SPECYFIKACJA ISTOTNYCH WARUNKÓW ZAMÓWIENIA

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Szpital Specjalistyczny im. J. K. Łukowicza w Chojnicach

89-600 Chojnice, ul. Leśna 10 tel. centrala (0 52) 39 56 500

tel. sekr. dyr. (0 52) 39 56 769; fax (0 52) 39 56 569 e-mail: szpital@chojnice.pl www.szpital.chojnice.pl

REGON: 000308169 NIP: 555-17-83-839

BANK BPH S.A. 91 1060 0076 0000 3210 0015 3845

SPECYFIKACJA

ISTOTNYCH WARUNKÓW ZAMÓWIENIA

Dotyczy przetargu nieograniczonego, w którym wartość zamówienia przekracza kwoty określone w przepisach wydanych na podstawie art. 11 ust 8 ustawy Pzp

ogłoszonego w Dz. U. U. E. nr 2013/S 097-165534

na podstawie przepisów ustawy z dnia 29 stycznia 2004 r. Prawo zamówień publicznych (tj. Dz. U. z 2010 r. Nr 113 poz.759 z późn. zm.)

NA DOSTAWĘ LEKÓW Z PODZIAŁEM NA 31 PAKIETÓW znak sprawy: DZAP-380-23/13

dla Szpitala Specjalistycznego im. J. K. Łukowicza w Chojnicach (Zamawiający)

Komisja przetargowa:

... ... ...

Maria Nieżorawska Anna Wutrych Danuta Cieślak

ZATWIERDZAM:

Leszek Bonna Dyrektor

Chojnice, dnia 16 maja 2013 r.

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(12)

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(13)

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(14)

Z A Ł Ą C Z N I K N R 1 D O S I W Z

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Nawiązując do udziału w przetargu nieograniczonym:

1. Oferujemy wykonanie dostaw objętych zamówieniem, których rodzaj jest zgodny z przedmiotem zamówienia według załącznika nr 2 do SIWZ (Formularz asortymentowo-cenowy) do oferty.

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Zadanie 1………... słownie: ………

Zadanie 2……….. słownie: ………

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1 5 Zadanie 21……….. słownie: ………

Pakiet 2... słownie: ...

Pakiet 3... słownie: ………..

Pakiet 4... słownie: ………

Pakiet 5... słownie: ………

Pakiet 6 ... słownie: ………

Pakiet 7A ... słownie: ………

Pakiet 7B ... słownie: ………

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1 6

Pakiet 7C ... słownie: ………

Pakiet 7D... ………. słownie: ………

Pakiet 8A... słownie: ………

Pakiet 8B... słownie: ………

Pakiet 8C... słownie: ………

Pakiet 8D...słownie: ………

Pakiet 9... słownie: ………..

Pakiet 10 ... słownie: ………..

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Pakiet 24A ... słownie: ………..

Pakiet 24B ... słownie: ………..

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cena łączna oferty: …..……… słownie: ………...

Powyższe ceny zawierają podatek VAT.

3. Uważamy się za związanych niniejszą ofertą przez okres 60 dni od ostatecznego terminu składania ofert.

4. Oferowany termin płatności: 90 dni.

5. W razie wybrania naszej oferty zobowiązujemy się do podpisania umowy na warunkach zawartych w dokumentacji (akceptujemy zapisy projektu umowy i wszelkie zmiany powstałe w trakcie postępowania) oraz w miejscu i terminie określonym przez Zamawiającego.

6. Oświadczamy, że zrealizujemy przedmiot zamówienia samodzielnie.*

*W przypadku realizacji przy udziale podwykonawców należy wskazać, którą część lub części zamówienia zostaną powierzone podwykonawcom oraz można podać nazwy (firm) proponowanych podwykonawców.

7. Oświadczamy, że nie należymy do grupy kapitałowej, w rozumieniu ustawy z dnia 16.02.2007 r. o ochronie konkurencji i konsumentów.*

* W przypadku, gdy Wykonawca należy do grupy kapitałowej składa listę podmiotów należących do tej samej grupy kapitałowej, o której mowa w rozdziale II. 5.8 SIWZ.

8. Załącznikami do niniejszej oferty, stanowiącymi integralną jej część są:

a) Załącznik nr 1 ………

b) Załącznik nr 2 ………

c) Załącznik nr 3 ………

d) Załącznik nr 4 ………

e) Załącznik nr 5 ………

f) Załącznik nr 6 ………

g) Załącznik nr 7 ………

... ...

miejscowość i data podpis i pieczęć uprawnionego

przedstawiciela Wykonawcy

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SPECYFIKACJA ISTOTNYCH WARUNKÓW ZAMÓWIENIA

Szpital Specjalistyczny im. J. K. Łukowicza w Chojnicach

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