Contractor’s statement: I declare, that: I have permission for implementing defined activities or actions, if the law imposes an obligation to have such entitlements. I have necessary knowledge in regards to the subject of the I have technical and human resources capable to perform the contract or I undertake to sublimate a written declaration of other units to share technical and human resources capable to perform the contract. I am in economical and financial situation which ensures the implementation of the order. All information contained in the offer are true. I declare that I am familiar with the request of proposal and its I do not have any objections and I declare that I gained all needed information to prepare the offer. I declare that I’m able to accomplish the subject of request for proposal within the period specified in the request for proposal and according the specification listed in the request for proposal. I declare that, if the offer of our company is considered as the most advantageous, I will sign a contract with MOL Sp. z o.o., in which all the terms and conditions will be compatible with the content of request for proposal and the offer submitted by our company. Signing the contract will take place on the date and place agreed together with company MOL Sp. z o.o. and our company during the validity of our offer. I declare that I am not personally or capitally connected with company MOL. Sp. Z o.o. By capital or personal connection I understand the interconnectedness between MOL Sp. z o.o. or persons autorized to incurring liabillities on behalf of MOL Sp. z o.o. or persons performing on behalf of MOL Sp. z o.o. activities related to the preparation and the procedure of selecting the contractor, and our company, in particular by: a) participation in the company as a partner in civil partnership or personal partnership, b) owning at least 10% of the shares, c) having a function as a member of the supervisory or management, proxy d) remaining married being married in first line or collateral affinity, nursing or guardianship. e) remaining with our company in such a legal or actual connection, that May raise justified doubts as to impartiality. ......................................... Legible signature of the authorized representative of the Contractor
Contractor’s statement: I declare, that: I have permission for implementing defined activities or actions, if the law imposes an obligation to have such entitlements. I have necessary knowledge in regards to the subject of the I have technical and human resources capable to perform the contract or I undertake to sublimate a written declaration of other units to share technical and human resources capable to perform the contract. I am in economical and financial situation which ensures the implementation of the order. All information contained in the offer are true. I declare that I am familiar with the request of proposal and its I do not have any objections and I declare that I gained all needed information to prepare the offer. I declare that I’m able to accomplish the subject of request for proposal within the period specified in the request for proposal and according the specification listed in the request for proposal. I declare that, if the offer of our company is considered as the most advantageous, I will sign a contract with MOL Sp. z o.o., in which all the terms and conditions will be compatible with the content of request for proposal and the offer submitted by our company. Signing the contract will take place on the date and place agreed together with company MOL Sp. z o.o. and our company during the validity of our offer. I declare that I am not personally or capitally connected with company MOL. Sp. Z o.o. By capital or personal connection I understand the interconnectedness between MOL Sp. z o.o. or persons autorized to incurring liabillities on behalf of MOL Sp. z o.o. or persons performing on behalf of MOL Sp. z o.o. activities related to the preparation and the procedure of selecting the contractor, and our company, in particular by: a) participation in the company as a partner in civil partnership or personal partnership, b) owning at least 10% of the shares, c) having a function as a member of the supervisory or management, proxy d) remaining married being married in first line or collateral affinity, nursing or guardianship. e) remaining with our company in such a legal or actual connection, that May raise justified doubts as to impartiality. ......................................... Legible signature of the authorized representative of the Contractor
08-WRPO-1.4.1-2015-EN.docx