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{\listlevel\levelnfc255\levelnfcn255\leveljc0\leveljcn0\levelfollow2\levelstartat1\levelspace0\levelindent0{\leveltext\'00;}{\levelnumbers;}}{\listlevel\levelnfc255\levelnfcn255\leveljc0\leveljcn0\levelfollow2\levelstartat1\levelspace0\levelindent0
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{\list\listtemplateid1992837222\listhybrid{\listlevel\levelnfc0\levelnfcn0\leveljc0\leveljcn0\levelfollow0\levelstartat4\levelspace0\levelindent0{\leveltext\leveltemplateid68485135\'02\'00.;}{\levelnumbers\'01;}\fbias0 \fi-360\li720
\jclisttab\tx720\lin720 }{\listlevel\levelnfc4\levelnfcn4\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\leveltemplateid68485145\'02\'01.;}{\levelnumbers\'01;}\fi-360\li1440\jclisttab\tx1440\lin1440 }{\listlevel
\levelnfc2\levelnfcn2\leveljc2\leveljcn2\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\leveltemplateid68485147\'02\'02.;}{\levelnumbers\'01;}\fi-180\li2160\jclisttab\tx2160\lin2160 }{\listlevel\levelnfc0\levelnfcn0\leveljc0\leveljcn0
\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\leveltemplateid68485135\'02\'03.;}{\levelnumbers\'01;}\fi-360\li2880\jclisttab\tx2880\lin2880 }{\listlevel\levelnfc4\levelnfcn4\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0
\levelindent0{\leveltext\leveltemplateid68485145\'02\'04.;}{\levelnumbers\'01;}\fi-360\li3600\jclisttab\tx3600\lin3600 }{\listlevel\levelnfc2\levelnfcn2\leveljc2\leveljcn2\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext
\leveltemplateid68485147\'02\'05.;}{\levelnumbers\'01;}\fi-180\li4320\jclisttab\tx4320\lin4320 }{\listlevel\levelnfc0\levelnfcn0\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\leveltemplateid68485135
\'02\'06.;}{\levelnumbers\'01;}\fi-360\li5040\jclisttab\tx5040\lin5040 }{\listlevel\levelnfc4\levelnfcn4\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\leveltemplateid68485145\'02\'07.;}{\levelnumbers\'01;}\fi-360\li5760
\jclisttab\tx5760\lin5760 }{\listlevel\levelnfc2\levelnfcn2\leveljc2\leveljcn2\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\leveltemplateid68485147\'02\'08.;}{\levelnumbers\'01;}\fi-180\li6480\jclisttab\tx6480\lin6480 }{\listname 
;}\listid472405633}{\list\listtemplateid-1585133116{\listlevel\levelnfc0\levelnfcn0\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace4140\levelindent0{\leveltext\'02\'00.;}{\levelnumbers\'01;}\fbias0 \fi-360\li4500\jclisttab\tx4500\lin4500 }
{\listlevel\levelnfc4\levelnfcn4\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace4140\levelindent0{\leveltext\'02\'01.;}{\levelnumbers\'01;}\fi-360\li1440\jclisttab\tx1440\lin1440 }{\listlevel\levelnfc2\levelnfcn2\leveljc2\leveljcn2\levelfollow0
\levelstartat1\levelspace4140\levelindent0{\leveltext\'02\'02.;}{\levelnumbers\'01;}\fi-180\li2160\jclisttab\tx2160\lin2160 }{\listlevel\levelnfc0\levelnfcn0\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace4140\levelindent0{\leveltext
\'02\'03.;}{\levelnumbers\'01;}\fi-360\li2880\jclisttab\tx2880\lin2880 }{\listlevel\levelnfc4\levelnfcn4\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace4140\levelindent0{\leveltext\'02\'04.;}{\levelnumbers\'01;}\fi-360\li3600
\jclisttab\tx3600\lin3600 }{\listlevel\levelnfc2\levelnfcn2\leveljc2\leveljcn2\levelfollow0\levelstartat1\levelspace4140\levelindent0{\leveltext\'02\'05.;}{\levelnumbers\'01;}\fi-180\li4320\jclisttab\tx4320\lin4320 }{\listlevel\levelnfc0\levelnfcn0
\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace4140\levelindent0{\leveltext\'02\'06.;}{\levelnumbers\'01;}\fi-360\li5040\jclisttab\tx5040\lin5040 }{\listlevel\levelnfc4\levelnfcn4\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace4140
\levelindent0{\leveltext\'02\'07.;}{\levelnumbers\'01;}\fi-360\li5760\jclisttab\tx5760\lin5760 }{\listlevel\levelnfc2\levelnfcn2\leveljc2\leveljcn2\levelfollow0\levelstartat1\levelspace4140\levelindent0{\leveltext\'02\'08.;}{\levelnumbers\'01;}
\fi-180\li6480\jclisttab\tx6480\lin6480 }{\listname ;}\listid730471001}{\list\listtemplateid1760430852\listhybrid{\listlevel\levelnfc0\levelnfcn0\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\'02\'00.;}{\levelnumbers
\'01;}\fi-360\li2340\jclisttab\tx2340\lin2340 }{\listlevel\levelnfc0\levelnfcn0\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\'02\'01.;}{\levelnumbers\'01;}\fi-360\li1440\jclisttab\tx1440\lin1440 }{\listlevel\levelnfc0
\levelnfcn0\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\'02\'02.;}{\levelnumbers\'01;}\fi-360\li2160\jclisttab\tx2160\lin2160 }{\listlevel\levelnfc0\levelnfcn0\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0
\levelindent0{\leveltext\'02\'03.;}{\levelnumbers\'01;}\fi-360\li2880\jclisttab\tx2880\lin2880 }{\listlevel\levelnfc0\levelnfcn0\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\'02\'04.;}{\levelnumbers\'01;}\fi-360\li3600
\jclisttab\tx3600\lin3600 }{\listlevel\levelnfc0\levelnfcn0\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\'02\'05.;}{\levelnumbers\'01;}\fi-360\li4320\jclisttab\tx4320\lin4320 }{\listlevel\levelnfc0\levelnfcn0\leveljc0
\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\'02\'06.;}{\levelnumbers\'01;}\fi-360\li5040\jclisttab\tx5040\lin5040 }{\listlevel\levelnfc0\levelnfcn0\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0
{\leveltext\'02\'07.;}{\levelnumbers\'01;}\fi-360\li5760\jclisttab\tx5760\lin5760 }{\listlevel\levelnfc0\levelnfcn0\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\'02\'08.;}{\levelnumbers\'01;}\fi-360\li6480
\jclisttab\tx6480\lin6480 }{\listname ;}\listid875697250}{\list\listtemplateid-1488679704{\listlevel\levelnfc0\levelnfcn0\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\'02\'00);}{\levelnumbers\'01;}\fbias0 \fi-360\li39
\jclisttab\tx39\lin39 }{\listlevel\levelnfc4\levelnfcn4\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\'02\'01.;}{\levelnumbers\'01;}\fi-360\li759\jclisttab\tx759\lin759 }{\listlevel\levelnfc2\levelnfcn2\leveljc2
\leveljcn2\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\'02\'02.;}{\levelnumbers\'01;}\fi-180\li1479\jclisttab\tx1479\lin1479 }{\listlevel\levelnfc0\levelnfcn0\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0
{\leveltext\'02\'03.;}{\levelnumbers\'01;}\fi-360\li2199\jclisttab\tx2199\lin2199 }{\listlevel\levelnfc4\levelnfcn4\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\'02\'04.;}{\levelnumbers\'01;}\fi-360\li2919
\jclisttab\tx2919\lin2919 }{\listlevel\levelnfc2\levelnfcn2\leveljc2\leveljcn2\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\'02\'05.;}{\levelnumbers\'01;}\fi-180\li3639\jclisttab\tx3639\lin3639 }{\listlevel\levelnfc0\levelnfcn0\leveljc0
\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\'02\'06.;}{\levelnumbers\'01;}\fi-360\li4359\jclisttab\tx4359\lin4359 }{\listlevel\levelnfc4\levelnfcn4\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0
{\leveltext\'02\'07.;}{\levelnumbers\'01;}\fi-360\li5079\jclisttab\tx5079\lin5079 }{\listlevel\levelnfc2\levelnfcn2\leveljc2\leveljcn2\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\'02\'08.;}{\levelnumbers\'01;}\fi-180\li5799
\jclisttab\tx5799\lin5799 }{\listname ;}\listid953319121}{\list\listtemplateid-45437798\listhybrid{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat6\levelspace0\levelindent0{\leveltext\leveltemplateid-808008676
\'01-;}{\levelnumbers;}\loch\af0\hich\af0\dbch\af0\fbias0 \fi-360\li644\jclisttab\tx644\lin644 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\leveltemplateid68485123
\'01o;}{\levelnumbers;}\f2\fbias0 \fi-360\li1364\jclisttab\tx1364\lin1364 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\leveltemplateid68485125\'01\u-3929 ?;}{\levelnumbers;}
\f10\fbias0 \fi-360\li2084\jclisttab\tx2084\lin2084 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\leveltemplateid68485121\'01\u-3913 ?;}{\levelnumbers;}\f3\fbias0 \fi-360\li2804
\jclisttab\tx2804\lin2804 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\leveltemplateid68485123\'01o;}{\levelnumbers;}\f2\fbias0 \fi-360\li3524\jclisttab\tx3524\lin3524 }{\listlevel
\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\leveltemplateid68485125\'01\u-3929 ?;}{\levelnumbers;}\f10\fbias0 \fi-360\li4244\jclisttab\tx4244\lin4244 }{\listlevel\levelnfc23\levelnfcn23
\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\leveltemplateid68485121\'01\u-3913 ?;}{\levelnumbers;}\f3\fbias0 \fi-360\li4964\jclisttab\tx4964\lin4964 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0
\levelstartat1\levelspace0\levelindent0{\leveltext\leveltemplateid68485123\'01o;}{\levelnumbers;}\f2\fbias0 \fi-360\li5684\jclisttab\tx5684\lin5684 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0
