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)}{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \fs16\dbch\af0\insrsid8987369\charrsid16611548 \~}{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \fs16\dbch\af0\insrsid5977870\charrsid16611548 \par \par }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \fs20\dbch\af0\insrsid5977870\charrsid16611548 dzia\'b3aj\'b9c w imieniu i na rzecz: \par }\pard \ltrpar\qj \li0\ri0\sb240\sa240\sl276\slmult1\nowidctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid5977870 {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \fs20\dbch\af0\insrsid8987369\charrsid16611548 \'85}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \fs20\dbch\af0\insrsid14444717\charrsid16611548 \'85}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \fs20\dbch\af0\insrsid8987369\charrsid16611548 \'85\'85\'85\'85\'85}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \fs20\dbch\af0\insrsid5977870\charrsid16611548 \'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 \fs20\dbch\af0\insrsid8987369\charrsid16611548 \'85\'85\'85\'85\'85\'85\'85\'85\'85\'85}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \fs20\dbch\af0\insrsid6255562\charrsid16611548 }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \fs20\dbch\af0\insrsid5977870\charrsid16611548 \par }\pard \ltrpar\qj \li0\ri0\sb240\sl276\slmult1\nowidctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid16658141 {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \fs20\dbch\af0\insrsid5977870\charrsid16611548 \'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\'85\'85\'85\'85\'85\'85\'85\'85.}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \fs20\dbch\af0\insrsid16658141\charrsid16611548 \par }\pard \ltrpar\qj \li0\ri0\sa240\sl276\slmult1\nowidctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid16658141 {\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \fs18\dbch\af0\insrsid16658141\charrsid16611548 (}{\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \fs18\dbch\af0\insrsid6255562\charrsid16611548 nazwa }{\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \fs18\dbch\af0\insrsid16658141\charrsid16611548 i dok\'b3adny adres podmiotu)}{\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \fs18\dbch\af0\insrsid6255562\charrsid16611548 }{\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \fs18\dbch\af0\insrsid16658141\charrsid16611548 \par }\pard \ltrpar\qj \li0\ri0\sb240\sa240\sl276\slmult1\nowidctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid16658141 {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \fs20\dbch\af0\insrsid805266\charrsid16611548 Z}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \fs20\dbch\af0\insrsid6255562\charrsid16611548 obowi\'b9zuj\'ea si\'ea do oddania }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \fs20\dbch\af0\insrsid9767567\charrsid16611548 do dyspozycji }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \fs20\dbch\af0\insrsid6255562\charrsid16611548 Wykonawcy/om }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \fs20\dbch\af0\insrsid16658141\charrsid16611548 \par }\pard \ltrpar\qj \li0\ri0\sb240\sl276\slmult1\nowidctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid9767567 {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \fs20\dbch\af0\insrsid6255562\charrsid16611548 \'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 \fs20\dbch\af0\insrsid14444717\charrsid16611548 \'85\'85\'85\'85\'85.