ࡱ>  `nbjbj *x(%H H 8|n22"TTT///ؠڠڠڠڠڠڠ$5z]/////TT[/TTؠ/ؠt Tph#d^Ġq0—J  ///////////////////////H $ l: ANEXO III DE LAS CONDICIONES REGULADORAS DEL CONTRATO DE SUMINISTRO ENERGA ELCTRICA A CPEN 2020-2021 MODELO DE DECLARACIN RESPONSABLE D/Da. ______________________________________________________ con D.N.I. nmero _________________________ Declara: Nombre de la persona que licita: ______________________________________ En el caso de persona jurdica deber establecer su condicin o no de PYME en el momento de presentacin de la oferta, conforme a los criterios siguientes:  Marcar con una X segn corresponda: Mediana __ Pequea __ Micro __ Ninguna de las anteriores (gran empresa) __ Forma de participacin (marque con una X): Individual __ Conjunta __ En el caso de que la oferta se instrumente en forma de participacin conjunta: Documento privado en el que se manifieste esta voluntad, de conformidad con el artculo 13 de la LFC. En su caso, aportacin de compromiso de constitucin de una unin de empresas de carcter temporal en caso de resultar adjudicatarias. Lotes a los que se presenta (marque con una X): Lote 1 __ Lote 2 __ Direccin de correo electrnico en el que efectuar las notificaciones relacionadas con cualquier fase del procedimiento: ______________________@________ ___________________a __ de ______________de 2019 (Lugar, fecha y firma) ANEXO IV DE LAS CONDICIONES REGULADORAS DEL CONTRATO DE SUMINISTRO ENERGA ELCTRICA A CPEN 2020-2021 MODELO DE DECLARACIN RESPONSABLE PROPUESTA CRITERIOS CUANTIFICABLES MEDIANTE FRMULAS 1. Puesta a disposicin de medios en caso de contingencia 2. Compromiso de revisin de potencias D./Da. __________________________________________________________ en representacin de _______________________________________________ con CIF n ________________ Declaro que, en caso de resultar seleccionada (indicar SI o NO): ____ (SI/NO) Me comprometo a poner a disposicin otra persona para asumir el rol de gestora de la cuenta en caso de contingencia, acreditando que dicha persona dispone del mismo nivel de formacin y experiencia mnima establecido como solvencia tcncia para la persona gestora del contrato (segn el apartado 11.2). Se adjunta cv y, en su caso, declaracin jurada por no pertenecer actualmente a la plantilla de la entidad licitadora. ____ (SI/NO) Me comprometo a realizar un estudio detallado de potencias en todos los CUPS objeto de suministro, en un plazo mximo de tres meses desde el inicio del suministro. (Lugar, fecha y firma) ANEXO V.1 (LOTE 1) DE LAS CONDICIONES REGULADORAS DEL CONTRATO DE SUMINISTRO ENERGA ELCTRICA A CPEN 2020-2021 MODELO DE OFERTA PRECIO DE SUMINISTRO LOTE 1 D./Da. __________________________________________________________ en representacin de _______________________________________________ con CIF n ________________ Enterado/a de las condiciones y requisitos que se exigen para concurrir al procedimiento abierto para la contratacin del seleccin del servicio de prevencin ajeno de riesgos laborales de Corporacin Pblica Empresarial de Navarra, S.L.U (CPEN) y sus sociedades dependientes, acepta incondicionalmente las Condiciones Reguladoras que rigen esta contratacin y ofertando las siguientes condiciones econmicas durante el perodo 1 de enero 2020 a 31 de diciembre de 2021: PARA EL LOTE 1  +  Valores ofertados: Parte OMIEParte OMIPCGCGAP6.26.13.1 El plazo mnimo de vigencia de la frmula ser de 15 das, a contar desde el ltimo da de plazo de entrega de las mismas. A efectos de valoracin del precio ofertado, se tomarn los siguientes valores en el resto de componentes de la frmula:  Adicionalmente se encuentra a disposicin un