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Hn \o6u >=u (|6u8ܢ Hn L5uHn L5u >=u!!uJ J Hn !!uJ \5u ëJ <@u[vJ J  HƢ@u-4udv% ( Rp @"Ariall m @~ oF<>w wm 7wv47 wm \o6u >=u w 4|6u8ܢ m L5um L5u >=u!!u w wm !!u w\5u ë w<@u[v w w wHƢ@u-4udv% ( Rp@"Arial l o @~ oF<>wJ o 7wv(7J o \o6u >=u (|6u8ܢ o L5uo L5u >=u!!uJ J o !!uJ \5u ëJ <@u[vJ J  HƢ@u-4udv% ( Rp@"Arial l m @~ oF<>w xm 7wv47 xm \o6u >=u x 4|6u8ܢ m L5um L5u >=u!!u x xm !!u x\5u ë x<@u[v x x xHƢ@u-4udv% ( Rp@"Ariall m @~ oF<>wJ m 7wv(7J m \o6u >=u (|6u8ܢ m L5um L5u >=u!!uJ J m !!uJ \5u ëJ <@u[vJ J  HƢ@u-4udv% ( Rp@"Ariall l @~ oF<>w yl 7wv47 yl \o6u >=u y 4|6u8ܢ l L5ul L5u >=u!!u y yl !!u y\5u ë y<@u[v y y yHƢ@u-4udv% ( Rp@"Ariall hm @~ oF<>wJ hm 7wv(7J hm \o6u >=u (|6u8ܢ hm L5uhm L5u >=u!!uJ J hm !!uJ \5u ëJ <@u[vJ J  HƢ@u-4udv% ( Rp@"Ariall (m @~ oF<>w z(m 7wv47 z(m \o6u >=u z 4|6u8ܢ (m L5u(m L5u >=u!!u z z(m !!u z\5u ë z<@u[v z z zHƢ@u-4udv% ( Rp@"Ariall m @~ oF<>wJ Ljm 7wv(7J Ljm \o6u >=u (|6u8ܢ m L5um L5u >=u!!uJ J Ljm !!uJ \5u ëJ <@u[vJ J  HƢ@u-4udv% ( Rp@"Ariall o @~ oF<>w {o 7wv47 {o \o6u >=u { 4|6u8ܢ o L5uo L5u >=u!!u { {o !!u {\5u ë {<@u[v { { {HƢ@u-4udv% ( Rp@"Arial l l @~ oF<>wJ l 7wv(7J l \o6u >=u (|6u8ܢ l L5ul L5u >=u!!uJ J l !!uJ \5u ëJ <@u[vJ J  HƢ@u-4udv% ( Rp @"Ariall n @~ oF<>w |n 7wv47 |n \o6u >=u | 4|6u8ܢ n L5un L5u >=u!!u | |n !!u |\5u ë |<@u[v | | |HƢ@u-4udv% ( Rp@"Ariall (p @~ oF<>wJ (p 7wv(7J (p \o6u >=u (|6u8ܢ (p L5u(p L5u >=u!!uJ J (p !!uJ \5u ëJ <@u[vJ J  HƢ@u-4udv% ( Rp@"Arial l o @~ oF<>w }o 7wv47 }o \o6u >=u } 4|6u8ܢ o L5uo L5u >=u!!u } }o !!u }\5u ë }<@u[v } } }HƢ@u-4udv% ( Rp@"Ariall m @~ oF<>wJ m 7wv(7J m \o6u >=u (|6u8ܢ m L5um L5u >=u!!uJ J m !!uJ \5u ëJ <@u[vJ J  HƢ@u-4udv% ( Rp@"Ariall l @~ oF<>w ~l 7wv47 ~l \o6u >=u ~ 4|6u8ܢ l L5ul L5u >=u!!u ~ ~l !!u ~\5u ë ~<@u[v ~ ~ ~HƢ@u-4udv% ( Rp@"Ariall hm @~ oF<>wJ hm 7wv(7J hm \o6u >=u (|6u8ܢ hm L5uhm L5u >=u!!uJ J hm !!uJ \5u ëJ <@u[vJ J  HƢ@u-4udv% ( Rp @"Arial l (m @~ oF<>w (m 7wv47 (m \o6u >=u  4|6u8ܢ (m L5u(m L5u >=u!!u  (m !!u \5u ë <@u[v   HƢ@u-4udv% ( Rp@"Ariall Hn @~ 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Rp@Times New Romanl m @~ oF<>w %m 7wvH)7 %m \o6u >=u % H)|6u8ܢ m L5um L5u >=u!!u % %m !!u %\5u ë %<@u[v % % %HƢ@u-4udv% ( Rp @Times New Romanl m @~ oF<>wl m 7wv7l m \o6u >=u |6u8ܢ m L5um L5u >=u !!ul l m !!u l \5u ël <@u[vl l  HƢ@u-4udv% ( Rp @Times