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Delta Building Blok C13-14

Jl Suryopranoto No. 1-9


Jakarta Pusat 10160, Indonesia
Tel : (62-21) 3809245
PT. Gamma Prima Inotek

Quote No. GPI - 115


Re. Quotation for Depleted Source Cobalt60 Re-export

Mr. Denny Herlambang


Vamed Indonesia
Gedung Menara BTPN Lt 38E
Jl.Dr. Ide Anak Agung Gde Agung Lot 5.5 – 5.6
Kawasan Mega Kuningan, Jakarta
+6221 5091 0330

Dear Mr. Denny,

Refer to your inquiry, we are pleased to submit herewith our best quotation for Depleted
Source Cobalt60 Re-Export Project, Gatot Army Hospital as below:

A. Scope of Work:
1. Importing radioactive container from Canada to Jakarta, Indonesia.
2. Custom clearance and transportation for radioactive container from Soekarno-
Hatta International Airport to Gatot Soebroto Army Hospital.
3. Business visa for foreign expert engineers to Indonesia.
4. Unloading Cobalt-60 source from Teletherapy unit to radioactive container.
5. Disassembling of Cobalt-60 Teletherapy Unit.
6. Wipe Test from BATAN.
7. BAPETEN permit and license as detailed:
 Activation of expired Operational License from BAPETEN for Cobalt-60
Teletherapy unit at Gatot Soebroto Army Hospital.
 Import license of Cobalt-60 source container
 Import permit of Cobalt-60 source container
 Temporary Import license for Decommisioning tool
 Transport permit of Cobalt-60 source container from Soekarno-Hatta
International Airport to Gatot Soebroto Army Hospital
 Export license of depleted Cobalt-60 source
 Export permit of depleted Cobalt-60 source
 Apply Termination Operational Permit
8. Transporting depleted Cobalt-60 source from Gatot Soebroto Army Hospital to
Soekarno-Hatta International Airport.
9. Reporting Radioactive Material Receiving Report to complete the hospital
Operational License.
10. Disposal of Cobalt60 Source at Country of Origin

B. Terms & Conditions:


Delta Building Blok C13-14
Jl Suryopranoto No. 1-9
Jakarta Pusat 10160, Indonesia
Tel : (62-21) 3809245
PT. Gamma Prima Inotek

 Total Price : IDR 6.552.902.800,- (Include VAT 10%)


 Work schedule : after received work confirmation/Purchase Order and
Down Payment
 Work place : Gatot Army Hospital, Jakarta, Indonesia
 Payment terms : - 80% Down payment
- 20% After project finished

Thank you for your kind attention and please do not hesitate to contact us for any
unclear points.

Jakarta, 27th October 2020

Yayat Miharya
General Manager
PT GAMMA PRIMA INOTEK

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