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\par \tab }{\field{\*\fldinst {\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \b\fs16\insrsid1405573\charrsid536482 \hich\af31506\dbch\af31505\loch\f31506 PAGE \\* MERGEFORMAT }}{\fldrslt {\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \b\fs16\lang1024\langfe1024\noproof\insrsid8412647 \hich\af31506\dbch\af31505\loch\f31506 3}}}\sectd \ltrsect\linex0\headery708\footery708\colsx708\endnhere\sectdefaultcl\sftnbj {\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \b\fs16\insrsid1405573\charrsid536482 \hich\af31506\dbch\af31505\loch\f31506 | }{\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \b\fs16\expnd12\expndtw60\cf20\insrsid1405573\charrsid536482 \hich\af31506\dbch\af31505\loch\f31506 Strona}{\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \b\fs16\insrsid1405573\charrsid536482 \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 )}} 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\b\f43\fs28\kerning28\insrsid9654988 \hich\af43\dbch\af31505\loch\f43 \hich\f43 O\'8c\loch\f43 WIADCZENIE WYKONAWCY}{\rtlch\fcs1 \ab\af43\afs28 \ltrch\fcs0 \b\f43\fs28\kerning28\insrsid12993623 \par }\pard \ltrpar\qc \li0\ri0\nowidctlpar\wrapdefault\faauto\rin0\lin0\itap0\pararsid536482 {\rtlch\fcs1 \af42\afs24 \ltrch\fcs0 \f42\fs24\ul\insrsid14505967\charrsid536482 \hich\af42\dbch\af31505\loch\f42 d}{\rtlch\fcs1 \af42\afs24 \ltrch\fcs0 \f42\fs24\ul\insrsid12993623\charrsid536482 \hich\af42\dbch\af31505\loch\f42 \hich\f42 otycz\'b9\loch\f42 ce:}{\rtlch\fcs1 \af42\afs24 \ltrch\fcs0 \f42\fs24\ul\insrsid536482\charrsid536482 \par }{\rtlch\fcs1 \af42\afs24 \ltrch\fcs0 \f42\fs24\insrsid12993623\charrsid12993623 \hich\af42\dbch\af31505\loch\f42 \hich\f42 - spe\'b3\loch\f42 \hich\f42 niania warunk\'f3\loch\f42 \hich\f42 w udzia\'b3\loch\f42 \hich\f42 u w post\'ea \hich\af42\dbch\af31505\loch\f42 powaniu, \par \hich\af42\dbch\af31505\loch\f42 \hich\f42 - przes\'b3\loch\f42 \hich\f42 anek wykluczenia z post\'ea\loch\f42 powania, \par }\pard \ltrpar\qj \li0\ri0\nowidctlpar\wrapdefault\faauto\rin0\lin0\itap0 {\rtlch\fcs1 \af42\afs28 \ltrch\fcs0 \f42\fs28\insrsid12993623 \par }{\rtlch\fcs1 \af42\afs24 \ltrch\fcs0 \f42\fs24\insrsid9654988 \hich\af42\dbch\af31505\loch\f42 Nazwa Wykonawcy ........................................................................................................ \par \hich\af42\dbch\af31505\loch\f42 Adres Wykonawcy ......................................................................................................... \par }{\rtlch\fcs1 \af42\afs24 \ltrch\fcs0 \f42\fs24\insrsid9654988\charrsid16664065 \hich\af42\dbch\af31505\loch\f42 \hich\f42 NIP \'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85}{\rtlch\fcs1 \af42\afs24 \ltrch\fcs0 \f42\fs24\insrsid12993623\charrsid16664065 \loch\af42\dbch\af31505\hich\f42 \'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85..