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L1004/17}
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{\*\ftnsep\chftnsep}\pgndec\pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af16\langfe1081\dbch\af16\afs24\alang1081\loch\f0\fs24\lang1040\qc\li0\ri0\lin0\rin0\fi0{\ul\ulc0\b\rtlch \ltrch\loch\fs32
MODELLO \u8220\'93A\u8221\'94}
\par \pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af16\langfe1081\dbch\af16\afs24\alang1081\loch\f0\fs24\lang1040\qj\li0\ri0\lin0\rin0\fi0\b\rtlch \ltrch\loch

\par \pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af16\langfe1081\dbch\af16\afs24\alang1081\loch\f0\fs24\lang1040\qj\li0\ri0\lin0\rin0\fi0{\i\b\rtlch \ltrch\loch
I}{\i\b\langfe1025\rtlch \ltrch\loch
ndagine di mercato preliminare a procedura negoziata a sensi art. 36, comma 2, lett. b) D.Lgs. 50/2016,  }{\i\b0\langfe1025\rtlch \ltrch\loch
ai sensi dell}{\i\b0\rtlch \ltrch\loch
e Linee guida n. 4 di attuazione del D.Lgs.50/2016 recanti \u8220\'93Procedure per l\u8217\'92affidamento dei contratti pubblici di importo inferiore  alle soglie di rilevanza comunitaria, indagini di mercato e formazione e gestione degli elenchi di operatori economici\u8221\'94}
\par \pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af16\langfe1081\dbch\af16\afs24\alang1081\loch\f0\fs24\lang1040\li0\ri0\lin0\rin0\fi0\b0\rtlch \ltrch\loch\fs20

\par \pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af16\langfe1081\dbch\af16\afs24\alang1081\loch\f0\fs24\lang1040\qc\li0\ri0\lin0\rin0\fi0{\rtlch \ltrch\loch\fs22
per l\u8217\'92 individuazione di operatori economici da invitare a procedura negoziata per }
\par \pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af16\langfe1081\dbch\af16\afs24\alang1081\loch\f0\fs24\lang1040\qc\li0\ri0\lin0\rin0\fi0{\scaps0\caps0\cf0\b\dbch\af2\langfe2052\dbch\af14\afs28\alang1081\ai\ab\rtlch \ltrch\loch\fs28\lang1040\loch\f14\hich\af14
AFFIDAMENTO IN }{\scaps0\caps0\cf0\b\dbch\af2\langfe2052\dbch\af14\afs28\alang1081\ai\ab\rtlch \ltrch\loch\fs28\lang1040\loch\f14\hich\af14
GESTIONE}{\scaps0\caps0\cf0\ulnone\ulc0\b\dbch\af2\langfe2052\dbch\af14\afs28\alang1081\ai\ab\rtlch \ltrch\loch\fs28\lang1040\loch\f14\hich\af14
 DI CAMPI SPORTIVI COMUNALI DESTINATI AL GIOCO DEL CALCIO DAL 1\uc2 \u176\'81\'8b \uc1 }{\scaps0\caps0\cf0\ulnone\ulc0\b\dbch\af2\langfe2052\dbch\af14\afs28\alang1081\ai\ab\rtlch \ltrch\loch\fs28\lang1040\loch\f14\hich\af14
LUGLIO }{\scaps0\caps0\cf0\ulnone\ulc0\b\dbch\af2\langfe2052\dbch\af14\afs28\alang1081\ai\ab\rtlch \ltrch\loch\fs28\lang1040\loch\f14\hich\af14
201}{\scaps0\caps0\cf0\ulnone\ulc0\b\dbch\af2\langfe2052\dbch\af14\afs28\alang1081\ai\ab\rtlch \ltrch\loch\fs28\lang1040\loch\f14\hich\af14
8}{\scaps0\caps0\cf0\ulnone\ulc0\b\dbch\af2\langfe2052\dbch\af14\afs28\alang1081\ai\ab\rtlch \ltrch\loch\fs28\lang1040\loch\f14\hich\af14
 AL 30 GIUGNO }{\scaps0\caps0\cf0\ulnone\ulc0\b\dbch\af2\langfe2052\dbch\af14\afs28\alang1081\ai\ab\rtlch \ltrch\loch\fs28\lang1040\loch\f14\hich\af14
20}{\scaps0\caps0\cf0\ulnone\ulc0\b\dbch\af2\langfe2052\dbch\af14\afs28\alang1081\ai\ab\rtlch \ltrch\loch\fs28\lang1040\loch\f14\hich\af14
2}{\scaps0\caps0\cf0\ulnone\ulc0\b\dbch\af2\langfe2052\dbch\af14\afs28\alang1081\ai\ab\rtlch \ltrch\loch\fs28\lang1040\loch\f14\hich\af14
0}
\par \pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af16\langfe1081\dbch\af16\afs24\alang1081\loch\f0\fs24\lang1040\qc\li0\ri0\lin0\rin0\fi0{\cf0\b\dbch\af15\langfe2052\dbch\af14\afs28\alang1081\rtlch \ltrch\loch\fs22\lang1040\loch\f14\hich\af14
COMUNE FIGLINE E INCISA VALDARNO  }
\par \pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af16\langfe1081\dbch\af16\afs24\alang1081\loch\f0\fs24\lang1040\qc\li0\ri0\lin0\rin0\fi-1247\rtlch \ltrch\loch\fs22

\par \pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af16\langfe1081\dbch\af16\afs24\alang1081\loch\f0\fs24\lang1040\qc\li0\ri0\lin0\rin0\fi0\b\rtlch \ltrch\loch\fs28

\par \pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af16\langfe1081\dbch\af16\afs24\alang1081\loch\f0\fs24\lang1040\qc\li0\ri0\lin0\rin0\fi0{\b\rtlch \ltrch\loch\fs28
MODULO PARTECIPAZIONE  }
\par \pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af16\langfe1081\dbch\af16\afs24\alang1081\loch\f0\fs24\lang1040\qc\li0\ri0\lin0\rin0\fi0\dbch\af24\langfe1040\rtlch \ltrch\loch\fs22

