ࡱ> +/()*QP2bjbjKK8B)e)e~ b"b"0000000081TZ1,0&11:111$3$3$390$3$3$3$3$30011H555$301015$355:A:,:1p+3dm: 0&w:.64v6::860Ys8 $3$35$3$3$3$3$34<$3$3$3&$3$3$3$36$3$3$3$3$3$3$3$3$3b" /: ZaBcznik nr 6 do SWZ BZP-2630-17/2024 OZWIADCZENIE WYKONAWCY o przynale|no[ci lub braku przynale|no[ci do tej samej grupy kapitaBowej, o ktrej mowa w art. 108 ust. 1 pkt 5 ustawy z dnia 11 wrze[nia 2019 r. Prawo zamwieD publicznych (zwanej dalej: ustawa PZP) Wykonawca: & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & (peBna nazwa/firma, adres, w zale|no[ci od podmiotu: NIP/PESEL, KRS/CEiDG) reprezentowany przez: & & & & & & & & & & & & & & & & & & & & & & (imi, nazwisko, stanowisko/podstawa do reprezentacji) Adresat o[wiadczenia: Akademia Sztuk Piknych im. Jana Matejki w Krakowie 31-157 Krakw, Plac Jana Matejki 13 Ubiegajc si o udzielenie zamwienia publicznego prowadzonego w trybie przetargu nieograniczonego na podstawie art. 132 ustawy Pzp - nazwa postpowania: UsBugi kompleksowego utrzymania czysto[ci w obiektach i na terenie Akademii Sztuk Piknych im. Jana Matejki w Krakowie, po zapoznaniu si z informacj o ktrej mowa w art. 108 ust. 1 pkt 5 ustawy PZP, o[wiadczam, co nastpuje: *  FORMCHECKBOX  O[wiadczam, |e Wykonawca, ktrego reprezentuj, nie nale|y do grupy kapitaBowej, o ktrej mowa w art. 108 ust. 1 pkt 5 ustawy Pzp, w rozumieniu ustawy z dnia 16 lutego 2007 r. o ochronie konkurencji ikonsumentw (tj. Dz.U. z 2021 r. poz. 275 z pzn. zm.) z innym wykonawc, ktry zBo|yB odrbn ofert w przedmiotowym postpowaniu; *  FORMCHECKBOX  O[wiadczam, |e Wykonawca, ktrego reprezentuj nale|y do tej samej grupy kapitaBowej, o ktrej mowa w art.108 ust. 1 pkt 5 ustawy PZP, w rozumieniu ustawy z dnia 16 lutego 2007:DHPR B ȹ步{o`XI=IhzCJOJQJaJh&Qh&QCJOJQJaJhOnHtHh~~h CJOJQJaJh[h=E%CJ\aJh&QCJ\aJh&Qh=E%5CJaJhHI5CJaJh&Qh&Q5CJaJh&Qh&Q\h&Qh&QCJ\aJhtJg5CJOJQJ^JaJhU5CJOJQJ^JaJhp&5CJOJQJ^JaJ#hUhU5CJOJQJ^JaJh&QCJaJ0 xeYTgdU $7$8$H$a$gd V$$1$]a$gd=E%8U$ 7$d%d&d 'd-DM NOP Qa$gdHI3U 7$d%d&d 'd-DM NOP Qgd&Q$cx^`ca$gd)eh $xa$gd)eh D 8  D | PRTtvxVX^'$ 7d^7`a$gd&Q $7$8$H$a$gd&Q$a$gd&Q$ hdha$gdp&$ hdha$gdp& $ ha$gd&Q$ da$gd&QB D  n p  LPRT>BZ^`thhhP.h&Qh&Q6CJOJQJ\^JaJnH tH hrkCJOJQJaJ(h&Qh&QB*CJOJQJ\aJphh&Qh&QOJQJ#hzh&Q5CJOJQJ^JaJ h&Qh&QCJOJQJ^JaJ#h&Qh&Q6CJOJQJ^JaJ h&Qh&QCJOJQJ^JaJh&Qh&QCJOJQJaJh&Qh&Q6CJOJQJaJ h&Qh&Q`jltvxr鹤waRFR:Rhp&CJOJQJaJh@nCJOJQJaJh&Qh&QCJOJQJaJ+h&Qh&Q5CJOJPJQJaJnH tH (h&Q5CJOJQJ\^JaJnH tH /hp&hp&5CJOJPJQJ^JaJnH tH )hp&5CJOJPJQJ^JaJnH tH /hp&hp&5CJOJPJQJ^JaJnH tH /h&Qh&QCJOJQJ\^JaJnH sHtH +h&Qh&QCJOJQJ\^JaJnH tH  rtvxz|~>JL}nYGn6 h&Qh&Q@CJOJQJaJ#h&Qh&Q5@CJOJQJaJ(h&Qh&QCJOJPJQJaJnH tH h&Qh&QCJOJQJaJ2jh&Qh&Q5CJPJUaJnH tH ,jh&Qh&Q5CJPJUaJnH tH #h&Qh&Q5CJPJaJnH tH +h&Qh&Q5CJOJPJQJaJnH tH h&Qh&QCJaJ h&Qh&Q.h&Qh&Q5CJOJQJ\^JaJnH tH LRVXZ\^z|~(oUo@0h&Qh&Q5CJOJQJaJ(h&Qh&QCJOJPJQJaJnH tH 2jhh&Qh&Q5CJPJUaJnH tH ,jh&Qh&Q5CJPJUaJnH tH #h&Qh&Q5CJPJaJnH tH +h&Qh&Q5CJOJPJQJaJnH tH  h&Qh&QhtJgCJOJQJaJh&Qh&QCJOJQJaJhtJg@CJOJQJaJ h&Qh&Q@CJOJQJaJ h&Qh@n@CJOJQJaJ(&T&Z&&&r'((()")2)l)))))))zbWB(h&Qh&QCJOJPJQJaJnH tH h&Qh&QCJaJ.h&Qh&Q6CJOJPJQJ]aJnH tH h&Qh&QCJOJQJaJ+h&Qh&Q5CJOJPJQJaJnH tH h&Qh&Q6CJOJQJaJh&Qh&Q5CJOJQJaJhtJg@CJOJQJaJ h&Qh@n@CJOJQJaJU h&Qh&Q@CJOJQJaJh&Qh&QCJOJQJaJ r. o ochronie konkurencji ikonsumentw (tj. Dz.U. z 2021 r. poz. 275 z pzn. zm.) z innym wykonawc, ktry zBo|yB odrbn ofert w przedmiotowym postpowaniu. Lista Wykonawcw nale|cych do tej samej grupy kapitaBowej, o ktrej mowa w art. 108 ust. 1 pkt. 5 ustawy Pzp, ktrzy zBo|yli oferty w niniejszym postpowaniu**: & & & & & & & & & & & & & & & & & & & & & & & & & & (dane Wykonawcy), & & & & & & & & & & & & & & & & & & & & & & & & & (dane Wykonawcy), & .(rozszerzy list w razie potrzeby) Dokumenty lub informacje potwierdzajce przygotowanie oferty niezale|nie od innego wykonawcy nale|cego do tej samej grupy kapitaBowej: & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & * Uwaga! Nale|y zaznaczy odpowiednio znakiem X ** List wypeBni je[li Wykonawca o[wiadczy, |e nale|y do grupy z innym Wykonawc, ktry zBo|yB ofert w przedmiotowym postpowaniu & & & & & & & & dn.& & & & & & miejscowo[, data [dokument nale|y sporzdzi w formie elektronicznej i podpisa kwalifikowanym podpisem elektronicznym osoby uprawnionej do reprezentacji Wykonawcy]      Strona PAGE2 z NUMPAGES2 Akademia Sztuk Piknych im. Jana Matejki w Krakowie, 31-157 Krakw, Plac Jana Matejki 13 tel.(12) 299-20-41, fax (12) 299-20-49 e-mail:  HYPERLINK "mailto:zp@asp.krakow.pl" zp@asp.krakow.pl  Kompleksowa termomodernizacja budynkw Akademii Sztuk Piknych im. Jana Matejki w Krakowie - pl. Matejki 13, ul. SmoleDsk 9, ul. 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