ࡱ> 'bjbj70}}L&,&,t9t9t9t9t99998949,9E0 : :(H:H:H:|;|;|;u9t9|;|;|;|;|;t9t9H:H:4T?T?T?|;t9H:t9H:T?|;T?T?n^H:0l 9 <"0E <@0t9|;|;T?|;|;|;|;|;=|;|;|;E|;|;|;|;|;|;|;|;|;|;|;|;|;&, :8:ZaBcznik nr 2 do SWZ & & & & & & & & & & & & & & & & .. & & & & & & & & & & & & & & & & .. & & & & & & & & & & & & & & & & .. .............................................. (Nazwa Firmy, NIP, KRS, adres) OZWIADCZENIE WYKONAWCY SKAADANE NA PODSTAWIE ART. 125 UST. 1 USTAWY Z DNIA 11 WRZEZNIA 2019R. Prawo zamwieD publicznych (dalej jako: Pzp) DOTYCZCE PODSTAW WYKLUCZENIA Z POSTPOWANIA  Przystpujc do postpowania o udzielenia zamwienia publicznego na dostaw ambulansu medycznego dla Powiatowego Szpitala im. WBadysBawa BiegaDskiego w IBawie nr postpowania: 3/2021 Ja (imi i nazwisko) ...................................................................................................................... reprezentujc Firm ...................................................................................................................... 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