ࡱ> c4bjbjNN.>$i$i,48ӎ,111ZtH>@@@@@@u@]HHH@11H^11>H>\z1lH^Z*0j zzHHHHHHH@@lHHHHHHHHHHHHHHHHc M:ZaBcznik nr 5 do SWZ __________________________________________________________ __________________________________________________________ __________________________________________________________ (Nazwa i adres podmiotu udostpniajcego zasoby) _____________________________________, dnia _____________ r. ZOBOWIZANIE DO ODDANIA WYKONAWCY DO DYSPOZYCJI NIEZBDNYCH ZASOBW NA POTRZEBY WYKONANIA ZAMWIENIA DziaBajc w imieniu _______________________________________________________________ z siedzib w ____________________________________________________________________ o[wiadczam, |e ww. podmiot trzeci zobowizuje si, na zasadzie art. 118 ustawy z dnia 11 wrze[nia 2019 r. Prawo zamwieD publicznych (t.j. Dz. U. z 2023 r., poz. 1605 ze zm.) udostpni wykonawcy przystpujcemu do postpowania w sprawie zamwienia publicznego prowadzonego w trybie podstawowym w wariancie I z art. 275 pkt 1 PZP na zadanie pn.:  Wykonanie utwardzonych alejek. Rozbudowa Cmentarza Komunalnego  etap II . (dalej:  Postpowanie ), tj. ________________________________________________________________________________ z siedzib w _________________________________________________________________ (dalej:  Wykonawca ), nastpujce zasoby: - _______________________________________________________, - _______________________________________________________, - _______________________________________________________, - _______________________________________________________, na potrzeby speBnienia przez Wykonawc nastpujcych warunkw udziaBu w Postpowaniu: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________. Wykonawca bdzie mgB wykorzystywa ww. zasoby przy wykonywaniu zamwienia w nastpujcy sposb: _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________$*,.0 8 @ N ^ f h p r t @ B  J \ ^ ó|obhIOJQJ\^JaJhOJQJ\^JaJhg9POJQJ\^JaJh$OJQJ\^JaJhF8OJQJ\^JaJhCnhmFOJQJ\^JaJhCnhF8OJQJ\^JaJhmFOJQJ\^JaJhCn5OJQJ\^JaJh 5OJQJ\^JaJ"hCnhmF5OJQJ\^JaJ#,.0 p r t @ B "2<',.d/0$a$gdX$xa$$xa$$xa$ "*BDFջաՉ~shZZL>LhXhX5OJQJ^Jh_h_5OJQJ^JhxhOJQJ\^Jh#OJQJ\^JhrPOJQJ\^JhgOJQJ\^JhcOJQJ\^JhcOJQJ\^JaJh OJQJ\^JaJh_OJQJ\^JaJhIOJQJ\^JaJh$OJQJ\^JaJhCnhmFOJQJ\^JaJhg9POJQJ\^JaJh1OJQJ\^JaJB*T"B2B! $<'<+,,,.h >5OJQJ^J2___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________. W wykonywaniu zamwienia bdziemy uczestniczy w nastpujcym czasie i zakresie: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________. Ww. podmiot trzeci, na zdolno[ciach ktrego wykonawca polega w odniesieniu do warunkw udziaBu w postpowaniu dotyczcych wyksztaBcenia, kwalifikacji zawodowych lub do[wiadczenia, zrealizuje usBugi, ktrych wskazane zdolno[ci dotycz. Z Wykonawc Bczy nas bdzie ______________________________________________________ ________________________________________________________________________________________________________________________________________________________________. ____________________________ (podpis) Dokument mo|e by podpisany kwalifikowanym podpisem elektronicznym, podpisem zaufanym lub podpisem osobistym przez podmiot trzeci, na zdolno[ciach ktrego wykonawca polega lub mo|e by podpisany podpisem wBasnorcznym i przekazany w elektronicznej kopii dokumentu potwierdzonej za zgodno[ z oryginaBem kwalifikowanym podpisem elektronicznym, podpisem zaufanym lub podpisem osobistym     PAGE \* MERGEFORMAT2 000006111X223l33444444 4"4&4(4,4.4*$ $xa$gd*$a$gde5x $&x^&a$$xa$V2X22233<3h3j3l33333444444444 4"4$4&4(4*4,4.40424446484:4<4f4h4߱qdqhF8hmFOJQJ^J!jhF8hmFOJQJU^Jh)C5hhB*CJOJPJQJ^JaJnHphtHhaEhz~{jhz~{UhCnhmFOJQJ\^JaJh5:6OJQJ\^JaJhe56OJQJ\^JaJ"hCnhmF6OJQJ\^JaJh*6OJQJ\^JaJ'.40424446484:4p4r4t4v4x4z4|4~44*$ $$dNa$$ p#^*$]^^`a$gdh4j4l4p4r4t4v4x4z4|4~44ÿhCnhmFOJQJ\^JaJh4|haEhmFOJQJhF8hmFOJQJ^J!jhF8hmFOJQJU^J+hF8hmeOJQJ^JmHnHsHtHu ,1h. 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