{"text_format":"3","workbook":"xls","n_sheets":8,"sheets":["入札参加資格審査申請書","施工実績調書","配置予定技術者届","配置予定技術者変更届","営業所専任技術者届","入札書","入札辞退届","立会人委任状"],"not_rendered":{"external_links":1,"defined_names":8},"read":"whole","date_system":"1900","formulas":"cached_only"}

{"sheet":"入札参加資格審査申請書","index":0,"n_rows":41,"n_cols":48,"rows_kept":41,"merged":[[2,0,2,48],[4,0,4,48],[6,0,6,17],[8,18,8,26],[8,28,10,48],[11,18,11,26],[11,28,13,48],[14,18,14,26],[14,28,16,46],[14,47,15,48],[18,0,18,48],[19,0,19,48],[20,0,20,48],[22,0,22,48],[24,0,26,0],[24,1,26,9],[24,10,26,10],[24,12,26,47],[27,0,29,0],[27,1,29,9],[27,10,29,10],[27,12,29,47],[30,0,32,0],[30,1,32,9],[30,10,32,10],[30,12,32,47],[33,0,35,0],[33,1,35,9],[33,10,35,10],[33,12,35,47],[36,0,42,0],[36,1,42,9],[36,10,42,10],[37,11,37,48],[38,11,38,48]],"flags":["formulas_cached_only"]}
["様式第１号"]
[]
["うきは久留米環境施設組合条件付一般競争入札参加資格審査申請書"]
[]
["令和　　年　　月　　日"]
[]
["うきは久留米環境施設組合長　　様"]
[]
[{"$nulls":18},"住　　　所"]
[]
[]
[{"$nulls":18},"商号又は会社名"]
[]
[]
[{"$nulls":18},"代表者氏名",{"$nulls":28},"印"]
[]
[]
[]
["　下記の条件付一般競争入札に参加したいので、下記書類を添え申請します。"]
["　なお、契約を締結する能力を有しない者及び破産者で復権を得ない者でないこと及び"]
["添付書類の内容については事実と相違ないことを誓約します。"]
[]
["記"]
[]
[null,"入札公告日",{"$nulls":10},"令和　　年　　月　　日"]
[]
[]
[null,"起工番号",{"$nulls":10},"　　　起工　　　　　第　　　　　　号"]
[]
[]
[null,"工事名"]
[]
[]
[null,"工事箇所"]
[]
[]
[null,"添付書類"]
[{"$nulls":11},"（１）同種・類似工事の施工実績調書（様式第２号）"]
[{"$nulls":11},"（２）配置予定技術者届（様式第３号）"]
[{"$nulls":11},"（３）営業所専任技術者届（様式第4号）"]
[{"$nulls":13},"（専任を要する工事の場合のみ・市内業者は不要）"]

{"sheet":"施工実績調書","index":1,"n_rows":46,"n_cols":38,"rows_kept":46,"merged":[[2,0,2,48],[4,0,7,1],[4,2,7,11],[4,12,7,13],[4,15,7,47],[8,0,11,1],[8,2,11,11],[8,12,11,13],[8,15,11,47],[12,0,15,1],[12,2,15,11],[12,12,15,13],[12,15,15,47],[16,0,19,1],[16,2,19,11],[16,12,19,13],[16,15,19,47],[20,0,23,1],[20,2,23,11],[20,12,23,13],[20,15,23,36],[20,37,23,48],[24,0,27,1],[24,2,27,11],[24,12,27,13],[24,14,27,48],[28,0,31,1],[28,2,31,11],[28,12,31,13],[28,14,31,48],[32,0,40,1],[32,2,40,11],[32,12,40,13],[32,15,40,47],[42,0,42,48],[43,0,43,48],[44,0,44,48],[45,0,45,48]],"flags":["formulas_cached_only"]}
["様式第２号"]
[]
["同種・類似工事の施工実績調書"]
[]
[null,null,"会社名"]
[]
[]
[]
[null,null,"工事名"]
[]
[]
[]
[null,null,"発注機関名"]
[]
[]
[]
[null,null,"施工場所"]
[]
[]
[]
[null,null,"契約金額",{"$nulls":34}," 千円"]
