Medical consumables (№1569440)

00

Number: 1569440

Country: Poland

Source: TED


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Publication date


00-00-0000

Description


  1. Section I
    1. Name and addresses
      Szpital Uniwersytecki w Krakowie
      ul. Kopernika 36
      Kraków
      31-501
      Poland
      Telephone: +48 124247216
      E-mail: [email protected]
      Fax: +48 124247120
      NUTS code: PL213
    2. Type of the contracting authority:
      Body governed by public law
    3. Main activity:
      Health
  2. Section II
    1. Scope of the procurement:
      1. Title:

        Dostawa materiałów neurochirurgicznych (DFZP-AB-271-45/2017).


        Reference number: DFZP-AB-271-45/2017
      2. Main CPV code:
        33140000, 33140000, 33140000, 33140000, 33140000, 33140000, 33140000, 33140000, 33140000, 33140000, 33140000, 33140000, 33140000, 33140000, 33140000, 33140000, 33140000
      3. Type of contract:
        Supplies
      4. Short description:

        Dostawa materiałów neurochirurgicznych.


      5. Information about lots:
        This contract is divided into lots: yes
      6. Total value of the procurement:
        Value excluding VAT: 1 332 066.11 PLN
    2. Description
      1. Title:
      2. Additional CPV code(s):
        33140000
      3. Place of performance:
        NUTS code: PL213
        Main site or place of performance:

        Szpital Uniwersytecki w Krakowie.


      4. Description of the procurement:

        Zastawka typu PUDENZ – 20 sztuk.


      5. Award criteria:
      6. Information about options:
        Options: no
      7. Information about European Union funds:
        The procurement is related to a project and/or programme financed by European Union funds: no
      8. Additional information:
      9. Title:
      10. Additional CPV code(s):
        33140000
      11. Place of performance:
        NUTS code: PL213
        Main site or place of performance:

        Szpital Uniwersytecki w Krakowie.


      12. Description of the procurement:

        Stabilizacja sztywna międzywyrostkowa płytą – 5 zestawów.


      13. Award criteria:
      14. Information about options:
        Options: no
      15. Information about European Union funds:
        The procurement is related to a project and/or programme financed by European Union funds: no
      16. Additional information:
      17. Title:
      18. Additional CPV code(s):
        33140000
      19. Place of performance:
        NUTS code: PL213
        Main site or place of performance:

        Szpital Uniwersytecki w Krakowie.


      20. Description of the procurement:

        Klatka międzytrzonowa w odcinku lędźwiowym – 5 zestawów.


      21. Award criteria:
      22. Information about options:
        Options: no
      23. Information about European Union funds:
        The procurement is related to a project and/or programme financed by European Union funds: no
      24. Additional information:
      25. Title:
      26. Additional CPV code(s):
        33140000
      27. Place of performance:
        NUTS code: PL213
        Main site or place of performance:

        Szpital Uniwersytecki w Krakowie.


      28. Description of the procurement:

        Proteza trzonu odcinka piersiowo-lędźwiowego kręgosłupa – 3 zestawy.


      29. Award criteria:
      30. Information about options:
        Options: no
      31. Information about European Union funds:
        The procurement is related to a project and/or programme financed by European Union funds: no
      32. Additional information:
      33. Title:
      34. Additional CPV code(s):
        33140000
      35. Place of performance:
        NUTS code: PL213
        Main site or place of performance:

        Szpital Uniwersytecki w Krakowie.


      36. Description of the procurement:

        Implanty do kręgosłupa szyjnego – 30 zestawów.


      37. Award criteria:
      38. Information about options:
        Options: no
      39. Information about European Union funds:
        The procurement is related to a project and/or programme financed by European Union funds: no
      40. Additional information:
      41. Title:
      42. Additional CPV code(s):
        33140000
      43. Place of performance:
        NUTS code: PL213
        Main site or place of performance:

        Szpital Uniwersytecki w Krakowie.


      44. Description of the procurement:

        System do osteosyntezy wewnętrznej kręgosłupa – 17 zestawów.


      45. Award criteria:
      46. Information about options:
        Options: no
      47. Information about European Union funds:
        The procurement is related to a project and/or programme financed by European Union funds: no
      48. Additional information:
      49. Title:
      50. Additional CPV code(s):
        33140000
      51. Place of performance:
        NUTS code: PL213
        Main site or place of performance:

        Szpital Uniwersytecki w Krakowie.


