{\rtf1\adeflang1025\ansi\ansicpg1250\uc1\adeff47\deff0\stshfdbch0\stshfloch47\stshfhich47\stshfbi47\deflang1045\deflangfe1045\themelang1045\themelangfe0\themelangcs0{\fonttbl{\f0\fbidi \froman\fcharset238\fprq2{\*\panose 02020603050405020304}Times New Roman{\*\falt Times New Roman};}
{\f2\fbidi \fmodern\fcharset238\fprq1{\*\panose 02070309020205020404}Courier New;}{\f3\fbidi \froman\fcharset2\fprq2{\*\panose 05050102010706020507}Symbol;}{\f10\fbidi \fnil\fcharset2\fprq2{\*\panose 05000000000000000000}Wingdings{\*\falt Wingdings};}
{\f34\fbidi \froman\fcharset238\fprq2{\*\panose 02040503050406030204}Cambria Math;}{\f45\fbidi \fswiss\fcharset238\fprq2{\*\panose 00000000000000000000}Segoe UI{\*\falt Century Gothic};}
{\f47\fbidi \fswiss\fcharset238\fprq2{\*\panose 00000000000000000000}Arial Narrow;}{\f50\fbidi \fnil\fcharset128\fprq0{\*\panose 00000000000000000000}ArialMT{\*\falt MS Mincho};}{\f52\fbidi \fnil\fcharset128\fprq0{\*\panose 00000000000000000000}@ArialMT;}
{\f142\fbidi \fmodern\fcharset134\fprq1{\*\panose 02010609030101010101}NSimSun;}{\f143\fbidi \fmodern\fcharset134\fprq1 @NSimSun;}{\flomajor\f31500\fbidi \froman\fcharset238\fprq2{\*\panose 02020603050405020304}Times New Roman{\*\falt Times New Roman};}
{\fdbmajor\f31501\fbidi \froman\fcharset238\fprq2{\*\panose 02020603050405020304}Times New Roman{\*\falt Times New Roman};}{\fhimajor\f31502\fbidi \fswiss\fcharset238\fprq2{\*\panose 020f0302020204030204}Calibri Light;}
{\fbimajor\f31503\fbidi \froman\fcharset238\fprq2{\*\panose 02020603050405020304}Times New Roman{\*\falt Times New Roman};}{\flominor\f31504\fbidi \froman\fcharset238\fprq2{\*\panose 02020603050405020304}Times New Roman{\*\falt Times New Roman};}
{\fdbminor\f31505\fbidi \froman\fcharset238\fprq2{\*\panose 02020603050405020304}Times New Roman{\*\falt Times New Roman};}{\fhiminor\f31506\fbidi \fswiss\fcharset238\fprq2{\*\panose 020f0502020204030204}Calibri{\*\falt Calibri};}
{\fbiminor\f31507\fbidi \froman\fcharset238\fprq2{\*\panose 02020603050405020304}Times New Roman{\*\falt Times New Roman};}{\f1321\fbidi \froman\fcharset0\fprq2 Times New Roman{\*\falt Times New Roman};}
{\f1320\fbidi \froman\fcharset204\fprq2 Times New Roman Cyr{\*\falt Times New Roman};}{\f1322\fbidi \froman\fcharset161\fprq2 Times New Roman Greek{\*\falt Times New Roman};}
{\f1323\fbidi \froman\fcharset162\fprq2 Times New Roman Tur{\*\falt Times New Roman};}{\f1324\fbidi \froman\fcharset177\fprq2 Times New Roman (Hebrew){\*\falt Times New Roman};}
{\f1325\fbidi \froman\fcharset178\fprq2 Times New Roman (Arabic){\*\falt Times New Roman};}{\f1326\fbidi \froman\fcharset186\fprq2 Times New Roman Baltic{\*\falt Times New Roman};}
{\f1327\fbidi \froman\fcharset163\fprq2 Times New Roman (Vietnamese){\*\falt Times New Roman};}{\f1341\fbidi \fmodern\fcharset0\fprq1 Courier New;}{\f1340\fbidi \fmodern\fcharset204\fprq1 Courier New Cyr;}
{\f1342\fbidi \fmodern\fcharset161\fprq1 Courier New Greek;}{\f1343\fbidi \fmodern\fcharset162\fprq1 Courier New Tur;}{\f1344\fbidi \fmodern\fcharset177\fprq1 Courier New (Hebrew);}{\f1345\fbidi \fmodern\fcharset178\fprq1 Courier New (Arabic);}
{\f1346\fbidi \fmodern\fcharset186\fprq1 Courier New Baltic;}{\f1347\fbidi \fmodern\fcharset163\fprq1 Courier New (Vietnamese);}{\f1661\fbidi \froman\fcharset0\fprq2 Cambria Math;}{\f1660\fbidi \froman\fcharset204\fprq2 Cambria Math Cyr;}
{\f1662\fbidi \froman\fcharset161\fprq2 Cambria Math Greek;}{\f1663\fbidi \froman\fcharset162\fprq2 Cambria Math Tur;}{\f1666\fbidi \froman\fcharset186\fprq2 Cambria Math Baltic;}{\f1667\fbidi \froman\fcharset163\fprq2 Cambria Math (Vietnamese);}
{\f1771\fbidi \fswiss\fcharset0\fprq2 Segoe UI{\*\falt Century Gothic};}{\f1770\fbidi \fswiss\fcharset204\fprq2 Segoe UI Cyr{\*\falt Century Gothic};}{\f1772\fbidi \fswiss\fcharset161\fprq2 Segoe UI Greek{\*\falt Century Gothic};}
