ࡱ> -bjbj74}}?0D0D~Q Q QQQQQQ8Q, R\Q#ZhRhR~R~R~RSSSYYYYYYY7_a^Y9QSSSSSYQQ~R~R|YTTTSLQ~RQ~RYTSYTT~ 3 6R~RͩkQJTDYY0#ZE` 7bJT7b6R7bQ6RXSSTSSSSSYYTSSS#ZSSSS7bSSSSSSSSS0D DP:Numer sprawy ZP.271.15.2020.AP ZaBcznik Nr 5 do SIWZ Data .......................... Nazwa Wykonawcy ................................................................ Adres Wykonawcy ............................................................... Wykaz osb skierowanych przez wykonawc do realizacji zamwienia (pkt IV.2.3.2 SIWZ) oraz informacja o podstawie do dysponowania tymi osobami w postpowaniu pn. Przebudowa targowiska miejskiego przy ulicy Sucharskiego w Konstantynowie Adzkim L.p.Zakres wykonywanych czynno[ci / Imi i nazwiskoOpis posiadanych kwalifikacji zawodowych (data uzyskania uprawnieD, nr, opis uprawnieD)Podstawa do dysponowania osob1. 2.3.4.5. & & & & .& & & & & & & & & & .& & & .....& & & & ....,<Tnp V X Կ}fRff:/h7h>5CJOJPJQJ^JaJnHtH&hGSCJOJPJQJ^JaJnHtH,huhgCJOJPJQJ^JaJnHtH)hg5CJOJPJQJ^JaJnHtH/huhg5CJOJPJQJ^JaJnHtH)hGS5CJOJPJQJ^JaJnHtH)h*5CJOJPJQJ^JaJnHtH)h>5CJOJPJQJ^JaJnHtH,h7hgCJOJPJQJ^JaJnHtHj   X l  z$d$Ifa$gd2$dxx$Ifa$gd2 $da$gdGS $da$gd>$d1$a$gd> $da$gdg dhgdg dhgdg dgdg dgd    X Z \ ^ f 纥x`D= huhg6jhg0J45CJOJPJQJU^JaJnHtH/hiP hg5CJOJPJQJ^JaJnHtH)hg5CJOJPJQJ^JaJnHtH/huhg5CJOJPJQJ^JaJnHtH)hGS5CJOJPJQJ^JaJnHtH/h7h>5CJOJPJQJ^JaJnHtH)h>5CJOJPJQJ^JaJnHtH/hh>5CJOJPJQJ^JaJnHtH \ ^ d 1kd$$Ifl\!6[a t0b644 lap(yt2$dxx$Ifa$gd2d f h j l n p r t v x z | ~ $dxx$Ifa$gd2$d$Ifa$gd2d$*$Ifgd2 f | ~ ( (z(ʵʠqjqjqjVVTVU&hgCJOJPJQJ^JaJnHtH huh>,huh>CJOJPJQJ^JaJnHtH/huh>5CJOJPJQJ^JaJnHtH)h>5CJOJPJQJ^JaJnHtH)hg5CJOJPJQJ^JaJnHtH huhg/huhg5CJOJPJQJ^JaJnHtH,huhgCJOJPJQJ^JaJnHtH~ YF6%$d$Ifa$gd2d$*$Ifgd2$dxx$Ifa$gd2kd$$Ifl\!6[a t0b644 layt2 F3$dxx$Ifa$gd2kd$$Ifl\!6[a t0b644 layt2$dxx$Ifa$gd2 %kd$$Ifl\!6[a t0b644 layt2$dxx$Ifa$gd2$d$Ifa$gd2d$*$Ifgd2 $dxx$Ifa$gd2$d$Ifa$gd2d$*$Ifgd2$dxx$Ifa$gd2 YF6%$d$Ifa$gd2d$*$Ifgd2$dxx$Ifa$gd2kdc$$Ifl\!6[a t0b644 layt2 F000[d7$8$H$^[`gdgkd1$$Ifl\!6[a t0b644 layt2$dxx$Ifa$gd2 "(~(B,D,H,J,N,P,T,V,Z,\,f,h,N-P-$ #d&dPa$gdigdi  p#27^7gdi dgd eh-gdg$d^`a$gdi[d7$8$H$^[`gdg................ podpis / upowa|niony przedstawiciel Wykonawcy  Nale|y precyzyjnie okre[li podstaw do dysponowania wskazan osoba, tj. np. pracownik wBasny (umowa o prac), umowa zlecenie, umowa o dzieBo, czy jest to pracownik oddany do dyspozycji przez inny podmiot. Je|eli Wykonawca polega na zasobach innego podmiotu zaBcza do oferty pisemne zobowizanie (lub inny dokument) tego podmiotu do oddania mu dodyspozycji osoby/osb z uprawnieniami jak wskazano w tabeli, na okres korzystania tej/ tych osoby/osb przy wykonywaniu zamwienia.       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