\'85\'85.. }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \fs20\dbch\af0\insrsid16658141\charrsid16611548 \par }\pard \ltrpar\qj \li0\ri0\sa240\sl276\slmult1\nowidctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid9767567 {\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \fs18\dbch\af0\insrsid9767567\charrsid16611548 (}{\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \fs18\dbch\af0\insrsid14444717\charrsid16611548 nazwa i adres}{\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \fs18\dbch\af0\insrsid9767567\charrsid16611548 ) \par }\pard \ltrpar\qj \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1781352 {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\fs20\dbch\af0\insrsid6255562\charrsid16611548 nas}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\fs20\dbch\af0\insrsid12546344\charrsid16611548 t\'eapuj\'b9cych }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\fs20\dbch\af0\insrsid9767567\charrsid16611548 ni\'bfej wymienionych }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\fs20\dbch\af0\insrsid12546344\charrsid16611548 zasob\'f3w}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \fs20\dbch\af0\insrsid12546344\charrsid16611548 }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \fs20\dbch\af0\insrsid9767567\charrsid16611548 na potrzeby realizacji}{ \rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \fs20\dbch\af0\insrsid6255562\charrsid16611548 }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \fs20\dbch\af0\insrsid9767567\charrsid16611548 zadania }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \fs20\dbch\af0\insrsid6255562\charrsid16611548 pn.: }{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0 \b\fs20\insrsid9765008\charrsid9765008 \loch\af37\dbch\af37\hich\f37 \'84\hich\af37\dbch\af37\loch\f37 Dostawa\hich\af37\dbch\af37\loch\f37 \loch\af37\dbch\af37\hich\f37 \'9c\loch\f37 redniego \hich\af37\dbch\af37\loch\f37 samochodu ratowniczo \hich\f37 \endash \loch\f37 \hich\f37 ga\'9c\loch\f37 \hich\f37 niczego dla Ochotniczej Stra\'bf\loch\f37 \hich\f37 y Po\'bf\loch\f37 arnej \hich\af37\dbch\af37\loch\f37 w\hich\af37\dbch\af37\loch\f37 \hich\f37 Boles\'b3\loch\f37 aw\hich\af37\dbch\af37\loch\f37 iu\loch\af37\dbch\af37\hich\f37 \'94}{\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0 \fs20\insrsid9765008\charrsid9765008 \hich\af37\dbch\af37\loch\f37 :}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0 \b\fs20\insrsid1781352 \par }{\rtlch\fcs1 \ab\af1\afs20 \ltrch\fcs0 \b\fs20\dbch\af0\insrsid9765008\charrsid1781352 \par }\pard \ltrpar\qj \li0\ri0\sa200\sl276\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1781352 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0 \fs20\insrsid9767567\charrsid16611548 \loch\af37\dbch\af37\hich\f37 \'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\'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 }\pard \ltrpar\qj \li0\ri0\sb240\sa240\sl276\slmult1\nowidctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid9767567 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0 \fs20\insrsid9767567\charrsid16611548 \loch\af37\dbch\af37\hich\f37 \'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\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\loch\af37\dbch\af37\hich\f37 \'85\'85\'85\'85 \'85\'85.\'85\'85\'85\'85\'85\'85}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0 \fs20\insrsid11996006\charrsid16611548 \par }{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0 \fs20\insrsid4144835\charrsid16611548 \loch\af37\dbch\af37\hich\f37 \'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\loch\af37\dbch\af37\hich\f37 \'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\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85. \par }\pard \ltrpar\qj \li0\ri0\sa200\sl276\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid6624046 {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \fs20\dbch\af0\insrsid6255562\charrsid4144835 Zobowi\'b9zuj\'b9c si\'ea do udost \'eapnienia zasob\'f3w w zakresie zdolno\'9cci technicznych lub zawodowych, w odniesieniu do warunk\'f3w dotycz\'b9cych wykszta\'b3cenia, kwalifikacji zawodowych lub do\'9cwiadczenia, zgodnie z art. }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \fs20\dbch\af0\insrsid6056301\charrsid4144835 118 }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \fs20\dbch\af0\insrsid6255562\charrsid4144835 ust. }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \fs20\dbch\af0\insrsid6056301\charrsid4144835 