{\rtf1\adeflang1025\ansi\ansicpg1250\uc1\adeff0\deff0\stshfdbch0\stshfloch31506\stshfhich31506\stshfbi31506\deflang1045\deflangfe1045\themelang1045\themelangfe0\themelangcs0{\fonttbl{\f0\fbidi \froman\fcharset238\fprq2{\*\panose 02020603050405020304}Times New Roman{\*\falt Times New Roman};} {\f0\fbidi \froman\fcharset238\fprq2{\*\panose 02020603050405020304}Times New Roman{\*\falt Times New Roman};}{\f37\fbidi \fswiss\fcharset238\fprq2{\*\panose 020f0502020204030204}Calibri{\*\falt Century Gothic};} {\f38\fbidi \fswiss\fcharset238\fprq2{\*\panose 020b0502040204020203}Segoe UI{\*\falt Century Gothic};}{\f278\fbidi \froman\fcharset238\fprq2{\*\panose 02020603050405020304}Times{\*\falt Times New Roman};} {\flomajor\f31500\fbidi \froman\fcharset238\fprq2{\*\panose 02020603050405020304}Times New Roman{\*\falt Times New Roman};}{\fdbmajor\f31501\fbidi \froman\fcharset238\fprq2{\*\panose 02020603050405020304}Times New Roman{\*\falt Times New Roman};} {\fhimajor\f31502\fbidi 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{\f294\fbidi \froman\fcharset163\fprq2 Times New Roman (Vietnamese){\*\falt Times New Roman};}{\f658\fbidi \fswiss\fcharset0\fprq2 Calibri{\*\falt Century Gothic};}{\f657\fbidi \fswiss\fcharset204\fprq2 Calibri Cyr{\*\falt Century Gothic};} {\f659\fbidi \fswiss\fcharset161\fprq2 Calibri Greek{\*\falt Century Gothic};}{\f660\fbidi \fswiss\fcharset162\fprq2 Calibri Tur{\*\falt Century Gothic};}{\f661\fbidi \fswiss\fcharset177\fprq2 Calibri (Hebrew){\*\falt Century Gothic};} {\f662\fbidi \fswiss\fcharset178\fprq2 Calibri (Arabic){\*\falt Century Gothic};}{\f663\fbidi \fswiss\fcharset186\fprq2 Calibri Baltic{\*\falt Century Gothic};}{\f664\fbidi \fswiss\fcharset163\fprq2 Calibri (Vietnamese){\*\falt Century Gothic};} {\f668\fbidi \fswiss\fcharset0\fprq2 Segoe UI{\*\falt Century Gothic};}{\f667\fbidi \fswiss\fcharset204\fprq2 Segoe UI Cyr{\*\falt Century Gothic};}{\f669\fbidi \fswiss\fcharset161\fprq2 Segoe UI Greek{\*\falt Century Gothic};} {\f670\fbidi \fswiss\fcharset162\fprq2 Segoe UI 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Times New Roman};} {\flomajor\f31515\fbidi \froman\fcharset186\fprq2 Times New Roman Baltic{\*\falt Times New Roman};}{\flomajor\f31516\fbidi \froman\fcharset163\fprq2 Times New Roman (Vietnamese){\*\falt Times New Roman};} {\fdbmajor\f31520\fbidi \froman\fcharset0\fprq2 Times New Roman{\*\falt Times New Roman};}{\fdbmajor\f31519\fbidi \froman\fcharset204\fprq2 Times New Roman Cyr{\*\falt Times New Roman};} {\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};} {\fdbmajor\f31523\fbidi \froman\fcharset177\fprq2 Times New Roman (Hebrew){\*\falt Times New Roman};}{\fdbmajor\f31524\fbidi \froman\fcharset178\fprq2 Times New Roman (Arabic){\*\falt Times New Roman};} {\fdbmajor\f31525\fbidi \froman\fcharset186\fprq2 Times New Roman Baltic{\*\falt Times New Roman};}{\fdbmajor\f31526\fbidi \froman\fcharset163\fprq2 Times New Roman (Vietnamese){\*\falt Times New Roman};} {\fhimajor\f31530\fbidi \fswiss\fcharset0\fprq2 Calibri Light;}{\fhimajor\f31529\fbidi \fswiss\fcharset204\fprq2 Calibri Light Cyr;}{\fhimajor\f31531\fbidi \fswiss\fcharset161\fprq2 Calibri Light Greek;} {\fhimajor\f31532\fbidi \fswiss\fcharset162\fprq2 Calibri Light Tur;}{\fhimajor\f31533\fbidi \fswiss\fcharset177\fprq2 Calibri Light (Hebrew);}{\fhimajor\f31534\fbidi \fswiss\fcharset178\fprq2 Calibri Light (Arabic);} {\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};} {\fbimajor\f31542\fbidi \froman\fcharset162\fprq2 Times New Roman Tur{\*\falt Times New Roman};}{\fbimajor\f31543\fbidi \froman\fcharset177\fprq2 Times New Roman (Hebrew){\*\falt Times New Roman};} {\fbimajor\f31544\fbidi \froman\fcharset178\fprq2 Times New Roman (Arabic){\*\falt Times New Roman};}{\fbimajor\f31545\fbidi \froman\fcharset186\fprq2 Times New Roman Baltic{\*\falt Times New Roman};} {\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};} {\flominor\f31554\fbidi \froman\fcharset178\fprq2 Times New Roman (Arabic){\*\falt Times New Roman};}{\flominor\f31555\fbidi \froman\fcharset186\fprq2 Times New Roman Baltic{\*\falt Times New Roman};} {\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};} {\fdbminor\f31559\fbidi \froman\fcharset204\fprq2 Times New Roman Cyr{\*\falt Times New Roman};}{\fdbminor\f31561\fbidi \froman\fcharset161\fprq2 Times New Roman Greek{\*\falt Times New Roman};} {\fdbminor\f31562\fbidi \froman\fcharset162\fprq2 Times New Roman Tur{\*\falt Times New