\par \pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af16\langfe1081\dbch\af16\afs24\alang1081\loch\f0\fs24\lang1040\qj\li0\ri0\lin0\rin0\fi0\rtlch \ltrch\loch\fs22

\par \pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af16\langfe1081\dbch\af16\afs24\alang1081\loch\f0\fs24\lang1040\qj\li0\ri0\lin0\rin0\fi0{\rtlch \ltrch\loch\fs22
ll sottoscritto ____________________________________________________________________________}
\par \pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af16\langfe1081\dbch\af16\afs24\alang1081\loch\f0\fs24\lang1040\qj\li0\ri0\lin0\rin0\fi0{\rtlch \ltrch\loch\fs22
nato a __________________________________________________________ il ______________________}
\par \pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af16\langfe1081\dbch\af16\afs24\alang1081\loch\f0\fs24\lang1040\qj\tx4500\li0\ri0\lin0\rin0\fi0{\rtlch \ltrch\loch\fs22
residente in ______________________________ Via ________________________________ n. _________}
\par \pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af16\langfe1081\dbch\af16\afs24\alang1081\loch\f0\fs24\lang1040\qj\tx4500\li0\ri0\lin0\rin0\fi0{\rtlch \ltrch\loch\fs22
c.f. _____________________________________;}
\par \pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af16\langfe1081\dbch\af16\afs24\alang1081\loch\f0\fs24\lang1040\qj\tx4500\li0\ri0\lin0\rin0\fi0\rtlch \ltrch\loch\fs22

\par \pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af16\langfe1081\dbch\af16\afs24\alang1081\loch\f0\fs24\lang1040\qc\tx4500\li0\ri0\lin0\rin0\fi0{\b\rtlch \ltrch\loch\fs22
CHIEDE DI PARTECIPARE ALL\uc2 \u8217\'81\'66INDAGINE DI MERCATO IN OGGETTO\uc1 }
\par \pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af16\langfe1081\dbch\af16\afs24\alang1081\loch\f0\fs24\lang1040\qc\tx4500\li0\ri0\lin0\rin0\fi0\b\rtlch \ltrch\loch\fs14

