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DAFTAR ISIAN 3 : TECHNICAL PARTICULAR AND GUARANTEE
TPG V.3.1 - TACSR

NO
DESCRIPTION
UNIT
REQUIRED
A.
Stranded Conductor
Appropriate standards
ASTM/JEC
Manufacturer's name
To be mentioned
Sectional area of Aluminium
mm
414
Sectional area of steel
mm
67.3
Total sectional area
mm
481.3
Number and diameter Aluminium Wire
number/mm
26/4.5
Number and diameter Aluminium-clad Steel Wire
number/mm
7/3.5
Overall diameter approximately
mm
28.5
Linear mass (approximately)
kg/km
To be mentioned
kN
136.1
10
Rated strength (minimum)
11
DC resistance at 20C
/km
0.0714
12
Modulus of electricity
Gpa
To be mentioned
13
Coefficient of linear expansion
per C
To be mentioned
14
Length of one drum
1500-2000
15
Approximate gross weight of one drum
kg
To be mentioned
16
Approximate net weight of one drum
kg
To be mentioned
17
Dimension of drum (diameter x weight)
mm x mm
To be mentioned
18
Direction of stranding of outermost layer
BIDDER'S SIGNATURE
Right-hand lay
MANUFACTURER SIGNATURE
(....)
(..)
NTEE
PROPOSED AND GUARANTEE

TPG V.3.1 - TACSR
NO
B.
DESCRIPTION
UNIT
REQUIRED
Individual Wire
For Thermal Aluminium Wires
Appropriate standard
Material
Diameter
Tolerance of diameter
Resistivity at 20C (corresponding to 60% IACS conductivity)
ASTM/JEC
Thermal Alumunium
mm
4.5
-/+ 1
nm
To be mentioned
Density at 20C
kg/dm
To be mentioned
per C
To be mentioned
Constant-mass temperature coefficient of resistance at 20 C
per C
To be mentioned
10
Minimum tensile strength
Mpa
To be mentioned
11
Final modulus of elasticity
Gpa
To be mentioned
For Zinc-Coated Steel Wires

1
Material
Designation according to IEC 61089
Diameter
mm
3.5
mm
-/+ 0.07
Density at 20C
kg/dm
To be mentioned
per C
To be mentioned
Mpa
To be mentioned
Final modulus of elasticity
Gpa
To be mentioned
g/mm
490
Mpa
300
times
Required
10
Minimum mass of zinc coating
11
Initial stress
12
Initial setting of oxtensometer (gauge length 250 mm)
13
Minimum number of twisting on length of 100 x dia
BIDDER'S SIGNATURE
IEC 60888
Regular strength steel
S1B
0.375
(....)
(..)
NTEE

TPG V.3.3 - GROUND STEEL WIRE
NO
DESCRIPTION
UNIT
REQUIRED
A.
Stranded Groundwires
IEC61089
Designation
70-S1B-7
Manufacturer's name
Required
Common name
Number and diameter of steel wire
GSW 70
number/mm
7/3.60
Overall diameter (approximately)
mm
10.8
Sectional area of conductor
mm
71.2
Linear mass (approximately)
kg/km
559.48
Rated Strength (minimum)
kN
84.73
kg/mm
Required
Gpa
11.5 x 106
10
Modules of elasiticity
11
12
Length of one drum
per C
2000
13
Approximate gross weight of one drum
Required
14
Approximate net weight of one drum
kg
Required
15
Dimension of drum (diameter x weight)
kg
Required
16
Direction of stranding of outermost layer
17
Short circuit current capacity (mm)
B.
Individual Wires
Z-type
kA - sec
35
For Zinc-Coated Steel Wires

1
Material
IEC60888
Diameter
mm
3.6
mm
-/+ 0.06
Density at 20C
kg/dm
7.78
per C
11.5 x 106
Mpa
1190
Initial stress
Mpa
300
Initial stetting of extensometer (gauge length 250 mm)
Regular strength steel
0.375
10
Minimum number of twisting on length of 100 x dia
times
Required
11
Minimum mass of zinc coating
g/mm
520
BIDDER'S SIGNATURE
(....)
(..)
NTEE

