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SIEMENS Healthcare FT Siemans indonesia, °.0. Bon 2460 kona 10001, ndoneea Name Efrta Yeremia Department HC APC ASN INASV-CS BS Kepada Yih Healtheare - Customer Service RUMAH SAKIT MEDIKA BSD CITY Telephone 462 (21) 2754-3121 TANGERANG Fax +662 (21) 2754310113102 Modiio +462 (811) 8715875, E-mail fia yeremia@siemens-healthineers.com Internat wvw.stomens com QuoiationNo HIS/QISP/ >”? Dated April 18, 2019 Subjek : Penawaran Spare Part Subject : Quotation of Spare Part RUMAH SAKIT MEDIKA BSD CITY RUMAH SAKIT MEDIKA BSD CITY Dengan hormat, Dear Sir/Madam, Terima kasih kami ucapkan alas kesempatan yang diberikan We thank you for the given opportunity to propose an offer untuk mengajuken penawaran penggantian suku cadang —_spare parts replacement according to our engineer. Herewith, berdasarkan has! pemeriksaan teknisi kami, Dengan ini kemi_ we would like to offer a spare part that needs to be replaced ‘akan menawarkan suku cadang yang memerlukan for equipment: penggantian segera untuk peralatan: SOMATOM Definition AS Serial No: 64585 Equipment No: 1011560353, Maka dengan ini kami sampaikan penawaran sebagal berikut Therefore we would tke to give an offer as of the following : wo sur adang Spare Pan Pano [REP] ey | tage Pen arn swisies_[ “NO |e OTH }Sub Total IDR ___66,400,000.00 IPPN/VAT 10% IDR 640,000.00. [Total IDR _73,0¢ «pala pata kom Yasen(Rep):YES. Hage + nade (Rep) esau: YES, Thomentone ce i tersebut diatas adalah “harga trade in” artinya barang yang _a “trade in” price which means old or damaged materials lume douse ncnbotan pasa aon! "Rave tote ened oa aso in was waktu 1 minggu. «+ " Pemenuhan perjanjian di pihak Siemens tergantung ‘The fulfilment of the agreement on Siemens’ partis kepada ketentuan / syarat bafwra hal ini tidak dihatangi ‘subject fo the proviso that this shall not be prevented by oleh halangan / kesulitar-kesultan berdasarkan eyaret- impediments on the grounds of national and international syarat hukum nasional dan internasional terutama legal requirements, in particular export control provisions. ketentuan-ketentuan pengawasan ekspor." «+ Harga tersebut dibuat berdasarkan tingkat biaya dan The mentioned price is determined based on current import syarat-syarat import yang berlaku sampai pada tanggal cost and requirements which is valid until the date of this surat penawaran in offering letter. PT Siemans Indonesia Artes Ofoo Park 18% Fog ‘Tel: #6221) 2754.9000 Gain TS: Simaupang Kav 08 Fox 002 (21) 27543553 Poser ldnggu.sakana 2620 ysiomens.com done rsient Commissioner: Hen Shaker, Commoner Rat Cstin oar of Decors: Prakash Charan tars ols Regier Olen J Jond. A. Yan Kav 67-5 Ka Kay Put Ke, Pulopadung, Ket atari Tin SREP No sOB/N/>MAZOGe; NOP No, 01 310105.0-002 00 SF 9.2008.09 Pace 1 102 Loturct Ae a010 SIEMENS ® UA AKT MEDIA CY Quotation No. HIAQIQISP/ 306 Rev ‘SOMATOM Definition AS. Waktu Pengiriman Delivery Time Dapatdelasken cis bahwa su cadan tersebut dak * Please be nfrmed that he spar pa not aval in ada pada persediaan kami sehingga harvs dipesan terlebih OW" Stook there! ee HS ai a a et el dahulu yang akan memerlukan waktu kira-kira 1-3 (satu- Fequifes eppradmately 1-3 (ohe-€xee) Weeks of dewery’ tgs) ifagi lanianya fea etack dl pabrik teroscha ‘when the stock is available in the factory. Pembatalan atas Spareparts yang sudah kami import, __« Cancellation of the spare part which has been imported akan dikenakan biaya administrasi sebesar 30% dari harga shall be penalized for the administration cost amounting sebelum PPN yang tersebut di SPH awal 30% of the Price before Value Added Tax which is quoted in the first quotation Garansi Suku Cadang Warranty of Spare Part + Garansi suku cadang diberikan selama 3 bulan sejak «Warranty of the spare part is given for 3 months since the Berita Acara Serah Terima di tanda tangani Handing over Certificate is signed. Masa Berlaku Penawaran Offering Validity + Penawaran ini beriaku selama 1 ( satu) bulan terhitung + This offer is only valid for 1 (one) month since the above sejak tanggal penawaran tersebut diatas, dan apabiia date of this offering letter, and if there if any change of over {erjaci perubahan nila tukar Rupiah melebini 6% maka 5% of the exchange rate against Rupiah, this offer shall ppenawaran ini akan diperhitungkan kembal need to be recalcuisted. + Penawaran ini dibuat dalam dua bahasa, yaitu Bahasa «This quotation was made in two languages, namely Indonesia dan Bahasa Inggris. Apabila terdapat kalimat Indonesian and English. Should there exist any inaccuracy yang Kurang tepat dalam penerjemahan bahasa, maka _in the translation, the Indonesian language shall be used 2s bbahasa Indonesia aken digunaken sebagai dasar acuan. reference ‘Syarat Pembayaran : Terms of Payment : * 100% Pada saat pekerjaan dilaksanakan, selambat- __* 100% shall be paid within not later than 30 (thirty) days of lambatnya 30 (tiga puluh) hari sejak tanggal faktur. invoice's date when the job is finished. + Pembayaran dapat diakukan melalui transfer ke + Payment can be made via transfer to : Deutsche Bank JL. Imam Bonjol 80 Jakarta Rekening mata uang IDR : 000 ~ 3467 - 00-2 ‘Atas nama / Beneficiary : PT. Siemens Indonesia Demikianlah penawaran kami. Atas pethatian dan We look forward to hearing from you and thank you for kerjasemanya, kami ucapkan terima kasih your attention. Hormat kami/Yours Sincerely, PT. Siemens Indonesia Healthcare Sector Disetujui oleh Technical Manager ‘Commercial Service Unestictes SCF 01200608 Page 2012

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