\par \pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af16\langfe1081\dbch\af16\afs24\alang1081\loch\f0\fs24\lang1040\qj\li0\ri0\lin0\rin0\fi0{\rtlch \ltrch\loch\fs22
nella sua qualit\u224\'3f di legale rappresentante dell\uc2 \u8217\'81\'66\uc1 }{\b\rtlch \ltrch\loch\fs22
impresa }{\i\rtlch \ltrch\loch\fs22
(ragione sociale/denominazione)}{\rtlch \ltrch\loch\fs22
 _______________ _____________________________________________________________________________________________________________________________________________________________________________;}
\par \pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af16\langfe1081\dbch\af16\afs24\alang1081\loch\f0\fs24\lang1040\qj\li0\ri0\lin0\rin0\fi0{\rtlch \ltrch\loch\fs22
(eventualmente) giusta procura generale / speciale n. _____________ del ____________________________}
\par \pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af16\langfe1081\dbch\af16\afs24\alang1081\loch\f0\fs24\lang1040\tx900\tx5400\li0\ri0\lin0\rin0\fi0{\rtlch \ltrch\loch\fs22
quale:\tab [_] TITOLARE\tab [_] PRESIDENTE della societ\u224\'3f}
\par \pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af16\langfe1081\dbch\af16\afs24\alang1081\loch\f0\fs24\lang1040\tx900\tx5400\li0\ri0\lin0\rin0\fi0{\rtlch \ltrch\loch\fs22
\tab [_] SOCIO con potere di rappresentanza\tab [_] ___________________________________}
\par \pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af16\langfe1081\dbch\af16\afs24\alang1081\loch\f0\fs24\lang1040\qj\li0\ri0\lin0\rin0\fi0{\rtlch \ltrch\loch\fs22
Cod. Fiscale ______________________ partita IVA _____________________ Cod. attivit\u224\'3f _____________}
\par \pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af16\langfe1081\dbch\af16\afs24\alang1081\loch\f0\fs24\lang1040\qj\li0\ri0\lin0\rin0\fi0{\rtlch \ltrch\loch\fs22
con sede legale in __________________________ Via/P.zza ____________________________ n. _______}
\par \pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af16\langfe1081\dbch\af16\afs24\alang1081\loch\f0\fs24\lang1040\qj\li0\ri0\lin0\rin0\fi0{\rtlch \ltrch\loch\fs22
tel. _______________ fax ________________ PEC _____________________________________________ e-mail __________________________________________________________________________________}
\par \pard\plain \s397\qj\widctlpar\tx5103\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\i\kerning1\dbch\af16\langfe1025\dbch\af16\afs24\loch\f0\fs24\lang1040\tx5103\li0\ri0\lin0\rin0\fi0{\b\rtlch \ltrch\loch\fs22
che partecipa alla selezione quale }{\i0\rtlch \ltrch\loch\fs22
(barrare e completare)}
\par \pard\plain \s397\qj\widctlpar\tx5103\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\i\kerning1\dbch\af16\langfe1025\dbch\af16\afs24\loch\f0\fs24\lang1040\tx5500\tx5897\tx6294\li397\ri0\lin397\rin0\fi-397{\i0\rtlch \ltrch\loch\fs22
[_]}{\rtlch \ltrch\loch\fs22
 \tab concorrente singolo;}
\par \pard\plain \s397\qj\widctlpar\tx5103\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\i\kerning1\dbch\af16\langfe1025\dbch\af16\afs24\loch\f0\fs24\lang1040\tx5500\tx5897\tx6294\li397\ri0\lin397\rin0\fi-397{\i0\rtlch \ltrch\loch\fs22
[_]}{\rtlch \ltrch\loch\fs22
 \tab consorzio stabile costituito dai seguenti consorziati:}
\par \pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af16\langfe1081\dbch\af16\afs24\alang1081\loch\f0\fs24\lang1040\li397\ri0\lin397\rin0\fi0{\rtlch \ltrch\loch\fs22
Impresa consorziata ___________________________________________________________________}
\par \pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af16\langfe1081\dbch\af16\afs24\alang1081\loch\f0\fs24\lang1040\li397\ri0\lin397\rin0\fi0{\rtlch \ltrch\loch\fs22
Impresa consorziata ___________________________________________________________________}
\par \pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af16\langfe1081\dbch\af16\afs24\alang1081\loch\f0\fs24\lang1040\li397\ri0\lin397\rin0\fi0{\rtlch \ltrch\loch\fs22
Impresa consorziata ___________________________________________________________________}
\par \pard\plain \s397\qj\widctlpar\tx5103\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\i\kerning1\dbch\af16\langfe1025\dbch\af16\afs24\loch\f0\fs24\lang1040\tx1551\tx5500\tx5897\tx6294\li397\ri0\lin397\rin0\fi-397{\i0\rtlch \ltrch\loch\fs22
[_]}{\rtlch \ltrch\loch\fs22
 \tab capogruppo/mandataria di un raggruppamento temporaneo di imprese denominato}
\par \pard\plain \s397\qj\widctlpar\tx5103\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\i\kerning1\dbch\af16\langfe1025\dbch\af16\afs24\loch\f0\fs24\lang1040\tx1551\tx5500\tx5897\tx6294\li397\ri0\lin397\rin0\fi-397{\rtlch \ltrch\loch\fs22
\tab ___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________;}
\par \pard\plain \s397\qj\widctlpar\tx5103\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\i\kerning1\dbch\af16\langfe1025\dbch\af16\afs24\loch\f0\fs24\lang1040\tx1551\tx5500\tx5897\tx6294\li397\ri0\lin397\rin0\fi-397{\i0\rtlch \ltrch\loch\fs22
[_]}{\rtlch \ltrch\loch\fs22
\tab mandante di un raggruppamento temporaneo di imprese denominato}
\par \pard\plain \s397\qj\widctlpar\tx5103\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\i\kerning1\dbch\af16\langfe1025\dbch\af16\afs24\loch\f0\fs24\lang1040\tx1551\tx5500\tx5897\tx6294\li397\ri0\lin397\rin0\fi-397{\rtlch \ltrch\loch\fs22
\tab ___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________;}
\par \pard\plain \s397\qj\widctlpar\tx5103\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\i\kerning1\dbch\af16\langfe1025\dbch\af16\afs24\loch\f0\fs24\lang1040\tx1551\tx5500\tx5897\tx6294\li397\ri0\lin397\rin0\fi-397{\i0\rtlch \ltrch\loch\fs22
[_]\tab \tab }{\rtlch \ltrch\loch\fs22
___________________________________________________________________________________ ______________________________________________________________________________________________________________________________________________________________________;}
\par \pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af16\langfe1081\dbch\af16\afs24\alang1081\loch\f0\fs24\lang1040\li0\ri0\lin0\rin0\fi0{\rtlch \ltrch\loch\fs22
A tal fine, sotto la propria personale responsabilit\u224\'3f, consapevole che ai sensi:}
\par \pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af16\langfe1081\dbch\af16\afs24\alang1081\loch\f0\fs24\lang1040{\listtext\pard\plain  \u61623\'3f\tab}\ilvl0\ls2 \li1004\ri0\lin1004\rin0\fi-360\qj\li284\ri0\lin284\rin0\fi0{\rtlch \ltrch\loch\fs22
dell\uc2 \u8217\'81\'66articolo 76, comma 1, del D.P.R. n. 445/2000, le dichiarazioni mendaci, le falsit\uc1 \u224\'3f in atti, l\uc2 \u8217\'81\'66uso di atti falsi, nei casi previsti dalla legge, sono puniti ai sensi del codice penale e delle leggi speciali in materia;\uc1 }
\par \pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af16\langfe1081\dbch\af16\afs24\alang1081\loch\f0\fs24\lang1040{\listtext\pard\plain  \u61623\'3f\tab}\ilvl0\ls2 \li1004\ri0\lin1004\rin0\fi-360\qj\li284\ri0\lin284\rin0\fi0{\rtlch \ltrch\loch\fs22
dell\uc2 \u8217\'81\'66articolo 75 del D.P.R. n. 445/2000, il dichiarante e chi per esso decade dai benefici eventualmente conseguiti da provvedimenti emanati sulla base di dichiarazioni non veritiere;\uc1 }
\par \pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af16\langfe1081\dbch\af16\afs24\alang1081\loch\f0\fs24\lang1040{\listtext\pard\plain  \u61623\'3f\tab}\ilvl0\ls2 \li1004\ri0\lin1004\rin0\fi-360\qj\li284\ri0\lin284\rin0\fi0{\rtlch \ltrch\loch\fs22
dell\uc2 \u8217\'81\'66articolo 71 del D.P.R. n. 445/2000, l\u8217\'81\'66ente pubblico ha l\u8217\'81\'66obbligo di effettuare idonei controlli, anche a campione, sulla veridicit\uc1 \u224\'3f di quanto dichiarato;}
\par \pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af16\langfe1081\dbch\af16\afs24\alang1081\loch\f0\fs24\lang1040\qj\li0\ri0\lin0\rin0\fi0\dbch\af24\langfe1040\rtlch \ltrch\loch\fs22

\par \pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af16\langfe1081\dbch\af16\afs24\alang1081\loch\f0\fs24\lang1040\qc\li0\ri0\lin0\rin0\fi0{\b\dbch\af24\langfe1040\rtlch \ltrch\loch\fs22
D I C H I A R A :}
\par \pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af16\langfe1081\dbch\af16\afs24\alang1081\loch\f0\fs24\lang1040\qj\li0\ri0\lin0\rin0\fi0\b\dbch\af24\langfe1040\rtlch \ltrch\loch\fs22

