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] X bjbj\\ Bn 6i6i Dv Dv 8 - | D d \ u u u u P : ac cc cc cc cc cc cc $ zh 0k c Q P P c u u c ^ u u ac ac R 8 + u eaÐ " Z Mc c 0 d ]# k k < + + k / 3 c c d k Dv c : Z a Bc z n i k N r 1 d o S W Z ( W z r )
Z a m a w i a j c y :
G m i n a K a m i e n i e c
u l . 1 0 0 0 - l e c i a P a Ds t w a P o l s k i e g o 2 5
6 4 - 0 6 1 K a m i e n i e c
F o r m u l a r z o f e r t o w y
N a z w a W y k o n a w c y :
& & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & &
( p e Bn a n a z w a W y k o n a w c y / W y k o n a w c w w p r z y p a d k u w y k o n a w c w w s p l n i e u b i e g a j c y c h s i o u d z i e l e n i e z a m w i e n i a )
A d r e s : & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & &
K r a j : & & & & & & & & & . . & & & & & W o j e w d z t w o : . & & & & & & & & & & & & &
R E G O N : . & & & & & & & & & & & . . . & N I P : . . . & & & & & & & & & & & & & & & & &
( w p r z y p a d k u w y k o n a w c w w s p l n i e u b i e g a j c y c h s i o u d z i e l e n i e z a m w i e n i a p o d a a d r e s , N I P i R E G O N d l a k a |d e g o w y k o n a w c y o d d z i e l n i e )
N u m e r t e l . : & & & . & & & & & & & & & & & & & & & & & & & & & & & & & & & & &
A d r e s e - m a i l : & & & & & & & & & & & & . & & & & & & & & & & & & & & & & & & &
( n a k t r y Z a m a w i a j c y m a p r z e s Ba k o r e s p o n d e n c j )
W o d p o w i e d z i n a o g Bo s z e n i e o z a m w i e n i u p u b l i c z n y m w p o s t p o w a n i u p r o w a d z o n y m w t r y b i e p o d s t a w o w y m p n . P e Bn i e n i e f u n k c j i i n s p e k t o r a n a d z o r u i n w e s t o r s k i e g o d l a i n w e s t y c j i : B u d o w a i p r z e b u d o w a o c z y s z c z a l n i [c i e k w w m . K a m i e n i e c
O f e r u j e m y w y k o n a n i e p r z e d m i o t u z a m w i e n i a n a w a r u n k a c h o k r e [l o n y c h w S W Z z a w y n a g r o d z e n i e m r y c z a Bt o w y m w w y s o k o [c i n e t t o . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . z B,
p l u s o b o w i z u j c y p o d a t e k V A T w w y s o k o [c i . . . . . . . . . . % c o s t a n o w i k w o t . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . z B.
W y n a g r o d z e n i e b r u t t o w y n o s i . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . z B, ( s Bo w n i e : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ) .
O f e r t u j e m y w s p a r c i e t e c h n i c z n e
D o s t p n o [ k o o r d y n a t o r a i n s p e k t o r w n a d z o r u p o p r z e z s t a By d o s t p t e l e f o n i c z n y w k a |d o r a z o w e j s p r a w i e z w i z a n e j z r e a l i z a c j z a d a n i a w g o d z . 7 : 0 0 1 9 : 0 0 ( c o d z i e n n i e , w k a |d y m d n i u r o b o c z y m )
& & & & & & & & & & & & & & & & & & & & & & & & & & & & . .
I m i i n a z w i s k o n r t e l e f o n u
P o d w y k o n a w c o m z a m i e r z a m y p o w i e r z y w y k o n a n i e n a s t p u j c y c h c z [c i z a m w i e n i a :
& & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & . . . .
( z a k r e s r o b t )
& & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & . . . .
( n a z w a / f i r m a , a d r e s p o d w y k o n a w c y )
& & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & . . . .
( z a k r e s r o b t )
& & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & . . . .
( n a z w a / f i r m a , a d r e s p o d w y k o n a w c y )
& & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & . . . .
( z a k r e s r o b t )
& & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & . . . .
( n a z w a / f i r m a , a d r e s p o d w y k o n a w c y )
W s k a z u j e m y |e a k t u a l n y d o k u m e n t p o t w i e r d z a j c y u m o c o w a n i e d o r e p r e z e n t a c j i W y k o n a w c y Z a m a w i a j c y m o |e p o b r a z a p o m o c b e z p Ba t n y c h b a z d o s t p n y c h p o d a d r e s e m :
F O R M C H E C K B O X H Y P E R L I N K " h t t p s : / / p r o d . c e i d g . g o v . p l / C E I D G / C E I D G . P u b l i c . U I / S e a r c h . a s p x " h t t p s : / / p r o d . c e i d g . g o v . p l / C E I D G / C E I D G . P u b l i c . U I / S e a r c h . a s p x ( C E I D G )
F O R M C H E C K B O X H Y P E R L I N K " h t t p s : / / e k r s . m s . g o v . p l / w e b / w y s z u k i w a r k a - k r s / s t r o n a - g l o w n a / " h t t p s : / / e k r s . m s . g o v . p l / w e b / w y s z u k i w a r k a - k r s / s t r o n a - g l o w n a / ( K R S )
F O R M C H E C K B O X i n n y w Ba [c i w y r e j e s t r & & & & & & & & & & . . & & & & & & & & & & & & & . .
( w p i s a n a z w b a z y ) ( w p i s a a d r e s i n t e r n e t o w y b a z y )
F O R M C H E C K B O X b r a k m o |l i w o [c i p o b r a n i a o n l i n e
( W y k o n a w c a m u s i w s k a z a l u b z a z n a c z y a d r e s s t r o n y w w w , n a k t r e j Z a m a w i a j c y m o |e b e z p Ba t n i e p o b r a d o k u m e n t y r e j e s t r o w e W y k o n a w c y , o i l e r e j e s t r t a k i j e s t o g l n o d o s t p n y i b e z p Ba t n y . W p r z y p a d k u b r a k u z a z n a c z e n i a l u b n i e z Bo |e n i a w r a z z o f e r t d o k u m e n t u p o t w i e r d z a j c e g o u m o c o w a n i e d o r e p r e z e n t o w a n i a W y k o n a w c y Z a m a w i a j c y w e z w i e o p r z e d Bo |e n i e o d p o w i e d n i e g o d o k u m e n t u n a p o d s t a w i e a r t . 1 2 8 P z p )
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d ] a$gdC 7sd ] ^7`sgd%z $^a$gdd $a$gdd [r e d n i m p r z e d s i b i o r s t w e m
F O R M C H E C K B O X m a By m p r z e d s i b i o r s t w e m
F O R M C H E C K B O X m i k r o p r z e d s i b i o r s t w e m
F O R M C H E C K B O X i n n y r o d z a j
Z g o d n i e z a r t y k u Be m 2 z a Bc z n i k a n r I d o r o z p o r z d z e n i a K o m i s j i ( U E ) n r 6 5 1 / 2 0 1 4 z d n i a 1 7 c z e r w c a 2 0 1 4 r . :
d o k a t e g o r i i [r e d n i c h p r z e d s i b i o r s t w n a l e | p r z e d s i b i o r s t w a , k t r e z a t r u d n i a j m n i e j n i | 2 5 0 p r a c o w n i k w i k t r y c h r o c z n y o b r t n i e p r z e k r a c z a 5 0 m i l i o n w E U R , l u b r o c z n a s u m a b i l a n s o w a n i e p r z e k r a c z a 4 3 m i l i o n w E U R ,
m a Be p r z e d s i b i o r s t w o d e f i n i u j e s i j a k o p r z e d s i b i o r s t w o , k t r e z a t r u d n i a m n i e j n i | 5 0 p r a c o w n i k w i k t r e g o r o c z n y o b r t l u b r o c z n a s u m a b i l a n s o w a n i e p r z e k r a c z a 1 0 m i l i o n w E U R ,
m i k r o p r z e d s i b i o r s t w o d e f i n i u j e s i j a k o p r z e d s i b i o r s t w o , k t r e z a t r u d n i a m n i e j n i | 1 0 p r a c o w n i k w i k t r e g o r o c z n y o b r t l u b r o c z n a s u m a b i l a n s o w a n i e p r z e k r a c z a 2 m i l i o n w E U R .
