16 EUROS DUTY STAMP
Model C – Lot 1 (
To be inserted in the ECONOMIC BID envelope
)Open procedure for “Supply and assistance in the installation of two oceanographic buoys for the automatic measurement of sea meteorological parameters with control, management and remote transmission system of data”
CIG 635699670C CUP C63J13001100005
The undersigned: ____________________________________________________ born on __________
in __________________________________ (Province of _______________), resident in No. _______, Via _________________________________________________, City _____________________
(Province of _____________), in his capacity of Owner or Legal Representative of _____________________________________________ Company, with legal office in No. _________, Via _______________________________ City __________________ (Province of ____________)
S T A T E S
that, in relation to the Tender for the “Supply installation of No. two oceanographic buoys for the automatic measurement of sea meteorological parameters with control, management and remote transmission system of data”
B I D S
The following price: Euros _________________(in figures) ________________________ (in letters), security charges from interferences not subject to 0.00 Euros rebate.
of which for the security charges for the bidder’s own risks, in compliance with the obligations envisaged in Leg. Decree No. 81 of 2008, with respect to the size and characteristics of the service in question in relation to the resources employed, are equal to Euros ____________________, __
(________________ / _____ in letters) (to be indicated even if it is equal to zero Euros).
Date, ____________
__________________________
(The Owner of the Company or Legal Representative)
Attach, under penalty of exclusion, photocopy of a suitable identification document of the signatory or, if applicable, of the signatories.
N.B.: The Company security charges are not additional with respect to the price bid for the supply.