{\leveltext\leveltemplateid68485125\'01\u-3929 ?;}{\levelnumbers;}\f10\fbias0 \fi-360\li6404\jclisttab\tx6404\lin6404 }{\listname ;}\listid1031609366}{\list\listtemplateid1124661320{\listlevel\levelnfc0\levelnfcn0\leveljc0\leveljcn0\levelfollow0
\levelstartat1\levelspace0\levelindent0{\leveltext\'02\'00);}{\levelnumbers\'01;}\fbias0 \fi-360\li3600\jclisttab\tx3600\lin3600 }{\listlevel\levelnfc4\levelnfcn4\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext
\'02\'01.;}{\levelnumbers\'01;}\fi-360\li1440\jclisttab\tx1440\lin1440 }{\listlevel\levelnfc2\levelnfcn2\leveljc2\leveljcn2\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\'02\'02.;}{\levelnumbers\'01;}\fi-180\li2160
\jclisttab\tx2160\lin2160 }{\listlevel\levelnfc0\levelnfcn0\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\'02\'03.;}{\levelnumbers\'01;}\fi-360\li2880\jclisttab\tx2880\lin2880 }{\listlevel\levelnfc4\levelnfcn4\leveljc0
\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\'02\'04.;}{\levelnumbers\'01;}\fi-360\li3600\jclisttab\tx3600\lin3600 }{\listlevel\levelnfc2\levelnfcn2\leveljc2\leveljcn2\levelfollow0\levelstartat1\levelspace0\levelindent0
{\leveltext\'02\'05.;}{\levelnumbers\'01;}\fi-180\li4320\jclisttab\tx4320\lin4320 }{\listlevel\levelnfc0\levelnfcn0\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\'02\'06.;}{\levelnumbers\'01;}\fi-360\li5040
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\fs24\lang1045\langfe1045\cgrid\langnp1045\langfenp1045 {\i\fs22\insrsid1979984  (nazwa Wykonawcy)
\par 
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\par }\pard \ql \fi5670\li0\ri0\sl345\slmult0\nowidctlpar\faauto\adjustright\rin0\lin0\itap0 {\b\insrsid1979984 Do Zamawiaj\'b9cego}{\insrsid1979984 :
\par }\pard \qj \li0\ri0\sl345\slmult0\nowidctlpar\faauto\adjustright\rin0\lin0\itap0 {\insrsid1979984 
\par }\pard \qc \li0\ri0\sl264\slmult0\nowidctlpar\faauto\adjustright\rin0\lin0\itap0 {\b\insrsid1979984 Powiat Inowroc\'b3awski - Powiatowy Zesp\'f3\'b3 Ekonomiczno- Administracyjny Szk\'f3\'b3
\par i Plac\'f3wek O\'9cwiatowych }{\fs20\insrsid1979984 
\par adres:
\par ul. Roosevelta 36/38
\par 88 - 100 Inowroc\'b3aw
\par }\pard \qj \fi-830\li0\ri0\sb120\nowidctlpar\faauto\adjustright\rin0\lin0\itap0\pararsid1509039 {\fs20\insrsid1979984 
\par }\pard \ql \fi720\li0\ri0\sb120\nowidctlpar\faauto\adjustright\rin0\lin0\itap0\pararsid1509039 {\fs20\insrsid1979984 W odpowiedzi na og\'b3oszenie o przetargu nie}{\fs20\insrsid4672359 ograniczonym na }{\fs20\insrsid1509039 
wykonanie remontu sali gimnastycznej oraz pomieszcze\'f1 socjalnych przy sali }{\fs20\insrsid1509039\charrsid1509039 gimnastycznej Zespo\'b3u  Szk\'f3\'b3 Ponadgimnazjalnych Nr 5 w Inowroc\'b3awiu, ul. Narutowicza 34.}{\fs20\insrsid1979984 
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\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw45 \cltxlrtb\clftsWidth3\clwWidth2709\clshdrawnil \cellx8805\pard \qc \li0\ri0\widctlpar\intbl\faauto\adjustright\rin0\lin0 {\b\fs28\insrsid1793066 Wyszczeg\'f3lnienie\cell Warto\'9c\'e6 og
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\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl70\trpaddr70\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw45 \clbrdrl\brdrs\brdrw20 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth2427\clshdrawnil 
\cellx2357\clvertalt\clbrdrt\brdrs\brdrw45 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw20 \cltxlrtb\clftsWidth3\clwWidth2140\clshdrawnil \cellx4497\clvertalt\clbrdrt\brdrs\brdrw45 \clbrdrl\brdrs\brdrw20 \clbrdrb\brdrs\brdrw15 
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}\trowd \irow1\irowband1\ts11\trgaph70\trrh990\trleft-70\trbrdrt\brdrs\brdrw45 \trbrdrl\brdrs\brdrw45 \trbrdrb\brdrs\brdrw45 \trbrdrr\brdrs\brdrw45 \trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl70\trpaddr70\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 
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\brdrs\brdrw15 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw45 \cltxlrtb\clftsWidth3\clwWidth2709\clshdrawnil \cellx8805\pard \ql \li0\ri0\widctlpar\intbl\faauto\adjustright\rin0\lin0\pararsid3690191 {\b\insrsid1793066 
Cena wykonania ca\'b3o\'9cci zam\'f3wienia - w z\'b3  brutto 
\par 
\par w tym cena za wykonanie i monta\'bf okien-  w z\'b3. brutto
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\brdrs\brdrw15 \clbrdrl\brdrs\brdrw20 \clbrdrb\brdrtbl \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth2427\clshdrawnil \cellx2357\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw20 
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\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw45 \cltxlrtb\clftsWidth3\clwWidth2709\clshdrawnil \cellx8805\row }\trowd \irow2\irowband2\lastrow \ts11\trgaph70\trrh1038\trleft-70\trbrdrt\brdrs\brdrw45 \trbrdrl\brdrs\brdrw45 \trbrdrb
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\cltxlrtb\clftsWidth3\clwWidth2427\clshdrawnil \cellx2357\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw20 \cltxlrtb\clftsWidth3\clwWidth2140\clshdrawnil \cellx4497\clvertalt\clbrdrt\brdrs\brdrw10 
\clbrdrl\brdrs\brdrw20 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1599\clshdrawnil \cellx6096\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw45 
\cltxlrtb\clftsWidth3\clwWidth2709\clshdrawnil \cellx8805\pard \ql \li0\ri0\widctlpar\intbl\faauto\adjustright\rin0\lin0\pararsid3690191 {\b\insrsid1793066 \cell }\pard \qc \li0\ri0\widctlpar\intbl\faauto\adjustright\rin0\lin0 {\insrsid1793066 \cell 
\cell \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\fs20\insrsid1793066 \trowd \irow2\irowband2\lastrow \ts11\trgaph70\trrh1038\trleft-70\trbrdrt\brdrs\brdrw45 \trbrdrl\brdrs\brdrw45 \trbrdrb\brdrs\brdrw45 
\trbrdrr\brdrs\brdrw45 \trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl70\trpaddr70\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvmrg\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrs\brdrw20 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 
\cltxlrtb\clftsWidth3\clwWidth2427\clshdrawnil \cellx2357\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw20 \cltxlrtb\clftsWidth3\clwWidth2140\clshdrawnil \cellx4497\clvertalt\clbrdrt\brdrs\brdrw10 
\clbrdrl\brdrs\brdrw20 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1599\clshdrawnil \cellx6096\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw45 
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\par }{\fs20\insrsid8861279 1. O\'9cwiadczam/y, \'bfe spe\'b3niam/y warunki udzia\'b3u w  post\'eapowaniu \endash  art. 44 ustawy Pzp.
\par }\pard \qj \li0\ri0\nowidctlpar\faauto\adjustright\rin0\lin0\itap0\pararsid8861279 {\fs20\insrsid8861279 2. }{\fs20\insrsid1979984 O\'9cwiadczamy, \'bfe zapoznali\'9cmy si\'ea ze specyfikacj\'b9 istotnych warunk\'f3w zam\'f3
wienia i nie wnosimy do niej zastrze\'bfe\'f1.
\par }{\fs20\insrsid8861279 3.}{\fs20\insrsid16197977  }{\fs20\insrsid1979984 O\'9cwiadczamy, \'bfe zdobyli\'9cmy konieczne informacje dotycz\'b9ce realizacji zam\'f3wienia oraz przygotowania i z\'b3o\'bfenia oferty.
\par }{\fs20\insrsid8861279 4.}{\fs20\insrsid16197977  }{\fs20\insrsid1979984 O\'9cwiadczamy, \'bfe uwa\'bfamy si\'ea zwi\'b9zani niniejsz\'b9 ofert\'b9 przez okres wskazany przez Zamawiaj\'b9cego w specyfikacji istotnych warunk\'f3w zam\'f3wienia.
\par }\pard \qj \li0\ri0\nowidctlpar\tldot\tx0\tldot\tx4113\faauto\adjustright\rin0\lin0\itap0\pararsid8861279 {\fs20\insrsid8861279 5}{\fs20\insrsid16197977 . }{\fs20\insrsid1979984 O\'9cwiadczamy, \'bfe przedstawiony w specyfikacji istotnych warunk\'f3w zam
\'f3wienia wz\'f3r umowy zosta\'b3 przez nas zaakceptowany i zobowi\'b9zujemy si\'ea do zawarcia umowy na warunkach w  nim okre\'9clonych.
\par }\pard \qj \li0\ri0\nowidctlpar\faauto\adjustright\rin0\lin0\itap0\pararsid8861279 {\fs20\insrsid8861279 6}{\fs20\insrsid16197977 . }{\fs20\insrsid1979984 O\'9cwiadczamy, \'bfe zam\'f3wienie zrealizujemy:
\par }\pard \qj \li284\ri0\nowidctlpar\faauto\adjustright\rin0\lin284\itap0 {\fs20\insrsid1979984 - wy\'b3\'b9cznie si\'b3ami w\'b3asnymi  
\par }\pard \qj \fi284\li0\ri0\nowidctlpar\faauto\adjustright\rin0\lin0\itap0 {\fs20\insrsid1979984 - przy u\'bfyciu podwykonawc\'f3w :................................................................................................................
\par }\pard \qj \li0\ri0\nowidctlpar\faauto\adjustright\rin0\lin0\itap0\pararsid8861279 {\fs20\insrsid8861279 7}{\fs20\insrsid16197977 . }{\fs20\insrsid1979984 Udzielimy minimum 3 -letniej gwarancji jako\'9cci na wykonane prace, licz\'b9c od dnia odbioru ko
\'f1cowego.
\par }\pard \qj \li0\ri0\nowidctlpar\faauto\adjustright\rin0\lin0\itap0\pararsid16197977 {\fs20\insrsid16197977 8. }{\fs20\insrsid1979984 O\'9cwiadczam, \'bfe dokonali\'9cmy wizji lokalnej na terenie rob\'f3t obj\'eatych zam\'f3wieniem.