{\f1773\fbidi \fswiss\fcharset162\fprq2 Segoe UI Tur{\*\falt Century Gothic};}{\f1774\fbidi \fswiss\fcharset177\fprq2 Segoe UI (Hebrew){\*\falt Century Gothic};}{\f1775\fbidi \fswiss\fcharset178\fprq2 Segoe UI (Arabic){\*\falt Century Gothic};}
{\f1776\fbidi \fswiss\fcharset186\fprq2 Segoe UI Baltic{\*\falt Century Gothic};}{\f1777\fbidi \fswiss\fcharset163\fprq2 Segoe UI (Vietnamese){\*\falt Century Gothic};}{\f1791\fbidi \fswiss\fcharset0\fprq2 Arial Narrow;}
{\f1790\fbidi \fswiss\fcharset204\fprq2 Arial Narrow Cyr;}{\f1792\fbidi \fswiss\fcharset161\fprq2 Arial Narrow Greek;}{\f1793\fbidi \fswiss\fcharset162\fprq2 Arial Narrow Tur;}{\f1796\fbidi \fswiss\fcharset186\fprq2 Arial Narrow Baltic;}
{\f1819\fbidi \fnil\fcharset238\fprq0 ArialMT CE{\*\falt MS Mincho};}{\f2741\fbidi \fmodern\fcharset0\fprq1 NSimSun Western;}{\f2751\fbidi \fmodern\fcharset0\fprq1 @NSimSun Western;}
{\flomajor\f31510\fbidi \froman\fcharset0\fprq2 Times New Roman{\*\falt Times New Roman};}{\flomajor\f31509\fbidi \froman\fcharset204\fprq2 Times New Roman Cyr{\*\falt Times New Roman};}
{\flomajor\f31511\fbidi \froman\fcharset161\fprq2 Times New Roman Greek{\*\falt Times New Roman};}{\flomajor\f31512\fbidi \froman\fcharset162\fprq2 Times New Roman Tur{\*\falt Times New Roman};}
{\flomajor\f31513\fbidi \froman\fcharset177\fprq2 Times New Roman (Hebrew){\*\falt Times New Roman};}{\flomajor\f31514\fbidi \froman\fcharset178\fprq2 Times New Roman (Arabic){\*\falt Times New Roman};}
{\flomajor\f31515\fbidi \froman\fcharset186\fprq2 Times New Roman Baltic{\*\falt Times New Roman};}{\flomajor\f31516\fbidi \froman\fcharset163\fprq2 Times New Roman (Vietnamese){\*\falt Times New Roman};}
{\fdbmajor\f31520\fbidi \froman\fcharset0\fprq2 Times New Roman{\*\falt Times New Roman};}{\fdbmajor\f31519\fbidi \froman\fcharset204\fprq2 Times New Roman Cyr{\*\falt Times New Roman};}
{\fdbmajor\f31521\fbidi \froman\fcharset161\fprq2 Times New Roman Greek{\*\falt Times New Roman};}{\fdbmajor\f31522\fbidi \froman\fcharset162\fprq2 Times New Roman Tur{\*\falt Times New Roman};}
{\fdbmajor\f31523\fbidi \froman\fcharset177\fprq2 Times New Roman (Hebrew){\*\falt Times New Roman};}{\fdbmajor\f31524\fbidi \froman\fcharset178\fprq2 Times New Roman (Arabic){\*\falt Times New Roman};}
{\fdbmajor\f31525\fbidi \froman\fcharset186\fprq2 Times New Roman Baltic{\*\falt Times New Roman};}{\fdbmajor\f31526\fbidi \froman\fcharset163\fprq2 Times New Roman (Vietnamese){\*\falt Times New Roman};}
{\fhimajor\f31530\fbidi \fswiss\fcharset0\fprq2 Calibri Light;}{\fhimajor\f31529\fbidi \fswiss\fcharset204\fprq2 Calibri Light Cyr;}{\fhimajor\f31531\fbidi \fswiss\fcharset161\fprq2 Calibri Light Greek;}
{\fhimajor\f31532\fbidi \fswiss\fcharset162\fprq2 Calibri Light Tur;}{\fhimajor\f31533\fbidi \fswiss\fcharset177\fprq2 Calibri Light (Hebrew);}{\fhimajor\f31534\fbidi \fswiss\fcharset178\fprq2 Calibri Light (Arabic);}
{\fhimajor\f31535\fbidi \fswiss\fcharset186\fprq2 Calibri Light Baltic;}{\fhimajor\f31536\fbidi \fswiss\fcharset163\fprq2 Calibri Light (Vietnamese);}{\fbimajor\f31540\fbidi \froman\fcharset0\fprq2 Times New Roman{\*\falt Times New Roman};}
{\fbimajor\f31539\fbidi \froman\fcharset204\fprq2 Times New Roman Cyr{\*\falt Times New Roman};}{\fbimajor\f31541\fbidi \froman\fcharset161\fprq2 Times New Roman Greek{\*\falt Times New Roman};}
{\fbimajor\f31542\fbidi \froman\fcharset162\fprq2 Times New Roman Tur{\*\falt Times New Roman};}{\fbimajor\f31543\fbidi \froman\fcharset177\fprq2 Times New Roman (Hebrew){\*\falt Times New Roman};}
{\fbimajor\f31544\fbidi \froman\fcharset178\fprq2 Times New Roman (Arabic){\*\falt Times New Roman};}{\fbimajor\f31545\fbidi \froman\fcharset186\fprq2 Times New Roman Baltic{\*\falt Times New Roman};}
{\fbimajor\f31546\fbidi \froman\fcharset163\fprq2 Times New Roman (Vietnamese){\*\falt Times New Roman};}{\flominor\f31550\fbidi \froman\fcharset0\fprq2 Times New Roman{\*\falt Times New Roman};}
