ࡱ> SbXbjbj>>ja\ti\ti  mmmmm8LoC>EY BBBBBBB$GItB9me"eeBmmB< eRmmB eB 6x9@`T8?B3C<oC?;J;J8@@&;Jm@ee eeeeeBBeeeoCeeee;Jeeeeeeeee c 3:ZaBcznik Nr 1 do zaproszenia ZP. ZP.271-1.108.2023 FORMULARZ OFERTOWY DANE WYKONAWCY* Nazwa Wykonawcy/w: Adres:Osoba odpowiedzialna za kontakty z Zamawiajcym: NIP, REGON: Dane teleadresowe: TEL, E  mail:Osoba upowa|niona do reprezentacji Wykonawcw i podpisujca ofert:*wypeBni tabel z prawej strony W odpowiedzi na zaproszenie do zBo|enia oferty cenowej na:  WyBapywanie i dostarczanie do schroniska bezdomnych zwierzt ( psw/kotw) z terenu gminy Po[witne , oferuj wykonanie przedmiotu zamwienia w zakresie oraz zgodnie z wymogami okre[lonymi w OgBoszeniu o zamwieniu za cen w wysoko[ci: L.p.Nazwa usBugiCena netto (PLN) za 1 szt.Stawka podatku VAT %Cena brutto (PLN) za 1 szt. A.B.C.1.OdBowienie i zapewnienie opieki bezdomnym psom2.OdBowienie i zapewnienie opieki bezdomnym szczenitom3.OdBowienie i zapewnienie opieki bezdomnym kotom 4.U[pienie [lepego miotu   *Aczna warto[ oferty brutto: * Do obliczenia caBkowitej warto[ci oferty brutto nale|y przyj sum pozycji: C1+C2+C3. TERMIN WYKONANIA: 12 miesicy poczwszy od dnia podpisania umowy, jednak nie wcze[niej ni| od dnia 1 stycznia 2024r. (tj. od 1 stycznia 2024r. do 31 grudnia 2024r.) OZWIADCZENIA: O[wiadczam/my |e zapoznaBem/li[my si ze szczegBowymi warunkami zapytania ofertowego zawartymi w zapytaniu ofertowym oraz wzorze umowy , i |e akceptujemy je bez zastrze|eD. O[wiadczam/my, |e niniejsz ofert przygotowaBem/li[my zgodnie z wymaganiami okre[lonymi w zapytaniu ofertowym. O[wiadczam/my, |e posiadam/ posiadamy niezbdne uprawnienia, umiejtno[ci, wiedz, [rodki i sprzt i do[wiadczenie do wykonania umowy i zobowizuje si wykona j z nale|yt staranno[ci oraz aktualnym poziomem wiedzy i techniki. O[wiadczam/my, |e zamwienie zobowizuje/my si wykona w terminie okre[lonym w zapytaniu ofertowym. 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O[wiadczam/my, |e zobowizuje/my si w przypadku wyboru mojej/naszej oferty zawrze umow o tre[ci jak w ZaBczniku Nr 2 do zapytania ofertowego. O[wiadczam/my, |e nie podlegam/y wykluczeniu 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 2023 r. poz. 1497). Wszystkie informacje podane w powy|szych o[wiadczeniach s aktualne i zgodne z prawd oraz zostaBy przedstawione z peBn [wiadomo[ci konsekwencji wprowadzenia zamawiajcego w bBd przy przedstawianiu informacji. O[wiadczamy, |e wypeBnili[my obowizki informacyjne przewidziane w art. 13 lub art. 14 Rozporzdzenia 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 r., str. 1) 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. & ................................................ podpis Wykonawcy     GMINA POZWITNE ul. 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