[]
[]
[]
[null,null,"工期",{"$nulls":11},"年　　月　～　　　　　年　　月"]
[]
[]
[]
[null,null,"受注形態等",{"$nulls":11},"単体　　・　　ＪＶ　出資比率　　　％"]
[]
[]
[]
[null,null,"工事概要"]
{"$rows_empty":9}
["注１、同種・類似工事施工実績は直近の１ヶ所でよい。\n\n\n"]
["注２、工事概要は工事概要を確認できる工事履行証明書又はコリンズの工事カルテを添"]
["　　付すること。"]
["注３、注２において、うきは久留米環境施設組合が発注した工事は添付を省略してよい。"]

{"sheet":"配置予定技術者届","index":2,"n_rows":59,"n_cols":47,"rows_kept":59,"merged":[[0,0,0,48],[1,0,1,48],[2,0,2,48],[3,19,3,28],[3,29,5,47],[6,19,6,28],[6,29,8,45],[6,46,8,47],[9,0,9,48],[10,0,11,10],[10,11,11,48],[12,0,13,10],[12,11,13,48],[14,0,15,10],[14,11,15,42],[14,43,15,48],[16,0,16,48],[17,0,17,48],[18,0,18,48],[19,0,21,6],[19,7,19,32],[19,33,21,37],[19,38,21,48],[20,7,21,32],[22,0,23,6],[22,7,23,48],[24,0,25,6],[24,7,25,48],[26,0,37,6],[26,33,27,48],[28,33,29,48],[29,7,30,32],[30,33,31,48],[31,7,32,32],[32,33,33,48],[33,7,34,32],[34,33,35,48],[36,33,37,48],[39,0,39,48],[40,0,41,10],[40,11,41,17],[40,18,41,29],[40,30,41,48],[42,0,44,10],[42,11,44,17],[42,18,44,29],[42,30,44,48],[45,0,47,10],[45,11,47,17],[45,18,47,29],[45,30,47,48],[48,0,50,10],[48,11,50,17],[48,18,50,29],[48,30,50,48],[51,0,53,10],[51,11,53,17],[51,18,53,29],[51,30,53,48],[54,0,55,10],[54,11,55,17],[54,18,55,29],[54,30,55,48],[56,0,56,48],[57,0,57,48],[58,0,58,48]],"flags":["formulas_cached_only"]}
["様式第３号"]
["令和　　年　　月　　日"]
["うきは久留米環境施設組合長　様"]
[{"$nulls":19},"商号又は会社名"]
[]
[]
[{"$nulls":19},"代表者名",{"$nulls":26},"印"]
[]
[]
["配　置　予　定　技　術　者　届"]
["公告日",{"$nulls":10},"令和　　年　　月　　日"]
[]
["起工番号",{"$nulls":10},"起工　　　　第　　　　　号"]
[]
["工事名",{"$nulls":42}," 工事"]
[]
["　上記のうきは久留米環境施設組合発注の工事について、当社が落札した場合は、下記の者を主任（監理）"]
["技術者として配置する予定ですのであらかじめお届けします。"]
["記"]
["フリガナ\n氏　名",{"$nulls":32},"生年月日",{"$nulls":4},"    年   月   日"]
[]
[]
["採用年月日",{"$nulls":6},"年　　　月　　　日"]
[]
["現住所"]
[]
["国家資格等",{"$nulls":32},"監理技術者資格証　有・無"]
[]
[{"$nulls":33},"年   月   日交付"]
[{"$nulls":7},"（　　　　　）施工管理技士 有・無　１級・２級"]
[{"$nulls":33},"交付番号（　　　　　　　　　）"]
[{"$nulls":7},"年　　　月　　　日交付"]
[{"$nulls":33},"監理技術者講習終了証　有・無"]
[{"$nulls":7},"交付番号（　　　　　　　　　　　　　　）"]
[{"$nulls":33},"年   月   日修了"]
[]
[{"$nulls":33},"登録番号（　　　　　　　 　）"]
[]
[]
[" 主な実務経験は下記のとおり（※国家資格等を有する場合は記入不要）"]
["期  間",{"$nulls":10},"年．ケ月",{"$nulls":6},"建設業者名等",{"$nulls":11},"従事した主な工事等"]
[]
["      年   月   日～\n      年   月   日",{"$nulls":10},"．"]
