Speck&Harga Utk Email

7/30/2019 Speck&Harga Utk Email

1/24

1 Branchard

Merk : Blessmed - Local

Type : BP 035 SS STD

Specifications

Material : Stainless Steel

Construction : SS Pipe SS Pipe & Mattress

Finishing : Polished

Dimension : 200 x 65 x 80 cm

Accessories : 4" wheel, tying rope & stainless infusion hanger Description : To move a Patient

2 Patient Bed 1 Crank

Merk : Paramount - Local

Type : PA-11210

Specifications

Back-raise, Fixed-height

Torque Release Handle

Detachable Head/Foot Board

125 dia. Caster

Less maintenance crank mechanism

Two kinds of width, user-selectable

- Sleep Surface = width of mattress

Dimension :

- Width (mm) : 91 cm type

(a) 910

(b) 1040

- Height up to (mm) : 91 cm type

(c) 550

(d) 948

3 Bed Side Cabinet


Type : PF-1100

Specifications

Steel body and door

Plastic top surface drawer and pull-out table

No. D e s k r i p s i A l a t

Peralatan Puskesmas Rawat I nap


2/24

Towel rails

Plastic shelves

40 mm dia caster

454W x 469D x 930H mm

4 Standard Infus


Type : KC-56

Specifications

Stainless pipe rod

Dimensions (mm) : 1030 - 1775 L

5 Instrument/Medicine Cabinet


Type : BP 0211 ASS

Specifications

Material : Stainless steel & Glass

Construction : SS Plate, SS Pipe & Glass


Dimension : 70 x 40 x 170 cm (180 cm with leg)

Accessories : Glass rack & standard door lock

Description : To keep medicine

6 Instrument Trolley / Meja Instrument


Type : BP 019 SSSpecifications


Construction : SS Pipe & Glass



Accessories : 2" wheel

Description : Nursing Trolley

7 Infant Incubator


Type : BP 032 Servo

Specifications

Note : With Skin Control

Material : Mild Steel & Acrylic

Construction : MS Plate, MS Pipe, MS Pipe & Acrylic

Bed Inclination : By Crank

Finishing : Powder Coating


3/24


Power Supply : 300 watt, 220 Volt AC, 50 Hz

Temp. Control & Alarm : 27C - 37C, alarm indicator with busser will work at 38C

Temp. Fluctuation : 1C

Skin Control : Available

Air Circulation : By Fan

Humidity Control : By Higrometer

Mattress Size : 65 x 36 cm

Max. Load : 7 Kg

Weight : 65 Kg

Accessories : 4" wheel, Mattress, Safety Oxygen Supply Equipment &

Powder Cord

Description : To Maintain a Certain Baby's Body Temperature

8 Sterilisator


Type : SS-31

Specifications

Voltage : 230V - 50Hz

Powder Consumption : 1500 watt

Chamber Capacity : 7 litre

Setting Timer : 1 - 30 minutes

Size : 44 x 22 x 23 cm

Weight : 6 Kg

9 Jackson Rees PediatricMerk : Altera - Turkey

Type : ---

Specifications

Alat ini digunakan untuk breathing system yang open.

Biasa digunakan untuk operasi pasien dengan BB sampai dengan 20 Kg, tapi terkadang untuk

kasus-kasus ttt dapat digunakan untuk dewasa.

10 Jackson Rees Adult

Merk : Altera - Turkey

Type : ---

Specifications

Alat ini digunakan untuk breathing system yang open.

Biasa digunakan untuk operasi pasien dengan BB sampai dengan 20 Kg, tapi terkadang untuk

kasus-kasus ttt dapat digunakan untuk dewasa.

11


Gynecology Chair


4/24

Type : BP 027 STD SS

Specifications

Movement : Backrest only


Construction : SS Pipe & Mattress



Accessories : Basin & Twin Leg Support

Description : To Examine a Gynaecolog Patient

12 Sphygmomanometer


Type : MSP-1001

Specifications

Internal graduated glass scale with inside diameter of 3.5 mm and a clear reading scale.

