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["雅安市人民医院年度零星维修服务征集方案报名表"]
[]
["项目名称","雅安市人民医院年度零星维修服务项目"]
["公司名称",null,null,"电子邮箱"]
["联系人",null,null,"联系电话"]
["资格审查             （自查）","公司资质（          ）",null,"营业执照（     ）",null,"委托授权书（  ）"]
[null,"证书编号（            ）",null,"同类业绩（     ）"]
["公司其它资质（和本项目相关）",1]
[null,2]
[null,3]
["同类业绩（和本项目类似，具代表性）","1.单位名称及项目                                   成交价格："]
[null,"2.单位名称及项目                                   成交价格："]
[null,"3.单位名称及项目                                   成交价格："]
["需提供附件","清单电子版及盖章版（  ）",null,"服务方案\n（    ）","其他（  ）"]
["公司确认","\n\n\n\n\n\n\n签字确认（盖章）：                                            年    月    日"]
[]
[]
[]
[]
["备注","公司在报清单时需对本项目进行现场踏勘，以保证对整个项目有充分了解。"]

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