ࡱ> BD?@Aq~objbjdfdfEw,,::::::::8:T+;:MM/</<E<E<E<u>?,3?LLLLLLL$aPSpLE:K?S>S>"K?K?L::E<E<M@@@K?j:E<:E<L@K?L@@LH IE<jky~?:lI,LM0MMI4S?|S IIS:I@K?K?K?LLk@|K?K?K?MMK?K?K?K?SK?K?K?K?K?K?K?K?K?,c Q9: FORMULARZ OFERTOWY Wykonawca: Adres: Numer telefonu: nr faksu: ... Adres e-mail: NIP: REGON: . KRS nr.. (peBna nazwa/firma, adres, w zale|no[ci od podmiotu: NIP/PESEL, KRS/CEiDG) reprezentowany przez: imi i nazwisko: & & & & & & & & & & & & & & & & & & & & .. stanowisko:& & & & & & & & & & & & & & & & & & & & & & .. podstawa do reprezentacji: & & & & & & & & & & & & & & & & .. Ja ni|ej podpisany, dziaBajc w imieniu i na rzecz & & ............................................................. ................................................................................................................................................................ w odpowiedzi na ogBoszenie o przetargu nieograniczonym pt. Dostawa fabrycznie nowej aparatury badawczej, w ramach projektu  Innowacyjno[ technologii |ywno[ci wysokiej jako[ci finansowanego ze [rodkw Regionalnego Programu Operacyjnego Wojewdztwa WarmiDsko-Mazurskiego na lata 2014-2020 (O[ Priorytetowa 1, DziaBanie 1.1. , nr umowy: RPWM 01.01.00-28-000217-00) do jednostki organizacyjnej Uniwersytetu WarmiDsko-Mazurskiego w Olsztynie, o[wiadczam, |e oferujemy wykonanie przedmiotu zamwienia, zgodnie zwymaganiami zawartymi w SIWZ za cen: Cz[Cena brutto PLNCena brutto sBownie PLNTermin dostawy w dniach *                          zgodnie z zaBczonym do oferty formularzem. Ponadto o[wiadczamy, |e: powierzone nam zamwienie stanowice przedmiot zamwienia wykonamy w terminie wymaganym przez Zamawiajcego; na zaoferowany przedmiot zamwienia oferujemy & & & .& & miesicy gwarancji*; serwis gwarancyjny prowadzi bdzie: & & & & & & & & & & & & & & & & & .& & & & & .. & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & ..& & & & & (nazwa firmy, telefon oraz adres e-mail do zgBaszania usterek) wypeBniBem obowizki informacyjne przewidziane w art. 13 lub art. 14 RODO1) wobec osb fizycznych, od ktrych dane osobowe bezpo[rednio lub po[rednio pozyskaBem w celu ubiegania si o udzielenie zamwienia publicznego w niniejszym postpowaniu.** w rozumieniu przepisw art. 104  106 Ustawy z dnia 02.07.2004 r. o swobodzie dziaBalno[ci gospodarczej (tekst jednolity Dz. U. z 2015 r., poz. 584 z pzn. Zm.) jestem: a/ mikro przedsibiorc b/ maBym przedsibiorc c/ [rednim przedsibiorc d/ du|ym przedsibiorc** przedmiot zamwienia zrealizujemy siBami wBasnymi** !"#$%&'()*+,-./0123456789:;<=>?@Aj    ` b ֿh0%h0%OJQJ^Jh0%h0%^Jh0%h0%>*CJ^JaJh0%h0%>*^Jh>^h0%6CJaJh>^h0%mH sH  h>^h0% hBW5h>^h0%5 hqhqh p6CJaJ h p59@Aj   ` b gd0% & F1$gd0%$ & Fdha$gd0%$ & F np# dha$gd0% & Fgd0%gdq$ dha$gd^`  t L^(*T*,.:ZĿ̺ hBW\hBW5PJ\hXhBW5PJ\ hBW5\hd`AhBW5 h/\B\ h p\ hd`A5hd`Ahd`A5h ph0%OJQJ^JaJh0%h pOJQJ^JaJ h0%^Jh0%h0%OJQJ^JaJ7 ,.:ZOkd$$If\ Y&xm644 lapyt $$G$Ifa$gd$a$gdd`A & F1$^`gd0%Xkd$$If\ Y&xm644 lapyt $$G$Ifa$gd$ & F$G$Ifa$gd iX$ & F$G$Ifa$gdkd$$If\ Y&xm644 lapyt $$G$Ifa$gd    "$&(*,.02468:<>@BDFHJLNPRTVXZ\^`bdfhjlnprtvxz|~hBW5PJ\ hBW\_wfXXXXX $$G$Ifa$gd$ & F$G$Ifa$gdkd@$$If\ Y&xm644 lapytwfXXXXX $$G$Ifa$gd$ & F$G$Ifa$gdkd$$If\ Y&xm644 lapyt  wfXXXXX $$G$Ifa$gd$ & F$G$Ifa$gdkd$$If\ Y&xm644 lapyt wfXXXXX $$G$Ifa$gd$ & F$G$Ifa$gdkdH$$If\ Y&xm644 lapyt "$&(*,.wfXXXXX $$G$Ifa$gd$ & F$G$Ifa$gdkd$$If\ Y&xm644 lapyt.02468:<wfXXXXX $$G$Ifa$gd$ & F$G$Ifa$gdkd$$If\ Y&xm644 lapyt<>@BDFHJwfXXXXX $$G$Ifa$gd$ & F$G$Ifa$gdkd^$$If\ Y&xm644 lapytJLNPRTVXwfXXXXX $$G$Ifa$gd$ & F$G$Ifa$gdkd$$If\ Y&xm644 lapytXZ\^`bdfwfXXXXX $$G$Ifa$gd$ & F$G$Ifa$gdkd$$If\ Y&xm644 lapytfhjlnprtwfXXXXX $$G$Ifa$gd$ & F$G$Ifa$gdkdt$$If\ Y&xm644 lapyttvxz|~wfXXXXX $$G$Ifa$gd$ & F$G$Ifa$gdkd& $$If\ Y&xm644 lapytwfXXXXX $$G$Ifa$gd$ & F$G$Ifa$gdkd $$If\ Y&xm644 lapytwfXXXXX $$G$Ifa$gd$ & F$G$Ifa$gdkd $$If\ Y&xm644 lapytwfXXXXX $$G$Ifa$gd$ & F$G$Ifa$gdkd< $$If\ Y&xm644 lapyt   "z|"$Jjhh~hh phBWhBW5PJ\ hBW\WwfXXXXX $$G$Ifa$gd$ & F$G$Ifa$gdkd $$If\ Y&xm644 lapytwfXXXXX $$G$Ifa$gd$ & F$G$Ifa$gdkd $$If\ Y&xm644 lapytwfXXXXX $$G$Ifa$gd$ & F$G$Ifa$gdkdR $$If\ Y&xm644 lapytwfXXXXX $$G$Ifa$gd$ & F$G$Ifa$gdkd$$If\ Y&xm644 lapytwfXXXXX $$G$Ifa$gd$ & F$G$Ifa$gdkd$$If\ Y&xm644 lapytwfXXXXX $$G$Ifa$gd$ & F$G$Ifa$gdkdh$$If\ Y&xm644 lapyt  wfXXXXX $$G$Ifa$gd$ & F$G$Ifa$gdkd$$If\ Y&xm644 lapytwfXXXXX $$G$Ifa$gd$ & F$G$Ifa$gdkd$$If\ Y&xm644 lapyt "z|wooooi]N$ & F ha$gd $ & F ha$$$a$$a$gdkd~$$If\ Y&xm644 lapyt  Vfh  RTVX^<lnp^0^2^4^z^^._4_6_____Ǯ$h.'h.'6B*^JnHphtHh%Uh phXlhJ^JnHtHhJhlh `hlH* h `hlhqhq6hqh?hV<pz^6___} $h*$^ha$gdO$h^ha$ $ & F*$a$gdnE$ed^ea$gdJ$hd^ha$gdJ$ & F*$7$8$H$a$gdJ$ & F *$a$gdl$ hh^ha$gd$ & F ha$gd /z pomoc podwykonawcw***, ktrym powierzymy do wykonania: a/ & & & & & & & & & & & & & & & ........................................................................... b/ & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & (Nazwa i adres podwykonawcy) jeste[my zwizani niniejsz ofert na okres 60 dni od upBywu terminu skBadania ofert. osob odpowiedzialn za realizacj umowy po naszej stronie jest:& & & & & & & & & & & & & & & & & & & & & & & & & ...(imi i nazwisko, numer telefonu); wadium prosz zwrci na konto: & & & & & & & & & & & & & & & & . (nazwa banku i numer konta); zapoznali[my si z istotnymi postanowieniami umowy i zobowizujemy si, w przypadku wyboru naszej oferty, do zawarcia umowy na zawartych tam warunkach w miejscu i terminie wyznaczonym przez Zamawiajcego. ZaBcznikami do niniejszego formularza stanowicymi integraln cz[ oferty s: & .................................................................................. & .................................................................................. & .................................................................................. & .................................................................................. Ofert niniejsz wraz z zaBcznikami i dokumentami skBadamy na & & ..& kolejno ponumerowanych stronach. Kwalifikowany podpis elektroniczny : & & & & & & & & .& & & & *) Mo|liwe terminy gwarancji i punktacja: a) 48 miesicy  20 pkt. b) 36 miesicy  10 pkt. c) 24 miesice  0 pkt. **) niepotrzebne skre[li ***) W przypadku gdy wykonawca nie przekazuje danych osobowych innych ni| bezpo[rednio jego dotyczcych lub zachodzi wyBczenie stosowania obowizku informacyjnego, stosownie do art. 13 ust. 4 lub art. 14 ust. 5 RODO tre[ci o[wiadczenia wykonawca nie skBada (usunicie tre[ci o[wiadczenia np. przez jego wykre[lenie). Rozporzdzenie Parlamentu Europejskiego i Rady (UE) 2016/679 zdnia 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, str. 1).      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