TPG V.3.6 - CONDUCTOR & EARTHWIRE FITTINGS AND ACCESSORIES
NO
DESCRIPTION
Fittings And Accessories for Conductor
Joint Sleeves
UNIT
- Manufaturer's name
- Materials
- Applied conductor
- Type
- Min. Tensile strength after compressed
Repair Sleeves
- Material
- Applied conductor
- Type
Vibration Dampers
- Manufacturer's name
- Material :
* Counter weight
* Clamp body
* Damper conductor (cable)
- Type
- Weight
BIDDER'S SIGNATURE
kg
(....)
(..)
TECHNICAL PARTICULAR AND GUARANTEE
REQUIRED
Required
Alumunium Alloy and Galvanzed Steel
Comply with conductor type
Compression
95% of the ultimate breaking strength of conductor
Required
Alumunium Alloy
Compression
Required
Galvanized Steel
Alumunium Alloy
Steel Wire Galvanized
Required
Required
(..)

NO
4
DESCRIPTION
UNIT
Spacer
- Materials
- Type
- Weight
kg
Spacer Damper
- Material
- Type
- Weight
II
For Earthwire
Joint sleeves
kg
- Manufacturer's name
- Material :
* For GSW
* For AS
- Type
- Minimum tensile strength after compressed
2
Repair sleeves
- Material
- Type
kg
BIDDER'S SIGNATURE
(....)
(..)
REQUIRED
Required
Required
Required
Required
Required
Required
Required
Galvanized Steel
Alumunium-Clad Steel
Compression
95% of the ultimate breaking strength of earthwire
Required
Alumunium Alloy
Compression
(..)

NO
3
DESCRIPTION
UNIT
Dampers
- Materials
* Counter Weight
* Clamp Body
- For GSW
- For AS
* Damper conductor (cable)
- Type
- Weight
kg
Suspensions clamps
- Applied conductor
- Materials (body)
- Type
- Slip strength
- Ultimate breaking strength
kN
Tension clamps
kN
- Materials (body)
- Type
- Applied conductor
- Ultimate breaking strength
kN
- Slip strength
kN
BIDDER'S SIGNATURE
(....)
(..)
REQUIRED
Required
Galvanized Steel
Galvanized Steel
Alumunium Alloy
Galvanized Steel
Required
Required
Required
Comply with earthwire type
Galvanized Steel
Required
Required
Required
Required
Comply with earthwire type
Galvanized Steel
Required
Required
Required
(..)

TPG V.3.7 - INSULATOR AND FITTINGS INSULATOR UNIT
NO
DESCRIPTION
For Medium Pollution
Appropriate IEC Standars
Designation
Material of Insulator
Dimension
Minimum nominal creepage distance
Electromechanical or mechanical failing load
Type of Coupling (IEC)
Impulse pucture testing in air
Withstand Voltage :
- Wet power-frequency withstand votage test
10
UNIT
mm x mm
mm
kN
mm
kV
kV
Impulse Withstand Voltage (1.2 x 50 us) :

- Dry lightning impulse withstand voltage test
kV
11
Net Weight of one unit
kg
12
Colour of the insulator :

- Porcelain
- Glass
BIDDER'S SIGNATURE
(....)
(..)
REQUIRED
60305
U 120 B
Porcelain / Glass
255 (max.) x 146
295
120
16
Required
40
100
Required
Brown
Required
(..)

