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Allegato  \u8220\'93A\u8221\'94}
\par \pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af11\langfe1081\dbch\af11\afs24\alang1081\loch\f0\fs24\lang1040\qr\widctlpar\tx5040\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar{\dbch\af12\rtlch \ltrch\loch
\tab }
\par \pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af11\langfe1081\dbch\af11\afs24\alang1081\loch\f0\fs24\lang1040\qr\widctlpar\tx5040\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\b\dbch\af12\rtlch \ltrch\loch

\par \pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af11\langfe1081\dbch\af11\afs24\alang1081\loch\f0\fs24\lang1040\qr\widctlpar\tx5040\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\b\dbch\af12\rtlch \ltrch\loch

\par \pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af11\langfe1081\dbch\af11\afs24\alang1081\loch\f0\fs24\lang1040\qr\widctlpar\tx5040\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar{\b\rtlch \ltrch\loch
Spett.le Comune di Turi}
\par \pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af11\langfe1081\dbch\af11\afs24\alang1081\loch\f0\fs24\lang1040\qr\widctlpar\tx5040\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar{\b\rtlch \ltrch\loch
Settore LL.PP.}
\par \pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af11\langfe1081\dbch\af11\afs24\alang1081\loch\f0\fs24\lang1040\qr\widctlpar\tx5040\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar{\b\rtlch \ltrch\loch
Via XX Settembre, 5}
\par \pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af11\langfe1081\dbch\af11\afs24\alang1081\loch\f0\fs24\lang1040\qr\widctlpar\tx5040\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar{\b\rtlch \ltrch\loch
70010 TURI}
\par \pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af11\langfe1081\dbch\af11\afs24\alang1081\loch\f0\fs24\lang1040\qr\nowidctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar{\b\rtlch \ltrch\loch
PEC: protocollo.comuneturi@pec.rupar.puglia.it}
\par \pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af11\langfe1081\dbch\af11\afs24\alang1081\loch\f0\fs24\lang1040\qr\widctlpar\tx5040\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\b\dbch\af12\rtlch \ltrch\loch

\par \pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af11\langfe1081\dbch\af11\afs24\alang1081\loch\f0\fs24\lang1040\qj\widctlpar\tx5040\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\b\dbch\af12\rtlch \ltrch\loch

\par \pard\plain \s105\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af11\langfe1081\dbch\af11\afs24\alang1081\loch\f9\fs24\lang1040\sl360\slmult1\qj\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar{\b\dbch\af12\dbch\af12\rtlch \ltrch\loch\loch\f0\hich\af0
OGGETTO:\tab Manifestazione di interesse a partecipare alla procedura di gara  mediante RdO su MePa, ai sensi dell\u8217\'92art. 36 e 37  del D.Lgs. 50/2016 per l\u8217\'92affidamento del servizio di }{\expnd0\expndtw-1\b\dbch\af12\langfe1033\dbch\af12\rtlch \ltrch\loch\fs22\loch\f0\hich\af0
 }{\expnd0\expndtw-1\b\dbch\af10\langfe1033\rtlch \ltrch\loch\fs23
MANUTENZIONE ORDINARIA E STRAORDINARIA, ESERCIZIO E CONDUZIONE DEGLI IMPIANTI TERMICI, RAFFRESCAMENTO DEGLI IMMOBILI COMUNALI CON ASSUNZIONE DI TERZO RESPONSABILE\u8221\'94- }{\expnd0\expndtw-1\b\dbch\af10\langfe1033\rtlch \ltrch\loch\fs22
 }{\expnd0\expndtw-1\i\b\dbch\af12\langfe1033\dbch\af12\rtlch \ltrch\loch\loch\f0\hich\af0
per un periodo di mesi 18( diciotto) AI FINI DELLA SUCCESSIVA RDO SUL MEPA \u8211\'96 IMPORTO A BASE DI GARA: \u8364\'80 25.845,90 comprensivi della somma di \u8364\'80 1.300,00 per oneri di sicurezza non soggetti a ribasso CIG: Z022CC5A96}
\par \pard\plain \s94\qj\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af11\langfe1025\dbch\af11\afs24\loch\f0\fs24\lang1040\sl360\slmult1\qj\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\dbch\af12\rtlch \ltrch\loch