}{\rtlch\fcs1 \af42\afs24 \ltrch\fcs0 \f42\fs24\insrsid9654988\charrsid16664065 \par }{\rtlch\fcs1 \af42\afs24 \ltrch\fcs0 \f42\fs24\lang1033\langfe1045\langnp1033\insrsid9654988\charrsid11798196 \hich\af42\dbch\af31505\loch\f42 \hich\f42 REGON \'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85...}{\rtlch\fcs1 \af42\afs24 \ltrch\fcs0 \f42\fs24\lang1033\langfe1045\langnp1033\insrsid12993623\charrsid11798196 ......................................................}{\rtlch\fcs1 \af42\afs24 \ltrch\fcs0 \f42\fs24\lang1033\langfe1045\langnp1033\insrsid9654988\charrsid11798196 \par }{\rtlch\fcs1 \af42\afs24 \ltrch\fcs0 \f42\fs24\lang1033\langfe1045\langnp1033\insrsid2119071\charrsid8613379 \hich\af42\dbch\af31505\loch\f42 KRS}{\rtlch\fcs1 \af42\afs24 \ltrch\fcs0 \f42\fs24\lang1033\langfe1045\langnp1033\insrsid12993623\charrsid8613379 \hich\af42\dbch\af31505\loch\f42 / CEIDG}{\rtlch\fcs1 \af42\afs24 \ltrch\fcs0 \f42\fs24\lang1033\langfe1045\langnp1033\insrsid4344930 \hich\af42\dbch\af31505\loch\f42 \hich\f42 /INNY R\'d3\loch\f42 \hich\f42 WNOWA\'af\loch\f42 NY }{\rtlch\fcs1 \af42\afs24 \ltrch\fcs0 \f42\fs24\lang1033\langfe1045\langnp1033\insrsid12993623\charrsid8613379 \loch\af42\dbch\af31505\hich\f42 \'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85 \'85\'85\'85\'85\'85\'85\'85\'85 \par }{\rtlch\fcs1 \af42\afs24 \ltrch\fcs0 \f42\fs24\lang1033\langfe1045\langnp1033\insrsid9654988\charrsid8613379 \hich\af42\dbch\af31505\loch\f42 Adres ma}{\rtlch\fcs1 \af42\afs24 \ltrch\fcs0 \f42\fs24\lang1033\langfe1045\langnp1033\insrsid12993623\charrsid8613379 \hich\af42\dbch\af31505\loch\f42 ilowy}{\rtlch\fcs1 \af42\afs24 \ltrch\fcs0 \f42\fs24\lang1033\langfe1045\langnp1033\insrsid4344930 \hich\af42\dbch\af31505\loch\f42 :}{\rtlch\fcs1 \af42\afs24 \ltrch\fcs0 \f42\fs24\lang1033\langfe1045\langnp1033\insrsid12993623\charrsid8613379 \hich\af42\dbch\af31505\loch\f42 \hich\f42 \'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85...}{\rtlch\fcs1 \af42\afs24 \ltrch\fcs0 \f42\fs24\lang1033\langfe1045\langnp1033\insrsid9654988\charrsid8613379 \par }{\rtlch\fcs1 \af42\afs24 \ltrch\fcs0 \f42\fs24\lang1033\langfe1045\langnp1033\insrsid8997445\charrsid8613379 \par }{\rtlch\fcs1 \ab\ai\af42\afs24 \ltrch\fcs0 \b\i\f42\fs24\insrsid9654988 \hich\af42\dbch\af31505\loch\f42 \hich\f42 Osoba odpowiedzialna za realizacj\'ea\loch\f42 \hich\f42 umowy: \'85\'85\'85\'85\'85..\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85 ..}{\rtlch\fcs1 \ab\ai\af42\afs24 \ltrch\fcs0 \b\i\f42\fs24\insrsid11798196 \hich\af42\dbch\af31505\loch\f42 \hich\f42 , numer telefonu \'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85..}{\rtlch\fcs1 \ab\ai\af42\afs24 \ltrch\fcs0 \b\i\f42\fs24\insrsid9654988 \par }{\rtlch\fcs1 \ab\ai\af42\afs24 \ltrch\fcs0 \b\i\f42\fs24\insrsid8997445 \hich\af42\dbch\af31505\loch\f42 adres poczty elektronicznej}{\rtlch\fcs1 \ab\ai\af42\afs24 \ltrch\fcs0 \b\i\f42\fs24\insrsid9654988 \hich\af42\dbch\af31505\loch\f42 \hich\f42 : \'85 \'85\'85\'85\'85}{\rtlch\fcs1 \ab\ai\af42\afs24 \ltrch\fcs0 \b\i\f42\fs24\insrsid8997445 \loch\af42\dbch\af31505\hich\f42 \'85\'85}{\rtlch\fcs1 \ab\ai\af42\afs24 \ltrch\fcs0 \b\i\f42\fs24\insrsid11798196 \loch\af42\dbch\af31505\hich\f42 \'85.