TPG V.3.5 - GROUNDWIRES (OPGW) AND ACCESSORIES
NO
1
DESCRIPTION
UNIT
Properties of OPGW as Groundwire

Manufacturer
Standard :
* Optical Fibre
* Alumunium clad steel (AS) wire
* Alumunium Alloy wire
No. of different coloured fiber
Core
No. of bufer tube

Construction
- Alloy wire
Nos
- Alumunium clad steel (AS) wire
Nos
- Fiber Optic metalic tube
Nos
(metalic tube)
Overall diameter (approximately)
mm
Cross Section Area :

* AS Wire (approximately)
mm
* Hard drawn Alumunium or Alumunium Alloy Wire
mm
Alloy Wier (approximately)

Nominal weight (max)
kg/km
Modules of elasticity
N/mm
Coeffient of linear expansion
x 106 / C
Rated tensile strength (min)
kN
Ultimate tensile strength (min)
kN
Maximun tension stress
N/mm
Everyday stress
N/mm
Permanent tensile stress
N/mm
Max. allowable temperature :

- Continous
- For one sec
D.C. Resistance at 20 C (max)

* Mean sub-span with spacer/dampers
Ohm/km
m
* Number of Vabrication dampers per span :

- Span up to 400 metres
- Span over to 400 metress
* Short circuit current capacity (min)
BIDDER'S SIGNATURE
(....)
pcs
pcs
kA - sec
(..)
FTAR ISIAN 3 : TECHNICAL PARTICULAR AND GUARANTEE
REQUIRED
IEC 60793, IEC 60794, ITU - T G. 652D

IEC 61232
IEC 60104
as required
as required
as required
as required
Alumunium tube or alumunium coated stainless steel tube
as required
as required
as required
as required
as required
as required
90.4
as required
as required
as required
as required
as required
as required
as required
as required
as required
as required
35
(..)

TPG V.3.5 OPTICAL GROUNDWIRES (OPGW) AND ACCESSORIES
NO
2
DESCRIPTION
UNIT
REQUIRED
as required
mm
as required
Min. Braking strength
N/mm
as required
Nominal Weight
kg/km
as required
Max. D.C. Resistance at 20 C
ohm/km
as required
Calculated cross section area
mm
as required
as required
Minimum Tickhness of Alumunium
mm
as required
Number of Twist (min)
Nos
as required
N/mm
as required
Commponent Wire
Type
Nominal diameter
Permissible variations in
* Specified
* Diameter
Stress at 1% elongation
BIDDER'S SIGNATURE
(....)
(..)
NTEE

NO
3
DESCRIPTION
UNIT
Construction and Properties of Optical Fibre
REQUIRED
ITU-T G.652D
9.3 + 0.5
Mode Field Diameter at 1310 m
125 + 1.0
Cladding diameter
Max 0.8
Mode field Concentricity error
Max 1.0
Cable cut off wavelength
< 1260
Attenuation at 1310 mm
dB/km
0.35
dB/km
0.33
dB/km
0.23
dB/km
Chromatic dispersion at 1310 mm
ps/(nm.km)
Max 3.5
Chromatic dispersion at 1550 mm
ps/(nm.km)
Max 18
Chromatic dispersion at 1530 ~ 1565 mm
ps/(nm.km)
Chromatic dispersion at 1565 ~1625 mm
ps/(nm.km)
Primary coating
UV Arcylate
Nominal coating diameter
mm
245 + 5
Zero dispersion wavelengths
nm
1300 - 1322
Polarization Mode dispersion (PMD)
ps/km1/2
Max 0.1
Zero dispersion Slope
ps/nmkm
Max 0.092
BIDDER'S SIGNATURE
(....)
(..)
NTEE

NO
4
4.1
DESCRIPTION
UNIT
REQUIRED
Manufacturer
as required
Type
as required
Manual
Stainless Steel
Index Proection Level
IP 65
Number of cable
unit
as required
Cable diameter (max)
mm
as required
Number of Splice Tray
unit
as required
Number of Splice per Tray
unit
as required
Height
mm
as required
Width
mm
as required
Depth
mm
as required
kg
as required
Transportation
-40 to +70
Storage
-40 to +70
Operation
-40 to +70
Relative Humidity
90
Joint Boxes, Gantry Boxes