[]
[]
["      年   月   日～\n      年   月   日",{"$nulls":10},"．"]
[]
[]
["      年   月   日～\n      年   月   日",{"$nulls":10},"．"]
[]
[]
["      年   月   日～\n      年   月   日",{"$nulls":10},"．"]
[]
[]
["期間合計",{"$nulls":10},"．"]
[]
["注１、国家資格等を有する場合は資格証の写を添付すること。(市内業者は不要)"]
["注２、雇用関係を証明するもの（社会保険証の写等）を添付すること。(市内業者は不要)"]
["注３、実務経験の年数は建設業法７条２項に定める経験年数を有すること。"]

{"sheet":"配置予定技術者変更届","index":3,"n_rows":65,"n_cols":47,"rows_kept":65,"merged":[[0,0,0,48],[1,0,1,48],[2,0,2,48],[3,19,3,28],[3,29,5,47],[6,19,6,28],[6,29,8,45],[6,46,8,47],[9,0,9,48],[10,0,11,10],[10,11,11,48],[12,0,13,10],[12,11,13,48],[14,0,15,10],[14,11,15,42],[14,43,15,48],[16,0,16,48],[17,0,17,48],[18,0,18,48],[19,0,19,24],[19,25,19,48],[20,0,22,6],[20,7,20,24],[20,25,22,31],[20,32,20,48],[21,7,22,24],[21,32,22,48],[23,0,25,6],[23,7,25,24],[23,25,25,31],[23,32,25,48],[27,0,27,48],[28,0,29,6],[28,7,29,48],[30,0,31,6],[30,7,31,48],[32,0,43,6],[32,33,33,48],[34,33,35,48],[35,7,36,32],[36,33,37,48],[37,7,38,32],[38,33,39,48],[39,7,40,32],[40,33,41,48],[42,33,43,48],[45,0,45,48],[46,0,47,10],[46,11,47,17],[46,18,47,29],[46,30,47,48],[48,0,50,10],[48,11,50,17],[48,18,50,29],[48,30,50,48],[51,0,53,10],[51,11,53,17],[51,18,53,29],[51,30,53,48],[54,0,56,10],[54,11,56,17],[54,18,56,29],[54,30,56,48],[57,0,59,10],[57,11,59,17],[57,18,59,29],[57,30,59,48],[60,0,61,10],[60,11,61,17],[60,18,61,29],[60,30,61,48],[62,0,62,48],[63,0,63,48],[64,0,64,48]],"flags":["formulas_cached_only"]}
["様式第3号の２"]
["令和　　年　　月　　日"]
["うきは久留米環境施設組合長　様"]
[{"$nulls":19},"商号又は会社名"]
[]
[]
[{"$nulls":19},"代表者名",{"$nulls":26},"印"]
[]
[]
["配　置　予　定　技　術　者　変　更　届"]
["公告日",{"$nulls":10},"令和　　年　　月　　日"]
[]
["起工番号",{"$nulls":10},"起工　　　　第　　　　　号"]
[]
["工事名",{"$nulls":42}," 工事"]
[]
["　上記のうきは久留米環境施設組合発注の工事について、配置を予定しておりました主任（監理）技術者を下記"]
["のとおり変更しますので通知します。"]
["記"]
["変　　更　　前",{"$nulls":24},"変　　更　　後"]
["フリガナ\n氏　名",{"$nulls":24},"フリガナ\n氏　名"]
[]
[]
["生年月日",{"$nulls":6},"　　　　　年　　　月　　　日　",{"$nulls":17},"生年月日",{"$nulls":6},"　　　　　年　　　月　　　日　"]
[]
[]
[]
["変更後の主任（監理）技術者にかかる事項"]
["採用年月日",{"$nulls":6},"年　　　月　　　日"]
[]
["現住所"]
[]
["国家資格等",{"$nulls":32},"監理技術者資格証　有・無"]
[]
[{"$nulls":33},"年   月   日交付"]
[{"$nulls":7},"（　　　　　）施工管理技士 有・無　１級・２級"]
[{"$nulls":33},"交付番号（　　　　　　　　　）"]
[{"$nulls":7},"年　　　月　　　日交付"]
[{"$nulls":33},"監理技術者講習終了証　有・無"]
