ࡱ> +h"bjbj¦XĨDhĨDh* 8490UUUUUe e e ///////$3960Ee C C "e e 0UUc0I"I"I"e ^UU/I"e /I"I"p-h.U "dZB @-/y000-6!6 ..86.$e e I"e e e e e 00!Xe e e 0e e e e 6e e e e e e e e e c : (dodatek nr 4 do swz) (piecz adresowa firmy wykonawcy) OZWIADCZENIE Przystpujc do postpowania o udzielenie zamwienia publicznego prowadzonego w trybie podstawowym bez negocjacji o warto[ci zamwienia nie przekraczajcej progw unijnych na dostaw lekw (nr sprawy ZP/P/02/22), prowadzonego przez Szpital Midzyrzecki SpBka z ograniczon odpowiedzialno[ci w Midzyrzeczu. Ja /My (imi i nazwisko) ni|ej podpisany/i .................................................................................................... dziaBajc w imieniu i na rzecz (nazwa i adres firmy) ......................................................................................... .............................................................................................................................................................................. .............................................................................................................................................................................., O[wiadczam/y, |e: Wszystkie zaoferowane przez nas wyroby medyczne s dopuszczone do obrotu zgodnie Wszystkie zaoferowane przez nas produkty lecznicze s dopuszczone do obrotu zgodnie z przepisami ustawy z dnia 06.09.2001r. - Prawo Farmaceutyczne (tj. Dz. U&.0246v$ 4 6 < @ F T f Ⱥ}vi________W_h!CJaJh!CJ^JaJhFh!CJ^JaJ hhh2_HaJnHtH h25CJ \_HaJnHtH h256B*CJ\aJphh25B*CJ\aJphh!CJ _HaJnHtHh2CJ _HaJnHtHh2gSCJ_HaJnHtHh2CJ_HaJnHtHhlCJ_HaJnHtH.024  2 P W$:# & Fdx^`gd $dha$gd"dhgd= $dha$gd= $ dh^a$gddhgdUH  1$$a$$a$     0 2 > @ B F H J L h r t ̾zmm___T__JhCJ^JaJh5CJ\aJhh5CJ\aJhFhCJ^JaJhFh5CJaJhFh56CJaJh'5B*CJ\phh!5B*CJ\phhh!5B*CJ\phhFh!56CJaJh?T56CJaJhd56CJaJhSh!56CJaJhFh!56CJ\aJ    & (  " . 2 < F r P #W"$,0nѾѬ hdCJUh]rh6CJ hCJhMthCJhhaJ"hh5\_HaJnHtHh.h= 6CJh!h= CJ h= CJhhCJ_HnHtHh5CJ\^JaJh5CJ\^JaJ3. z 2021., poz. 974 z zm.).* Wszystkie zaoferowane przez nas wyroby medyczne s dopuszczone do obrotu zgodnie z przepisami ustawy z dnia 20.05.2010r - Ustawa o wyrobach medycznych (tj. Dz. U. z 2020r., poz. 186 z zm.).* oraz o[wiadczamy, |e na oferowany przez nas przedmiot zamwienia posiadamy aktualne, wymagane przez prawo polskie dokumenty, zezwolenia i certyfikaty, na podstawie ktrych mo|e on by wprowadzony do obrotu/dystrybucji i stosowania w placwkach ochrony zdrowia na terenie Rzeczpospolitej Polskiej i zobowizujemy si je dostarczy na |danie Zamawiajcego w terminie trzech dni roboczych od daty otrzymania wezwania. (* skre[li, je[li nie dotyczy) Miejscowo[, dnia ..................................................... & & & & & & & & & & & & & & & & & & & ... Podpis Wykonawcy lub osoby uprawnionej do reprezentowania Wykonawcy Dokument nale|y wypeBni i podpisa kwalifikowanym podpisem elektronicznym lub podpisem zaufanym lub podpisem osobistym. Zamawiajcy zaleca zapisanie dokumentu w formacie PDF.       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