ࡱ> |}~YbjbjZZ1r8dg8dg4 #####7778ol7Eoo"lllDDDDDDD$HIK"E#>ll>>"E##E!!!>##D!>D!!9~@5A:8vP@DE0Eh@`M M0@@M#@ l"!lll"E"E lllE>>>>Mlllllllll c : ZaBcznik Nr 2 do SWZ z dnia 10.08.2021 Nr postpowania: EZP-252-12/2021 Formularz asortymentowo- cenowy  Cz[ nr 1 Sprzt medyczny Lp. OpisJednostka miary Ilo[ Cena jednostokowa netto w zBWarto[ netto w zBPodatek VATWarto[ brutto w zB%kwota123456789 1. Stojak na kroplwki na kBkach Wymagane parametry  zaBcznik Nr 1.1  szt 3     2. Parawan na szynach Wymagane parametry  zaBcznik Nr 1.2 szt5 3. Materac przeciwodle|ynowy Wymagane parametry  zaBcznik Nr 1.3  szt 2      Razem:    XX ......................................................... podpis elektroniczny kwalifikowany lub podpis zaufany lub osobisty osoby/-b uprawnionej/-ych do reprezentowania Wykonawcy lub peBnomocnika Wymagane parametry ZaBcznik nr 1.1 do cz[ci nr 1 Nale|y poda: Okres gwarancji (minimum 24 miesice)* : ................................................................ * Wymagane jest podanie okresu gwarancji. Je|eli Wykonawca nie wpisze okresu gwarancji to Zamawiajcy przyjmie minimalny okres gwarancji okre[lony przy ka|dym produkcie. Stojak do kroplwek na kBkach - 3 szt: z regulacj wysoko[ci i gBowic gBowica ze stali nierdzewnej z 2 haczykami na woreczki i 2 koszykami na butelki do zawieszenia woreczkw na wysuwanym wysigniku teleskopowym z regulacj wysoko[ci. maksymalne obci|enie 1 haczyka 1 kg maksymalne obci|enie 1 koszyka 1 kg solidna konstrukcja na stabilnej podstawie z kBkami kierunkowymi prosta regulacja wysoko[ci z zaciskiem [rubowym wysuwany teleskopowo wysignik ze stali nierdzewnej z gBowic kolumna ze stali lakierowanej proszkowo na kolor biaBy lub szary chromowana podstawa 5-ramienna certyfikowany wyrb medyczny okres gwarancji minimum 24 miesice *  ......................................................... podpis elektroniczny kwalifikowany lub podpis zaufany lub osobisty osoby/-b uprawnionej/-ych do reprezentowania Wykonawcy lub peBnomocnika Wymagane parametry ZaBcznik nr 1.2 do cz[ci nr 1 Nale|y poda: Okres gwarancji (minimum 12 miesicy)*: .................................................................. * Wymagane jest podanie okresu gwarancji. 