\par \pard\plain \s94\qj\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af11\langfe1025\dbch\af11\afs24\loch\f0\fs24\lang1040\sl360\slmult1\qj\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar{\rtlch \ltrch\loch
Il sottoscritto ___________________________________, nato a _____________________ (_____) il ___________________, CF _______________________________________________________ residente a _______________________ in Via ________________________________ n\u176\'b0 _______, }
\par \pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af11\langfe1081\dbch\af11\afs24\alang1081\loch\f0\fs24\lang1040\sl360\slmult1\qj\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar{\rtlch \ltrch\loch
in qualit\u224\'e0 di:}
\par \pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af11\langfe1081\dbch\af11\afs24\alang1081\loch\f0\fs24\lang1040{\listtext\pard\plain  \u8226\'95\tab}\ilvl0\ls3 \li1440\ri0\lin1440\rin0\fi-360\sl360\slmult1\qj\widctlpar\hyphpar0\faauto\li720\ri0\lin720\rin0\fi0\ltrpar{\i\rtlch \ltrch\loch
titolare  dell'impresa omonima con sede in _____________________________, Via _________________________ n\u176\'b0 ________,  }
\par \pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af11\langfe1081\dbch\af11\afs24\alang1081\loch\f0\fs24\lang1040\sl360\slmult1\qj\widctlpar\hyphpar0\faauto\li720\ri0\lin720\rin0\fi0\ltrpar\b\dbch\af12\rtlch \ltrch\loch

\par \pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af11\langfe1081\dbch\af11\afs24\alang1081\loch\f0\fs24\lang1040{\listtext\pard\plain  \u8226\'95\tab}\ilvl0\ls3 \li1440\ri0\lin1440\rin0\fi-360\sl360\slmult1\qj\widctlpar\hyphpar0\faauto\li720\ri0\lin720\rin0\fi0\ltrpar{\i\rtlch \ltrch\loch
rappresentante legale dell\u8217\'92impresa}{\b\rtlch \ltrch\loch
______________________________________}{\i\b\rtlch \ltrch\loch
con sede in _____________________________, Via _________________________ n\u176\'b0 ________,  P.I.____________________________________;}
\par \pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af11\langfe1081\dbch\af11\afs24\alang1081\loch\f0\fs24\lang1040\sl360\slmult1\qj\widctlpar\hyphpar0\faauto\li720\ri0\lin720\rin0\fi0\ltrpar\rtlch \ltrch\loch

\par \pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af11\langfe1081\dbch\af11\afs24\alang1081\loch\f0\fs24\lang1040{\listtext\pard\plain  \u8226\'95\tab}\ilvl0\ls3 \li1440\ri0\lin1440\rin0\fi-360\sl360\slmult1\qj\widctlpar\hyphpar0\faauto\li720\ri0\lin720\rin0\fi0\ltrpar{\i\b\rtlch \ltrch\loch
procuratore dell\u8217\'92impresa______________________________________con sede in _____________________________, Via _________________________ n\u176\'b0 ________,  P.I.____________________________________giusta procura generale/speciale n\u176\'b0_________________del ________________  a rogito del notaio__________________________________________________________________}
\par \pard\plain \s94\qj\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af11\langfe1025\dbch\af11\afs24\loch\f0\fs24\lang1040\sl360\slmult1\qj\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\rtlch \ltrch\loch

\par \pard\plain \s94\qj\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af11\langfe1025\dbch\af11\afs24\loch\f0\fs24\lang1040\sl360\slmult1\qj\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar{\b\rtlch \ltrch\loch
PRESO ATTO  DELLA DETERMINAZIONE N. 1093 DEL 14.12.2018  E DI TUTTI GLI ALLEGATI  INERENTI LA PRESENTE PROCEDURA PUBBLICATI  ALL\u8217\'92ALBO PRETO}{\rtlch \ltrch\loch
RIO;}
\par \pard\plain \s94\qj\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af11\langfe1025\dbch\af11\afs24\loch\f0\fs24\lang1040\sl360\slmult1\qj\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar{\rtlch \ltrch
 }
\par \pard\plain \s94\qj\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af11\langfe1025\dbch\af11\afs24\loch\f0\fs24\lang1040\qc\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar{\b\rtlch \ltrch\loch
MANIFESTA IL PROPRIO INTERESSE}
\par \pard\plain \s94\qj\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af11\langfe1025\dbch\af11\afs24\loch\f0\fs24\lang1040\qc\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\b\dbch\af12\rtlch \ltrch\loch