\par \pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af16\langfe1081\dbch\af16\afs24\alang1081\loch\f0\fs24\lang1040\qj\li0\ri0\lin0\rin0\fi0{\dbch\af24\langfe1040\rtlch \ltrch\loch\fs22
Il possesso dei requisiti previsti nell\uc2 \u8217\'81\'66avviso di manifestazione di interesse, in particolare:\uc1 }
\par \pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af16\langfe1081\dbch\af16\afs24\alang1081\loch\f0\fs24\lang1040{\listtext\pard\plain \b\dbch\af19\fs22 1)\tab}\ilvl0\ls1 \li1004\ri0\lin1004\rin0\fi-360\qj\li284\ri0\lin284\rin0\fi0{\dbch\af24\langfe1040\rtlch \ltrch\loch\fs22
di rientrare nella categoria degli operatori economici di cui all\uc2 \u8217\'81\'66art. 45 D.Lgs. 50/2016;\uc1 }
\par \pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af16\langfe1081\dbch\af16\afs24\alang1081\loch\f0\fs24\lang1040{\listtext\pard\plain \b\dbch\af19\fs22 2)\tab}\ilvl0\ls1 \li1004\ri0\lin1004\rin0\fi-360\qj\li284\ri0\lin284\rin0\fi0{\dbch\af24\langfe1040\rtlch \ltrch\loch\fs22
di non trovarsi in alcuna delle cause di esclusione di cui all\uc2 \u8217\'81\'66art.80 D.Lgs. 50/2016;\uc1 }
\par \pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af16\langfe1081\dbch\af16\afs24\alang1081\loch\f0\fs24\lang1040{\listtext\pard\plain \b\dbch\af19\fs22 3)\tab}\ilvl0\ls1 \li1004\ri0\lin1004\rin0\fi-360\qj\li284\ri0\lin284\rin0\fi0{\dbch\af24\langfe1040\rtlch \ltrch\loch\fs22
che l\uc2 \u8217\'81\'66impresa e iscritta nel registro delle imprese della Camera di Commercio di ___________________, per la seguente attivit\uc1 \u224\'3f: ____________________________________________;}
\par \pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af16\langfe1081\dbch\af16\afs24\alang1081\loch\f0\fs24\lang1040{\listtext\pard\plain \b\dbch\af19\fs22 4)\tab}\ilvl0\ls1 \li1004\ri0\lin1004\rin0\fi-360\qj\li284\ri0\lin284\rin0\fi0{\b\rtlch \ltrch\loch\fs22
di essere iscritto al seguente ordine professionale: __________________________________}
\par \pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af16\langfe1081\dbch\af16\afs24\alang1081\loch\f0\fs24\lang1040\qj\li284\ri0\lin284\rin0\fi0{\b\rtlch \ltrch\loch\fs22
____________________________________________________________________________________;}
\par \pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af16\langfe1081\dbch\af16\afs24\alang1081\loch\f0\fs24\lang1040{\listtext\pard\plain \b\dbch\af19\fs22 5)\tab}\ilvl0\ls1 \li1004\ri0\lin1004\rin0\fi-360\qj\li284\ri0\lin284\rin0\fi0{\b\rtlch \ltrch\loch\fs22
che i soggetti con potere di rappresentanza, oltre al sottoscritto dichiarante, e i direttori tecnici, attualmente in carica, sono:}
\par \trowd\trql\trleft130\ltrrow\trrh283\trpaddft3\trpaddt0\trpaddfl3\trpaddl0\trpaddfb3\trpaddb0\trpaddfr3\trpaddr0\clbrdrt\brdrs\brdrw10\brdrcf17\clbrdrl\brdrs\brdrw10\brdrcf17\clpadft3\clpadt108\clbrdrb\brdrs\brdrw10\brdrcf17\clpadfr3\clpadr108\clvertalc\cellx2582\clbrdrt\brdrs\brdrw10\brdrcf17\clbrdrl\brdrs\brdrw10\brdrcf17\clpadft3\clpadt108\clbrdrb\brdrs\brdrw10\brdrcf17\clpadfr3\clpadr108\clvertalc\cellx4829\clbrdrt\brdrs\brdrw10\brdrcf17\clbrdrl\brdrs\brdrw10\brdrcf17\clpadft3\clpadt108\clbrdrb\brdrs\brdrw10\brdrcf17\clpadfr3\clpadr108\clvertalc\cellx6904\clbrdrt\brdrs\brdrw10\brdrcf17\clbrdrl\brdrs\brdrw10\brdrcf17\clpadft3\clpadt108\clbrdrb\brdrs\brdrw10\brdrcf17\clbrdrr\brdrs\brdrw10\brdrcf17\clpadfr3\clpadr108\clvertalc\cellx9767\pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af16\langfe1081\dbch\af16\afs24\alang1081\loch\f0\fs24\lang1040\intbl\qc\nowidctlpar\li0\ri0\lin0\rin0\fi0{\i\rtlch \ltrch\loch\fs22
Cognome e nome}\cell\pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af16\langfe1081\dbch\af16\afs24\alang1081\loch\f0\fs24\lang1040\intbl\qc\nowidctlpar\li0\ri0\lin0\rin0\fi0{\i\rtlch \ltrch\loch\fs22
Luogo e data nascita}\cell\pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af16\langfe1081\dbch\af16\afs24\alang1081\loch\f0\fs24\lang1040\intbl\qc\nowidctlpar\li0\ri0\lin0\rin0\fi0{\i\rtlch \ltrch\loch\fs22
Residenza}\cell\pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af16\langfe1081\dbch\af16\afs24\alang1081\loch\f0\fs24\lang1040\intbl\qc\nowidctlpar\li0\ri0\lin0\rin0\fi0{\i\rtlch \ltrch\loch\fs22
Carica ricoperta}\cell\row\pard\trowd\trql\trleft130\ltrrow\trrh227\trpaddft3\trpaddt0\trpaddfl3\trpaddl0\trpaddfb3\trpaddb0\trpaddfr3\trpaddr0\clbrdrt\brdrs\brdrw10\brdrcf17\clbrdrl\brdrs\brdrw10\brdrcf17\clpadft3\clpadt108\clbrdrb\brdrs\brdrw10\brdrcf17\clpadfr3\clpadr108\clvertalc\cellx2582\clbrdrt\brdrs\brdrw10\brdrcf17\clbrdrl\brdrs\brdrw10\brdrcf17\clpadft3\clpadt108\clbrdrb\brdrs\brdrw10\brdrcf17\clpadfr3\clpadr108\clvertalc\cellx4829\clbrdrt\brdrs\brdrw10\brdrcf17\clbrdrl\brdrs\brdrw10\brdrcf17\clpadft3\clpadt108\clbrdrb\brdrs\brdrw10\brdrcf17\clpadfr3\clpadr108\clvertalc\cellx6904\clbrdrt\brdrs\brdrw10\brdrcf17\clbrdrl\brdrs\brdrw10\brdrcf17\clpadft3\clpadt108\clbrdrb\brdrs\brdrw10\brdrcf17\clbrdrr\brdrs\brdrw10\brdrcf17\clpadfr3\clpadr108\clvertalc\cellx9767\pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af16\langfe1081\dbch\af16\afs24\alang1081\loch\f0\fs24\lang1040\intbl\qc\nowidctlpar\li0\ri0\lin0\rin0\fi0\i\rtlch \ltrch\loch\fs22
\cell\pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af16\langfe1081\dbch\af16\afs24\alang1081\loch\f0\fs24\lang1040\intbl\qc\nowidctlpar\li0\ri0\lin0\rin0\fi0\rtlch \ltrch\loch\fs22
\cell\pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af16\langfe1081\dbch\af16\afs24\alang1081\loch\f0\fs24\lang1040\intbl\qc\nowidctlpar\li0\ri0\lin0\rin0\fi0\rtlch \ltrch\loch\fs22
\cell\pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af16\langfe1081\dbch\af16\afs24\alang1081\loch\f0\fs24\lang1040\intbl\qc\nowidctlpar\li0\ri0\lin0\rin0\fi0\rtlch \ltrch\loch\fs22
