ࡱ> ilfghW8wbjbjffUiieessssssss8sts9.wuSvivivivx& q8888888$?B9isQmx"xQQ9ssivivx9wwwQsivsiv8wQ8ww iv"~6X?8909i pBCوBC  BCs$wQQQ99QQQ9QQQQBCQQQQQQQQQec ar: FORMULARZ OFERTY do postpowania pn. Budowa drogi gminnej w cigu ulic BosmaDskiej i Jachtowej w Tomaszkowie o nr referencyjnym ZP.271.1.3.2024 ZAMAWIAJCY:  GMINA STAWIGUDA 11-034 Stawiguda, ul. OlsztyDska 10 tel.: 89 512 62 02 HYPERLINK "http://www.stawiguda.pl"www.stawiguda.pl  HYPERLINK "mailto:przetargi@stawiguda.pl" przetargi@stawiguda.pl WYKONAWCA: Niniejsza oferta zostaje zBo|ona przez1): Nazwa WykonawcySiedzibaAdres poczty elektronicznejNumer telefonuNumer REGONNumer NIPDANE KONTAKTOWE WYKONAWCY2): Osoba do kontaktwAdres korespondencyjnyNr telefonuAdres e-mail WARUNKI WYKONANIA ZAMWIENIA: 1) Oferuj wykonanie caBo[ci zamwienia objtego przedmiotem zamwienia zgodnie z wymogami zawartymi w SWZ za cen ryczaBtow & & & & & & & & & & & & & & & & & & & PLN, sBownie & & & & & & & & & & & & & .. w tym stawka podatku VAT & & & & ..%, Oferuj warunki wykonania zamwienia wg kryteriw oceny ofert zawartych w SWZ: Okres gwarancji jako[ci i rkojmi za wady ( nale|y odpowiedni zaznaczy) FORMCHECKBOX3) 3 lata, liczc od dnia podpisania protokoBu odbioru koDcowego, FORMCHECKBOX3) 4 lata, liczc od dnia podpisania protokoBu odbioru koDcowego, FORMCHECKBOX3) 5 lat, liczc od dnia podpisania protokoBu odbioru koDcowego. OZWIADCZENIA WYKONAWCY: Ja(my) ni|ej podpisany(i) o[wiadczam(y), |e: cena oferty obejmuje wszystkie koszty zwizane z prawidBow realizacj przedmiotu zamwienia, akceptuj bez zastrze|eD wzr umowy i w razie wybrania mojej oferty zobowizuj si do podpisania umowy na warunkach zawartych w SWZ, w miejscu i terminie wskazanym przez Zamawiajcego. OZWIADCZENIA WYKONAWCY W ZAKRESIE PODWYKONAWSTWA: O[wiadczam, |e przedmiot zamwienia wykonam(y): FORMCHECKBOX3) bez udziaBu Podwykonawcw, FORMCHECKBOX3) z udziaBem Podwykonawcw. Uwaga! W przypadku, gdy Wykonawca nie zaznaczy powy|szej informacji Zamawiajcy przyjmie, |e Wykonawca wykona przedmiot zamwienia bez udziaBu Podwykonawcw. Je|eli zaznaczono TAK i o ile jest to wiadome, prosz poda wykaz proponowanych podwykonawcw: Lp.Zakresu robt objtych przedmiotem zamwienia, ktry Wykonawca zamierza powierzy podwykonawcy / podwykonawcomNazwa (firma) podwykonawcy (o ile jest znana)Czy podwykonawca jest podmiotem, na ktrego zasoby powoBuje si Wykonawca na zasadach art. 118 ustawy Pzp1.& & & & & & & & & & & & & & & & & & & .TAK / NIE*2.