ࡱ> i bjbjzzojj":g:gtttttttt8#u4Wu,t:Xu(uuuuw:x+x H9t7xw"w7x7xttuuyyy7x^tutuy7xyy )?2 uPu#+sx[I 0:EL0xXuPuP\ tY'y7x7x7xy7x7x7x:7x7x7x7x7x7x7x7x7x7x7x7x7x:gc s:ZaBcznik nr 6 do SWZ Nr postpowania ZP.271.1.36.2024 GMINA STAWIGUDA 11-034 Stawiguda, ul. OlsztyDska 10 tel.: 89 512 62 02  HYPERLINK "http://www.stawiguda.pl" www.stawiguda.pl  HYPERLINK "mailto:przetargi@stawiguda.pl" przetargi@stawiguda.pl Wykonawca/czBonek konsorcjum/ podmiot na zasoby ktrego powoBuje si wykonawca w celu speBnienia warunkw udziaBu w postepowaniu*: & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & (peBna nazwa/firma, adres) reprezentowany przez: & & & & & & & & & & & & & & & & & & & & & .. & & & & & & & & & & & & & & & & & & & & & .. (imi, nazwisko, stanowisko/podstawa do reprezentacji) *niepotrzebne skre[li O[wiadczenie o aktualno[ci informacji zawartych w o[wiadczeniu, o ktrym mowa w art. 125 ust. 1 ustawy Pzp, .`dflnrtv~ǬǬ}bG/G/h-B*CJOJPJQJ^JaJnHphtH5h 8Ah-B*CJOJPJQJ^JaJnHphtH5jh 8Ah-B*OJQJU^JmHnHphu)h_h-B*KHOJPJQJ^Jph3h_h-6B*OJPJQJ]^JnHphtH5h-6B*CJOJPJQJ]^JaJnHphtH;h_h-6B*CJOJPJQJ]^JaJnHphtHh">TOJPJQJ^JhChzOJPJQJ^J.t  vk B^Bgd- p#1$7$9Dgd-. p#$d%d&d'dNOPQgd-($d%d&d'dNOPQgd-$ p#1$7$9Da$gd- $da$gdz  R T t v z |   ὝaFa/,h 8Ah-5B*KHOJPJQJ^Jph5h 8Ah-B*CJOJPJQJ^JaJnHphtH>jh 8Ah-B*CJOJPJQJU^JaJnHphtH6h 8Ah-0J6CJOJPJQJ]^JaJnHtH>h 8Ah-6>*B*CJOJPJQJ]^JaJnHphtHGjh 8Ah-6>*B*CJOJPJQJU]^JaJnHphtH;h 8Ah-6B*CJOJPJQJ]^JaJnHphtH   ( H X  ^tϾ|][|;;>h^h^@B*OJQJ^Jeh@nH phr@tH U=h^h^5B*OJQJ^Jeh@nHphr@tHh^h^5OJQJ^Jh^h^5OJQJ\^J#h^h^>*CJOJQJ^JaJ#h^h^6CJOJQJ^JaJ h^h^CJOJQJ^JaJ#h^h^5CJOJQJ^JaJhChZOJQJ^J"h 8Ah-5OJPJQJ\^J  ( X ~Q,A$d%d&d'dNOPQ]Agd^*A$d%d&d'dNOPQ]Agd^,B$d%d&d'dNOPQ]Bgd^($d%d&d'dNOPQgd^ ^||M.$d$d%d&d'dNOPQa$gd^.$dh$d%d&d'dNOPQa$gd^,A$d%d&d'dNOPQ]Agd^&$d%d&d'dNOPQgd^w zakresie podstaw wykluczenia z postpowania. Na potrzeby postpowania o udzielenie zamwienia publicznego pn.  Sporzdzanie, dowz i wydawanie ciepBych posiBkw dla dzieci w wieku szkolnym, uczszczajcych do SzkoBy Podstawowej im. 11 Listopada w Rusi o[wiadczam, |e informacje zawarte w o[wiadczeniu z dnia & & & & & & w zakresie podstaw wykluczenia, o ktrych mowa w art. 108 ust. 1 ustawy Pzp oraz podstawie 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 (Dz. U. poz. 835) pozostaj aktualne. Uwaga O[wiadczenie nale|y podpisa elektronicznie, w sposb zgodny z wymaganiami okre[lonymi w SWZ.      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