{\flominor\f31549\fbidi \froman\fcharset204\fprq2 Times New Roman Cyr{\*\falt Times New Roman};}{\flominor\f31551\fbidi \froman\fcharset161\fprq2 Times New Roman Greek{\*\falt Times New Roman};}
{\flominor\f31552\fbidi \froman\fcharset162\fprq2 Times New Roman Tur{\*\falt Times New Roman};}{\flominor\f31553\fbidi \froman\fcharset177\fprq2 Times New Roman (Hebrew){\*\falt Times New Roman};}
{\flominor\f31554\fbidi \froman\fcharset178\fprq2 Times New Roman (Arabic){\*\falt Times New Roman};}{\flominor\f31555\fbidi \froman\fcharset186\fprq2 Times New Roman Baltic{\*\falt Times New Roman};}
{\flominor\f31556\fbidi \froman\fcharset163\fprq2 Times New Roman (Vietnamese){\*\falt Times New Roman};}{\fdbminor\f31560\fbidi \froman\fcharset0\fprq2 Times New Roman{\*\falt Times New Roman};}
{\fdbminor\f31559\fbidi \froman\fcharset204\fprq2 Times New Roman Cyr{\*\falt Times New Roman};}{\fdbminor\f31561\fbidi \froman\fcharset161\fprq2 Times New Roman Greek{\*\falt Times New Roman};}
{\fdbminor\f31562\fbidi \froman\fcharset162\fprq2 Times New Roman Tur{\*\falt Times New Roman};}{\fdbminor\f31563\fbidi \froman\fcharset177\fprq2 Times New Roman (Hebrew){\*\falt Times New Roman};}
{\fdbminor\f31564\fbidi \froman\fcharset178\fprq2 Times New Roman (Arabic){\*\falt Times New Roman};}{\fdbminor\f31565\fbidi \froman\fcharset186\fprq2 Times New Roman Baltic{\*\falt Times New Roman};}
{\fdbminor\f31566\fbidi \froman\fcharset163\fprq2 Times New Roman (Vietnamese){\*\falt Times New Roman};}{\fhiminor\f31570\fbidi \fswiss\fcharset0\fprq2 Calibri{\*\falt Calibri};}
{\fhiminor\f31569\fbidi \fswiss\fcharset204\fprq2 Calibri Cyr{\*\falt Calibri};}{\fhiminor\f31571\fbidi \fswiss\fcharset161\fprq2 Calibri Greek{\*\falt Calibri};}{\fhiminor\f31572\fbidi \fswiss\fcharset162\fprq2 Calibri Tur{\*\falt Calibri};}
{\fhiminor\f31573\fbidi \fswiss\fcharset177\fprq2 Calibri (Hebrew){\*\falt Calibri};}{\fhiminor\f31574\fbidi \fswiss\fcharset178\fprq2 Calibri (Arabic){\*\falt Calibri};}{\fhiminor\f31575\fbidi \fswiss\fcharset186\fprq2 Calibri Baltic{\*\falt Calibri};}
{\fhiminor\f31576\fbidi \fswiss\fcharset163\fprq2 Calibri (Vietnamese){\*\falt Calibri};}{\fbiminor\f31580\fbidi \froman\fcharset0\fprq2 Times New Roman{\*\falt Times New Roman};}
{\fbiminor\f31579\fbidi \froman\fcharset204\fprq2 Times New Roman Cyr{\*\falt Times New Roman};}{\fbiminor\f31581\fbidi \froman\fcharset161\fprq2 Times New Roman Greek{\*\falt Times New Roman};}
{\fbiminor\f31582\fbidi \froman\fcharset162\fprq2 Times New Roman Tur{\*\falt Times New Roman};}{\fbiminor\f31583\fbidi \froman\fcharset177\fprq2 Times New Roman (Hebrew){\*\falt Times New Roman};}
{\fbiminor\f31584\fbidi \froman\fcharset178\fprq2 Times New Roman (Arabic){\*\falt Times New Roman};}{\fbiminor\f31585\fbidi \froman\fcharset186\fprq2 Times New Roman Baltic{\*\falt Times New Roman};}
{\fbiminor\f31586\fbidi \froman\fcharset163\fprq2 Times New Roman (Vietnamese){\*\falt Times New Roman};}}{\colortbl;\red0\green0\blue0;\red0\green0\blue255;\red0\green255\blue255;\red0\green255\blue0;\red255\green0\blue255;\red255\green0\blue0;
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\red0\green0\blue0;}{\*\defchp \f47 }{\*\defpap \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 }\noqfpromote {\stylesheet{\ql \li0\ri0\sa200\sl276\slmult1
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\'00;}{\levelnumbers;}\rtlch\fcs1 \af0 \ltrch\fcs0 }{\listlevel\levelnfc0\levelnfcn0\leveljc0\leveljcn0\levelfollow0\levelstartat0\levelspace0\levelindent0{\leveltext\'00;}{\levelnumbers;}\rtlch\fcs1 \af0 \ltrch\fcs0 }{\listlevel\levelnfc0\levelnfcn0
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\fi-432\li792\jclisttab\tx792\lin792 }{\listlevel\levelnfc0\levelnfcn0\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\'06\'00.\'01.\'02.;}{\levelnumbers\'01\'03\'05;}\rtlch\fcs1 \af0 \ltrch\fcs0 \fi-504\li1224