\par }\pard \ql \li0\ri0\sl360\slmult1\nowidctlpar\tldot\tx8654\faauto\adjustright\rin0\lin0\itap0 {\fs20\insrsid1979984       Za\'b3\'b9cznikami do niniejszej oferty s\'b9 nast\'eapuj\'b9ce dokumenty:
\par 
\par 
\par 
\par }\pard \ql \li5040\ri0\sl360\slmult1\nowidctlpar\tldot\tx8654\faauto\adjustright\rin0\lin5040\itap0\pararsid7025133 {\fs20\insrsid1979984                                                                                    \tab }{\fs18\insrsid1979984 
                                                                                                            (Piecz\'b9tka i podpis Wykonawcy)}{\fs18\insrsid4672359 
\par }\pard \ql \li0\ri0\sl360\slmult1\nowidctlpar\tldot\tx8654\faauto\adjustright\rin0\lin0\itap0\pararsid4672359 {\f1\fs20\insrsid4672359 \sect }\sectd \psz9\linex0\headery709\footery709\colsx708\sectdefaultcl\sftnbj \pard\plain \qj \li0\ri0\sl417\slmult0
\nowidctlpar\faauto\adjustright\rin0\lin0\itap0 \fs24\lang1045\langfe1045\cgrid\langnp1045\langfenp1045 {\fs20\insrsid14429762 str.2 oferty}{\fs20\insrsid1979984 
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\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth851\clshdrawnil \cellx851\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth6509\clshdrawnil 
\cellx7360\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1843\clshdrawnil \cellx9203\pard \qc \li0\ri0\nowidctlpar\intbl\faauto\adjustright\rin0\lin0 {
\b\fs20\insrsid1979984 Lp\cell }{\fs20\insrsid1979984 Wyszczeg\'f3lnienie\cell Nr strony oferty\cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\fs20\insrsid1979984 \trowd \irow0\irowband0\ts11\trrh432\trleft0
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\cltxlrtb\clftsWidth3\clwWidth851\clshdrawnil \cellx851\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth6509\clshdrawnil \cellx7360\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1843\clshdrawnil \cellx9203\row }\trowd \irow1\irowband1\ts11\trrh460\trleft0\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr
\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth851\clshdrawnil \cellx851\clvertalc\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth6509\clshdrawnil \cellx7360\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth1843\clshdrawnil \cellx9203\pard \ql \li0\ri0\nowidctlpar\intbl\faauto\adjustright\rin0\lin0 {\f1\fs20\insrsid1979984     1.\cell }\pard \ql \li0\ri0\sl273\slmult0\nowidctlpar\intbl\faauto\adjustright\rin0\lin0 {
\fs20\insrsid1979984  }{\fs18\insrsid9045480 kosztorys }{\fs18\insrsid12323240 uproszczony, }{\fs18\insrsid1979984 uwzgl\'eadniaj\'b9}{\fs18\insrsid12323240 cy wszystkie }{\fs18\insrsid1979984 roboty wyszczeg\'f3lnione }{\fs18\insrsid7948299 w P}{
\fs18\insrsid12087947 rzedmiarach}{\fs18\insrsid10618530  bran\'bfy elektrycznej i budowlanej, }{\fs18\insrsid12323240 opisane  w }{\fs18\insrsid4672359 S}{\fs18\insrsid15023963 pecyfikacjach}{\fs18\insrsid1979984  tech}{\fs18\insrsid15023963 nicznych}{
\fs18\insrsid12323240   wykonania   i  odbioru}{\fs18\insrsid1979984   rob\'f3t, }{\fs18\insrsid12869833 oraz Projekcie}{\fs18\insrsid15023963  technicznym}{\fs18\insrsid14690861 -}{\fs18\insrsid15023963  bran\'bfa elektryczna}{\fs18\insrsid12323240  }{
\fs18\insrsid7551973 ,}{\fs18\insrsid1979984  popartych  wizj\'b9  lokaln\'b9. }{\fs18\insrsid1979984\charrsid4672359 \cell }\pard \ql \li0\ri0\nowidctlpar\intbl\faauto\adjustright\rin0\lin0 {\f1\fs20\insrsid1979984 \cell }\pard 
\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\fs20\insrsid1979984 \trowd \irow1\irowband1\ts11\trrh460\trleft0\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh
\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth851\clshdrawnil \cellx851\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth6509\clshdrawnil \cellx7360\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth1843\clshdrawnil \cellx9203\row }\trowd \irow2\irowband2\ts11\trrh441\trleft0\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth851\clshdrawnil \cellx851\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth6509\clshdrawnil \cellx7360\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1843\clshdrawnil \cellx9203\pard 
\qc \li0\ri0\nowidctlpar\intbl\faauto\adjustright\rin0\lin0\pararsid4672359 {\f1\fs20\insrsid4672359 2}{\f1\fs20\insrsid1979984 \cell }\pard \ql \li0\ri0\nowidctlpar\intbl\faauto\adjustright\rin0\lin0 {\f1\fs20\insrsid1979984 \cell \cell }\pard 
\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\fs20\insrsid1979984 \trowd \irow2\irowband2\ts11\trrh441\trleft0\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh
\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth851\clshdrawnil \cellx851\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth6509\clshdrawnil \cellx7360\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth1843\clshdrawnil \cellx9203\row }\pard \qc \li0\ri0\nowidctlpar\intbl\faauto\adjustright\rin0\lin0\pararsid4672359 {\f1\fs20\insrsid4672359 3}{\f1\fs20\insrsid1979984 \cell }\pard 
\ql \li0\ri0\nowidctlpar\intbl\faauto\adjustright\rin0\lin0 {\f1\fs20\insrsid1979984 \cell \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\fs20\insrsid1979984 \trowd \irow3\irowband3\ts11\trrh441\trleft0\trbrdrt
\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth851\clshdrawnil \cellx851\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth6509\clshdrawnil \cellx7360\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1843\clshdrawnil \cellx9203\row }\pard \qc \li0\ri0\nowidctlpar\intbl\faauto\adjustright\rin0\lin0\pararsid4672359 {\f1\fs20\insrsid4672359 4}{
\f1\fs20\insrsid1979984 \cell }\pard \ql \li0\ri0\nowidctlpar\intbl\faauto\adjustright\rin0\lin0 {\f1\fs20\insrsid1979984 \cell \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\fs20\insrsid1979984 
\trowd \irow4\irowband4\ts11\trrh441\trleft0\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth851\clshdrawnil \cellx851\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth6509\clshdrawnil 
\cellx7360\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1843\clshdrawnil \cellx9203\row }\pard 
\qc \li0\ri0\nowidctlpar\intbl\faauto\adjustright\rin0\lin0\pararsid4672359 {\f1\fs20\insrsid4672359 5}{\f1\fs20\insrsid1979984 \cell }\pard \ql \li0\ri0\nowidctlpar\intbl\faauto\adjustright\rin0\lin0 {\f1\fs20\insrsid1979984 \cell \cell }\pard 
\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\fs20\insrsid1979984 \trowd \irow5\irowband5\ts11\trrh441\trleft0\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh
\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth851\clshdrawnil \cellx851\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth6509\clshdrawnil \cellx7360\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth1843\clshdrawnil \cellx9203\row }\pard \ql \li0\ri0\nowidctlpar\intbl\faauto\adjustright\rin0\lin0 {\f1\fs20\insrsid1979984 \cell \cell \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {
\f1\fs20\insrsid1979984 \trowd \irow6\irowband6\ts11\trrh441\trleft0\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1 \clvertalc\clbrdrt\brdrs\brdrw10 
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth851\clshdrawnil \cellx851\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth6509\clshdrawnil \cellx7360\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1843\clshdrawnil \cellx9203\row }\trowd \irow7\irowband7
\ts11\trrh451\trleft0\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth851\clshdrawnil \cellx851\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth6509\clshdrawnil \cellx7360\clvertalc\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1843\clshdrawnil \cellx9203\pard \ql \li0\ri0\nowidctlpar\intbl\faauto\adjustright\rin0\lin0 {\f1\fs20\insrsid1979984 \cell \cell \cell 
}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\fs20\insrsid1979984 \trowd \irow7\irowband7\ts11\trrh451\trleft0\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh
\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth851\clshdrawnil \cellx851\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth6509\clshdrawnil \cellx7360\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth1843\clshdrawnil \cellx9203\row }\pard \ql \li0\ri0\nowidctlpar\intbl\faauto\adjustright\rin0\lin0 {\f1\fs20\insrsid1979984 \cell \cell \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {
\f1\fs20\insrsid1979984 \trowd \irow8\irowband8\ts11\trrh451\trleft0\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1 \clvertalc\clbrdrt\brdrs\brdrw10 
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth851\clshdrawnil \cellx851\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth6509\clshdrawnil \cellx7360\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1843\clshdrawnil \cellx9203\row }\trowd \irow9\irowband9
\ts11\trrh441\trleft0\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth851\clshdrawnil \cellx851\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth6509\clshdrawnil \cellx7360\clvertalc\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1843\clshdrawnil \cellx9203\pard \ql \li0\ri0\nowidctlpar\intbl\faauto\adjustright\rin0\lin0 {\f1\fs20\insrsid1979984 \cell \cell \cell 
}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\fs20\insrsid1979984 \trowd \irow9\irowband9\ts11\trrh441\trleft0\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh
\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth851\clshdrawnil \cellx851\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth6509\clshdrawnil \cellx7360\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth1843\clshdrawnil \cellx9203\row }\pard \ql \li0\ri0\nowidctlpar\intbl\faauto\adjustright\rin0\lin0 {\f1\fs20\insrsid1979984 \cell \cell \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {
\f1\fs20\insrsid1979984 \trowd \irow10\irowband10\ts11\trrh441\trleft0\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1 \clvertalc\clbrdrt\brdrs\brdrw10 
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth851\clshdrawnil \cellx851\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth6509\clshdrawnil \cellx7360\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1843\clshdrawnil \cellx9203\row }\pard 
\ql \li0\ri0\nowidctlpar\intbl\faauto\adjustright\rin0\lin0 {\f1\fs20\insrsid1979984 \cell \cell \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\fs20\insrsid1979984 \trowd \irow11\irowband11\ts11\trrh441\trleft0
\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth851\clshdrawnil \cellx851\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth6509\clshdrawnil \cellx7360\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1843\clshdrawnil \cellx9203\row }\pard \ql \li0\ri0\nowidctlpar\intbl\faauto\adjustright\rin0\lin0 {\f1\fs20\insrsid1979984 \cell \cell \cell }\pard 
\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\fs20\insrsid1979984 \trowd \irow12\irowband12\ts11\trrh441\trleft0\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh
\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth851\clshdrawnil \cellx851\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth6509\clshdrawnil \cellx7360\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth1843\clshdrawnil \cellx9203\row }\pard \ql \li0\ri0\nowidctlpar\intbl\faauto\adjustright\rin0\lin0 {\f1\fs20\insrsid1979984 \cell \cell \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {
