CRF No (filled by Procurement) :
Date :
Change Type : √ Internal Procurement External (Request from Other Dept/Div)
Type PO : √ Project Maintenance General
Purchase Type : √
SITAC CME SC FO PM CM General Purchase Others……..
PO Number :
Vendor Name : PT. Citra Perdana Muda
REQUESTOR DETAILS
Requestor Name : Rianto Benni Tarigan
Dept / Regional : Project/North Sumatera
Change Summary : Additional CME WORK -B2S SF Site HUNew_MDN4871-2/SU-1016-T-B - Tobasa
Change Description & Justification/Reason
Sewa2 Pompa Air Incl BBM Langsir Material Tower Concrete Floor 1:3:5 t=5 cm
Koordinasi OKP dan pengamanan Pembersihan dan perataan akses 3 m x 108,2 m
Tiang PLN 7 m Reinforced Concrete 3x2x0,1
Kabel PLN 4 x 25 mm Stone Masonry for bridge
Mobilisasi Tiang PLN Pengecoran akses jalan (K-175)
Langsir Material Alam ( Pasir, semen, split) Sand Layer Change Benefit / Cost & Impact Analysis
Changes Resulting Overbudget? Any invoice received on specified PO? (filled by Requestor, data from SAP system)
□ YES √ NO □ YES √ NO
notes :
Supporting Documentation (Attachments)
□ Copy Existing PO (Mandatory)
□ Approval AM / ABF (if changes resulting overbudget)
□ BOQ add Reduce
□ BOQ Final
□ PO
Request by Approved by, Approved by,
Rianto Benni Tarigan Mohammad Ichsan (name)
Requestor Line Manager / Ka Dept Procurement (Ka Dept)
Date Date Date
Original CRF Approved to be archived by Procurement as attachment (for internal use only) of revised/new PO Scan of Original CRF Approved to be uploaded by Procurement in SAP system as attachment of revised/new PO User/Requestor keep the copy/scan of CRF Approved
PO CHANGE REQUEST
FORM FM-PRO-004
Existing PO Value (Rp) Proposed Change Value
(Rp) Increase / Decrease (Rp) 9-Aug-21
2100024978
226.265.514,00
343.584.151,00 (117.318.637,00)
1
roida Hutapea
From: Riky Meinaldhi <[email protected]>
Sent: 15 Juli 2021 15:41
To: roida hutapea
Cc: andrea yuriza; Novan Utama; Rianto Benni; Daniel Ricardo Nainggolan; Frewita Octaveria
Subject: Re: Additonal Work Site Tobasa, Site ID : Hunew_MDN 4871-2 Attachments: Add Reduce & Boq Final sign.pdf
Follow Up Flag: Follow up
Flag Status: Flagged
Dear Ibu Roida,
Terlampir Add reduce dan BoQ Final yang sudah di sign.
Mohon dibantu untuk proses PO Addtionalnya.
Terima Kasih
On Tue, Jul 6, 2021 at 3:21 PM Daud Boni <[email protected]> wrote:
Dear p Andrea
CITRA PERDANA MUDA
Sesuai hasil meeting bersama team regional terkait penjelasan dan issu teknis disite ini
Untuk pengajuan add langsir material alam (incl pekerjaan borepile) dan langsir material tower (by warga) , dapat disepakati
Selanjutnya mohon dapat diproses BoQ actualnya dgn team regional
Dear p Benni
Sesuai pembicaraan terkait issue teknis dgn team eng – diharapkan dapat diinfokan lebih lanjut untuk memaksimalkan design borepile yg ada
Terimakasih atas attensi & kerjasamnya
2
Hormat Kami
From: andrea yuriza <[email protected]>
Sent: Monday, July 5, 2021 8:33 AM
To: Daniel Nainggolan <[email protected]>; Daud Boni <[email protected]>;
Rianto Benni <[email protected]>
Cc: [email protected]; roida hutapea <[email protected]>; Riky Meinaldhi
<[email protected]>; Novan Utama <[email protected]>
Subject: RE: Additonal Work Site Tobasa, Site ID : Hunew_MDN 4871-2
Dear Pak Daud
Berikut kami informasikan bahwa untuk 2 item pekerjaan lansir dimaksud sudah selesai di lakukan. Untuk itu biaya yang di ajukan harus dapat menutupi biaya yang telah kami keluarkan selama proses
pembangunan. terlampir counter offer dari CPM. Mohon dapat di pertimbangkan
No. Item Work Unit Volume Unit Price
6
Langsir Material Alam ( Pasir, semen, split) Ls 1 14.000.0007
Langsir Material Tower Ls 1 24.000.000Mohon konfirmasinya.