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\af0 \ltrch\fcs0 \fi-1080\li3240\jclisttab\tx3600\lin3240 }{\listlevel\levelnfc0\levelnfcn0\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\'10\'00.\'01.\'02.\'03.\'04.\'05.\'06.\'07.;}{\levelnumbers
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{\leveltext\'00;}{\levelnumbers;}\rtlch\fcs1 \af0 \ltrch\fcs0 }{\listlevel\levelnfc0\levelnfcn0\leveljc0\leveljcn0\levelfollow0\levelstartat0\levelspace0\levelindent0{\leveltext\'00;}{\levelnumbers;}\rtlch\fcs1 \af0 \ltrch\fcs0 }{\listlevel\levelnfc0
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\asianbrkrule\rsidroot12527231\newtblstyruls\nogrowautofit \fet0{\*\wgrffmtfilter 2450}\ilfomacatclnup0{\*\ftnsep \ltrpar \pard\plain \ltrpar\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1993670 \rtlch\fcs1 
\af47\afs22\alang1025 \ltrch\fcs0 \f47\fs22\lang1045\langfe1045\cgrid\langnp1045\langfenp1045 {\rtlch\fcs1 \af47 \ltrch\fcs0 \insrsid5969578 \chftnsep 
\par }}{\*\ftnsepc \ltrpar \pard\plain \ltrpar\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1993670 \rtlch\fcs1 \af47\afs22\alang1025 \ltrch\fcs0 \f47\fs22\lang1045\langfe1045\cgrid\langnp1045\langfenp1045 {
\rtlch\fcs1 \af47 \ltrch\fcs0 \insrsid5969578 \chftnsepc 
\par }}{\*\aftnsep \ltrpar \pard\plain \ltrpar\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1993670 \rtlch\fcs1 \af47\afs22\alang1025 \ltrch\fcs0 \f47\fs22\lang1045\langfe1045\cgrid\langnp1045\langfenp1045 {
\rtlch\fcs1 \af47 \ltrch\fcs0 \insrsid5969578 \chftnsep 
\par }}{\*\aftnsepc \ltrpar \pard\plain \ltrpar\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1993670 \rtlch\fcs1 \af47\afs22\alang1025 \ltrch\fcs0 \f47\fs22\lang1045\langfe1045\cgrid\langnp1045\langfenp1045 {
\rtlch\fcs1 \af47 \ltrch\fcs0 \insrsid5969578 \chftnsepc 
\par }}\ltrpar \sectd \ltrsect\linex0\headery708\footery708\colsx708\endnhere\sectdefaultcl\sectrsid806357\sftnbj {\*\pnseclvl1\pnucrm\pnstart1\pnindent720\pnhang {\pntxta .}}{\*\pnseclvl2\pnucltr\pnstart1\pnindent720\pnhang {\pntxta .}}{\*\pnseclvl3
\pndec\pnstart1\pnindent720\pnhang {\pntxta .}}{\*\pnseclvl4\pnlcltr\pnstart1\pnindent720\pnhang {\pntxta )}}{\*\pnseclvl5\pndec\pnstart1\pnindent720\pnhang {\pntxtb (}{\pntxta )}}{\*\pnseclvl6\pnlcltr\pnstart1\pnindent720\pnhang {\pntxtb (}{\pntxta )}}
{\*\pnseclvl7\pnlcrm\pnstart1\pnindent720\pnhang {\pntxtb (}{\pntxta )}}{\*\pnseclvl8\pnlcltr\pnstart1\pnindent720\pnhang {\pntxtb (}{\pntxta )}}{\*\pnseclvl9\pnlcrm\pnstart1\pnindent720\pnhang {\pntxtb (}{\pntxta )}}\pard\plain \ltrpar
\qr \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid13710173 \rtlch\fcs1 \af47\afs22\alang1025 \ltrch\fcs0 \f47\fs22\lang1045\langfe1045\cgrid\langnp1045\langfenp1045 {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\f0\fs24\insrsid5074870\charrsid5074870 Za\'b3\'b9cznik nr }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid5074870 3}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid5074870\charrsid5074870  do SWZ}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\f0\fs24\insrsid13710173 
\par }\pard \ltrpar\ql \li0\ri0\sb120\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid13710173 {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid5074870\charrsid5074870  }{\rtlch\fcs1 \af0\afs28 \ltrch\fcs0 
\b\fs28\ul\loch\af0\hich\af0\dbch\af50\insrsid13710173\charrsid13710173 \hich\af0\dbch\af50\loch\f0 Wykonawca: }{\rtlch\fcs1 \af0\afs28 \ltrch\fcs0 \f0\fs28\insrsid13710173 
\par }\pard \ltrpar\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid13710173 {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \fs24\loch\af0\hich\af0\dbch\af50\insrsid13710173\charrsid13710173 
......................................................................}{\rtlch\fcs1 \af0\afs28 \ltrch\fcs0 \f0\fs28\insrsid13710173\charrsid13710173 
\par }\pard \ltrpar\ql \li0\ri0\widctlpar\wrapdefault\faauto\rin0\lin0\itap0\pararsid13710173 {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \fs24\loch\af0\hich\af0\dbch\af50\insrsid13710173\charrsid13710173 