\par \pard\plain \s94\qj\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af11\langfe1025\dbch\af11\afs24\loch\f0\fs24\lang1040\qj\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar{\rtlch \ltrch\loch
1) ad essere invitato alla procedura in oggetto.}
\par \pard\plain \s94\qj\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af11\langfe1025\dbch\af11\afs24\loch\f0\fs24\lang1040\qj\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar{\rtlch \ltrch\loch
A tal fine dichiara di voler partecipare in qualit\u224\'e0 di }{\i\b\rtlch \ltrch\loch
(Selezionare la fattispecie che interessa):}
\par \pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af11\langfe1081\dbch\af11\afs24\alang1081\loch\f0\fs24\lang1040{\listtext\pard\plain  \u9633\'3f\tab}\ilvl0\ls1 \li1440\ri0\lin1440\rin0\fi-360\qj\widctlpar\hyphpar0\faauto\li720\ri0\lin720\rin0\fi0\ltrpar{\dbch\af12\rtlch \ltrch\loch
impresa singola;}
\par \pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af11\langfe1081\dbch\af11\afs24\alang1081\loch\f0\fs24\lang1040{\listtext\pard\plain  \u9633\'3f\tab}\ilvl0\ls1 \li1440\ri0\lin1440\rin0\fi-360\qj\widctlpar\hyphpar0\faauto\li720\ri0\lin720\rin0\fi0\ltrpar{\expnd0\expndtw-2\dbch\af12\rtlch \ltrch\loch
capogruppo di una associazione temporanea di imprese o di un consorzio o  di un GEIE gi\u224\'e0 costituito;}
\par \pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af11\langfe1081\dbch\af11\afs24\alang1081\loch\f0\fs24\lang1040{\listtext\pard\plain  \u9633\'3f\tab}\ilvl0\ls1 \li1440\ri0\lin1440\rin0\fi-360\qj\widctlpar\hyphpar0\faauto\li720\ri0\lin720\rin0\fi0\ltrpar{\dbch\af12\rtlch \ltrch\loch
mandante di una associazione temporanea di imprese o di un consorzio o  di un GEIE gi\u224\'e0 costituito;}
\par \pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af11\langfe1081\dbch\af11\afs24\alang1081\loch\f0\fs24\lang1040{\listtext\pard\plain  \u9633\'3f\tab}\ilvl0\ls1 \li1440\ri0\lin1440\rin0\fi-360\qj\widctlpar\tx5788\hyphpar0\faauto\li720\ri0\lin720\rin0\fi0\ltrpar{\dbch\af12\rtlch \ltrch\loch
capogruppo di una costituenda associazione temporanea di imprese o di un costituendo consorzio formata da:}
\par \pard\plain \s108\ql\widctlpar\hyphpar0\faauto\li720\ri0\lin720\rin0\fi0\sb0\sa0\contextualspace\ltrpar\cf1\kerning1\dbch\af11\langfe1081\dbch\af11\afs24\loch\f0\fs24\lang1040{\listtext\pard\plain  \u9633\'3f\tab}\ilvl0\ls1 \li2160\ri0\lin2160\rin0\fi-360\qj\widctlpar\hyphpar0\faauto\li1440\ri0\lin1440\rin0\fi0\sb0\sa0\contextualspace\ltrpar{\rtlch \ltrch\loch
________________________________________________________________________________________________________________________________________________________________________________________________________________________}
\par \pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af11\langfe1081\dbch\af11\afs24\alang1081\loch\f0\fs24\lang1040{\listtext\pard\plain  \u9633\'3f\tab}\ilvl0\ls1 \li1440\ri0\lin1440\rin0\fi-360\qj\widctlpar\tx5749\hyphpar0\faauto\li720\ri0\lin720\rin0\fi0\ltrpar{\dbch\af12\langfe1040\rtlch \ltrch
 }{\dbch\af12\rtlch \ltrch\loch
mandante di una costituenda associazione temporanea di imprese o di un costituendo consorzio.}
\par \pard\plain \s108\ql\widctlpar\hyphpar0\faauto\li720\ri0\lin720\rin0\fi0\sb0\sa0\contextualspace\ltrpar\cf1\kerning1\dbch\af11\langfe1081\dbch\af11\afs24\loch\f0\fs24\lang1040{\listtext\pard\plain  \u9633\'3f\tab}\ilvl0\ls1 \li2160\ri0\lin2160\rin0\fi-360\qj\widctlpar\tx11509\tx12632\tx13548\tx14464\tx15380\tx16296\tx17212\tx18128\tx19044\tx19960\tx20876\tx21792\tx22708\tx23624\tx24540\tx25456\hyphpar0\faauto\li1440\ri0\lin1440\rin0\fi0\sb0\sa0\contextualspace\ltrpar{\rtlch \ltrch\loch
organo comune/mandatario di rete di imprese ( in contratto di rete) di cui all\u8217\'92art. 45, lettera f);}
\par \pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af11\langfe1081\dbch\af11\afs24\alang1081\loch\f0\fs24\lang1040{\listtext\pard\plain  \u9633\'3f\tab}\ilvl0\ls1 \li1440\ri0\lin1440\rin0\fi-360\qj\widctlpar\tx5749\hyphpar0\faauto\li720\ri0\lin720\rin0\fi0\ltrpar{\dbch\af12\rtlch \ltrch\loch
impresa in rete/mandante in rete di imprese ( in contratto di rete) di cui all\u8217\'92art. 45, lettera f);}
\par \pard\plain \s108\ql\widctlpar\hyphpar0\faauto\li720\ri0\lin720\rin0\fi0\sb0\sa0\contextualspace\ltrpar\cf1\kerning1\dbch\af11\langfe1081\dbch\af11\afs24\loch\f0\fs24\lang1040{\listtext\pard\plain  \u9633\'3f\tab}\ilvl0\ls1 \li2160\ri0\lin2160\rin0\fi-360\qj\widctlpar\tx11509\tx12632\tx13548\tx14464\tx15380\tx16296\tx17212\tx18128\tx19044\tx19960\tx20876\tx21792\tx22708\tx23624\tx24540\tx25456\hyphpar0\faauto\li1440\ri0\lin1440\rin0\fi0\sb0\sa0\contextualspace\ltrpar{\rtlch \ltrch\loch
altro (specificare)\u8230\'85\u8230\'85\u8230\'85\u8230\'85\u8230\'85\u8230\'85\u8230\'85\u8230\'85\u8230\'85\u8230\'85\u8230\'85\u8230\'85\u8230\'85\u8230\'85\u8230\'85\u8230\'85\u8230\'85\u8230\'85\u8230\'85\u8230\'85\u8230\'85\u8230\'85\u8230\'85\u8230\'85\u8230\'85\u8230\'85\u8230\'85\u8230\'85\u8230\'85\u8230\'85}
\par \pard\plain \s108\ql\widctlpar\hyphpar0\faauto\li720\ri0\lin720\rin0\fi0\sb0\sa0\contextualspace\ltrpar\cf1\kerning1\dbch\af11\langfe1081\dbch\af11\afs24\loch\f0\fs24\lang1040\qj\widctlpar\tx12436\tx13352\tx14268\tx15184\tx16100\tx17016\tx17932\tx18848\tx19764\tx20680\tx21596\tx22512\tx23428\tx24344\tx25260\tx26176\hyphpar0\faauto\li1440\ri0\lin1440\rin0\fi0\sb120\sa0\contextualspace\ltrpar\rtlch \ltrch\loch

