STATEMENT FORM FOR KEY TECHNICAL STAFF
	
We hereby declare that for the realization of the public procurement of works: Execution of works on the construction of the new University Children's Hospital Tiršova 2 in Belgrade, number OP/75-2023/UCH2, we possess in accordance with the Labor Law ("Official Gazette of RS", no. 24/2005, 61/2005, 54/2009, 32/2013, 75/2014, 13/2017 - US decision, 113/2017 and 95/2018 - authentic interpretation), with the following key technical staff:
No.	Name and surname	Licence no.	Licence validity period	Employer and type of work engagement	
1.					
Graduate engineer ((license 400 or 401) or equivalent)*	
2.					
Graduate engineer ((license 400 or 401) or equivalent)*	
3.					
Graduate engineer ((license 400 or 401) or equivalent)*	
4.					
Graduate engineer ((license 400 or 401) or equivalent)*	
5.					
Graduate engineer ((license 410 or 411) or equivalent)**	
6.					
Graduate engineer ((license 410 or 411) or equivalent)**	
7.					
Graduate engineer ((license 410 or 411) or equivalent)**	
8.					
Graduate engineer ((license 410 or 411) or equivalent)**	
9.					
Graduate engineer ((license 413 or 414) or equivalent)	
10.					
Graduate engineer ((license 413 or 414) or equivalent)	
11.					
Graduate engineer ((license 412 or 415) or equivalent)		
12.					
Graduate engineer (license 430 or equivalent)	
13.					
Graduate engineer (license 430 or equivalent)	
14.					
Graduate engineer (license 430 or equivalent)	
15.					
Graduate engineer (license 434 or equivalent)	
16.					
Graduate engineer (license 450 or equivalent)	
17.					
Graduate engineer (license 450 or equivalent)	
18.					
Graduate engineer (license 450 or equivalent)	
19.					
Graduate engineer (license 453 or equivalent)	
20.					
Graduate engineer (license 453 or equivalent)	
21.					
Graduate engineer (license 471 or equivalent)	
22.					
Graduate engineer (license 474 or equivalent)	

Date:			Tenderer's signature:	
				
*For persons 1 to 4, at least one of these persons must have personal reference as a responsible contractor for the execution of the contract, the subject of which is the construction of a health care facility in the period of 5 years before the bid submission deadline;
**  For persons 5 to 8, at least one of these persons must have personal reference as a responsible contractor for the execution of the contract, the subject of which is the construction of a health care facility in the period of 5 years before the bid submission deadline.