05 ANEXO V.docx

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# ANEXO III.1.- MODELO DE RELACIÓN DE SUMINISTROS REALIZADOS (SOLVENCIA TÉCNICA O PROFESIONAL) | | | | | | | | | | | | | | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | | Nº orden | Objeto | Grupo y Subgrupo de clasificación / CPV | Destinatarios **Públicos** | Importe\* anualidad 1 desde … hasta … | | Importe\* anualidad 2 desde … hasta … | | Importe\* anualidad 3 desde … hasta …*(fecha fin presentación ofertas)* | | Nº certificado, en su caso | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | **Total** | | | | | | | | | | | | | ***\*Los importes se reflejarán sin IVA u otros impuestos indirectos.*** | | | | | | | | | | | | | | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | | Nº orden | Objeto | Grupo y Subgrupo de clasificación / CPV | Destinatarios **Privados** | Importe\* anualidad 1 desde … hasta … | | Importe\* anualidad 2 desde … hasta … | | Importe\* anualidad 3 desde … hasta …*(fecha fin presentación ofertas)* | | Nº certificado, en su caso | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | **Total** | | | | | | | | | | | | | ***\*Los importes se reflejarán sin IVA u otros impuestos indirectos.***