\par \pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af11\langfe1081\dbch\af11\afs24\alang1081\loch\f0\fs24\lang1040\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\b\dbch\af12\rtlch \ltrch\loch

\par \pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af11\langfe1081\dbch\af11\afs24\alang1081\loch\f0\fs24\lang1040\qj\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar{\rtlch \ltrch\loch
In conformit\u224\'e0 alle disposizioni di cui agli artt. 46 e 47 del D.P.R. 445/2000 e s.m.i., consapevole della responsabilit\u224\'e0 penale cui pu\u242\'f2 andare incontro nel caso di affermazioni mendaci e delle relative sanzioni penali di cui all\u8217\'92art. 76 del medesimo D.P.R. 445/2000 e s.m.i.}
\par \pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af11\langfe1081\dbch\af11\afs24\alang1081\loch\f0\fs24\lang1040\qj\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\rtlch \ltrch\loch

\par \pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af11\langfe1081\dbch\af11\afs24\alang1081\loch\f0\fs24\lang1040\qc\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar{\b\rtlch \ltrch\loch
DICHIARA}
\par \pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af11\langfe1081\dbch\af11\afs24\alang1081\loch\f0\fs24\lang1040\qj\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\dbch\af12\rtlch \ltrch\loch

\par \pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af11\langfe1081\dbch\af11\afs24\alang1081\loch\f0\fs24\lang1040\qj\widctlpar\tx11196\hyphpar0\faauto\li720\ri0\lin720\rin0\fi0\ltrpar{\rtlch \ltrch
 }{\rtlch \ltrch\loch
1)-  di essere abilitato al bando \u8220\'93}{\dbch\af10\langfe1033\rtlch \ltrch\loch
SERVIZI-SERVIZI AGLI IMPIANTI (MANUTENZIONE E RIPARAZIONE -  CPV }{\i\dbch\af10\langfe1033\rtlch \ltrch\loch
50720000-08}{\dbch\af10\langfe1033\rtlch \ltrch\loch
)}{\rtlch \ltrch\loch
;}
\par \pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af11\langfe1081\dbch\af11\afs24\alang1081\loch\f0\fs24\lang1040\qj\widctlpar\tx11196\hyphpar0\faauto\li720\ri0\lin720\rin0\fi0\ltrpar\rtlch \ltrch\loch