      52. Description of the procurement:

        1. Zestaw składający się z: drenu komorowego, prowadnika, drenu pacjenta, zbiornika, worka – 40 zestawów;

        2. Worki wymienne do w/w zestawu – 40 sztuk;


      53. Award criteria:
      54. Information about options:
        Options: no
      55. Information about European Union funds:
        The procurement is related to a project and/or programme financed by European Union funds: no
      56. Additional information:
      57. Title:
      58. Additional CPV code(s):
        33140000
      59. Place of performance:
        NUTS code: PL213
        Main site or place of performance:

        Szpital Uniwersytecki w Krakowie.


      60. Description of the procurement:

        Regeneracyjna łata opony twardej, opona sztuczna – 8 sztuk.


      61. Award criteria:
      62. Information about options:
        Options: no
      63. Information about European Union funds:
        The procurement is related to a project and/or programme financed by European Union funds: no
      64. Additional information:
      65. Title:
      66. Additional CPV code(s):
        33140000
      67. Place of performance:
        NUTS code: PL213
        Main site or place of performance:

        Szpital Uniwersytecki w Krakowie.


      68. Description of the procurement:

        Stabilizacja piersiowo-lędźwiowa – 13 zestawów.


      69. Award criteria:
      70. Information about options:
        Options: no
      71. Information about European Union funds:
        The procurement is related to a project and/or programme financed by European Union funds: no
      72. Additional information:
      73. Title:
      74. Additional CPV code(s):
        33140000
      75. Place of performance:
        NUTS code: PL213
        Main site or place of performance:

        Szpital Uniwersytecki w Krakowie.


      76. Description of the procurement:

        Igły jednorazowe do EMG – 1 500 sztuk.


      77. Award criteria:
      78. Information about options:
        Options: no
      79. Information about European Union funds:
        The procurement is related to a project and/or programme financed by European Union funds: no
      80. Additional information:
      81. Title:
      82. Additional CPV code(s):
        33140000
      83. Place of performance:
        NUTS code: PL213
        Main site or place of performance:

        Szpital Uniwersytecki w Krakowie.


      84. Description of the procurement:

        Stabilizacja zęba obrotnika śrubą kaniulowaną – 2 zestawy.


      85. Award criteria:
      86. Information about options:
        Options: no
      87. Information about European Union funds:
        The procurement is related to a project and/or programme financed by European Union funds: no
      88. Additional information:
      89. Title:
      90. Additional CPV code(s):
        33140000
      91. Place of performance:
        NUTS code: PL213
        Main site or place of performance:

        Szpital Uniwersytecki w Krakowie.


      92. Description of the procurement:

        Zestaw do stabilizacji międzystawowej kręgosłupa – 1 zestaw.


      93. Award criteria:
      94. Information about options:
        Options: no
      95. Information about European Union funds:
        The procurement is related to a project and/or programme financed by European Union funds: no
      96. Additional information:
      97. Title:
      98. Additional CPV code(s):
        33140000
      99. Place of performance:
        NUTS code: PL213
        Main site or place of performance:

        Szpital Uniwersytecki w Krakowie.


      100. Description of the procurement:

        Dren ssący do noża – 20 sztuk.


      101. Award criteria:
      102. Information about options:
        Options: no
      103. Information about European Union funds:
        The procurement is related to a project and/or programme financed by European Union funds: no
      104. Additional information:
      105. Title:
      106. Additional CPV code(s):
        33140000
      107. Place of performance:
        NUTS code: PL213
        Main site or place of performance:

        Szpital Uniwersytecki w Krakowie.


      108. Description of the procurement:

        Proteza trzonu odcinka szyjnego kręgosłupa – 4 sztuki.


      109. Award criteria:
      110. Information about options:
        Options: no
      111. Information about European Union funds:
        The procurement is related to a project and/or programme financed by European Union funds: no
      112. Additional information:
      113. Title:
      114. Additional CPV code(s):
        33140000
      115. Place of performance:
        NUTS code: PL213
        Main site or place of performance:

        Szpital Uniwersytecki w Krakowie.


