a
QO ff PERTAMINA
Pertamina Hulu Energi ONWJ
SKKMIQAS ME Tove, 78. Simatpang Kew 80,
Release Order for Services
3700041440
xeeued to 141144 PP. CATUR ELANG PERKASA peliver te skt_oFPICE
BARATA JAYA TV NO.74 KT OFFICE
SURABAYA 00000, Ju, TB, SINATUPANG KAY. 99
indonesia 12520 - SAKARTA SELATAN
panke Account + -MDR-ID-JKT-4636-1270005196512
sales Person: ME Requestor ANDRIAS ATWOKO
Phone No a Purchasing Group + 374-CNWJ-PROD MAINTNCE
Fax No contract Ref, No + 4720002212
Quotation Ref No. currency 2 DR
MATERIAL FOR INSTALLATION DUCTING OF HVAC FOXTROT Page 1 of 2
start Date 04 Feb 2020
Bad Date 05 mar 2020
SERVICE TO BE PROVIDED
No. Deseription ‘TOTAL PRICE
10 Material for Installation ducting of HVA 1a 3.834.320
1450009402 / 00030
consist of:
1 88 Steel Rod MB for beam Clomp
Quantity 9: 2A
unit Price : 412.058
Sub Total + 825.716
2 5 Bolt & Mut MB ¢/u Washer Plate
Quantity | 40 BR
Unit Price : 55.715
‘Sub Total + 2.228.600
2 ig Sav Blade
Quantity: 2 EA
unit Price + 175.715
Sub Total; 351.430
4 Drill bit eize M4 Machi or Baual
created by: ANDRIAS ATHOKO=
QO 7 PERTAMINA
Pertamina Hulu Energi ONWJ
PRE Tower T8.Simetvpang Kev 98
skkmigas Fra
Release Order for Services
3700041440
Page 2 of 2
Start Date 04 Feb 2020
znd Date 05 Mar 2020
SERVICE 70 BE PROVIDED
No. Description
Quantity =: 4 BA
Unit Price + 107,143
Sub total + 428.572
‘roma, PRICE
Total 3.934.318
i ‘Tax! 383.432
fey fe sors (R LLIN RGHED GREEDY IGG FRY NED FPF ‘Grand Total 4.217.750
[SHES ORIGINAL MOST BE RETURNED WITH YOUR INVOICE TO ENSURE PAYMENT BY FINANCE DEPARTMENT
= ror a Service Order created with reference to a Contract, the terns and conditions
(including pricing / schedule of rates) stipulated in the Contract shall apply.
For Service Order created without reference to a Contract, the attached Service
order General Terms and Conditions apply.
wot
Intended Us!
Material for Installation ducting of HVA
Acknowledged & Agreed on behalf of
LANG PERKASA
141144 - Pr.
Name : Moctis
eve
Title 1 VIPERA inn
‘STAMP DUTY
(SIGNATURE)
Requestor's name : ANDRIAS ATMOKO
Date (a8/me/yyyy) A / 1/220"
Approved By +
pate (aa/mn/yyyy): OY/oL-/ Zo Tsa
AV PERTAMINA
COST ESTIMATE PHE ONWJ
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SAP Cretes< "TECIMCAL SERVICE CONTRACTOR ELETUCAL MAINTENANCE AND REPAIR SERVICE x
7s ‘CONTRACT NO. 4710002312 (A PERTAMINA
sansa PT. PERTAMINA HULU ELERGI OFFSHORE NORTH WESTJAVA
REQUEST FOR QUOTATION
sakara,4Febuan 2020,
Nomar osrfcer/Pnetetica 20
epada yi,
7. eran Hla Enery Ofshore Nex Westsau8
Pureantoonts}u Arad, TowsrF
1.8 Smatpargion 88
basa 1520
‘va. andi umko
‘Dengan oa,
Bern nmin senewara ara unk peceean Supt Mate fr hstallon Ducting ot HVAC at FPO FER
Sabagainana lan yong ees dengan data Conret No (7100002112 eit
|Sipiy ater for instalation Ducting of HVAC st FBRO PER
55 Stee fod Mi for beam Comp
5 Bot & Nut chv Washer
sig Saw Blade
(elit sine NW Nahi or Eel
‘Gursisafwont 78 ay
category Supply
DerkanPenaaran yang tampa, la prhaan sea herasamens tr eaplantorina kash
