ࡱ> gNbjbj7xqbxqbd>FFzTTTTTTTT8TdJUTWE^VV"VVV$X@dXxX ^D`D`D`D`D`D`D$KkNFDTX$X$XXXDTTVV4E[[[XpTVTV^D[X^D[[B NH2VhX$*JD'E0WE( NXrN22NTF4XX[XXXXXDDfZlXXXWEXXXXNXXXXXXXXXFV @S: ZaBcznik nr 2 do SWZ  Formularz ofertowy (piecz firmowa Wykonawcy)Nr sprawy: KP-272-PNK-30/2021 FORMULARZ OFERTOWY PeBna nazwa Wykonawcy *& & & & & & & & & & & & ..............& & & & & & & & & & & & & & & & & & & & & & .& & & & & & ..& & & . & & & & & & & & & & & & & & & & & & & & & & ................& & & & & & & & & .& & & & & & & & & & & & & & & & & & & & & .& & & .& & & ., Adres siedziby & & & & & & & & & & & & ..............& & & & & & & & & & & & & & & & & & & & & & & & & ... ....................., Adres do korespondencji ................. ...., Nr tel. .............................................................................................., E-mail: ........................................................................................, http://www............................................................................................................................................................, NIP - ..................................................................................................., REGON - ......................................................................................, KRS/CEiDG ..................., INFORMACJA O WIELKOZCI PRZEDSIBIORSTWA: ( mikro przedsibiorstwo ( maBe przedsibiorstwo ( [rednie przedsibiorstwo ( du|e przedsibiorstwo W odpowiedzi na ogBoszenie w sprawie postpowania o udzielenie zamwienia publicznego prowadzonego w trybie podstawowym bez negocjacji pn.: Dostawa homogenizatora laboratoryjnego w formie leasingu wraz z ubezpieczeniem do siedziby Zamawiajcego, skBadamy sporzdzon ofert skierowan do: Politechniki Lubelskiej, ul. Nadbystrzycka 38D, 20-618 Lublin Oferujemy realizacj wykonania caBo[ci przedmiotu zamwienia w zakresie okre[lonym w SWZ i zaBcznikach za nastpujce ceny jednostkowe: I. Leasing operacyjnyL.p.LeasingIlo[Cena jednostkowa nettoWarto[ nettoStawka podatku VAT%Warto[ brutto (pozycja razem z tabeli c)1.Dostawa homogenizatora laboratoryjnego wraz z usBuga leasingu operacyjnego z opcj wykupu o parametrach okre[lonych w ZaBczniku nr 1 do SWZ1 WARTOZ:X warto[ brutto leasingu, zawiera wszystkie opBaty okre[lone w SWZ tj. opBat wstpn (czynsz inicjalny), sum wszystkich miesicznych rat leasingowych w cigu okresu trwania umowy leasingu i opBat za wykup przedmiotu leasingu (opBata koDcowa), powikszone o nale|ny podatek VAT. Wykonawca uwzgldni w cenie koszt niezbdnych gwarancji przegldw i serwisw; b) Homogenizator laboratoryjnyL.p.Przedmiot zamwieniaIlo[Cena jednostkowa nettoWarto[ nettoStawka podatku VAT %Warto[ brutto1.Homogenizator laboratoryjny Typ: Model: Producent:WARTOZ: c) Prosz poda/ uzupeBni harmonogram spBat: Nr ratyLeasingRata leasingowa nettoStawka podatku VAT % Rata leasingowa brutto0OpBata Wstpna - & & % (czynsz inicjalny)123456789101112Warto[ wykupu -& & & & & ..%RAZEM: Autoryzowany serwis urzdzenia na terenie Polski: TAK & & & & ../NIE& & & & & & Gwarancja Gwarancja 12 miesicy 24 miesice 36 miesicy Odpowiednie zaznaczy Je[li Wykonawca w ogle nie zaznaczy okresu gwarancji, Zamawiajcy przyjmie, |e oferuje gwarancj zgodnie z OPZ, czyli 12 miesicy i wwczas Wykonawca w powy|szym kryterium otrzyma 0 pkt. O[wiadczamy, |e w cenie naszej oferty zostaBy uwzgldnione wszystkie koszty wykonania przedmiotu zamwienia oraz cena uwzgldnia wszystkie uwarunkowania oraz czynniki zwizane z realizacj zamwienia. 