archivo en formato Excel donde la entidad licitadora podr introducir los valores ofertados y obtener el precio ofertado, en euros, de conformidad a los criterios establecidos en el apartado 22.1 (3). El precio mximo de licitacin, exclusivamente a efectos de valoracin de las ofertas se establece en 1.682.492,21 . (Lugar, fecha y firma) ANEXO V.2 (LOTE 2) DE LAS CONDICIONES REGULADORAS DEL CONTRATO DE SUMINISTRO ENERGA ELCTRICA A CPEN 2020-2021 MODELO DE OFERTA PRECIO DE SUMINISTRO LOTE 2 D./Da. __________________________________________________________ en representacin de _______________________________________________ con CIF n ________________ Enterado/a de las condiciones y requisitos que se exigen para concurrir al procedimiento abierto para la contratacin del seleccin del servicio de prevencin ajeno de riesgos laborales de Corporacin Pblica Empresarial de Navarra, S.L.U (CPEN) y sus sociedades dependientes, acepta incondicionalmente las Condiciones Reguladoras que rigen esta contratacin y ofertando las siguientes condiciones econmicas durante el perodo 1 de enero 2020 a 31 de diciembre de 2021: PARA EL LOTE 2  +  Valores ofertados: Parte OMIEAPC1C23.13.02.1DHA2.1 Parte OMIPAPC1C23.1Mismos valores que los valores C2 de la tabla anterior (Omie)3.02.1DHA2.1 El plazo mnimo de vigencia de la frmula ser de 15 das, a contar desde el ltimo da de plazo de entrega de las mismas. Adicionalmente se encuentra a disposicin un archivo en formato Excel donde la entidad licitadora podr introducir los valores ofertados y obtener el precio ofertado, en euros, de conformidad a los criterios establecidos en el apartado 22.1 (3). El precio mximo de licitacin, exclusivamente a efectos de valoracin de las ofertas se establece en 1.954.492,50 . (Lugar, fecha y firma) ANEXO VI DE LAS CONDICIONES REGULADORAS DEL CONTRATO DE SUMINISTRO ENERGA ELCTRICA A CPEN 2020-2021 MODELO DE OFERTA PRECIO COSTE DE GESTIN CIERRE YR+2 D./Da. __________________________________________________________ en representacin de _______________________________________________ con CIF n ________________ Enterado/a de las condiciones y requisitos que se exigen para concurrir al procedimiento abierto para la contratacin del seleccin del servicio de prevencin ajeno de riesgos laborales de Corporacin Pblica Empresarial de Navarra, S.L.U (CPEN) y sus sociedades dependientes, acepta incondicionalmente las Condiciones Reguladoras que rigen esta contratacin y ofertando las siguientes condiciones econmicas durante el perodo 1 de enero 2020 a 31 de diciembre de 2021:  /Mwh ofertado /Mwh mximoCOSTE DE GESTIN CIERRE YR+21,00 ANEXO VII DE LAS CONDICIONES REGULADORAS DEL CONTRATO DE SUMINISTRO ENERGA ELCTRICA A CPEN 2020-2021 MODELO DE DECLARACI   /;hil  ' P Q R ʽʰ{n{a{SHS>h|[/OJQJ^JhH5OJQJ^JhuvhH5OJQJ^Jh-@#hHOJQJ^Jh+hHOJQJ^JhHmH sH  h+hH#hH5>*CJOJQJ\^JaJ&hvhH5CJOJQJ\^JaJhHh!OJQJ^Jh{h!OJQJ^Jh!OJQJ^JhHOJQJ^JhH5CJOJQJ^JaJ#hvhH5CJOJQJ^JaJ  ikl  Q R  $dh^a$gd|[/$dh^a$gd|[/ dh^gdH$ & F,dha$gdHdhgdHgdH $7$8$H$a$gd! $7$8$H$a$gdHR x  # / 0 i j h u 9 : Y    ! 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TICA D./Da. __________________________________________________________ en representacin de _______________________________________________ con CIF n ________________ Declaro que, en caso de resultar entidad adjudicataria (indicar SI o NO): ____ (SI/NO) Me comprometo a disponer, desde el inicio del contrato, de un Cdigo tico al objeto de asegurar que toda su actuacin estar presidida por la aplicacin de valores ticos y normas de conducta que eviten conflictos de intereses. 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