^ P J B P E N G A D A A N L A N G S U N G

P T P J B U N I T P E L A Y A N A N P E M E L I H A R A A N W I L A Y A H B A R A T N O M O R : 5 9 4 , P P / 6 1 2 / U P H B / 2 0 1 9

T E N T A N G P E N G A D A A N P A K A I A N K E R J A / W E A R P A C K P T P J B U P H B

P T P e m b a n g k i t a n J a w a - B a l i Un i t P e l a y a n a n P e m e l i h a r a a n W i l a y a h B a r a l ( P T P J B U P H B ) m e n g u n d a n g P e n y e d i a B a r a n g / J a s a u n t u k m e n g i k u t i P e n g a d a a n L a n g s u n g s e b a g a i b e r i k u l : 1. Pakel Pekerjaan

N a m a P e n g a d a n • P e n g a d a a n S e r a g a m K e j a / W e a r p a c k P T P J B U P H B S u m b e r D a n a • A n g g a r a n O p e r a s i 2 0 1 9 P T P J B U P H B

2. Syarat Peserta Pengadaan a. P e r u s a h a a n y a n g b e r b a d a n h u k u n i P e r s e r o a n T e r b a t a s i P T ) / C V : b. M e m i l i k i S e r t i f i k a l T D P P P T P J B ( T a n d a D a f t a r P e n y e d i a P e r u s a h a a n ) S u b B i d a n g M e k a n i k a l / E l e k i r i k a l a t a u s e s u a i d e n g a n j e n i s p e k e r j a a n

y a n g d i m l n t a a t a u T a n d a T e r i m a P e n g u r u s a n D P P P T P J B ; c. P e r u s a h a a n y a n g t i d a k d a l a m p e n g a w a s a n p e n g a d i l a n , t i dak pai l l t , k e g i a t a n u s a h a n y a t i dak s e d a n g d i h e n l i k a n d a n p e n g u r u s t i dak s e d a n g

m e n j a l a n i h u k u m a n , d P e r u s a h a a n t i dak s e d a n g m e n j a l a n i s a n k s i B l a c k l i s t di w i l a y a h ke r ja P T PiH ( P e r s e r o ) G r o u p ; e . S y a r a t l a l n n y a y a n g t e r c a n t u m d a l a m R K S

3. Pemasukan Dokumen Penawaran T a n g g a l : 2 6 M a r e i s .d 18 A p r i l 2 0 1 9 W a k t u : P u k u l 1 1 . 0 0 s .d . 1 5 . 0 0 W I B T e m p a t • P T P e m b a n g k i t a n J a w a B a l i U n i t P e l a y a n a n P e m e l i h a r a a n W i l a y a h B a r a l

P L T G U M u a r a K a r a n g , J l . R a y a P lu i t K a r a n g A y u , J a k a r t a U t a r a 1 4 4 5 0 T e t p 0 2 1 - 6 6 2 0 5 9 4 - E x t . 1 1 4 0 C P i E n d a r Y .

4. S e s e o r a n g d l l a r a n g m e w a k i l i l eb ih da r i 1 ( s a t u ) p e r u s a h a a n d a l a m m e m a s u k a n D o k u m e n P e n a w a r a n .

P e n g u m u m a n Ini b u k a n m e r u p a k a n i k a l a n y a n g d a p a t m e n g a k i b a t k a n k e w a | i b a n f i n a n s i a l k e p a d a P T P e m b a n g k i t a n J a w a - B a l l Un i t P e l a y a n a n P e m e l i h a r a a n W i l a y a h B a r a t .

J a k a r t a , 2 5 M a r e t 2 0 1 9

P T P E M B A N G K I T A N J A W A B A L I U N I T P E L A Y A N A N P E M E L I H A R A A N W I L A Y A H B A R A T Jl. Pluit Karang Ayu PLTGU Muara Karang Jakarta Utara 14450, « : 62-21-6620594 (hunting) Fax : 62-21-6613190 E-mail: uphb@pjb2.com

Lampiran Permintaan Pengadaan Langsung

Nomor : 594.PP/612/UPHB/2019

Tanggal :25Maret2019

SPESIFIKASI SERAGAM KERJA/WEARPACK YANG DIMINTAKAN PENAWARAN PENGADADAN SERAGAM KERJA/WEARPACK PT PJB UPHB

SPESIFIKASI SERAGAM KERJA / WEARPACK

Seragam Ker ja/Wearpack - Warna Biru Dongker B-866 = 273 stel - Warna Hi tam H-00 = 39 stel

Warna Merah = 13 stel Warna Abu-abu = 26 stel Ukuran sesuai mas ing-mas ing pemaka i

- Bordir P T P J B U P H B didada sisi kiri Pemasangan Scothl ight warna perak di punggung dan di bawah dada kanan kiri posisi tegak lebar sesua i gambar Bordir n a m a Pemaka i dan logo 5 8 di dada kanan Logo K3 di lengan sisi kanan Logo Lingkungan di lengan sisi kiri Bahan Taipan Tropical Menggunakan Jahi tan Levis Doub le Jahit Model sesuai contoh Gambar

Sebanyak 351 PA IR

Contoh Gambar terlamplr

PT PEMBANGKITAN JAWA BALI UNIT P E L A Y A N A N P E M E L I H A R A A N W I L A Y A H B A R A T Jl. Pluil Karang Ayu PLTGU Muara Karang Jakarta Utara 14450, « : 62-21-6620594 (tiunting) Fax : 62-21-6613190 E-mail: uphb@pjb2.com

WEARPACK TAMPAK DEPAN

Leba'' saku 1.3,cm

Tinqgi saku 1 7 T RefiektpLLebar 5_Cm. Panjang 20 CM

T e n p a t H T Panjang Scm Lebar 2 5 cm

U P H B i Prepet Veicro

_ , , 1 warnanya disesuaikan ' ' dengan wama baju

Prepet Vejcro^

Tempat Baipoint

Pengikat Tangan,

Prepet Veicro

Logo K3 = 5,5 cm Logo 5S = 5,5 cm Logo Lingkungan = 5,5 cm

P T P E M B A N G K I T A N J A W A B A L I U N I T P E L A Y A N A N P E M E L I H A R A A N W I L A Y A H B A R A T J l , Pluit Karang Ayu PLTGU Muara Karang Jakarta Utara 14450, « : 62-21-6620594 (hunting) Fax : 62-21-6613190 E-mail: uphb@pib2.com

BAJU WEARPACK TAMPAK BELAKANG

Prepet Veicro warnanya sesuai warna Baju

P T P E M B A N G K I T A N J A W A B A L I U N I T P E L A Y A N A N P E M E L I H A R A A N W I L A Y A H B A R A T J l . Pluit Karang Ayu PLTGU Muara Karang Jakarta Utara 14450, « : 62-21-6620594 (hunting) Fax : 62-21-6613190 E-mail : uphb@pjb2.com