New Romanl (o @~ oF<>w &(o 7wvH)7 &(o \o6u >=u & H)|6u8ܢ (o L5u(o L5u >=u!!u & &(o !!u &\5u ë &<@u[v & & &HƢ@u-4udv% ( Rp @Times New Romanl m @~ oF<>wl m 7wv7l m \o6u >=u |6u8ܢ m L5um L5u >=u !!ul l m !!u l \5u ël <@u[vl l  HƢ@u-4udv% ( Rp @Times New Romanl l @~ oF<>w 'l 7wvH)7 'l \o6u >=u ' H)|6u8ܢ l L5ul L5u >=u!!u ' 'l !!u '\5u ë '<@u[v ' ' 'HƢ@u-4udv% ( Rp @Times New Romanl m @~ oF<>wl m 7wv7l m \o6u >=u |6u8ܢ m L5um L5u >=u !!ul l m !!u l \5u ël <@u[vl l  HƢ@u-4udv% ( Rp @Times New Romanl p @~ oF<>w (p 7wvH)7 (p \o6u >=u ( H)|6u8ܢ p L5up L5u >=u!!u ( (p !!u (\5u ë (<@u[v ( ( (HƢ@u-4udv% ( Rp @Times New Romanl (o @~ oF<>wl (o 7wv7l (o \o6u >=u |6u8ܢ (o L5u(o L5u >=u !!ul l (o !!u l \5u ël <@u[vl l  HƢ@u-4udv% ( Rp @Times New Romanl l @~ 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H)|6u8ܢ Hn L5uHn L5u >=u!!u - -Hn !!u -\5u ë -<@u[v - - -HƢ@u-4udv% ( Rp @Times New Romanl n @~ oF<>wl n 7wv7l n \o6u >=u |6u8ܢ n L5un L5u >=u !!ul l n !!u l \5u ël <@u[vl l  HƢ@u-4udv% ( Rp@Times New Romanl (o @~ oF<>w .(o 7wvH)7 .(o \o6u >=u . 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!!u6 \5u ë6 <@u[v6 6  HƢ@u-4udv% ( Rp @"Ariall o @~ oF<>w go 7wv@7 go \o6u >=u g @|6u8ܢ o L5uo L5u >=u!!u g go !!u g\5u ë g<@u[v g g gHƢ@u-4udv% ( Rp@"Ariall l @~ oF<>w6 l 7wv,76 l \o6u >=u ,|6u8ܢ l L5ul L5u >=u!!u6 6 l !!u6 \5u ë6 <@u[v6 6  HƢ@u-4udv% ( Rp @"Ariall o @~ oF<>w ho 7wv@7 ho \o6u >=u h @|6u8ܢ o L5uo L5u >=u!!u h ho !!u h\5u ë h<@u[v h h hHƢ@u-4udv% ( Rp@"Ariall o @~ oF<>w6 o 7wv,76 o \o6u >=u ,|6u8ܢ o L5uo L5u >=u!!u6 6 o !!u6 \5u ë6 <@u[v6 6  HƢ@u-4udv% ( Rp@"Arial l o @~ oF<>w io 7wv@7 io \o6u >=u i @|6u8ܢ o L5uo L5u >=u!!u i io !!u i\5u ë i<@u[v i i iHƢ@u-4udv% ( Rp @"Ariall Hn @~ oF<>w6 Hn 7wv,76 Hn \o6u >=u ,|6u8ܢ Hn L5uHn L5u >=u!!u6 6 Hn !!u6 \5u ë6 <@u[v6 6  HƢ@u-4udv% ( Rp@"Arial l o @~ oF<>w jo 7wv@7 jo \o6u >=u j @|6u8ܢ o L5uo L5u >=u!!u j jo !!u j\5u ë j<@u[v j j jHƢ@u-4udv% ( Rp @"Ariall n @~ oF<>w6 n 7wv,76 n \o6u >=u ,|6u8ܢ n L5un L5u >=u!!u6 6 n !!u6 \5u ë6 <@u[v6 6  HƢ@u-4udv% ( % (    '% Ld*`!??% (    % % % T)_̇@?@@Laih*niepotrzebne .../(/...T| 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_.q o2d 3.__[x ArialFFD/DPADq_dv% % % % %  Tb_̇@?@@ Laid TTbL_̇@?@@LaiP ~TTMbs_̇@?@@MLaiP 'TTtb_̇@?@@tLaiP ( % % % T!_̇@?@@ LaidData: & & & & & & <..SSTSSTTT!_̇@?@@LaiP -!ai" Rp@Times New Romanq$P /q@,p TPo  < Oo  a.q Q_.q o7XG.