Roman};}{\fdbminor\f31563\fbidi \froman\fcharset177\fprq2 Times New Roman (Hebrew){\*\falt Times New Roman};} {\fdbminor\f31564\fbidi \froman\fcharset178\fprq2 Times New Roman (Arabic){\*\falt Times New Roman};}{\fdbminor\f31565\fbidi \froman\fcharset186\fprq2 Times New Roman Baltic{\*\falt Times New Roman};} {\fdbminor\f31566\fbidi \froman\fcharset163\fprq2 Times New Roman (Vietnamese){\*\falt Times New Roman};}{\fhiminor\f31570\fbidi \fswiss\fcharset0\fprq2 Calibri{\*\falt Century Gothic};} {\fhiminor\f31569\fbidi \fswiss\fcharset204\fprq2 Calibri Cyr{\*\falt Century Gothic};}{\fhiminor\f31571\fbidi \fswiss\fcharset161\fprq2 Calibri Greek{\*\falt Century Gothic};} {\fhiminor\f31572\fbidi \fswiss\fcharset162\fprq2 Calibri Tur{\*\falt Century Gothic};}{\fhiminor\f31573\fbidi \fswiss\fcharset177\fprq2 Calibri (Hebrew){\*\falt Century Gothic};} {\fhiminor\f31574\fbidi \fswiss\fcharset178\fprq2 Calibri (Arabic){\*\falt Century Gothic};}{\fhiminor\f31575\fbidi \fswiss\fcharset186\fprq2 Calibri Baltic{\*\falt Century Gothic};} {\fhiminor\f31576\fbidi \fswiss\fcharset163\fprq2 Calibri (Vietnamese){\*\falt Century Gothic};}{\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};} {\fbiminor\f31582\fbidi \froman\fcharset162\fprq2 Times New Roman Tur{\*\falt Times New Roman};}{\fbiminor\f31583\fbidi \froman\fcharset177\fprq2 Times New Roman (Hebrew){\*\falt Times New Roman};} {\fbiminor\f31584\fbidi \froman\fcharset178\fprq2 Times New Roman (Arabic){\*\falt Times New Roman};}{\fbiminor\f31585\fbidi \froman\fcharset186\fprq2 Times New Roman Baltic{\*\falt Times New Roman};} {\fbiminor\f31586\fbidi \froman\fcharset163\fprq2 Times New Roman (Vietnamese){\*\falt Times New Roman};}}{\colortbl;\red0\green0\blue0;\red0\green0\blue255;\red0\green255\blue255;\red0\green255\blue0;\red255\green0\blue255;\red255\green0\blue0; \red255\green255\blue0;\red255\green255\blue255;\red0\green0\blue128;\red0\green128\blue128;\red0\green128\blue0;\red128\green0\blue128;\red128\green0\blue0;\red128\green128\blue0;\red128\green128\blue128;\red192\green192\blue192;}{\*\defchp \f31506\fs22\lang1045\langfe1033\langfenp1033 }{\*\defpap \ql 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\cltxlrtb\clftsWidth3\clwWidth10343\clpadt0\clpadr0\clpadft3\clpadfr3\clshdrawnil \cellx10201\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth567\clpadt0\clpadr0\clpadft3\clpadfr3\clshdrawnil \cellx10768\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth4531\clpadt0\clpadr0\clpadft3\clpadfr3\clshdrawnil \cellx15299\pard\plain \ltrpar\qj \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid3172792\yts21 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \f37\fs22\lang1045\langfe1033\cgrid\langnp1045\langfenp1033 { \rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \b\f0\fs24\ul\lang1045\langfe1045\langfenp1045\insrsid3172792\charrsid3172792 {\*\bkmkstart _Hlk12607021}Znak Sprawy: ZP/220/}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \b\f0\fs24\ul\lang1045\langfe1045\langfenp1045\insrsid8397913 52}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 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Powsta\'f1c\'f3w Wlkp. 72 70-111 Szczecin \par }\pard \ltrpar\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid7029364 {\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f0\insrsid7029364 \par }\pard \ltrpar\ql \li0\ri0\widctlpar\tqc\tx4819\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid15886248 {\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f0\insrsid3544263\charrsid7029364 Wykonawca}{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f0\super\insrsid5583274\charrsid7029364 *)}{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f0\insrsid3544263\charrsid7029364 :}{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f0\insrsid15886248 \tab }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f0\insrsid3544263\charrsid7029364 \par }\pard \ltrpar\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid7029364 {\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid3544263\charrsid7029364 \'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 \'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 \'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\'85\'85\'85\'85\'85 \par }\pard \ltrpar\ql \li0\ri-1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-1\lin0\itap0\pararsid7029364 {\rtlch\fcs1 \af0 \ltrch\fcs0 \i\f0\insrsid3544263\charrsid7029364 (pe\'b3na nazwa/firma, adres