\f1\fs20\insrsid1979984 \trowd \irow13\irowband13\ts11\trrh441\trleft0\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1 \clvertalc\clbrdrt\brdrs\brdrw10 
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth851\clshdrawnil \cellx851\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth6509\clshdrawnil \cellx7360\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1843\clshdrawnil \cellx9203\row }\trowd \irow14\irowband14
\ts11\trrh451\trleft0\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth851\clshdrawnil \cellx851\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth6509\clshdrawnil \cellx7360\clvertalc\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1843\clshdrawnil \cellx9203\pard \ql \li0\ri0\nowidctlpar\intbl\faauto\adjustright\rin0\lin0 {\f1\fs20\insrsid1979984 \cell \cell \cell 
}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\fs20\insrsid1979984 \trowd \irow14\irowband14\ts11\trrh451\trleft0\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh
\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth851\clshdrawnil \cellx851\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth6509\clshdrawnil \cellx7360\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth1843\clshdrawnil \cellx9203\row }\trowd \irow15\irowband15\lastrow \ts11\trrh422\trleft0\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv
\brdrs\brdrw10 \trftsWidth1 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth851\clshdrawnil \cellx851\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth6509\clshdrawnil \cellx7360\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1843\clshdrawnil \cellx9203
\pard \ql \li0\ri0\nowidctlpar\intbl\faauto\adjustright\rin0\lin0 {\f1\fs20\insrsid1979984 \cell \cell \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\fs20\insrsid1979984 \trowd \irow15\irowband15\lastrow 
\ts11\trrh422\trleft0\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth851\clshdrawnil \cellx851\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth6509\clshdrawnil \cellx7360\clvertalc\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1843\clshdrawnil \cellx9203\row }\pard \ql \li0\ri0\nowidctlpar\faauto\adjustright\rin0\lin0\itap0 {\f1\fs20\insrsid1979984 
\par }\pard \qj \li0\ri0\sl67\slmult0\nowidctlpar\faauto\adjustright\rin0\lin0\itap0 {\fs20\insrsid1979984                                                                                           
\par 
\par  \'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85.                                                   \'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85                                                                              }{\fs16\insrsid1979984 
                       }{\fs18\insrsid1979984                                                                                                                                                                                   ( Miejscowo\'9c\'e6
, data)                                                                                                             (Piecz\'b9tka i podpis Wykonawcy)}{\fs22\insrsid1979984 
\par }\pard \ql \li0\ri0\nowidctlpar\faauto\adjustright\rin0\lin0\itap0 {\f1\fs20\insrsid1979984 \sect }\sectd \psz9\linex0\headery709\footery709\colsx708\sectdefaultcl\sftnbj \pard\plain \qr \li0\ri0\sl307\slmult0
\nowidctlpar\faauto\adjustright\rin0\lin0\itap0 \fs24\lang1045\langfe1045\cgrid\langnp1045\langfenp1045 {\b\fs20\insrsid1979984 
\par 
\par 
\par }\pard \qr \li0\ri0\sl297\slmult0\nowidctlpar\faauto\adjustright\rin0\lin0\itap0 {\b\fs20\insrsid1979984 Za\'b3\'b9cznik Nr 2}{\b\fs20\insrsid4132746  do siwz}{\b\fs20\insrsid1979984 
\par }\pard \qj \li0\ri0\sl307\slmult0\nowidctlpar\faauto\adjustright\rin0\lin0\itap0 {\b\fs20\insrsid1979984 Nazwa i adres wykonawcy}{\fs20\insrsid1979984 :
\par }\trowd \irow0\irowband0\lastrow \ts11\trgaph70\trrh763\trleft-108\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw15 \trbrdrv\brdrs\brdrw15 
\trftsWidth1\trpaddl70\trpaddr70\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw30 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw30 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth9211\clshdrawnil \cellx9103\pard \qj \li0\ri0\sl307\slmult0
\nowidctlpar\intbl\faauto\adjustright\rin0\lin0 {\fs20\insrsid1979984 \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\fs20\insrsid1979984 \trowd \irow0\irowband0\lastrow \ts11\trgaph70\trrh763\trleft-108\trbrdrt
\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw15 \trbrdrv\brdrs\brdrw15 \trftsWidth1\trpaddl70\trpaddr70\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw30 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw30 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth9211\clshdrawnil \cellx9103\row }\pard \qj \li0\ri0\sl76\slmult0\nowidctlpar\faauto\adjustright\rin0\lin0\itap0 {\fs20\insrsid1979984 
\par }{\b\fs20\insrsid1979984 Imi\'ea i nazwisko osoby uprawnionej do sk\'b3adania o\'9cwiadcze\'f1 woli:
\par }\trowd \irow0\irowband0\lastrow \ts11\trgaph70\trrh710\trleft-108\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw15 \trbrdrv\brdrs\brdrw15 
\trftsWidth1\trpaddl70\trpaddr70\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw30 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw30 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth9211\clshdrawnil \cellx9103\pard \qj \li0\ri0\sl76\slmult0
\nowidctlpar\intbl\faauto\adjustright\rin0\lin0 {\fs20\insrsid1979984 \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\fs20\insrsid1979984 \trowd \irow0\irowband0\lastrow \ts11\trgaph70\trrh710\trleft-108\trbrdrt
\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw15 \trbrdrv\brdrs\brdrw15 \trftsWidth1\trpaddl70\trpaddr70\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw30 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw30 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth9211\clshdrawnil \cellx9103\row }\pard \qj \li0\ri0\sl240\slmult0\nowidctlpar\faauto\adjustright\rin0\lin0\itap0 {\fs20\insrsid1979984 
\par 
\par 
\par }\pard\plain \s1\qc \li0\ri0\sl336\slmult0\keepn\nowidctlpar\faauto\outlinelevel0\adjustright\rin0\lin0\itap0 \b\fs30\lang1045\langfe1045\cgrid\langnp1045\langfenp1045 {\insrsid1979984 O\'9cwiadczenie
\par }\pard\plain \qj \li0\ri0\sl336\slmult0\nowidctlpar\faauto\adjustright\rin0\lin0\itap0 \fs24\lang1045\langfe1045\cgrid\langnp1045\langfenp1045 {\b\fs30\insrsid1979984 
\par }\pard \ql \li0\ri0\sl278\slmult0\nowidctlpar\faauto\adjustright\rin0\lin0\itap0\pararsid11415002 {\insrsid1979984 o spe\'b3nieniu warunk\'f3w wynikaj\'b9cych z art. 22 ust. 1 pkt. 1 - 4 ustawy z dnia 29 stycznia 2004 r. Prawo za}{\insrsid6105533 m\'f3wie
\'f1 publicznych (Dz.U. z 2007 r. Nr 223,}{\insrsid12869833  }{\insrsid6105533 poz.1655}{\insrsid1979984 )}{\insrsid15610977 .}{\insrsid1979984\charrsid11415002 
\par }\pard \qc \li0\ri0\sl278\slmult0\nowidctlpar\faauto\adjustright\rin0\lin0\itap0 {\fs20\insrsid1979984 
\par }\pard \qj \li0\ri0\sl312\slmult0\nowidctlpar\faauto\adjustright\rin0\lin0\itap0\pararsid11415002 {\insrsid1979984 Przyst\'eapuj\'b9c do post\'eapowania w sprawie udzielenia zam\'f3wienia }{\insrsid6105533 publicznego na}{
\insrsid14429762\charrsid11171324  }{\insrsid11171324\charrsid11171324 wykonanie remontu sali gimnastycznej oraz pomieszcze\'f1 socjalnych przy sali gimnastycznej Zespo\'b3u  Szk\'f3\'b3 Ponadgimnazjalnych Nr 5 w Inowroc\'b3awiu, ul. Narutowicza 34.}{
\insrsid1979984 
\par }\pard\plain \s15\qj \li0\ri0\sl312\slmult0\nowidctlpar\faauto\adjustright\rin0\lin0\itap0 \b\fs20\lang1045\langfe1045\cgrid\langnp1045\langfenp1045 {\b0\fs24\insrsid1979984 
\par 
\par }\pard\plain \qj \li0\ri0\sl312\slmult0\nowidctlpar\faauto\adjustright\rin0\lin0\itap0 \fs24\lang1045\langfe1045\cgrid\langnp1045\langfenp1045 {\fs22\insrsid1979984 
\par }{\insrsid1979984 o\'9cwiadczam, \'bfe}{\fs22\insrsid1979984 :
\par }{\fs20\insrsid1979984 
\par {\listtext\pard\plain\insrsid1979984 \hich\af0\dbch\af0\loch\f0 1)\tab}}\pard \qj \fi-283\li1701\ri0\sl273\slmult0\nowidctlpar\jclisttab\tx1701\faauto\ls5\adjustright\rin0\lin1701\itap0 {\insrsid1979984 posiadam uprawnienia do wykonywania okre\'9c
lonej dzia\'b3alno\'9cci lub czynno\'9cci, je\'bfeli ustawy nak\'b3adaj\'b9 obowi\'b9zek posiadania takich uprawnie\'f1,
\par {\listtext\pard\plain\insrsid1979984 \hich\af0\dbch\af0\loch\f0 2)\tab}posiadam niezb\'eadn\'b9 wiedz\'ea i do\'9cwiadczenie oraz dysponuj\'ea potencja\'b3em technicznym  i osobami  zdolnymi do wykonania zam\'f3wienia,
\par {\listtext\pard\plain\insrsid1979984 \hich\af0\dbch\af0\loch\f0 3)\tab}znajduj\'ea si\'ea w sytuacji ekonomicznej i finansowej zapewniaj\'b9cej wykonanie zam\'f3wienia,
\par }\pard \qj \li1418\ri0\sl273\slmult0\nowidctlpar\faauto\adjustright\rin0\lin1418\itap0 {\insrsid1979984 4) nie podlegam wykluczeniu z post\'eapowania udzielenie zam\'f3wienia.}{\fs28\insrsid1979984 
\par }\pard \qj \li0\ri0\sl273\slmult0\nowidctlpar\faauto\adjustright\rin0\lin0\itap0 {\fs20\insrsid1979984 
\par }\pard \ql \li0\ri0\sl273\slmult0\nowidctlpar\faauto\adjustright\rin0\lin0\itap0 {\fs20\insrsid1979984 
\par                                                                      
\par                                                                                                                            \'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85.
\par }\pard\plain \s2\ql \li0\ri0\sl273\slmult0\keepn\nowidctlpar\faauto\outlinelevel1\adjustright\rin0\lin0\itap0 \b\fs20\lang1045\langfe1045\cgrid\langnp1045\langfenp1045 {\insrsid1979984 
                                                                                                                           Piecz\'b9tka i podpis Wykonawcy
\par }\pard\plain \qr \li0\ri0\sl57\slmult0\nowidctlpar\tldot\tx0\faauto\adjustright\rin0\lin0\itap0 \fs24\lang1045\langfe1045\cgrid\langnp1045\langfenp1045 {\fs20\insrsid1979984 \tab 
\par 
\par }\pard \qj \li0\ri0\sl57\slmult0\nowidctlpar\tldot\tx0\faauto\adjustright\rin0\lin0\itap0 {\fs20\insrsid1979984 
\par }\pard \qj \li0\ri0\sl292\slmult0\nowidctlpar\faauto\adjustright\rin0\lin0\itap0 {\b\fs22\insrsid1979984 Miejscowo\'9c\'e6 i data:}{\fs22\insrsid1979984  
\par }\pard \qr \li0\ri0\sl307\slmult0\nowidctlpar\faauto\adjustright\rin0\lin0\itap0 {\b\fs20\insrsid1979984 
\par 
\par 
\par 
\par 
\par 
\par }\pard \ql \li0\ri0\sl307\slmult0\nowidctlpar\faauto\adjustright\rin0\lin0\itap0 {\b\fs20\insrsid1979984 
\par }\pard \qr \li0\ri0\sl307\slmult0\nowidctlpar\faauto\adjustright\rin0\lin0\itap0 {\b\fs20\insrsid1979984 Za\'b3\'b9cznik Nr 3}{\b\fs20\insrsid4132746  do siwz}{\b\fs20\insrsid1979984 
\par }\pard \qj \li0\ri0\sl307\slmult0\nowidctlpar\faauto\adjustright\rin0\lin0\itap0 {\fs20\insrsid1979984 
\par }{\b\fs20\insrsid1979984 Nazwa i adres wykonawcy}{\fs20\insrsid1979984 :
\par }\trowd \irow0\irowband0\lastrow \ts11\trgaph70\trrh763\trleft-108\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw15 \trbrdrv\brdrs\brdrw15 
