ࡱ> in*bjbj...4DbDbI IIWWWWW(W(W(W8`W,W(W`WWWWWXXXg_i_i_i_i_i_i_$cTfl_-WXXXXX_WWWW_YYYXFWWWWg_YXg_YYV^@ _WSX^*S__0`^ fXf _fW _HYXXX__YXXX`XXXXfXXXXXXXXXIV U: ZAACZNIK NR 5 DO SWZ NR ZSP1.0812.22.2022 OZWIADCZENIE O PRZYNALE{NOZCI LUB BRAKU PRZYNALE{NOZCI DO TEJ SAMEJ GRUPY KAPITAAOWEJ, O KTREJ MOWA W ART. 108 UST. 1 PKT 5) USTAWY PRAWO ZAMWIEC PUBLICZNYCH Ja, ni|ej podpisany(a)/ My, ni|ej podpisani .............................................................. & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & dziaBajc w imieniu i na rzecz (nazwa /firma/ i adres Wykonawcy) ............................ & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & skBadajc ofert w postpowaniu o udzielenie zamwienia pn.: Dostawa sprztu i pomocy dydaktycznych do pracowni szkolnych w zwizku z realizacj projektu pn. ,, Kosmiczna wiedza II  kursy i szkolenia w ZSP Nr 1 w BeBchatowie" wspBfinansowanego ze [rodkw Europejskiego Funduszu SpoBecznego w ramach Regionalnego Programu operacyjnego Wojewdztwa Adzkiego na lata 2014-2020. W przypadku gdy Wykonawca nie nale|y do |adnej grupy kapitaBowej: SkBadajc ofert w przedmiotowym postpowaniu o udzielenie zamwienia publicznego informuj, |e nie nale|ymy do |adnej grupy kapitaBowej, w rozumieniu ustawy z dnia 16 lutego 2007 r. o ochronie konkurencji i konsumentw (Dz. U. z 2021, poz. 275). II. W przypadku gdy Wykonawca nale|y do grupy kapitaBowej: 1. SkBadajc ofert w przedmiotowym postpowaniu o udzielenie zamwienia publicznego informuj, |e nie nale|ymy do tej samej grupy kapitaBowej, w rozumieniu ustawy z dnia 16 lutego 2007 r. o ochronie konkurencji   ^ ` 2 4 8  j l & ( ^`"ӿӶynnnnnn`TFh(*mhm 5>*KH^Jh(*mhm >*KH^Jh(*mhm >*^JnHtHh(*mhm KH^Jh(*mhm 5KH\]^Jh(*mhm ^Jh(*mhm 5KH\^J-h(*mhm 56CJKHPJ\^J_H9aJh(*mhx^J&h(*mhmg5PJ\^J_H9nHtH&h(*mhm 5PJ\^J_H9nHtHhm (hm 5OJPJQJ\^J_H9nHtH ` 4 6 8  l ( $9Da$9D$9Da$=kd$$Ifn"#44 Fap $$9DIfa$ Bd1$9DZ6vPRX\6v  !!6!8!b!!!r"t"v"8#:##۷ŵЦ||i$h(*mhm 6B*KHPJ^Jphh(*mhm 6KH]^Jh(*mhm CJ^JaJh(*mhxCJKH^JaJh(*mhm CJKH^JaJUh(*mhm 5KH\^Jh(*mhxKH^Jh(*mhm KH^Jh(*mhm ^Jh(*mhm B*PJ^Jphh(*mhm >*KH^J&R !v":# $$"%%N&''|z$ Bd1$9Da$gdT$ Bd1$9Da$gdx9D$9Da$$ 7S9D^Sa$$ 7S9D^S`a$ $ 79Da$$ & F7d1$9D^7`a$i konsumentw (Dz. U. z 2021, poz. 275), wraz z innymi Wykonawcami, ktrzy zBo|yli oferty w przedmiotowym postpowaniu. 2. SkBadajc ofert w przedmiotowym postpowaniu o udzielenie zamwienia publicznego informuj, |e nale|ymy do grupy kapitaBowej wraz z & & .& & & & & & & & & & & & & & & & & & & & & & & & & & .& & & & & & & & & & & & & & .& & ..& & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & ..& & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & . (nazwa, adres Wykonawcy/w, ktrzy zBo|yli oferty w przedmiotowym postpowaniu) W tym przypadku zaBczam dowody, |e oferta zostaBa przygotowana niezale|nie od ww. Wykonawcy/Wykonawcw. Uwaga - Wykonawca wypeBnia punkt I lub punkt II i wykre[la punkt ktry nie dotyczy Jego sytuacji. & & & & & & & & & & & & & & ..& & & & & & & & & & & .& & & & & & & & & .& & & & & & & ..& & & (podpis Wykonawcy lub osb upowa|nionych do wystpowania w imieniu wykonawcy) Dokument nale|y podpisa kwalifikowanym podpisem elektronicznym lub podpisem zaufanym lub podpisem osobistym przez osob lub osoby umocowane do zBo|enia podpisu w imieniu Wykonawcy      projekt pn.  Kosmiczna wiedza II - kursy i szkolenia w ZSP Nr 1 w BeBchatowie wspBfinansowany ze [rodkw Europejskiego Funduszu SpoBecznego w ramach Regionalnego Programu Operacyjnego Wojewdztwa Adzkiego na lata 2014-2020 BIURO PROJEKTU ZespB ds. Strategii i Rozwoju Powiatu Starostwo Powiatowe w BeBchatowie ul. 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