^ P J 6

CELANA TAMPAK BELAKANG

S a k u K a

P T P E M B A N G K I T A N J A W A B A L I U N I T P E L A Y A N A N P E M E L I H A R A A N W I L A Y A H B A R A T J l . Pluit Karang Ayu PLTGU Muara Karang Jakarta Utara 14450, « : 62-21-6620594 (hunting) Fax : 62-21-6613190 E-mail : uphb@pjb2,com

P T P J B U N I T P E A Y A N A N P E M E L I H A R A A N W I L A Y A H B A R A T R E N C A N A K E R J A D A N S Y A R A T - S Y A R A T

- P E N G A D A A N L A N G S U N G -P E N G A D A A N P A K A I A N K E R J A / W E A R P A C K

N O . : 0 5 9 4 . R K S / 6 1 2 / U P H B / 2 0 1 9 T A N G G A L : 2 3 F E B R U A R I 2 0 1 9

B A B I. S Y A R A T - S Y A R A T U M U M

1 . N A M A P E N G A D A A N

N a m a P e n g a d a a n B a r a n g / J a s a y a n g d i m a k s u d d a l a m p e r m i n t a a n p e n a w a r a n in i a d a l a h " P E N G A D A A N P A K A I A N K E R J A / W E A R P A C K P T P J B U n i t P e l a y a n a n P e m e l i h a r a a n W i l a y a h B a r a t ".

2 . P E M B E R I K E R J A P e m b e r i K e r j a a d a l a h P T P J B U n i t P e l a y a n a n P e m e l i h a r a a n W i l a y a h B a r a t y a n g d i w a k i l i o l e h G e n e r a l M a n a g e r y a n g d a l a m h a l in i d i w a k i l i o i e h M a n a j e r K e u a n g a n d a n A d m i n i s t r a s i .

3. P E R S Y A R A T A N P E S E R T A P E N G A D A A N

3 . 1 P e r u s a h a a n y a n g b e r b a d a n h u k u m P e r s e r o a n T e r b a t a s ( P T ) / C V / K o p e r a s i ;

3 . 2 M e m i l i k i S e r t i f i k a t T D P P P T P J B ( T a n d a D a f t a r P e n y e d i a P e r u s a h a a n ) S u b B i d a n g M e k a n i k a l / E l e k t r i k a l a t a u s e s u a i d e n g a n j e n i s p e k e r j a a n y a n g d i m i n t a a t a u T a n d a T e r i m a P e n g u r u s a n D P P P T P J B

3 . 3 P e r u s a h a a n y a n g t i d a k d a l a m p e n g a w a s a n p e n g a d i l a n . t i d a k pa i l l t , k e g i a t a n u s a h a n y a t i d a k s e d a n g d i h e n l i k a n d a n p e n g u r u s t i d a k s e d a n g m e n j a l a n i h u k u m a n :

3 . 4 P e r u s a h a a n t i d a k s e d a n g m e n j a l a n i s a n k s i B l a c k l i s t d i w i l a y a h k e r j a P T P L N ( P e r s e r o ) G r o u p :

3 . 5 M e l a m p i r k a n d o k u m e n n e r a c a i n t e r n a l y a n g d i t a n d a t a n g a n i o l e h p i m p i n a n p e r u s a h a a n a t a u n e r a c a a u d i t e d a t a u l a p o r a n p e m e r i n g k a t a n k e u a n g a n .

4 . J A D W A L P E L A K S A N A A N P E N G A D A A N

J a d w a l p e l a k s a n a a n p e n g a d a a n a d a l a h s e b a g a i b e r i k u t : a . P e m a s u k a n D o k u m e n P e n a w a r a n :

T a n g g a l : 2 3 M a r e t s.d 1 8 A p r i l 2 0 1 9 P u k u l : 1 1 . 0 0 - 1 5 . 0 0 W I S T e m p a t : P T P e m b a n g k i t a n J a w a B a l i U n i t P e l a y a n a n P e m e l i h a r a a n W i l a y a h B a r a t

P L T G U M u a r a K a r a n g . J l R a y a P l u i t K a r a n g A y u , J a k a r t a U t a r a 1 4 4 5 0

5. S Y A R A T - S Y A R A T S U R A T P E N A W A R A N H A R G A 5 .1 P e s e r t a P e n g a d a a n w a j i b m e n g a j u k a n s u r a l p e n a w a r a n h a r g a b e s e r t a k e l e n g k a p a n / l a m p i r a n s e s u a i

d e n g a n f o r m y a n g t e l a h d i b e r i k a n o l e h P e l a k s a n a P e n g a d a a n : a . S u r a l P e n a w a r a n H a r g a b e r m e t e r a i R p . 6 , 0 0 0 . -b. D a t a r i n c i a n b a r a n g / j a s a b e r i k u t h a r g a n y a c. S u r a t P e r n y a l a a n d . P a k t a I n t e g r i t a s e . C o p y S e r t i f i k a t T D P P P T P J B ( T a n d a D a f t a r P e n y e d i a P e r u s a h a a n ) S u b B i d a n g M e k a n i k a l / E l e k t r i k a l

a t a u s e s u a i d e n g a n j e n i s p e k e r j a a n y a n g d i m i n t a a t a u T a n d a T e r i m a P e n g u r u s a n D P P P T P J B f. C o p y L a p o r a n P e m e r i n g k a t K e u a n g a n da r i D n B a t a u s e t a r a ; a t a u C o p y L a p o r a n K e u a n g a n A u d i t e d

t a h u n 2 0 1 7 : a t a u C o p y L a p o r a n K e u a n g a n t a n d a t a n g a n D i r e k t u r P e r u s a h a a n l a h u n 2 0 1 8

H a / a m a n ; 1

mm 5 . 2 H a r g a p e n a w a r a n d a l a m m a t a u a n g R u p i a h , f r a n c o g u d a n g P T P J B U n i t P e i a y a n a n P e m e l i h a r a a n W i l a y a h

B a r a t { F T P J B U P H B ) , t e r m a s u k P P N 1 0 % , b i a y a p e n g a n g k u t a n , d a n b i a y a - b i a y a l a l n n y a . 5 . 3 H a r g a p e n a w a r a n a d a l a h t e t a p , t i d a k b e r u b a h s e l a m a m a s a b e r l a k u s u r a t p e n a w a r a n y a i t u 3 ( t i g a ) b u l a n , 5 . 4 P e n g a d a a n in i m e n g g u n a k a n s i s t e m 1 s a m p u l , 5 . 5 D o k u m e n p e n a w a r a n d i k i r i m / d i s e r a h k a n l a n g s u n g d e n g a n s a m p u l t e r t u t u p (d i l e m / d i l a k ) , d a n p a d a s e b e l a h

k i r i a t a s d i t u l i s k a n n o m o r R K S s e b a g a i m a n a t e r s e b u t d i a t a s , t a n p a m e n u l i s k a n n a m a d a n a l a m a t p e n g i r i m d a n d i a l a m a t k a n k e p a d a S t r u k t u r a ! P e l a k s a n a P e n g a d a a n B a r a n g / J a s a P T P J B U P H B .