Regards Andrea Yuriza
On 4 Jul 2021 08.55 +0700, Daud Boni <[email protected]>, wrote:
Dear p Riky
CITRA PERDANA MUDA
Sesuai review kondisi langsir & perhitungan yg disampaikan , yang telah di verify oleh team regional
Mohon dapat disepakati untuk pengajuan 2 additional tsb dapat disepakati sbb :
3
No. Item Work Unit Volume Unit Price
6
Langsir Material Alam ( Pasir, semen, split) Ls 1 12.600.0007
Langsir Material Tower Ls 1Selanjutnya jika confirm , mohon dibuatkan BoQ actual dgn team regional
Dear p Daniel / Benni
Mengingat site2 B2S H3I – sepertinya terdapat permintaan biaya langsir ynag cukup besar, sebaiknya hal ini dapat direview secara keseluruhan , apakah memerlukan proses approval budget tambahan nya ke management , dan menurut saya untuk biaya2 spt ini dari team mitra /regional sudah menginfirmasikan pada saat pembuatan BoQ ke team Eng , bukan pada saat pembanguan actual dilakukan
Thks nRgds
4
From: Riky Meinaldhi <[email protected]>
Sent: Thursday, July 1, 2021 1:38 PM
To: Daud Boni <[email protected] >; Daniel Nainggolan <[email protected]>
Cc: [email protected]; andrea yuriza <[email protected]>; Rianto Benni
<[email protected]>; roida hutapea <[email protected]>; Novan Utama
<[email protected]>
Subject: Re: Additonal Work Site Tobasa, Site ID : Hunew_MDN 4871-2
Dear Pak Daud,
Berikut justifikasi dari kami.
Untuk Berita Acara pekerjaan Additional sudah kami lampirkan pada email sebelumnya.
Terlampir lampiran untuk justifikasi pekerjaan langsir material tower dan alam ( Foto-foto
terlampir ).
Mohon bantuan nya agar dapat direview untuk pekerjaan Additional Work ini, agar kami
dapat melakukan invoicing 25% site ini dan kami bisa segera melakukan pekerjaan tambahan akses jalan.
Kami tunggu untuk review dan feedbacknya.
Terima kasih
On Tue, Jun 29, 2021 at 3:33 PM Daud Boni <[email protected]> wrote:
Dear p Daniel / p Riky
Dari sisi saya , merefer ke pengajuan addwork addwork dibawah yg nilai nya cukup besar Secara item work dan qty merefer ke item work standar dan SL – kecuali untuk item langsir material – sehingga dalam hal ini jika dari sisi team project regional sudah terdapat verify dan konfirmasi dapat diproses
Namun tetap diperlukan berita acara untuk item2 tsb dan juga prosres pengajuan ABF ke
Head Project & team budget
5
Selanjutnya terkait pengajuan item work langsir material tower & alam , mohon dapat diberikan perhitungan biaya untuk pengajuan hal ini
Spt : jarak lokasi site – langsir material , metode langsir material , beerapa banyak man power dan durasi pengerjaan nya
Jika dalam hal ini pengajuan langsir bersifat permintaan dari pihak warga , mohon dapat dikirimkan berita acara yg sudah dikonfirm oleh team project
Kiranya mohon dapat difeedback
Thks nRgds
From: Daniel Nainggolan <[email protected]>
Sent: Tuesday, June 29, 2021 2:30 PM
To: 'Riky Meinaldhi' <[email protected]>; 'Daud Boni' <[email protected]>
Cc: [email protected]; 'andrea yuriza' <[email protected]>; 'Rianto Benni'
<[email protected]>; 'roida hutapea' <[email protected]>; 'Novan Utama'
<[email protected]>
Subject: RE: Additonal Work Site Tobasa, Site ID : Hunew_MDN 4871-2
Dear Pak Daud
Mohon bantuan untuk approval berikut, karena akses menuju ke site tidak bisa dilalui dikarenakan belum adanya perkerasan.