}{ \rtlch\fcs1 \ab\ai\af42\afs24 \ltrch\fcs0 \b\i\f42\fs24\insrsid8997445 \loch\af42\dbch\af31505\hich\f42 \'85\'85\'85\'85\'85\'85}{\rtlch\fcs1 \ab\ai\af42\afs24 \ltrch\fcs0 \b\i\f42\fs24\insrsid9654988 \par }{\rtlch\fcs1 \af42\afs24 \ltrch\fcs0 \f42\fs24\insrsid8997445 \par }{\rtlch\fcs1 \af42\afs24 \ltrch\fcs0 \f42\fs24\insrsid9654988 \hich\af42\dbch\af31505\loch\f42 \hich\af42\dbch\af31505\loch\f42 \par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \af0 \ltrch\fcs0 \f42\insrsid4456772\charrsid4344930 \hich\af42\dbch\af31505\loch\f42 I.\tab}}\pard \ltrpar\qj \fi-720\li1080\ri0\nowidctlpar\wrapdefault\faauto\ls32\rin0\lin1080\itap0\pararsid5838757 {\rtlch\fcs1 \af42\afs24 \ltrch\fcs0 \f42\fs24\insrsid4456772\charrsid4344930 \hich\af42\dbch\af31505\loch\f42 \hich\f42 O\'9c\loch\f42 wiadczam}{\rtlch\fcs1 \af42\afs24 \ltrch\fcs0 \f42\fs24\insrsid14223810\charrsid4344930 \hich\af42\dbch\af31505\loch\f42 \hich\f42 , \'bf\loch\f42 e nie podlegam}{\rtlch\fcs1 \af42\afs24 \ltrch\fcs0 \f42\fs24\insrsid4344930\charrsid4344930 \hich\af42\dbch\af31505\loch\f42 y}{\rtlch\fcs1 \af42\afs24 \ltrch\fcs0 \f42\fs24\insrsid14223810\charrsid4344930 \hich\af42\dbch\af31505\loch\f42 \hich\f42 wykluczeniu z post\'ea\loch\f42 powania na podstawie}{\rtlch\fcs1 \af42\afs24 \ltrch\fcs0 \f42\fs24\insrsid2957121 \hich\af42\dbch\af31505\loch\f42 :}{\rtlch\fcs1 \ab\af42\afs24 \ltrch\fcs0 \b\f42\fs24\insrsid2957121\charrsid2957121 \par }\pard \ltrpar\qj \li0\ri0\nowidctlpar\wrapdefault\faauto\rin0\lin0\itap0\pararsid2957121 {\rtlch\fcs1 \ab\af42\afs24 \ltrch\fcs0 \b\f42\fs24\insrsid2957121\charrsid2957121 \par {\*\bkmkstart _Hlk105051747}{\listtext\pard\plain\ltrpar \rtlch\fcs1 \af0\afs22 \ltrch\fcs0 \f42\fs22\insrsid14223810\charrsid11293524 \hich\af42\dbch\af31505\loch\f42 a)\tab}}\pard \ltrpar \qj \fi-360\li720\ri0\nowidctlpar\wrapdefault\faauto\ls30\rin0\lin720\itap0\pararsid5838757 {\rtlch\fcs1 \af42 \ltrch\fcs0 \f42\insrsid14223810\charrsid11293524 \hich\af42\dbch\af31505\loch\f42 }{\rtlch\fcs1 \ab\af42 \ltrch\fcs0 \b\f42\insrsid5838757\charrsid11293524 {\*\bkmkend _Hlk105051747}\hich\af42\dbch\af31505\loch\f42 \hich\f42 O\'9c\hich\af42\dbch\af31505\loch\f42 \hich\f42 wiadczam, \'bf\loch\f42 \hich\f42 e PODLEGAMY/NIE PODLEGAMY* wykluczeniu z post\'ea\loch\f42 \hich\f42 powania na podstawie art. 1 pkt 3 i art. 7 ust. 1 ustawy z dnia 13 kwietnia 2022 r. o szczeg\'f3\loch\f42 \hich\f42 lnych rozwi\'b9\loch\f42 \hich\f42 zaniach w zakresie przeciwdzia\'b3\loch\f42 \hich\f42 ania wspieraniu agresji na Ukrain\'ea \loch\f42 \hich\f42 oraz s\'b3\loch\f42 \hich\f42 u\'bf\'b9\loch\f42 cych ochronie bez\hich\af42\dbch\af31505\loch\f42 p\hich\af42\dbch\af31505\loch\f42 \hich\f42 iecze\'f1\loch\f42 