[x Times New Roman DqQ_dv% % %  TT$_̇@?@@LaiP ? TT._̇@?@@LaiP ?% % 6i6ai6a66h6`h6`66g6_g6_66f6^f6^66e6]e6]66d6\d6\66c6[c6[66b6Zb6Z66a6Ya6Y6 6 `6X`6X 6  6 _6W_6W 6  6 ^6V^6V 6  6 ]6U]6U 6  6 \6T\6T 6 6[6S[6S66Z6RZ6R66Y6QY6Q66X6PX6P66W6OW6O6  O.@"Arial---@"Arial-@"Arial- @"Arial-@"Arial-@"Arial- @"Arial-@"Arial-@"Arial- @"Arial-@"Arial- @"Arial-@"Arial- @"Arial-@"Arial- @"Arial-@"Arial-@"Arial- @"Arial-@"Arial-@"Arial-@"Arial-@"Arial-@"Arial-@"Arial-@"Arial-@"Arial-@"Arial- @"Arial-@"Arial-@"Arial-@"Arial-@"Arial-@"Arial- @"Arial-@"Arial-@"Arial- @"Arial-@"Arial- @"Arial-@"Arial-@"Arial- @"Arial-@"Arial- @"Arial--  2 TvQZacznik nr 6  2 TQ 2 TQdo  2 TQS 2 TQWZ 2 TQ ,Q'@"Arial--- 2 jQQ  2 QQ @"Arial-@"Arial- @"Arial-@"Arial-@"Arial- @"Arial-@"Arial-@"Arial- @"Arial-@"Arial- @"Arial-@"Arial- @"Arial-@"Arial- @"Arial-@"Arial-@"Arial- @"Arial-@"Arial-@"Arial-@"Arial-@"Arial-@"Arial-@"Arial-@"Arial-@"Arial-@"Arial- @"Arial-@"Arial-@"Arial-@"Arial-@"Arial-@"Arial- @"Arial-@"Arial-@"Arial- @"Arial-@"Arial- @"Arial-@"Arial-@"Arial- @"Arial-@"Arial- @"Arial--,2 QOWIADCZENIE WYKONAWCY   2 AQ  2 GQ @Times New Roman--- 2 QQ @"Arial---@"Arial-@"Arial- @"Arial-@"Arial-@"Arial- @"Arial-@"Arial-@"Arial- @"Arial-@"Arial- @"Arial-@"Arial- @"Arial-@"Arial- @"Arial-@"Arial-@"Arial- @"Arial-@"Arial-@"Arial-@"Arial-@"Arial-@"Arial-@"Arial-@"Arial-@"Arial-@"Arial- @"Arial-@"Arial-@"Arial-@"Arial-@"Arial-@"Arial- @"Arial-@"Arial-@"Arial- @"Arial-@"Arial- @"Arial-@"Arial-@"Arial- @"Arial-@"Arial- @"Arial-- @"Arial--#2 TQO przynalenoci       2 Q  2 Q 2 Qbd  2 Q M2 ,Qbraku przynalenoci do tej samej grupy kapi            .2 \Qtaowej, o ktrej mowa       @"Arial------/2 Qw art. 108 ust. 1 pkt. 5       2 pQ =2 t!Qustawy Prawa zamwie publicznych           2 Q --- 2 Q --- 2 QQ ---^2 Q7QNazwa Wykonawcy .......................................    t2 FQ...................................................................... 2 Q 2 1Q}QAdres Wykonawcy .............................................................................................................    