      116. Description of the procurement:

        1. Dren komorowy – 20 sztuk;

        2. Dren komorowy – 20 sztuk;


      117. Award criteria:
      118. Information about options:
        Options: no
      119. Information about European Union funds:
        The procurement is related to a project and/or programme financed by European Union funds: no
      120. Additional information:
      121. Title:
      122. Additional CPV code(s):
        33140000
      123. Place of performance:
        NUTS code: PL213
        Main site or place of performance:

        Szpital Uniwersytecki w Krakowie.


      124. Description of the procurement:

        Zestaw stymulatora do stymulacji mózgu – 30 zestawów.


      125. Award criteria:
      126. Information about options:
        Options: no
      127. Information about European Union funds:
        The procurement is related to a project and/or programme financed by European Union funds: no
      128. Additional information:
  3. Section IV
    1. Description:
      1. Type of procedure:
        Open procedureJustification:

        Zachodzi pilna potrzeba udzielenia zamówienia i skrócenie terminu składania ofert jest uzasadnione. Ze względu na zwiększone zużycie materiałów asortyment objęty obowiązującymi umowami zostanie wyczerpany wcześniej, niż zakładano.


      2. Information about a framework agreement or a dynamic purchasing system:
      3. Information about electronic auction:
      4. Information about the Government Procurement Agreement (GPA):
        The procurement is covered by the Government Procurement Agreement: yes
    2. Administrative information:
      1. Previous publication concerning this procedure:
        Notice number in the OJ S: 2017/S 065-122116
      2. Information about termination of dynamic purchasing system:
      3. Information about termination of call for competition in the form of a prior information notice:
  4. Section V
    1. Lot No: 1
      Title:

      Dostawa materiałów neurochirurgicznych (DFZP-AB-271-45/2017)


    2. Award of contract
      1. Date of conclusion of the contract: 2017-05-30
      2. Information about tenders:
        Number of tenders received: 3
        Number of tenders received from SMEs: 2
        Number of tenders received from tenderers from other EU Member States: 0
        Number of tenders received from tenderers from non-EU Member States: 0
        Number of tenders received by electronic means: 0
        The contract has been awarded to a group of economic operators: no
      3. Name and address of the contractor:
        IMC Impomed Centrum S.A.
        ul. Skrzyneckiego 38
        Warszawa
        04-563
        Poland
        NUTS code: PL
        The contractor is an SME: yes
      4. Information on value of the contract/lot (excluding VAT):
        Initial estimated total value of the contract/lot: 14 000.00 PLN
        Total value of the contract/lot: 15 000.00 PLN
      5. Information about subcontracting:

        Contract No: 2
        Lot No: 2
        Title:

        Dostawa materiałów neurochirurgicznych (DFZP-AB-271-45/2017)


        Contract No: 3
        Lot No: 3
        Title:

        Dostawa materiałów neurochirurgicznych (DFZP-AB-271-45/2017)


      6. Award of contract
        1. Date of conclusion of the contract: 2017-05-24
        2. Information about tenders:
          Number of tenders received: 1
          Number of tenders received from SMEs: 0
          Number of tenders received from tenderers from other EU Member States: 0
          Number of tenders received from tenderers from non-EU Member States: 0
          Number of tenders received by electronic means: 0
          The contract has been awarded to a group of economic operators: no
        3. Name and address of the contractor:
          NovaSpine Sp. z o.o.
          ul. Piaskowa 31
          Tyniec Mały
          55-040
          Poland
          NUTS code: PL
          The contractor is an SME: no
        4. Information on value of the contract/lot (excluding VAT):
          Initial estimated total value of the contract/lot: 5 500.00 PLN
          Total value of the contract/lot: 7 407.41 PLN
        5. Information about subcontracting:

          Contract No: 4
          Lot No: 4
          Title:

          Dostawa materiałów neurochirurgicznych (DFZP-AB-271-45/2017)


        6. Award of contract
          1. Date of conclusion of the contract: 2017-05-24
          2. Information about tenders:
            Number of tenders received: 1
            Number of tenders received from SMEs: 1
            Number of tenders received from tenderers from other EU Member States: 0
            Number of tenders received from tenderers from non-EU Member States: 0
            Number of tenders received by electronic means: 0
            The contract has been awarded to a group of economic operators: no
          3. Name and address of the contractor:
            Stryker Polska Sp. z o.o.
            ul. Poleczki 35
            Warszawa
            02-822
            Poland
            NUTS code: PL
            The contractor is an SME: yes
          4. Information on value of the contract/lot (excluding VAT):
            Initial estimated total value of the contract/lot: 10 500.00 PLN
            Total value of the contract/lot: 10 800.00 PLN
          5. Information about subcontracting:

