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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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{\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};}
{\fbimajor\f31539\fbidi \froman\fcharset204\fprq2 Times New Roman Cyr{\*\falt Times New Roman};}{\fbimajor\f31541\fbidi \froman\fcharset161\fprq2 Times New Roman Greek{\*\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};}
{\flominor\f31549\fbidi \froman\fcharset204\fprq2 Times New Roman Cyr{\*\falt Times New Roman};}{\flominor\f31551\fbidi \froman\fcharset161\fprq2 Times New Roman Greek{\*\falt Times New Roman};}
{\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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{\flominor\f31556\fbidi \froman\fcharset163\fprq2 Times New Roman (Vietnamese){\*\falt Times New Roman};}{\fdbminor\f31560\fbidi \froman\fcharset0\fprq2 Times New Roman{\*\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};}
{\fhiminor\f31569\fbidi \fswiss\fcharset204\fprq2 Calibri Cyr{\*\falt Calibri};}{\fhiminor\f31571\fbidi \fswiss\fcharset161\fprq2 Calibri Greek{\*\falt Calibri};}{\fhiminor\f31572\fbidi \fswiss\fcharset162\fprq2 Calibri Tur{\*\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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{\listoverride\listid1117288504\listoverridecount0\ls1}{\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}\ls2}}{\*\rsidtbl \rsid819\rsid12765\rsid20132\rsid29443\rsid209726\rsid223115\rsid263589\rsid279469\rsid283778\rsid336224\rsid746764\rsid800561\rsid884201\rsid993401\rsid1011229\rsid1332877\rsid1450534\rsid1845373\rsid1920914\rsid2035156
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{\*\wgrffmtfilter 2450}\nofeaturethrottle1\ilfomacatclnup0{\*\ftnsep \ltrpar \pard\plain \ltrpar\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid746764 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 
\f31506\fs22\lang1045\langfe1033\cgrid\langnp1045\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11158600 \chftnsep 
\par }}{\*\ftnsepc \ltrpar \pard\plain \ltrpar\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid746764 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang1045\langfe1033\cgrid\langnp1045\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11158600 \chftnsepc 
\par }}{\*\aftnsep \ltrpar \pard\plain \ltrpar\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid746764 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang1045\langfe1033\cgrid\langnp1045\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11158600 \chftnsep 
\par }}{\*\aftnsepc \ltrpar \pard\plain \ltrpar\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid746764 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang1045\langfe1033\cgrid\langnp1045\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11158600 \chftnsepc 
\par }}\ltrpar \sectd \ltrsect\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid7300686\sftnbj {\footerr \ltrpar \pard\plain \ltrpar\s18\ql \li0\ri0\widctlpar
\tx1809\tx2295\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid15161556 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang1045\langfe1033\cgrid\langnp1045\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid746764 \tab }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15161556 \tab }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid746764 
\par }}{\*\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\pararsid16525373 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang1045\langfe1033\cgrid\langnp1045\langfenp1033 {\rtlch\fcs1 \af1 \ltrch\fcs0 
