ࡱ> loijk]d]bjbj\\Dt6i6i$..8l7*C c onpppppp$ap]wCCww4]]]wvn]wn]]@\CZ07(&\ww]wwwwwuwww7wwwwwwwwwwwww.c : ZaBcznik nr 1 do SWZ Formularz ofertowy Wykonawca: Nazwa & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & ...... Siedziba & ....... Nr telefonu nr faxu & & & & & & & & & & ...... REGON NIP & & & & & & & & & & & & KRS/CEIDG e-mail & & & & & & & & & & ... Reprezentowany przez: & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & (imi, nazwisko) & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & (stanowisko) & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & (podstawa do reprezentacji) Osoba do kontaktw z Zamawiajcym ..& & & & & & & & & & & & & & & & & & & & & .. W odpowiedzi na ogBoszenie postpowania o udzielenie zamwienia publicznego prowadzonego w trybie podstawowym bez negocjacji na "Rozbudowa i przebudowa ZespoBu SzkB im. Ignacego Aukasiewicza w Policach o cz[ Bran|owego Centrum Umiejtno[ci w dziedzinie przemysBu chemicznego przy ul. Siedleckiej na dz. nr 318/68 i dz. nr 318/67"- zaprojektuj i wybuduj oferuj(my) wykonanie zamwienia, zgodnie z szczegBowym opisem przedmiotu zamwienia, na nastpujcych warunkach: Cena Bczna netto: & & & & & & & & & & & & & & & & ..& & & & & & & & & PLN VAT: & & & & & . % tj. & & & & & & & & & & & & & & & & & & & ...& & & .. PLN Cena Bczna brutto: & & & & & & & & & & & & & & & & & & & & & & & & .& PLN O[wiadczam(y), |e przedmiot zamwienia wykonamy w terminie & .... dni, liczc od dnia zawarcia umowy. Uwaga! w przypadku niewypeBnienia tego punktu Wykonawca deklaruje wykonanie przedmiotu zamwienia w maksymalnym dopuszczalnym terminie, tj. 500 dni. Na wykonane roboty budowlane oferuj(my) & & & & & & miesice gwarancji i rkojmi, liczc od dnia podpisania protokoBu odbioru. Uwaga! w przypadku niewypeBnienia tego punktu Wykonawca deklaruje 36 miesiczny okres gwarancji i rkojmi. O[wiadczam(y), |e jestem([my) zwizany(ni) niniejsz ofert do dnia & & & & & & & ..& O[wiadczam(y), |e w razie wybrania mojej(naszej) oferty zobowizuj(emy) si do podpisania umowy na warunkach zawartych we wzorze umowy stanowicym zaBcznik do SWZ oraz w miejscu i terminie okre[lonym przez Zamawiajcego. O[wiadczamy, |e wnie[li[my wadium w nastpujcej formie:& & & & & & & & & & & .. & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & . O[wiadczamy, |e w cenie oferty zostaBy uwzgldnione wszystkie koszty wykonania zamwienia. O[wiadczamy, |e oferta nie stanowi czynu nieuczciwej konkurencji. O[wiadczamy, |e zapoznali[my si z caB SWZ wraz z zaBcznikami i nie wnosimy w stosunku do tych dokumentw |adnych uwag. Wyra|am(y) zgod na otrzymanie nale|no[ci w cigu 30 dni od wystawienia faktury. Wykaz cz[ci zamwienia, ktre zamawiajcy zamierza powierzy podwykonawcom: Lp.Zakres podwykonawstwaUwagi12 O[wiadczam(y), |e oferta nie zawiera / zawiera (wBa[ciwe podkre[li) informacji stanowicych tajemnic przedsibiorstwa w rozumieniu przepisw o zwalczaniu nieuczciwej konkurencji. Informacje takie zawarte s w nastpujcych dokumentach (wypeBni je|eli dotyczy): ................................................................................................................................................... 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O[wiadczam(y), |e jestem([my): mikroprzedsibiorstwem bdz maBym przedsibiorstwem bdz [rednim przedsibiorstwem* bdz du|ym przedsibiorstwem* * w rozumieniu art. 7 ust. 1 pkt. 1 - 3 ustawy z dnia 6 marca 2018 r. Prawo przedsibiorcw (Dz. U. z 2021 poz. 126). Uwaga! W przypadku skBadania oferty wsplnej ww. o[wiadczenie skBada ka|dy z Wykonawcw wewBasnym imieniu. O[wiadczam(y), |e wypeBniBem obowizki informacyjne przewidziane w art. 13 lub art. 14 RODO wobec osb fizycznych, od ktrych dane osobowe bezpo[rednio lub po[rednio pozyskaBem w celu ubiegania si o udzielenie zamwienia publicznego w niniejszym postpowaniu i w zwizku z realizacj umowy w sprawie przedmiotowego zamwienia publicznego. Dodatkowo zobowizuje(my) si do wypeBnienia obowizkw informacyjnych przewidzianych w art. 13 lub art. 14 RODO wobec osb fizycznych, od ktrych dane osobowe bezpo[rednio lub po[rednio pozyskam(my) w przypadku zmian zakresu lub celu pozyskanych danych osobowych. 14. Adresy bezpBatnych i oglnodostpnych baz danych, w szczeglno[ci rejestrw publicznych w rozumieniu ustawy z dnia 17 lutego 2005r. o informatyzacji dziaBalno[ci podmiotw realizujcych zadania publiczne (tj. Dz. U. z 2020 r. poz. 346 z pzn. zm.), gdzie mo|na uzyska o[wiadczenia lub inne dokumenty dotyczce wykonawcy: Baza danychTakNieRodzaje dokumentw dostpnych w danej baziehttps://ekrs.ms.gov.pl/web/wyszukiwarka-krs/stronaglowna/ index.htmlhttps://prod.ceidg.gov.pl/CEIDG/CEIDG.Public.UI/Se arch.aspx 15. Dokumenty i o[wiadczenia znajdujce si w posiadaniu zamawiajcego (rodzaj dokumentu, nazwa i numer postpowania, w ktrym zostaBy zBo|one): (wypeBni je|eli dotyczy): ............................................................................................................................................ ............................................................................................................................................ 16. Wybr oferty bdzie / nie bdzie prowadziB do powstania u zamawiajcego obowizku podatkowego. Nazwa i warto[ towaru lub usBugi, ktrej dostawa lub [wiadczenie bdzie prowadzi do powstania obowizku podatkowego. (wypeBni je|eli dotyczy): ............................................................................................................................................ ............................................................................................................................................      Projekt pod nazw  Bran|owe Centrum Umiejtno[ci w dziedzinie przemysBu chemicznego w Zespole SzkB im. Ignacego Aukasiewicza w Policach , realizowanego w ramach programu w ramach konkursu pt. 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