\cell\row\pard\trowd\trql\trleft130\ltrrow\trrh227\trpaddft3\trpaddt0\trpaddfl3\trpaddl0\trpaddfb3\trpaddb0\trpaddfr3\trpaddr0\clbrdrt\brdrs\brdrw10\brdrcf17\clbrdrl\brdrs\brdrw10\brdrcf17\clpadft3\clpadt108\clbrdrb\brdrs\brdrw10\brdrcf17\clpadfr3\clpadr108\clvertalc\cellx2582\clbrdrt\brdrs\brdrw10\brdrcf17\clbrdrl\brdrs\brdrw10\brdrcf17\clpadft3\clpadt108\clbrdrb\brdrs\brdrw10\brdrcf17\clpadfr3\clpadr108\clvertalc\cellx4829\clbrdrt\brdrs\brdrw10\brdrcf17\clbrdrl\brdrs\brdrw10\brdrcf17\clpadft3\clpadt108\clbrdrb\brdrs\brdrw10\brdrcf17\clpadfr3\clpadr108\clvertalc\cellx6904\clbrdrt\brdrs\brdrw10\brdrcf17\clbrdrl\brdrs\brdrw10\brdrcf17\clpadft3\clpadt108\clbrdrb\brdrs\brdrw10\brdrcf17\clbrdrr\brdrs\brdrw10\brdrcf17\clpadfr3\clpadr108\clvertalc\cellx9767\pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af16\langfe1081\dbch\af16\afs24\alang1081\loch\f0\fs24\lang1040\intbl\qc\nowidctlpar\li0\ri0\lin0\rin0\fi0\rtlch \ltrch\loch\fs22
\cell\pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af16\langfe1081\dbch\af16\afs24\alang1081\loch\f0\fs24\lang1040\intbl\qc\nowidctlpar\li0\ri0\lin0\rin0\fi0\rtlch \ltrch\loch\fs22
\cell\pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af16\langfe1081\dbch\af16\afs24\alang1081\loch\f0\fs24\lang1040\intbl\qc\nowidctlpar\li0\ri0\lin0\rin0\fi0\rtlch \ltrch\loch\fs22
\cell\pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af16\langfe1081\dbch\af16\afs24\alang1081\loch\f0\fs24\lang1040\intbl\qc\nowidctlpar\li0\ri0\lin0\rin0\fi0\rtlch \ltrch\loch\fs22
\cell\row\pard\trowd\trql\trleft130\ltrrow\trrh227\trpaddft3\trpaddt0\trpaddfl3\trpaddl0\trpaddfb3\trpaddb0\trpaddfr3\trpaddr0\clbrdrt\brdrs\brdrw10\brdrcf17\clbrdrl\brdrs\brdrw10\brdrcf17\clpadft3\clpadt108\clbrdrb\brdrs\brdrw10\brdrcf17\clpadfr3\clpadr108\clvertalc\cellx2582\clbrdrt\brdrs\brdrw10\brdrcf17\clbrdrl\brdrs\brdrw10\brdrcf17\clpadft3\clpadt108\clbrdrb\brdrs\brdrw10\brdrcf17\clpadfr3\clpadr108\clvertalc\cellx4829\clbrdrt\brdrs\brdrw10\brdrcf17\clbrdrl\brdrs\brdrw10\brdrcf17\clpadft3\clpadt108\clbrdrb\brdrs\brdrw10\brdrcf17\clpadfr3\clpadr108\clvertalc\cellx6904\clbrdrt\brdrs\brdrw10\brdrcf17\clbrdrl\brdrs\brdrw10\brdrcf17\clpadft3\clpadt108\clbrdrb\brdrs\brdrw10\brdrcf17\clbrdrr\brdrs\brdrw10\brdrcf17\clpadfr3\clpadr108\clvertalc\cellx9767\pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af16\langfe1081\dbch\af16\afs24\alang1081\loch\f0\fs24\lang1040\intbl\qc\nowidctlpar\li0\ri0\lin0\rin0\fi0\rtlch \ltrch\loch\fs22
\cell\pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af16\langfe1081\dbch\af16\afs24\alang1081\loch\f0\fs24\lang1040\intbl\qc\nowidctlpar\li0\ri0\lin0\rin0\fi0\rtlch \ltrch\loch\fs22
\cell\pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af16\langfe1081\dbch\af16\afs24\alang1081\loch\f0\fs24\lang1040\intbl\qc\nowidctlpar\li0\ri0\lin0\rin0\fi0\rtlch \ltrch\loch\fs22
\cell\pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af16\langfe1081\dbch\af16\afs24\alang1081\loch\f0\fs24\lang1040\intbl\qc\nowidctlpar\li0\ri0\lin0\rin0\fi0\rtlch \ltrch\loch\fs22
\cell\row\pard\trowd\trql\trleft130\ltrrow\trrh227\trpaddft3\trpaddt0\trpaddfl3\trpaddl0\trpaddfb3\trpaddb0\trpaddfr3\trpaddr0\clbrdrt\brdrs\brdrw10\brdrcf17\clbrdrl\brdrs\brdrw10\brdrcf17\clpadft3\clpadt108\clbrdrb\brdrs\brdrw10\brdrcf17\clpadfr3\clpadr108\clvertalc\cellx2582\clbrdrt\brdrs\brdrw10\brdrcf17\clbrdrl\brdrs\brdrw10\brdrcf17\clpadft3\clpadt108\clbrdrb\brdrs\brdrw10\brdrcf17\clpadfr3\clpadr108\clvertalc\cellx4829\clbrdrt\brdrs\brdrw10\brdrcf17\clbrdrl\brdrs\brdrw10\brdrcf17\clpadft3\clpadt108\clbrdrb\brdrs\brdrw10\brdrcf17\clpadfr3\clpadr108\clvertalc\cellx6904\clbrdrt\brdrs\brdrw10\brdrcf17\clbrdrl\brdrs\brdrw10\brdrcf17\clpadft3\clpadt108\clbrdrb\brdrs\brdrw10\brdrcf17\clbrdrr\brdrs\brdrw10\brdrcf17\clpadfr3\clpadr108\clvertalc\cellx9767\pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af16\langfe1081\dbch\af16\afs24\alang1081\loch\f0\fs24\lang1040\intbl\qc\nowidctlpar\li0\ri0\lin0\rin0\fi0\rtlch \ltrch\loch\fs22
\cell\pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af16\langfe1081\dbch\af16\afs24\alang1081\loch\f0\fs24\lang1040\intbl\qc\nowidctlpar\li0\ri0\lin0\rin0\fi0\rtlch \ltrch\loch\fs22
\cell\pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af16\langfe1081\dbch\af16\afs24\alang1081\loch\f0\fs24\lang1040\intbl\qc\nowidctlpar\li0\ri0\lin0\rin0\fi0\rtlch \ltrch\loch\fs22
\cell\pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af16\langfe1081\dbch\af16\afs24\alang1081\loch\f0\fs24\lang1040\intbl\qc\nowidctlpar\li0\ri0\lin0\rin0\fi0\rtlch \ltrch\loch\fs22
\cell\row\pard\trowd\trql\trleft130\ltrrow\trrh227\trpaddft3\trpaddt0\trpaddfl3\trpaddl0\trpaddfb3\trpaddb0\trpaddfr3\trpaddr0\clbrdrt\brdrs\brdrw10\brdrcf17\clbrdrl\brdrs\brdrw10\brdrcf17\clpadft3\clpadt108\clbrdrb\brdrs\brdrw10\brdrcf17\clpadfr3\clpadr108\clvertalc\cellx2582\clbrdrt\brdrs\brdrw10\brdrcf17\clbrdrl\brdrs\brdrw10\brdrcf17\clpadft3\clpadt108\clbrdrb\brdrs\brdrw10\brdrcf17\clpadfr3\clpadr108\clvertalc\cellx4829\clbrdrt\brdrs\brdrw10\brdrcf17\clbrdrl\brdrs\brdrw10\brdrcf17\clpadft3\clpadt108\clbrdrb\brdrs\brdrw10\brdrcf17\clpadfr3\clpadr108\clvertalc\cellx6904\clbrdrt\brdrs\brdrw10\brdrcf17\clbrdrl\brdrs\brdrw10\brdrcf17\clpadft3\clpadt108\clbrdrb\brdrs\brdrw10\brdrcf17\clbrdrr\brdrs\brdrw10\brdrcf17\clpadfr3\clpadr108\clvertalc\cellx9767\pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af16\langfe1081\dbch\af16\afs24\alang1081\loch\f0\fs24\lang1040\intbl\qc\nowidctlpar\li0\ri0\lin0\rin0\fi0\rtlch \ltrch\loch\fs22
\cell\pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af16\langfe1081\dbch\af16\afs24\alang1081\loch\f0\fs24\lang1040\intbl\qc\nowidctlpar\li0\ri0\lin0\rin0\fi0\rtlch \ltrch\loch\fs22
\cell\pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af16\langfe1081\dbch\af16\afs24\alang1081\loch\f0\fs24\lang1040\intbl\qc\nowidctlpar\li0\ri0\lin0\rin0\fi0\rtlch \ltrch\loch\fs22
\cell\pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af16\langfe1081\dbch\af16\afs24\alang1081\loch\f0\fs24\lang1040\intbl\qc\nowidctlpar\li0\ri0\lin0\rin0\fi0\rtlch \ltrch\loch\fs22
\cell\row\pard\pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af16\langfe1081\dbch\af16\afs24\alang1081\loch\f0\fs24\lang1040\qj\li0\ri0\lin0\rin0\fi0\dbch\af24\langfe1040\rtlch \ltrch\loch\fs22