Propaseaby, sooroeedy,
x PT. Pertarsing Hulu Energi Ofishore North West av
“hin S
nur wardens sos aemao
Project Manse ‘SeetealMainarance Tem LanderNo Deskripsi Meterial vom] Bees
S_| Ol Emkorate RB OST CAN | 6428,572.00
'36_| Fist Duet (Ductal) 1.2 x2 meier tor_|10.252,000.00
37_[ Armollex for Ducting tor_|— 4,000,000.00
38_| Armolex for Piping Lor_|4,000,000.00
39_| Glue for Armafiex -Superion TOT [_2,142,858.00
40_[ Epoxy Piste Steel tor | 2571,429.00
1_| Duct Tope 1OT_| —2,392,858.00
@2_| Aluminium Tope tor [_2571,429.00
43_| Double Nipple 1/4 Brass er Copper fA 642,858.00
44 | Double Nipple 1/2°- Bross or Copper EA 714,286.00
45_| Double Nipple 3/4". Bross or Copper fA 1,071 429.00,
46_| Double Nipple 3/8" Brass or Copper EA 1.178,572.00
47_| Double Nipple 5/8 Brass er Copper EA 1,357,143.00
48_| Double Nipple 7/8" Bross or Copper EA_|___1,392,858.00
49 _| Double Nipple |" - Bross or Copper fA 1,392,858.00
30 Bross or Copoee EA 1,785,715.00
31 Brass o- Copper EA 1,857,143.00
52 Bross o¢ Copper EA 2,000,000.00
53_| Double Nipple 1 1/2". Bross oc Copper A 2,07 1,429.00
'54_| Double Nipple 2 - Brass or Copper EA 2, 142,858.00
'55_| Pillow Block Bearing EA 6,428,572.00
'56__| Adopior for Plow Block Beoring FA 000,000.00
57 | Regulator Nirogent (N2) fA_[33,214,286.00
4.7 Consumable Materials for Contruction Activity
No | Deshipsi Material vom OR
1_| Goble Giend Size 1 Inch chw Cold shvink tor 385,715.00
2__| Coble Glond Size 11/4 Inch c/w Cold shrink tor 535,715.00
3 | Coble Glond Size_1 1/2 Inch c/w Cold shrink tor 568,572.00
4_| Coble Glond Size 2 Inch c/w Cold shrink Lor (642,858.00
'5_| Myer Hub 1", Crouse Hinds Aluminium A 392,858.00
6 _| Myer Hub 1 1/4, Crouse Hinds Aluminium fA '500,000.00
7_| Myer Hub 11/2", Crouse Hinds Aluminium A 642,858.00
8_| Myer Hub 2%, Crouse Hinds Aluminium mA 785,715.00
9 | Holesaw for glond 1 inchi fA 111,429.00
10 | Holesaw for glond 2 inchi A 222,858.00
11_| Holesaw for gland 2-1/2 inchi EA 270,000.00
V2 | Reducer 1/2 - 1/4 inchi fA 17,858.00,
13 | Reducer 172-1 inchi fA 28,572.00
14 | Redueer 3/4 = 1 inchi fA '50,000.00
15 | Reducer 1 «1 1/4 inehi A 64,286.00
16 | Redueer |= 11/2 inchi FA 97,143.00
17_| Reducer 1-2 inchi EA 127,143.00
Te i ESE ep
19. | GUAT 1/2" Cross Hind or Equal EA 714,286.00
20_| GUAT 3/4" Cross Hind or Equol fA 857,143.00
Temeien & Bhi C
Korte / Contot No. 4710002112No Deskripst Meterial vom Swat
21_| GUAT" Grass Hind or Equal A 77000,000:00
22_| GUAT 1 1/4" Cross Hind or Equal FA 1,142,858.00
[723 [ GUAT 1/2" Cross Hind or Equal fA 1,357,143.00
24 | GUAT 2° Cross Hind or Equal FA 1,714,286.00
25 | GUAL 1/2" Cross Hind or Equal fA 571 429.00
26 | GUAL 3/4" Cross Hind or Equal EA 642,858.00
27 _| GUAL 1* Cross Hind or Equal cA 785,715.00
28 | GUAL1 1/4" Cros Hind or Equal fA 7,000,000.00
29 | GUAL1 1/2" Cross Hind or Equal ”A T.142,858.00
30_| GUAL 2° Cross Hind or Equal FA 1,428,572.00
31_| GUAX 1/2" Cross Hind or Equal cA 785,715.00
32 | GUAK3/4" Cross Hind or Equal fA 928,572.00
