ࡱ> Y}bjbj@ҜiҜi/!| | ---8e!-I&"{t<HHHHHHH$KuNfH+ + + H4SI$$$+ FH$+ H$$6x?(BXXq 4@HiI0I@`N N8BBN0Bh+ + $+ + + + + HH!+ + + I+ + + + N+ + + + + + + + + | c : zaBcznik nr 1 do SWZ FORMULARZ OFERTOWY Wykonawca: Ofert skBadam samodzielnie*: Nazwa Siedziba & & & & & & & & & & & & & & & & & & & & & & & & .. Wojewdztwo & & & & & & & & & & & & & & & & & & & & & & & & & & & .. REGON & & & & & & & & & & & & & & & & . NIP & & & & & & & & & & ..& & .& & KRS & & & & & & & & & & & & & & & & & & & & & & & & & . Dane na ktre zamawiajcy bdzie si kontaktowaB z wykonawc: e-mail & & & & & & & & & & .& & & & & & & & .. nr telefonu Reprezentowany przez: & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & .& & & & & & & & & (imi, nazwisko) & & & & & & & & & & & & & & & & & & & & & & .& & & & & & & & & & & & & & & & & & & & & & & & & (podstawa do reprezentacji) Ofert skBadam w imieniu Wykonawcw wsplnie ubiegajcych si o udzielenie zamwienia (konsorcjum/spBka cywilna)** Nazwy i siedziby wszystkich Wykonawcw wsplnie ubiegajcych si o udzielenie zamwienia *je|eli dotyczy Lider: Nazwa: .., Siedziba: . Wojewdztwo . REGON: NIP KRS .. e-mail .., nr telefonu Partnerzy: Nazwa: .., Siedziba: Wojewdztwo . REGON: NIP KRS .. e-mail .., nr telefonu Nazwa: .., Siedziba: . Wojewdztwo REGON: NIP & & & & & & & & KRS & & & & & & & & & & & .. e-mail & & & & & & & & & & .& & & & & & ., nr telefonu & & & & & & & & & & & & & & & Ustanowionym peBnomocnikiem do reprezentowania wykonawcw wsplnie ubiegajcych si o udzielenie zamwienia jest: imi i nazwisko & & & & & & & & & & & & & & & .& & & tel. kontaktowy & & & & & & & & & & & & e-mail & & & ..& ..& & & & & & & & & (PeBnomocnictwo w zaBczeniu) */**usun je[li nie dotyczy Zobowizania Wykonawcy: Nawizujc do ogBoszenia o zamwieniu publicznym pn.:  Modernizacja sieci wodocigowej z przyBczami do miejscowo[ci NaBcze, gm. CzBopa oferuj wykonanie zamwienia, zgodnie z wymogami Specyfikacji Warunkw Zamwienia: za cen brutto: .................................................................zBotych (sBownie:.......................................................................................................................................zB), w tym podatek VAT wedBug obowizujcej stawki & & % Okres udzielonej gwarancji: 5 lat  37 pkt 6 lat  38 pkt 7 lat  39 pkt 8 lat  40 pkt * wBa[ciwe podkre[li Uwaga: w przypadku nie podkre[lenia |adnego punktu Zamawiajcy przyjmie do oceny minimalny wymagany okres gwarancji, czyli 5 lat. Podmioty udostpniajce zasoby: O[wiadczam, |e w celu potwierdzenia speBniania warunkw udziaBu w postpowaniu, bdziemy polega na zdolno[ciach technicznych lub zawodowych, ni|ej wymienionych podmiotw udostpniajcych zasoby: Lp.Firma (nazwa) podmiotu udostpniajcego zasobyZakres dostpnych wykonawcy zasobw podmiotu udostpniajcego1.2.(nale|y wypeBni tylko w przypadku, gdy wykonawca przewiduje udziaB podmiotw udostpniajcych zasoby) Do oferty zaBczamy zobowizanie podmiotw do oddania wykonawcy do dyspozycji niezbdnych zasobw na potrzeby realizacji danego zamwienia, albo inny [rodek dowodowy potwierdzajcy, |e wykonawca realizujc zamwienie, bdzie dysponowaB niezbdnymi zasobami tego podmiotu oraz o[wiadczenie podmiotu udostpniajcego zasoby, potwierdzajce brak podstaw wykluczenia tego podmiotu oraz speBnianie warunkw udziaBu w postpowaniu, w zakresie, w jakim wykonawca powoBuje si na jego zasoby wedBug wzoru przekazanego przez zamawiajcego (je[li dotyczy) Informacja o podwykonawcach: Informacja na temat mo|liwo[ci powierzenia przez Wykonawc wykonania cz[ci zamwienia podwykonawcom: Wykonawca zamierza powierzy wykonanie nastpujcych cz[ci niniejszego zamwienia podwykonawcom: Podwykonawca (firma lub nazwa)Cz[ zamwienia ( zakres rzeczowy )Warto[ ( brutto w PLN) lub procentowa cz[ zamwienia O[wiadczenie dotyczce postanowieD specyfikacji warunkw zamwienia: 1. O[wiadczamy, |e zapoznali[my si z SWZ oraz dokumentacj projektow, nie wnosimy |adnych zastrze|eD oraz uzyskali[my niezbdne informacje do przygotowania oferty. 2. O[wiadczamy, |e zBo|ona oferta wi|e nas do upBywu terminu okre[lonego w SWZ; 3. O[wiadczamy, |e zaBczone do SWZ projektowane postanowienia umowy zostaBy przez nas zaakceptowane bez zastrze|eD i zobowizujemy si w przypadku wyboru naszej oferty do zawarcia umowy w miejscu i terminie wyznaczonym przez Zamawiajcego. 4. Zobowizuj si do wniesienia zabezpieczenia nale|ytego wykonania umowy w wysoko[ci 5 % caBkowitej ceny ofertowej brutto. 5. 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