Terima Kasih
Daniel Nainggolan SACME
<image001.png>
6
From:Riky Meinaldhi [mailto:[email protected]]
Sent: 21 June 2021 13:55 To: Daud Boni
Cc: [email protected]; andrea yuriza; Rianto Benni; roida hutapea; Novan Utama; Daniel Ricardo Nainggolan
Subject: Re: Additonal Work Site Tobasa, Site ID : Hunew_MDN 4871-2
Dear Pak Daud,
Mohon infonya untuk Additional Work site Tobasa yang kami tanyakan pada email sebelumnya.
Terima Kasih
On Thu, Jun 17, 2021 at 2:56 PM Riky Meinaldhi <[email protected]> wrote:
Dear Pak Daud
Mohon maaf sebelumnya. Mohon agar dapat mengabaikan table Quotation pada email sebelumnya.
Berikut kami lampirkan Quotation revisinya beserta APD dan BoQ yang sudah direvisi oleh engineer IBS.
No. Item Work Unit Volume Unit Price
1
Sewa2 Pompa Air Incl BBM hari 102
Koordinasi OKP dan pengamanan Ls 1 10.000.000,003
Tiang PLN 7 m btg 3 2.000.000,004
Kabel PLN 4 x 25 mm m 1405
Mobilisasi Tiang PLN Ls 1 2.000.000,006
Langsir Material Alam ( Pasir, semen, split) Ls 1 14.800.000,007
Langsir Material Tower Ls 1 25.200.000,008
Pembersihan dan perataan akses 3 m x 108,2 m m2 308,29
Reinforced Concrete 3x2x0,1 m3 0,6 3.100.000,0010
Stone Masonry for bridge m3 1,811
Pengecoran akses jalan (K-175) m3 10,8 3.100.000,007
Kami tunggu untuk info dan Feedbacknya.
Terima Kasih
On Wed, Jun 2, 2021 at 2:51 PM Riky Meinaldhi <[email protected]> wrote:
Dear Pak Daud,
Berikut kami informasikan bahwasanya ada pekerjaan tambahan untuk Site Tobasa, Site ID : Hunew_MDN 4871-2 (Berita Acara Terlampir)
TOBASA
No. Item Work Unit Volume Unit Price
1
Sewa2 Pompa Air Incl BBM hari 102
Koordinasi OKP dan pengamanan Ls 1 10.000.000,003
Tiang PLN 7 m btg 3 2.000.000,004
Kabel PLN 4 x 25 mm m 1405
Mobilisasi Tiang PLN Ls 1 2.000.000,006
Langsir Material Alam ( Pasir, semen, split) Ls 1 14.800.000,007
Langsir Material Tower Ls 1 25.200.000,008
Pembersihan dan perataan akses 3 m x 108,2 m m2 308,29
Reinforced Concrete 3x2x0,1 m3 0,6 3.100.000,0010
Stone Masonry for bridge m3 1,8Kami tunggu untuk review dan feedbacknya.
8
Terima Kasih --
Riky Meinaldhi
PT. Citra Perdana Muda 061-8218938, 08126595820
--
Riky Meinaldhi
PT. Citra Perdana Muda 061-8218938, 08126595820
--
Riky Meinaldhi
PT. Citra Perdana Muda 061-8218938, 08126595820
--
Riky Meinaldhi
9
PT. Citra Perdana Muda 061-8218938, 08126595820
--
Riky Meinaldhi
PT. Citra Perdana Muda
061-8218938, 08126595820
Vendor must signify acceptance to the terms and conditions and return or fax a copy of the duty accepted PO to purchaser within 2 (two) working days upon receipt of this PO. No respond within the period, PO is considered as accepted.