5 . 6 H a n y a p e n a w a r a n y a n g s a h y a n g a k a n d i e v a l u a s i l e b i h l a n j u t o l e h S t r u k t u r a l P e n g a d a a n .

6. PENILAIAN PENAWARAN 6 .1 P e n i l a i a n p e r s y a r a t a n a d m i n i s t r a s i d a n t e k n i s d i l a k u k a n t e r h a d a p d o k u m e n p e n a w a r a n s e b a g a i m a n a

d i s e b u t k a n d a l a m R K S in i a n t a r a l a i n : a . M e m b u a t s u r a t p e r n y a t a a n s e s u a i p e r m i n t a a n d a n d i t a n d a t a n g a n i o l e h p e j a b a t p e r u s a h a a n y a n g

b e r w e n a n g . b. P e k e r j a a n y a n g d i t a w a r k a n s e s u a i d e n g a n p e r m i n t a a n P e m b e r i K e r j a . c. K o r e k s i a r i t m a t i k a t a s p e n j u m l a h a n d a n / a t a u p e n g a l i a n v o l u m e a d a l a h b e n a r d a n h a r g a s a t u a n

p e k e r j a a n t i d a k b e r u b a h . d . K e s a l a h a n / p e r b e d a a n a r i t m a t i k a k a n m e n g a c u p a d a h a r g a s a t u a n p e k e r j a a n .

6 . 2 P e n i l a i a n h a r g a p e n a w a r a n d ip i l i h b e r d a s a r k a n biava termurah untuk ianaka paniana y a n g d a p a t d i p e r t a n g g u n g j a w a b k a n d a n P e m b e r i K e r j a b e r h a k u n t u k m e n e m p a t k a n p e s a n a n s e b a g i a n a t a u s e l u r u h p e k e r j a a n y a n g d i t a w a r k a n .

7. SURAT PENAWARAN TIDAK SAH/GUGUR 7 .1 D i a j u k a n d a l a m s a m p u l t e m b u s p a n d a n g a t a u t i d a k t e r t u t u p / d i l e m d e n g a n b a i k . 7 . 2 T e r t u i i s n a m a / p e r u s a h a a n / a i a m a t p e n g i r i m d a n / a t a u t a n d a / k o d e t e r t e n t u y a n g m e n y a t a k a n d e m i k i a n . 7 . 3 D i s a m p a i k a n m e i e w a t i b a t a s w a k t u y a n g d i t e n t u k a n . 7 .4 T i d a k m e l a m p i r k a n s e b a g l a n / s e l u r u h n y a p e r s y a r a t a n a d m i n i s t r a s i d a n t e k n i s . 7 . 5 T e r b u k t i m e l a k u k a n p e i a n g g a r a n / t e r l i b a t d a l a m h a l / t i n d a k a n y a n g d l l a r a n g b e r d a s a r k a n p e r a t u r a n

p e m e r i n t a n d a n / a t a u u n d a n g - u n d a n g y a n g t e r k a i t .

8. SYARAT PEMBAYARAN

P e m b a y a r a n o l e h P T P J B k e p a d a p i h a k P e n y e d i a B a r a n g / J a s a a k a n d i l a k u k a n s e b a g a i b e r i k u t : 8 . 1 P T P J B U P H B t i d a k m e m b e r i k a n u a n g m u k a . 8 . 2 P e m b a y a r a n a k a n d i l a k u k a n k e p a d a P i h a k P e n y e d i a B a r a n g / J a s a d a n P i h a k P e n y e d i a B a r a n g / J a s a

m e n g a j u k a n s u r a l p e r m o h o n a n p e r m i n t a a n p e m b a y a r a n k e p a d a P T P J B U P H B . 8 . 3 P e m b a y a r a n a k a n d i l a k u k a n d e n g a n G i r o B i l y e t o l e h P T P J B U n i t P e l a y a n a n P e m e l i h a r a a n W i l a y a h B a r a t

d a n a k a n d i s e r a h k a n k e p a d a P i h a k P e n y e d i a / d i t r a n s f e r k e N o m o r R e k e n i n g B a n k y a n g d i t u n j u k o l e h P i h a k P e n y e d i a B a r a n g / J a s a .

8 . 4 Untuk Pengadaan barang, p e m b a y a r a n a k a n d i l a k u k a n 1 0 0 % s e t e l a h b a r a n g d i t e r i m a d e n g a n b a i k o l e h T i m P e n e r l m a B a r a n g y a n g d i b u k t i k a n d e n g a n B e r i t a A c a r a P e n e r i m a a n B a r a n g . P a d a s a a t m e n g a j u k a n p e r m i n t a a n p e m b a y a r a n u n t u k p e n g a d a a n b a r a n g P e n y e d i a B a r a n g / J a s a h a r u s m e l a m p i r k a n : a . S u r a t P e r m o h o n a n P e m b a y a r a n b. K u i t a n s i d a l a m r a n g k a p 3 ( t i g a ) c. F a k t u r P a j a k S t a n d a r d a l a m r a n g k a p 3 ( t i g a ) , ) d. A s l i B e r i t a A c a r a P e m e r i k s a a n B a r a n g e . A s l i S u r a t P e s a n a n ( P O ) f. C o p y N P P K P d a n N P W P g. C o p y S u r a t P e r i n t a h K e r j a h . A s l i s u r a t p e r n y a t a a n g a r a n s i p e k e r j a a n b e r m a t e r a i R p . 6 . 0 0 0 , -

R e n c a n a Kerja dan Syarat-syaiat. Halaman : 2

i. P e r s y a r a t a n l a i n y a n g d i t e n t u k a n d a l a m S u r a l P e r i n t a h K e r j a ,

B i a y a meterai dan segala ongkos u n t u k m e n y e l e s a i k a n S u r a t P e r i n t a h K e r j a s e r t a a d m i n i s t r a s i l a i n n y a m e n j a d i t a n g g u n g a n P e n y e d i a B a r a n g / J a s a ,

9 . S A N K S I K E T E R L A M B A T A N / K E T I D A K M A M P U A N

9 .1 B i l a w a k t u p e l a k s a n a a n d i l a m p a u i d e n g a n a l a s a n y a n g t i d a k d a p a l d i t e r i m a o l e h P e m b e r i T u g a s , m a k a P i h a k P e n y e d i a B a r a n g / J a s a d i k e n a k a n d e n d a s e b e s a r 1 °/oo (satu per mil) p e r h a r i k a l e n d e r d e n g a n b a t a s m a k s i m u m d e n d a k e t e r l a m b a t a n s e b e s a r 5 % (lima persen) da r i n i l a i s u r a t P e r i n t a h K e r j a a t a u d i t e n t u k a n l a i n d a l a m S u r a t P e r i n t a h K e r j a .

9 . 2 D e n d a k e t e r l a m b a t a n s e b a g a i m a n a d i m a k s u d d a l a m bu t i r 9 ,1 d i a t a s a k a n l a n g s u n g d i k e n a k a n p a d a s a a t p e l a k s a n a a n p e m b a y a r a n d a n t i d a k b e r l a k u d a l a m h a l t e r j a d i s e b a b k a h a r ( F o r c e m a j e u r e ) a t a u s e b a b - s e b a b l a in d a r i P T P J B U P H B s e p e r t i k e n d a l a o p e r a s i d a n s e b a g a i n y a .