Joint Boxes
Capacity
Dimensional
Total Weight
Permisible Temperature Range
BIDDER'S SIGNATURE
(....)
(..)
NTEE

NO
4.2
DESCRIPTION
UNIT
REQUIRED
Manufacturer
as required
Type
as required
Material
Stainless Steel
Index Proection Level
IP 65
Number of cable
unit
as required
Cable diameter (max)
mm
as required
Number of Splice Tray
unit
as required
Number of Splice per Tray
unit
as required
Height
mm
as required
Width
mm
as required
Depth
mm
as required
kg
as required
Transportation
-40 to +70
Storage
-40 to +70
Operation
-40 to +70
Relative Humidity
90
Gantry Box
Capacity
Dimensional
Total Weight
Permisible Temperature Range
BIDDER'S SIGNATURE
(....)
(..)
NTEE

TPG V.3.7 - INSULATORS AND FITTINGS INSULATOR UNIT
NO
DESCRIPTION
UNIT
REQUIRED
II
For Medium Pollution
Appropriate IEC Standars
Designation
Material of Insulator
Dimension
mm x mm
300 (max) x 170
Minimum nominal creepage distance
mm
370
Electromechanical or mechanical failing load
KN
210
Type of Coupling (IEC)
mm
20
Impulse Puncture testing in air
kV
Required
Withstand Voltage :
kV
45
-Wet power-frequency withstand voltage test

10
60305
U 210 B
Porcelain / Glass
Impulse Withstand Voltage (1.2 x 50 us) :

- Dry lightning impulse withstand voltage test (1.2 x 50 us)
kV
110
11
Net weight of one unit
kg
Required
12
Colour of the insulator :

-Porcelain
-Glass
Brown
Required
BIDDER'S SIGNATURE
(....)
(..)
NTEE

NO
IX
DESCRIPTION
UNIT
REQUIRED
Single
Double
Suspension set
Suspension set
Insulator sets for 2 x ACSR 450-A1/S1B-54/7 and

2 x ACSR 450-A1/SA1A-54/7
Number of strings and dics per string :

- For Medium pollution (U 120 B and U 210 B)
unit
2 x 12
Length of string when streched
mm
Required
Overall creepage distance
mm
Required
Net weight of one set
kg
Required
Ultimate breaking strength of string
kN
2 x 120
Withstand voltage withhout arcing horn :

- Wet power-frequency withstand voltage test
kV
Required
- Dry lightining impulse withstand voltage test (1.2 x 50 us)
kV
Required
kV
Required
kV
Required
- For Medium pollution (U 120 B and U 210 B)
mm
1402
- For Heavy Pollution (U 120 BP and U 210 BP)
mm
1496
Withstand voltage with arcing horn :
Arcing horn gap (approximately) :
BIDDER'S SIGNATURE
(....)
(..)
GUARANTEE
REQUIRED

Single
Double
Tension Set
Tension Set
2 x 12
Required
Required
Required
2 x 210
Required
Required
Required
Required
1168
1360

NO
XI
DESCRIPTION
UNIT
REQUIRED
Single Suspension Insulator String

For Medium Pollution (U 120 B)
Number of strings and dics per string (for jumper)
Length of string when streched
mm
1 x 12
Overall Creepage distance
mm
Required
Wet weight of one set
kg
Required
Ultimate breaking strength of string
kN
Required
Withstand voltage without arcing horn :

kV
Required
kV
Required
BIDDER'S SIGNATURE
(....)
(..)
GUARANTEE
REQUIRED
For Heavy Pollution (U 120 BP)
1 x 12
Required
Required
Required
Required
Required

NO
XII
1
DESCRIPTION
UNIT
Fittings
Suspension Clamps
Manufactur's
Materials (Body)
Type
Appiled conductor
Armour rod
Ultimate breaking strength
kN
Slip strength
kN
BIDDER'S SIGNATURE
(....)
(..)
NICAL PARTICULAR AND GUARANTEE
REQUIRED
Requiered
Alumunium Alloy + Galvanized steel
Required
Comply with conductor type + armour rod
Required
Required
(..)

