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O[wiadczamy, |e zapoznali[my si ze wzorem umowy, obowizujcym w niniejszym postpowaniu i nie wnosimy do niego zastrze|eD oraz przyjmujemy warunki w nim zawarte. Ponadto o[wiadczamy, i| w przypadku wyboru naszej oferty, jako najkorzystniejszej zobowizujemy si do zawarcia umowy na warunkach okre[lonych we wzorze umowy stanowicej zaBcznik nr 4 do SWZ, w miejscu i terminie wyznaczonym przez Zamawiajcego. O[wiadczamy, |e do wyliczenia ceny brutto podanej w niniejszym formularzu, zastosowali[my wBa[ciw stawk podatku od towarw i usBug, w wysoko[ci procentowej obowizujcej w dniu skBadania ofert. O[wiadczamy, |e uwa|amy si za zwizanych niniejsz ofert przez czas wskazany w SWZ. Informujemy, i| caBo[ zamwienia zostanie wykonana siBami wBasnymi Wykonawcy/Podwykonawcom zostanie powierzone wykonanie nastpujcy zadaD* wypeBni je|eli dotyczy : Lp.Nazwa podwykonawcyCz[ zamwienia, jaka zostanie powierzona podwykonawcy**Warto[ lub procentowa cz[ zamwienia, jaka zostanie powierzona podwykonawcy1 W przypadku wykonywania przedmiotu zamwienia przez podwykonawcw, o[wiadczamy, |e ponosimy peBn odpowiedzialno[ za dziaBanie lub zaniechanie wszystkich podwykonawcw. Je|eli Zamawiajcy bdzie mgB uzyska dokumenty za pomoc bezpBatnych i oglnodostpnych krajowych baz danych, w szczeglno[ci rejestrw publicznych w rozumieniu ustawy z dnia 17 lutego 2005 r. o informatyzacji dziaBalno[ci podmiotw realizujcych zadania publiczne (tj. Dz.U. z 2017 r., poz. 570 ze zm.) i pozwol na to przekazane dane identyfikacyjne, o[wiadczamy, i| wyra|amy zgod na samodzielne pobranie przez Zamawiajcego z tych baz danych o[wiadczeD lub dokumentw dotyczcych Wykonawcy skBadajcego ofert w niniejszym postpowaniu o udzielenie zamwienia publicznego. O[wiadczamy, |e wypeBnili[my obowizki informacyjne przewidziane w art. 13 lub art. 14 RODO wobec osb fizycznych, od ktrych dane osobowe bezpo[rednio lub po[rednio pozyskali[my w celu ubiegania si o udzielenie zamwienia publicznego w niniejszym postpowaniu. Komplet skBadanych dokumentw stanowi nastpujce pozycje: & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & Oferta powinna by zBo|ona w formie elektronicznej lub w postaci elektronicznej opatrzonej podpisem zaufanym lub podpisem osobistym przez osob/y upowa|nion/e do reprezentowania Wykonawcy  Rozporzdzenie Parlamentu Europejskiego i Rady (UE) 2016/679 z dnia 27 kwietnia 2016 r. w sprawie ochrony osb fizycznych w zwizku z przetwarzaniem danych osobowych i w sprawie swobodnego przepBywu takich danych oraz uchylenia dyrektywy 95/46/WE (oglne rozporzdzenie o ochronie danych) (Dz. Urz. UE L 119 z 04.05.2016, str. 1).     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