stwa narodowego (Dz. U. z 15 kwietnia 2022 r., poz. 835). \par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \ab\af0\afs22 \ltrch\fcs0 \f42\fs22\insrsid5838757\charrsid11293524 \hich\af42\dbch\af31505\loch\f42 b)\tab}\hich\af42\dbch\af31505\loch\f42 \hich\f42 Niniejsze o\'9c\loch\f42 \hich\f42 wiadczenie sk\'b3\loch\f42 \hich\f42 adamy przy pe\'b3\loch\f42 \hich\f42 nej \'9c\loch\f42 \hich\f42 wiadomo\'9c\loch\f42 \hich\f42 ci odpowiedzialno\'9c\loch\f42 \hich\f42 ci wynikaj\'b9\loch\f42 \hich\f42 cej z ustawy z dnia 13 kwietnia 2022 r. o szczeg\'f3\loch\f42 \hich\f42 lnych rozwi\'b9\loch\f42 \hich\f42 zaniach w zakresie przeciwdzia\'b3\loch\f42 ania wspieraniu\hich\af42\dbch\af31505\loch\f42 \hich\f42 agresji na Ukrain\'ea\loch\f42 \hich\f42 oraz s\'b3\loch\f42 \hich\f42 u\'bf\'b9\loch\f42 \hich\f42 cych ochronie bezpiecze\'f1\loch\f42 stwa narodowego (Dz. U. z 15 kwietnia 2022 r., poz. 835) \hich\f42 \endash \loch\f42 art. 6 ust. 1 i 2 oraz art. 7 ust. 6 i 7. \par }\pard \ltrpar\qj \li720\ri0\nowidctlpar\wrapdefault\faauto\rin0\lin720\itap0\pararsid5838757 {\rtlch\fcs1 \ab\af42\afs24 \ltrch\fcs0 \b\f42\fs24\insrsid5838757\charrsid5838757 \par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \af0 \ltrch\fcs0 \f42\insrsid2510275 \hich\af42\dbch\af31505\loch\f42 1.\tab}}\pard \ltrpar\ql \fi-360\li360\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls26\adjustright\rin0\lin360\itap0\pararsid2510275 { \rtlch\fcs1 \af42\afs24 \ltrch\fcs0 \f42\fs24\insrsid2510275 \hich\af42\dbch\af31505\loch\f42 \hich\f42 O\'9c\loch\f42 \hich\f42 wiadczamy, \'bf\loch\f42 e}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f42\fs24\insrsid2510275 \hich\af42\dbch\af31505\loch\f42 \hich\f42 wyb\'f3\loch\f42 \hich\f42 r naszej oferty b\'ea\loch\f42 \hich\f42 dzie/nie b\'ea\loch\f42 \hich\f42 dzie* prowadzi\'b3\loch\f42 \hich\f42 do powstania obowi\'b9\loch\f42 zku podatkowe\hich\af42\dbch\af31505\loch\f42 \hich\f42 go po stronie zamawiaj\'b9\loch\f42 \hich\f42 cego, zgodnie z przepisami ustawy o podatku od towar\'f3\loch\f42 \hich\f42 w i us\'b3\loch\f42 ug. \par }\pard \ltrpar\qj \li360\ri0\nowidctlpar\wrapdefault\faauto\rin0\lin360\itap0\pararsid2510275 {\rtlch\fcs1 \af42\afs24 \ltrch\fcs0 \f42\fs24\insrsid2510275 \par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \af0 \ltrch\fcs0 \f42\insrsid13909598 \hich\af42\dbch\af31505\loch\f42 2.\tab}}\pard \ltrpar\qj \fi-360\li360\ri0\nowidctlpar\wrapdefault\faauto\ls26\rin0\lin360\itap0\pararsid1146871 {\rtlch\fcs1 \af42\afs24 \ltrch\fcs0 \f42\fs24\insrsid13909598 \hich\af42\dbch\af31505\loch\f42 \hich\f42 Z\'b3\loch\f42 \hich\f42 o\'bf\loch\f42 \hich\f42 one dokumenty s\'b9\loch\f42 zgodne ze stanem prawnym i faktycznym. \par }\pard \ltrpar\qj \li720\ri0\nowidctlpar\wrapdefault\faauto\rin0\lin720\itap0\pararsid545762 {\rtlch\fcs1 \af42\afs24 \ltrch\fcs0 \f42\fs24\insrsid545762 \par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\f42\insrsid1405573\charrsid5838757 \hich\af42\dbch\af31505\loch\f42 3.