ࡱ> /2,-.Y6bjbj4@ҜiҜil aJ((((((((8(<1)$(U)U)U)U)U)***CEEEEEE$LfiQ(*****i((U)U)H---*L(U)(U)C-*C--xU)LJZ*|N/Џ0|*$ ('**-*****ii , ****************c E': & & ..& ., dnia ................. 2024 r. Powiat WaBecki ul. J. Dbrowskiego 17, 78-600 WaBcz Formularz oferty Nazwa (firma) albo imi i nazwisko wykonawcy: ............................................................................... Siedziba lub miejsce prowadzonej dziaBalno[ci gospodarczej wykonawcy oraz jego adres: ............................................................................... NIP wykonawcy: ............................................................................... Numer telefonu: ............................................................................... Adres poczty elektronicznej: ............................................................................... Osoba do kontaktw: ............................................................................... W postpowaniu o udzielenie zamwienia na zaprojektowanie i wykonanie robt budowlanych polegajcych na budowie (rozbudowie i nadbudowie) budynku Powiatowego Centrum KsztaBcenia Zawodowego i Ustawicznego w WaBczu, oferuj wykonanie przedmiotu zamwienia na warunkach okre[lonych w SWZ za cen (brutto) .................................... zB, w tym podatek VAT ..& % w wysoko[ci & .................................. zB. Oferowany okres rkojmi za wady obiektu .& lat (okres rkojmi za wady obiektu powinien zawiera si w przedziale od 5 do 8 lat wBcznie. Do jego okre[lenia nale|y u|ywa peBnych lat, a wskazana warto[ winna by liczb caBkowit. Nieokre[lenie okresu rkojmi za wady obiektu potraktowane zostanie jako zaoferowanie go na okres 5 lat. Okre[lenie okresu rkojmi za wady obiektu na mniej ni| 5 lat potraktowane zostanie jako zBo|enie oferty nieodpowiadajcej tre[ci SWZ. Okre[lenie okresu rkojmi za wady obiektu na wicej ni| 8 lat, potraktowane zostanie, w celu oceny oferty, jako zaoferowanie go na okres 8 lat.). Ponadto o[wiadczam, |e: wykonawca nie podlega wykluczeniu z postpowania napodstawie art.108 ust.1 w zwizku z art. 266 ustawy z dnia 11 wrze[nia 2019 r. Prawo zamwieD publicznych oraz art. 7 ust. 1 ustawy z dnia 13 kwietnia 2022 r. o szczeglnych rozwizaniach w zakresie przeciwdziaBania wspieraniu agresji na Ukrain oraz sBu|cych ochronie bezpieczeDstwa narodowego; wykonawca speBnia warunki udziaBu w postpowaniu okre[lone w rozdziale XV SWZ; wykonawca jest mikroprzedsibiorstwem/ FHJRT& ( D F N T ǻ֬rrbrbJ7%h]hnB*PJ^JnHphtH/hh]5B*KH PJ\^JnHphtHh]B*PJ^JnHphtH%hh]B*PJ^JnHphtH(hh]5B*PJ^JnHphtHh]5\^Jhg5\^Jh]hgPJ^JnHtHh9PJ^JnHtHh{/h#PJ^JnHtHh{/hn%PJ^JnHtHh]PJ^JnHtHh{/h PJ^JnHtHTF ,   f g $d`a$gdW$ p#da$gdW $da$gdW $da$gdI$\d^\`a$gd] $da$gd] $da$gd] dgd=z , T   f g 9 : NT̽̽̽}t}t}t}tndtdh9h95^J h9^Jh uh9^J h9^J%h{/hR 2B*PJ^JnHphtHh{/hn%PJ^JnHtHhnPJ^JnHtHhZ+PJ^JnHtHhvFhWPJ^JnHtHhvFhW^JhIhn%5PJ^JnHtHh115PJ^JnHtHhv5PJ^JnHtH' 9 : FFn(+{aa$ & F&dx*$1$7$8$H$a$gdI$ & F&dx*$1$a$gd]$ & F&dx*$1$7$8$H$a$gd]$d7$8$H$a$gdAcm$dxxa$gd]_h $xa$gd]_h $dha$gd]$d`a$gdW $da$gdW z,.0hl:DFͲvlelXNh]^JnHtHhvFhW^JnHtH hK'\^JhvFhW\^Jh9hc^Jh9PJ^JnHtHhIPJ^JnHtHhZ+PJ^JnHtHhvFh:_TPJ^JnHtHhvFhcPJ^JnHtHhEPJ^JnHtHhvFhn%PJ^JnHtH h9^Jh95\^Jh) 5\^Jh[xh95\^J*FFDF۾znzcz[HzzH%hCehnB*PJ^JnHphtHh9PJ^JhCehn0J/^JhnPJ^JnHtHhCehnPJ^JnHtHhCehn5PJ^JnHtHh{/hAcmPJ^JnHtHhZ+PJ^JnHtHhZ+hg\^J hZ+\^JhvFhW5^JhvFhW5\^JhvFhW\^JhvFhW5^JnHtHhvFhW^JnHtHh((0(2(@(B(d(f(h(j(n())$+&++++öoo_oFo1jh{/hnB*H*PJU^JnHphtHhnB*PJ^JnHphtH%h{/hnB*PJ^JnHphtH%jh{/hn0JU^JnH tH (jh{/hnH*PJU^JnHtHUhn^JnH tH h{/hn^JnH tH h{/hnPJ^JnHtHhZ;hn5PJ^JnHtHhnhnPJ^JnHtHhCehnPJ^JnHtHmaBym przedsibiorstwem/ [rednim przedsibiorstwem,. wykonawca wypeBniB obowizki informacyjne przewidziane w art. 13 lub art. 14 rozporzdzenia Parlamentu Europejskiego i Rady (UE) 2016/679 z dnia 27 kwietnia 2016 r. w sprawie ochrony osb fizycznych w zwizku z przetwarzaniem danych osobowych i w sprawie swobodnego przepBywu takich danych oraz uchylenia dyrektywy 95/46/WE (oglne rozporzdzenie o ochronie danych) - Dz. Urz. UE L 119 z dnia 4 maja 2016 r..  Niepotrzebne skre[li.  Por. zalecenie Komisji z dnia 6 maja 2003 r. dotyczce definicji mikroprzedsibiorstw oraz maBych i [rednich przedsibiorstw (Dz.U. L 124 z 20.5.2003, s. 36). Te informacje s wymagane wyBcznie do celw statystycznych. Mikroprzedsibiorstwo: przedsibiorstwo, ktre zatrudnia mniej, ni| 10 osb i ktrego roczny obrt lub roczna suma bilansowa nie przekracza 2 milionw EUR. MaBe przedsibiorstwo: przedsibiorstwo, ktre zatrudnia mniej, ni| 50 osb i ktrego roczny obrt lub roczna suma bilansowa nie przekracza 10 milionw EUR. Zrednie przedsibiorstwa: przedsibiorstwa, ktre nie s mikroprzedsibiorstwami ani maBymi przedsibiorstwami i ktre zatrudniaj mniej ni| 250 osb i ktrych roczny obrt nie przekracza 50 milionw EUR lub roczna suma bilansowa nie przekracza 43 milionw EUR.  Skre[li, je[li wykonawca nie przekazuje danych osobowych innych ni| bezpo[rednio jego dotyczcych lub zachodzi wyBczenie stosowania obowizku informacyjnego, stosownie do art. 13 ust. 4 lub art. 14 ust. 5 rozporzdzenia Parlamentu Europejskiego i Rady (UE) 2016/679 z dnia 27 kwietnia 2016 r. w sprawie ochrony osb fizycznych w zwizku z przetwarzaniem danych osobowych i w sprawie swobodnego przepBywu takich danych oraz uchylenia dyrektywy 95/46/WE (oglne rozporzdzenie o ochronie danych) - Dz. Urz. UE L 119 z dnia 4 maja 2016 r.      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