........................................................................
\par }{\rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \fs20\loch\af0\hich\af0\dbch\af50\insrsid13710173\charrsid13710173 \hich\af0\dbch\af50\loch\f0 \hich\f0 (pe\'b3\loch\f0 \hich\f0 na nazwa/firma, adres, w zale\'bf\loch\f0 \hich\f0 no\'9c\loch\f0 ci od podmiotu: \line 
\hich\f0 NIP/PESEL, KRS/CEiDG je\'bf\loch\f0 eli dotyczy)
\par }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \fs24\loch\af0\hich\af0\dbch\af50\insrsid13710173\charrsid13710173 \hich\af0\dbch\af50\loch\f0 reprezentowany przez:  }{\rtlch\fcs1 \af0\afs20 \ltrch\fcs0 
\fs20\loch\af0\hich\af0\dbch\af50\insrsid13710173\charrsid13710173 
\par .............................................................................................\line .............................................................................................
\par \hich\af0\dbch\af50\loch\f0 \hich\f0 (imi\'ea\hich\af0\dbch\af50\loch\f0 , nazwisko, stanowisko/podstawa do reprezentacji)}{\rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \fs20\loch\af0\hich\af0\dbch\af50\insrsid3427628 
\par }{\rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \cs20\fs20\loch\af0\hich\af0\dbch\af50\insrsid13710173\charrsid13710173 
\par }\pard\plain \ltrpar\s16\qc \li0\ri0\sa120\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1993670 \rtlch\fcs1 \af47\afs22\alang1025 \ltrch\fcs0 \f47\fs22\lang1045\langfe1045\cgrid\langnp1045\langfenp1045 {\rtlch\fcs1 
\af0\afs24 \ltrch\fcs0 \cs20\b\f0\fs24\insrsid1139779\charrsid13710173 O\'8cWIADCZENIE }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \cs20\b\f0\fs24\insrsid1993670 WYKONAWCY 
\par }\pard \ltrpar\s16\qc \li0\ri0\sb120\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1993670 {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \cs20\b\f0\fs24\insrsid13710173\charrsid13710173 \line }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\cs20\b\f0\fs24\insrsid1993670 na podstawie }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \b\f0\fs24\insrsid1993670 \line }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \b\f0\fs24\insrsid13710173\charrsid1993670 w art. 125 ust. 1 ustawy z dnia 11 wrze\'9c
nia 2019 r. Prawo zam\'f3wie\'f1 publicznych}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \b\f0\fs24\lang1045\langfe1033\langfenp1033\insrsid1993670\charrsid1993670  }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \b\f0\fs24\insrsid1993670\charrsid1993670 
\par }\pard \ltrpar\s16\qc \li0\ri0\sa120\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1993670 {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \b\f0\fs24\lang1045\langfe1033\langfenp1033\insrsid1993670\charrsid1993670 oraz }{
\rtlch\fcs1 \ab\af0\afs24 \ltrch\fcs0 \b\f0\fs24\cf1\lang1045\langfe1033\langfenp1033\insrsid1993670\charrsid1993670 art. 7 ust. 1 ustawy z dnia 13 kwietnia 2022 r. o szczeg\'f3lnych rozwi\'b9zaniach }{\rtlch\fcs1 \ab\af0\afs24 \ltrch\fcs0 
\b\f0\fs24\cf1\lang1045\langfe1033\langfenp1033\insrsid1993670 \line }{\rtlch\fcs1 \ab\af0\afs24 \ltrch\fcs0 \b\f0\fs24\cf1\lang1045\langfe1033\langfenp1033\insrsid1993670\charrsid1993670 w zakresie przeciwdzia\'b3ania wspieraniu agresji na Ukrain\'ea
 oraz s\'b3u\'bf\'b9cych ochronie bezpiecze\'f1stwa narodowego}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \b\f0\fs24\insrsid11757814\charrsid1993670 
\par }\pard\plain \ltrpar\ql \li0\ri0\sa120\sl276\slmult1\widctlpar\tqc\tx4536\tx6945\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1993670 \rtlch\fcs1 \af47\afs22\alang1025 \ltrch\fcs0 
\f47\fs22\lang1045\langfe1045\cgrid\langnp1045\langfenp1045 {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \fs24\loch\af0\hich\af0\dbch\af50\insrsid7557740\charrsid13710173 \hich\af0\dbch\af50\loch\f0 \hich\f0 Na potrzeby post\'ea\loch\f0 \hich\f0 