2 ustawy }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \fs20\dbch\af0\insrsid6624046\charrsid4144835 Pzp}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \fs20\dbch\af0\insrsid6255562\charrsid4144835 , o\'9cwiadczam, \'bfe b\'ead\'ea realizowa\'b3 }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \fs20\dbch\af0\insrsid16611548 roboty budowlane lub }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \fs20\dbch\af0\insrsid6255562\charrsid4144835 us\'b3ugi, do realizacji kt\'f3rych te zdolno\'9cci s\'b9 wymagane lub kt\'f3}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \fs20\dbch\af0\insrsid8549608\charrsid4144835 rych wskazane zdolno\'9cci dotycz\'b9}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \fs20\dbch\af0\insrsid6255562\charrsid4144835 .}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \fs20\dbch\af0\insrsid11996006 \par }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \i\fs20\ul\dbch\af0\insrsid16611548\charrsid16611548 Uwaga: niniejszy formularz stanowi jedynie wz\'f3r zobowi\'b9zania, Wykonawca mo\'bfe z\'b3o\'bfy\'e6 stosowne zobowi\'b9zanie w innej formie. \par }\pard \ltrpar\qj \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid14444717 {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \fs20\dbch\af0\insrsid14444717 \par }\pard \ltrpar\qj \li0\ri0\sb240\sa240\sl276\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid9852244 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid13922738\charrsid6960520 \hich\af37\dbch\af37\loch\f37 \hich\f37 Miejscowo \'9c\'e6\loch\f37 }{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid13922738 \loch\af37\dbch\af37\hich\f37 \'85\'85\'85\loch\af37\dbch\af37\hich\f37 \'85\loch\af37\dbch\af37\hich\f37 \'85\'85\'85\'85\'85\'85\'85\'85..}{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid13922738\charrsid6960520 \hich\af37\dbch\af37\loch\f37 data}{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid13922738 \hich\af37\dbch\af37\loch\f37 \hich\f37 \'85\'85\'85\'85\'85\'85\'85\'85\'85.. \par }{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid9852244\charrsid9852244 \par }\pard\plain \ltrpar\s32\qj \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid13922738\contextualspace \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \fs24\cf21\langfe1033\loch\af0\hich\af0\dbch\af37\cgrid\langfenp1033 {\rtlch\fcs1 \af0\afs18 \ltrch\fcs0 \b\i\f37\fs18\insrsid13922738\charrsid6960520 \hich\af37\dbch\af37\loch\f37 D\hich\af37\dbch\af37\loch\f37 \hich\f37 okument nale\'bf\loch\f37 \hich\f37 y wype\'b3\loch\f37 \hich\f37 ni\'e6\loch\f37 \hich\f37 i podpisa\'e6\loch\f37 kwalifikowanym podpisem elektronicznym}{\rtlch\fcs1 \af0\afs18 \ltrch\fcs0 \b\i\f37\fs18\lang1045\langfe1033\langnp1045\insrsid9852244 .}{\rtlch\fcs1 \af0\afs18 \ltrch\fcs0 \b\i\f37\fs18\lang1045\langfe1033\langnp1045\insrsid13922738\charrsid9852244 \par }{\rtlch\fcs1 \af0\afs18 \ltrch\fcs0 \b\i\f37\fs18\insrsid13922738\charrsid6960520 \hich\af37\dbch\af37\loch\f37 \hich\f37 Zamawiaj\'b9\loch\f37 cy zaleca zapisanie dokument}{\rtlch\fcs1 \af0\afs18 \ltrch\fcs0 \b\i\f37\fs18\lang1045\langfe1033\langnp1045\insrsid13000239 \hich\af37\dbch\af37\loch\f37 u}{\rtlch\fcs1 \af0\afs18 \ltrch\fcs0 \b\i\f37\fs18\insrsid13922738\charrsid6960520 \hich\af37\dbch\af37\loch\f37 w formacie PDF.}{\rtlch\fcs1 \af0\afs18 \ltrch\fcs0 \b\i\f37\fs18\insrsid13922738\charrsid13922738 \par }{\*\themedata 504b030414000600080000002100e9de0fbfff0000001c020000130000005b436f6e74656e745f54797065735d2e786d6cac91cb4ec3301045f748fc83e52d4a 9cb2400825e982c78ec7a27cc0c8992416c9d8b2a755fbf74cd25442a820166c2cd933f79e3be372bd1f07b5c3989ca74aaff2422b24eb1b475da5df374fd9ad 5689811a183c61a50f98f4babebc2837878049899a52a57be670674cb23d8e90721f90a4d2fa3802cb35762680fd800ecd7551dc18eb899138e3c943d7e503b6 b01d583deee5f99824e290b4ba3f364eac4a430883b3c092d4eca8f946c916422ecab927f52ea42b89a1cd59c254f919b0e85e6535d135a8de20f20b8c12c3b0 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