Manual Operator

On/Off mercurial tap

Range : 0-300 mmHg

Air release at closed tap max 4mm/Hg/Minute

13 Stethoscope


Type : STE-3006

Specifications

Weight : 200 g

Material : Silicon, stainless steel, plastic

14 Emergency Kit


Type : Various

Consisting of :

Operating Scissors, 14cm, straight, s-s : 1

Lister Scissors, 18cm, Supercut : 1

Stitch Scissor, 14cm : 1

Iris Scissors, 12cm, str, s-s : 1

Adult Silicone Resuscitator : 1

Mercurial Sphygmomanometer : 1

Stainless stethoscope : 1

15 Tromol Kasa / Kain Steril

Merk : Local

Type : ---

Specifications


5/24

Material : Stainless steel

Ukuran : Sedang

16 Spine Board / Long Board

Merk : My Life - China

Type : ---

Technical Index

Product size : (L x W x H) 175 x 45 x 6 cm

Net Weight : 9 Kg

Load Bearing : < 159 Kg

Gross Weight : 12 Kg

17 Minor Surgery


Type : Various

Consisting of :

Scalpel Handle 3# : 1

Scalpel Handle 4# : 1

14 cm Dressing Forceps : 2

14 cm Tissue Forceps, 1x2 teeth : 2

Operating Scissors, 14 cm straight, s-s : 1

Operating Scissors, 14 cm curved, s-s : 1

Operating Scissors, 14 cm straight, s-b : 1

Operating Scissors, 14 cm curved, s-b : 1

Needle Holders, 14cm, Mayo-Hegar : 1

Needle Holders, 14cm, Crile-Wood : 1 12.5cm Mosquito Forceps, cvd : 2

12.5cm Mosquito Forceps, str : 2

14cm Forceps, cvd, full serrated : 4

14cm Forceps, str, full serrated : 4

18 Suction Pump

Merk : Sharp - Japan

Type : Minic-DC

Specifications

Max. Vacuum Pressure : -80kPa (-60.8cmHg)

Max. Suction Capacity : Normal Mode 24 L/min. (Pump Capacity 30 L/min. at Air)

Power Saving Mode 18 L/min. at Air. (Pump Capacity

20 L/min. at Air)

Suction Bottle Capacity : 1,400ml (Polycarbonate)

3 Electric Powers : AC mains - 220V, DC 12V 2A (Car Battery), & Built-in Batte

Charging Time : About 3-4 hours

Continuous Running Time : About 6 hours (In AC 100V-240V)


6/24

PUMP : Double Headed, Diaphragm

Dimension &Weight : H296 x W375 x D150mm, About 5.5kg

Safety Bottle : Liquid or mist overflow prevention from entering the moto

Standard Accessories

Patient tube

Tubing between bottle or housing

Bottle Rubber

Bottle Cover Sub (f) assembly

Suction inlet with nozzle

Bottle holder sub assembly

Suction Bottle 1.4 L

Safety Bottle

Rubber Ring for safety bottle

Filter for safety bottle

Catheter Holder

Battery Charger

Cigar Lighter Card

19 Tabung Oksigen 1m3 + Regulator, Trolley, Nasal


Type : ---

Specifications

Measurement : 1m3

Oxygen Trolley : Material : Mild Steel

Construction : Ms Pipe

Finishing : Powder Coating

Accessories : 90 cm Height

Dimension : 3" wheel

Description : To move an oxygen tank

Oxygen Inhale :

Flow Range : 1-15/min 20C

Pressure Gauge : 0-250 kgf/cm (0-3500) lbf/in Max. Pressure : 14.700 Kpa

Water Level : 50 ml

20 Sphygmomanometer Mobile Stand


Type : MSP-1003

Specifications


7/24

Features : Velcro cuff (2 tubes), Storage compartment, - securing mercury for safety

during transport, Scale angled back for easy reading. locking mechanism

Material : Plastic, silicon, rubber, iron, mercury

Weight : 2,2 kg

21 Examination Lamp (LED Mobile)


Type : YD 01

Specifications

Illuminance : 30,000 Lux 0.5m / 10,000 Lux 1m

Color Temperature : 3,000 - 4,500K

Power Supply Voltage : AC 220V + 10%, 50 Hz + 1 Hz

Spot Diameter : 100 mm

Temperature Rise : 2C

Rated Voltage of Bulb : Super Bright LED Iminotron 3,3V / 3 Watt

Brightness Adjustment : Absolute adjustment

Pole : Adjust up and down

22 Examination Table


Type : PK-1122

Specifications

Back raise and Hi-Lo adjustment

Two Table Tops with Polyurethane Foam Mattress covered with vinyl leather

Steel Frame (Powder Coated)

