ࡱ> +]bjbj||8|DhDhP""000001010108i0 1\10 |i11(11128'4\40C{E{E{E{E{E{E{$~h|i{]042244i{0011H{G8G8G84^0101C{G84C{G8G82)dh1Ƌ54f./{{0 |3fE5\hh0i44G844444i{i{6f444 |4444444444444"c .:ZaBcznik nr 1 do SWZ FORMULARZ OFERTY w postpowaniu, ktrego przedmiotem jest:  Zaprojektowanie i wykonanie wraz z dostaw, monta|em i uruchomieniem wyposa|enia przestrzeni laboratorium przyrody w tym akwariw, terrariw i formikarium w MaBopolskim Centrum Nauki Cogiteon . MCN.5.261.31.2022 Dane Wykonawcy (w przypadku Wykonawcw wsplnie ubiegajcych si o udzielenie zamwienia, nale|y poda dane dotyczce wszystkich Wykonawcw): Nazwa Wykonawcy/Wykonawcw: Adres Wykonawcy/Wykonawcw: Reprezentowany przez: & & & & & & & & & & & & & & & & & & & & & & & & & & & .. tel.: ................................................ adres poczty elektronicznej: & & & & & & & & & & & & . Dokumenty na potwierdzenie umocowania do dziaBania w imieniu Wykonawcy, Zamawiajcy mo|e uzyska za pomoc bezpBatnych ioglnodostpnych baz danych: & KRS   HYPERLINK "https://ems.ms.gov.pl*" https://ems.ms.gov.pl & CEiDG  https://prod.ceidg.gov.pl & inny  & & & & & & & & & & & . (wskaza adres bezpBatnej i oglnodostpnej bazy danych/rejestru publicznego) SkBadajc ofert w postpowaniu o udzielenie zamwienia publicznego, ktrego przedmiotem zamwienia jest:  Zaprojektowanie i wykonanie wraz z dostaw, monta|em i uruchomieniem wyposa|enia przestrzeni laboratorium przyrody w tym akwariw, terrariw i formikarium w MaBopolskim Centrum Nauki Cogiteon - MCN.5.261.31.2022. Oferuj/-emy wykonanie caBo[ci zamwienia w peBnym, rzeczowym zakresie objtym dokumentacj postpowania w cenie (w zB): Cz[ I  Akwaria wraz z zabudow, osprztem i aran|acj: Cena: & & & & & & & .. zB (sBownie zBotych: & & & ) brutto, & & & & & & & .. zB (sBownie zBotych: & & & ) netto, podatek vat & ..% Okres gwarancji na przedmiot zamwienia wynosi: *) & & & miesice/miesicy Cz[ II  Terraria wraz z zabudow, osprztem i aran|acj: & & & & & & & .. zB (sBownie zBotych: & & & ) brutto, & & & & & & & .. zB (sBownie zBotych: & & & ) netto, podatek vat & ..% Okres gwarancji na przedmiot zamwienia wynosi: *) & & & miesice/miesicy Cz[ III  Formikarium wraz z osprztem i aran|acj: & & & & & & & .. zB (sBownie zBotych: & & & ) brutto, & & & & & & & .. zB (sBownie zBotych: & & & ) netto, podatek vat & ..% Okres gwarancji na przedmiot zamwienia wynosi: *) & & & miesice/miesicy *) nale|y wpisa ilo[ miesicy, min. 24 m-ce Uwaga: Je|eli Wykonawca nie wpisze w formularzu oferty okresu gwarancji, Zamawiajcy przyjmie, |e obowizuje min. okres gwarancji tj. 24 miesice i przyzna Wykonawcy 0 pkt w tym kryterium oceny ofert. Maksymalny punktowany okres wynosi 48 miesicy. Wykonawca mo|e zaoferowa dBu|szy okres gwarancji, jednak do wyliczeD zostanie przyjty maksymalny punktowany okres. Uwaga: Pkt 2 nale|y wypeBni w zakresie tej/tych cz[ci zamwienia, na ktr/-e skBadana jest oferta w postpowaniu. O[wiadczamy, |e wybr naszej oferty bdzie prowadziB do powstania u Zamawiajcego obowizku podatkowego zgodnie z przepisami o podatku od towarw i usBug **): w zakresie: & & & & & & .