\trftsWidth1\trpaddl70\trpaddr70\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw30 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw30 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth9211\clshdrawnil \cellx9103\pard \qj \li0\ri0\sl307\slmult0
\nowidctlpar\intbl\faauto\adjustright\rin0\lin0 {\fs20\insrsid1979984 \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\fs20\insrsid1979984 \trowd \irow0\irowband0\lastrow \ts11\trgaph70\trrh763\trleft-108\trbrdrt
\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw15 \trbrdrv\brdrs\brdrw15 \trftsWidth1\trpaddl70\trpaddr70\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw30 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw30 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth9211\clshdrawnil \cellx9103\row }\pard \qj \li0\ri0\sl76\slmult0\nowidctlpar\faauto\adjustright\rin0\lin0\itap0 {\fs20\insrsid1979984 
\par }{\b\fs20\insrsid1979984 Imi\'ea i nazwisko osoby uprawnionej do sk\'b3adania o\'9cwiadcze\'f1 woli:
\par }\trowd \irow0\irowband0\lastrow \ts11\trgaph70\trrh710\trleft-108\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw15 \trbrdrv\brdrs\brdrw15 
\trftsWidth1\trpaddl70\trpaddr70\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw30 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw30 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth9211\clshdrawnil \cellx9103\pard \qj \li0\ri0\sl76\slmult0
\nowidctlpar\intbl\faauto\adjustright\rin0\lin0 {\fs20\insrsid1979984 \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\fs20\insrsid1979984 \trowd \irow0\irowband0\lastrow \ts11\trgaph70\trrh710\trleft-108\trbrdrt
\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw15 \trbrdrv\brdrs\brdrw15 \trftsWidth1\trpaddl70\trpaddr70\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw30 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw30 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth9211\clshdrawnil \cellx9103\row }\pard \qj \li0\ri0\sl76\slmult0\nowidctlpar\faauto\adjustright\rin0\lin0\itap0 {\fs20\insrsid1979984 
\par }{\fs38\insrsid1979984 
\par }\pard \qc \li0\ri0\widctlpar\faauto\adjustright\rin0\lin0\itap0 {\b\fs20\insrsid1979984 O\'8cWIADCZAM, \'afE:}{\fs20\insrsid1979984 
\par }\pard \qc \li0\ri0\widctlpar\faauto\ilvl12\adjustright\rin0\lin0\itap0 {\f36\fs20\insrsid1979984 
\par }\pard\plain \s15\qj \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \b\fs20\lang1045\langfe1045\cgrid\langnp1045\langfenp1045 {\b0\insrsid1979984 Stosownie do tre\'9cci art. 24 ust. 1-2 ustawy z dnia 29 stycznia 2004 r. prawo zam}{
\b0\insrsid10185264 \'f3wie\'f1 publicznych (Dz. U. z 2007 r. Nr 223, poz. 1655}{\b0\insrsid1979984 ) nie podlegam wykluczeniu z udzia\'b3u w niniejszym post\'eapowaniu o udzielenie zam\'f3wienia pub}{\b0\insrsid11415002 licznego na }{\insrsid11171324 
wykonanie remontu sali gimnastycznej oraz pomieszcze\'f1 socjalnych przy sali }{\insrsid11171324\charrsid1509039 gimnastycznej Zespo\'b3u  Szk\'f3\'b3 Ponadgimnazjalnych Nr 5 w Inowroc\'b3awiu, ul. Narutowicza 34.}{\insrsid1979984 
\par }{\b0\insrsid11171324 
\par }{\insrsid1979984 
\par }{\i\insrsid1979984 
\par }{\b0\insrsid1979984 Zgodnie z tre\'9cci\'b9 art. 24 ust. 1-2 ustawy z dnia 29 stycznia 2004 r. prawo zam}{\b0\insrsid10185264 \'f3wie\'f1 publicznych (Dz. U. z 2007 r. Nr 233, poz. 1655}{\b0\insrsid1979984 ) z post\'eapowania o udzielenie niniejszego zam
\'f3wienia wyklucza si\'ea:}{\b0\f36\insrsid1979984  
\par }\pard\plain \qj \li0\ri0\sl283\slmult0\nowidctlpar\faauto\adjustright\rin0\lin0\itap0 \fs24\lang1045\langfe1045\cgrid\langnp1045\langfenp1045 {\f36\fs20\insrsid1979984   }{\fs20\insrsid1979984 
\par {\listtext\pard\plain\fs20\insrsid1979984 \hich\af0\dbch\af0\loch\f0 1)\tab}}\pard \qj \fi-284\li284\ri0\sl211\slmult0\nowidctlpar\jclisttab\tx284\faauto\ls3\adjustright\rin0\lin284\itap0 {\fs20\insrsid1979984  wykonawc\'f3w, kt\'f3rzy w ci\'b9
gu ostatnich 3 lat przed wszcz\'eaciem post\'eapowania wyrz\'b9dzili szkod\'ea nie wykonuj\'b9c zam\'f3wienia lub wykonuj\'b9c je nienale\'bfycie, a szkoda ta nie zosta\'b3a dobrowolnie naprawiona do dnia wszcz\'eacia post\'eapowania, chyba \'bf
e niewykonanie lub nienale\'bfyte wykonanie jest nast\'eapstwem okoliczno\'9cci, za kt\'f3re wykonawca nie ponosi odpowiedzialno\'9cci,
\par }\pard \qj \li0\ri0\sl211\slmult0\nowidctlpar\faauto\adjustright\rin0\lin0\itap0 {\fs20\insrsid1979984 
\par {\listtext\pard\plain\fs20\insrsid1979984 \hich\af0\dbch\af0\loch\f0 2)\tab}}\pard \qj \fi-284\li284\ri0\sl211\slmult0\nowidctlpar\jclisttab\tx284\faauto\ls3\adjustright\rin0\lin284\itap0 {\fs20\insrsid1979984 wykonawc\'f3w, w stosunku do kt\'f3
rych otwarto likwidacj\'ea lub kt\'f3rych upad\'b3o\'9c\'e6 og\'b3oszono, z wyj\'b9tkiem wykonawc\'f3w, kt\'f3rzy po og\'b3oszeniu upad\'b3o\'9cci zawarli uk\'b3ad zatwierdzony prawomocnym postanowieniem s\'b9du, je\'bfeli uk\'b3
ad nie przewiduje zaspokojenia wierzycieli poprzez likwidacj\'ea maj\'b9tku upad\'b3ego,
\par }\pard \qj \li0\ri0\sl211\slmult0\nowidctlpar\faauto\adjustright\rin0\lin0\itap0 {\fs20\insrsid1979984 
\par {\listtext\pard\plain\fs20\insrsid1979984 \hich\af0\dbch\af0\loch\f0 3)\tab}}\pard \qj \fi-284\li284\ri0\sl211\slmult0\nowidctlpar\jclisttab\tx284\faauto\ls3\adjustright\rin0\lin284\itap0 {\fs20\insrsid1979984 wykonawc\'f3w, kt\'f3rzy zalegaj\'b9
 z uiszczeniem podatk\'f3w, op\'b3at lub sk\'b3adek na ubezpieczenie spo\'b3eczne lub zdrowotne, z wyj\'b9tkiem przypadk\'f3w, gdy uzyskali oni przewidziane prawem  zwolnienie, odroczenie, roz\'b3o\'bfenie na raty zaleg\'b3ych p\'b3atno\'9c
ci lub wstrzymanie w ca\'b3o\'9cci wykonania decyzji  w\'b3a\'9cciwego organu,
\par }\pard \qj \li0\ri0\sl211\slmult0\nowidctlpar\faauto\adjustright\rin0\lin0\itap0 {\fs20\insrsid1979984 
\par {\listtext\pard\plain\fs20\insrsid1979984 \hich\af0\dbch\af0\loch\f0 4)\tab}}\pard \qj \fi-284\li284\ri0\sl211\slmult0\nowidctlpar\jclisttab\tx284\faauto\ls3\adjustright\rin0\lin284\itap0 {\fs20\insrsid1979984 osoby fizyczne, kt\'f3
re prawomocnie skazano za przest\'eapstwo pope\'b3nione w zwi\'b9zku z post\'eapowaniem o udzielenie zam\'f3wienia, przest\'eapstwo przeciwko prawom os\'f3b wykonuj\'b9cych prac\'ea zarobkow\'b9, przest\'eapstwo przekupstwa, przest\'ea
pstwo przeciwko obrotowi gospodarczemu lub inne przest\'eapstwo pope\'b3nione w celu osi\'b9gni\'eacia korzy\'9cci maj\'b9tkowych, a tak\'bfe za przest\'eapstwo skarbowe  lub przest\'eapstwo udzia\'b3u w zorganizowanej grupie albo zwi\'b9zku maj\'b9
cych na celu pope\'b3nienie przest\'eapstwa lub przest\'eapstwa skarbowego.,
\par }\pard \qj \li0\ri0\sl211\slmult0\nowidctlpar\faauto\adjustright\rin0\lin0\itap0 {\fs20\insrsid1979984 
\par {\listtext\pard\plain\fs20\insrsid1979984 \hich\af0\dbch\af0\loch\f0 5)\tab}}\pard \qj \fi-284\li284\ri0\sl211\slmult0\nowidctlpar\jclisttab\tx284\faauto\ls3\adjustright\rin0\lin284\itap0 {\fs20\insrsid1979984 sp\'f3\'b3ki jawne, kt\'f3rych wsp\'f3
lnika prawomocnie skazano za przest\'eapstwo pope\'b3nione w zwi\'b9zku z post\'eapowaniem o udzielenie zam\'f3wienia, przest\'eapstwa przeciwko prawom os\'f3b wykonuj\'b9cych prac\'ea zarobkow\'b9, przest\'eapstwo przekupstwa, przest\'ea
pstwo przeciwko obrotowi gospodarczemu lub inne przest\'eapstwo pope\'b3nione w celu osi\'b9gni\'eacia korzy\'9cci maj\'b9tkowych, a tak\'bfe za przest\'eapstwo skarbowe  lub przest\'eapstwo udzia\'b3u w zorganizowanej grupie albo zwi\'b9zku maj\'b9
cych na celu pope\'b3nienie przest\'eapstwa lub przest\'eapstwa skarbowego,
\par }\pard \qj \li0\ri0\sl211\slmult0\nowidctlpar\faauto\adjustright\rin0\lin0\itap0 {\fs20\insrsid1979984 
\par {\listtext\pard\plain\fs20\insrsid1979984 \hich\af0\dbch\af0\loch\f0 6)\tab}}\pard \qj \fi-284\li284\ri0\sl211\slmult0\nowidctlpar\jclisttab\tx284\faauto\ls3\adjustright\rin0\lin284\itap0 {\fs20\insrsid1979984 sp\'f3\'b3ki partnerskie, kt\'f3
rych partnera lub cz\'b3onka zarz\'b9du prawomocnie skazano za przest\'eapstwo pope\'b3nione w zwi\'b9zku z post\'eapowaniem o udzielenie zam\'f3wienia, przest\'eapstwo przeciwko prawom os\'f3b wykonuj\'b9cych prac\'ea zarobkow\'b9, przest\'ea
pstwo przekupstwa, przest\'eapstwo przeciwko obrotowi gospodarczemu lub inne przest\'eapstwo pope\'b3nione w celu osi\'b9gni\'eacia korzy\'9cci maj\'b9tkowych, a tak\'bfe za przest\'eapstwo skarbowe  lub przest\'eapstwo udzia\'b3
u w zorganizowanej grupie albo zwi\'b9zku maj\'b9cych na celu pope\'b3nienie przest\'eapstwa lub przest\'eapstwa skarbowego,
\par }\pard \qj \li0\ri0\sl211\slmult0\nowidctlpar\faauto\adjustright\rin0\lin0\itap0 {\fs20\insrsid1979984 
\par 
\par {\listtext\pard\plain\fs20\insrsid1979984 \hich\af0\dbch\af0\loch\f0 7)\tab}}\pard \qj \fi-284\li284\ri0\sl211\slmult0\nowidctlpar\jclisttab\tx284\faauto\ls3\adjustright\rin0\lin284\itap0 {\fs20\insrsid1979984 sp\'f3\'b3ki komandytowe oraz sp\'f3\'b3
ki komandytowo-akcyjne,. kt\'f3rych komplementariusza prawomocnie skazano za przest\'eapstwo pope\'b3nione w zwi\'b9zku z post\'eapowaniem o udzielenie zam\'f3wienia, przest\'eapstwo przeciwko prawom os\'f3b wykonuj\'b9cych  prac\'ea zarobkow\'b9, przest
\'eapstwo przekupstwa, przest\'eapstwo przeciwko obrotowi gospodarczemu lub inne przest\'eapstwo pope\'b3nione w celu osi\'b9gni\'eacia korzy\'9cci maj\'b9tkowych, a tak\'bfe za przest\'eapstwo skarbowe  lub przest\'eapstwo udzia\'b3
u w zorganizowanej grupie albo zwi\'b9zku maj\'b9cych na celu pope\'b3nienie przest\'eapstwa lub przest\'eapstwa skarbowego,
\par }\pard \qj \li0\ri0\sl211\slmult0\nowidctlpar\faauto\adjustright\rin0\lin0\itap0 {\fs20\insrsid1979984 
\par {\listtext\pard\plain\fs20\insrsid1979984 \hich\af0\dbch\af0\loch\f0 8)\tab}}\pard \qj \fi-284\li284\ri0\sl211\slmult0\nowidctlpar\jclisttab\tx284\faauto\ls3\adjustright\rin0\lin284\itap0 {\fs20\insrsid1979984 osoby prawne, kt\'f3rych urz\'eaduj\'b9
cego cz\'b3onka organu zarz\'b9dzaj\'b9cego prawomocnie skazano za przest\'eapstwo pope\'b3nione w zwi\'b9zku z post\'eapowaniem o udzielenie zam\'f3wienia, przest\'eapstwo przeciwko prawom os\'f3b wykonuj\'b9cych prac\'ea zarobkow\'b9, przest\'ea
pstwo przekupstwa, przest\'eapstwo przeciwko obrotowi gospodarczemu lub inne przest\'eapstwo pope\'b3nione w celu osi\'b9gni\'eacia korzy\'9cci maj\'b9tkowych, a tak\'bfe za przest\'eapstwo skarbowe  lub przest\'eapstwo udzia\'b3
u w zorganizowanej grupie albo zwi\'b9zku maj\'b9cych na celu pope\'b3nienie przest\'eapstwa lub przest\'eapstwa skarbowego,
\par }\pard \qj \li0\ri0\sl211\slmult0\nowidctlpar\faauto\adjustright\rin0\lin0\itap0 {\fs20\insrsid1979984 
\par {\listtext\pard\plain\fs20\insrsid1979984 \hich\af0\dbch\af0\loch\f0 9)\tab}}\pard \qj \fi-284\li284\ri0\sl211\slmult0\nowidctlpar\jclisttab\tx284\tx724\faauto\ls3\adjustright\rin0\lin284\itap0 {\fs20\insrsid1979984 podmioty zbiorowe, wobec kt\'f3rych s
\'b9d orzek\'b3 zakaz ubiegania si\'ea o zam\'f3wienia, na podstawie przepis\'f3w o odpowiedzialno\'9cci podmiot\'f3w zbiorowych za czyny zabronione pod gro\'9fb\'b9 kary;}{\fs16\insrsid1979984 
\par }\pard \qj \li0\ri0\sl211\slmult0\nowidctlpar\tx724\faauto\adjustright\rin0\lin0\itap0 {\fs16\insrsid1979984 
\par }\pard\plain \s16\qj \li0\ri0\widctlpar\fahang\adjustright\rin0\lin0\itap0 \fs20\lang1045\langfe1045\cgrid\langnp1045\langfenp1045 {\insrsid1979984  10) wykonawc\'f3w, kt\'f3rzy nie spe\'b3niaj\'b9 warunk\'f3w udzia\'b3u w post\'eapowaniu, o kt\'f3
