FORMULIR PERHITUNGAN TINGKAT KOMPONEN DALAM NEGERI DOMESTIC CONTENT CALCULATION FORM

FORMULIR No. : SC-02 Nama Peserta/Bidder Name : PT. KOKAS INDAH PRATAMA Deskripsi/Description Total Nilai Penawaran/ Total Quoted Price: Rp.1.952.628.000,Butir/Item % Komponen Dalam Negeri (KDN)/ Domestic Content (DC) Komponen Dalam Negeri Penawaran/ Quoted Domestic Content Nilai/Value c d=axc % e

Nilai per Item /Item Value a A. BARANG/GOODS I. MATERIAL TERPAKAI Used Materials II. PERALATAN Equipment Sub Total (A) B. JASA/SERVICES III. PERSONIL/KONSULTAN Personnel/Consultant IV. ALAT KERJA/PERALATAN Tools/Equipment V. KONSTRUKSI/FABRIKASI Construction/Fabrication VI. JASA UMUM DLL. Other Services Sub Total (B) C. JUMLAH (T O T A L)= Sub Jumlah A+ B

% b

750.000.000 500.000.000

60 40

450.000.000 200.000.000

23 10

150.000.000

70

60.000.000

710.000.000

36

b : Nilai per Item/Jumlah Nilai Penawaran x 100% e : Nilai KDN Penawaran/Jumlah Nilai Penawaran x 100%

Catatan/Note:
Personil/Konsultan : Personnel/Consultant Alat Kerja/Peralatan : Tools/Equipment Konstruksi/Fabrikasi : Construction/Fabrication : Jasa Umum dll. Other Services etc. Material Terpakai : Material Used Peralatan Equipment Rekayasa, survey perencanaan, pengawasan, manajemen, tenaga kerja, dll. Engineering, research design, supervision, management, personnel etc. Sewa rig, sewa kendaraan, sewa kapal, sewa pompa, dll. Rental of rig, vehicle, barge, pump, etc. Konstruksi sipil, mesin, listrik, dll. Civil, mechanical, electrical construction, etc. Pengurusan, asuransi, sewa rumah, dll. Management handling, insurance, house rent, etc. Pipa, Semen, Chemical, dll. Pipe, Cement, Chemical, etc : Pompa Kompresor, Generator dll Pump, Compressor, Generator, etc

Manokwari, 22 Maret 2011 PT. KOKAS INDAH PRATAMA

Meterai 6000

JULIUS T. SUBAY, SH, MM Direktur Utama