O [w i a d c z a m y , |e :
z o b o w i z u j e m y s i w y k o n a c a Bo [ z a m w i e n i a w t e r m i n i e w s k a z a n y m w S W Z o r a z p r o j e k t o w a n y c h p o s t a n o w i e n i a c h u m o w y ;
a k c e p t u j e m y w a r u n k i p Ba t n o [c i z a w a r t e w p r o j e k t o w a n y c h p o s t a n o w i e n i a c h u m o w y ;
z a p o z n a l i [m y s i z w a r u n k a m i p o d a n y m i p r z e z Z a m a w i a j c e g o w S W Z i n i e w n o s i m y d o n i c h |a d n y c h z a s t r z e |e D;
u z y s k a l i [m y w s z e l k i e n i e z b d n e i n f o r m a c j e d o p r z y g o t o w a n i a o f e r t y i w y k o n a n i a z a m w i e n i a ;
a k c e p t u j e m y p r o j e k t o w a n e p o s t a n o w i e n i a u m o w y o r a z t e r m i n r e a l i z a c j i p r z e d m i o t u z a m w i e n i a p o d a n y p r z e z Z a m a w i a j c e g o p o d a n y w S W Z ;
u w a |a m y s i z a z w i z a n y c h n i n i e j s z o f e r t p r z e z o k r e s z g o d n y z S W Z ;
w y p e Bn i l i [m y o b o w i z k i i n f o r m a c y j n e p r z e w i d z i a n e w a r t . 1 3 l u b a r t . 1 4 R O D O 1 ) w o b e c o s b f i z y c z n y c h , o d k t r y c h d a n e o s o b o w e b e z p o [r e d n i o l u b p o [r e d n i o p o z y s k a l i [m y w c e l u u b i e g a n i a s i o u d z i e l e n i e z a m w i e n i a p u b l i c z n e g o w n i n i e j s z y m p o s t p o w a n i u * * ;
z o b o w i z u j e m y s i w p r z y p a d k u w y b o r u n a s z e j o f e r t y d o z a w a r c i a u m o w y n a w a r u n k a c h o k r e [l o n y c h w s p e c y f i k a c j i w a r u n k w z a m w i e n i a w m i e j s c u i t e r m i n i e w s k a z a n y m p r z e z Z a m a w i a j c e g o .
N u m e r r a c h u n k u b a n k o w e g o , n a k t r y Z a m a w i a j c y p o w i n i e n z w r c i w a d i u m w n i e s i o n e w p i e n i d z u ( w p r z y p a d k u , j e [l i j e s t o n i n n y n i | n r r a c h u n k u , z k t r e g o w n i e s i o n e z o s t a Bo w a d i u m ) : & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & &
O s o b a w y z n a c z a n a d o k o n t a k t w z Z a m a w i a j c y m :
I m i i n a z w i s k o & & & & & & & & & & & & & . & & & & & & & & & & & & . & & . &
N u m e r t e l . : & & & . & & & & & & & & & & & & & & & & & & & & & & & & & & &
D o o f e r t y d o Bc z o n o n a s t p u j c e d o k u m e n t y :
U W A G A : D O K U M E N T N A L E {Y O P A T R Z Y K W A L I F I K O W A N Y M P O D P I S E M E L E K T R O N I C Z N Y M L U B P O D P I S E M Z A U F A N Y M L U B P O D P I S E M O S O B I S T Y M ( p o d p i s o s o b i s t y t o j e d e n z r o d z a j w p o d p i s u e l e k t r o n i c z n e g o )
* P o d a n a i n f o r m a c j a s Bu |y j e d y n i e c e l o m i n f o r m a c y j n y m d o o g Bo s z e n i a o w y n i k u p o s t e p o w a n i a i n i e p o d l e g a o c e n i e
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