2 1Q.. 2 1Q --- 2 CQ  2 UQ  2 UQ @"Arial--- 2 fQQ @"Arial---@"Arial-@"Arial- @"Arial-@"Arial-@"Arial- @"Arial-@"Arial-@"Arial- @"Arial-@"Arial- @"Arial-@"Arial- @"Arial-@"Arial- @"Arial-@"Arial-@"Arial- @"Arial-@"Arial-@"Arial-@"Arial-@"Arial-@"Arial-@"Arial-@"Arial-@"Arial-@"Arial- @"Arial-@"Arial-@"Arial-@"Arial-@"Arial-@"Arial- @"Arial-@"Arial-@"Arial- @"Arial-@"Arial- @"Arial-@"Arial-@"Arial- @"Arial-@"Arial- @"Arial-- @"Arial--\2 yQ6QPrzystpujc do udziau w postpowaniu o udzielenie za                   /2 yQmwienia publicznego na:        2 yQ @Times New Roman---@Times New Roman-@Times New Roman-  @Times New Roman- @Times New Roman- @Times New Roman-  @Times New Roman- @Times New Roman- @Times New Roman-  @Times New Roman- @Times New Roman-  @Times New Roman- @Times New Roman-  @Times New Roman- @Times New Roman-  @Times New Roman- @Times New Roman- @Times New Roman-  @Times New Roman- @Times New Roman- @Times New Roman- @Times New Roman- @Times New Roman- @Times New Roman- @Times New Roman- @Times New Roman- @Times New Roman- @Times New Roman-  @Times New Roman- @Times New Roman- @Times New Roman- @Times New Roman- @Times New Roman- @Times New Roman-  @Times New Roman- @Times New Roman- @Times New Roman-  @Times New Roman- @Times New Roman-  @Times New Roman- @Times New Roman- @Times New Roman-  @Times New Roman- @Times New Roman-  @Times New Roman- - 2 QSQUsugi prania i wynajmu bielizny szpitalnej wraz podstawieniem maszyn vendingowych                         2 Q @Times New Roman---@Times New Roman- - - --- 2 QQ- 2 VQ - - - 2 ZQ  2 ^QNr sprawy NZZ/   2 Q232 Q/P/2  2 Q4 2 Q: 2 Q --- 2 Q  2 Q  - @ !P-   ---J2 R*Qowiadczam, e podmiot ktry reprezentuj:            --- 2 Q ,Q-  -   '@"Arial- - - ---@"Arial- @"Arial-   @"Arial-  @"Arial-  @"Arial-   @"Arial-  @"Arial-  @"Arial-   @"Arial-  @"Arial-   @"Arial-  @"Arial-   @"Arial-  @"Arial-   @"Arial-  @"Arial-  @"Arial-   @"Arial-  @"Arial-  @"Arial-  @"Arial-  @"Arial-  @"Arial-  @"Arial-  @"Arial-  @"Arial-  @"Arial-   @"Arial-  @"Arial-  @"Arial-  @"Arial-  @"Arial-  @"Arial-   @"Arial-  @"Arial-  @"Arial-   @"Arial-  @"Arial-   @"Arial-  @"Arial-  @"Arial-   @"Arial-  @"Arial-   @"Arial-  -  @"Arial- -  - @ !O-   2 QQ1.- - - 2 ]Q ---L2 e+Qnie naley do tej samej grupy kapitaowej,         #2 Qo ktrej mowa w    %2 Qustawie z dnia 16      2 Q %2 Qlutego 2007 r. o      ,Q-  -   ' - @ !O-   >2 e"Qochronie konkurencji i konsumentw         2 bQ, 2 fQ* 2 lQ ,Q' - @ !O-   ---2 QQ2.- - - 2 ]Q ---2 eQnaley  2 Q 2 Qdo 2 Q  2 Q 2 Qtej   2 Q 2  Qsamej grupy     2 6Q 2 < Qkapitaowej,    2 Q #2 Qo ktrej mowa w     @2 #Qustawie z dnia 16 lutego 2007 r. o         ,Q-  -   ' - @ !O-   >2 'e"Qochronie konkurencji i konsumentw         2 'bQ 2 'fQ*. 