\par \pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af16\langfe1081\dbch\af16\afs24\alang1081\loch\f0\fs24\lang1040{\listtext\pard\plain \b\dbch\af19\fs22 6)\tab}\ilvl0\ls1 \li1004\ri0\lin1004\rin0\fi-360\qj\li284\ri0\lin284\rin0\fi0{\dbch\af24\langfe1040\rtlch \ltrch\loch\fs22
di essere consapevole che, o}{\rtlch \ltrch\loch\fs22
ltre ai direttori tecnici per ogni tipo di impresa, vanno indicati nello schema sopra indicato: il titolare per le imprese individuali, tutti i soci per le societ\u224\'3f in nome collettivo, i soci accomandatari per le societ\u224\'3f in accomandita semplice; per gli altri tipi di societ\u224\'3f e i consorzi gli amministratori muniti di potere di rappresentanza, di direzione e controllo, il socio unico persona fisica ovvero il socio di maggioranza in caso di societ\u224\'3f con meno di quattro soci.}
\par \pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af16\langfe1081\dbch\af16\afs24\alang1081\loch\f0\fs24\lang1040{\listtext\pard\plain \b\dbch\af19\fs22 7)\tab}\ilvl0\ls1 \li1004\ri0\lin1004\rin0\fi-360\qj\li284\ri0\lin284\rin0\fi0{\b\rtlch \ltrch\loch\fs22
che nell\uc2 \u8217\'81\'66anno antecedente la data della pubblicazione della ricerca di mercato per l\u8217\'81\'66affidamento del servizio in oggetto sono cessati dalla carica, quali organi di amministrazione i seguenti soggetti\uc1 }{\super\b\rtlch \ltrch\loch\fs22
 }{{\super \chftn{\*\footnote \chftn\pard\plain \s425\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af16\langfe1025\dbch\af16\afs24\loch\f0\fs24\lang1040{\super\b\cf1\super\b\kerning1\dbch\af19\langfe1025\rtlch \ltrch\loch\fs22\rtlch \ltrch\loch\fs16\lang1040
\tab  }{\cf1\super\b\kerning1\dbch\af16\langfe1025\rtlch \ltrch\loch\fs22\lang1040
\tab Elencare le persone fisiche che avevano potere di rappresentanza, di direzione e controllo e i direttori tecnici.}
}}
}{\b\rtlch \ltrch\loch\fs22
:}
\par \trowd\trql\trleft0\ltrrow\trrh283\trpaddft3\trpaddt0\trpaddfl3\trpaddl0\trpaddfb3\trpaddb0\trpaddfr3\trpaddr0\clbrdrt\brdrs\brdrw10\brdrcf17\clbrdrl\brdrs\brdrw10\brdrcf17\clpadft3\clpadt108\clbrdrb\brdrs\brdrw10\brdrcf17\clpadfr3\clpadr108\clvertalc\cellx3050\clbrdrt\brdrs\brdrw10\brdrcf17\clbrdrl\brdrs\brdrw10\brdrcf17\clpadft3\clpadt108\clbrdrb\brdrs\brdrw10\brdrcf17\clpadfr3\clpadr108\clvertalc\cellx5742\clbrdrt\brdrs\brdrw10\brdrcf17\clbrdrl\brdrs\brdrw10\brdrcf17\clpadft3\clpadt108\clbrdrb\brdrs\brdrw10\brdrcf17\clbrdrr\brdrs\brdrw10\brdrcf17\clpadfr3\clpadr108\clvertalc\cellx9638\pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af16\langfe1081\dbch\af16\afs24\alang1081\loch\f0\fs24\lang1040\intbl\qc\li0\ri0\lin0\rin0\fi0{\i\rtlch \ltrch\loch\fs22
Cognome e nome}\cell\pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af16\langfe1081\dbch\af16\afs24\alang1081\loch\f0\fs24\lang1040\intbl\qc\li0\ri0\lin0\rin0\fi0{\i\rtlch \ltrch\loch\fs22
Luogo e data nascita}\cell\pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af16\langfe1081\dbch\af16\afs24\alang1081\loch\f0\fs24\lang1040\intbl\qc\li0\ri0\lin0\rin0\fi0{\i\rtlch \ltrch\loch\fs22
Carica ricoperta, data cessazione}\cell\row\pard\trowd\trql\trleft0\ltrrow\trrh227\trpaddft3\trpaddt0\trpaddfl3\trpaddl0\trpaddfb3\trpaddb0\trpaddfr3\trpaddr0\clbrdrt\brdrs\brdrw10\brdrcf17\clbrdrl\brdrs\brdrw10\brdrcf17\clpadft3\clpadt108\clbrdrb\brdrs\brdrw10\brdrcf17\clpadfr3\clpadr108\clvertalc\cellx3050\clbrdrt\brdrs\brdrw10\brdrcf17\clbrdrl\brdrs\brdrw10\brdrcf17\clpadft3\clpadt108\clbrdrb\brdrs\brdrw10\brdrcf17\clpadfr3\clpadr108\clvertalc\cellx5742\clbrdrt\brdrs\brdrw10\brdrcf17\clbrdrl\brdrs\brdrw10\brdrcf17\clpadft3\clpadt108\clbrdrb\brdrs\brdrw10\brdrcf17\clbrdrr\brdrs\brdrw10\brdrcf17\clpadfr3\clpadr108\clvertalc\cellx9638\pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af16\langfe1081\dbch\af16\afs24\alang1081\loch\f0\fs24\lang1040\intbl\qc\li0\ri0\lin0\rin0\fi0\i\rtlch \ltrch\loch\fs22
\cell\pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af16\langfe1081\dbch\af16\afs24\alang1081\loch\f0\fs24\lang1040\intbl\qc\li0\ri0\lin0\rin0\fi0\rtlch \ltrch\loch\fs22
\cell\pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af16\langfe1081\dbch\af16\afs24\alang1081\loch\f0\fs24\lang1040\intbl\qc\li0\ri0\lin0\rin0\fi0\rtlch \ltrch\loch\fs22
\cell\row\pard\trowd\trql\trleft0\ltrrow\trrh227\trpaddft3\trpaddt0\trpaddfl3\trpaddl0\trpaddfb3\trpaddb0\trpaddfr3\trpaddr0\clbrdrt\brdrs\brdrw10\brdrcf17\clbrdrl\brdrs\brdrw10\brdrcf17\clpadft3\clpadt108\clbrdrb\brdrs\brdrw10\brdrcf17\clpadfr3\clpadr108\clvertalc\cellx3050\clbrdrt\brdrs\brdrw10\brdrcf17\clbrdrl\brdrs\brdrw10\brdrcf17\clpadft3\clpadt108\clbrdrb\brdrs\brdrw10\brdrcf17\clpadfr3\clpadr108\clvertalc\cellx5742\clbrdrt\brdrs\brdrw10\brdrcf17\clbrdrl\brdrs\brdrw10\brdrcf17\clpadft3\clpadt108\clbrdrb\brdrs\brdrw10\brdrcf17\clbrdrr\brdrs\brdrw10\brdrcf17\clpadfr3\clpadr108\clvertalc\cellx9638\pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af16\langfe1081\dbch\af16\afs24\alang1081\loch\f0\fs24\lang1040\intbl\qc\nowidctlpar\li0\ri0\lin0\rin0\fi0\rtlch \ltrch\loch\fs22
\cell\pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af16\langfe1081\dbch\af16\afs24\alang1081\loch\f0\fs24\lang1040\intbl\qc\nowidctlpar\li0\ri0\lin0\rin0\fi0\rtlch \ltrch\loch\fs22
\cell\pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af16\langfe1081\dbch\af16\afs24\alang1081\loch\f0\fs24\lang1040\intbl\qc\nowidctlpar\li0\ri0\lin0\rin0\fi0\rtlch \ltrch\loch\fs22
\cell\row\pard\trowd\trql\trleft0\ltrrow\trrh227\trpaddft3\trpaddt0\trpaddfl3\trpaddl0\trpaddfb3\trpaddb0\trpaddfr3\trpaddr0\clbrdrt\brdrs\brdrw10\brdrcf17\clbrdrl\brdrs\brdrw10\brdrcf17\clpadft3\clpadt108\clbrdrb\brdrs\brdrw10\brdrcf17\clpadfr3\clpadr108\clvertalc\cellx3050\clbrdrt\brdrs\brdrw10\brdrcf17\clbrdrl\brdrs\brdrw10\brdrcf17\clpadft3\clpadt108\clbrdrb\brdrs\brdrw10\brdrcf17\clpadfr3\clpadr108\clvertalc\cellx5742\clbrdrt\brdrs\brdrw10\brdrcf17\clbrdrl\brdrs\brdrw10\brdrcf17\clpadft3\clpadt108\clbrdrb\brdrs\brdrw10\brdrcf17\clbrdrr\brdrs\brdrw10\brdrcf17\clpadfr3\clpadr108\clvertalc\cellx9638\pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af16\langfe1081\dbch\af16\afs24\alang1081\loch\f0\fs24\lang1040\intbl\qc\nowidctlpar\li0\ri0\lin0\rin0\fi0\rtlch \ltrch\loch\fs22
\cell\pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af16\langfe1081\dbch\af16\afs24\alang1081\loch\f0\fs24\lang1040\intbl\qc\nowidctlpar\li0\ri0\lin0\rin0\fi0\rtlch \ltrch\loch\fs22
\cell\pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af16\langfe1081\dbch\af16\afs24\alang1081\loch\f0\fs24\lang1040\intbl\qc\nowidctlpar\li0\ri0\lin0\rin0\fi0\rtlch \ltrch\loch\fs22
\cell\row\pard\pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af16\langfe1081\dbch\af16\afs24\alang1081\loch\f0\fs24\lang1040\qj\li0\ri0\lin0\rin0\fi0\dbch\af24\langfe1040\rtlch \ltrch\loch\fs16

