Professional Documents
Culture Documents
Dear Sir/Madam,
This Request for Quotation is open to all legally-constituted companies that can provide the requested
services and have legal capacity to perform in the country, or through an authorized representative.
I. About UNFPA
UNFPA, the United Nations Population Fund (UNFPA), is an international development agency that works to
deliver a world where every pregnancy is wanted, every child birth is safe and every young person’s potential
is fulfilled.
UNFPA is the lead UN agency that expands the possibilities for women and young people to lead healthy
sexual and reproductive lives. To read more about UNFPA, please go to: UNFPA about us
Objective:
The objective of the RFQ is to identify a supplier who can provide UNFPA with the above mentioned product.
The selected vendor is expected to provide such product, based on specific Purchase Orders submitted to
the vendor.
II. Questions
Questions or requests for further clarifications should be submitted in writing to the contact person below:
The deadline for submission of questions is Monday, February 11th 2018 at 17:00 Jakarta Time1. Questions
will be answered in writing and shared will parties as soon as possible after this deadline.
1
http://www.timeanddate.com/worldclock/city.html?n=69
1 of 7
United Nations Population Fund
7th Floor Menara Thamrin
Jl. M.H. Thamrin Kav.3, Jakarta 10250
E-mail: indonesia.office@unfpa.org
Website: indonesia.unfpa.org
Quotations should be prepared based on the guidelines set forth in Section III above, along with a properly
filled out and signed price quotation form, are to be sent by e-mail to indonesia.office@unfpa.org no later
than: Monday, February 18th 2018 at 23:59 Jakarta Time2.
X. Zero Tolerance
UNFPA has adopted a zero-tolerance policy on gifts and hospitality. Suppliers are therefore requested not to
send gifts or offer hospitality to UNFPA personnel. Further details on this policy are available here: Zero
Tolerance Policy.
2
http://www.timeanddate.com/worldclock/city.html?n=69
2 of 7
United Nations Population Fund
7th Floor Menara Thamrin
Jl. M.H. Thamrin Kav.3, Jakarta 10250
E-mail: indonesia.office@unfpa.org
Website: indonesia.unfpa.org
XII. Disclaimer
Should any of the links in this RFQ document be unavailable or inaccessible for any reason, bidders can
contact the Procurement Officer in charge of the procurement to request for them to share a PDF version of
such document(s).
3 of 7
United Nations Population Fund
7th Floor Menara Thamrin
Jl. M.H. Thamrin Kav.3, Jakarta 10250
E-mail: indonesia.office@unfpa.org
Website: indonesia.unfpa.org
Quoted rates must be exclusive of all taxes, since UNFPA is exempt from taxes.
The format provided shall be used as a model in preparing the Price Quotation. The format includes specific
expenditures, which may or may not be required or applicable but are indicated to serve as examples.
In case of discrepancy between unit price and total price, the lower price shall prevail and the higher price shall be
corrected. If the Bidder does not accept the correction of errors, its Proposal will be rejected.
Description Price
Unit
Packaging and handling All-in 1 package
Vendor’s Comments:
I hereby certify that the company mentioned above, which I am duly authorized to sign for, has reviewed RFQ Nº
UNFPA/IDN/RFQ/19/001 including all annexes, amendments to the RFQ document (if applicable) and the responses
provided by UNFPA on clarification questions from the prospective service providers. Further, the company accepts the
General Conditions of Contract for UNFPA and we will abide by this quotation until it expires.
