ࡱ> QTJKLMNOPa2bjbjZZ78p0ip0i!<  -Iaaauuu8<Du-----a> ,\-aaaaa--4a-a--0O!Sd 02 >>L&>a |(W> c :ZaBcznik nr 6 do SWZ Nazwa(y) Wykonawcy (w): & & & & & & & & & & & & & & . & & & & & & & & & & & & & & . (peBna nazwa/firma, adres, w zale|no[ci od podmiotu: NIP/PESEL, KRS/CEiDG) Wykaz wykonanych robt budowlanych do zamwienia publicznego pn. Budowa przedszkola gminnego w miejscowo[ci KbBowo w formule  zaprojektuj i wybuduj Lp.Przedmiot (rodzaj) wykonanych robt budowlanych (opis rodzaju robt budowlanych stosownie do wymaganego w Rozdziale XIX pkt. 19.1 ppkt. 2) lit. a) SWZ warunku udziaBu w postpowaniuWarto[ wykonanych robt budowlanych brutto w PLNPodmiot na rzecz, ktrego wykonano roboty budowlane (nazwa i adres)Miejsce wykonania robt budowlanychDaty wykonania (od  do)DowodyInformacje uzupeBniajceod dd-mm-rrrrdo dd-mm-rrrrZasoby podmiotu udostepniajcego zasobyNazwa podmiotu udostpniajcego zasoby123456789101.       Wykaz musi by opatrzony, kwalifikowanym podpisem elektronicznym, lub podpisem zaufanym lub podpisem osobistym.  Je|eli Wykonawca powoBuje si na do[wiadczenie w realizacji robt budowlanych wykonywanych wsplnie z innymi Wykonawcami, powy|szy wykaz dotyczy robt budowlanych, w ktrych wykonaniu Wykonawca bezpo[rednio uczestniczyB. ,.0^b " 6 8 īxgxgxgxgxgxgxVxVx!hm6B*OJQJ]^Jph!h5`6B*OJQJ]^Jph'h'$h5`6B*OJQJ]^Jph!h'$h5`B*OJQJ^JphhqNB*OJQJ^Jph1h hh 56CJOJQJ]^JaJnHtHh hh OJQJ^J/h hh 5CJOJQJ^JaJnHsHtH+h hh 5CJOJQJ^JaJnHtH.0b 8 h p @  . B R $$Ifa$gdL $ hPa$gdm $ ha$gd  $ ha$gdKy/ 7$8$H$gd5`r]rgd  $$*$a$gd 8 | ~ f h p R X 诞}n^Q^nB6n*hCJOJQJ^Jh5`CJOJQJ^Jh hhKy/CJOJQJ^Jh5`5CJOJQJ^Jh hh 5CJOJQJ^Jh hh CJOJQJ^J%hmh '@B*OJQJ^Jphhmh5b5OJQJ^J hmh OJQJ^JnHtH4h hh 6B*CJOJQJ^JaJnHphtH;jhqNhdv0J5CJOJQJU]^JaJnHtH.hqNh 5CJOJQJ]^JaJnHtH  > @  . 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