ࡱ> ornOxbjbj>>7"TeTe $$$8888p8(*)))))))$+.D)9$)$$4)p$$))V$%ZL% o))0(*!%x.h.%%j.$'l))(*.  : UNIWERSYTET SZCZECICSKI al. Papie|a Jana PawBa II 22a 70-453 Szczecin ZaBcznik nr 3 do SIWZ Nr sprawy: DP/371/95/20 ............................................ /piecz Wykonawcy/ O[wiadczenie Wykonawcy o przynale|no[ci do grupy kapitaBowej w rozumieniu ustawy z dnia 16 lutego 2007 r. o ochronie konkurencji i konsumentw (Dz. U. z 2015 r. poz. 184, 1618 i 1634). Ubiegajc si o udzielenie zamwienia publicznego prowadzonego w trybie przetargu nieograniczonego na: wznowienie wsparcia producenta do posiadanych 24 szt. licencji oprogramowania Veeam Availability Suite Enterprise Plus na okres 12 miesicy. (ja/my) ni|ej podpisany(y/i)& & & & & & & & & & & & & & & & & & ....& & & & & ......& reprezentujc Wykonawc ......& & & & & & & & & & & & & & & & & .& & .........& & & ... w imieniu swoim oraz reprezentowanego Wykonawcy o[wiadczam, |e: Wykonawca ,    d b d f h j 4 6 8 : TVսŨաՙՍաņxtmeaZ h}hB'hEh@AlhSF5 h@AlhSFhP h}hO h}h#_ h}h`h}hX5CJaJh}hX6 h}hh}hVe5 hSF5h}h5h}hO 5h}hX5h}h5 h}hXhBhC5 hC5hChC5jh7hC5CJU#\   d  f h 6 8 : TV$a$gdEgdSF$a$gdSFgd-$a$gdX$a$gdXgdX&dPgdCgdCL^L`gdC248J&(:<>hjxTVX\^bdhjnprh-h-CJaJjh$LUh$Lh[hXjhX0JUhEhXCJaJh}hXCJaJ h}h h}h@:jh}hXH*Uh}hX5U h}h` h}hB' h}h\ h}hX2VZ>j "LTVZ\`bfgdX & FgdXgdXnale|y / nie nale|y do grupy kapitaBowej, o ktrej mowa w art. 24 ust. 1 pkt 23 PZP. Lista podmiotw nale|cych do tej samej co wykonawca grupy kapitaBowej & & & & & & & & & & & & & & & & & & & & . & & & & & & & & & & & & & & & & & & & & . & & & & & & & & & & & & & & & & & & & & . & & & & & & & & & & & & & & & & & & & & . & & & & & & & & & & & & & & & & & & & & . ....................................... dnia ....................... ................................................. /podpis Wykonawcy/  NiewBa[ciwe skre[li  Tylko w przypadku, gdy wykonawca nale|y do grupy kapitaBowej, o ktrej mowa w art. 24 ust. 1 pkt 23 PZP. Nale|y poda co najmniej: nazw podmiotu, adres siedziby.     fhlnprtvx $n^na$gd-gdXrtvxhEhXCJaJh$LhB735 01h:p-. 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