powania o udzielenie zam\'f3\hich\af0\dbch\af50\loch\f0 wienia publicznego{\*\bkmkstart _Hlk500935577}\hich\af0\dbch\af50\loch\f0  }{\rtlch\fcs1 \ab\ai\af0\afs24 \ltrch\fcs0 \fs24\loch\af0\hich\af0\dbch\af50\insrsid7557740\charrsid13710173 
{\*\bkmkend _Hlk500935577}\hich\af0\dbch\af50\loch\f0 pn.: }{\rtlch\fcs1 \ai\af0\afs24 \ltrch\fcs0 \b\fs24\loch\af0\hich\af0\dbch\af50\insrsid13710173\charrsid2890341 \loch\af0\dbch\af50\hich\f0 \'84}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\b\f0\fs24\lang1045\langfe1033\langfenp1033\insrsid12076413\charrsid12076413 Zakup samochodu do przewozu dzieci }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \b\f0\fs24\lang1045\langfe1033\langfenp1033\insrsid13710173\charrsid2890341 \'94}{\rtlch\fcs1 \af0\afs24 
\ltrch\fcs0 \f0\fs24\insrsid12652604\charrsid13710173  }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \fs24\loch\af0\hich\af0\dbch\af50\insrsid7557740\charrsid13710173 \hich\af0\dbch\af50\loch\f0 \hich\f0 o\'9c\loch\f0 \hich\f0 wiadczam, co nast\'ea\loch\f0 puje:}{
\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \b\f0\fs24\lang1045\langfe1033\langfenp1033\insrsid1993670\charrsid13710173 
\par }\pard \ltrpar\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid5964297 {\rtlch\fcs1 \af0 \ltrch\fcs0 \cs20\b\f0\fs24\ul\insrsid5964297\charrsid5964297 O\'9cwiadczenie o spe\'b3nianiu warunk\'f3w}{\rtlch\fcs1 
\af0 \ltrch\fcs0 \cs20\b\f0\fs24\ul\insrsid5964297 
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\fs24\ul\insrsid5964297\charrsid5964297 
\par }\pard \ltrpar\qj \li0\ri0\sa200\sl276\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid5964297 {\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\fs24\insrsid5964297\charrsid5647889 O\'9cwiadczam, \'bfe spe\'b3nia}{\rtlch\fcs1 
\af0 \ltrch\fcs0 \f0\fs24\insrsid5964297 m}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\fs24\insrsid5964297\charrsid5647889  warunki udzia\'b3u w post\'eapowaniu okre\'9clone w }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\fs24\insrsid5964297 Rozdziale VI \line ust.}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\fs24\insrsid5964297\charrsid5647889  }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\fs24\insrsid5964297 2 }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\fs24\insrsid5964297\charrsid5647889 SWZ }{\rtlch\fcs1 \af0 \ltrch\fcs0 
\cs20\b\f0\fs24\insrsid1993670\charrsid5964297 
\par }\pard \ltrpar\ql \li0\ri0\sb120\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1993670 {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \cs20\b\f0\fs24\ul\insrsid1139779\charrsid13710173 O\'9cwiadczeni}{\rtlch\fcs1 \af0\afs24 
\ltrch\fcs0 \cs20\b\f0\fs24\ul\insrsid5964297 a}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \cs20\b\f0\fs24\ul\insrsid1139779\charrsid13710173  o niepodleganiu wykluczeniu}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \cs20\b\f0\fs24\ul\insrsid12527231\charrsid13710173 

\par }\pard \ltrpar\qj \li0\ri0\sb120\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid13710173 {\rtlch\fcs1 \ab\af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid1993670\charrsid1993670 
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \af0 \ltrch\fcs0 \lang1045\langfe1033\langfenp1033\insrsid1993670\charrsid1993670 \hich\af0\dbch\af0\loch\f0 1.\tab}}\pard \ltrpar
\ql \fi-284\li284\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls34\adjustright\rin0\lin284\itap0\pararsid5964297\contextualspace {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\lang1045\langfe1033\langfenp1033\insrsid1993670\charrsid1993670 O\'9c
wiadczam, \'bfe nie podlegam wykluczeniu z post\'eapowania na podstawie }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\fs24\insrsid5964297\charrsid5964297 
\par }\pard \ltrpar\ql \li284\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin284\itap0\pararsid5964297\contextualspace {\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\fs24\insrsid5964297 - }{\rtlch\fcs1 \af0 \ltrch\fcs0 