Fixed Steel Pipe Board (Chrome Plated) 1985 (L) x 750 (W) x 550 ~ 870 (H) mm

23 Kursi Roda


Type : BP 052

Specifications

Material : Mild steel, can be folded

Construction : Ms Pipe & Synthetic Leather

Finishing : Chromed

Accessories : Rubber wheel

Description : To Move Patient with Disability

24 Antidecubitus Matras


Type : WM-33

Specifications

Mattress Model : Block shape


8/24

Voltage : AC ~ 220V 10%

Frequency : 50Hz l Hz

Consumed Power : 15 Watt

Charged Pressure : 10 Kpa

Noise : < 50 dB

25 Stretcher


Type : PK-2100

Specifications

Back raise and Hi-Lo adjustment

Two Table Tops with Polyurethane Foam Mattress covered with vinyl leather

Steel Frame (Powder Coated)

Fixed Steel Pipe Board (Chrome Plated)

150mm dia. TENTE central locking casters.

Dimension :

Base

- Length : 1985 mm

- Width : 750 mm

- Height : 575 ~ 894 mm

Overall

- Length : 2175 mm

- Width : 900 mm

- Height : 894 ~ 1278 mm

26 Food TrolleyMerk : Blessmed - Local

Type : BP-01703

Specifications


Construction : SS Plate & SS Pipe



Power Supply : 3" wheel

Description : To Deliver the patient meals

27 Bahan Habis Pakai :

a). Kertas ECG


Type : ---

Specifications

Size : 50 mm x 30 m


9/24

Packaging : Roll

b). Kertas USG


Type : ---

Specifications

Size : 50 mm x 30 m

Packaging : Roll

c). Jelly ECG


Type : Bless Gel

Specifications

Conductivity Gel : Hypoallergenic, Water Soluble

d). Jelly USG


Type : Bless Gel

Specifications

Conductivity Gel : Hypoallergenic, Water Soluble

28 Dapur Set

Merk : Local

Type : Various

Terdiri dari :

a). Piring 10

Merk : Akuila - Local

b). Piring Ceper 10


c). Mangkok Kecil 10


d). Mangkok Besar 10


e). Mangkok Sayur 10


f). Sendok 20


10/24

Merk : Abert - Local

g). Garpu 20

Merk : Abert - Local

h). Gelas 10

Merk : Libi - Local

i). Nampan 10

Merk : Jiushitray - Local

j). Wadah Sambel 10


Kondisi Penawaran

- Harga :

- Franco :

- Pembayaran :

- Garansi :

- Masa Penawaran :

- Pengiriman :

Total Penawaran Harga


11/24

Satuan Jumlah

10 set 393,394,150 Rp 3,933,941,500Rp

1 unit 9,010,300Rp 9,010,300

1 unit 18,545,500Rp 18,545,500

1 unit 5,043,100Rp 5,043,100

Q t yH a r g a (Rp.)


12/24

1 unit 1,296,300Rp 1,296,300

1 unit 18,565,800Rp 18,565,800

1 unit 3,413,300Rp 3,413,300

1 unit 90,100,100Rp 90,100,100


13/24

1 unit 4,573,300Rp 4,573,300

1 unit 910,600Rp 910,600

1 unit 910,600Rp 910,600

1 unit 14,334,700Rp 14,334,700


14/24

1 unit 519,100Rp 519,100

1 unit 446,600Rp 446,600

1 unit 5,597,000Rp 5,597,000

1 unit 2,124,250Rp 2,124,250


15/24

1 unit 3,475,650Rp 3,475,650

1 unit 15,699,150Rp 15,699,150

1 unit 23,607,450Rp 23,607,450

y.


16/24

r unit

1 unit 2,457,750Rp 2,457,750

1 unit 2,047,400Rp 2,047,400


17/24

1 unit 9,555,500Rp 9,555,500

1 unit 17,292,700Rp 17,292,700

1 unit 4,982,200Rp 4,982,200

1 unit 2,594,050Rp 2,594,050


18/24

1 unit 30,261,500Rp 30,261,500

1 unit 12,013,250Rp 12,013,250

1 Set -

10 buah 146,000Rp 1,460,000


19/24

1 pack 3,138,000Rp 3,138,000

10 buah 105,000Rp 1,050,000

10 buah 105,000Rp 1,050,000

1 set 87,319,000Rp 87,319,000

lusin

lusin

lusin

lusin

lusin

set


20/24

set

lusin

lusin

lusin

Harga

1 (satu) tahun.