\par \pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af11\langfe1081\dbch\af11\afs24\alang1081\loch\f0\fs24\lang1040\qj\widctlpar\tx11196\hyphpar0\faauto\li720\ri0\lin720\rin0\fi0\ltrpar{\rtlch \ltrch\loch
2)- di non trovarsi nelle condizioni di esclusione di cui }{\dbch\af10\langfe1033\rtlch \ltrch\loch
all\u8217\'92art. 80 del D. Lgs 50/2016;}
\par \pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af11\langfe1081\dbch\af11\afs24\alang1081\loch\f0\fs24\lang1040\qj\widctlpar\tx5436\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\rtlch \ltrch\loch

\par \pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af11\langfe1081\dbch\af11\afs24\alang1081\loch\f0\fs24\lang1040\qj\widctlpar\tx14508\hyphpar0\faauto\li1134\ri0\lin1134\rin0\fi-454\ltrpar{\dbch\af10\langfe1033\rtlch \ltrch
 }{\dbch\af10\langfe1033\rtlch \ltrch\loch
3)-  di essere in possesso dei requisiti di idoneit\u224\'e0 professionale di cui all\u8217\'92art. 83 comma 3 del  D. Lgs. 50/2016 ed in particolare:}
\par \pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af11\langfe1081\dbch\af11\afs24\alang1081\loch\f0\fs24\lang1040\qj\widctlpar\tx5436\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\rtlch \ltrch\loch

\par \pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af11\langfe1081\dbch\af11\afs24\alang1081\loch\f0\fs24\lang1040{\listtext\pard\plain  \u8226\'95\tab}\ilvl0\ls5 \li2253\ri0\lin2253\rin0\fi-360\qj\widctlpar\tx11034\hyphpar0\faauto\li1533\ri0\lin1533\rin0\fi0\ltrpar{\dbch\af10\langfe1033\rtlch \ltrch\loch
iscrizione Camera di Commercio, Industria, Artigianato e Agricoltura per attivit\u224\'e0 corrispondenti all\u8217\'92oggetto del presente avviso e, se stabiliti in altri stati membri dell\u8217\'92Unione Europea, iscrizione nel registro professionale o commerciale, per attivit\u224\'e0 analoghe a quelle oggetto dell\u8217\'92appalto;}
\par \pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af11\langfe1081\dbch\af11\afs24\alang1081\loch\f0\fs24\lang1040\qj\widctlpar\tx11940\hyphpar0\faauto\li813\ri0\lin813\rin0\fi0\ltrpar\rtlch \ltrch\loch