33. | GUAX1: Gross Hind or Equol tA 7,071 429.00
34_[ GUAK11/4° Gross Hind or Equal fA 1,214,286.00
35_[ GUAK1 1/2° Cross Hind or Equal A 1,571 429.00
36 | GUAX 2 Cross Hind o- Equal fA 1,785,715.00
37_| Beam Clamp EA 5,714,286.00
[38 | iz
'39_| SS Stee Rod M10 for beam Clamp tA 431,429.00
40_| SS Stel Rod M1? for beam Clamp mA 540,000.00)
“41_[ MCT Module RM20 Rosect tA 1,639,962.00 |
742. [ MCT Modole RM-30 Roxtect tA 1,810,811.00
23_[ MCT Modble RM.40 Rowect EN 2,114, 865,00
44 [MCT Module RM-60 Rowect EA 2,400,579.00
45_| MCT Modula RM90 Roxiect cs 2,686,293.00
46_| MCT Module RM-120 Roxie fA 2,829,151.00
47_| Wedge for MCT Modivle fA 3,876 479.00
“48_| Wedge Clip for MCT Modula eA 144,643.00
49 | Stoyplote for MCT Module FA 260,358.00
'50_[ Lubricont for MCT Medtule fA 731,429.00
51_[ MCT Frome Module FA 1,533,215.00
'52_| Cable 1C x 16 AWG (1.5 mm] - SIS Coble or Equal ROUAOOMTR 872,143.00
53_| Coble 1Cx 14 AWG (2.5 mm] - SIS Coble or Equal ROL/SOOMTR | —_1,427,143.00
34_| Cable 1C x 12, AWG (4 mmd}- SIS Cable or Equal ROLS0OMTR | _2,259,643.00
55_| Cable 1C x 10 AWG (6 mma) - SIS Cable or Equal ROU/300MTR '3,330,000.00
56 | Tie Mount for wir ightening PACK 334,786.00
57_| Plastic Spiral A 228,572.00
58_| PVC Wire Dut FA 64,286.00,
59 [DIN Rail FA 42,858.00
60_| Cable ug 16 AWG (1.5 mm, TAB or Panduit PACK 50,000.00
1_| Cable Lug 18 AWG (0.75 mm), TAB or Pondut PACK 35,715.00
62. | Cable lig 12 AWG (4 mm), TAB or Panduit PACK 64,265,00
43_| Coble Lug 10 AWG (6 mm), TAB or Panduit PACK 78,572.00
Konak Convct Ne. 4710002312
alamen /2oge 6 don / of 10
Tompron 6 ShureNo Deskripsi Maer! uoM Hea
64 _| Cable Lug BAWG (10 mm, T8B or Panduit PACK 972,858.00
65_| Cable lug 6 AWG (14 mm], T&B or Panduit PACK 707,143.00
56 | Coble Lug 4 AWG (25 mm), T&B or Panduit EA 121,429.00
‘67 | Coble Lug 2 AWG (35 mm), T88 or Panduit EN 135,715.00
68_| Coble Lug 1 AWG (35 mm), T&B or Panduit EN 150,000.00
69 | Coble Lug 1/0 AWG (50 mm), T88 or Ponduit BA 164,286.00
70_| Coble Lug 2/0 AWG {70 mm), 188 or Ponduit EN 178,572.00)
71_| Coble Lug 4/0 AWG {120 mm), T&B or Ponduit EA 192,858.00
72 | Coble Lug 250 MCM/AWG (120 mm), T&B 0 Pand EN 207,143.00
73 | Coble lug 350 MCM/AWG (185 mm), T&B or Panduit FA 221,429.00
74_| Coble Lug 500 MCWAWG_(240 mm), T&B or Panduit EA 235,715.00
75
76 | SS Cable Ties PACK 1,428,572.00
77 | Plostic/Vynil Cable Ties PACK 100,000.00
78_| Scoth 23 - 3M, Rubber FA 100,841.00
79 | Scoth 33 - 3M, Vinyl FA 78,992.00
80_| Scoth 34 - 3M, Vinyl FA 90,757.00
81_| Scoth 35 - 3M, Vinyl fA 119,328.00)
82 | Scoth 70. 3M, Rubber [High Volioge) FA 647,059.00
'83_| Sond Poper fA 10,000.00
'84_| Electrical Cleoner- Chesterton or Equal fA 512,606.00)
85 | Insvletion Vernish FA 258,572.00
86 | Nylon Rope for Heoterinicllction fA 7,008,404.00
87_| Round Belt Healer 120 V, 500 W FA 1,251,429.00
‘86 | Round Belt Heater 120V, 300 W fA 1,771 429.00
89 | Multipurpose Grease fA 201,681.00
90 | Wire Rope Grease, Chesierion or Equal fA 292,437.00
91_| RIV Seolent FA 50,421.00