\f0\fs24\insrsid5964297\charrsid5647889 art. 108 ust. 1 pkt 1-6 }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\fs24\insrsid5964297 u}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\fs24\insrsid5964297\charrsid5647889 stawy P}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\fs24\insrsid5964297 zp
}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\fs24\insrsid5964297\charrsid5647889 ;}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\fs24\insrsid5964297 
\par }\pard \ltrpar\qj \li0\ri0\sa200\sl276\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid5964297 {\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\fs24\insrsid5964297 {\*\bkmkstart _Hlk73538156}     - }{\rtlch\fcs1 \af0 \ltrch\fcs0 
\f0\fs24\insrsid5964297 art. 109 ust.1 pkt 4 ustawy Pzp}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\fs24\insrsid1993670\charrsid5964297 {\*\bkmkend _Hlk73538156}
\par }\pard \ltrpar\qj \fi-284\li284\ri0\sl276\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin284\itap0\pararsid5964297 {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\lang1045\langfe1033\langfenp1033\insrsid5964297 2. }{\rtlch\fcs1 
\af0\afs24 \ltrch\fcs0 \f0\fs24\lang1045\langfe1033\langfenp1033\insrsid1993670\charrsid1993670 O\'9cwiadczam, \'bfe zachodz\'b9 w stosunku do mnie podstawy wykluczenia z post\'eapowania na podstawie art. \'85\'85\'85 }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\f0\fs24\lang1045\langfe1033\langfenp1033\insrsid5964297 ustawy }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\lang1045\langfe1033\langfenp1033\insrsid1993670\charrsid1993670 Pzp }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\i\f0\fs24\lang1045\langfe1033\langfenp1033\insrsid1993670\charrsid1993670 (poda\'e6 maj\'b9c\'b9 zastosowanie podstaw\'ea wykluczenia).
\par }\pard \ltrpar\ql \li0\ri0\sl276\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1993670 {\rtlch\fcs1 \ab\ai\af0\afs24 \ltrch\fcs0 \f0\fs24\lang1045\langfe1033\langfenp1033\insrsid1993670\charrsid1993670 
\par }\pard \ltrpar\qj \li0\ri0\sl276\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1775670 {\rtlch\fcs1 \ab\ai\af0\afs24 \ltrch\fcs0 \f0\fs24\lang1045\langfe1033\langfenp1033\insrsid1993670\charrsid1993670 
W przypadku gdy w stosunku do Wykonawcy zachodzi kt\'f3rakolwiek z okoliczno\'9cci okre\'9clonych w art. 108 ust. 1 pkt 1, 2 i 5 ustawy Pzp skutkuj\'b9ca wykluczeniem }{\rtlch\fcs1 \ab\ai\af0\afs24 \ltrch\fcs0 
\f0\fs24\lang1045\langfe1033\langfenp1033\insrsid1775670 \line }{\rtlch\fcs1 \ab\ai\af0\afs24 \ltrch\fcs0 \f0\fs24\lang1045\langfe1033\langfenp1033\insrsid1993670\charrsid1993670 z}{\rtlch\fcs1 \ab\ai\af0\afs24 \ltrch\fcs0 
\f0\fs24\lang1045\langfe1033\langfenp1033\insrsid1775670  }{\rtlch\fcs1 \ab\ai\af0\afs24 \ltrch\fcs0 \f0\fs24\lang1045\langfe1033\langfenp1033\insrsid1993670\charrsid1993670 post\'eapowania to Wykonawca zobowi\'b9zany jest wskaza\'e6 w niniejszym o\'9c
wiadczeniu }{\rtlch\fcs1 \ab\ai\af0\afs24 \ltrch\fcs0 \f0\fs24\lang1045\langfe1033\langfenp1033\insrsid1775670 \line }{\rtlch\fcs1 \ab\ai\af0\afs24 \ltrch\fcs0 \f0\fs24\lang1045\langfe1033\langfenp1033\insrsid1993670\charrsid1993670 t\'ea okoliczno\'9c
\'e6 i udowodni\'e6}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \b\i\f0\fs24\lang1045\langfe1033\langfenp1033\insrsid1993670\charrsid1993670  }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\lang1045\langfe1033\langfenp1033\insrsid1993670\charrsid1993670 Zamawiaj
\'b9cemu, \'bfe spe\'b3ni\'b3 \'b3\'b9cznie przes\'b3anki okre\'9clone w art. 110 ust. 2 Pzp.
\par }\pard \ltrpar\ql \li0\ri0\sl276\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1993670 {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\lang1045\langfe1033\langfenp1033\insrsid1993670\charrsid1993670 
..........................................................................................................................................