4 of 7
United Nations Population Fund
7th Floor Menara Thamrin
Jl. M.H. Thamrin Kav.3, Jakarta 10250
E-mail: indonesia.office@unfpa.org
Website: indonesia.unfpa.org
ANNEX I:
General Conditions of Contracts:
De Minimis Contracts
This Request for Quotation is subject to UNFPA’s General Conditions of Contract: De Minimis Contracts,
which are available in: English, Spanish and French
5 of 7
United Nations Population Fund
7th Floor Menara Thamrin
Jl. M.H. Thamrin Kav.3, Jakarta 10250
E-mail: indonesia.office@unfpa.org
Website: indonesia.unfpa.org
ANNEX II:
BIDDER IDENTIFICATION FORM
UNFPA/IDN/RFQ/19/004
1. Organizational Information
Company/Institution Name
Telephone/FAX
Website
Date of establishment
Production Capacity
Subsidiaries (indicate names of subsidiaries and
addresses, if relevant to the Bid)
Commercial Representatives in the country:
Name/Address/Phone (for international companies
only)
2. Expertise of Staff
Total number of staff
Number of staff involved in similar contracts
3. Contact details of persons that UNFPA may contact for requests for clarification during Bid
evaluation
Name/Surname
6 of 7
United Nations Population Fund
7th Floor Menara Thamrin
Jl. M.H. Thamrin Kav.3, Jakarta 10250
E-mail: indonesia.office@unfpa.org
Website: indonesia.unfpa.org
ANNEX III:
BIDDER’S PREVIOUS EXPERIENCE
UNFPA/IDN/RFQ/19/004
Contact Date of Contract
Order person, service Amount
Satisfactory
No. & Description3 Client phone
completion
Date number, From To (Currency)
email address
3
Please indicate relevant contracts to the one requested in the RFQ.
7 of 7
United Nations Population Fund
7th Floor Menara Thamrin
Jl. M.H. Thamrin Kav.3, Jakarta 10250
E-mail: indonesia.office@unfpa.org
Website: indonesia.unfpa.org
ANNEX IV
DAFTAR ALAMAT PENGIRIMAN DAN JUMLAH MEDIA KIE YANG AKAN DIKIRIM
PROGRAM HIV-AIDS
Note : berat 1.5 kg/200 pc leaflet (7.5gr/pc leaflet)
berat 7.36kg/200 pc booklet (36.8gr/pc booklet)
pc pack (isi 200 pc)
Media Kie Media KIE Media Media Kie Media KIE Media KIE
NO Alamat Pengiriman Penerima Jabatan Telp
FSW MSM/TG KIE PWID FSW MSM/TG PWID
2
Fatayat NU Jawa Timur
Jl. Masjid Al Akbar Timur No.9, Surabaya, Jawa Timur Ibu Hikmah Bafaqih 0821-4182-1296 0 7000 0 0 35 0
Yayasan KAPETA
3
Jl. Pluto Dalam I, No 8, Villa Cinere Mas, Kelurahan Pisangan, Kec
Ciputat Timur, Tangerang Selatan, Banten, 15419 Bpk. Indhi Sadrha 0815-1960-8074 0 9000 400 0 45 2
4
Jakarta 0 0 4000 0 0 20
7
PKBI Jawa Timur
Jl. Indragiri No 24, Kec Wonokromo, Surabaya, Jawa Timur, 60241 Ibu Zahrotul Ulya 0838-3999-9090 0 8600 500 0 43 2,5
8
PKBI Kalimantan Timur
Jl. Letjend Suprapto. No 1, Samarinda, Klaimantan Timur, 75123 Bpk. Moeran Gautama 0812-5301-865 5000 12600 500 25 63 2,5