[{"$nulls":7},"交付番号（　　　　　　　　　　　　　　）"]
[{"$nulls":33},"年   月   日修了"]
[]
[{"$nulls":33},"登録番号（　　　　　　　 　）"]
[]
[]
[" 変更後の主任（監理）技術者の主な実務経験は下記のとおり（※国家資格等を有する場合は記入不要）"]
["期  間",{"$nulls":10},"年．ケ月",{"$nulls":6},"建設業者名等",{"$nulls":11},"従事した主な工事等"]
[]
["      年   月   日～\n      年   月   日",{"$nulls":10},"．"]
[]
[]
["      年   月   日～\n      年   月   日",{"$nulls":10},"．"]
[]
[]
["      年   月   日～\n      年   月   日",{"$nulls":10},"．"]
[]
[]
["      年   月   日～\n      年   月   日",{"$nulls":10},"．"]
[]
[]
["期間合計",{"$nulls":10},"．"]
[]
["注１、国家資格等を有する場合は資格証の写を添付すること。(市内業者は不要)"]
["注２、雇用関係を証明するもの（社会保険証の写等）を添付すること。(市内業者は不要)"]
["注３、実務経験の年数は建設業法７条２項に定める経験年数を有すること。"]

{"sheet":"営業所専任技術者届","index":4,"n_rows":30,"n_cols":49,"rows_kept":30,"merged":[[1,0,1,49],[3,0,3,49],[7,20,7,28],[7,29,7,49],[8,20,8,28],[8,29,8,47],[8,48,8,49],[10,0,10,1],[10,2,10,7],[10,8,10,9],[10,10,10,49],[11,0,11,1],[11,2,11,7],[11,8,11,9],[11,10,11,49],[12,0,12,1],[12,2,12,7],[12,8,12,9],[12,10,12,49],[14,2,14,49],[15,2,15,49],[17,1,17,50],[19,0,27,2],[19,3,21,4],[19,5,19,10],[19,11,21,12],[19,13,19,49],[20,5,21,10],[20,13,21,49],[22,3,24,4],[22,5,24,10],[22,11,24,12],[22,13,24,49],[25,3,27,4],[25,5,27,10],[25,11,27,12],[25,13,27,49]],"flags":["formulas_cached_only"]}
["様式第4号"]
["営 業 所 専 任 技 術 者 届"]
[]
["令和　　　年　　月　　　日"]
[]
[null,"うきは久留米環境施設組合長 様"]
[]
[{"$nulls":20},"商号又は会社名"]
[{"$nulls":20},"代表者名",{"$nulls":27},"印"]
[]
[null,null,"公告日",{"$nulls":7},"令和　　　年　　　月　　　日"]
[null,null,"起工番号",{"$nulls":7},"   起工第　　　　　　号"]
[null,null,"工事名"]
[]
[null,null,"上記のうきは久留米環境施設組合発注工事について、下記のとおり届出ます。"]
[null,null,"なお、下記の内容について事実と相違ないことを誓約します。"]
[]
[null,"記"]
[]
["営\n業\n所\n専\n任\n技\n術\n者",{"$nulls":4},"フリガナ"]
[{"$nulls":5},"氏　名"]
[]
[{"$nulls":5},"生年月日",{"$nulls":7},"　　　　　年　　　月　　　日"]
[]
[]
[{"$nulls":5},"現住所"]
[]
[]
[]
["※建設業法第７条第２号及び第１５条第２号関係"]

{"sheet":"入札書","index":5,"n_rows":36,"n_cols":47,"rows_kept":36,"merged":[[0,41,0,48],[2,15,2,33],[4,0,4,48],[6,0,6,19],[8,16,8,23],[8,25,10,47],[11,16,11,23],[11,25,13,47],[14,16,14,23],[14,25,16,45],[14,46,16,47],[18,3,22,15],[18,16,18,18],[18,19,18,21],[18,22,18,24],[18,25,18,27],[18,28,18,30],[18,31,18,33],[18,34,18,36],[18,37,18,39],[18,40,18,42],[18,43,18,45],[19,16,22,18],[19,19,22,21],[19,22,22,24],[19,25,22,27],[19,28,22,30],[19,31,22,33],[19,34,22,36],[19,37,22,39],[19,40,22,42],[19,43,22,45],[27,0,27,6],[27,8,27,33],[30,0,30,6],[30,8,30,39],[30,40,30,43],[33,0,33,48],[35,0,35,48]],"flags":["formulas_cached_only"]}