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System podwieszanych parawanw do oddzielenia stanowisk B|kowych- 5 szt. regulacja wysoko[ci podwieszenia systemu do 200cm dBugo[ szyny ok. 250cm rozmiar zasBon 250x200cm zaczepy przesuwajce si gBadko i bezszelestnie Batwa wymiana zasBon system wykonany jest z aluminium anodowanego, kolorze popielaty / szary UzupeBnieniem zestawu musz by zasBony: posiadajce atest PZH baweBniano-poliestrowe skBad: 65% poliester 35% baweBna kolor jasno niebieski / bBkitny rozmiar zasBon: 220x200 cm Dostawa sprztu wraz z monta|em. ......................................................... podpis elektroniczny kwalifikowany lub podpis zaufany lub osobisty osoby/-b uprawnionej/-ych do reprezentowania Wykonawcy lub peBnomocnika Wymagane parametry ZaBcznik nr 1.3 do cz[ci nr 1 Nale|y poda: Okres gwarancji (minimum 24 miesice)* : ................................................................ * Wymagane jest podanie okresu gwarancji. Je|eli Wykonawca nie wpisze okresu gwarancji to Zamawiajcy przyjmie minimalny okres gwarancji okre[lony przy ka|dym produkcie. Materac zmiennoci[nieniowy - rurowy do II stopnia zagro|enia odle|ynami w skali czterostopniowej EPUAP  2 szt POMPA: Wymiary: 300 x 190 x 120mm (L x B x H) Waga: ok. 3kg Kompresor 1 membranowy w obudowie metalowej z trwaB membran wykonan z PU z uchwytami do powieszenia na panelu B|ka oraz postawieniu na podBodze Zmienny cykl pracy (10 min) Tryb statycznych pracy dla pacjentw wra|liwych na bl Alarm niskiego ci[nienia (wizualny i akustycznych) Regulacja ci[nienia-pBynna z podziaBk kg MATERAC: Wymiary ~ 200 x 80/90 x 14cm Waga: ok. 4kg 18 komr dynamicznych, 3 statyczne komory gBowy Komory z mikroperforacj Przewd powietrza PVC z wbudowanymi wew. zabezpieczeniami przed zgiciem ( z zaworem bezpieczeDstwa podczas transportu) Zawr reanimacyjny CPR Funkcja transportowa MATERIAAY WYKORZYSTANE: Komory: Nylon/ TPU gwarantuje olbrzymi trwaBo[, mo|liwo[ wymiany poszczeglnych komr materaca Pokrowiec: Nylon z PU oddychajcy zapinany na zatrzaski Wodoszczelny i paroprzepuszczalny Max. waga pacjenta: do 130kg DODATKOWE INFORMACJE instrukcja obsBugi w jzyku polskim okres gwarancji minimum 24 miesice *  ......................................................... podpis elektroniczny kwalifikowany lub podpis zaufany lub osobisty osoby/-b uprawnionej/-ych do reprezentowania Wykonawcy lub peBnomocnika     PAGE  PAGE \* MERGEFORMAT2 IIIIJJJ"J.J^J`JJJJJJJJJPKRK^K`KKKKKKKK LL*LdLhLjLlLLLL³}}}nhq-h8i56CJ\aJhq-hS5CJ\aJ hhq-h5CJOJQJ^JaJhhCJOJQJ^JaJhq-h8i5CJ\]aJhq-hO56CJ\aJh J56CJ\aJhO56CJ\aJh8i56CJ\aJhq-h,>~CJaJ'IIJ`JJJJJRK`KKKLjLLLLLLMM d-d[$gd3gdOdhgdP#gdS $&^&a$gd $^a$gdgdOgdf5  & F[$gd,>~LLLLLLLLLLLLMMM$M(M4M6M8M:MM@M^MMMMMMƶq`LL&hq-h35CJPJ\aJnHtH h35CJPJ\aJnHtHhq-hOCJKH^JaJhq-hOCJ^JaJ$hq-hOCJPJ^JaJnHtH*hOhO6CJPJ]^JaJnHtHhOhO6CJ]^JaJhq-hP#>*CJ]aJhq-h{h>*CJ]aJhq-h>*CJ]aJhq-hf556CJ\aJMNNN6NHNNNVNdNvN~NNNNNNOOO