10
Yayasan PONTIANAK PLUS
Jl. Gusti Hamzah, Gg Nursalim No 5B, Pontianak, Kalimantan Barat Bpk. Syarizal Alkadrie 0821-5209-5458 0 5000 500 0 25 2,5
PPTI Balikpapan
11
Jl. Adil Makmur RT 23, No 01, Kelurahan Baru Ulu, Balikpapan
Barat, Kalimantan Timur, 76133 0542-850310 0 5600 0 0 28 0
Yayasan REDLINE
13
Jl. Hasyim Ashari, Gg Mawar 37A, Banjarmelati, Mojorotoo, Kota
Kediri, Jawa Timur, 64114 Bpk. Hanjar Makhmucik 0822-5767-7477 0 6000 0 0 30 0
DAFTAR ALAMAT PENGIRIMAN DAN JUMLAH MEDIA KIE YANG AKAN DIKIRIM
PROGRAM HIV-AIDS
Note : berat 1.5 kg/200 pc leaflet (7.5gr/pc leaflet)
berat 7.36kg/200 pc booklet (36.8gr/pc booklet)
pc pack (isi 200 pc)
Media Kie Media KIE Media Media Kie Media KIE Media KIE
NO Alamat Pengiriman Penerima Jabatan Telp
FSW MSM/TG KIE PWID FSW MSM/TG PWID
17
Yayasan BAHTERA
Jl. Cijerah, Gg. Al Hidayah No 40, Bandung , Jawa Barat, 40213 Bpk. A Tamami Zain 0812-2339-928 0 12000 500 0 60 2,5
Yayasan GRAPIKS
19
Komplek Bina Karya 1, C56, RT 03/13, Cimekar Cileunyi, Bandung,
Jawa Barat, 40393 Bpk. Kartono 0812-1473-7876 0 8400 2800 0 42 14
22
Yayasan LENSA SUKABUMI
Jl. Yulius Usman No. 04, Sukabumi, Jawa Barat Bpk. Mahbub Alpariji 0857-2061-6292 0 10600 1100 0 53 5,5
25
Yayasan SRIKANDI PASUNDAN
Jl. Sarimanah Blok 10 no 99, Sarijadi, Bandung, Jawa Barat, 40151 Riri Wirayadi 0821-2033-1973 0 15000 0 0 75 0
26
kota cirebon 0 13400 1700 0 67 8,5
Yayasan Caritas PSE
Jalan W.R. Supratman, Pasar IV, Lingkungan V, Kelurahan Lubuk
27
Pakam I-II, Kec Lubuk Pakam, Kab Deli Serdang, Sumatera Utara,
20511 Bpk. Mangatur Markus Manurung 0812-6492-106 0 3000 500 0 15 2,5
DAFTAR ALAMAT PENGIRIMAN DAN JUMLAH MEDIA KIE YANG AKAN DIKIRIM
PROGRAM HIV-AIDS
Note : berat 1.5 kg/200 pc leaflet (7.5gr/pc leaflet)
berat 7.36kg/200 pc booklet (36.8gr/pc booklet)
pc pack (isi 200 pc)
Media Kie Media KIE Media Media Kie Media KIE Media KIE
NO Alamat Pengiriman Penerima Jabatan Telp
FSW MSM/TG KIE PWID FSW MSM/TG PWID
28
Yayasan Galatea
Jalan Danau Marsabut No. 79 A Medan, Sumatera Utara, 20111 Bpk. Badurani Lubis 0812-6511-276 0 8000 500 0 40 2,5
29
Kota Kendari 0 4800 0 0 24 0
LKKNU Gorontalo
30
Jl. Bypass, kel Pauwo, Kec Kabila Kab Bone Bolaango, Gorontalo,
96583 Bpk. Yunus Asssagaf 0812-4482-818 0 5000 0 0 25 0
32
Kota Jayapura 0 3000 0 0 15 0
36
Yayasan GAYA DEWATA (YGD)
Jl. Sakura IV, No.8, Denpasar, Bali, 80233 Bpk. Christian Supriyadinata '0812-3681-0000 0 11200 800 0 56 4
Yayasan KALANDARA
43
Jl. Duku No 57, lamper Kidul
Kec. Seamrang Selatan, Kota Semarang< Jawa Tengah, 50249 Bpk. Yacobus Kristono 0812-2811-166 0 10600 0 0 53 0
Lingkungan Hidup (LPPSLH)
Jl. Jatisari No.28 Kelurahan Sumampir Kec.Purwokerto Utara Kab.