["様式第１号",{"$nulls":40},"郵便入札用"]
[]
[{"$nulls":15},"入札書"]
[]
["令和     年     月     日"]
[]
["うきは久留米環境施設組合長　様"]
[]
[{"$nulls":16},"住所又は所在"]
[]
[]
[{"$nulls":16},"商号又は名称"]
[]
[]
[{"$nulls":16},"代表者氏名",{"$nulls":29},"印"]
[]
[]
[]
[{"$nulls":3},"入札金額",{"$nulls":12},"十億",null,null,"億",null,null,"千万",null,null,"百万",null,null,"十万",null,null,"万",null,null,"千",null,null,"百",null,null,"十",null,null,"円"]
[]
[]
[]
[]
[]
["ただし、入札対象工事名"]
[]
[]
["起工番号",{"$nulls":7},"起工　　　　　第　　　　　　号"]
[]
[]
["工事名"]
[]
[]
["　上記の金額に１００分の１０に相当する額を加算した額で契約したいので、"]
[]
["うきは久留米環境施設組合契約事務規則を遵守し入札します。"]

{"sheet":"入札辞退届","index":6,"n_rows":38,"n_cols":47,"rows_kept":38,"merged":[[0,41,0,48],[2,14,2,34],[7,1,7,7],[7,10,7,33],[10,1,10,7],[10,10,10,43],[13,1,13,7],[13,10,13,25],[18,0,18,48],[20,0,20,48],[22,1,22,7],[22,10,25,44],[29,1,29,18],[31,18,31,25],[31,27,33,47],[34,18,34,25],[34,27,36,47],[37,18,37,25],[37,27,39,45],[37,46,39,47]],"flags":["formulas_cached_only"]}
["様式２号",{"$nulls":40},"郵便入札用"]
[]
[{"$nulls":14},"入札辞退届"]
[]
["入札対象工事名"]
[]
[]
[null,"起工番号",{"$nulls":8},"　　　起工　　　　第　　　　　　号"]
[]
[]
[null,"工事名"]
[]
[]
[null,"開札日",{"$nulls":8},"令和     年     月     日"]
[]
[]
[]
[]
["上記について、入札の参加申込みをしましたが下記理由により辞退します。"]
[]
["記"]
[]
[null,"辞退の理由"]
[]
[]
[]
[]
[{"$nulls":32},"令和     年     月     日"]
[]
[null,"うきは久留米環境施設組合長　様"]
[]
[{"$nulls":18},"住所又は所在"]
[]
[]
[{"$nulls":18},"商号又は名称"]
[]
[]
[{"$nulls":18},"代表者",{"$nulls":27},"印"]

{"sheet":"立会人委任状","index":7,"n_rows":23,"n_cols":48,"rows_kept":23,"merged":[[0,41,0,48],[2,12,2,36],[4,0,4,48],[6,1,6,19],[8,21,8,28],[8,30,10,48],[11,21,11,28],[11,30,13,48],[14,21,14,28],[14,30,16,46],[14,47,16,48],[18,0,18,4],[18,5,18,21],[18,22,18,49],[20,0,20,48],[22,26,22,43]],"flags":["formulas_cached_only"]}
["様式第４号",{"$nulls":40},"郵便入札用"]
[]
[{"$nulls":12},"立会人委任状"]
[]
["令和     年     月     日"]
[]
[null,"うきは久留米環境施設組合長　様"]
[]
[{"$nulls":21},"住所又は所在"]
[]
[]
[{"$nulls":21},"商号又は名称"]
[]
[]
[{"$nulls":21},"代表者",{"$nulls":25},"印"]
[]
[]
[]
["　私は、",{"$nulls":21},"を代理人と定め、令和       年       月       日実施"]
[]
["の郵便入札の開札立会人に関する一切の権限を委任します。"]
[]
[{"$nulls":21},"受任者",{"$nulls":23},"印"]