PT INTI BANGUN SEJAHTERA Tbk JL Riau No 23 RT 009 RW 005 Gondangdia Menteng, Jakarta Pusat 10350 Kindly address your invoice/bil to :
Attn : Account Payable Department
Supply of the above goods and /or services shall be in accordance with and subject to the terms and conditions set out in the Agreement and the relevant Contract Documents.
PR No : 1100013103 dated 25.01.2021
No No. Barang Material No.
Keterangan
Description Jumlah Satuan
Quantity UoM*
Tgl Kirim Delivery
Harga Netto/unit Net Price / unit
Total Harga Total Price
PO.Date : 19.04.2021 PO.Rel Date : 27.04.2021 PO.No : 2100024978
Dikirimkan ke / Deliver to : IBST Sumatera Bagian Utara Jl. Pulau Batam No. 4
Kawasan Industri Medan II (KIM II) Malabar
Kepada/To : 500934
PT. CITRA PERDANA MUDA
Komp Ruko Tasbi II Blok I N. 13 Asa 20218 Telp 061 8218938 UP : Andrea Yuriza Fax. 061 8218842
Ketentuan Pengiriman : Terms of Delivery
ORDER PEMBELIAN / PURCHASE ORDER
PT. Inti Bangun Sejahtera, Tbk.
NPWP : 02.492.463.1-054.000 Jl Riau No. 23 RT009 RW 005 Gondangdia - Menteng Telp: 021-31935919 Fax: 021-3903473
1 2000000010 CME Implementation 1 AU 20.01.2021 226.265.514 226.265.514
CME WORK ~ B2S SF WBS ID : T-A20062B TERM OF PAYMENT : 30% DP - payable in 14 days 40% RFE - payable in 21 days 25% ATP - payable in 21 days
5% Final Payment (9 Months after BAST) - payable in 30 days
Dikonfirmasi oleh / Confirmed by
___________________________________
Pemasok / Vendor
Notes & Special Instruction
Please indicate our Purchase Order number in all documents, i.e. Invoice, Tax Invoice and Delivery Note.
Terbilang : DUA RATUS EMPAT PULUH DELAPAN JUTA DELAPAN RATUS SEMBILAN PULUH DUA RIBU ENAM PULUH LIMA RUPIAH Say : TWO HUNDRED FORTY-EIGHT MILLION EIGHT HUNDRED NINETY-TWO THOUSAND SIXTY-FIVE RUPIAH
Ketentuan Pembayaran/Term of Payment : AP02 within 14 days Due net
Delivery Note and Original Purchase Order shall be attached upon invoicing process
Payment will be transfered to : UOB
Account no : 4253002659 , Beneficiary : PT. CITRA PERDANA MUDA
226.265.514 0 22.626.551 248.892.065
Authorized Signature
Approval is generated by system, No Signature are required
_________________________________________
Yayang Supriyadi
Bill Of Quantity
PT. CITRA PERDANA MUDA
SITE ID : HUNew_MDN4871-2 / T-A20062B SITE NAME : Tobasa
PO no. 2100024978 dated 19 Apr 2021
Unit Price (IDR) Total (IDR) II SITE PREPARATION
2 As built drawing & site binder base on SOP list Ls 1,00 2.500.000,00 2.500.000,00 C Physical Preparation (Permit) Ls 1,00 7.500.000,00 7.500.000,00 10.000.000,00
III IMPLEMENTATION CME A Tower Structure
1 Tower Material Fabrication Incl. all accessories as per Design Drawing (Vertical Ladder, Vertical
and Horizontal Cable ladder, Mounting Antenna Sectoral/GPS/OBL). Kg 25.000,00 - 2 Tower Erection incl. all accessories mention at point 1 above. Kg 6.331,40 1.300,00 8.230.820,00
3 Tower Painting (if required as per KKOP recommendation) Kg -
