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["未来科技城电动自行车换电柜增设运营意向表"]
["基本信息"]
["序号","项目名称","填写内容","备注"]
["1","*公司全称",null,"需与营业执照一致"]
["2","*统一社会信用代码",null,"必填，加盖公司公章"]
["3","*公司地址",null,"详细注册地址"]
["4","*联系人姓名",null,"职务及联系方式"]
["5","*联系电话",null,"手机/座机"]
["6","电子邮箱",null,"用于接收正式通知"]
["运营资质与经验"]
["序号","项目名称","填写内容","备注"]
["7","相关资质认证","□ 电动自行车充电设施运营资质 □ 电池回收资质 □ 其他_","可多选，附证明材料"]
["8","类似项目经验","项目名称：____ 服务时长：_____年","填写近3年内案例，附合同关键页"]
["9","设备供应能力","换电柜品牌及型号：__ 单月最大供货量：_____台"]
["运营方案与费用"]
["序号","项目名称","填写内容","备注"]
["10","*每台换电柜年管理服务费","_元/台/年","含税，明确费用构成"]
["11","服务包含范围","□ 设备维护 □ 电池更换 □ 安全巡检 □ 其他_","可多选"]
["12","电池储备数量","_块/台","单台换电柜配套电池数量"]
["13","运营时间","□ 24小时 □ 工作日8:00-20:00 □ 其他_"]
["服务承诺"]
["序号","项目名称","填写内容","备注"]
["14","故障响应时间","_分钟内到达现场","节假日是否顺延"]
["15","设备完好率承诺","_%（月均）","低于承诺值的赔付方案"]
["16","*安全责任保障","投保险种：_ 保额：_万元","需覆盖电池自燃、设备故障等风险"]
["其他说明"]
["序号","项目名称","填写内容","备注"]
["17","合作期限意向","_年","建议3-5年"]
["18","特殊需求或建议",null,"如设备定制、技术升级等需求"]
["本公司承诺： 所填写内容及附件材料真实有效，若经查实存在虚假信息，自愿承担由此产生的一切责任。"]
[{"$nulls":3},"年   月   日"]
[{"$nulls":3},"（加盖公司公章）"]
["填表说明："]
["1. 带“*”为必填项，未填写将影响资格审查；"]
["2. 资质证明材料、项目合同复印件等作为附件提交；"]
["3. 表格提交截止时间：2025年9月18日18:00前；"]
["4. 提交方式：电子版发送至361378329@qq.com邮箱，纸质版邮寄至希望大道南路5号盐城国际软件园6号楼。"]