\par \pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af16\langfe1081\dbch\af16\afs24\alang1081\loch\f0\fs24\lang1040{\listtext\pard\plain \b\dbch\af19\fs22 8)\tab}\ilvl0\ls1 \li1004\ri0\lin1004\rin0\fi-360\qj\li284\ri0\lin284\rin0\fi0{\dbch\af24\langfe1040\rtlch \ltrch\loch\fs22
che nei confronti dei soggetti sopra indicati non sussiste alcuna causa di esclusione di cui all\uc2 \u8217\'81\'66art. 80 D.Lgs. 50/2016.\uc1 }
\par \pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af16\langfe1081\dbch\af16\afs24\alang1081\loch\f0\fs24\lang1040\qj\li0\ri0\lin0\rin0\fi0\b\dbch\af24\langfe1040\rtlch \ltrch\loch\fs22

\par \pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af16\langfe1081\dbch\af16\afs24\alang1081\loch\f0\fs24\lang1040\qj\li0\ri0\lin0\rin0\fi0{\dbch\af24\langfe1040\rtlch \ltrch\loch\fs22
Si allega:}
\par \pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af16\langfe1081\dbch\af16\afs24\alang1081\loch\f0\fs24\lang1040\qj\li0\ri0\lin0\rin0\fi0{\dbch\af24\langfe1040\rtlch \ltrch\loch\fs22
-  copia del documento di identit\u224\'3f del sottoscrittore}
\par \pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af16\langfe1081\dbch\af16\afs24\alang1081\loch\f0\fs24\lang1040\qj\li0\ri0\lin0\rin0\fi0\dbch\af24\langfe1040\rtlch \ltrch\loch\fs22