\f1\lang1045\langfe1045\langfenp1045\insrsid16525373\charrsid12140355 Za\'b3\'b9cznik nr }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\lang1045\langfe1045\langfenp1045\insrsid12592756\charrsid12140355 4}{\rtlch\fcs1 \af1 \ltrch\fcs0 
\f1\lang1045\langfe1045\langfenp1045\insrsid16525373\charrsid12140355  do SWZ
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\wrapdefault\hyphpar0\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid13391304 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\lang1045\langfe1045\langfenp1045\insrsid16525373\charrsid12140355 
\par }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\lang1045\langfe1045\langfenp1045\insrsid3297490\charrsid12140355 DZP}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\lang1045\langfe1045\langfenp1045\insrsid5397921\charrsid12140355 .26.}{\rtlch\fcs1 \af1 \ltrch\fcs0 
\f1\lang1045\langfe1045\langfenp1045\insrsid4921353 13}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\lang1045\langfe1045\langfenp1045\insrsid2574276\charrsid12140355 .}{\rtlch\fcs1 \af1 \ltrch\fcs0 
\f1\lang1045\langfe1045\langfenp1045\insrsid12522590\charrsid12140355 202}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\lang1045\langfe1045\langfenp1045\insrsid2574276\charrsid12140355 4}{\rtlch\fcs1 \af1 \ltrch\fcs0 
\f1\lang1045\langfe1045\langfenp1045\insrsid3481542\charrsid12140355                                                      }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\lang1045\langfe1045\langfenp1045\insrsid8600236\charrsid12140355                  }{\rtlch\fcs1 
\af1 \ltrch\fcs0 \f1\lang1045\langfe1045\langfenp1045\insrsid13391304\charrsid12140355  }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\lang1045\langfe1045\langfenp1045\insrsid15743269\charrsid12140355              }{\rtlch\fcs1 \af1 \ltrch\fcs0 
\f1\lang1045\langfe1045\langfenp1045\insrsid3481542\charrsid12140355 
\par }\pard \ltrpar\ql \li0\ri0\sl259\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid3481542 {\rtlch\fcs1 \af1\afs24 \ltrch\fcs0 \f1\fs24\lang1045\langfe1045\langfenp1045\insrsid3481542\charrsid12140355   \tab \tab 
\tab \tab 
\par }{\rtlch\fcs1 \af1\afs24 \ltrch\fcs0 \f1\fs24\lang1045\langfe1045\langfenp1045\insrsid14303006\charrsid12140355 
\par }\pard \ltrpar\qc \li0\ri0\nowidctlpar\wrapdefault\hyphpar0\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid3481542 {\rtlch\fcs1 \af1\afs24 \ltrch\fcs0 \b\f1\fs24\lang1045\langfe1045\langfenp1045\insrsid15743269\charrsid12140355 O\'8c
WIADCZENIE PODMIOTU UDOST\'caPNIAJ\'a5CEGO ZASOBY}{\rtlch\fcs1 \af1\afs24 \ltrch\fcs0 \b\f1\fs24\lang1045\langfe1045\langfenp1045\insrsid3347792\charrsid12140355 
\par }\pard \ltrpar\qc \li0\ri0\nowidctlpar\wrapdefault\hyphpar0\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid3347792 {\rtlch\fcs1 \ab\af1\afs20 \ltrch\fcs0 \f1\fs20\lang1045\langfe1045\langfenp1045\insrsid11356909\charrsid12140355 (sk\'b3
adane tylko w przypadku gdy }{\rtlch\fcs1 \ab\af1\afs20 \ltrch\fcs0 \f1\fs20\lang1045\langfe1045\langfenp1045\insrsid12191545\charrsid12140355 wykonawca}{\rtlch\fcs1 \ab\af1\afs20 \ltrch\fcs0 
\f1\fs20\lang1045\langfe1045\langfenp1045\insrsid11356909\charrsid12140355  polega na zasobach innego podmiotu) }{\rtlch\fcs1 \ab\af1\afs20 \ltrch\fcs0 \f1\fs20\lang1045\langfe1045\langfenp1045\insrsid8925477\charrsid12140355 
\par }\pard \ltrpar\qc \li0\ri0\nowidctlpar\wrapdefault\hyphpar0\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid4484598 {\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\lang1045\langfe1045\langfenp1045\insrsid10183805\charrsid12140355 dotycz\'b9