oraz w zale\'bfno\'9c ci od podmiotu: NIP/PESEL, KRS/CEiDG) \par }\pard \ltrpar\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid7029364 {\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\ul\insrsid3544263\charrsid7029364 reprezentowany przez: \par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid7029364 \par \par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid3544263\charrsid7029364 \'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 }\pard \ltrpar\ql \li0\ri-1\widctlpar\tx9638\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-1\lin0\itap0\pararsid7029364 {\rtlch\fcs1 \af0 \ltrch\fcs0 \i\f0\insrsid3544263\charrsid7029364 (imi\'ea, nazwisko, stanowisko/ podstawa do reprezentacji) \par }\pard \ltrpar\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid7029364 {\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid3544263\charrsid7029364 \par }\pard \ltrpar\qc \fi284\li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid7029364 {\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f0\insrsid16395441\charrsid7029364 \par }\pard\plain \ltrpar\s1\qc \li0\ri0\keepn\widctlpar\wrapdefault\aspalpha\aspnum\faauto\outlinelevel0\adjustright\rin0\lin0\itap0\pararsid7029364 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \b\fs32\lang1045\langfe1045\cgrid\langnp1045\langfenp1045 { \rtlch\fcs1 \af0\afs22 \ltrch\fcs0 \fs22\insrsid16395441\charrsid7029364 O\'8cWIADCZENIE}{\rtlch\fcs1 \af0\afs22 \ltrch\fcs0 \fs22\insrsid16395441 \par }\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid7029364 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \f37\fs22\lang1045\langfe1033\cgrid\langnp1045\langfenp1033 { \rtlch\fcs1 \af0 \ltrch\fcs0 \lang1045\langfe1045\langfenp1045\insrsid7029364\charrsid7029364 \par }\pard \ltrpar\qc \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid7029364 {\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid16395441\charrsid7029364 w trybie \'a7 2 ust. 1 pkt }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid5583274\charrsid7029364 7 r}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid16395441\charrsid7029364 ozporz\'b9dzenia}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid5583274\charrsid7029364 ministra rozwoju, pracy i technologii }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid16395441\charrsid7029364 z dnia }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid5583274\charrsid7029364 23 grudnia 2020 }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid16395441\charrsid7029364 r. }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid5583274\charrsid7029364 \par w sprawie podmiotowych \'9crodk\'f3w dowodowych oraz innych o\'9cwiadcze\'f1 i dokument\'f3w, \par jakich mo\'bfe \'bf\'b9da\'e6 zamawiaj\'b9cy od wykonawcy \par }\pard \ltrpar\ql \li0\ri0\widctlpar\tqc\tx4819\tx6851\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid13181790 {\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid13181790 \tab }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid16395441\charrsid7029364 (Dz.U.20}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid5583274\charrsid7029364 20}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid16395441\charrsid7029364 .}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid5583274\charrsid7029364 2415}{ \rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid16395441\charrsid7029364 )}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid13181790 \tab }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid16395441\charrsid7029364 \par }\pard \ltrpar\qc \fi284\li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid7029364 {\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid16395441\charrsid7029364 \par }\pard \ltrpar\qj \fi284\li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid7029364 {\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid5583274\charrsid7029364 O}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid3544263\charrsid7029364 \'9cwiadczam, \'bfe }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f0\insrsid3544263\charrsid7029364 wszystkie informacje}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid3544263\charrsid7029364 zawarte w}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid16395441\charrsid7029364 }{ \rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid3544263\charrsid7029364 o\'9cwiadczeniu}{\rtlch\fcs1 \af0 \ltrch\fcs0 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