\par \pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af16\langfe1081\dbch\af16\afs24\alang1081\loch\f0\fs24\lang1040\qj\li0\ri0\lin0\rin0\fi0{\dbch\af24\langfe1040\rtlch \ltrch\loch\fs22
Data ______________________}
\par \pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af16\langfe1081\dbch\af16\afs24\alang1081\loch\f0\fs24\lang1040\qr\li0\ri0\lin0\rin0\fi0{\dbch\af24\langfe1040\rtlch \ltrch\loch\fs22
________________________________________}
\par \pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af16\langfe1081\dbch\af16\afs24\alang1081\loch\f0\fs24\lang1040\qc\li4963\ri0\lin4963\rin0\fi0{\b\dbch\af24\langfe1040\rtlch \ltrch\fs22
     }{\b\dbch\af24\langfe1040\rtlch \ltrch\loch\fs22
FIRMA DEL LEGALE RAPPRESENTANTE}
\par \pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af16\langfe1081\dbch\af16\afs24\alang1081\loch\f0\fs24\lang1040\qj\li0\ri0\lin0\rin0\fi0\b\dbch\af24\langfe1040\rtlch \ltrch\loch\fs22

\par \pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af16\langfe1081\dbch\af16\afs24\alang1081\loch\f0\fs24\lang1040\qj\li0\ri0\lin0\rin0\fi0{\dbch\af24\langfe1040\rtlch \ltrch\loch\fs22
il file deve essere firmato digitalmente dal dichiarante.}{\langfe1040\rtlch \ltrch\loch\fs22
 }
\par }