4 Tower Material Transportation (incl. material completeness check and storage at site) Kg 6.331,40 2.650,00 16.778.210,00 25.009.030,00
B Tower Foundation
3 Soil Excavation m3 54,92 55.000,00 3.020.600,00
4 Sand layer m3 4,36 325.000,00 1.417.000,00
5 Concrete floor 1:3:5 t=5 cm m3 2,18 1.160.700,00 2.530.326,00
6 Concrete K-225 m3 18,61 3.200.000,00 59.552.000,00
7 Back fill per layer max. thickness 30 cm, compacted with stamper machine m3 30,42 19.000,00 577.980,00
2 Grouting ls 1,00 891.984,00 891.984,00
9 Ladder n cable tray Concrete Foundation (K-175) m3 0,13 3.100.000,00 403.000,00 10 Finishing with cement plaster & black painting m2 7,08 95.000,00 672.600,00 10 Bore Pile (K-250) dia. 40cm circular incl transportation, machine and installation m2 62,40 561.695,00 35.049.768,00 104.115.258,00
C1 Outdoor Cabinet Foundation
1 Soil Excavation m3 0,92 55.000,00 50.600,00
2 Sand Layer m3 0,30 325.000,00 97.500,00
3 Stone Mansory m3 0,98 675.000,00 661.500,00
4 Soil backfilled m3 0,78 30.000,00 23.400,00
5 Concrete Pad and Stair (K-175) m3 0,88 3.100.000,00 2.728.000,00
6 Plastering & Painting m2 9,01 95.000,00 855.950,00
4.416.950,00
D Grounding system & Earthing < 1 ohm
1 Copper bonded rod 3m Ø 3/4" caldwelding to BC site perimeter ring 50 mm2 Pcs 7,00 825.000,00 5.775.000,00
2 BC 50mm2 site perimeter ring m 70,00 70.000,00 4.900.000,00
3 MGB / Main Grounding Bar (Steel Galvanized) 300x100x10 mm, 2 rows 14 holes M8 pcs 1,00 203.067,84 203.067,84 4 EGB / External Grounding Bar (Steel Galvanized) 300x100x10 mm, 2 rows 14 holes M8 pcs 3,00 203.067,84 609.203,53 5 IGB/Internal Grounding Bar (Steel Galvanized) 300x100x10 mm, 2 rows 14 holes M8 pcs 1,00 203.067,84 203.067,84 6 Ceramic Isolator for MGB, EGB & IGB (incl. all accessories required) pcs 10,00 21.875,00 218.750,00 7 Stainless Cable Scone (incl. all accessories required, ex: bolt, Nuts, cable shoe & Label). pcs 30,00 7.500,00 225.000,00 8 All Aluminum Alloy Cable(AAAC) 70mm2 indoor ring shelter m 17.955,00 - 9 Termination / Control box (inside 40x40x50 cm) with pad lock pcs 1,00 1.087.402,00 1.087.402,00
10 Exothermic weld connection point 7,00 160.000,00 1.120.000,00
11 5/8" - 60cm Aluminum Lighting splitzen (incl. all accessories required ex: reducer bracket,
isolator etc.) set 1,00 246.250,00 246.250,00
12 All Aluminum Alloy Cable(AAACS) 70mm2 Down Conductor & EGB Interconnection m 98,80 19.500,00 1.926.600,00
13 Bimetallic connector pcs 1,00 350.000,00 350.000,00
14 PVC pipe cable duct dia. 3/4" (ex. Clipsal) for indoor ring shelter and buried AAAC m 11,16 30.000,00 334.800,00 17.199.141,21
E Mechanical & Electrical (ME) I MDP + Arrester Protection
2 Delivery, Instalasi & Testing Panel ACPDB + KWH - North Sumatera (incl. asuransi panel) Ls 1,00 1.000.000,00 1.000.000,00 3 Pole ø3" for MDP & alarm panel placement incl. accessories (anchor, bolt, foundation etc.) Kg 32,00 25.000,00 800.000,00 II Site Lamp / Light Installation
b. Site Perimeter Lamp & OBL
Sub Total - Grounding System Sub Total - Site Preparation