ce braku podstaw wykluczenia z post}{\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\lang1045\langfe1045\langfenp1045\insrsid3829788\charrsid12140355 \'ea}{\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\lang1045\langfe1045\langfenp1045\insrsid10183805\charrsid12140355 
powania oraz }{\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\lang1045\langfe1045\langfenp1045\insrsid884201\charrsid12140355 spe\'b3nienia warunk\'f3w udzia\'b3u w post}{\rtlch\fcs1 \af1 \ltrch\fcs0 
\b\f1\lang1045\langfe1045\langfenp1045\insrsid3829788\charrsid12140355 \'ea}{\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\lang1045\langfe1045\langfenp1045\insrsid884201\charrsid12140355 powaniu}{\rtlch\fcs1 \af1 \ltrch\fcs0 
\b\f1\lang1045\langfe1045\langfenp1045\insrsid10183805\charrsid12140355 
\par }\pard \ltrpar\qj \li0\ri0\nowidctlpar\wrapdefault\hyphpar0\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid3217502 {\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\lang1045\langfe1045\langfenp1045\insrsid13576811\charrsid12140355 
\par }\pard \ltrpar\qc \li0\ri0\sa120\sl259\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid16525373 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\lang1045\langfe1045\langfenp1045\insrsid16525373\charrsid12140355 na potrzeby post
\'eapowania prowadzonego w trybie podstawowym bez negocj}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\lang1045\langfe1045\langfenp1045\insrsid3086588\charrsid12140355 acji, kt\'f3rego przedmiotem jest}{\rtlch\fcs1 \af1 \ltrch\fcs0 
\f1\lang1045\langfe1045\langfenp1045\insrsid12765  \'9cwiadczenie us\'b3ugi: }{\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\lang1045\langfe1045\langfenp1045\insrsid12765 P}{\rtlch\fcs1 \af1 \ltrch\fcs0 
\b\f1\lang1045\langfe1045\langfenp1045\insrsid3086588\charrsid12140355 rzeprowadzenia w formie stacjonarnej pi\'eaciu 2-dniowych szkole\'f1 z zakresu stosowania metody Dialogu Motywuj\'b9cego w pracy z klientem}{\rtlch\fcs1 \af1 \ltrch\fcs0 
\b\f1\lang1045\langfe1045\langfenp1045\insrsid3410962  }{\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\lang1045\langfe1045\langfenp1045\insrsid3410962\charrsid3410962 dla cz\'b3onk\'f3w GKRPA oraz kurator\'f3w s\'b9dowych}{\rtlch\fcs1 \af1 \ltrch\fcs0 
\b\f1\lang1045\langfe1045\langfenp1045\insrsid3410962  }{\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\lang1045\langfe1045\langfenp1045\insrsid3086588\charrsid12140355 .}{\rtlch\fcs1 \af1 \ltrch\fcs0 
\f1\lang1045\langfe1045\langfenp1045\insrsid16525373\charrsid12140355 
\par }\pard \ltrpar\qj \li0\ri0\sa200\sl276\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid746764 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\lang1045\langfe1045\langfenp1045\insrsid279469\charrsid12140355 
\par }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\expnd0\expndtw4\lang1045\langfe1045\langfenp1045\insrsid746764\charrsid12140355 Dzia\'b3aj\'b9c w imieniu i na rzecz: 
\par ...........................................................................................................................................
\par }\pard \ltrpar\qj \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid746764 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\expnd0\expndtw4\lang1045\langfe1045\langfenp1045\insrsid746764\charrsid12140355 
...........................................................................................................................................