& & & & & & & & & & & & & & & & & & & .TAK / NIE*OZWIADCZAM, {E WYKONAWCA, KTREGO REPREZENTUJ JEST: FORMCHECKBOX3) MIKROPRZEDSIBIORSTWEM FORMCHECKBOX3) MAAYM PRZEDSIBIORSTWEM FORMCHECKBOX3) ZREDNIM PRZEDSIBIORSTWEM FORMCHECKBOX3) JEDNOOSOBOWA DZIAAALNOZ GOSPODARCZA FORMCHECKBOX3) INNY RODZAJ INFORMUJEMY NA PODSTAWIE ART. 225 UST. 2 ustawy Prawo zamwieD publicznych, |e4): Wybr naszej oferty "$DJLN     Ϻo\\\\\\\I6%hS%5B*OJPJQJ\^Jph%h5B*OJPJQJ\^Jph%hKb5B*OJPJQJ\^Jph"h5B*OJPJQJ^Jph(hh5B*OJPJQJ^Jph"hS%5B*OJPJQJ^Jph"h:-5B*OJPJQJ^Jph(h*B*OJPJQJ^Jphh7KOJQJ^J$N$ > h8 & F $d%d&d'dNOPQ]^`gd51$ $d%d&d'dNOPQa$gd{GL$$7$8$a$gd{GL $]a$gdKb p#d1$7$9Dgd=; " $ & < > @ B D L N b d ˵~gggV<<<<<<<<<3h:-h=6B*OJPJQJ]^JnHphtH!h:-h=B*OJQJ^Jph-h:-h=B*OJPJQJ^JnHphtHh=B*OJQJ^Jph/jh=B*OJQJU^JmHnHphu!h*B*OJPJQJ^JphhKbB*OJQJ^Jph%h:-5B*OJPJQJ\^Jph%hKb5B*OJPJQJ\^Jph> D d XO]gdKb<$ Sp#d$d%d&d'd*$1$7$9DNOPQa$gd=7$ Sp#d$d%d&d'd*$NOPQa$gd=4$ Sd$d%d&d'd*$NOPQa$gd=   " B D J L j t v ͳeNNNNe-h:-h=B*OJPJQJ^JnHphtH6jh:-h=B*OJPJQJU^JnHphtH3h:-h=6B*OJPJQJ]^JnHphtH.h:-h=0J6OJPJQJ]^JnHtH3h:-h=6B*OJPJQJ]^JnHphtH-h=6B*OJPJQJ]^JnHphtH6jh=6B*OJPJQJU]^JnHphtH 6 8 < @ B D N R T b d f h x z | ~ ƳwwwbwPwCCCCCCCCCCCCh*B*OJPJQJ^Jph$h=hKb5B*OJQJ^Jph4h:-h=5B*KHOJPJQJ^JnHphtH<jh:-h=6B*OJPJQJU]^JnHphtH D d f 6$!&`#$/Ifgd. {e]^e`gd< & F $d%d&d'dNOPQ]^`gd5f h z | fTT6$!&`#$/Ifgd.kd$$Ifl0 #    t 6`! 062944 lap yt.| ~ fTT6$!&`#$/Ifgd.kd$$Ifl0 #    t 6`! 062944 lap yt.      & 8 B F J L p r t v  ̶└└)h*CJOJQJ]^JaJ$h*B*OJPJQJ^Jph!h H  *>  ^`dfưyyyyyykkkkkhUCJOJQJ^JaJhUCJOJQJ]^JaJ%hUCJOJQJ]^JaJmHsH(h*CJOJQJ^JaJ& " fJ vvdS & F dh]gds#Sdh]`SgdUSdh]`SgdU$ 7S*$]^Sa$gdU2$ & F$d%d&d'd*$NOPQ]a$gdS%dP9D]^gdS% & F dP9D]^`gds# "*,0HTV{p{a{jhUOJQJUhU5OJQJ^Jh$T-5OJQJ^JhU5OJQJ^JhUOJQJ^JhUH*OJQJ^JjhUOJQJUjhUOJQJUhUOJQJjhUCJOJQJUaJ(hhUCJOJQJ^JaJmHsH"hUCJOJQJ^JaJmHsH&,.0@DFHJLdfhjnprtv|ļ􌌌waa+h*B*OJPJQJ^Jphh:-OJQJ^Jhs#5OJQJ^JhUOJQJ^JhUH*OJQJ^JjhUOJQJUj` hUOJQJUhUOJQJjhUCJOJQJUaJhUOJQJ^JhU5OJQJ^Jh$T-5OJQJ^JhU5OJQJ^J& "Hnpvxz 46Fp|~Hpv  Ƶ+h*B*OJPJQJ^Jph3 z6a4 & F $d%d&d'dNOPQ]gds#$ & F 7d9D]^7`a$gd5;$ & F 7$d%d&d'dNOPQ]^7`a$gd5r]^`rgdKb ,FH`djlnpt "$ݹݠݹf0j0 hyB*OJQJ^Jph$hƵƉƵpƉƵW0jK hBHNrvxz  &(Pzܭܔ~~~h+hmoiU$]^`a$gdKbd]^`gdKb$ & F d*$[$]a$gds# ^gdH$ & F d*$[$]a$gdH@$ & F 7SS$d%d&d'dNOPQ]^S`a$gd5 ffffg gg g"g&g\grgzggggghh"h.hmFm|m~mmmmnnPnvnnnnnnnnno o:oFo|o~oooooooʲt#h*B*CJOJQJ]^JaJph2hn^hY6>*B*CJOJQJ]^JaJph#hn^h4?M>*CJOJQJ^JaJ)hn^hY6>*CJOJQJ]^JaJ)hn^h4?M6>*CJOJQJ]^JaJ h4?M>*h<jh<Uh~56OJQJ^J/h*nh*n56B*CJOJQJ^JaJphuuuuuu6v8v:vPvRvvv4$ Sd$d%d&d'd*$NOPQa$gd:- p#Q'gdZ$a$ p#Q'gdQs p#Q'gdY $ p#Q'a$gdL $v&v(v,v.v0v2v4v6v8v:v*B*CJOJQJ]^JaJph!hn^hY6>*OJQJ]^J)hn^hY6>*CJOJQJ]^JaJ,h:-6>*B*CJOJQJ]^JaJph2hn^hY6>*B*CJOJQJ]^JaJph,h6>*B*CJOJQJ]^JaJph,h6>*B*CJOJQJ]^JaJphRvdvpvrvvvvvvvvvvvvvvvvvvvvvvvϽϣuudJ2hg9hZ6>*B*CJOJQJ]^JaJph!hn^hZ6>*OJQJ]^J,hZ6>*B*CJOJQJ]^JaJph,h6>*B*CJOJQJ]^JaJph2hn^hZ6>*B*CJOJQJ]^JaJph#hn^hZ>*CJOJQJ^JaJ)hn^hZ6>*CJOJQJ]^JaJ5h:-h:-B*CJOJPJQJ^JaJnHphtHvvvvvvvvvwwwww.w0w2w4w6w8wθθ細h~56OJQJ^Jh<hXizh'*h5B*OJPJQJ^JnHphtH0hNhN5B*OJPJQJ^JnHphtH0hNh:-5B*OJPJQJ^JnHphtHv0w2w4w6w8w]gd;$$-dx$d%d&d'd*$1$7$8$H$NOPQ]-a$gd:-5 01h:p<. 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