\par \pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af11\langfe1081\dbch\af11\afs24\alang1081\loch\f0\fs24\lang1040{\listtext\pard\plain  \u8226\'95\tab}\ilvl0\ls4 \li1440\ri0\lin1440\rin0\fi-360\sl480\slmult1\qj\nowidctlpar\hyphpar0\faauto\li720\ri0\lin720\rin0\fi0\ltrpar{\dbch\af16\langfe1033\rtlch \ltrch\loch
possesso da parte del personale dipendente gi\u224\'e0 in carico alla ditta sin dalla data di presentazione dell'offerta del }{\ul\ulc0\b\dbch\af16\langfe1033\rtlch \ltrch\loch
patentino di abilitazione di 2^ grado }{\dbch\af16\langfe1033\rtlch \ltrch\loch
per la conduzione di impianti termici, cos\u236\'ec come previsto dall\u8217\'92art. 16 della Legge n. 615 del 13/07/1966 e ss. mm. ii.;}
\par \pard\plain \s102\ql\widctlpar\hyphpar0\faauto\li708\ri0\lin708\rin0\fi0\ltrpar\cf1\kerning1\dbch\af11\langfe1025\dbch\af11\afs24\loch\f0\fs24\lang1040{\listtext\pard\plain  \u8226\'95\tab}\ilvl0\ls4 \li1344\ri0\lin1344\rin0\fi-360\sl360\slmult1\qj\widctlpar\hyphpar0\faauto\li624\ri0\lin624\rin0\fi0\ltrpar{\dbch\af16\rtlch \ltrch\loch
possesso dei requisiti di all\u8217\'92art. 1 ed 11 del DPR 412/93 per la funzione di terzo responsabile nonch\u233\'e9 possesso di certificazioni UNI EN ISO 9000 per l\u8217\'92attivit\u224\'e0 di gestione e conduzione di impianti termici;}
\par \pard\plain \s102\ql\widctlpar\hyphpar0\faauto\li708\ri0\lin708\rin0\fi0\ltrpar\cf1\kerning1\dbch\af11\langfe1025\dbch\af11\afs24\loch\f0\fs24\lang1040{\listtext\pard\plain  \u8226\'95\tab}\ilvl0\ls4 \li1344\ri0\lin1344\rin0\fi-360\sl360\slmult1\qj\widctlpar\hyphpar0\faauto\li624\ri0\lin624\rin0\fi0\ltrpar{\dbch\af16\rtlch \ltrch\loch
possesso dell'abilitazione per l\u8217\'92esercizio delle attivit\u224\'e0 di cui al D.M. 37/08, rispettivamente nelle lettere:}
\par \pard\plain \s102\ql\widctlpar\hyphpar0\faauto\li708\ri0\lin708\rin0\fi0\ltrpar\cf1\kerning1\dbch\af11\langfe1025\dbch\af11\afs24\loch\f0\fs24\lang1040{\listtext\pard\plain  \u9702\'3f\tab}\ilvl1\ls4 \li2868\ri0\lin2868\rin0\fi-360\sl360\slmult1\qj\widctlpar\hyphpar0\faauto\li1788\ri0\lin1788\rin0\fi0\ltrpar{\dbch\af16\rtlch \ltrch\loch
Lettera A): impianti di produzione, trasformazione, trasporto, distribuzione, utilizzazione dell'energia elettrica, etcc;}
\par \pard\plain \s102\ql\widctlpar\hyphpar0\faauto\li708\ri0\lin708\rin0\fi0\ltrpar\cf1\kerning1\dbch\af11\langfe1025\dbch\af11\afs24\loch\f0\fs24\lang1040{\listtext\pard\plain  \u9702\'3f\tab}\ilvl1\ls4 \li2868\ri0\lin2868\rin0\fi-360\sl360\slmult1\qj\widctlpar\hyphpar0\faauto\li1788\ri0\lin1788\rin0\fi0\ltrpar{\dbch\af16\rtlch \ltrch\loch
Lettera B): I}{\dbch\af17\rtlch \ltrch\loch
mpianti elettronici in genere, etcc\u8230\'85}
\par \pard\plain \s102\ql\widctlpar\hyphpar0\faauto\li708\ri0\lin708\rin0\fi0\ltrpar\cf1\kerning1\dbch\af11\langfe1025\dbch\af11\afs24\loch\f0\fs24\lang1040{\listtext\pard\plain  \u9702\'3f\tab}\ilvl1\ls4 \li2868\ri0\lin2868\rin0\fi-360\sl360\slmult1\qj\widctlpar\hyphpar0\faauto\li1788\ri0\lin1788\rin0\fi0\ltrpar{\dbch\af16\rtlch \ltrch\loch
Lettera C): impianti di riscaldamento, di climatizzazione, di condizionamento e di refrigerazione,etcc;}
\par \pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af11\langfe1081\dbch\af11\afs24\alang1081\loch\f0\fs24\lang1040{\listtext\pard\plain  \u8226\'95\tab}\ilvl0\ls4 \li1440\ri0\lin1440\rin0\fi-360\sl480\slmult1\qj\nowidctlpar\hyphpar0\faauto\li720\ri0\lin720\rin0\fi0\ltrpar{\dbch\af16\langfe1033\rtlch \ltrch\loch
Lettera E): impianti per la distribuzione e l'utilizzazione di gas di qualsiasi tipo, etcc}{\dbch\af10\langfe1033\rtlch \ltrch\loch
;}
\par \pard\plain \s102\ql\widctlpar\hyphpar0\faauto\li708\ri0\lin708\rin0\fi0\ltrpar\cf1\kerning1\dbch\af11\langfe1025\dbch\af11\afs24\loch\f0\fs24\lang1040{\listtext\pard\plain  \u8226\'95\tab}\ilvl0\ls4 \li2148\ri0\lin2148\rin0\fi-360\sl360\slmult1\qj\widctlpar\hyphpar0\faauto\li1428\ri0\lin1428\rin0\fi0\ltrpar{\dbch\af16\rtlch \ltrch\loch