rych mowa w art. 22 ust. 1
\par         pkt 1-3 ustawy Prawo zam\'f3wie\'f1 publicznych,
\par 
\par }\pard\plain \qj \li0\ri0\widctlpar\fahang\adjustright\rin0\lin0\itap0 \fs24\lang1045\langfe1045\cgrid\langnp1045\langfenp1045 {\f36\fs20\insrsid1979984 11) }{\fs20\insrsid1979984 wykonawc\'f3w, kt\'f3rzy wykonywali bezpo\'9crednio czynno\'9cci zwi\'b9
zane z przygotowaniem prowadzonego post\'eapowania lub pos\'b3ugiwali si\'ea w celu sporz\'b9dzenia oferty osobami uczestnicz\'b9cymi w dokonywaniu tych czynno\'9cci, chyba \'bfe udzia\'b3 tych wykonawc\'f3w w post\'ea
powaniu nie utrudni uczciwej konkurencji; przepisu nie stosuje si\'ea do wykonawc\'f3w, kt\'f3rym udziela si\'ea zam\'f3wienia na podstawie art. 62 ust. 1 pkt 2 lub art. 67 ust. 1 pkt 1 i 2,}{\f36\fs20\insrsid1979984  
\par 
\par }{\fs20\insrsid1979984 12) wykonawc\'f3w, kt\'f3rzy z\'b3o\'bfyli nieprawdziwe informacje maj\'b9ce wp\'b3yw na wynik niniejszego post\'eapowania;
\par 
\par 13 )wykonawc\'f3w, kt\'f3rzy nie z\'b3o\'bfyli o\'9cwiadczenia o spe\'b3nianiu warunk\'f3w udzia\'b3u w post\'eapowaniu lub dokument\'f3w potwierdzaj\'b9cych spe\'b3nianie tych warunk\'f3w lub z\'b3o\'bfone dokumenty zawieraj\'b9 b\'b3\'eady, z zastrze
\'bfeniem art. 26 ust. 3,
\par 
\par }\pard \qj \fi-284\li284\ri0\sl211\slmult0\nowidctlpar\jclisttab\tx284\tx724\faauto\adjustright\rin0\lin284\itap0 {\fs20\insrsid1979984 14 )wykonawc\'f3w, kt\'f3rzy nie wnie\'9cli wadium, w tym r\'f3wnie\'bf na przed\'b3u\'bfony okres zwi\'b9zania ofert
\'b9, lub nie zgodzili si\'ea na przed\'b3u\'bfenie okresu zwi\'b9zania ofert\'b9.
\par }{\fs16\insrsid1979984 
\par }\pard \ql \li0\ri0\sl211\slmult0\nowidctlpar\faauto\adjustright\rin0\lin0\itap0 {\b\fs20\insrsid1979984 O\'9cwiadczam jednocze\'9cnie, \'bfe wymienione przyczyny nas nie dotycz\'b9.
\par }\pard \ql \li0\ri0\sl48\slmult0\nowidctlpar\tldot\tx0\faauto\adjustright\rin0\lin0\itap0 {\fs20\insrsid1979984 
\par 
\par 
\par 
\par 
\par                                                                                                   \'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85..........
\par }\pard \qj \li0\ri0\sl48\slmult0\nowidctlpar\tldot\tx0\faauto\adjustright\rin0\lin0\itap0 {\fs20\insrsid1979984                                                                                                   }{\b\fs22\insrsid1979984  }{
\b\fs20\insrsid1979984 Piecz\'b9tka i podpis Wykonawcy
\par }\pard\plain \s2\ql \li0\ri0\sl292\slmult0\keepn\nowidctlpar\faauto\outlinelevel1\adjustright\rin0\lin0\itap0 \b\fs20\lang1045\langfe1045\cgrid\langnp1045\langfenp1045 {\insrsid1979984 Miejscowo\'9c\'e6 i data\sect }\sectd 
\psz9\linex0\headery709\footery709\colsx708\sectdefaultcl\sftnbj \pard\plain \ql \li0\ri0\sl297\slmult0\nowidctlpar\faauto\adjustright\rin0\lin0\itap0 \fs24\lang1045\langfe1045\cgrid\langnp1045\langfenp1045 {\b\fs20\insrsid1979984 
\par }\pard \qr \li0\ri0\sl297\slmult0\nowidctlpar\faauto\adjustright\rin0\lin0\itap0 {\b\fs20\insrsid1979984 Za\'b3\'b9}{\b\fs20\insrsid9574890 cznik nr 4}{\b\fs20\insrsid4132746 do siwz}{\b\fs20\insrsid1979984 
\par }\pard \qj \li0\ri0\sl307\slmult0\nowidctlpar\faauto\adjustright\rin0\lin0\itap0 {\b\fs20\insrsid1979984 Nazwa i adres wykonawcy}{\fs20\insrsid1979984 :
\par }\trowd \irow0\irowband0\lastrow \ts11\trgaph70\trrh763\trleft-108\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw15 \trbrdrv\brdrs\brdrw15 
\trftsWidth1\trpaddl70\trpaddr70\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw30 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw30 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth9211\clshdrawnil \cellx9103\pard \qj \li0\ri0\sl307\slmult0
\nowidctlpar\intbl\faauto\adjustright\rin0\lin0 {\fs20\insrsid1979984 \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\fs20\insrsid1979984 \trowd \irow0\irowband0\lastrow \ts11\trgaph70\trrh763\trleft-108\trbrdrt
\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw15 \trbrdrv\brdrs\brdrw15 \trftsWidth1\trpaddl70\trpaddr70\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw30 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw30 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth9211\clshdrawnil \cellx9103\row }\pard \qj \li0\ri0\sl76\slmult0\nowidctlpar\faauto\adjustright\rin0\lin0\itap0 {\fs20\insrsid1979984 
\par }{\b\fs20\insrsid1979984 Imi\'ea i nazwisko osoby uprawnionej do sk\'b3adania o\'9cwiadcze\'f1 woli:
\par }\trowd \irow0\irowband0\lastrow \ts11\trgaph70\trrh710\trleft-108\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw15 \trbrdrv\brdrs\brdrw15 
\trftsWidth1\trpaddl70\trpaddr70\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw30 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw30 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth9211\clshdrawnil \cellx9103\pard \qj \li0\ri0\sl76\slmult0
\nowidctlpar\intbl\faauto\adjustright\rin0\lin0 {\fs20\insrsid1979984 \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\fs20\insrsid1979984 \trowd \irow0\irowband0\lastrow \ts11\trgaph70\trrh710\trleft-108\trbrdrt
\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw15 \trbrdrv\brdrs\brdrw15 \trftsWidth1\trpaddl70\trpaddr70\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw30 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw30 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth9211\clshdrawnil \cellx9103\row }\pard \qj \li0\ri0\sl436\slmult0\nowidctlpar\faauto\adjustright\rin0\lin0\itap0 {\fs8\ul\insrsid1979984 
\par }\pard \qc \li0\ri0\sl273\slmult0\nowidctlpar\faauto\adjustright\rin0\lin0\itap0 {\b\fs20\insrsid1979984 Wykaz
\par wykonanych rob\'f3t budowlanych w okresie ostatnich 5 lat odpowiadaj\'b9cych swoim rodzajem i warto\'9cci\'b9 robotom budowlanym stanowi\'b9cym przedmiot zam\'f3wienia z za\'b3\'b9czeniem dokument\'f3w potwierdzaj\'b9cych, \'bfe roboty te zosta\'b3
y wykonane nale\'bfycie (referencje, listy polecaj\'b9ce, opinie)}{\fs20\insrsid1979984 
\par }\trowd \irow0\irowband0\ts11\trrh297\trleft-10\trkeep\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrv\brdrs\brdrw30 \trftsWidth3\trwWidth9446 \clvmgf\clvertalc\clbrdrt\brdrs\brdrw30 \clbrdrl
\brdrs\brdrw30 \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth681\clshdrawnil \cellx671\clvertalc\clbrdrt\brdrs\brdrw30 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth2266\clshdrawnil 
\cellx2937\clvmgf\clvertalc\clbrdrt\brdrs\brdrw30 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth2733\clshdrawnil \cellx5670\clvmgf\clvertalc\clbrdrt\brdrs\brdrw30 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrnone 
\clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth1635\clshdrawnil \cellx7305\clvertalc\clbrdrt\brdrs\brdrw30 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth2131\clshdrawnil \cellx9436\pard 
\qc \li0\ri0\nowidctlpar\intbl\faauto\adjustright\rin0\lin0 {\fs20\insrsid1979984 Lp\cell 
\par Miejsce wykonania rob\'f3t\cell Rodzaj rob\'f3t\cell Warto\'9c\'e6\cell Termin\cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\fs20\insrsid1979984 \trowd \irow0\irowband0\ts11\trrh297\trleft-10\trkeep\trbrdrt
\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrv\brdrs\brdrw30 \trftsWidth3\trwWidth9446 \clvmgf\clvertalc\clbrdrt\brdrs\brdrw30 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw30 
\cltxlrtb\clftsWidth3\clwWidth681\clshdrawnil \cellx671\clvertalc\clbrdrt\brdrs\brdrw30 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth2266\clshdrawnil \cellx2937\clvmgf\clvertalc\clbrdrt\brdrs\brdrw30 
\clbrdrl\brdrs\brdrw30 \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth2733\clshdrawnil \cellx5670\clvmgf\clvertalc\clbrdrt\brdrs\brdrw30 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw30 
\cltxlrtb\clftsWidth3\clwWidth1635\clshdrawnil \cellx7305\clvertalc\clbrdrt\brdrs\brdrw30 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth2131\clshdrawnil \cellx9436\row }\trowd \irow1\irowband1
\ts11\trrh307\trleft-10\trkeep\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrv\brdrs\brdrw30 \trftsWidth3\trwWidth9446 \clvmrg\clvertalc\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrnone \clbrdrr
\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth681\clshdrawnil \cellx671\clvertalc\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth2266\clshdrawnil \cellx2937\clvmrg\clvertalc\clbrdrt\brdrnone 
\clbrdrl\brdrs\brdrw30 \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth2733\clshdrawnil \cellx5670\clvmrg\clvertalc\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw30 
\cltxlrtb\clftsWidth3\clwWidth1635\clshdrawnil \cellx7305\clvertalc\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth1085\clshdrawnil \cellx8390\clvertalc\clbrdrt\brdrnone \clbrdrl
\brdrs\brdrw30 \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth1046\clshdrawnil \cellx9436\pard \ql \li0\ri0\nowidctlpar\intbl\faauto\adjustright\rin0\lin0 {\f1\fs20\insrsid1979984 \cell }\pard 
\qc \li0\ri0\nowidctlpar\intbl\faauto\adjustright\rin0\lin0 {\fs20\insrsid1979984 Zamawiaj\'b9cego\cell }\pard \ql \li0\ri0\nowidctlpar\intbl\faauto\adjustright\rin0\lin0 {\fs20\insrsid1979984 \cell \cell }\pard 
\qc \li0\ri0\nowidctlpar\intbl\faauto\adjustright\rin0\lin0 {\fs20\insrsid1979984 rozpocz.\cell zako\'f1cz.\cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\fs20\insrsid1979984 \trowd \irow1\irowband1
\ts11\trrh307\trleft-10\trkeep\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrv\brdrs\brdrw30 \trftsWidth3\trwWidth9446 \clvmrg\clvertalc\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrnone \clbrdrr
\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth681\clshdrawnil \cellx671\clvertalc\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth2266\clshdrawnil \cellx2937\clvmrg\clvertalc\clbrdrt\brdrnone 
\clbrdrl\brdrs\brdrw30 \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth2733\clshdrawnil \cellx5670\clvmrg\clvertalc\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw30 
\cltxlrtb\clftsWidth3\clwWidth1635\clshdrawnil \cellx7305\clvertalc\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth1085\clshdrawnil \cellx8390\clvertalc\clbrdrt\brdrnone \clbrdrl
\brdrs\brdrw30 \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth1046\clshdrawnil \cellx9436\row }\trowd \irow2\irowband2\ts11\trrh412\trleft-10\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr
\brdrs\brdrw30 \trbrdrv\brdrs\brdrw30 \trftsWidth3\trwWidth9446 \clvertalc\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth681\clshdrawnil \cellx671\clvertalc\clbrdrt\brdrnone \clbrdrl
\brdrs\brdrw30 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth2266\clshdrawnil \cellx2937\clvertalc\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw30 
\cltxlrtb\clftsWidth3\clwWidth2733\clshdrawnil \cellx5670\clvertalc\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth1635\clshdrawnil \cellx7305\clvertalc\clbrdrt\brdrnone \clbrdrl
\brdrs\brdrw30 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth1085\clshdrawnil \cellx8390\clvertalc\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw30 
