ࡱ> S\bjbj{vtivti)M M M M M a a a 8 \ a !!!!!#4$4h$KMMMMMM$ q]M $j#"#$$qM M !!X'X'X'$^M !M !KX'$KX'X'Mt!{&$:70_ p%Bp \pM \$$X'$$$$$qq^&$$$$$$$p$$$$$$$$$c : Przedsibiorstwo Gospodarki Komunalnej i Mieszkaniowej Sp. z o.o. we WBoszczowie, ul. Sienkiewicza 31, 29-100 WBoszczowa; NIP 656-00-00-286, REGON 290889164; SpBka zostaBa zarejestrowana w Sdzie Rejonowy w Kielcach X WydziaB Gospodarczy, nr KRS 0000025470; kapitaB zakBadowy wynosi 7497600,00 zB Znak sprawy GKIII/ZP/08/2023 ZaBcznik nr 1 ZMIENIONY FORMULARZ OFERTY Zamawiajcy Przedsibiorstwo Gospodarki Komunalnej i Mieszkaniowej Sp. z o.o. we WBoszczowie ul. Sienkiewicza 31 29-100 WBoszczowa Wykonawca & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & /peBna nazwa/ firma / & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & /adres/ & & & & & & & & . & & & & & & & & . & & & & & & & & & & & & & & & & & & & .. /nr telefonu/ /nr faxu/ /adres e-mail/ & & & & & & & & .. & & & & & & & & & & & & & & & & & & & & & & & & & & .. / NIP / PESEL/ / KRS / CEIDG nr oraz adres strony internetowej oglnodostpnego i bezpBatnego zbioru / Wykonawca o[wiadcza, |e jest mikroprzedsibiorstwem*, maBym*, [rednim* przedsibiorstwem & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & *niewBa[ciwe skre[li Reprezentowany przez & & & & & & & & & & & & & & & & & & & & & & & & & & .. & & & & & & & & & & & & & & & & & & & & & & & & & & & (imi, nazwisko, stanowisko /podstawa do reprezentacji) W odpowiedzi na ogBoszenie zamieszczone w Biuletynie ZamwieD Publicznych, do skBadania ofert w trybie podstawowym na podstawie art. 275 ust 1 ustawy PZP pn.  Dostawa w formie leasingu operacyjnego traktora z osprztem do utrzymania drg dla potrzeb Przedsibiorstwa Gospodarki Komunalnej i Mieszkaniowej Sp. z o.o. we WBoszczowie oferuj wykonanie przedmiotu zamwienia w peBnym rzeczowym zakresie okre[lonym w specyfikacji warunkw zamwienia (SWZ), na zasadach okre[lonych w ustawie z dnia 11 wrze[nia 2019 r. Prawo zamwieD publicznych (tekst jednolity Dz. U. z 2023 r. poz. 1605) oraz zgodnie z poni|szymi warunkami: 1. Warunki finansowe leasingu dla przedmiotu zamwienia / wyra|ona w %/ a) Wysoko[ opBaty wstpnej - & & & & & & & & & & & & & & & & . b) Rata leasingowa - & & & & & & & & & & & & & & & & & & & .. c) Warto[ wykupu - & & & & & & & & & & & & & & & & & & & & & Suma opBat leasingowych (a + b + c): & & & & & & & & & & & & & & & & & . 2. Cena zamwienia / kwoty poda cyfr z dokBadno[ci do dwch miejsc po przecinku/ Lp. A. Rodzaj skBadnika ceny B. Ilo[ sztuk C. Cena jednostkowa netto w PLND. Cena netto w PLN (poz. B x poz. C)E. Podatek VAT 23% w PLNF. Cena brutto w PLN (poz. D + poz. E)1.Traktor (cignik) z osprztem 12.WpBata wstpna 13. Raty (czas trwania umowy 36 miesicy)354.Kwota wykupu cignika z osprztem 1 Suma (wiersze od 2 do 4) O[wiadczenie Wykonawcy Ponadto o[wiadczam, |e: Wy|ej podana cena brutto oferty obejmuje wsz L L N T V ^ j l n p     " $ Ĵnnnnnnnn$hdF5OJPJQJ\^JnH tH $hA5OJPJQJ\^JnH tH hwOJPJQJ^JnH tH h?uOJPJQJ^JnH tH hdFOJPJQJ^JnH tH h]hNc h1CJhrIh(DgCJhrIh(DgCJhrIhHXCJ$jhrIh(DgCJUmHnHu+L j l n p   $ t   $a$gddF$a$gddF$a$gddF$$dNa$gd=,$a$dh$ 4 @ r t      . 