\par }\pard \ltrpar\qj \li0\ri0\sa200\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid279469 {\rtlch\fcs1 \af1 \ltrch\fcs0 \i\f1\fs18\lang1045\langfe1045\langfenp1045\insrsid7424244\charrsid12140355 (pe\'b3na nazwa }{
\rtlch\fcs1 \af1 \ltrch\fcs0 \i\f1\fs18\lang1045\langfe1045\langfenp1045\insrsid279469\charrsid12140355 podmiotu}{\rtlch\fcs1 \af1 \ltrch\fcs0 \i\f1\fs18\lang1045\langfe1045\langfenp1045\insrsid7424244\charrsid12140355  udost}{\rtlch\fcs1 \af1 
\ltrch\fcs0 \i\f1\fs18\lang1045\langfe1045\langfenp1045\insrsid16125125\charrsid12140355 \'ea}{\rtlch\fcs1 \af1 \ltrch\fcs0 \i\f1\fs18\lang1045\langfe1045\langfenp1045\insrsid7424244\charrsid12140355 pniaj\'b9cego zasoby}{\rtlch\fcs1 \af1 \ltrch\fcs0 
\i\f1\fs18\lang1045\langfe1045\langfenp1045\insrsid746764\charrsid12140355 )}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\fs18\insrsid746764\charrsid12140355  }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\fs18\insrsid279469\charrsid12140355 
\par }\pard \ltrpar\qj \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid11088373 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\fs18\expnd0\expndtw4\lang1045\langfe1045\langfenp1045\insrsid279469\charrsid12140355 N}{\rtlch\fcs1 
\af1 \ltrch\fcs0 \f1\lang1045\langfe1045\langfenp1045\insrsid279469\charrsid12140355 a podstawie \'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 
\ltrch\fcs0 \f1\lang1045\langfe1045\langfenp1045\insrsid14510112\charrsid12140355 
\par }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\lang1045\langfe1045\langfenp1045\insrsid2244661\charrsid12140355                       }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\lang1045\langfe1045\langfenp1045\insrsid279469\charrsid12140355  (}{\rtlch\fcs1 \af1 \ltrch\fcs0 
\i\f1\fs20\lang1045\langfe1045\langfenp1045\insrsid279469\charrsid12140355 nale\'bfy wskaza\'e6 dokument z kt\'f3rego wynika umocowanie do reprezentacji podmiotu)}{\rtlch\fcs1 \af1 \ltrch\fcs0 
\f1\lang1045\langfe1045\langfenp1045\insrsid746764\charrsid12140355 
\par }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\lang1045\langfe1045\langfenp1045\insrsid11088373\charrsid12140355 
\par 
\par {\listtext\pard\plain\ltrpar \s15 \rtlch\fcs1 \af0\afs22 \ltrch\fcs0 \f1\fs20\lang1045\langfe1045\langfenp1045\insrsid3217502\charrsid12140355 \hich\af1\dbch\af0\loch\f1 1.\tab}}\pard\plain \ltrpar\s15\ql \fi-284\li284\ri0\sl276\slmult1
\nowidctlpar\wrapdefault\hyphpar0\aspalpha\aspnum\faauto\ls1\adjustright\rin0\lin284\itap0\pararsid9534773\contextualspace \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang1045\langfe1033\cgrid\langnp1045\langfenp1033 {\rtlch\fcs1 \af1 
\ltrch\fcs0 \f1\fs20\lang1045\langfe1045\langfenp1045\insrsid3217502\charrsid12140355 O\'9cwiadczam, i\'bf nie podlegam wykluczeniu z post\'eapowania na podstawie art. 108 ust. 1 ustawy us}{\rtlch\fcs1 \af1 \ltrch\fcs0 
\f1\fs20\lang1045\langfe1045\langfenp1045\insrsid3175219\charrsid12140355 tawy Pzp.
\par {\listtext\pard\plain\ltrpar \s15 \rtlch\fcs1 \af0\afs22 \ltrch\fcs0 \f1\fs20\lang1045\langfe1045\langfenp1045\insrsid16525373\charrsid12140355 \hich\af1\dbch\af0\loch\f1 2.\tab}}\pard \ltrpar\s15\ql \fi-284\li284\ri0\sb240\sl276\slmult1
\nowidctlpar\wrapdefault\hyphpar0\aspalpha\aspnum\faauto\ls1\adjustright\rin0\lin284\itap0\pararsid9534773\contextualspace {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\fs20\lang1045\langfe1045\langfenp1045\insrsid16525373\charrsid12140355 O\'9cwiadczam, i\'bf
 nie podlegam wykluczeniu z post\'eapowania na podstawie art. 109 ust. 1 pkt 1, 4 i 7 ustawy Pzp.