\cltxlrtb\clftsWidth3\clwWidth1046\clshdrawnil \cellx9436\pard \ql \li0\ri0\nowidctlpar\intbl\faauto\adjustright\rin0\lin0 {\f1\fs20\insrsid1979984 \cell \cell \cell \cell \cell \cell }\pard 
\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\fs20\insrsid1979984 \trowd \irow2\irowband2\ts11\trrh412\trleft-10\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrv
\brdrs\brdrw30 \trftsWidth3\trwWidth9446 \clvertalc\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth681\clshdrawnil \cellx671\clvertalc\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw5 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth2266\clshdrawnil \cellx2937\clvertalc\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth2733\clshdrawnil \cellx5670
\clvertalc\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth1635\clshdrawnil \cellx7305\clvertalc\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw30 
\cltxlrtb\clftsWidth3\clwWidth1085\clshdrawnil \cellx8390\clvertalc\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth1046\clshdrawnil \cellx9436\row }\trowd \irow3\irowband3
\ts11\trrh403\trleft-10\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrv\brdrs\brdrw30 \trftsWidth3\trwWidth9446 \clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw5 \clbrdrr
\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth681\clshdrawnil \cellx671\clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth2266\clshdrawnil \cellx2937\clvertalc\clbrdrt
\brdrs\brdrw5 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth2733\clshdrawnil \cellx5670\clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw30 
\cltxlrtb\clftsWidth3\clwWidth1635\clshdrawnil \cellx7305\clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth1085\clshdrawnil \cellx8390\clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl
\brdrs\brdrw30 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth1046\clshdrawnil \cellx9436\pard \ql \li0\ri0\nowidctlpar\intbl\faauto\adjustright\rin0\lin0 {\f1\fs20\insrsid1979984 \cell \cell \cell \cell \cell \cell }\pard 
\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\fs20\insrsid1979984 \trowd \irow3\irowband3\ts11\trrh403\trleft-10\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrv
\brdrs\brdrw30 \trftsWidth3\trwWidth9446 \clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth681\clshdrawnil \cellx671\clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw30 
\clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth2266\clshdrawnil \cellx2937\clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth2733\clshdrawnil 
\cellx5670\clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth1635\clshdrawnil \cellx7305\clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw5 \clbrdrr
\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth1085\clshdrawnil \cellx8390\clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth1046\clshdrawnil \cellx9436\row 
}\trowd \irow4\irowband4\ts11\trrh393\trleft-10\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrv\brdrs\brdrw30 \trftsWidth3\trwWidth9446 \clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw5 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth681\clshdrawnil \cellx671\clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth2266\clshdrawnil \cellx2937
\clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth2733\clshdrawnil \cellx5670\clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw5 \clbrdrr
\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth1635\clshdrawnil \cellx7305\clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth1085\clshdrawnil \cellx8390\clvertalc\clbrdrt
\brdrs\brdrw5 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth1046\clshdrawnil \cellx9436\pard \ql \li0\ri0\nowidctlpar\intbl\faauto\adjustright\rin0\lin0 {\f1\fs20\insrsid1979984 \cell \cell \cell \cell 
\cell \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\fs20\insrsid1979984 \trowd \irow4\irowband4\ts11\trrh393\trleft-10\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr
\brdrs\brdrw30 \trbrdrv\brdrs\brdrw30 \trftsWidth3\trwWidth9446 \clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth681\clshdrawnil \cellx671\clvertalc\clbrdrt\brdrs\brdrw5 
\clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth2266\clshdrawnil \cellx2937\clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw30 
\cltxlrtb\clftsWidth3\clwWidth2733\clshdrawnil \cellx5670\clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth1635\clshdrawnil \cellx7305\clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl
\brdrs\brdrw30 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth1085\clshdrawnil \cellx8390\clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw30 
\cltxlrtb\clftsWidth3\clwWidth1046\clshdrawnil \cellx9436\row }\trowd \irow5\irowband5\ts11\trrh403\trleft-10\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrv\brdrs\brdrw30 \trftsWidth3\trwWidth9446 
\clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth681\clshdrawnil \cellx671\clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw30 
\cltxlrtb\clftsWidth3\clwWidth2266\clshdrawnil \cellx2937\clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth2733\clshdrawnil \cellx5670\clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl
\brdrs\brdrw30 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth1635\clshdrawnil \cellx7305\clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw30 
\cltxlrtb\clftsWidth3\clwWidth1085\clshdrawnil \cellx8390\clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth1046\clshdrawnil \cellx9436\pard 
\ql \li0\ri0\nowidctlpar\intbl\faauto\adjustright\rin0\lin0 {\f1\fs20\insrsid1979984 \cell \cell \cell \cell \cell \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\fs20\insrsid1979984 \trowd \irow5\irowband5
\ts11\trrh403\trleft-10\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrv\brdrs\brdrw30 \trftsWidth3\trwWidth9446 \clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw5 \clbrdrr
\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth681\clshdrawnil \cellx671\clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth2266\clshdrawnil \cellx2937\clvertalc\clbrdrt
\brdrs\brdrw5 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth2733\clshdrawnil \cellx5670\clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw30 
\cltxlrtb\clftsWidth3\clwWidth1635\clshdrawnil \cellx7305\clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth1085\clshdrawnil \cellx8390\clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl
\brdrs\brdrw30 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth1046\clshdrawnil \cellx9436\row }\pard \ql \li0\ri0\nowidctlpar\intbl\faauto\adjustright\rin0\lin0 {\f1\fs20\insrsid1979984 \cell \cell \cell \cell \cell \cell 
}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\fs20\insrsid1979984 \trowd \irow6\irowband6\ts11\trrh403\trleft-10\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrv
\brdrs\brdrw30 \trftsWidth3\trwWidth9446 \clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth681\clshdrawnil \cellx671\clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw30 
\clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth2266\clshdrawnil \cellx2937\clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth2733\clshdrawnil 
\cellx5670\clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth1635\clshdrawnil \cellx7305\clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw5 \clbrdrr
\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth1085\clshdrawnil \cellx8390\clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth1046\clshdrawnil \cellx9436\row }\pard 
\ql \li0\ri0\nowidctlpar\intbl\faauto\adjustright\rin0\lin0 {\f1\fs20\insrsid1979984 \cell \cell \cell \cell \cell \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\fs20\insrsid1979984 \trowd \irow7\irowband7
\ts11\trrh403\trleft-10\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrv\brdrs\brdrw30 \trftsWidth3\trwWidth9446 \clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw5 \clbrdrr
\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth681\clshdrawnil \cellx671\clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth2266\clshdrawnil \cellx2937\clvertalc\clbrdrt
\brdrs\brdrw5 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth2733\clshdrawnil \cellx5670\clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw30 
\cltxlrtb\clftsWidth3\clwWidth1635\clshdrawnil \cellx7305\clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth1085\clshdrawnil \cellx8390\clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl
\brdrs\brdrw30 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth1046\clshdrawnil \cellx9436\row }\trowd \irow8\irowband8\ts11\trrh384\trleft-10\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr
\brdrs\brdrw30 \trbrdrv\brdrs\brdrw30 \trftsWidth3\trwWidth9446 \clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth681\clshdrawnil \cellx671\clvertalc\clbrdrt\brdrs\brdrw5 
\clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth2266\clshdrawnil \cellx2937\clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw30 
\cltxlrtb\clftsWidth3\clwWidth2733\clshdrawnil \cellx5670\clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth1635\clshdrawnil \cellx7305\clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl
\brdrs\brdrw30 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth1085\clshdrawnil \cellx8390\clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw30 
\cltxlrtb\clftsWidth3\clwWidth1046\clshdrawnil \cellx9436\pard \ql \li0\ri0\nowidctlpar\intbl\faauto\adjustright\rin0\lin0 {\f1\fs20\insrsid1979984 \cell \cell \cell \cell \cell \cell }\pard 
\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\fs20\insrsid1979984 \trowd \irow8\irowband8\ts11\trrh384\trleft-10\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrv
\brdrs\brdrw30 \trftsWidth3\trwWidth9446 \clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth681\clshdrawnil \cellx671\clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw30 
\clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth2266\clshdrawnil \cellx2937\clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth2733\clshdrawnil 
\cellx5670\clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth1635\clshdrawnil \cellx7305\clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw5 \clbrdrr
\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth1085\clshdrawnil \cellx8390\clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth1046\clshdrawnil \cellx9436\row 
}\trowd \irow9\irowband9\ts11\trrh403\trleft-10\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrv\brdrs\brdrw30 \trftsWidth3\trwWidth9446 \clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw5 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth681\clshdrawnil \cellx671\clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth2266\clshdrawnil \cellx2937
\clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth2733\clshdrawnil \cellx5670\clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw5 \clbrdrr
\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth1635\clshdrawnil \cellx7305\clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth1085\clshdrawnil \cellx8390\clvertalc\clbrdrt