possesso da parte del personale dipendente gi\u224\'e0 in carico alla ditta sin dalla data di presentazione dell'offerta, del patentino di abilitazione per \u8220\'93Operatori impianti Refrigeranti di Condizionamento d\u8217\'92aria e pompe di calore\u8221\'94 Categoria IV (Regolamento CE 303/2008), nonch\u233\'e9 requisiti professionali minimi di cui all\u8217\'92art. 5 del DPR n. 147 del 15/02/2006, per quanto riguarda la manutenzione degli impianti di refrigerazione;}
\par \pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af11\langfe1081\dbch\af11\afs24\alang1081\loch\f0\fs24\lang1040{\listtext\pard\plain  \u8226\'95\tab}\ilvl0\ls4 \li1440\ri0\lin1440\rin0\fi-360\sl480\slmult1\qj\nowidctlpar\hyphpar0\faauto\li720\ri0\lin720\rin0\fi0\ltrpar{\dbch\af16\langfe1033\rtlch \ltrch\loch
possesso da parte dell'impresa della \u8220\'93Certificazione delle imprese \u8220\'93per l'attivit\u224\'e0 di Installazione, manutenzione o riparazione di apparecchiature fisse di refrigerazione, condizionamento d'aria e pompe di calore contenenti taluni gas fluorurati ad effetto serra ai sensi del Regolamento CE n. 303/2008;}
\par \pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af11\langfe1081\dbch\af11\afs24\alang1081\loch\f0\fs24\lang1040{\listtext\pard\plain  \u8226\'95\tab}\ilvl0\ls4 \li1344\ri0\lin1344\rin0\fi-360\sl480\slmult1\qj\nowidctlpar\hyphpar0\faauto\li624\ri0\lin624\rin0\fi0\ltrpar{\dbch\af10\langfe1033\rtlch \ltrch\loch
di aver gi\u224\'e0 eseguito servizi analoghi a quello oggetto della procedura a favore delle seguenti  Amministrazioni Pubbliche: }
\par \pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af11\langfe1081\dbch\af11\afs24\alang1081\loch\f0\fs24\lang1040\sl480\slmult1\qj\nowidctlpar\hyphpar0\faauto\li813\ri0\lin813\rin0\fi0\ltrpar{\b\dbch\af10\langfe1033\rtlch \ltrch\loch
STAZIONE APPALTANTE:_}{\dbch\af10\langfe1033\rtlch \ltrch\loch
____________________con sede in Via_________________, n._______________nel periodo dal______________al________ }{{\*\bkmkstart __DdeLink__3026_825037363}\dbch\af10\langfe1033\rtlch \ltrch\loch
per l\u8217\'92importo di \u8364\'80________________________}{{\*\bkmkend __DdeLink__3026_825037363}\dbch\af10\langfe1033\rtlch \ltrch\loch
;}
\par \pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af11\langfe1081\dbch\af11\afs24\alang1081\loch\f0\fs24\lang1040\sl480\slmult1\qj\nowidctlpar\tx11196\hyphpar0\faauto\li720\ri0\lin720\rin0\fi0\ltrpar{\b\dbch\af10\langfe1033\rtlch \ltrch\loch
STAZIONE APPALTANTE:_}{\dbch\af10\langfe1033\rtlch \ltrch\loch
____________________con sede in Via_________________, n._______________nel periodo dal______________al________per l\u8217\'92importo di \u8364\'80________________________;}
\par \pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af11\langfe1081\dbch\af11\afs24\alang1081\loch\f0\fs24\lang1040\sl480\slmult1\qj\nowidctlpar\tx11196\hyphpar0\faauto\li720\ri0\lin720\rin0\fi0\ltrpar{\b\dbch\af10\langfe1033\rtlch \ltrch\loch
STAZIONE APPALTANTE:_}{\dbch\af10\langfe1033\rtlch \ltrch\loch
____________________con sede in Via_________________, n._______________nel periodo dal______________al________per l\u8217\'92importo di \u8364\'80________________________;}
\par \pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af11\langfe1081\dbch\af11\afs24\alang1081\loch\f0\fs24\lang1040{\listtext\pard\plain  \u8226\'95\tab}\ilvl0\ls2 \li1344\ri0\lin1344\rin0\fi-360\qj\widctlpar\hyphpar0\faauto\li624\ri0\lin624\rin0\fi0\ltrpar{\rtlch \ltrch\loch
di essere informato, ai sensi e per gli effetti del D.Lgs. n. 196/2003, che i dati personali raccolti saranno trattati, anche con strumenti informatici, esclusivamente nell\u8217\'92ambito del procedimento per il quale la presente dichiarazione viene resa}
\par \pard\plain \s102\ql\widctlpar\hyphpar0\faauto\li708\ri0\lin708\rin0\fi0\ltrpar\cf1\kerning1\dbch\af11\langfe1025\dbch\af11\afs24\loch\f0\fs24\lang1040\qj\widctlpar\tqc\tx360\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\dbch\af12\rtlch \ltrch\loch