9 . 3 A p a b i l a s a m p a i d e n g a n b a t a s a k h i r p e n y e r a h a n p e k e r j a a n , P e n y e d i a b e l u m m e n y e r a h k a n p e k e r j a a n , m a k a P e n g g u n a a k a n m e n g e l u a r k a n S u r a t P e r i n g a t a n P e r t a m a ,

9 . 4 P e n y e d i a d i b e r i k a n w a k t u 7 ( t u j u h ) ha r i k a l e n d e r u n t u k m e n j a w a b S u r a t P e r i n g a t a n , A p a b i l a b a t a s a k h i r 7 ( t u j u h ) k a l e n d e r y a n g d i b e r i k a n o l e h P e n g g u n a . P e n y e d i a t i d a k m e m b e r i k a n r e s p o n / j a w a b a n t e r t u i i s , m a k a P I H A K K E S A T U a k a n m e n g e l u a r k a n S u r a l P e r i n g a t a n K e d u a s e k a l i g u s p e r i n g a t a n t e r a k h i r s e r t a b e r h a k u n t u k m e m u t u s S u r a l P e r i n t a h K e r j a s e c a r a s e p i h a k s e r t a P e n y e d i a d i k e n a k a n s a n k s i t i dak d i p e r b o l e h k a n u n t u k m e n g i k u t i p e n g a d a a n B a r a n g / J a s a d i w i l a y a h k e r j a P T P J B s e l a m a 2 4 ( d u a p u l u h e m p a t ) b u l a n s e j a k t a n g g a l p e m u t u s a n S u r a t P e r i n t a h K e r j a ,

9 . 5 A p a b i l a s a m p a i d e n g a n b a t a s w a k t u p e n y e r a h a n P e n y e d i a b e l u m m e n y e r a h k a n p e k e r j a a n n a m u n P e n y e d i a m a s i h s a n g g u p u n t u k m e m e n u h i k e w a j i b a n n y a b e r d a s a r k a n S u r a t P e r i n t a h K e r j a d a n P e n g g u n a m e n y e l u j u i . k e p a d a P e n y e d i a t e t a p d i k e n a k a n s a n k s i k e t e r l a m b a t a n s e b a g a i m a n a d i m a k s u d d a l a m bu t i r 9 ,1 R K S in i ,

9 . 6 B i l a m a n a t e r j a d i k e t e r l a m b a t a n p e n g u r u s a n B e r i t a A c a r a y a n g d i s e b a b k a n k a r e n a k e s a l a h a n a t a u k e l a l a i a n P e n y e d i a a t a u p u n k e t e r l a m b a t a n p e n a g i h a n m a k a P e n y e d i a d i k e n a k a n d e n d a s e b e s a r 2 % ( d u a p e r s e n ) d a r i n i l a i P P N t e r h u l a n g d i k a l i k a n d e n g a n b u l a n k e t e r l a m b a t a n b e r d a s a r k a n R e k o m e n d a s i D e n d a d a r i B i d a n g K e u a n g a n d a n / a t a u K a n t o r P a j a k ,

9 . 7 D a l a m h a l t e r j a d i p e m u t u s a n S u r a t P e r i n t a h K e r j a s e c a r a s e p i h a k . k e d u a b e i a h p i h a k s e p a k a t u n t u k t i dak m e m b e r l a k u k a n p a s a l 1 2 6 6 d a n p a s a l 1 2 6 7 k i t a b u n d a n g - u n d a n g H u k u m P e r d a l a .

10. K E A D A A N K A H A R ( F O R C E M A J E U R E )

1 0 . 1 P i h a k P e n y e d i a B a r a n g / J a s a t e t a p b e r t a n g g u n g j a w a b a t a s k e t e r l a m b a t a n p e n y e r a h a n P e n g a d a a n , k e c u a l i y a n g d i a k i b a t k a n o l e h k e a d a a n F o r c e M a j e u r e .

1 0 . 2 D a l a m h a l t e r j a d i k e a d a a n k a h a r ( f o r c e m a j e u r e ) p i h a k y a n g b e r a d a d a l a m k e a d a a n k a h a r w a j i b m e m b e r i t a h u k a n s e c a r a t e r t u i i s k e p a d a p i h a k l a i n n y a s e l a m b a t - l a m b a t n y a d a l a m w a k t u 7 ( t u j u h ) h a r i k e r j a t e r h i t u n g s e j a k d i k e t a h u i t e r j a d i n y a k e a d a a n k a h a r t e r s e b u t u n t u k p e r t a m a k a l i n y a , h a r u s m e m b e r i t a h u k a n k e p a d a P T P J B U P H B s e c a r a t e r t u i i s . D a l a m p e m b e r i t a h u a n t e r s e b u t d a p a t s e k a l i g u s d i m i n t a k a n p e n u n d a a n w a k t u p e n y e l e s a i a n P e n g a d a a n .

1 0 . 3 T e n t a n g a d a n y a k e a d a a n k a h a r ( f o r c e m a j e u r e ) s e b a g a i m a n a d i m a k s u d d a l a m bu t i r 8 . 2 B A B in i h a r u s d i s e r t a i d e n g a n k e t e r a n g a n t e r t u i i s da r i I n s t a n s i l e r k a i l / b e r w e n a n g ,

1 1 . P E N U N D A A N P E N Y E L E S A I A N P E K E R J A A N

1 1 . 1 P T P J B U P H B m e m p u n y a i h a k m e m e r i n t a h k a n u n t u k m e n u n d a d a n m e m u l a i l ag i s e l u r u h p e k e r j a a n a t a u b a g i a n - b a g i a n d a r i p e k e r j a a n t a n p a m e m b a t a l k a n p e r s y a r a t a n - p e r s y a r a t a n d a l a m S u r a t P e r i n t a h K e r j a .

1 1 . 2 P e r i n t a h u n t u k m e n u n d a a t a u m e m u l a i l ag i p e k e r j a a n a k a n d i k e l u a r k a n s e c a r a t e r t u i i s o l e h P T P J B Halaman : 3

U P H B k e p a d a P e n y e d i a B a r a n g / J a s a , W a k t u p e n y e l e s a i a n p e k e r j a a n a k a n d i p e r p a n j a n g s e s u a i d e n g a n w a k t u y a n g h i l a n g a k i b a t p e n u n d a a n t e r s e b u t d i a t a s .