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Przyjmujemy warunki okre[lone w tym|e dokumencie. Przedmiotowe zamwienie zrealizujemy zgodnie z opisem i w sposb okre[lony w specyfikacji istotnych warunkw zamwienia. O[wiadczamy, |e zapoznali[my si z tre[ci SWZ, zawierajc informacje niezbdne do przeprowadzenia postpowania i nie wnosimy do niej zastrze|eD oraz uzyskali[my wszystkie konieczne informacje do wBa[ciwego przygotowania oferty. O[wiadczamy, |e zapoznali[my si z Istotnymi Warunkami Umowy, obowizujcym w niniejszym postpowaniu i nie wnosimy do niego zastrze|eD oraz przyjmujemy warunki w nim zawarte. Ponadto o[wiadczamy, i| w przypadku wyboru naszej oferty, jako najkorzystniejszej zobowizujemy si do zawarcia umowy na warunkach okre[lonych w Istotnych Warunkach Umowy stanowicych zaBcznik nr 4 do SWZ, w miejscu i terminie wyznaczonym przez Zamawiajcego. O[wiadczamy, |e do wyliczenia ceny brutto podanej w niniejszym formularzu, zastosowali[my wBa[ciw stawk podatku od towarw i usBug, w wysoko[ci procentowej obowizujcej w dniu skBadania ofert. O[wiadczamy, |e uwa|amy si za zwizanych niniejsz ofert przez czas wskazany w SWZ. Informujemy, i| caBo[ zamwienia zostanie wykonana siBami wBasnymi Wykonawcy/Podwykonawcom zostanie powierzone wykonanie nastpujcy zadaD**: Lp.Nazwa podwykonawcyCz[ zamwienia, jaka zostanie powierzona podwykonawcy**Warto[ lub procentowa cz[ zamwienia, jaka zostanie powierzona podwykonawcy1 2 W przypadku wykonywania przedmiotu zamwienia przez podwykonawcw, o[wiadczamy, |e ponosimy peBn odpowiedzialno[ za dziaBanie lub zaniechanie wszystkich podwykonawcw. Je|eli Zamawiajcy bdzie mgB uzyska dokumenty za pomoc bezpBatnych i oglnodostpnych krajowych baz danych, w szczeglno[ci rejestrw publicznych w rozumieniu ustawy z dnia 17 lutego 2005 r. o informatyzacji dziaBalno[ci podmiotw realizujcych zadania publiczne (tj. Dz.U. z 2017 r., poz. 570 ze zm.) i pozwol na to przekazane dane identyfikacyjne, o[wiadczamy, i| wyra|amy zgod na samodzielne pobranie przez Zamawiajcego z tych baz danych o[wiadczeD lub dokumentw dotyczcych Wykonawcy skBadajcego ofert w niniejszym postpowaniu o udzielenie zamwienia publicznego. O[wiadczamy, |e wypeBnili[my obowizki informacyjne przewidziane w art. 13 lub art. 14 RODO wobec osb fizycznych, od ktrych dane osobowe bezpo[rednio lub po[rednio pozyskali[my w celu ubiegania si o udzielenie zamwienia publicznego w niniejszym postpowaniu. Komplet skBadanych dokumentw stanowi nastpujce pozycje: & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & Oferta powinna by zBo|ona w formie elektronicznej lub w postaci elektronicznej opatrzonej podpisem zaufanym lub podpisem osobistym przez osob/y upowa|nion/e do reprezentowania Wykonawcy * niepotrzebne skre[li ** wypeBni je|eli dotyczy  Zaznaczy wBa[ciwe.  Rozporzdzenie Parlamentu Europejskiego i Rady (UE) 2016/679 z dnia 27 kwietnia 2016 r. w sprawie ochrony osb fizycznych w zwizku z przetwarzaniem danych osobowych i w sprawie swobodnego przepBywu takich danych oraz uchylenia dyrektywy 95/46/WE (oglne rozporzdzenie o ochronie danych) (Dz. Urz. UE L 119 z 04.05.2016, str. 1).      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