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\f37\fs22\lang1045\langfe1033\cgrid\langnp1045\langfenp1033 { \rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6569963 \chftnsepc \par }}{\*\aftnsep \ltrpar \pard\plain \ltrpar\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid3679007 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \f37\fs22\lang1045\langfe1033\cgrid\langnp1045\langfenp1033 { \rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6569963 \chftnsep \par }}{\*\aftnsepc \ltrpar \pard\plain \ltrpar\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid3679007 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \f37\fs22\lang1045\langfe1033\cgrid\langnp1045\langfenp1033 { \rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6569963 \chftnsepc \par }}\ltrpar \sectd \ltrsect\linex0\headery709\footery709\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid3880338\sftnbj\saftnnar {\footerr \ltrpar \pard\plain \ltrpar\s24\qr \li0\ri0\widctlpar \tqc\tx4536\tqr\tx9072\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \f37\fs22\lang1045\langfe1033\cgrid\langnp1045\langfenp1033 {\field{\*\fldinst {\rtlch\fcs1 \af38\afs18 \ltrch\fcs0 \f38\fs18\insrsid1466080\charrsid1466080 PAGE \\* MERGEFORMAT}}{\fldrslt {\rtlch\fcs1 \af38\afs18 \ltrch\fcs0 \f38\fs18\lang1024\langfe1024\noproof\insrsid9964791 1}}}\sectd \ltrsect\linex0\headery708\footery708\colsx708\endnhere\sectdefaultcl\sftnbj { \rtlch\fcs1 \af38\afs18 \ltrch\fcs0 \f38\fs18\insrsid1466080\charrsid1466080 \par }\pard \ltrpar\s24\ql \li0\ri0\widctlpar\tqc\tx4536\tqr\tx9072\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2171676 \par }}{\*\pnseclvl1\pnucrm\pnstart1\pnindent720\pnhang {\pntxta .}}{\*\pnseclvl2\pnucltr\pnstart1\pnindent720\pnhang {\pntxta .}}{\*\pnseclvl3\pndec\pnstart1\pnindent720\pnhang {\pntxta .}}{\*\pnseclvl4\pnlcltr\pnstart1\pnindent720\pnhang {\pntxta )}} {\*\pnseclvl5\pndec\pnstart1\pnindent720\pnhang {\pntxtb (}{\pntxta )}}{\*\pnseclvl6\pnlcltr\pnstart1\pnindent720\pnhang {\pntxtb (}{\pntxta )}}{\*\pnseclvl7\pnlcrm\pnstart1\pnindent720\pnhang {\pntxtb (}{\pntxta )}}{\*\pnseclvl8 \pnlcltr\pnstart1\pnindent720\pnhang {\pntxtb (}{\pntxta )}}{\*\pnseclvl9\pnlcrm\pnstart1\pnindent720\pnhang {\pntxtb (}{\pntxta )}}\pard\plain \ltrpar\qr \li0\ri0\sl360\slmult1 \widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid9913918 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \f37\fs22\lang1045\langfe1033\cgrid\langnp1045\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f0\insrsid2171676\charrsid15352773 Za\'b3\'b9cznik }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f0\insrsid987965\charrsid15352773 1b}{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f0\insrsid2171676\charrsid15352773 do formularza oferty \par }\pard \ltrpar\ql \li0\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid9913918 {\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid2171676\charrsid15352773 Znak sprawy: }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f0\insrsid2171676\charrsid15352773 ZP/220/}{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f0\insrsid9516996\charrsid15352773 0}{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f0\insrsid15352773\charrsid15352773 1}{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f0\insrsid9516996\charrsid15352773 /20}{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f0\insrsid2171676\charrsid15352773 \par }\pard \ltrpar\ql \li4956\ri-851\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-851\lin4956\itap0\pararsid9913918 {\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f0\insrsid2171676\charrsid15352773 Zamawiaj\'b9cy: \par Samodzielny}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid2171676\charrsid15352773 }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f0\insrsid2171676\charrsid15352773 Publiczny Szpital Kliniczny Nr 2 \par PUM w Szczecinie \par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid2171676\charrsid15352773 Al. Powsta\'f1c\'f3w Wlkp. 72 70-111 Szczecin \par }\pard \ltrpar\ql \li0\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid12926390 {\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f0\insrsid12926390\charrsid15352773 Wykonawca: \par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid12926390\charrsid15352773 \'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85 \par \'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85 \'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85 \par }\pard \ltrpar\ql \li0\ri-1\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-1\lin0\itap0\pararsid12926390 {\rtlch\fcs1 \af0 \ltrch\fcs0 \i\f0\insrsid12926390\charrsid15352773 (pe\'b3na nazwa/firma, adres oraz w zale\'bfno\'9c ci od podmiotu: NIP/PESEL, KRS/CEiDG) \par }\pard \ltrpar\ql \li0\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid12926390 {\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\ul\insrsid12926390\charrsid15352773 \par reprezentowany przez: \par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid12926390\charrsid15352773 \'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85. \par }\pard \ltrpar\ql \li0\ri-1\sl360\slmult1\widctlpar\tx9638\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-1\lin0\itap0\pararsid12926390 {\rtlch\fcs1 \af0 \ltrch\fcs0 \i\f0\insrsid12926390\charrsid15352773 (imi\'ea , nazwisko, stanowisko/ podstawa do reprezentacji) \par }\pard \ltrpar\ql \li0\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid9913918 {\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid2171676\charrsid15352773 \par }\pard \ltrpar\qc \li0\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid9913918 {\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f0\insrsid12926390\charrsid15352773 O\'8cWIADCZENIE WYKONAWCY }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f0\insrsid2171676\charrsid15352773 \par }\pard \ltrpar\qc \li0\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid15352773 {\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f0\insrsid12926390\charrsid15352773 DOTYCZ\'a5CE SPE\'a3NIANIA WARUNK\'d3W UDZIA\'a3 U W POST\'caPOWANIU }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f0\ul\insrsid2171676\charrsid15352773 \line }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid9964791 n}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid12926390\charrsid15352773 a potrzeby post\'ea powania o udzielenie zam\'f3wienia publicznego pn.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid15352773\charrsid15352773 \par }\pard \ltrpar\qc \li0\ri0\sa160\sl259\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid15352773 {\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f0\cf6\insrsid15352773\charrsid15352773 Dostawa wk\'b3ad\'f3w drukuj\'b9 cych, kaset, toner\'f3w do drukarek, faks\'f3w, kserokopiarek i urz\'b9dze\'f1 wielofunkcyjnych}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid15352773\charrsid15352773 }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f0\cf6\insrsid15352773\charrsid15352773 dla SPSK-2.}{ \rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid15352773\charrsid15352773 \line }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\f0\insrsid3880338\charrsid15352773 }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \f0\insrsid1466080\charrsid15352773 (}{\rtlch\fcs1 \af0 \ltrch\fcs0 \i\f0\insrsid12926390\charrsid15352773 nazwa post\'eapowania)}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid12926390\charrsid15352773 ,}{\rtlch\fcs1 \af0 \ltrch\fcs0 \i\f0\insrsid12926390\charrsid15352773 }{\rtlch\fcs1 \af0 \ltrch\fcs0 \i\f0\insrsid15352773\charrsid15352773 \par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid12926390\charrsid15352773 prowadzonego przez SPSK-2}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid3880338\charrsid15352773 }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid12926390\charrsid15352773 w Szczecinie }{ \rtlch\fcs1 \af0 \ltrch\fcs0 \i\f0\insrsid12926390\charrsid15352773 (oznaczenie zamawiaj\'b9cego), }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid12926390\charrsid15352773 o\'9cwiadczam, co nast\'eapuje: \par }\pard \ltrpar\qj \fi709\li0\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid9913918 {\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid2171676\charrsid15352773 \par }\pard \ltrpar\qj \li0\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid9913918 \cbpat17 {\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f0\insrsid14615583\charrsid15352773 I. }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f0\insrsid2171676\charrsid15352773 INFORMACJA DOTYCZ\'a5CA