1 1 . 3 A p a b i l a P i h a k P e n y e d i a B a r a n g / J a s a t e r l a m b a t m e n y e l e s a i k a n P e k e r j a a n y a n g d i s e b a b k a n a d a n y a k e a d a a n k a h a r ( f o r c e m a j e u r e ) a t a u h a l l a i n y a n g d i i n s t r u k s i k a n o l e h P e m b e r i K e r j a , m a k a k e p a d a P i h a k P e n y e d i a B a r a n g / J a s a a k a n d i b e r i k a n p e r p a n j a n g a n w a k t u y a n g m e n u r u t p e r t i m b a n g a n P T P J B U P H B c u k u p u n t u k k o m p e n s a s i d a r i k e t e r l a m b a t a n t e r s e b u t t a n p a t a m b a h a n h a r g a d a n t a n p a d i k e n a k a n s a n k s i d e n d a .

BAB II. SYARAT-SYARAT DALAM PELAKSANAAN PEMBUKAAN PENAWARAN

1. SISTEM PEMASUKAN DOKUMEN PENAWARAN 1.1. Cara Pemasukan Dokumen Penawaran dengan Metode Satu Sampul sebagai berikut:

a . K e s e l u r u h a n d o k u m e n p e n a w a r a n d i m a s u k k a n k e d a l a m s a t u s a m p u l , y a n g m e n c a k u p s e m u a p e r s y a r a t a n d a n d o k u m e n s e b a g a i m a n a d i m i n t a d a l a m d o k u m e n l e l a n g y a n g a k a n d i e v a l u a s i o l e h P e l a k s a n a P e n g a d a a n .

b. D o k u m e n p e n a w a r a n m e n c a k u p s u r a t p e n a w a r a n y a n g d i l e n g k a p i d e n g a n p e r s y a r a t a n a d m i n i s t r a s i , t e k n i s , d a n h a r g a p e n a w a r a n y a n g d i t a n d a t a n g a n i o l e h D i r e k t u r A / V a k i l y a n g t e r c a n t u m d a l a m A k t a P e r u s a h a a n . B a g ! y a n g d l w a k i l k a n , n a m a n y a h a r u s t e r c a n t u m d a l a m s u s u n a n p e n g u r u s / p e r s o n a l i a d e n g a n m e n u n j u k k a n S u r a t K u a s a A s l i b e r m a t e r a i Rp. 6 . 0 0 0 , - ( enam ribu rupiah ) d a n d i c a p p e r u s a h a a n ,

c. P a d a s a m p u l h a n y a m e n c a n t u m k a n a l a m a t p e r u s a h a a n , P e l a k s a n a P e n g a d a a n y a n g m e l a k s a n a k a n p e n g a d a a n d a n k a t a - k a t a d o k u m e n p e n a w a r a n p e l e l a n g a n ( j e n i s P e n g a d a a n , t e m p a t , h a r i , t a n g g a l , b u l a n , t a h u n , j a m , a k a n d i a d a k a n p e l e l a n g a n ) ,

d . A p a b i l a p e n a w a r a n d i s a m p a i k a n m e l a l u i p o s , s a m p u l d a l a m t e r s e b u t p a d a a n g k a 4 d i a t a s d i m a s u k k a n k e d a l a m s a m p u l l u a r y a n g h a n y a d i c a n t u m k a n a l a m a t p e r u s a h a a n , n o m o r R K S d a n d i t u j u k a n k e p a d a P e l a k s a n a P e n g a d a a n y a n g m e n g a d a k a n p e l e l a n g a n .

e . H a r g a p e n a w a r a n d a l a m d o k u m e n p e n a w a r a n d i c a n t u m k a n d e n g a n j e l a s d a l a m a n g k a d a n h u r u f d a l a m m a t a u a n g r u p i a h .

f . A p a b i l a t e r d a p a t p e r b e d a a n p e n u l i s a n a n t a r a a n g k a d a n p e n u l i s a n h u r u f , m a k a y a n g d i p a k a i a d a l a h h u r u f d a n k e d u a n y a a k a n d i c a t a t d a l a m B e r i t a A c a r a P e m b u k a a n P e n a w a r a n ,

g . D o k u m e n p e n a w a r a n d i s a m p a i k a n p a d a w a k t u y a n g t e l a h d i t e n t u k a n d a n s e k a l i g u s d i m a s u k k a n k e d a l a m k o t a k t e r t u t u p y a n g d i s e d i a k a n o l e h P e l a k s a n a P e n g a d a a n a t a u d i s e r a h k a n l a n g s u n g k e p a d a P e l a k s a n a P e n g a d a a n .

1.2. Pembukaan Penawaran dengan Metode Satu Sampul sebagai berikut : 1 . P e l a k s a n a P e n g a d a a n m e m b u k a s a m p u l d o k u m e n p e n a w a r a n d i h a d a p a n p a r a p e s e r t a , 2 . P e l a k s a n a P e n g a d a a n m e m i n t a k e s e d i a a n s e k u r a n g - k u r a n g n y a 1 ( s a t u ) o r a n g w a k i l d a r i p e s e r t a

p e l e l a n g a n y a n g h a d i r s e b a g a i s a k s i . A p a b i l a t i d a k t e r d a p a t s a k s i d a r i p e s e r t a p e l e l a n g a n y a n g h a d i r , P e l a k s a n a P e n g a d a a n m e n u n d a p e m b u k a a n d o k u m e n p e n a w a r a n y a n g t e l a h d i s e d i a k a n s e k u r a n g -k u r a n g n y a 2 ( d u a ) j a m ,

3 . S e t e l a h s a m p a i w a k t u y a n g d i t e n t u k a n , w a k i l p e s e r t a p e l e l a n g a n t e t a p t i d a k a d a y a n g h a d i r , a c a r a p e m b u k a a n d o k u m e n p e n a w a r a n d i l a k u k a n d e n g a n d i s a k s l k a n o l e h 1 ( s a t u ) o r a n g s a k s i d i l u a r P e l a k s a n a P e n g a d a a n y a n g d i t u n j u k o l e h P e l a k s a n a P e n g a d a a n .

4 . S e m u a d o k u m e n p e n a w a r a n d a n s u r a t k e t e r a n g a n y a n g b e r i s i d a t a a d m i n i s t r a s i , t e k n i s , d a n h a r g a d i b a c a d e n g a n j e l a s s e h i n g g a t e r d e n g a r o l e h s e m u a p e s e r t a ,

5 . H a s i l p e m b u k a a n d o k u m e n p e n a w a r a n d i t u a n g k a n d a l a m C e k l i s t P e m b u k a a n S u r a t P e n a w a r a n , d a n d i t a n d a t a n g a n i o l e h P e l a k s a n a P e n g a d a a n d a n s e k u r a n g - k u r a n g n y a 1 ( s a t u ) o r a n g w a k i l d a r i p e s e r t a .