\par {\listtext\pard\plain\ltrpar \s15 \rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f1\fs16\insrsid16525373\charrsid12140355 \hich\af1\dbch\af0\loch\f1 3.\tab}}{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\insrsid16525373\charrsid12140355 [UWAGA: zastosowa\'e6
, gdy zachodz\'b9 przes\'b3anki wykluczenia z art. 108 ust. 1 pkt 1, 2 i 5 lub art. 109 ust. 1 pkt 4 i 7, a wykonawca korzysta z procedury samooczyszczenia, o kt\'f3rej mowa w art. 110 ust. 2 ustawy Pzp]}{\rtlch\fcs1 \af1\afs21 \ltrch\fcs0 
\f1\fs21\insrsid16525373\charrsid12140355  }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\fs20\lang1045\langfe1045\langfenp1045\insrsid16525373\charrsid12140355 O\'9cwiadczam, \'bfe zachodz\'b9 w stosunku do mnie podstawy wykluczenia z post\'eapowania na 
podstawie art. \'85. ustawy Pzp (podaj\'b9c maj\'b9c\'b9 zastosowanie podstaw\'ea wykluczenia spo\'9cr\'f3d wymienionych w art. 108 ust. 1 pkt 1, 2 i 5 lub art. 109 ust. 1 pkt 4 i 7 ustawy Pzp). Jednocze\'9cnie o\'9cwiadczam, \'bfe w zwi\'b9zku z\~
ww. okoliczno\'9cci\'b9, na podstawie art. 110 ust. 2 ustawy Pzp podj\'b9\'b3em nast\'eapuj\'b9ce \'9crodku naprawcze}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\fs20\lang1045\langfe1045\langfenp1045\insrsid14510112\charrsid12140355  i zapobiegawcze }{\rtlch\fcs1 
\af1 \ltrch\fcs0 \i\f1\fs20\lang1045\langfe1045\langfenp1045\insrsid16525373\charrsid12140355 (nale\'bfy wskaza\'e6)}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\fs20\lang1045\langfe1045\langfenp1045\insrsid16525373\charrsid12140355 : \'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 {\listtext\pard\plain\ltrpar \s24 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f1\fs20\lang1045\langfe1045\langfenp1045\insrsid16525373\charrsid12140355 \hich\af1\dbch\af0\loch\f1 4.\tab}}\pard\plain \ltrpar\s24\ql \fi-284\li284\ri0\sl276\slmult1
\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls1\adjustright\rin0\lin284\itap0\pararsid9534773 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang1045\langfe1045\cgrid\langnp1045\langfenp1045 {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 
\f1\fs20\insrsid16525373\charrsid12140355 O\'9cwiadczam, \'bfe 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\insrsid16525373\charrsid12140355  }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\cf17\insrsid16525373\charrsid12140355 o szczeg\'f3lnych rozwi\'b9zaniach w zakresie przeciwdzia\'b3ania wspieraniu agresji na Ukrain\'ea oraz s\'b3u\'bf\'b9
cych ochronie bezpiecze\'f1stwa narodowego (t.j. Dz. U. z }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\cf17\insrsid14501138 2024}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\cf17\insrsid14501138\charrsid12140355  }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 
\f1\fs20\cf17\insrsid16525373\charrsid12140355 poz. }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\cf17\insrsid14501138 507}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\cf17\insrsid14501138\charrsid12140355  }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 
\f1\fs20\cf17\insrsid16525373\charrsid12140355 z zm.)}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \cs23\f1\fs20\cf17\super\insrsid16525373\charrsid12140355 \chftn {\footnote \ltrpar \pard\plain \ltrpar
\qj \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid16525373 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang1045\langfe1033\cgrid\langnp1045\langfenp1033 {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 
\cs23\f1\fs16\super\insrsid16525373 \chftn }{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\insrsid16525373  }{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\cf17\insrsid16525373 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\cf17\insrsid16525373 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\cf17\insrsid16525373 z }{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\cf17\lang1045\langfe1045\langfenp1045\insrsid16525373 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\cf17\insrsid16525373 
\par }\pard \ltrpar\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid14501138 {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\cf17\lang1045\langfe1045\langfenp1045\insrsid16525373 1) }{\rtlch\fcs1 \af1\afs16 
\ltrch\fcs0 \f1\fs16\cf17\lang1045\langfe1045\langfenp1045\insrsid14501138\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\cf17\lang1045\langfe1045\langfenp1045\insrsid14501138 
\par }{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\cf17\lang1045\langfe1045\langfenp1045\insrsid10110218 2)}{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\cf17\lang1045\langfe1045\langfenp1045\insrsid14501138\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 oraz fina
nsowaniu 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\cf17\lang1045\langfe1045\langfenp1045\insrsid14501138 
