ࡱ> cbjbjNN8$$i$i`+ OOOOOccc8$c655555557:`5-O5OO5vOO55.$1pfV(/85506/: ;~X ;4$1$1& ;OJ1@556 ; c :Znak Sprawy: RIiGK.271.9.2024 ZaBcznik nr 4 do SWZ Wykonawca: & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & (peBna nazwa/firma, adres) O[wiadczenie wykonawcy OZWIADCZENIE WYKONAWCY/W O PRZYNALE{NOZCI DO GRUPY KAPITAAOWEJ zgodnie z art. 108 ust. 1 pkt. 5 ustawy Pzp Na potrzeby postpowania o udzielenie zamwienia publicznego pn.:  Modernizacja kompleksu sportowego ORLIK 2012 w Bobowej prowadzonego przez Gmin Bobowa, ul. Rynek 21, 38-350 Bobowa. my ni|ej podpisani & & & & & & & & & & & & & & & & & & & & & & & & & & & .& & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & .& & & & & dziaBajc w imieniu i na rzecz & & & & & & & & & & & & & & & & & & ..& & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & . (nazwa (firma) dokBadny adres wykonawcy/wykonawcw, w przypadku skBadania wniosku przez podmioty wystpujce wsplnie poda nazwy (firmy) i dokBadne adresy wszystkich podmiotw) O[wiadczamy, i| Wykonawca: Nie nale|y* do grupy kapitaBowej, w rozumieniu ustawy z dnia 16 lutego 2007 r. o ochronie konkurencji.028:<v P R  ( 4 6 8 F Z \ P T ɹv_v,hjhj56@CJRHn\]^JaJ&hjhj5@CJRHn\^JaJhhh(M 6aJ hRe5aJhahRe5aJh.vha-&5>*CJ^JaJh.vh?5>*CJ^JaJ hth.vh(M h(M 6] h,U:5\ h(M h(M hWS5\ hp 5\h(M h(M 5\$ R  \ T N P $hd]^ha$gdRe$a$gdS $dDHa$gdj$a$gd(M $Fd]Fa$gd$hd]^ha$gdRe $dxa$gdRe dgdt dgdSgd(M  0 N P B D 24tvHlJhBƸ{{rhShSaJhW+QhReaJh#hRe>*aJh#hRePJ]aJU hReaJh#hReaJ hRe5hrhRe5hShS6CJRHbaJhRe6CJRHbaJhm?hRe6CJaJhrhReaJhReCJaJhRehShRe5\h(M ,P B D 4Bvg$d`a$gdRe$ & F d*$a$gdRe$ & F d*$a$gdS $da$gdS$hd]^ha$gdS$d]`a$gdRe$hd]^ha$gdRe$rd]^`ra$gdRe i konsumentw, o ktrej mowa w art. 108 ust. 1 pkt. 5 ustawy Pzp. 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