Rencana Kerja dan Syarat-syarat. Halaman: 4

2. E V A L U A S l 2 . 1 . E v a l u a s i d i l a k u k a n s e c a r a m a n u a l d e n g a n m e m b u k a s u r a l p e n a w a r a n y a n g b e r i s i D a t a A d m i n i s t r a s i ,

T e k n i k d a n H a r g a P e n a w a r a n . 2 . 2 . P e n a w a r a n H a r g a P i h a k P e n y e d i a ba rang . / j a sa y a n g m e n a w a r k a n b i a y a t e r m u r a h u n t u k j a n g k a p a n j a n g

d a n t e l a h m e m e n u h i s y a r a t a d m i n i s t r a s i d a n t e k n i k y a n g d i n y a t a k a n s e b a g a i p e m e n a n g , 2 . 3 . E v a l u a s i a d m i n i s t r a s i , t e k n i k d a n h a r g a m e n g h a s i l k a n 2 ( d u a ) k e s i m p u l a n , y a i t u M e m e n u h i a t a u T i d a k

M e m e n u h i . B A B III

S Y A R A T - S Y A R A T T E K N I K

1 . S P E S I F I K A S I B A R A N G / R U A N G L I N G K U P P E K E R J A A N

1 , 1 . D a l a m R e n c a n a K e r j a d a n S y a r a t - s y a r a t ( R K S ) in i P e s e r t a d i m i n t a u n t u k m e n a w a r k a n P e n g a d a a n B a r a n g / J a s a u n t u k P T P J B U P H B , d e n g a n j u m l a h d a n s p e s i f i k a s i s e b a g a i b e r i k u t :

No. S p e s i f i k a s i B a r a n g / J a s a

S e r a g a m Kerja/Wearpack - Warna Biru Dongker B-866 - 275 stel - Warna Hitam H-00 - 39 stel - Warna Merah '= 13 stel - Warna Abu-abu - 25 - Ukuran sesuai masing-masing pemakai - Bordir PT PJB UPHB didada sisi kin - Pemasangan Scothlight warna perak di punggung dan di bawah dada kanan kiri posisi tegak lebar sesuai gambar - Bordir nama Pemakai dan logo 53 di 'dada kanan - Logo K3 di lengan sisi kanan - Logo Lingkungan di lengan sisi kiri - Bahan Taipan Tropical Menggunakan Jahitan Levis Double Jahit - Model sesuai contoh Gambar

2. M A S A G A R A N S I B A R A N G / J A S A

2 . 1 B a r a n g h a r u s a s l i ( o r i g i n a l ) d a n 1 0 0 % ( s e r a t u s p e r s e n ) b a r u d a n d i j a m i n d a p a t b e r f u n g s i d e n g a n ba i k a p a b i l a d i p a s a n g p a d a p e r a l a t a n p e m b a n g k i t m i l i k P T P J B d a n P e n y e d i a B a r a n g / J a s a t e t a p b e r t a n g g u n g j a w a b m e n g e n a i k u a l i t a s b a r a n g t e r h a d a p c a c a t - c a c a t / k e r u s a k a n y a n g t a m p a k m a u p u n y a n g t e r s e m b u n y i .

2 . 2 A p a b i l a b a r a n g / p e k e r j a a n y a n g d i p e r i k s a p e r l u p e n g e t e s a n d a n m e m a k a n w a k t u l e b i h d a n 2 ( d u a ) m i n g g u , m a k a P e n y e d i a B a r a n g / J a s a w a j i b m e m b e r i k a n S u r a t J a m i n a n b a h w a b a r a n g / p e k e r j a a n y a n g d i k i r i m / d i s e r a h k a n d a p a t b e r f u n g s i d e n g a n b a i k . A p a b i l a t e r n y a t a d a l a m p e l a k s a n a a n p e n g e t e s a n b a r a n g / p e k e r j a a n t e r s e b u t t i dak d a p a t b e r f u n g s i s e b a g a i m a n a m e s t i n y a , m a k a P e n y e d i a B a r a n g / J a s a w a j i b m e n g g a n t i d e n g a n b a r a n g y a n g s e j e n i s a t a u m e m p e r b a i k i p e k e r j a a n t e r s e b u t s a m p a i d a p a t b e r f u n g s i .

2 . 3 A p a b i l a d a l a m M a s a G a r a n s i t e r n y a t a b a r a n g t i d a k m e m e n u h i f u n g s i y a n g d i p e r s y a r a t k a n , a t a u t e r d a p a t a d a n y a c a c a t / k e r u s a k a n k a r e n a p e n g g u n a a n b a r a n g b e r m u t u r e n d a h a t a u k e s a l a h a n p e m b u a t a n , m a k a P e l a k s a n a p e k e r j a a n d i w a j i b k a n m e n g g a n t i n y a d e n g a n y a n g b a r u .

2 . 4 T i m P e m e r i k s a K u a l i t a s B a r a n g / J a s a b e r h a k m c n o l a k b a r a n g / h a s i l p e k e r j a a n j i k a s e c a r a f i s i k b a r a n g / h a s i l p e k e r j a a n t e r s e b u t d i r a g u k a n .

Halaman : 5

3. LINGKUNGAN DAN KESELAMATAN

D a l a m m e l a k s a n a k a n P e k e r j a a n / P e n g a d a a n B a r a n g , R e k a n a n H a r u s m e m e n u h i K e t e n t u a n - K e t e n t u a n d i b i d a n g L i n g k u n g a n , K e s e i a m a t a n d a n K e s e h a t a n K e r j a ( L K 3 } , s e b a g a i b e r i k u t :

3 . 1 . P e r a t u r a n p e r u n d a n g a n y a n g b e r l a k u d i b l d a n g l i n g k u n g a n d a l a m r a n g k a m e n c e g a h p e n c e m a r a n l i n g k u n g a n d a n m e m p e r b a i k i l i n g k u n g a n ,

3 . 2 . P e r a t u r a n p e r u n d a n g a n y a n g b e r l a k u d i b l d a n g l i n g k u n g a n m i s a i n y a p e n g e i o i a a n s a m p a h / l i m b a h a t a u s i s a - s i s a d a r i p e k e r j a a n y a n g d i l a k u k a n .

3 . 3 . P e r a t u r a n p e r u n d a n g a n y a n g b e r l a k u d i b i d a n g K 3 d a l a m r a n g k a m e n c e g a h p e n y a k i t a k i b a t k e r j a d a n k e c e i a k a a n k e r j a .

3 . 4 . P e r a t u r a n p e r u n d a n g a n y a n g b e r l a k u d i b i d a n g K 3 m i s a i n y a p e m a k a i a n A l a t P e i i n d u n g D i r i ( A P D ) , k e p a t u h a n t e r h a d a p r a m b u - r a m b u K 3 y a n g a d a d i u n i t p e m b a n g k i t / l o k a s i k e r j a , p e m a k a i a n s a f e t y t o o l s a t a u p e r a t u r a n K 3 l a i n n y a y a n g b e r d a m p a k t e r h a d a p p e k e r j a a n y a n g d i l a k u k a n ,

4. SURAT PERINTAH KERJA

S y a r a t - s y a r a t p e l a k s a n a a n d a n t a t a c a r a p e l a k s a n a a n P e k e r j a a n y a n g l e b i h r inc i a k a n d i t u a n g k a n d a l a m S u r a t P e r i n t a h K e r j a d a n h a r u s d i t a n d a t a n g a n i o i e h k e d u a b e i a h p i h a k s e b a g a i d a s a r p e l a k s a n a a n P e n g a d a a n .