            Contract No: 5
            Lot No: 5
            Title:

            Dostawa materiałów neurochirurgicznych (DFZP-AB-271-45/2017)


          6. Award of contract
            1. Date of conclusion of the contract: 2017-05-30
            2. Information about tenders:
              Number of tenders received: 1
              Number of tenders received from SMEs: 1
              Number of tenders received from tenderers from other EU Member States: 0
              Number of tenders received from tenderers from non-EU Member States: 0
              Number of tenders received by electronic means: 0
              The contract has been awarded to a group of economic operators: no
            3. Name and address of the contractor:
              IMC Impomed Centrum S.A.
              ul. Skrzyneckiego 38
              Warszawa
              04-563
              Poland
              NUTS code: PL
              The contractor is an SME: yes
            4. Information on value of the contract/lot (excluding VAT):
              Initial estimated total value of the contract/lot: 33 000.00 PLN
              Total value of the contract/lot: 39 000.00 PLN
            5. Information about subcontracting:

              Contract No: 6
              Lot No: 6
              Title:

              Dostawa materiałów neurochirurgicznych (DFZP-AB-271-45/2017)


            6. Award of contract
              1. Date of conclusion of the contract: 2017-05-24
              2. Information about tenders:
                Number of tenders received: 1
                Number of tenders received from SMEs: 1
                Number of tenders received from tenderers from other EU Member States: 0
                Number of tenders received from tenderers from non-EU Member States: 0
                Number of tenders received by electronic means: 0
                The contract has been awarded to a group of economic operators: no
              3. Name and address of the contractor:
                Alteris S.A.
                ul. Ceglana 35
                Katowice
                40-514
                Poland
                NUTS code: PL
                The contractor is an SME: yes
              4. Information on value of the contract/lot (excluding VAT):
                Initial estimated total value of the contract/lot: 93 500.00 PLN
                Total value of the contract/lot: 93 500.00 PLN
              5. Information about subcontracting:

                Contract No: 7
                Lot No: 7
                Title:

                Dostawa materiałów neurochirurgicznych (DFZP-AB-271-45/2017)


              6. Award of contract
                1. Date of conclusion of the contract: 2017-05-24
                2. Information about tenders:
                  Number of tenders received: 1
                  Number of tenders received from SMEs: 0
                  Number of tenders received from tenderers from other EU Member States: 0
                  Number of tenders received from tenderers from non-EU Member States: 0
                  Number of tenders received by electronic means: 0
                  The contract has been awarded to a group of economic operators: no
                3. Name and address of the contractor:
                  Johnson&Johnson Poland Sp. z o.o.
                  ul. Iłzecka 24
                  Warszawa
                  02-135
                  Poland
                  NUTS code: PL
                  The contractor is an SME: no
                4. Information on value of the contract/lot (excluding VAT):
                  Initial estimated total value of the contract/lot: 19 680.00 PLN
                  Total value of the contract/lot: 63 703.70 PLN
                5. Information about subcontracting:

                  Contract No: 8
                  Lot No: 8
                  Title:

                  Dostawa materiałów neurochirurgicznych (DFZP-AB-271-45/2017)


                6. Award of contract
                  1. Date of conclusion of the contract: 2017-05-30
                  2. Information about tenders:
                    Number of tenders received: 1
                    Number of tenders received from SMEs: 1
                    Number of tenders received from tenderers from other EU Member States: 0
                    Number of tenders received from tenderers from non-EU Member States: 0
                    Number of tenders received by electronic means: 0
                    The contract has been awarded to a group of economic operators: no
                  3. Name and address of the contractor:
                    IMC Impomed Centrum S.A.
                    ul. Skrzyneckiego 38
                    Warszawa
                    04-563
                    Poland
                    NUTS code: PL
                    The contractor is an SME: yes
                  4. Information on value of the contract/lot (excluding VAT):
                    Initial estimated total value of the contract/lot: 9 725.00 PLN
                    Total value of the contract/lot: 9 725.00 PLN
                  5. Information about subcontracting:

                    Contract No: 9
                    Lot No: 9
                    Title:

