ࡱ> HJCDEFG1P$bjbjZЅqhЅqh ########8!$<]$#{y$y$y$y$y$w'w'w' { { { { { { {$&}R/{-#w'7'7'@w'w'/{##y$y$\{)))w'#y$#8y$ {)w' {))q# yy$(@utzr{0{u.Q(d. y yL.#Uyw'w')w'w'w'w'w'/{/{(dw'w'w'{w'w'w'w'.w'w'w'w'w'w'w'w'w'c K":SP.26.2.2022 ZaBcznik nr 2 do SWZ Zamawiajcy: Gmina Gorlice  SzkoBa Podstawowa w Zagrzanach z siedzib: Zagrzany 230, 38-333 Zagrzany O[wiadczenie wykonawcy o niepodleganiu wykluczeniu oraz speBnianiu warunkw udziaBu w postpowaniu skBadane na podstawie art. 125 ust. 1 ustawy z dnia 11 wrze[nia 2019 r. Prawo zamwieD publicznych (dalej jako: ustawa Pzp) skBadaj: Wykonawcy / Podwykonawcy / Inny podmiot, na ktrego zasobach powoBuje si Wykonawca & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & (peBna nazwa/firma, adres, w zale|no[ci od podmiotu: NIP/PESEL, KRS/CEiDG) Na potrzeby postpowania o udzielenie zamwienia publicznego pn. Dostawa i monta| dzwigu windowego w Szkole Podstawowej w Zagrzanach wraz z wykonaniem robt towarzyszcych  w systemie zaprojektuj i wybuduj, w ramach programu  Dostpna SzkoBa , o[wiadczam, co nastpuje: OZWIADCZENIE DOTYCZCE WYKONAWCY: O[wiadczam, |e nie podlegam wykluczeniu z postpowania na podstawie art. 108 ust. 1 ustawy Pzp. O[wiadczam, |e nie podlegam wykluczeniu z postpowania na podstawie art. 7 ust.1 ustawy z dnia 13 kwietnia 2022 r. o szczeglnych rozwizaniach w zakresie przeciwdziaBania wspieraniu agresji na Ukrain oraz sBu|cych ochronie bezpieczeDstwa narodowego  "6@BDFZ\`blprt ϱϢm\mK hU2Yh5CJOJQJ^JaJ h:5CJOJQJ\^JaJ&hm'h55CJOJQJ\^JaJ!hA^#h55;OJQJ\^JhA^#h55OJQJ\^Jh55CJOJQJ^JaJh5CJOJQJ^JaJhX5CJOJQJ^JaJ#hAh;5CJOJQJ^JaJh:CJOJQJ^JaJ h5h5CJOJQJ^JaJrtT V     < Z 'gd: kd1$]kgd; $d1$a$gd; $d1$a$gd;$a$gd;$dd1$\$a$gd;m$dgd5dgd; $ F R T V    T d    * , @ b h j          " $ & ϺϢύ(hAh;CJOJQJ^JaJnHtH.hAh;5>*CJOJQJ^JaJnHtH(h55>*CJOJQJ^JaJnHtH#hAh;5CJOJQJ^JaJ hU2Yh5CJOJQJ^JaJh:CJOJQJ^JaJ7& ( * , . 0 2 4 6 : < x L V X Z 6(:<LPƲ{eeeeee+hAh;5CJOJQJ^JaJnHtHh5h;^JnHtH(h+h;CJOJQJ^JaJnHtH(h:h;CJOJQJ^JaJnHtH&h:h:5CJOJQJ\^JaJh:h5h;CJaJ+hAh;6CJOJQJ^JaJnHtH(hAh;CJOJQJ^JaJnHtH'Z <0!2!!R#u $d1$a$gd;$d1$^`a$gd; $d*$1$a$gd; $dha$gd;$d*$1$^a$gd;$ & F#d*$1$^`a$gd;m$$dx1$a$gd;$ &d1$a$gd: PRZnrt2 ®œs[.h Ih$6i5CJOJQJ\^JaJnHtH"h$6iCJOJQJ^JaJnHtH(hAh$6iCJOJQJ^JaJnHtHU"h;CJOJQJ^JaJnHtH&h;`h;5CJOJQJ\^JaJ h;h;CJOJQJ^JaJ.hAh;5CJOJQJ\^JaJnHtH(hAh;CJOJQJ^JaJnHtH#O[wiadczam, |e speBniam warunki udziaBu w postpowaniu okre[lone w SWZ (wypeBni w przypadku, gdy zachodz podstawy wykluczenia) O[wiadczam, |e zachodz w stosunku do mnie podstawy wykluczenia z postpowania na podstawie art. & & ...1 ustawy Pzp. Jednocze[nie o[wiadczam, |e w zwizku z ww. okoliczno[ci, na podstawie art. 110 ust. 2 ustawy Pzp podjBem nastpujce [rodki naprawcze2: & & & & & & & & & & & & & & & & & & & OZWIADCZENIE DOTYCZCE PODANYCH INFORMACJI: O[wiadczam, |e wszystkie informacje podane w powy|szych o[wiadczeniach s aktualne izgodne z prawd oraz zostaBy przedstawione z peBn [wiadomo[ci konsekwencji wprowadzenia zamawiajcego wbBd przy przedstawianiu informacji. 1Nale|y poda majc zastosowanie podstaw wykluczenia spo[rd wymienionych w 108 ust. 1 ustawy Pzp.       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