5. PERUBAHAN - PERUBAHAN

A p a b i l a a d a p e r u b a h a n a t a u p e n a m b a h a n a t a s h a i - h a i l a i n y a n g b e l u m t e r c a k u p d a l a m S y a r a t - s y a r a t P e r m i n t a a n P e n a w a r a n i n i , a k a n d i c a n t u m k a n d a l a m B e r i t a A c a r a P e n j e i a s a n P e n g a d a a n L a n g s u n g ( a p a b i l a d i a d a k a n A a n w i j z i n g ) y a n g m e r u p a k a n b a g i a n t i d a k t e r p i s a h k a n d a r i S y a r a t - s y a r a t P e r m i n t a a n P e n a w a r a n d a n j u g a d i c a n t u m k a n d a l a m S u r a t P e r i n t a h K e r j a .

6. SANKSI

A p a b i l a s e t e l a h p r o s e s n e g o s i a s i P e s e r t a d e n g a n m e n a w a r k a n b i a y a t e r m u r a h u n t u k j a n g k a p a n j a n g i a i u k e m u d i a n m e n g u n d u r k a n d i r i a t a u m e n o t a k d i t e t a p k a n s e b a g a i P e n y e d i a B a r a n g / J a s a d e n g a n a l a s a n a p a p u n , a t a u m e n g u n d u r k a n d i r i s e t e l a h d i t u n j u k s e b a g a i P e n y e d i a B a r a n g / J a s a a t a u m e n g u n d u r k a n d i r i s e t e l a h p e n a n d a t a n g a n K o n t r a k , k e p a d a p e s e r t a y a n g b e r s a n g k u t a n t i d a k d i p e r b o l e h k a n u n t u k m e n g i k u t i p r o s e s p e n g a d a a n b a r a n g d a n a t a u j a s a d i P T P J B m i n i m a l s e l a m a 2 ( d u a ) t a h u n s e j a k s a n k s i d i b e r i k a n ,

7. PENUTUP

P e n g a d a a n B a r a n g d a n J a s a u n t u k P T P e m b a n g k i t a n J a w a B a l i b e r p e d o m a n p a d a R e n c a n a K e r j a d a n S y a r a t -S y a r a t ( R K S ) d a n d i p r o s e s s e s u a i S u r a t K e p u t u s a n N o , 1 0 0 , K / 0 1 0 / D i R / 2 0 1 7 t a n g g a l 1 5 D e s e m b e r 2 0 1 7 t e n t a n g P e d o m a n U m u m P e n g a d a a n B a r a n g / J a s a d i P T P J B , S u r a t K e p u t u s a n N o , 1 0 1 . K / 0 1 0 / D i R / 2 0 1 7 t a n g g a l 1 5 D e s e m b e r 2 0 1 7 t e n t a n g P e t u n j u k T e k n i s P e n g a d a a n B a r a n g / J a s a d i P T P J B d a n S u r a t K e p u t u s a n N o . 1 0 2 . K / 0 1 0 / D i R / 2 0 1 7 t a n g g a l 1 5 D e s e m b e r 2 0 1 7 t e n t a n g K e w e n a n g a n P e n g a d a a n B a r a n g / J a s a d i P T P J B .

J a k a r t a , 2 3 F e b r u a r i 2 0 1 9

No Nama Jabatan Tanda Tangan

1 K o r n e i B r a m R a h a d i M a n a g e r P e r e n c a n a a n d a n P e m b i n a a n T e k n i k

2 D a d a n g R o h m a n s y a h S P V S R e s o u r c e P l a n n i n g

3 L u c k y L u k m a n s y a h J u n i o r O f f i c e r i n v e n t o r y & C a t a i o g e r

Rencana Kerja dan Syarai-syarat. Halaman: 6

Nomor Tanggal Lampiran

Kepada STRUKTURAL PENGADAAN BARANG DAN JASA PT PEMBANGKITAN JAWA-BALI UNIT PELAYANAN PEMELIHARAAN WILAYAH BARAT Komplek PLTGU Muara Karang Jalan Pluit Karang Ayu - 14450 Jakarta

Perihal Penawaran Administrasi,Teknik dan Harga

Yang bertanda tangan dibawah ini Dalam hal ini diwakili oleh Jabatan dalam perusahaan

A) •B) •C)

Dengan ini menyatakan: 1. Tunduk pada ketentuan-ketentuan pengadaan yang berlaku di PT PJB 2. Bersedia melaksanakan Barang pengadaan sesuai dengan syarat-syarat yang tercantum dalam

a. RKS Nomor Tanggal Tentang

3 Penawaran tersebut mengikal dalam jangka waktu 3 (tiga) bulan terhitung sejak tanggal pembukaan sural penawaran Sampul I dan dapal diperpanjang lagi bila diperlukan

4, Waktu penyerahan adalah ... [ ) hari kalender terhitung sejak tanggal Surat Penunjukan. 5. Harga Penawaran

Harga Barang ; Pajak Pertambahan Nilai (PPN)

Jumlah penawaran

(Terbilang 6. Rincian penawaran harga, seperti terlampir. 7, Terlampir kami sampaikan data kelengkapan dokumen penawaran

Demikian penawaran ini. atas perhatiannya kami ucapkan terima kasih

PT Meterai 6000

Nama Jelas ) D)

Keterangan A - Nama dan Alamat Perusahaan B = Nama yang mewakili Perusahaan C = Jabatan yang mewakili Perusahaan D = Jabatan

P T P E M B A N G K I T A N J A W A B A L I U N I T P E L A Y A N A N P E M E L I H A R A A N W I L A Y A H B A R A T Ji. Pluit Karang Ayu PLTGU Muara Karang Jakarta Utara 14450, « : 62-21-6620594 (hunting) Fax : 62-21-6613190 E-mail: uphb@pjb2,com

D A F T A R R I N C I A N H A R G A P E N A W A R A N

N o N A M A

P E N G A D A A N J U M L A H S A T U A N

H A R G A S A T U A N

J U M L A H

( R p )

W A K T U P E N Y E R A H A N

S U B T O T A L

P P N 1 0 %

T O T A L H A R G A P E N A W A R A N

T E R B I L A N G :

P a r a f d a n S t e m p e l P e r u s a h a a n

P T P E M B A N G K I T A N J A W A B A L I U N I T P E L A Y A N A N P E M E L I H A R A A N W I L A Y A H B A R A T Jl. Pluit Karang Ayu PLTGU Muara Karang Jakarta Utara 14450. • : 62-21-6620594 (hunting) Fax : 62-21-6613190 E-mail : uphb@pjb2.com

# P J B K e p a d a T a n g g a l

S T R U K T U R A L P E N G A D A A N B A R A N G D A N J A S A P T P E M B A N G K I T A N J A W A - B A L I U N I T P E L A Y A N A N P E M E L I H A R A A N W I L A Y A H B A R A T J L , P L U I T K A R A N G A Y U U T A R A , P L T G U M U A R A K A R A N G J A K A R T A U T A R A