\par }{\rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \i\f0\fs20\lang1045\langfe1033\langfenp1033\insrsid1993670\charrsid1775670 (nale\'bfy wymieni\'e6 wszystkie podj\'eate \'9crodki naprawcze w tym zakresie)
\par }{\rtlch\fcs1 \af0\afs18 \ltrch\fcs0 \i\f0\fs18\lang1045\langfe1033\langfenp1033\insrsid1775670\charrsid1775670 
\par }\pard \ltrpar\qj \li0\ri0\sl276\slmult1\widctlpar\tx1134\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1775670 {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\cf1\lang1045\langfe1033\langfenp1033\insrsid5964297 3. }{\rtlch\fcs1 
\af0\afs24 \ltrch\fcs0 \f0\fs24\cf1\lang1045\langfe1033\langfenp1033\insrsid1993670\charrsid1993670 O\'9cwiadczam, \'bfe nie zachodz\'b9 w stosunku do mnie przes\'b3anki wykluczenia z post\'ea
powania na podstawie art. 7 ust. 1 ustawy z dnia 13 kwietnia 2022 r. o szczeg\'f3lnych rozwi\'b9zaniach }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\cf1\lang1045\langfe1033\langfenp1033\insrsid5964297 \line }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\f0\fs24\cf1\lang1045\langfe1033\langfenp1033\insrsid1993670\charrsid1993670 w zakresie przeciwdzia\'b3ania wspieraniu agresji na Ukrain\'ea oraz s\'b3u\'bf\'b9cych ochronie bezpiecze\'f1stwa narodowego.}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\f0\fs24\cf1\lang1045\langfe1033\langfenp1033\insrsid1993670 
\par }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\cf1\lang1045\langfe1033\langfenp1033\insrsid5964297 
\par 
\par 
\par 
\par 
\par }\pard \ltrpar\qj \li0\ri0\sb120\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid13710173 {\rtlch\fcs1 \ab\af0\afs24 \ltrch\fcs0 \b\f0\fs24\ul\insrsid1993670\charrsid1993670 O\'9cwiadczenie dotycz\'b9
ce podanych informacji: 
\par }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid5856157\charrsid13710173 O\'9cwiadczam, \'bfe wszystkie informacje podane w powy\'bfszych }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid1729453\charrsid13710173 O}{\rtlch\fcs1 \af0\afs24 
\ltrch\fcs0 \f0\fs24\insrsid5856157\charrsid13710173 \'9cwiadczeniach s\'b9 aktualne }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid4469638\charrsid13710173 \line }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid5856157\charrsid13710173 i}{
\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid4469638\charrsid13710173  }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid5856157\charrsid13710173 zgodne z prawd\'b9 oraz zosta\'b3y przedstawione z pe\'b3n\'b9 \'9cwiadomo\'9cci\'b9
 konsekwencji wprowadzenia }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid9791761\charrsid13710173 Zamawiaj\'b9cego }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid5856157\charrsid13710173 w b\'b3\'b9d przy przedstawianiu informacji.
\par }\pard\plain \ltrpar\s18\qr \li0\ri0\sb120\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid13710173 \rtlch\fcs1 \af47\afs22\alang1025 \ltrch\fcs0 \f47\fs22\lang1045\langfe1045\cgrid\langnp1045\langfenp1045 {\rtlch\fcs1 
\ab\af0\afs24 \ltrch\fcs0 \b\f0\fs24\insrsid2260766\charrsid13710173 
\par }\pard\plain \ltrpar\qc \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1775670 \rtlch\fcs1 \af47\afs22\alang1025 \ltrch\fcs0 \f47\fs22\lang1045\langfe1045\cgrid\langnp1045\langfenp1045 {\rtlch\fcs1 \ab\af0\afs24 
\ltrch\fcs0 \b\f0\fs24\lang1045\langfe2052\kerning2\langfenp2052\insrsid2260766\charrsid13710173 Uwaga! O\'9cwiadczenie nale\'bfy podpisa\'e6}{\rtlch\fcs1 \ab\af0\afs24 \ltrch\fcs0 
\b\fs24\lang1045\langfe2052\kerning2\loch\af0\hich\af0\dbch\af142\langfenp2052\insrsid2260766\charrsid13710173 \hich\af0\dbch\af142\loch\f0  }{\rtlch\fcs1 \ab\af0\afs24 \ltrch\fcs0 
\b\f0\fs24\lang1045\langfe2052\kerning2\langfenp2052\insrsid2260766\charrsid13710173 kwalifikowanym podpisem elektronicznym}{\rtlch\fcs1 \ab\af0\afs24 \ltrch\fcs0 
\b\fs24\lang1045\langfe2052\kerning2\loch\af0\hich\af0\dbch\af142\langfenp2052\insrsid2260766\charrsid13710173 
\par }{\rtlch\fcs1 \ab\af0\afs24 \ltrch\fcs0 \b\f0\fs24\lang1045\langfe2052\kerning2\langfenp2052\insrsid2260766\charrsid13710173 lub podpisem zaufanym lub podpisem osobistym}{\rtlch\fcs1 \ab\af0\afs24 \ltrch\fcs0 
\b\fs24\lang1045\langfe2052\kerning2\loch\af0\hich\af0\dbch\af142\langfenp2052\insrsid2260766\charrsid1775670 
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