WYKONAWCY: \par }\pard \ltrpar\qj \li0\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid9913918 {\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid2171676\charrsid15352773 \par O\'9cwiadczam, \'bfe }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f0\insrsid2171676\charrsid15352773 spe\'b3niam warunki udzia\'b3u}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid2171676\charrsid15352773 w post\'eapowaniu okre\'9clone przez zamawiaj\'b9cego}{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f0\insrsid3880338\charrsid15352773 }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f0\insrsid2171676\charrsid15352773 w Rozdziale I }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f0\insrsid3880338\charrsid15352773 }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f0\insrsid2171676\charrsid15352773 pkt VII }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f0\insrsid8991122\charrsid15352773 SIWZ}{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f0\insrsid3880338\charrsid15352773 .}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid2171676\charrsid15352773 \par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \i\f0\insrsid2171676\charrsid15352773 (wskaza\'e6 dokument i w\'b3a\'9cciw\'b9 jednostk\'ea redakcyjn\'b9 dokumentu, w kt\'f3rej okre\'9clono warunki udzia\'b3u w post\'eapowaniu)}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid2171676\charrsid15352773 . \par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid8991122 \par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid15352773\charrsid15352773 \par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid3880338\charrsid15352773 \par }\pard \ltrpar\qj \li0\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid12926390 {\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid12926390\charrsid15352773 \'85\'85\'85\'85\'85.\'85\'85. }{\rtlch\fcs1 \af0 \ltrch\fcs0 \i\f0\insrsid12926390\charrsid15352773 (miejscowo\'9c\'e6), }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid12926390\charrsid15352773 dnia \'85\'85\'85\'85\'85\'85\'85. r. \par \par \tab \tab \tab \tab \tab \tab \tab \'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85 \par }\pard \ltrpar\qj \fi708\li5664\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin5664\itap0\pararsid12926390 {\rtlch\fcs1 \af0 \ltrch\fcs0 \i\f0\insrsid12926390\charrsid15352773 (podpis) \par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \i\f0\insrsid1466080\charrsid15352773 \par }\pard \ltrpar\qj \li0\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid9913918 \cbpat17 {\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f0\insrsid14615583\charrsid15352773 II. }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f0\insrsid2171676\charrsid15352773 INFORMACJA W ZWI\'a5ZKU Z POLEGANIEM NA ZASOBACH INNYCH PODMIOT\'d3W}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid2171676\charrsid15352773 : \par }\pard \ltrpar\qj \li0\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid9913918 {\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid8991122\charrsid15352773 \par O\'9cwiadczam, \'bfe w celu wykazania spe\'b3niania warunk\'f3w udzia\'b3u w post\'eapowaniu, okre\'9clonych przez zamawiaj\'b9cego}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid142094\charrsid15352773 }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid8991122\charrsid15352773 w }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f0\insrsid8991122\charrsid15352773 Rozdzia\'b3 I pkt VII SIWZ}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid8991122\charrsid15352773 : \par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid142094\charrsid15352773 \par {\listtext\pard\plain\ltrpar \s15 \rtlch\fcs1 \af0\afs22 \ltrch\fcs0 \f3\fs22\lang1045\langfe1033\langfenp1033\insrsid8991122\charrsid15352773 \loch\af3\dbch\af0\hich\f3 \'a0\tab}}\pard\plain \ltrpar\s15\qj \li0\ri0\sl360\slmult1\widctlpar \tx426\wrapdefault\aspalpha\aspnum\faauto\ls8\adjustright\rin0\lin0\itap0\pararsid9913918\contextualspace \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \f37\fs22\lang1045\langfe1033\cgrid\langnp1045\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f0\insrsid8991122\charrsid15352773 nie polegam na zasobach innych podmiot\'f3w \par 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