                    Dostawa materiałów neurochirurgicznych (DFZP-AB-271-45/2017)


                  6. Award of contract
                    1. Date of conclusion of the contract: 2017-05-24
                    2. Information about tenders:
                      Number of tenders received: 1
                      Number of tenders received from SMEs: 0
                      Number of tenders received from tenderers from other EU Member States: 0
                      Number of tenders received from tenderers from non-EU Member States: 0
                      Number of tenders received by electronic means: 0
                      The contract has been awarded to a group of economic operators: no
                    3. Name and address of the contractor:
                      NovaSpine Sp. z o.o.
                      ul. Piaskowa 31
                      Tyniec Mały
                      55-040
                      Poland
                      NUTS code: PL
                      The contractor is an SME: no
                    4. Information on value of the contract/lot (excluding VAT):
                      Initial estimated total value of the contract/lot: 105 300.00 PLN
                      Total value of the contract/lot: 157 170.00 PLN
                    5. Information about subcontracting:

                      Contract No: 10
                      Lot No: 10
                      Title:

                      Dostawa materiałów neurochirurgicznych (DFZP-AB-271-45/2017)


                    6. Award of contract
                      1. Date of conclusion of the contract: 2017-05-24
                      2. Information about tenders:
                        Number of tenders received: 1
                        Number of tenders received from SMEs: 1
                        Number of tenders received from tenderers from other EU Member States: 0
                        Number of tenders received from tenderers from non-EU Member States: 0
                        Number of tenders received by electronic means: 0
                        The contract has been awarded to a group of economic operators: no
                      3. Name and address of the contractor:
                        EnPol Sp. z o.o.
                        ul. Grochowska 217/1
                        Warszawa
                        04-077
                        Poland
                        NUTS code: PL
                        The contractor is an SME: yes
                      4. Information on value of the contract/lot (excluding VAT):
                        Initial estimated total value of the contract/lot: 24 000.00 PLN
                        Total value of the contract/lot: 24 000.00 PLN
                      5. Information about subcontracting:

                        Contract No: 11
                        Lot No: 11
                        Title:

                        Dostawa materiałów neurochirurgicznych (DFZP-AB-271-45/2017)


                        Contract No: 12
                        Lot No: 12
                        Title:

                        Dostawa materiałów neurochirurgicznych (DFZP-AB-271-45/2017)


                        Contract No: 13
                        Lot No: 13
                        Title:

                        Dostawa materiałów neurochirurgicznych (DFZP-AB-271-45/2017)


                      6. Award of contract
                        1. Date of conclusion of the contract: 2017-05-30
                        2. Information about tenders:
                          Number of tenders received: 1
                          Number of tenders received from SMEs: 1
                          Number of tenders received from tenderers from other EU Member States: 0
                          Number of tenders received from tenderers from non-EU Member States: 0
                          Number of tenders received by electronic means: 0
                          The contract has been awarded to a group of economic operators: no
                        3. Name and address of the contractor:
                          Comef Sp. z o.o. Sp. k.
                          ul. Gdańska 2
                          Katowice
                          40-719
                          Poland
                          NUTS code: PL
                          The contractor is an SME: yes
                        4. Information on value of the contract/lot (excluding VAT):
                          Initial estimated total value of the contract/lot: 9 600.00 PLN
                          Total value of the contract/lot: 10 200.00 PLN
                        5. Information about subcontracting:

                          Contract No: 14
                          Lot No: 14
                          Title:

                          Dostawa materiałów neurochirurgicznych (DFZP-AB-271-45/2017)


                        6. Award of contract
                          1. Date of conclusion of the contract: 2017-05-24
                          2. Information about tenders:
                            Number of tenders received: 1
                            Number of tenders received from SMEs: 0
                            Number of tenders received from tenderers from other EU Member States: 0
                            Number of tenders received from tenderers from non-EU Member States: 0
                            Number of tenders received by electronic means: 0
                            The contract has been awarded to a group of economic operators: no
                          3. Name and address of the contractor:
                            Johnson&Johnson Poland Sp. z o.o.
                            ul. Iłzecka 24
                            Warszawa
                            02-135
                            Poland
                            NUTS code: PL
                            The contractor is an SME: no
                          4. Information on value of the contract/lot (excluding VAT):
                            Initial estimated total value of the contract/lot: 14 800.00 PLN
                            Total value of the contract/lot: 15 600.00 PLN
                          5. Information about subcontracting:

