ࡱ> }z{|m*bjbj//h EbEby4''''''''8'$('6(6(L(L(L(...$`j%!'...^..%''L(L(JFj0j0j0.v'L('L(j0.j0j0>L(# j/ͮ\0Sj/8'/ ..j0.....%%j0................V p&:PCEN III.242.23.2023 ZaBcznik nr 4 Wykonawca: & & & & & & & & & & & & & & & & & & & & (peBna nazwa/firma, adres, w zale|no[ci od podmiotu: NIP/ KRS/CEiDG) O[wiadczenie wykonawcy skBadane na podstawie art. 125 ust. 1 ustawy z dnia 11 wrze[nia 2019 r. Prawo zamwieD publicznych (dalej jako: ustawa Pzp), DOTYCZCE PODSTAW WYKLUCZENIA Z POSTPOWANIA dotyczy postpowania na: Zakup i dostaw sprztu do rejestracji oraz realizacji wielokamerowych wydarzeD multimedialnych, z mo|liwo[ci ich streaming na platformy tupu (YouTube, Facebook Vimeo itp.) w ramach projektu  Zdolni z Pomorza wspBfinansowanego ze [rodkw Unii Europejskiej w ramach Regionalnego Programu Operacyjnego Wojewdztwa Pomorskiego na lata 2014-2020. na potrzeby Pomorskiego Centrum Edukacji Nauczycieli w GdaDsku. O[wiadczam, |e nie podlegam wykluczeniu z postpowania na podstawie art. 108 ust. 1 ustawy Pzp.  (2dh8 v x ٻ}n_O}O?Ohhb6CJOJQJaJhh'6CJOJQJaJhh$CJOJQJaJhhICJOJQJaJhh'CJOJQJaJhhQ}!5CJOJQJaJhh'5CJOJQJaJhhljCJOJQJaJhh ,DCJOJQJaJhccCJOJQJ]^JaJ#hhbCJOJQJ]^JaJ(hhbCJOJQJ^JaJnH tH x :   prrx dhgdb $a$gd' $da$gdbm$ hd^hgd$$dhxa$gd' $dha$gd' $dhxa$gd'A]Agdb Bd]Bgd' dgd' $B^Ba$gd'gd^ x    2 4 6 p02"pJް|mk\L|7(hh6B* CJOJQJaJphphhCJOJQJ]aJhhCJOJQJaJUhhbCJOJQJaJhh'CJOJQJaJ(hhbCJOJQJ^JaJnH tH hhb5CJOJQJaJhh$5CJOJQJaJhhX5CJOJQJaJhh^5CJOJQJhh'5CJOJQJaJ"hh'5>*CJOJQJaJO[wiadczam, |e nie zachodz w stosunku do mnie przesBanki wykluczenia z postpowania na podstawie art. 7 ust. 1 ustawy z dnia 13 kwietnia 2022 r. o szczeglnych rozwizaniach w zakresie przeciwdziaBania wspieraniu agresji na Ukrain oraz sBu|cych ochronie bezpieczeDstwa narodowego (Dz. U. z 2022 r., poz. 835). ----------------------------------------------------------------------------------------------------------- (wypeBni gdy zachodz opisane ni|ej okoliczno[ci) O[wiadczam, |e zachodz w stosunku do mnie podstawy wykluczenia z postpowania na podstawie art. 108 ust. & & & & . ustawy Pzp (poda majc zastosowanie podstaw wykluczenia spo[rd wymienionych w art. 108 ust. 1 pkt 1,2 lub 5 ustawy Pzp). Jednocze[nie o[wiadczam, |e w zwizku z ww. okoliczno[ci speBniam Bcznie nastpujce przesBanki o ktrych mowa w art. 110 ust. 2 ustawy Pzp. & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & .. 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