\tab}}\pard \ltrpar\qj \fi-360\li360\ri0\nowidctlpar\wrapdefault\faauto\ls26\rin0\lin360\itap0\pararsid1146871 { \rtlch\fcs1 \ab\af42\afs24 \ltrch\fcs0 \b\f42\fs24\insrsid1405573\charrsid5838757 \hich\af42\dbch\af31505\loch\f42 Akceptujemy }{\rtlch\fcs1 \af42\afs24 \ltrch\fcs0 \f42\fs24\insrsid1405573 \hich\af42\dbch\af31505\loch\f42 \hich\f42 do\'b3\'b9\loch\f42 czony do }{\rtlch\fcs1 \af42\afs24 \ltrch\fcs0 \f42\fs24\insrsid5838757 \hich\af42\dbch\af31505\loch\f42 zapytania ofertowego}{\rtlch\fcs1 \af42\afs24 \ltrch\fcs0 \f42\fs24\insrsid1405573 \hich\af42\dbch\af31505\loch\f42 }{\rtlch\fcs1 \ab\af42\afs24 \ltrch\fcs0 \b\f42\fs24\insrsid1405573\charrsid5838757 \hich\af42\dbch\af31505\loch\f42 \hich\f42 wz\'f3\loch\f42 r}{\rtlch\fcs1 \ab\af42\afs24 \ltrch\fcs0 \b\f42\fs24\insrsid13909598\charrsid5838757 \hich\af42\dbch\af31505\loch\f42 umowy }{\rtlch\fcs1 \af42\afs24 \ltrch\fcs0 \f42\fs24\insrsid13909598 \hich\af42\dbch\af31505\loch\f42 wraz z wprowadzonymi zmianami. \par }\pard \ltrpar\qj \li720\ri0\nowidctlpar\wrapdefault\faauto\rin0\lin720\itap0\pararsid545762 {\rtlch\fcs1 \af42\afs24 \ltrch\fcs0 \f42\fs24\insrsid545762 \par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \af0 \ltrch\fcs0 \f42\insrsid9176533 \hich\af42\dbch\af31505\loch\f42 4.\tab}}\pard \ltrpar\qj \fi-360\li360\ri0\nowidctlpar\wrapdefault\faauto\ls26\rin0\lin360\itap0\pararsid1146871 {\rtlch\fcs1 \af42\afs24 \ltrch\fcs0 \f42\fs24\insrsid9176533 \hich\af42\dbch\af31505\loch\f42 J}{\rtlch\fcs1 \af42\afs24 \ltrch\fcs0 \f42\fs24\insrsid13909598\charrsid545762 \hich\af42\dbch\af31505\loch\f42 \hich\f42 este\'9c\loch\f42 \hich\f42 my zwi\'b9\loch\f42 \hich\f42 zani ofert\'b9\loch\f42 przez okres }{\rtlch\fcs1 \af42\afs24 \ltrch\fcs0 \f42\fs24\insrsid9176533 \hich\af42\dbch\af31505\loch\f42 wskazany w }{\rtlch\fcs1 \af42\afs24 \ltrch\fcs0 \f42\fs24\insrsid5838757 \hich\af42\dbch\af31505\loch\f42 zapytaniu ofertowym }{\rtlch\fcs1 \af42\afs24 \ltrch\fcs0 \f42\fs24\insrsid13909598\charrsid545762 .}{\rtlch\fcs1 \af42\afs24 \ltrch\fcs0 \f42\fs24\insrsid13909598 \par }\pard \ltrpar\qj \li720\ri0\nowidctlpar\wrapdefault\faauto\rin0\lin720\itap0\pararsid4616828 {\rtlch\fcs1 \af42\afs24 \ltrch\fcs0 \f42\fs24\insrsid4616828 \par }\pard \ltrpar\qj \li0\ri0\nowidctlpar\wrapdefault\faauto\rin0\lin0\itap0\pararsid4134789 {\rtlch\fcs1 \af42\afs24 \ltrch\fcs0 \f42\fs24\insrsid16664065 \par {\listtext\pard\plain\ltrpar \s22 \rtlch\fcs1 \af0 \ltrch\fcs0 \f42\cf1\insrsid7810206\charrsid7810206 \hich\af42\dbch\af31505\loch\f42 5.\tab}}\pard\plain \ltrpar \s22\qj \fi-357\li357\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls26\adjustright\rin0\lin357\itap0\pararsid1146871 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang1045\langfe1045\loch\af0\hich\af0\dbch\af31505\cgrid\langnp1045\langfenp1045 { \rtlch\fcs1 \af1 \ltrch\fcs0 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