\par }\pard \ltrpar\qj \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid16525373 {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\cf17\lang1045\langfe1045\langfenp1045\insrsid10110218 3)}{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 
\f1\fs16\cf17\lang1045\langfe1045\langfenp1045\insrsid14501138\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 24 lute
go 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\afs16 \ltrch\fcs0 
\f1\fs16\cf17\lang1045\langfe1045\langfenp1045\insrsid16525373 ;}}}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\cf17\insrsid16525373\charrsid12140355 . }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid16525373\charrsid12140355 
\par {\listtext\pard\plain\ltrpar \s24 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f1\fs20\lang1045\langfe1045\langfenp1045\insrsid16525373\charrsid12140355 \hich\af1\dbch\af0\loch\f1 5.\tab}O\'9cwiadczam, \'bfe nie zachodz\'b9 w stosunku do mnie przes\'b3
anki wykluczenia z post\'eapowania na}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid9534773\charrsid12140355  }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid16525373\charrsid12140355 podstawie art. 5k lub art. 5l Rozporz\'b9
dzenia Rady (UE) nr 833/2014 z dnia 31 lipca 2014 r. dotycz\'b9cego \'9crodk\'f3w ograniczaj\'b9cych w zwi\'b9zku z dzia\'b3aniami Rosji destabilizuj\'b9cymi sytuacj\'ea na Ukrainie (Dz. U. UE. L. z 2014 r. Nr 229, str. 1 z p\'f3\'9fn. zm.), }{
\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\cf18\insrsid16525373\charrsid12140355 {\*\bkmkstart _Hlk134186185}w brzmieniu nadanym rozporz\'b9dzeniem Rady (UE) 2022/576 w sprawie zmiany rozporz\'b9dzenia (UE) nr 833/2014 dotycz\'b9cego \'9crodk\'f3
w 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 \cs23\f1\fs20\cf18\super\insrsid16525373\charrsid12140355 
{\*\bkmkend _Hlk134186185} \chftn {\footnote \ltrpar \pard\plain \ltrpar\s26\qj \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid16525373 \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 \cs23\f1\fs16\super\insrsid16525373\charrsid1011229 \chftn }{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 
\f1\fs16\insrsid16525373\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 \s26 \rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \fs16\lang1045\langfe1045\loch\af1\hich\af1\dbch\af31505\langfenp1045\insrsid16525373\charrsid1011229 \hich\af1\dbch\af31505\loch\f1 a)\tab}}\pard \ltrpar
\s26\ql \fi-284\li426\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls2\adjustright\rin0\lin426\itap0\pararsid16525373 {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\insrsid16525373\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 \s26 \rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \fs16\lang1045\langfe1045\loch\af1\hich\af1\dbch\af31505\langfenp1045\insrsid16525373\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\loch\f1 redni
\hich\af1\dbch\af31505\loch\f1 \hich\f1 o 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 \s26 \rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \fs16\lang1045\langfe1045\loch\af1\hich\af1\dbch\af31505\langfenp1045\insrsid16525373\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) niniejsz\hich\af1\dbch\af31505\loch\f1 \hich\f1 ego ust\'ea\loch\f1 pu,
\par }\pard \ltrpar\s26\qj \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid16525373 {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\chshdng0\chcfpat0\chcbpat8\insrsid16525373\charrsid1011229 
\hich\af1\dbch\af31505\loch\f1 Zgodnie z art. 5l }{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\insrsid16525373\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\insrsid16525373\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 lub kr\hich\af1\dbch\af31505\loch\f1 \hich\f1 ajowego 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\insrsid16525373\charrsid10976549 \hich\af1\dbch\af31505\loch\f1 HYPERLINK "https://sip.lex.pl/" \\
l "/document/69074894?cm=DOCUMENT"}{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\insrsid16525373\charrsid10976549 {\*\datafield 901601ddef020000107075ed590100007332ff0500}}}{\fldrslt {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 
\cs25\f1\fs16\chshdng0\chcfpat0\chcbpat8\insrsid16525373\charrsid10976549 \hich\af1\dbch\af31505\loch\f1 \hich\f1 rozporz\'b9\loch\f1 dzenia}}}\sectd \ltrsect
\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid7300686\sftnbj {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\chshdng0\chcfpat0\chcbpat8\insrsid16525373\charrsid10976549 \hich\af1\dbch\af31505\loch\f1  (U}{\rtlch\fcs1 
\af1\afs16 \ltrch\fcs0 \f1\fs16\chshdng0\chcfpat0\chcbpat8\insrsid16525373\charrsid1011229 \hich\af1\dbch\af31505\loch\f1 \hich\f1 E, 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\insrsid16525373\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
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w na potrzeby realizacji zam\'f3wienia.
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