44
Banyumas, Jawa tengah, 53125
Bpk. Bangkit Ari Sasongko 0815-4887-3580 3000 10000 400 15 50 2
46
Fatayat NU Jawa Tengah
Jl. Dr. Cipto, 180, Semarang, jawa tengah, 50125 Ibu. Khizanaturrohmah 0812-2533-0777 0 11000 800 0 55 4
PKBI Jambi
55
Jl. Dara Jingga No. 49, Jambi 36143
Telp. (0741) 7554579 Helina Erika Siregar / Elin Koordinator
081268972308
IU 3000 15
DAFTAR ALAMAT PENGIRIMAN DAN JUMLAH MEDIA KIE YANG AKAN DIKIRIM
PROGRAM HIV-AIDS
Note : berat 1.5 kg/200 pc leaflet (7.5gr/pc leaflet)
berat 7.36kg/200 pc booklet (36.8gr/pc booklet)
pc pack (isi 200 pc)
Media Kie Media KIE Media Media Kie Media KIE Media KIE
NO Alamat Pengiriman Penerima Jabatan Telp
FSW MSM/TG KIE PWID FSW MSM/TG PWID
OPSI Banten
60
Jl. Lingkar Selatan - Perumahan Citraland Puri Blok D6 No. 9
Ciracas, Kota Serang, Banten RR. Ratu Reza Umami Koordinator
081906226000
IU 7400 37
66
PKBI Cab Kota Bandung
Jl. Pasir Kaliki No. 26 Bandung 40181 GANJAR SUTISNA KOORDINATOR
081322891933
IU 7000 35
69
SOKOGURU Foundation
Jl. Sembungan Utara No. 264 Ungaran, Kab. Semarang SUTARDI KOORDINATOR
081325061442
IU 7000 35
DAFTAR ALAMAT PENGIRIMAN DAN JUMLAH MEDIA KIE YANG AKAN DIKIRIM
PROGRAM HIV-AIDS
Note : berat 1.5 kg/200 pc leaflet (7.5gr/pc leaflet)
berat 7.36kg/200 pc booklet (36.8gr/pc booklet)
pc pack (isi 200 pc)
Media Kie Media KIE Media Media Kie Media KIE Media KIE
NO Alamat Pengiriman Penerima Jabatan Telp
FSW MSM/TG KIE PWID FSW MSM/TG PWID
Yayasan Tekad
70
Jl. Arum Blok B7, RT.02/RW.10, Kel. Randugunting, Kec. Tegal
Selatan, Kota Tegal ANANG KOORDINATOR
08156533181
IU 6000 30
71
PKBI Kalimantan Barat
Jl. Letjend No. 17A Pontianak, Kalimantan Timur. 78121 Ishak Koordinator
0896-4804-4498
IU 4600 23
72
PKBI Kalimantan Selatan
Jl. Brigjend. Hasan Basri No. 24A, Banjarmasin, 70125. Hapniah Koordinator
0811-5180-582
IU 3600 18
73
PKBI Kalimantan Tengah
Jl. Putri Junjung Buih I No. 2, Palangkaraya, Kalimantan Tengah Alin Koordinator
0812-4955-2551/
IU 0815-2841-1711
1400 7
SuaR Indonesia
75
Jalan Dandang Gendis Perum pondok Doko Indah Blok A Nomer 1,
doko kecamatan Gampeng Kabupaten Kediri Bayu Koordinator
0823-3503-2881/
IU 0811-3674-114
9000 45
76
Yayasan Paramitra
Jl. Ir. Sukarno No.369 Kota Batu Iwan Koordinator
0812-3358-712
IU 4000 20
DAFTAR ALAMAT PENGIRIMAN DAN JUMLAH MEDIA KIE YANG AKAN DIKIRIM
PROGRAM HIV-AIDS
Note : berat 1.5 kg/200 pc leaflet (7.5gr/pc leaflet)
berat 7.36kg/200 pc booklet (36.8gr/pc booklet)
pc pack (isi 200 pc)
Media Kie Media KIE Media Media Kie Media KIE Media KIE
NO Alamat Pengiriman Penerima Jabatan Telp
FSW MSM/TG KIE PWID FSW MSM/TG PWID
Laskar Jember
77
Perum Taman Muktisari Blok Anggrek No. 12 A- Kelurahan Tegal
Besar Kecamatan Kaliwates Jember Jawa Timur Khamid Direktur 0852-0497-3822 8000 40
78
Yayasan Orbit