92 | Ani Seize EA 3.109,244.00
93_| Pen Marker FA 672,269.00
94 | Seol Tape fA 78,992.00
95 | Poper tokban EA 33,614.00
96 | Plosiic Lokbon fA 57,143.00
97_| Lock Tight 565 fA 478,992.00
98 _| Electrical Lubricant WO-40 or equal FA 216,807.00)
99 | Electrical Contact Greose fA 1,176,303.00
100 | Wire Morker 16 AWG (1.5 m2) PACK 707,143.00
101 | Wire Worker 14 AWG [2.5 m2) PACK 764,286.00
102 | Wire Morksr 12 AWG (4 mm2) PACK 702,858.00 |
103 | Wire Marker 10 AWG [6 mm2) PACK 614,286.00)
104 | Wire Morker 8 AWG (10 mm2) PACK 785,715.00)
105 | Wire Marker 6 AWG (16 mm PACK 892,858.00
106 | Wire Morker 4 AWG (25 mm PACK 7,000,000.00
Toraver Bhi
Kenrat / Cnet. 4710002112
Halaman Poge 7 dart / of 10No. Deskrips! Material UOM Ee
150 | Bok & Nut M12 c/w Washer Plate 38,572.00
151 | Bolt & Nut M14 c/w Washer Plate 42,858.00
152 | SS Bolt & Nut Md c/w Wesher Fle 47,143.00
153 | SS Bolt & Nu! Mé c/w Washer Plate ‘51,429.00
154
155 | $5 Bolt & Nut MIO c/w Wosher Plate fA 0,000.00
156 | SS Bolt & Nut MI2 c/w Wesher Plote FA 64,286.00
157 | S$ Boll & Nut M4 c/w Wosher Plote EN 68,572.00
158 | Topping Screw M4 EA 21,429.00
159 | Tapping Screw M6 FA 25,715.00
140 | Tapping Screw MB. EA 30,000.00
161 | Topping Serow M10 EA 34,286.00
142 | Topping Screw M2 FA 38,572.00
163 | Fisher M6 FA 21,429.00
164 | Fisher MB EA 25,715.00
165 | Fisher M10 EA 30,000.00
166 | Fisher M12 fA 34,286.00
167 | Dynabolt M6 EA 38,572.00
168 | Dynabott M8. EA 42,858.00
169 | Dynabolt M10, fA 47,143.00
170 | Dynobalt M12 BA 51,429.00
171 | Unistrut Chonsel fA 128,000.00
172 | Spring Nut e/w Bolt Ma EA 10,715.00
173 | Spring Nut c/w Bolt M& fA 121,429.00)
174 | Spring Nut e/w Bolt MB EN 15,715.00
175 | Spring Nut e/w Bolt M10 fA 21,429.00
176 | Spring Nut c/w Bolt MI2 FA "30,000.00
177 | Cooper Free Aumurivm Cable Trey 100 mm EA 621,429.00)
178 | Cooper Free Alumurium Cable Trey 150 mm EA 871,429.00
179 | Cooper Free Alumunivm Cable Trey 200 mm EA 1,177,143.00
180 | Cooper Free Alumunium Cable Ledder 100 mm FA 900,000.00
181 | Cooper Free Alumunium Coble Lodder 150 mm EN 928,572.00
182 | Cooper Free Alumunium Cable Ledder 200 mm fA 957,143.00)
183 | SS Bolt for Jointing Cable Ladder / Tra FA 10,000.00
184 | Aluminium Splice Plate for Cable Ladder /Troy A 37,143.00
Horge di clos honyo digunckon untuk kebutuhon The above rotes shall only be used for urgent and
mendesok dan dorurot untuk suku codang kelistikan
penting uniuk mendukung fosiites produksi_ dalam
‘mencegeh Shutdown don kehilongon predulsi, juge
dolom mendukung kebutuhon bahon tambahon selamo
‘odifikasi perololan kelisikon yang sudah urong,
Kendisi borikut beriaky untuk horgo dislos
‘emergency material requirement of electrical eral
part To support production faciliies in preventing
shut down and loose production, oso in supporting
odditional —moteviols requirement during
‘modification of obsolete electrical equipment
The following condilions sholl apply for the above
Temiron 6 Bite
Konak f Conrct No. 4710002112
Holomon / Page 9 don / of 10