\par \pard\plain \s94\qj\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af11\langfe1025\dbch\af11\afs24\loch\f0\fs24\lang1040\qc\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar{\b\rtlch \ltrch\loch
COMUNICA}
\par \pard\plain \s94\qj\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af11\langfe1025\dbch\af11\afs24\loch\f0\fs24\lang1040\qj\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar{\rtlch \ltrch
 }{\rtlch \ltrch\loch
che i dati necessari per le eventuali successive comunicazioni relative alla procedura di cui in oggetto sono i seguenti:}
\par \pard\plain \s94\qj\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af11\langfe1025\dbch\af11\afs24\loch\f0\fs24\lang1040\qj\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\rtlch \ltrch\loch

\par \pard\plain \s94\qj\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af11\langfe1025\dbch\af11\afs24\loch\f0\fs24\lang1040\qj\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar{\rtlch \ltrch\loch
Denominazione ___________________________________________________________________}
\par \pard\plain \s94\qj\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af11\langfe1025\dbch\af11\afs24\loch\f0\fs24\lang1040\qj\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\rtlch \ltrch\loch

\par \pard\plain \s94\qj\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af11\langfe1025\dbch\af11\afs24\loch\f0\fs24\lang1040\qj\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar{\rtlch \ltrch\loch
Indirizzo ________________________________________________________________________}
\par \pard\plain \s94\qj\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af11\langfe1025\dbch\af11\afs24\loch\f0\fs24\lang1040\qj\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\rtlch \ltrch\loch

\par \pard\plain \s94\qj\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af11\langfe1025\dbch\af11\afs24\loch\f0\fs24\lang1040\qj\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar{\rtlch \ltrch\loch
Telefono __________________ Cell. ______________________E-mail______________________}
\par \pard\plain \s94\qj\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af11\langfe1025\dbch\af11\afs24\loch\f0\fs24\lang1040\qj\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\rtlch \ltrch\loch

\par \pard\plain \s94\qj\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af11\langfe1025\dbch\af11\afs24\loch\f0\fs24\lang1040\qj\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar{\rtlch \ltrch\loch
Referente ______________________________________________Cell: _____________________}
\par \pard\plain \s94\qj\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af11\langfe1025\dbch\af11\afs24\loch\f0\fs24\lang1040\qj\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\rtlch \ltrch\loch

\par \pard\plain \s94\qj\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af11\langfe1025\dbch\af11\afs24\loch\f0\fs24\lang1040\qj\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar{\rtlch \ltrch\loch
e-mail __________________________________________________________________________}
\par \pard\plain \s94\qj\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af11\langfe1025\dbch\af11\afs24\loch\f0\fs24\lang1040\qj\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\rtlch \ltrch\loch

\par \pard\plain \s94\qj\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af11\langfe1025\dbch\af11\afs24\loch\f0\fs24\lang1040\qj\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar{\rtlch \ltrch\loch
PEC____________________________________________________________________________}
\par \pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af11\langfe1081\dbch\af11\afs24\alang1081\loch\f0\fs24\lang1040\qj\widctlpar\tx1080\tx4680\tx5040\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar{\dbch\af12\rtlch \ltrch\loch
\tab }
\par \pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af11\langfe1081\dbch\af11\afs24\alang1081\loch\f0\fs24\lang1040\qr\widctlpar\tx19440\tx23040\tx23400\hyphpar0\faauto\li1080\ri0\lin1080\rin0\fi-1080\ltrpar{\dbch\af12\rtlch \ltrch\loch
\tab }{\rtlch \ltrch\loch
IL/I LEGALE/I RAPPRESENTANTE/I}
\par \pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af11\langfe1081\dbch\af11\afs24\alang1081\loch\f0\fs24\lang1040\qj\widctlpar\tx19440\tx22680\tx23400\tqr\tx27998\hyphpar0\faauto\li1080\ri0\lin1080\rin0\fi-1080\ltrpar{\i\dbch\af12\rtlch \ltrch\loch
\tab                                                                       }{\i\rtlch \ltrch\loch
                           (Firma digitale)}
\par \pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af11\langfe1081\dbch\af11\afs24\alang1081\loch\f0\fs24\lang1040\qr\widctlpar\tx19440\tx22680\tx23400\hyphpar0\faauto\li1080\ri0\lin1080\rin0\fi-1080\ltrpar{\i\rtlch \ltrch
 }
\par \pard\plain \s0\ql\widctlpar\hyphpar0\faauto\li0\ri0\lin0\rin0\fi0\ltrpar\cf1\kerning1\dbch\af11\langfe1081\dbch\af11\afs24\alang1081\loch\f0\fs24\lang1040\qr\widctlpar\tx19440\tx22140\tx22680\tx23040\tx23400\hyphpar0\faauto\li1080\ri0\lin1080\rin0\fi-1080\ltrpar{\i\rtlch \ltrch\fs20
         }{\i\rtlch \ltrch\loch\fs20
(}{\i\ul\ulc0\rtlch \ltrch\loch\fs20
con allegata copia fotostatica di documento di identit\u224\'e0}{\i\rtlch \ltrch\loch\fs20
)}
\par }