ࡱ> a=bjbjZZ4Pp0ip0iZ@@((((((((8))\)4(\)p)*)*)*)*]+"+ +\ \ \ \ \ \ \^a\ \i(+]+]+++ \(()*)*4r\///+j()*()*\/+\//Pf}Y)*r~+=W$[\0\aWa,aH}Y}Y&a(YP++/+++++ \ \-&+++\++++a+++++++++@c ': ZaBcznik nr 1 Oznaczenie sprawy: In.271.14.2024 Nazwa i adres Wykonawcy & & & & & & & & & & & & .& & & .& & & .& & & & . & & & & & & & & & & & & .& & & & & & & .& & & & & & & & & & & & & & & & & & & & & & & & ..& & & tel. & & & & & & & & ..& . faks & & & & & & & & & e-mail & & & & & & & & & & & & & & & & & & & & . NIP & & & & & & & REGON & & & & & & & & & & Konsorcjum oprcz lidera wymienionego powy|ej skBada si (wypeBni tylko w przypadku skBadania oferty wsplnej) Partner: ................................................................................................................................................ ( nazwa i adres wykonawcy) Partner: ................................................................................................................................................ ( nazwa i adres wykonawcy) FORMULARZ OFERTOWY W odpowiedzi na ogBoszony przetarg nieograniczony na zadanie:  Rozbudowa sieci kanalizacyjnej z przebudow przepompowni [ciekw etap IV modernizacja oczyszczalni [ciekw w Lubinie skBadamy niniejsz ofert, o[wiadczajc jednocze[nie, |e akceptujemy w caBo[ci wszystkie warunki zawarte w specyfikacji istotnych warunkw zamwienia Cz[ & & & & & .. netto ........................................................ zB. + podatek VAT w wysoko[ci & & ..% & & & & & & & & & & zB brutto ........................................................................... zB. sBownie: ................................................................................................. zB Warunki pBatno[ci: zgodnie z 6 wzoru umowy (zaBcznik nr 6). Oferowany przeze mnie (nas) termin gwarancji za wady wynosi & ......& & miesicy. O[wiadczam, |e zapoznaBem si ze specyfikacj warunkw zamwienia, nie wnosz |adnych zastrze|eD oraz uzyskaBem niezbdne informacje do przygotowania oferty. O[wiadczam, |e uwa|am si za zwizanego ofert przez czas wskazany w specyfikacji warunkw zamwienia. O[wiadczam, |e zaBczony do specyfikacji warunkw zamwienia wzr umowy zostaB przeze mnie zaakceptowany bez zastrze|eD i zobowizuj si w przypadku wyboru mojej oferty do zawarcia umowy w miejscu i terminie wyznaczonym przez Zamawiajcego. Oferowany przez nas przedmiot zamwienia speBnia wymagania okre[lone w specyfikacji warunkw zamwienia O[wiadczam, |e zamwienie wykonamy sami*/ przy udziale podwykonawcw w nastpujcym zakresie*:& & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & ..& & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & .. (Nazwa podwykonawcy, zakres powierzonych prac) * Niepotrzebne skre[li Zastrze|enie wykonawcy. Ni|ej wymienione dokumenty skBadajce si na o FJTX^`bdf P 4 l n R # > C ^ Žͪuuuuuj^SShWhPo8CJaJhWhs"5CJaJhWhs"CJaJhT.hs"CJaJh =zhs"CJaJhWhs"CJaJhCJaJhWh6CJaJhThB*phhkB*phh =zB*phhlB*phhT.B*phhfPB*phhs"6CJaJhWhs"6CJaJhs"CJOJQJ^JaJ  df P 4 l n R C ^  & ~ $dhxa$gdK$a$gds"$a$gds"gds"dhgds" Pgd -$da$gds" -$da$gd$Q  % & ~l 4>wggWhWh 5CJOJQJaJhWhQ5CJOJQJaJhWhPo85CJOJQJaJ hT.hT.hT.hT.5\ hz;5\hT.h5CJOJQJaJhWhs"5CJOJQJaJhlhl5CJaJ hWhs" hWhs"5B*OJQJph hWhv5B*OJQJphhWhs"CJaJ~lDJ&(FR6$ & FV1$7$8$H$^`Va$gd7$ & FV^`Va$gdT.$ & Fh^ha$gd$Qgd>33$h^ha$gd$QgdT.gdT.$6dhx]6a$gdl>@BDF`rz~@FHJL$&(.LNbfh²ҲҢ߲ߢ߲ߒ~wsokd`k`kh hshshshPhG hWhs" h>33hT.hs"5CJOJQJaJhWhPo85CJOJQJaJhWhG5CJOJQJaJhWhs"5CJOJQJaJhWhQ5CJOJQJaJhT.5CJOJQJaJhWh 5CJOJQJaJhWhlj5CJOJQJaJ%02FPR46:<Tn6øøøâzrzmeXXXh1:xh7B*\phh7h7\ h7\h75>*\h7h75>*\h7h75>*B*\phh55>*B*\phh7h75B*\phh]OzB*phh7h7B*phh7B*phh @>h7B*ph h]Oz5\h-Xh-X5\nHtHh-Xh-X5\hs" hShv 6:H LNP,,,,--z-|--....ƴՎyyqyf[Ph75B*\phh5B*\phhNKh7B*phh]OzB*phh7B*phUh @>h7B*phh7h7B*\phh7h7>*B*\phh9h756>*#h1:xh76B*CJ\aJphh76B*CJ\aJphh7B*\phh_fB*\phh1:xh7B*\phh7bB*\ph P-..\012*3339$5$7$8$H$^a$gd7b95$7$8$H$^gd7b$7$8$H$^a$gd7b$1$7$8$H$^a$gd7b & FV1$7$8$H$^`Vgd7 $7$8$H$a$gd7 1$7$8$H$gd71$7$8$H$^gd7bfert, stanowice tajemnic przedsibiorstwa w rozumieniu przepisw o zwalczaniu nieuczciwej konkurencji, nie mog by oglnie udostpnione/udostpniane (wykonawca zobowizany jest wykaza, i| zastrze|one informacje stanowi tajemnic przedsibiorstwa): & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & O[wiadczam, |e wybr naszej oferty: nie bdzie * prowadziB do powstania u Zamawiajcego obowizku podatkowego zgodnie z przepisami ustawy z dnia 11 marca 2004 r. o podatku od towarw i usBug (Dz. U. z 2020 r., poz. 1106, z pzn. zm.) bdzie * prowadziB do powstania u Zamawiajcego obowizku podatkowego zgodnie z przepisami ustawy z dnia 11 marca 2004 r. o podatku od towarw i usBug (Dz. U. z 2020 r., poz. 1106, z pzn. zm.), Jednocze[nie wskazujemy: nazwy (rodzaj) towaru lub usBugi, ktrych dostawa lub [wiadczenie bdzie prowadzi do jego powstania & & & & & & & & & & & & & & .& & & & & & & & & & & & & & & & & & & & wraz z okre[leniem ich warto[ci bez kwoty podatku& & & & & & & & & & & & ..& * Niepotrzebne skre[li 11. Rodzaj wykonawcy (odpowiednie zaznaczy X)  FORMCHECKBOX  mikro przedsibiorstwem,  FORMCHECKBOX  maBym przedsibiorstwem,  FORMCHECKBOX  [rednim przedsibiorstwem,  FORMCHECKBOX  jednoosobow dziaBalno[ gospodarcz,  FORMCHECKBOX  osob fizyczn nieprowadzc dziaBalno[ci gospodarczej,  FORMCHECKBOX  inny rodzaj dziaBalno[ci. Numer rachunku bankowego wykonawcy, na ktry nale|y dokona zwrotu wadium wniesionego w pienidzu: & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & (je|eli zamawiajcy |daB wadium) & & & & & & & & ..& & & & & & & & & & & & & & & podpis osoby(osb) uprawnionej(ych) do reprezentowania wykonawcy Informacja dla Wykonawcy: Zgodnie z art. 63 ust. 1 ustawy Pzp ofert skBada si, pod rygorem niewa|no[ci, w formie elektronicznej. 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