VAT identification number, if applicable: [ ] [ ] If not applicable, please provide another national identification number if necessary and feasible Post address: [……] Contact person: [……] Telephone number: [……] E-mail: [……] Internet address (website) (if [……] applicable): General information: Response: Is the economic operator micro-, small and [] Yes [] No middle enterprise? Only if the contract is reserved : the economic No [] Yes [] operator protected enterprise or is social enterprise and will ensure the fulfillment of the contract in the context of programs to create a protected workplaces? If what is relevant percentage of disabled “yes“, or disadvantaged? […] If required, please indicate those employees to which category or categories of disabled or disadvantaged belong. [….] If applicable, indicate whether the economic [] Yes [] No [] No applicable operator is registered in the official list of approved economic operators or whether there is an equivalent certificate (eg. Under a national qualification systems (pre-qualification)? If “yes“: Please answer the questions in other parts of this section, section B and, where appropriate, section C of this section, fill in part V, where applicable, and in any case complete and sign part VI. a) [……] a) Please indicate the name of the list or certificate and the relevant registration or (website, authority or issuing office, just a б) approval number, if applicable: reference to the document): [……][……][……][……]
VAT identification number, if applicable: If not applicable, please provide another national identification number if necessary and feasible [ ] [ ] Post address: [……] Contact person: Telephone number: E-mail: Internet address (website) (if applicable): [……] [……] [……] [……] General information: Response: Is the economic operator micro-, small and middle enterprise? [] Yes [] No Only if the contract is reserved : the economic operator protected enterprise or is social enterprise and will ensure the fulfillment of the contract in the context of programs to create a protected workplaces? If “yes“, what is relevant percentage of disabled or disadvantaged? If required, please indicate those employees to which category or categories of disabled or disadvantaged belong. [] Yes [] No […] [….] If applicable, indicate whether the economic operator is registered in the official list of approved economic operators or whether there is an equivalent certificate (eg. Under a national qualification systems (pre-qualification)? [] Yes [] No [] No applicable If “yes“: Please answer the questions in other parts of this section, section B and, where appropriate, section C of this section, fill in part V, where applicable, and in any case complete and sign part VI. a) Please indicate the name of the list or certificate and the relevant registration or approval number, if applicable: a) [……] б) (website, authority or issuing office, just a reference to the document): [……][……][……][……]
Obrazci_ENG-11-12-17.docx