                            Contract No: 15
                            Lot No: 15
                            Title:

                            Dostawa materiałów neurochirurgicznych (DFZP-AB-271-45/2017)


                          6. Award of contract
                            1. Date of conclusion of the contract: 2017-05-30
                            2. Information about tenders:
                              Number of tenders received: 2
                              Number of tenders received from SMEs: 2
                              Number of tenders received from tenderers from other EU Member States: 0
                              Number of tenders received from tenderers from non-EU Member States: 0
                              Number of tenders received by electronic means: 0
                              The contract has been awarded to a group of economic operators: no
                            3. Name and address of the contractor:
                              Comef Sp. z o.o. Sp. k.
                              ul. Gdańska 2
                              Katowice
                              40-719
                              Poland
                              NUTS code: PL
                              The contractor is an SME: yes
                            4. Information on value of the contract/lot (excluding VAT):
                              Initial estimated total value of the contract/lot: 9 200.00 PLN
                              Total value of the contract/lot: 6 960.00 PLN
                            5. Information about subcontracting:

                              Contract No: 16
                              Lot No: 16
                              Title:

                              Dostawa materiałów neurochirurgicznych (DFZP-AB-271-45/2017)


                            6. Award of contract
                              1. Date of conclusion of the contract: 2017-05-24
                              2. Information about tenders:
                                Number of tenders received: 1
                                Number of tenders received from SMEs: 0
                                Number of tenders received from tenderers from other EU Member States: 0
                                Number of tenders received from tenderers from non-EU Member States: 0
                                Number of tenders received by electronic means: 0
                                The contract has been awarded to a group of economic operators: no
                              3. Name and address of the contractor:
                                Medtronic Poland Sp. z o.o.
                                ul. Polna 11
                                Warszawa
                                00-633
                                Poland
                                NUTS code: PL
                                The contractor is an SME: no
                              4. Information on value of the contract/lot (excluding VAT):
                                Initial estimated total value of the contract/lot: 879 000.00 PLN
                                Total value of the contract/lot: 879 000.00 PLN
                              5. Information about subcontracting:

                          7. Section VI
                            1. Additional information
                            2. Procedures for review
                              1. Review body
                                Krajowa Izba Odwoławcza
                                ul. Postępu 17a
                                Warszawa
                                02-676
                                Poland
                              2. Body responsible for mediation procedures

                              3. Service from which information about the review procedure may be obtained

                                1. Odwołanie wnosi się w terminie 10 dni od dnia przesłania informacji o czynności zamawiającego stanowiącej podstawę jego wniesienia – jeżeli zostały przesłane w sposób określony w art. 180 ust. 5 zdanie drugie ustawy Prawo zamówień publicznych, albo w terminie 15 dni – jeżeli zostały przesłane w inny sposób;

                                2. Odwołanie wobec treści ogłoszenia o zamówieniu, a także wobec postanowień Specyfikacji Istotnych Warunków Zamówienia, wnosi się w terminie 10 dni od dnia publikacji ogłoszenia w Dzienniku Urzędowym Unii Europejskiej lub zamieszczenia Specyfikacji Istotnych Warunków Zamówienia na stronie;

                                3. Odwołanie wobec czynności innych niż określone w ust. 1 i 2 wnosi się w terminie 10 dni od dnia, w którym powzięto lub przy zachowaniu należytej staranności można było powziąć wiadomość o okolicznościach stanowiących podstawę jego wniesienia;

                                4. jeżeli zamawiający mimo takiego obowiązku nie przesłał wykonawcy zawiadomienia o wyborze oferty najkorzystniejszej, odwołanie wnosi się nie później niż w terminie:

                                — 30 dni od dnia publikacji w Dzienniku Urzędowym Unii Europejskiej ogłoszenia o udzieleniu zamówienia,

                                — 6 miesięcy od dnia zawarcia umowy, jeżeli zamawiający nie opublikował w Dzienniku Urzędowym Unii Europejskiej ogłoszenia o udzieleniu zamówienia.


                                Urząd Zamówień Publicznych Departament Odwołań
                                ul. Postępu 17a
                                Warszawa
                                02-676
                                Poland
                            3. Date of dispatch of this notice
                              2017-06-12