P e r i h a l S u r a l P e r n y a t a a n

Y a n g b e r t a n d a t a n g a n d i b a w a h i n i :

N a m a : M e w a k i l i : P T J a b a t a n :

S e h u b u n g a n d e n g a n p e l e l a n g a n s e s u a i R K S N o d e n g a n i n i k a m i m e n y a t a k a n h a l - h a l s e b a g a i b e r i k u t : 1 . B a r a n g y a n g a k a n d i s e r a h k a n a d a l a h 1 0 0 % b a r u , a s l i ( g e n u i n e ) d a n t i d a k c a c a t b a i k

y a n g t e r l i h a t m a u p u n y a n g t e r s e m b u n y i s e s u a i d e n g a n s p e s i f i k a s i t e k n i k y a n g d i m i n t a . 2 . B a r a n g y a n g a k a n d i s u p l a i t e r s e b u t d i j a m i n d a p a t b e r f u n g s i / b e r o p e r a s i d e n g a n b a i k . 3 . A p a b i l a d a l a m M a s a G a r a n s i , t e r n y a t a b a r a n g t i d a k m e m e n u h i f u n g s i y a n g d i p e r s y a r a t k a n ,

a t a u t e r d a p a t c a c a t / k e r u s a k a n k a r e n a p e n g g u n a a n b a r a n g b e r m u t u r e n d a h a t a u k e s a l a h a n p e m b u a t a n / p e m a s a n g a n d a n b u k a n k a r e n a k e s a l a h a n o p e r a s i . m a k a k a m i s a n g g u p u n t u k m e n g g a n t i p a r t r u s a k d e n g a n y a n g b a r u .

4 . P e r u s a h a a n k a m i y a n g s e d a n g m e n g i k u t i p e l e l a n g a n i n i t i d a k m e m p u n y a i h u b u n g a n / s a n g k u t p a u t d e n g a n p e r u s a h a a n l a i n y a n g s e d a n g b e r m a s a l a h d e n g a n P T P J B ,

5 . A p a b i l a d a t a / p e r n y a t a a n y a n g k a m i s a m p a i k a n d a l a m p e n a w a r a n t e r n y a t a a d a y a n g p a l s u , m a k a k a m i b e r s e d i a d i k e n a k a n s a n k s i t i d a k d i p e r k e n a n k a n u n t u k m e n g i k u t i p e n g a d a a n b a r a n g / j a s a d i l i n g k u n g a n P T P J B .

6 . B e r t a n g g u n g j a w a b p e n u h d a n s e k a l i g u s m e m b e b a s k a n P T P J B d a r i s e g a l a t u n t u t a n a t a s p e l a n g g a r a n H a k K e k a y a a n I n t e l e k t u a l ( H K l ) , h a k p a t e n , m e r e k t e r d a f t a r , d e s a i n , h a k c i p t a a t a u h a k a t a s k e k a y a a n i n t e l e k t u a l l a i n n y a .

7 . P e r u s a h a a n k a m i t i d a k s e d a n g m e n j a l a n i s a n k s i B l a c k l i s t d i l i n g k u n g a n P T P L N ( P e r s e r o ) .

D e m i k i a n S u r a t P e r n y a t a a n i n i d i b u a t d e n g a n s e b e n a r n y a , u n t u k d i g u n a k a n s e b a g a i m a n a m e s t i n y a .

P T

M e t e r a i

J a b a t a n

P T P E M B A N G K I T A N J A W A B A L I U N I T P E L A Y A N A N P E M E L I H A R A A N W I L A Y A H B A R A T Jl. Pluit Karang Ayu PLTGU Muara Karang Jakarta Utara 14450, « : 62-21-6620594 (hunting) Fax : 62-21-1 E-mail: uphb@pjb2.com

^ P J B P A K T A I N T E G R I T A S

S a y a y a n g b e r t a n d a t a n g a n d i b a w a l i i n i m e n y a t a k a n : 1 . T i d a k a k a n m e l a k u k a n p r a k t e k K K N ; 2 . A k a n m e l a k u k a n p r a k t e k p e r s a i n g a n y a n g s e h a t d a l a m p r o s e s p e n g a d a a n ; 3 . A k a n m e l a p o r k a n k e p a d a p i t i a k y a n g b e r w a j i b / b e r w e n a n g a p a b i l a m e n g e t a t i u i a d a i n d i k a s i K K N d a n a t a u

p r a k t e k p e r s a i n g a n y a n g t i d a k s e t i a t d a l a m p r o s e s p e n g a d a a n : 4 . D a l a m p r o s e s p e n g a d a a n i n i , b e r j a n j i a k a n m e l a k s a n a k a n s e c a r a b e r s i h , t r a n s p a r a n , d a n p r o f e s s i o n a l

d a l a m a r t i a k a n m e n g e r a h k a n s e g a l a k e m a m p u a n d a n s u m b e r d a y a s e c a r a o p t i m a l u n t u k m e m b e n k a n h a s i l k e r j a t e r b a i k m u l a i d a r i p e n a w a r a n , p e l a k s a n a a n , d a n p e n y e l e s a i a n p e k e r j a a n / k e g i a t a n i n i ;

5 M e n i n g k a t k a n P e n g g u n a a n P r o d u k s i D a l a m N e g e r i d e n g a n m e m p e r b e s a r T K D N s e s u a i k e t e n t u a n y a n g b e r l a k u d a n m e n g g u n a k a n p r o d u k b e r s t a n d a r ;

6 . D a l a m k e a d a a n t e r t e n t u a k a n m e n g i k u t s e r t a k a n U s a h a M i k r o , U s a h a K e c i l d a n K o p e r a s i K e c i l s e s u a i k o m p e t e n s i t e k n i s y a n g d i m i l i k i u n t u k b a g i a n p e k e r j a a n y a n g b u k a n p e k e r j a a n u t a m a ;

7 . D a l a m m e l a k u k a n P e n g a d a a n a k a n s e l a l u b e r p e g a n g p a d a k o n s e p r a m a h l i n g k u n g a n ; 8 . A p a b i l a s a y a m e l a n g g a r h a l - h a l y a n g t e l a h s a y a n y a t a k a n d a l a m P A K T A I N T E G R I T A S i n i , s a y a b e r s e d i a

d i k e n a k a n s a n k s i m o r a l , s a n k s i a d m i n i s t r a s i s e r t a d i t u n t u t g a n t i r u g i d a n p i d a n a s e s u a i d e n g a n k e t e n t u a n p e r a t u r a n p e r u n d a n g - u n d a n g a n y a n g b e r l a k u .

2 0 P T / C V / F I R M A D i r e k t u r / K e p a l a C a b a n g Materai Rp.6000.-

N a m a

P T P E M B A N G K I T A N J A W A B A L I U N I T P E L A Y A N A N P E M E L I H A R A A N W I L A Y A H B A R A T Jl. Pluit Karang Ayu PLTGU Muara Karang Jakarta Utara 14450, « : 62-21-6620594 (hunting) Fax : 62-21-6613190 E-mail; uphb@pjb2.com