& & & & & & & & & & & & & & & ..& & & & & & (wskaza nazw/rodzaj towaru/usBugi na kwot: & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & .. (wskaza warto[ netto towaru/usBugi oraz warto[ podatku VAT) **)Je|eli wykonawca nie poda powy|szej informacji to Zamawiajcy przyjmie, |e wybr ofert$&*,.0PRTVr& N  yyrkg_h!Yhk}6h{i h!Yhk} h!YhcIhUhU5\hc:hc:5 hc:5 h25h!Yh 5h 5OJQJ^J#ht*hs5CJOJQJ^JaJ#ht*ht5CJOJQJ^JaJ#ht*h25CJOJQJ^JaJh!Y5CJOJQJ^JaJ#ht*h%5CJOJQJ^JaJ",.0TV  B $7dh]7^a$gd!Y$ p#7dh]7^a$gd!Y$7dh]7a$gd!Y7dh]7^gd!Y$7dh]7^a$gd!Y$a$gd2 $  @&a$gdr n p    $ & @ B D F J T X n r t v x z | ~   V f h j l n p r t ȶh!YmHsHh!Yh0kmHsHh!Yhk}mHsH h!YhcI h!Yhk}h!Yh!Yhk}5h!Yhk}6h!YhcI56B*phh!Yhk}56B*ph@B F  t v 6~xz$rdh^`ra$gd!Y$ & Fdh^`a$gd!Ym$7dh]7^gd!Y$  7dh]7^a$gd!Y$7dh]7^a$gd!Y$ p#7dh]7^a$gd!Y t v $&FX 2468J|~ǰnnWnn-jh!Yh!Y>*B*PJUnH ph tH $h!Yh!Y>*B*PJnH ph tH h!Yh!YPJnH tH !jh!Yh!YPJUnH tH !h!Yh!YB*PJnH ph tH -h!Yh!YB*OJPJQJ^JnH ph tH $h!Yh!YB*PJ]nH ph tH h!YB*PJnH phtH !h!Yh!YB*PJnH phtH  h!Yhk}$&txz$@JLN$46ҽ궶xxmhc:h^b~sHtH hUhUhUhb!hc:h{i hc:hc: h!Yh"P h!YhQ\hc:ho5\hc:hQ\\ h!YhNv)h!Y6B*CJPJ]aJnH ph tH /h!Yh!Y6B*CJPJ]aJnH ph tH )h!Yh!YB*CJPJaJnH ph tH (z nmm$ 7dh-DM ]7^a$gdW$dh]^a$gdb!$ Q' dh-DM ]a$gdU$ o#7dh-DM ]7^a$gdc:$$ & F7dh-DM ]7^`a$gdm$ "*DTjp  H~04Ǿ֣tff[[[[[[[[h!YhpzB*phhWhW5B*\phh!Yhpz5B*\phhc:hpz5B*\phhc:hc:5B*\ph h{i\h!Yh^b~tHh!Yh tHhc:h tHhc:h rtHhc:hotH hc:tHh!YhotHh!Yh"P\tHh!Yho\tHh!Yho\sHtH"468:fjlnxzHvz  (XZHVXZv :<FHԴȴhWhc:5\hc: h{ih{ih{i hc:hc: hc:5\hc:hc:5\hWh~ 5\hWhWhWH* hW5\ hWhWhWhW5\h!YhpzB*phh{iB*ph7zZZ<$ 7dh-DM ]7a$gd&#$ 7dh-DM ]7^`a$gdc:$ 7dh-DM ]7^a$gdW$ 7dh-DM ]7^a$gdb!(*BH$,8DFHN0hlnrtFHÿ汱~h&hz$6CJ]aJhU6CJ]aJhUhU6CJ]aJh^6CJ]aJh^h&6CJ]aJhb!h^hW6CJ]aJhW6CJ]aJhWhW5\hWhWhWH* hWhW hW5\/l hP$ & Fdh^`a$gd!Ym$$ 7dh-DM ]7a$gd!Y$ 7dh-DM ]7^a$gdW#$ 7rdh-DM ]7^`ra$gdU$ 7dh-DM ]7^a$gd^$ 7dh-DM ]7a$gdW"|~ H !!!!!!2!4!6!B!D!`!v!!ҿҏuuuhk!6CJ\aJnH tH h!Y\]nH tH h!Yh\]nH tH hWh#hH*\]nH tH %hWh rCJH*\]aJnH tH %hWh#hCJH*\]aJnH tH h!Yh^b~\]nH tH  h!YhWhW6CJ]aJhb!hW6CJ]aJ+ D!!L""#DDhGGH~r~ $dha$gdk!m$$ & Fdh^`a$gdk!m$$7sdh@&]7^`sa$gd!Y$dh@&^a$gdD$7dh@&]7^`a$gdz$$7dh@&]7^`a$gd!Y7dh@&]7^gd!Y !!!!!!!!!"""" " """""""""" """$"&"("*","."0"2"4"6"8":"<">"@"B"D"F"H"J"L"R"""""""""### #õεܛhk!hCJaJhk!6CJ\aJnH tH h!Yh \]nH tH h!Y\]nH tH h!Yh\]nH tH "hk!h6CJ\aJnH tH "hk!h6CJ\aJnH tH ; #"#$#&#(#t######DHDlDnDzDDDDDDDDEEE(E@ETEhEpEtEvEEȷsee^UUUU^U^Uh!Yh^b~sH h!Yh^b~h!Yh^b~\]nH tH h!Yh \nH tH %hk!h 6CJ\]aJnH tH h*U6CJ\]aJnH tH U%hk!h^b~6CJ\]aJnH tH  h!Yh#h6H*\]nH tH %h*Uh|6CJ\]aJnH tH %h*Uh^b~6CJ\]aJnH tH "hz$h1vL6CJ\aJnH tH !y nie bdzie prowadziB do powstania u Zamawiajcego obowizku podatkowego zgodnie z przepisami o podatku od towarw i usBug. Zapoznali[my si ze specyfikacj warunkw zamwienia oraz zzaBczonymi do niej dokumentami szczegBowo opisujcymi zakres zamwienia, nie wnosimy do nich zastrze|eD oraz, |e ztre[ci powy|szych dokumentw otrzymali[my konieczne informacje potrzebne do wBa[ciwego przygotowana oferty iwykonania zamwienia. Akceptujemy okre[lone w dokumentach postpowania tj. w projektowanych postanowieniach umowy warunki pBatno[ci za przedmiot umowy. Zamwienie wykonamy: & bez udziaBu podwykonawcw & z udziaBem podwykonawcw Je|eli zamwienie zostanie wykonane z udziaBem podwykonawcw - poni|ej nale|y poda wykaz podwykonawcw (o ile s znani, prosz poda nazwy (firmy) podwykonawcw) oraz okre[li zakres zamwienia jaki zostanie powierzony danemu podwykonawcy. & & ..& & & ..& zakres zamwienia & & & & ..& & & & & & (& & %) (nazwa podwykonawcy) (procentowy udziaB w caBo[ci zamwienia) & & ..& & & ..& zakres zamwienia & & & & ..& & & & & & (& & %) (nazwa podwykonawcy) (procentowy udziaB w caBo[ci zamwienia) O[wiadczamy: - |e dostawy w zakresie & & & & & & & & & & & & & & & & & & bd realizowane przez Wykonawc: & & & & & & & & & & & & & & & & & & & ....................,***) - |e dostawy w zakresie & & & & & & & & & & & & & & & & ..& & bd realizowane przez Wykonawc: & & & & & & & & & & & & & & & & & & & & & & & & ..***) *** wypeBniaj Wykonawcy wsplnie ubiegajcy si o udzielenie zamwienia zgodnie z art. 117 ust. 4 Pzp (je[li dotyczy). Pozostajemy zwizani niniejsz ofert przez okres 30 dni, od dnia upBywu terminu skBadania ofert do dnia wskazanego w SWZ. O[wiadczam, |e nastpujce informacje i dokumenty & & & & & & & & & & & & & & & .. (wypeBni je|eli dotyczy)  stanowi tajemnic przedsibiorstwa w rozumieniu przepisw ustawy o zwalczaniu nieuczciwej konkurencji i zastrzegam, |e nie mog by one udostpniane, w szczeglno[ci innym uczestnikom postpowania. W zaBczeniu do niniejszej oferty przedstawiam uzasadnienie dla powy|szego zastrze|enia. O[wiadczam, |e wypeBniBem obowizki informacyjne przewidziane w art. 13 Rozporzdzenia Parlamentu Europejskiego i Rady (UE) 2016/679 z 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), zwanym dalej RODO oraz je[li dotyczy, art. 14 RODO wobec osb fizycznych, od ktrych dane osobowe bezpo[rednio lub po[rednio pozyskaBem w celu ubiegania si o udzielenie zamwienia publicznego w niniejszym postpowaniu. O[wiadczam, |e jestem: [ ] mikro przedsibiorc, [ ] maBym przedsibiorc, [ ] [rednim przedsibiorc, [ ] prowadz jednoosobow dziaBalno[ gospodarcz, [ ] osob fizyczn nieprowadzc dziaBalno[ci gospodarczej, [ ] inny rodzaj. Nale|y zaznaczy  X przy wBa[ciwej pozycji. 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