ࡱ> bjbjp__& & 8,;^WWWWW2,$|-"WWh?\\\WW\\\\@c\؅U0\ \\|\& c :_________________________________________________________ (Nazwa i adres wykonawcy) ____________________, dnia _____________ r. OZWIADCZENIE WYKONAWCY O AKTUALNOZCI INFORMACJI ZAWARTYCH W OZWIADCZENIU, O KTRYM MOWA W ART. 125 UST. 1 PZP W ZAKRESIE PODSTAW WYKLUCZENIA Z POSTPOWANIAW zwizku ze zBo|eniem oferty w postpowaniu o udzielenie zamwienia publicznego prowadzonym przez Zamawiajcego  Gmin Przedecz w trybie podstawowym bez negocjacji, o ktrym mowa w art. 275 pkt 1 ustawy 11 wrze[nia 2019 r. Prawo zamwieD publicznych (tekst jedn. Dz. U. z 2022 r. poz. 1710 z pzn. zm.) na "Przebudow drogi gminnej we wsi KBokoczyn z przebudow przepustu na Kanale Dzierzbickim". Podpisujc niniejszy dokument: O[wiadczam, |e informacje zawarte w zBo|onym przeze mnie o[wiadczeniu, o niepodleganiu wykluczeniu o ktrym mowa w art. 125 ust. 1 ustawy z dnia 11 wrze[nia 2019 r. (Dz. U. z 2022 r. poz. 1710 z pzn. zm. -  PZP ) przedBo|onym wraz z ofert s aktualne wt  : < > 2 B   f l n p  \ m\mm hyX5CJOJQJ\^JaJ&hhyX5CJOJQJ\^JaJhDCJOJQJ\^JaJh%}UCJOJQJ\^JaJ#hB3h%}UCJOJQJ\^JaJ#hB3hkCJOJQJ\^JaJhyXCJOJQJ\^JaJ h hk&h hk5CJOJQJ\^JaJ#h hkCJOJQJ\^JaJt  < > ` l]Q d7$8$H$gdyX$d7$8$H$a$gdyXwkd$$Ifl"#  t 0644 lap ytq$dx$Ifa$gdA8M dxgd \ ^ ` b d $ $vx>.ͼyywfffffffffXfhlCJOJQJ^JaJ h h;CJOJQJ^JaJUh;CJOJQJ\^JaJ#h h;CJOJQJ\^JaJ h>h;CJOJQJ^JaJ hyXhPCJOJQJ^JaJ h>h>CJOJQJ^JaJ h hkCJOJQJ^JaJhyKCJOJQJ\^JaJ#hyKhyK5CJOJQJ^JaJ zakresie podstaw wykluczenia z postpowania okre[lonych w: - art. 108 ust. 1 pkt 3 PZP, - art. 108 ust. 1 pkt 4, dotyczcych orzeczenia zakazu ubiegania si o zamwienie publiczne tytuBem [rodka zapobiegawczego, - art. 108 ust. 1 pkt 5, dotyczcych zawarcia z innymi wykonawcami porozumienia majcego na celu zakBcenie konkurencji, - art. 108 ust. 1 pkt 6 PZP, - art. 109 ust. 1 pkt 2 lit b) dotyczcych ukarania za wykroczenie, za ktre wymierzono kar ograniczenia wolno[ci lub kar grzywny, - art. 109 ust. 1 pkt. 2 lit c) PZP, - art. 109 ust. 1 pkt 3 PZP dotyczcych ukarania za wykroczenie, za ktre wymierzono kar ograniczenia wolno[ci lub kar grzywny, - art. 109 ust. 1 pkt 5 i 7 PZP. 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