ࡱ> '`.bjbjLULU.?.?g      D0fffff    ?N^n$Mh!E @   ffe ff   fZ wHG !^05"45"5"(                  ZaBcznik nr 4 do specyfikacji WYKAZ OSB [ktre bd uczestniczy w wykonywaniu zamwienia, wszczeglno[ciodpowiedzialnych za [wiadczenie usBug, kontrol jako[ci lub kierowanie robotamibudowlanymi, wraz z informacjami na temat ich kwalifikacji zawodowych, do[wiadczenia iwyksztaBcenia niezbdnych dla wykonania zamwienia, a tak|e zakresu wykonywanychprzez nie czynno[ci, oraz informacj o podstawie do dysponowania tymi osobami]. Imi, nazwisko Numer i rodzaj uprawnieD budowlanychDo[wiadczenie zawodowe (lata pracy zupraw.)Proponowane stanowisko (zakres czynno[ci)Informacja opodstawie do dysponowania tymi osobami1.2.3.4.5....................................... ...................................... ...................................... .......................... .......................... ................................................. ....................... .............................................. ....................... .............................................. ....................... ............................................................. ...................................... ...................................... .......................... .......................... ................................................. ....................... .............................................. ....................... .............................................. ....................... ............................................................. ...................................... ...................................... .......................... .......................... ................................................. ....................... .............................................. ....................... .............................................. ....................... .......................itd. UWAGA! Do wykazu nale|y zaBczy: 1. O[wiadczenie, |e osoby, ktre bd uczestniczy w wykonywaLhjz F H J P h j TU(*4Bx((V)X)Z)^),---....»ⳬxnxh hF_CJhF_CJPJaJhF_5CJPJ\aJhF_5CJ\aJhF_5B*\aJph# UhF_5B*\aJph hF_5\hF_CJaJ hF_5CJ hF_CJhF_B*CJaJph hF_CJhF_B*phhF_5>*\hxhF_jhxUmHnHu(  Lhj 0 H $$Ifa$$a$$a$$a$.H J P V \ b h ULLLLL $$Ifa$kd$$IfFrV#r %044 Fah j *+Fa|UOOOOOOOO$Ifkd$$IfFrV#r %044 Fa  $<TUOkd$$IfFrV#r %044 Fa$If U|4Ld|$IfCjkUOOOOOOOO$Ifkda$$IfFrV#r %044 Fa 8h(*Okd,$$IfFrV#r %044 Fa$If *4BxX)--......$a$$a$$a$V`V niu zamwienia, posiadajwymagane uprawnienia, je|eli ustawy nakBadaj obowizek posiadania takich uprawnieD, sporzdzonym na druku stanowicym zaBcznik do specyfikacji. 2. Wykonawca mo|e polega na wiedzy i do[wiadczeniu, potencjale technicznym, osobach zdolnych do wykonania zamwienia lub zdolno[ciach finansowych innych podmiotw, niezale|nie od charakteru prawnego Bczcych go z nimi stosunkw. Wykonawca w takiej sytuacji zobowizany jest udowodni zamawiajcemu, i| bdzie dysponowaB zasobami niezbdnymi do realizacji zamwienia, w szczeglno[ci przedstawiajc w tym celu pisemne zobowizanie tych podmiotw do oddania mu do dyspozycji niezbdnych zasobw na okres korzystania z nich przy wykonywaniu zamwienia. Piecz i podpisy osb upowa|nionych, wedBug rejestru sdowego lub ewidencji, do skBadania o[wiadczeD woli w imieniu Wykonawcy: & & & & & & & & & & & & & & & & & .. ,P. 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