0 2 N |    @ P R ` b d t x|~  4@,2$hdF6OJPJQJ]^JnH tH hdFOJPJQJ^JnH tH W  0 2  R b d 468:fx$a$gddF2468N| 8:<@dfvxz|~  4@𶶶𶶶$hGhdFOJPJQJ^JnH tH $hdF6OJPJQJ]^JnH tH 'hdFB* OJPJQJ^JnH phPtH $hdF5OJPJQJ\^JnH tH hdFOJPJQJ^JnH tH ?xzdf\^ *,6<^h $$Ifa$$IfgddF $ $a$gd $ a$gddF $ a$gd[2$a$gddF&2VXZb$|8<jlx~ıꛈ$hGhdFOJPJQJ^JnH tH *hGh~5OJPJQJ\^JnH tH $h85OJPJQJ\^JnH tH $h85OJPJQJ\^JnH tH $h >5OJPJQJ\^JnH tH *hGh[25OJPJQJ\^JnH tH 0 4bdfz|(@Z\^r  6Tr~Ǵ}}}}}}}}}}hdF5OJPJQJ\^Jh"OJPJQJ^JhdFOJPJQJ^JhdFOJPJQJ^JnH tH $h5OJPJQJ\^JnH tH $hdF5OJPJQJ\^JnH tH $hGhdFOJPJQJ^JnH tH $hGh7QOJPJQJ^JnH tH 1(*,.46:<Z\^fhjlnprt|~  68JLPRtvʻh[25OJPJQJ\^Jhg5OJPJQJ\^JhdF5OJPJQJ\^JhCJaJ$hdF5CJOJPJQJ\^JaJhdFOJPJQJ^JBhjpr~ 8LRv$If $$Ifa$!$Ifkd$$Ifl֞z {%BBBBB t0644 lBBaytdF  "$(*,6pvx|~"$*,.02ӼӭӞh{,5OJPJQJ\^Jh*[5OJPJQJ\^Jh+5OJPJQJ\^JhCJaJhdF5OJPJQJ\^Jh~5OJPJQJ\^Jh5OJPJQJ\^J>$If$$Ifkd$$Ifl֞z {%BBB t0644 lBaytdF "$If"$,x$$Ifkdj$$Ifl֞z {%BBB t0644 lBaytdFx~$If$$Ifkd$$Ifl֞z {%BBB t0644 lBaytdF$If02$$Ifkd$$Ifl֞z {%BBB t0644 lBaytdF2468:<>jlnptJ~JJJJJJJJJKKKK*K>KxK|KKKK*L,LLLLLLLLMMMMM*M,M>M@MxM|MMMMŲUhdFOJPJQJ^JnH tH $hdF5OJPJQJ\^JnH tH 'hdF5>*OJPJQJ\^JnH tH hdFOJPJQJ^JnH tH hCJaJhdF5OJPJQJ\^J?2468:>lnWOOOOOO$a$gddFkd$$Ifl\{%B t0644 lBaytdF$If ystkie koszty zwizane z wykonaniem zamwienia opisanego w SWZ. ZapoznaBem si z tre[ci Specyfikacji Warunkw Zamwienia (SWZ) wraz z zaBcznikami oraz wyja[nieniami i modyfikacjami SWZ przekazanymi przez Zamawiajcego i uznajemy si za zwizanymi okre[lonymi w niej zapisami. Zobowizuj si w przypadku wyboru mojej oferty do zawarcia umowy w miejscu i terminie wskazanym przez Zamawiajcego. Uwa|am si za zwizanego ofert przez okres wskazany w SWZ. * W celu wykazania speBniania warunkw udziaBu w postpowaniu, o ktrych mowa w art. 112 ust. 2 ustawy PZP powoBujemy si na zasoby poni|szych podmiotw na zasadach okre[lonych w art. 118 PZP a) Nazwa i adres podmiotu & & & & & & & & & & & & & & & & & & & & & & dotyczy speBniania warunkw udziaBu, o ktrym mowa w Rozd. VII pkt 2 ppkt 4) SWZ w zakresie: & & & & & & & & & & & & & & & & & & & & & & & & & & & & . & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & Zamwienie wykonamy samodzielnie* / cz[ zamwienia* (okre[li zakres) & .. & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & zamierzam powierzy podwykonawcom & & & & & & & & & & & & & & & & & & (prosz wskaza podwykonawcw, je|eli s ju| Wykonawcy znani) Na podstawie art. 18 ust. 3 ustawy PZP oferta zawiera*/ nie zawiera* informacji stanowicych tajemnic przedsibiorstwa w rozumieniu przepisw ustawy z dnia 16 kwietnia 1993 r. o zwalczaniu nieuczciwej konkurencji (tekst jednolity Dz. U. z 2022 r. poz. 1233), ktre s zawarte w nastpujcych dokumentach : & & & & & & & .. & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & (nale|y wskaza dokumenty w ktrych znajduj si przedmiotowe informacje, oraz wykaza jakie zostaBy podjte dziaBania w celu zachowania poufno[ci) WypeBniBem obowizki informacyjne przewidziane w art. 13 lub art. 14 RODO wobec osb fizycznych, od ktrych dane osobowe bezpo[rednio lub po[rednio pozyskaBem w celu ubiegania si o udzielenie zamwienia publicznego w niniejszym postpowaniu. Wszystkie informacje podane w o[wiadczeniach s aktualne i zgodne z prawd oraz zostaBy przedstawione z peBn [wiadomo[ci konsekwencji wprowadzenia zamawiajcego w bBd przy przedstawianiu informacji. *niepotrzebne skre[li ZaBcznikami do oferty s: & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & . & & & & & & & & & & & & & & & & & & & & . & & & & & & & & & & & & & & & . 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