ࡱ>  1%bjbj4*ЅqhЅqh BB$33333<>>>>>>$MbEb3333<<3 <$(0@X\bb4Bc : ZaBcznik nr 4 do SWZ UWAGA!!! Niniejsze zobowizanie wypeBnia podmiot udostpniajcy zasoby tylko w przypadku, gdy Wykonawca polega na jego zasobach w celu wykazania warunkw udziaBu w postpowaniu.Udostpniajcy zasoby : Nazwa & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & .& & & & & & & & Adres & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & .& & & & & & & & & & & Tel& & & & & & & & & & & & & & & & & & & & & & ..e-mail & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & NIP & & & & & & & & & & & & & & & & & & & & & & & & & & & & & ..& & & & & & & & & & & & & & & & & & & & & & & & & & & . ZOBOWIZANIE PODMIOTU UDOSTPNIAJCEGO ZASOBY do oddania do dyspozycji Wykonawcy niezbdnych zasobw na potrzeby wykonania zamwienia Ja ni|ej podpisany & & & & & & & & & & & & & & & & & & & & & & & ............& & & & & & & & & & & & & & & & & & & & & (imi i nazwisko osoby upowa|nionej do reprezentowania podmiotu udostpniajcego zasoby jako udostpniajcy (poda nazw podmiotu): & & & & & & & & & & & & & & & & & & & & & & & & & & & & .& & & & & & & & & & & & & & ..& & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & uprawniony do reprezentowania w/w firmy, o[wiadczam, |e zgodnie z art. 118 ustawy z dnia 11 wrze[nia 2019r. Prawo zamwieD publicznych (Dz.U.2019 poz. 2019z pzn. zm.) w postpowaniu ORG.271.7.2022 pn. Przebudowa drogi gminnej nr 150606C na odcinku Chlewiska-Straszewo od km 0+000,00 do km 2+735,0 ",24j\  ^  H ` b ̿uhhhhWFWF ha!h#^JmH nHsH tH ha!ha!^JmH nHsH tHh@h#^JnHtH&ha!h#5>*CJ^JaJnHtHh@h#^Jh#5\^JnHtHh@h#5\^JnHtHhIHh#5\^JnHtHh#5\^JnHtHhx,5\^JnHtHhN5\^JnHtHh mHnHu jh9#5h UmHnHu4 ^ b @ ulbbbbX $a$gd# dgd#gda!gkd$$Ifl/# t0U$644 la$ p#d$Ifa$gda! p#gd b l  < @ NP$&p õuuugYYhU6h#5^JnHtHhU6h#\^JnHtHhU6ha!^JnHtHhU6h#^JnHtHha!6^JnHtHh@h#6^JnHtHh@h#^JnHtHha!h#5^JnHtHh@h#5^JnHtHh#5^JnHtHha!h#^JnHtHha!^JnHtHha!ha!^JnHtH@ P^ !"##($ Up#`gd<;n Up#\^\gda!gdU6 cd]cgdU6 gdU6l, $a$gd#gd#gda! &*24(,. :B\^:B :!B!!!!!">""":#B##żżűuuuuha!^JnHtHh#^JnHtHh@h#6^JnHtHh@h#^JnHtHhU6h#^JnHtHhU65PJ\Uh 5PJ\hU6hU65PJ\hU6h#5\^J hU65^JhU6h#5^J h L]5^JhU6hyn5^J.0 gm. Dbrowa Biskupia zobowizuje si udostpni swoje zasoby Wykonawcy: & & & & & & & & & & & & & & & & & & & & & & & & & & .& & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & .& & & & & & & & & & & & & & & & & & & & & & & & & & & & & (peBna nazwa i adres Wykonawcy) 1. Zakres dostpnych Wykonawcy zasobw podmiotu udostpniajcego zasoby : & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & ....................................................................................................... 2. Sposb i okres udostpniania Wykonawcy i wykorzystania przez niego zasobw podmiotu udostpniajcego te zasoby przy wykonywaniu zamwienia : & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & 3. Zakres w jakim podmiot udostpniajcy zasoby zrealizuje roboty budowlane lub usBugi, ktrych wskazanie dotyczy : & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & ... 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