2 'qQ ,Q-  -   ' - @ !+c-    2 ;eQ- 2 ;iQ C2 ;m%Qz innymi Wykonawcami, ktrzy zoyli        2 ;vQw postpowaniu    2 ;Q 2 ;Qodrbne   2 ;)Qoferty   2 ;PQ )2 ;UQlub oferty czciowe     2 ;Q ,Q-  -   ' 2 NQQ 2 `QWQZestawienie wykonawcw nalecych do tej samej grupy kapitaowej, ktrzy zoyli oferty                    2 `Q  2 reQ 2 riSQ( Mona zaczy wasn list podmiotw nalecych do tej samej grupy kapitaowej )                       2 rQ  2 QQ --- @"Arial- @"Arial-   @"Arial-  @"Arial-   @"Arial-  -  - @ !h-   2 jQ1) - - - 2 xQ ---;2  Q 2 yQ ,Q-  -   ' - @ !h-   ---2 jQ2) - - - 2 xQ ---22 Q2 Q 2 yQ ,Q-  -   ' - @ !h-   ---2 jQ3) - - - 2 xQ ---;2  Q 2 yQ ,Q-  -   ' - @ !O-    2 QQ ,Q-  -   '--- @"Arial- @"Arial-   @"Arial-  @"Arial-   @"Arial-  - 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O-  52 ,QQwykazuj, przygotowanie ofer  2 ,NQty, oferty czciowej niezalenie od innego wykonawcy nalecego do tej samej     ,Q- -  ' - @ !/O-  - - - %2 <QQgrupy kapitaowej - - - 2 <Q  - @ !?O-   2 KQQ ,Q- -  ' - @ !OO-   2 \QQ ,Q- -  '@"Arial-@"Arial- @"Arial-@"Arial-@"Arial- @"Arial-@"Arial-@"Arial- @"Arial-@"Arial- @"Arial-@"Arial- @"Arial-@"Arial- @"Arial-@"Arial-@"Arial- @"Arial-@"Arial-@"Arial-@"Arial-@"Arial-@"Arial-@"Arial-@"Arial-@"Arial-@"Arial- @"Arial-@"Arial-@"Arial-@"Arial-@"Arial-@"Arial- @"Arial-@"Arial-@"Arial- @"Arial-@"Arial- @"Arial-@"Arial-@"Arial- @"Arial-@"Arial- @"Arial--  - @ !_P-  - - - 2 lRQ*niepotrzebne 2 lQskreli--- 2 lQ ,Q- -  ' - @ !}O-  @ Arial---- - - 2 QQUwaga: - @ !0Q-  2 Q  2 Q ,Q- -  '--- @"Arial-- - @ !O-  2 Q`QW przypadku Wykonawcw wsplnie ubiegajcych si o udzielenie zamwienia niniejsze Owiadczenie        ,Q- -  ' - @ !O-  12 QQskada kady z Wykonawcw  2  Q ,Q- -  '@"Arial--- 2 QQ  2 QQ ---2 QPod 42 Qpis Wykonawcy.    2 Q @"Arial--- @ Arial-----2  Q  2 *Q  2 @Q 2 2 rQ ---2  QData:  2 Q ,Q'@Times New Roman--- 2 /QQ  2 FQQ "System--QQQQQQQQQQPPPPPPPPPPOOOOOOOOOOOONNNNNN՜.+,0 hp|   6 zaacznik nr 7 Tytu  !"#$%&'()*+,-./123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~      !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~Root Entry F3]t1Table.WordDocument;.SummaryInformation(0ĆDocumentSummaryInformation8CompObj  F0Dokument programu Microsoft Office Word 972003 MSWordDocWord.Document.89q