Jl. Bratang Binangun 5c No. 19 Surabaya Jawa Timur. Faisol Koordinator
0856-4621-4751/
IU 0822-3298-9124
5400 27
79
Yayasan Bambu Nusantara
Jl. Nginden Intan Utara No.32 Surabaya Titik Koordinator
0812-3061-537
IU 2000 10
80
Yayasan Citra Usadha Indonesia
Jl. Sarigading Timur No. 1 Denpasar Bali Wayan Yudana Koordinator
0819-3655-0003
IU 5000 25
81
Yayasan Kerti Praja
Jalan Raya Sesetan No. 270 Denpasar, Bali Wayan Swastina Koordinator
0851-0117-8871
IU 9000 45
Yayasan Inset
82
Jalan Kesra Raya No. 62 Perumnas Tanjung Karang Permai,
Ampenan, Mataram Yudi Kusnagin Koordinator
0821-4448-8196
IU 1400 7
83
Yayasan Tanpa Batas
Jl. Percetakan Cendana no.01 Fonten Kupang Deni Sailana Koordinator
0813-3333-1476
IU 2400 12
DAFTAR ALAMAT PENGIRIMAN DAN JUMLAH MEDIA KIE YANG AKAN DIKIRIM
PROGRAM HIV-AIDS
Note : berat 1.5 kg/200 pc leaflet (7.5gr/pc leaflet)
berat 7.36kg/200 pc booklet (36.8gr/pc booklet)
pc pack (isi 200 pc)
Media Kie Media KIE Media Media Kie Media KIE Media KIE
NO Alamat Pengiriman Penerima Jabatan Telp
FSW MSM/TG KIE PWID FSW MSM/TG PWID
85
PKBI Sulawesi Tengah
Jl. Pue Bongo Lr. Lekatu No.7 Palu Yospina Koordinator
0821-8989-4280
IU 2000 10
Yasobat
87
Kampung Katemba RT 2 Distrik Fakfak Tengah, Kode Pos 98613,
Papua Barat Rhyan Daffa IU Koordinator
082248223545 1400 7
PTPS Manokwari
88
Jl. Swapen Perkebunan No.51 Manokwari Kode Pos 98312, Papua
Barat Saragih IU Koordinator
85244493862 1400 7
YAPARI Sorong
89
Yayasan Papua Lestari Jl. Moyo Permai Blok C No. 61 Klamana
Sorong Timur Kota Sorong 98417, Papua Barat Hilal Achmad IU Koordinator
085244339362 3000 15
90
Klasis GPIP Merauke
Jl. R.E. Martadinata 2 Merauke Kode Pos 99611, Papua Herry Erlely IU Koordinator
081344130402 2400 12
DAFTAR ALAMAT PENGIRIMAN DAN JUMLAH MEDIA KIE YANG AKAN DIKIRIM
PROGRAM HIV-AIDS
Note : berat 1.5 kg/200 pc leaflet (7.5gr/pc leaflet)
berat 7.36kg/200 pc booklet (36.8gr/pc booklet)
pc pack (isi 200 pc)
Media Kie Media KIE Media Media Kie Media KIE Media KIE
NO Alamat Pengiriman Penerima Jabatan Telp
FSW MSM/TG KIE PWID FSW MSM/TG PWID
Yukemdi Wamena
91
Kantor Yukemdi, Jalan JB Wenas no. 17 wesaput. Wamena
Kode Pos 99511, Jayawijaya-Papua Loisa Siburi IU Koordinator
081226930026 1000 5
92
Primari Nabire
Jl. Pipit Girimulyo, PO Box 138 Nabire 98814, Papua Krisna Tohariadi IU Koordinator
085254876446 3000 15
FPPA Mimika
Sekretariat FPPA Kab. Mimika, Jalan Poros Mapurujaya KM.7
93
Timika,
Papua Benny Tulenan IU Koordinator
081240001224 3000 15
Yakenpa
94
Perum. Doyo Baru Grand, Blok C Jalur 1 No.16.
Kabupaten Jayapura 99111, Papua Nani Pundu IU Koordinator
081344755908 2000 10
95 YHI Papua
Gang Bisoka IB No. 83 Kotataraja Dalam 99225, Jayapura-Papua Hiswita Pangau IU Koordinator
0811480645 5000 25
260.400 405.000 37.500 1.302 2.025 188