2 (dua) bulan.

as soon as possible.

3,933,941,500

sudah termasuk PPN 10%.

di tempat.

40% saat penempatan SPK,

60% setelah penyerahan barang.


21/24

Tanggal Serah Terima : .

Dasar Pengenaan Pajak (DPP) 0.909 ########### 4,104,863,636Rp

Pajak Pertambahan Nilai (PPN 10%) 10.0% ########### 410,486,364Rp

Pajak Penghasilan (PPh 1,5 %) 1.5% ########### 61,572,955Rp

Jumlah

Pajak yang dibayar

Nilai BKF {Kontrak - (PPN + PPH)} 472,059,318Rp

1. Pembelian Barang / Harga Pokok Realisasi2. Ongkos Kirim Pembelian 250,000Rp

3. Jasa Instalasi

4. Pengesetan+O. Kirim

250,000Rp

BIAYA FEE :

1.

2. Fee Bendahara, SP2D,KPKN (0,3 % - 0,4 0.3% 4,043,290,682Rp 12,129,872Rp

3. Fee Lembaga atau PPA 10.0% 4,043,290,682Rp 404,329,068Rp

4. Fee Pimpinan Proyek (PPTK) 1.0% 4,043,290,682Rp 40,432,907Rp

5. Fee Pejabat Pembuat Komitmen 1.0% 4,043,290,682Rp 40,432,907Rp

6. Fee Panitia Pengadaan ( 5 Org) 1.5% 4,043,290,682Rp 60,649,360Rp

7. Fee Panitia Perima Barang ( 3 Org) 0.5% 4,043,290,682Rp 20,216,453Rp

8. Fee Bendera 2.5% 4,043,290,682Rp 101,082,267Rp

16.8%

BIAYA ADMINISTRASI (untuk 1 atau beberapa perusahaan) :

1. Jasa Pembuatan Penawaran & Pra 500,000Rp 500,000Rp

2. Jasa Pembedelan Kontrak 500,000Rp 500,000Rp

3. Materai Kontrak 10 6,000Rp 60,000Rp

4. Jasa Pembuatan Kontrak Rp. Rp.5. Referensi Bank Rp. Rp.

6. Jaminan Penawaran Rp. Rp.

7. Jaminan Pelaksanaan Rp. Rp.

8. Jaminan Pemeliharaan Rp. Rp.

9. Jaminan Uang Muka Rp. Rp.

10. Pembukaan Rekening Rp Rp.

Sub Total

Pemberi Tugas : Dinkes Jember Alamat :

No. Kontrak : .. Tanggal Kontrak : ...

Pelaksanaan ( hari )

Sub Total

Sub Total

LAPORAN KEGIATAN PROYEK PENUNJUKKA

Nama Paket Pekerjaan :

Bidang / Sub Bidang Pekerjaan : Alkes

Peralatan Puskesmas Rawat Inap


22/24

BIAYA LAIN-LAIN :

1. Biaya Entertaint, Lobby,Koran -Rp

2. Biaya Operasional Pengesetan

3. Biaya Komunikasi -Rp -Rp

4. Sumbangan Sewa Fungsi Kantor Rp. Rp.

5. Biaya Bunga Bank ( ,,,,% per bulan) Rp. Rp.

1 Peralatan Puskesmas Rawat Inap 10 273,385,000Rp 2,733,850,000Rp

2 -Rp

Profit Pekerjaan (Dihitung per pekerjaan)

#NAME?

Catatan / Analisa :

( Min ) Pendapatan < Pengeluaran

Belanja Barang / HPP :

PEMBELIAN BARANG / BELANJA / HPP : 2,733,850,000Rp

Sub Total


23/24

Nilai Penawaran : 5% 4,515,350,000Rp

Terbayar Tanggal :

Pagu HPS

############ 3% 4,753,000,000Rp

147,000,000Rp 237,650,000Rp

4,043,290,682Rp

4,043,040,682Rp

679,272,835Rp 3,363,767,847Rp

1,060,000Rp 3,362,707,847Rp

Telpon :

Nilai Kontrak

| PEMILIHAN | LELANG | TERKONDISITanggal Mulai Lobi :

Lokasi :


24/24

-Rp 3,362,707,847Rp

628,857,847Rp

628,857,847Rp

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Speck&Harga Utk Email