\brdrs\brdrw5 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth1046\clshdrawnil \cellx9436\pard \ql \li0\ri0\nowidctlpar\intbl\faauto\adjustright\rin0\lin0 {\f1\fs20\insrsid1979984 \cell \cell \cell \cell 
\cell \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\fs20\insrsid1979984 \trowd \irow9\irowband9\ts11\trrh403\trleft-10\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr
\brdrs\brdrw30 \trbrdrv\brdrs\brdrw30 \trftsWidth3\trwWidth9446 \clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth681\clshdrawnil \cellx671\clvertalc\clbrdrt\brdrs\brdrw5 
\clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth2266\clshdrawnil \cellx2937\clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw30 
\cltxlrtb\clftsWidth3\clwWidth2733\clshdrawnil \cellx5670\clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth1635\clshdrawnil \cellx7305\clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl
\brdrs\brdrw30 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth1085\clshdrawnil \cellx8390\clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw30 
\cltxlrtb\clftsWidth3\clwWidth1046\clshdrawnil \cellx9436\row }\pard \ql \li0\ri0\nowidctlpar\intbl\faauto\adjustright\rin0\lin0 {\f1\fs20\insrsid1979984 \cell \cell \cell \cell \cell \cell }\pard 
\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\fs20\insrsid1979984 \trowd \irow10\irowband10\ts11\trrh403\trleft-10\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrv
\brdrs\brdrw30 \trftsWidth3\trwWidth9446 \clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth681\clshdrawnil \cellx671\clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw30 
\clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth2266\clshdrawnil \cellx2937\clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth2733\clshdrawnil 
\cellx5670\clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth1635\clshdrawnil \cellx7305\clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw5 \clbrdrr
\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth1085\clshdrawnil \cellx8390\clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth1046\clshdrawnil \cellx9436\row }\pard 
\ql \li0\ri0\nowidctlpar\intbl\faauto\adjustright\rin0\lin0 {\f1\fs20\insrsid1979984 \cell \cell \cell \cell \cell \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\fs20\insrsid1979984 \trowd \irow11\irowband11
\ts11\trrh403\trleft-10\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrv\brdrs\brdrw30 \trftsWidth3\trwWidth9446 \clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw5 \clbrdrr
\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth681\clshdrawnil \cellx671\clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth2266\clshdrawnil \cellx2937\clvertalc\clbrdrt
\brdrs\brdrw5 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth2733\clshdrawnil \cellx5670\clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw30 
\cltxlrtb\clftsWidth3\clwWidth1635\clshdrawnil \cellx7305\clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth1085\clshdrawnil \cellx8390\clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl
\brdrs\brdrw30 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth1046\clshdrawnil \cellx9436\row }\pard \ql \li0\ri0\nowidctlpar\intbl\faauto\adjustright\rin0\lin0 {\f1\fs20\insrsid1979984 \cell \cell \cell \cell \cell \cell 
}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\fs20\insrsid1979984 \trowd \irow12\irowband12\ts11\trrh403\trleft-10\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrv
\brdrs\brdrw30 \trftsWidth3\trwWidth9446 \clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth681\clshdrawnil \cellx671\clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw30 
\clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth2266\clshdrawnil \cellx2937\clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth2733\clshdrawnil 
\cellx5670\clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth1635\clshdrawnil \cellx7305\clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw5 \clbrdrr
\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth1085\clshdrawnil \cellx8390\clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth1046\clshdrawnil \cellx9436\row 
}\trowd \irow13\irowband13\ts11\trrh393\trleft-10\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrv\brdrs\brdrw30 \trftsWidth3\trwWidth9446 \clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw5 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth681\clshdrawnil \cellx671\clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth2266\clshdrawnil \cellx2937
\clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth2733\clshdrawnil \cellx5670\clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw5 \clbrdrr
\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth1635\clshdrawnil \cellx7305\clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth1085\clshdrawnil \cellx8390\clvertalc\clbrdrt
\brdrs\brdrw5 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth1046\clshdrawnil \cellx9436\pard \ql \li0\ri0\nowidctlpar\intbl\faauto\adjustright\rin0\lin0 {\f1\fs20\insrsid1979984 \cell \cell \cell \cell 
\cell \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\fs20\insrsid1979984 \trowd \irow13\irowband13\ts11\trrh393\trleft-10\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr
\brdrs\brdrw30 \trbrdrv\brdrs\brdrw30 \trftsWidth3\trwWidth9446 \clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth681\clshdrawnil \cellx671\clvertalc\clbrdrt\brdrs\brdrw5 
\clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth2266\clshdrawnil \cellx2937\clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw30 
\cltxlrtb\clftsWidth3\clwWidth2733\clshdrawnil \cellx5670\clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth1635\clshdrawnil \cellx7305\clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl
\brdrs\brdrw30 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth1085\clshdrawnil \cellx8390\clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw30 
\cltxlrtb\clftsWidth3\clwWidth1046\clshdrawnil \cellx9436\row }\pard \ql \li0\ri0\nowidctlpar\intbl\faauto\adjustright\rin0\lin0 {\f1\fs20\insrsid1979984 \cell \cell \cell \cell \cell \cell }\pard 
\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\fs20\insrsid1979984 \trowd \irow14\irowband14\ts11\trrh393\trleft-10\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrv
\brdrs\brdrw30 \trftsWidth3\trwWidth9446 \clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth681\clshdrawnil \cellx671\clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw30 
\clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth2266\clshdrawnil \cellx2937\clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth2733\clshdrawnil 
\cellx5670\clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth1635\clshdrawnil \cellx7305\clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw5 \clbrdrr
\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth1085\clshdrawnil \cellx8390\clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth1046\clshdrawnil \cellx9436\row 
}\trowd \irow15\irowband15\lastrow \ts11\trrh393\trleft-10\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrv\brdrs\brdrw30 \trftsWidth3\trwWidth9446 \clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw30 
\clbrdrb\brdrs\brdrw30 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth681\clshdrawnil \cellx671\clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw30 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth2266\clshdrawnil 
\cellx2937\clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw30 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth2733\clshdrawnil \cellx5670\clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw30 \clbrdrr
\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth1635\clshdrawnil \cellx7305\clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw30 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth1085\clshdrawnil \cellx8390\clvertalc\clbrdrt
\brdrs\brdrw5 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw30 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth1046\clshdrawnil \cellx9436\pard \ql \li0\ri0\nowidctlpar\intbl\faauto\adjustright\rin0\lin0 {\f1\fs20\insrsid1979984 \cell \cell \cell \cell 
\cell \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\fs20\insrsid1979984 \trowd \irow15\irowband15\lastrow \ts11\trrh393\trleft-10\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr
\brdrs\brdrw30 \trbrdrv\brdrs\brdrw30 \trftsWidth3\trwWidth9446 \clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw30 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth681\clshdrawnil \cellx671\clvertalc\clbrdrt\brdrs\brdrw5 
\clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw30 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth2266\clshdrawnil \cellx2937\clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw30 \clbrdrr\brdrs\brdrw30 
\cltxlrtb\clftsWidth3\clwWidth2733\clshdrawnil \cellx5670\clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw30 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth1635\clshdrawnil \cellx7305\clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl
\brdrs\brdrw30 \clbrdrb\brdrs\brdrw30 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth1085\clshdrawnil \cellx8390\clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw30 \clbrdrr\brdrs\brdrw30 
\cltxlrtb\clftsWidth3\clwWidth1046\clshdrawnil \cellx9436\row }\pard \ql \li0\ri0\nowidctlpar\faauto\adjustright\rin0\lin0\itap0 {\f1\fs20\insrsid1979984 
\par }\pard\plain \s15\qj \li0\ri0\sl316\slmult0\nowidctlpar\tldot\tx3081\faauto\adjustright\rin0\lin0\itap0 \b\fs20\lang1045\langfe1045\cgrid\langnp1045\langfenp1045 {\insrsid1979984 Do wykazu za\'b3\'b9czono \'85\'85\'85\'85\'85\'85..   dokument\'f3
w     potwierdzaj\'b9cych   nale\'bfyte  wykonanie rob\'f3t budowlanych. 
\par }\pard\plain \qj \li0\ri0\sl316\slmult0\nowidctlpar\tx268\faauto\adjustright\rin0\lin0\itap0 \fs24\lang1045\langfe1045\cgrid\langnp1045\langfenp1045 {\fs28\insrsid1979984 
\par 
\par }\pard \qr \li0\ri0\sl57\slmult0\nowidctlpar\tldot\tx0\faauto\adjustright\rin0\lin0\itap0 {\fs12\insrsid1979984 \tab }{\fs20\insrsid1979984 \'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85
\par }\pard \qj \li0\ri0\sl57\slmult0\nowidctlpar\tldot\tx0\faauto\adjustright\rin0\lin0\itap0 {\fs12\insrsid1979984 
\par }\pard \ql \li0\ri0\sl57\slmult0\nowidctlpar\tldot\tx0\faauto\adjustright\rin0\lin0\itap0 {\i\fs20\insrsid1979984                                                                                                                                  (piecz\'b9
tka i podpis Wykonawcy)
\par }\pard \qj \li0\ri0\sl57\slmult0\nowidctlpar\tldot\tx0\faauto\adjustright\rin0\lin0\itap0 {\fs12\insrsid1979984 \'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85
\par }\pard \ql \li0\ri0\sl297\slmult0\nowidctlpar\faauto\adjustright\rin0\lin0\itap0 {\i\f36\fs20\insrsid1979984      (miejscowo\'9c\'e6 }{\i\fs20\insrsid1979984 i data)}{\b\fs20\insrsid1979984 
\par }\pard \ql \li0\ri0\sl297\slmult0\nowidctlpar\tx1230\faauto\adjustright\rin0\lin0\itap0\pararsid12978131 {\b\fs20\insrsid1979984 \tab \tab \tab \tab \tab \tab \tab  }{\b\fs20\insrsid12978131\charrsid12978131 
\par }}