Sub Total - Tower Structure
Sub Total - Tower Foundation
Sub Total - Outdoor Cabinet Foundation
No Item Work Unit Vol Est. SST 42M 3LEGS
Page 1 of 2
Unit Price (IDR) Total (IDR)
No Item Work Unit Vol Est. SST 42M 3LEGS
1 1x20watt Phillips LED Lamp incl. mounting and Kap Lokal Outdoor E27 IP 67 type casing attach
on tower leg. (Include Cable) set 1,00 836.125,00 836.125,00
2 Fitting + Aircraft warning light ( OBL lamp ) pcs 1,00 4.500.000,00 4.500.000,00
3 NYY 3x2.5 mm2 for OBL m' 61,11 22.444,38 1.371.576,06
IV KWH Panel Work
2 Pole (standard PLN) for placed KWH Panel box incl. all accessories, foundation ls 1,00 2.100.000,00 2.100.000,00
3 Combination Pad Lock pcs 1,00 216.000,00 216.000,00
4 Flexible isolator for power cable ducting + Flexible isolator + Clamp ls 1,00 250.000,00 250.000,00
5 Main Power Cable NYY 4x16 mm m' 13,65 115.000,00 1.569.750,00
12.643.451,06
F Cable Tray Outdoor
1 Cable Tray Outdoor ( width 30 cm) with support,finishing with hotdipped galvanized m 2,00 270.000,00 540.000,00 2 Cable Tray Outdoor ( width 40 cm) with support,finishing with hotdipped galvanized m 320.000,00 -
540.000,00
G Fence & Landscaping & Access Road
1 Soil excavation m3 2,44 55.000,00 134.200,00
2 Sand layer m3 0,38 325.000,00 123.500,00
3 Stone Masonry m3 675.000,00 -
4 Soil back filled m3 1,11 30.000,00 33.300,00
5 Brick masonry m2 95.000,00 -
6 Reinforced Concrete (K-175) m3 1,46 3.100.000,00 4.526.000,00
7 Plastar (t=1.5 -2 cm) with painting (2 layer) ICI Dulux/Danapaint weathershield m2 8,43 95.000,00 800.850,00 8 Gravel Layer Minimum t = 5 cm (laid with 5 cm compacted sand) m2 51,50 17.700,00 911.550,00
9 Cansteen m' 28,50 29.219,00 832.741,50
10 Fence post BRC 190 ,Dia.2" , t = 2.7 m for barbed wire (Hot Dip galvanized) (New) Pcs 15,00 335.434,78 5.031.521,74 11 BRC fencing type P-190 dia 8 mm (Hot Dip galvanized) (New) Pcs 14,00 1.070.326,65 14.984.573,05 12 Galvanized Barbed wire, clamped on BRC post, 5 rows and zig-zag m' 29,00 52.200,00 1.513.800,00 13 Single slidding door gate L = 3m t = 2.1m with 3 pairs hinge (galvanize) include Master Lock set 1,00 4.456.250,00 4.456.250,00
Access Road -
14 Cansteen m' 6,00 29.219,00 175.314,00
15 Gravel Layer Minimum t = 5 cm for Access Road m2 2,10 17.700,00 37.170,00
16 Sand layer m3 0,30 325.000,00 97.500,00
17 Reinforced Concrete (K-175) m3 0,60 3.100.000,00 1.860.000,00
35.518.270,28
I Other Works
1 Combination Pad Lock for ACPDB Pcs 1,00 216.000,00 216.000,00
2 Additional mobilisation, coordination & transportation - North Sumatera Ls 1,00 15.875.000,00 15.875.000,00
3 Premi material tower (supply by IBS) Ls 0,25% 119.365.497,00 298.413,74
4 Reinforced Concrete (K-175) for marking post m3 0,14 3.100.000,00 434.000,00 16.823.413,74
226.265.514,30
22.626.551,43
248.892.065,73
VAT Grand Total ( CME ) Sub Total - Other Work Total ( CME ) Sub Total - Mechanical & Electrical
Sub Total - Cable Tray Outdoor
Sub Total - Fence & Landscaping
Page 2 of 2
