZY PL}{
\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\lang1045\langfe1045\langfenp1045\insrsid3829618\charrsid16744158 IK PODPISUJE
\par WYKONAWCA/WYKONAWCA WSP\'d3LNIE UBIEGAJ\'a5CY SI\'ca O UDZIELENIE ZAM\'d3WIENIA}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\lang1045\langfe1045\langfenp1045\insrsid5448185\charrsid16744158 
\par }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\lang1045\langfe1045\langfenp1045\insrsid2182175  KWALIFIKOWA}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\lang1045\langfe1045\langfenp1045\insrsid5448185\charrsid16744158 NYM PODPISEM ELEKTRONICZNYM, 
\par PODPISEM ZAUFANYM LUB PODPISEM OSOBISTYM}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\lang1045\langfe1045\langfenp1045\insrsid4329453\charrsid16744158 
\par }{\*\themedata 504b030414000600080000002100e9de0fbfff0000001c020000130000005b436f6e74656e745f54797065735d2e786d6cac91cb4ec3301045f748fc83e52d4a
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a7e7c0000000360100000b0000005f72656c732f2e72656c73848fcf6ac3300c87ef85bd83d17d51d2c31825762fa590432fa37d00e1287f68221bdb1bebdb4f
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4757e8d3f729e245eb2b260a0238fd010000ffff0300504b030414000600080000002100c71ee648af070000ef200000160000007468656d652f7468656d652f
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