O"OPnYY)hq-hf5B*CJPJaJnHphtH hq-hf5CJPJaJnHtH&hq-hf55CJPJ\aJnHtH)he:5B*CJPJ\aJnHphtH/hq-hf55B*CJPJ\aJnHphtHhq-h356CJ\aJhP#56CJ\aJ h35CJPJ\aJnHtH&hq-h35CJPJ\aJnHtH"MNO O"OPP\PxPQQHRRSSNSjSSSTU & Fd[$gdq- d[$gdq- & Fd[$gdq- d[$gdf5 $dw@&[$gdf5gdf5 d-d[$gd3>PZP\PdPhPnPpPrPvPxP|PPPPPPPQQFQpQrQQQQQQRFRHRdRvRRRRRRRRRRSSSSSUBUDU\UrUtUUUUUUV6V8VJVLVNVdVfVpVVVVVVVVVVW W$W&W(WPWijففꁁp hq-hbCJPJaJnHtH/hq-hf55B*CJPJ\aJnHphtH2hq-hf55>*B*CJPJ\aJnHphtH h`%hbCJPJaJnHtH)hq-hQ 4B*CJPJaJnHphtH hq-hf5CJPJaJnHtH)hq-hf5B*CJPJaJnHphtH,UDUtUU8VNVVV&WRWWWXXxXXX $&^&a$gd $^a$gdgdf5gd`% & F d[$gdO & F d[$gdq- & F d[$gdq- d[$gdq-d[$^gdq- & Fd[$gd`%PWRWVWrWWWWWWWWWWWWWWWWWWXXXbXvXxXǵ{fUGGChhCJOJQJ^JaJ hq-hf5CJPJaJnHtH)jYhq-hbCJPJUaJnHtH hq-h`%CJPJaJnHtH#hOh5CJPJaJnHtH, *hOhB*CJPJaJnHphtH#hOhO>*CJPJaJnHtHhO5CJPJaJnHtH,hq-hf5B*CJPJ\aJnHphtH#hq-hf5>*CJPJaJnHtHxXXXXXXXXXX2Y4YPYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYÿÿÿÿhgFhbjhbUh>< h><0Jjh><0JUhvjhvUhq-hf5CJ]aJ hghhCJOJQJ^JaJhh5CJOJQJ^JaJ+XX4YYYYYYYYYYYYYYYYYYY$a$&`#$gd4- $&^&a$gd/&P 0A .!n"n#$% c$$If!vh#v#v#v#v#ve#v3#v#vK :V F408+++++++,55555e5355K / 44 Ff4p<yt,3~kd$$IfF4ִ+' Q'$/o8e3K 08    4 Faf4p<yt,3~$$If!v h#v#v#v#v#ve#v3#v#v#v K :V F408+++++++,,55555e53555 K / /  44 Ff4p<yt,3~9kdz$$IfF4 +' Q'(*$/o8    e 3 K 08$$$$4 Faf4p<yt,3~6$$If!v h#v#v#v#v#ve#v3#v#v#v K :V F08,55555e53555 K 44 Fp<yt,3~/kd<$$IfF +' Q'(*$/o8e3K 08$$$$4 Fap<yt,3~4$$If!v h#v#v#v#v#ve#v3#v#v#v K :V F0855555e53555 K 44 Fp<yt,3~3kd $$IfF +' Q'(*$/o8e3K 08$$$$4 Fap<yt,3~<$$If!v h#v#v#v#v#ve#v3#v#v#v K :V F08,,55555e53555 K 44 Fp<yt,3~/kd$$IfF +' Q'(*$/o8e3K 08$$$$4 Fap<yt,3~4$$If!v h#v#v#v#v#ve#v3#v#v#v K :V FO0855555e53555 K 44 Fp<yt4-3kd$$IfFO +' Q'(*$/o8e3K 08$$$$4 Fap<yt4-%$$If!vh#v#v#vm#v#v7#v#v#vc :V F t0=5 5555z5559pPyt0'kd$$IfFִ/+ T'*/z8 z9 t0=    44 lapPyt0~ADd ],"ee6  3 Ab@03s6:@~n@03s6:PNG  IHDRPsRGBgAMA a pHYsod!tEXtCreation Time2021:07:29 08:45:19 7xIDATx^v$I ^`',gzggzg`yf=}TY$";8g35; TT|"zEhHEkt4n#.soK:Ҹ Yu_ #;m/&mRƆzRP(Ąr9I]۔KD;N~4Tሙ4C[JGǀ|M'"_/q4NT*ahdž篬do_wvP0_YS۱G\t:ӊ9i.~9tѿgHe^q|]GA 8#[ mtQ3=3+˟Hfgge|bܪժ2Tt&+uQoh`R)fN2[&|yAȏ"EG; $"& !H@4.^}q\G>>=?8YRksss299i3E-@PR<[21>.s3|U+6xy&d:Hg0QCxp_@\10HSjHAړ7 S:n7]g)w< 3 e(zEEYaN p̼,/˻M_ܐ'0K?=5eH#}Qegg_vmP%5 AGЗ%Gؕؓ`^ CCRI&1!͇ 켯H=!A@nzĿv>I> 㮐^^m5 !%›f~cfnI pP3ܰC|{muMkhaAySSb>51)i%#%J!ZU*.9[[Jċ%B^~zNg$$a65Zխ!'3MS5aťv~YH}@@@@@@?ӭןƉi4"k"~4+J?|~,.~074CC22]omވ;3%ͬɆ 3F7>Ύ,-^ z~G[ږ5nw/EtނklQ [,//֖<; CJv3ǎ`dҖ9PTK. 겡y*ejb\Um7ȼۏNR_Z~O>ZG233#6wi[(1z_0.SZݭ2OS@GuR`wZޭE @! 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