NO
2
DESCRIPTION
UNIT
Tension Clamps Coppression Type

Manufacturers's name
Material :
* Dead end body and jumper connector
* Steel core with clevis
* Bolt
Minimum tensile strength :
* Dead end clamp
kN
* Jumper connector
kN
Ultimate breaking strength
kN
Arcing Horn
Material
Insulation
Number Insulator
Bolt
Armour Rod
Material
Applied conductor
Type of end from
Diameter
mm
Length
mm
Slip strength
Direction of lay
BIDDER'S SIGNATURE
(....)
(..)
ECHNICAL PARTICULAR AND GUARANTEE
REQUIRED
Required
Alumunium alloy + Galvanized steel
Galvanized steel
Galvanized steel
Required
Required
Required
Required
Galvanized steel
Required
Comply with number of disc per string insulator
Galvanized steel
Required
Alumunium Alloy
Ball
Required
Required
Required
Required
(..)

NO
5
DESCRIPTION
UNIT
Fitting for Suspension String Sets (Suspension Clamp)

Manufacturer's name
Material
kN
Fitting for Tension String Stes (Tension Clamp)

Manufacturer's name
Material
BIDDER'S SIGNATURE
(....)
kN
(..)
REQUIRED
Required
Galvanized Steel
Comply with designation of insulator and number of string
Required
Galvanized Steel
Comply with designation of insulator and number of string
(..)

TPG V.3.8 - Steel Tower
NO
DESCRIPTION
B.
For wind loading conditions the following shall be applied
B.1
Temperature of Conductor
UNIT
a. Highest Temp.
b. Average Temp
c. Lowest Temp
B.2
Wind Pressure
kg/mm
Wind pressure shall be calculated according to IEC 60826

based on wind data which obtain from the nearest meteorogical station
a. Conductor and Groundwires, on the projected area of eatch of them
b. Insulator strings, on the projected of each area of them
c. Tower, on the projected area of members of the sides the wind
pressure shall be applied according to the values above
BIDDER'S SIGNATURE
(....)
(..)
RTICULAR AND GUARANTEE
REQUIRED
150 for TACSR

30
10
TWR Std
40
60
120
(..)

NO
A.
DESCRIPTION
UNIT
General Design Conditions

a. Voltage
kV
b. Number of Circuit
c. Basic Span
d. Loading Span
- Wind Span
All Tower
- Normal Condition
- Broken wire condition
- Weight Span
Suspension tower
- Normal Condition
Tension Tower
- Normal Condition
e. Conductor
f. Maximum Working Tension (T) per Conductor
g. Ground Wire
h. Maximum Working Tension (T) ground wire
BIDDER'S SIGNATURE
(....)
m
m
mm
kg
mm
kg
(..)
REQUIRED
Standar Design
150
4
350
500
400
700
400
700
400
2 x TACSR 410
3400
GSW 70 mm and OPGW 70 mm
1400
(..)

NO
C.
C.1
DESCRIPTION
UNIT
Tower Design Detail

Minimum thickness of members before galvanizing
a. Main angle members
mm
b. Secondary members
mm
c. Secondary untressed members
mm
d. Tension members
mm
e. Gusset plate
mm
mm
C.2
Minimum diameter of Bolt
C.3
Minimum Zinc mass
g/m
a. members
g/m
b. Bolt, Nut, Washer

C.4
Slenderness ratio
a. Tower legs & main members in cross arm and groundwire peaks
b. All orther compression members
c. Secondary members for renforcement of compression members
d. Tension members
C.5
Safety Factor
a. Normal loading conditions
b. Broken wire conditions
BIDDER'S SIGNATURE
(....)
(..)
REQUIRED
Standar Design
6
5
4
5
5
16
Number of immersion in uniformity test
610
550
120
200
250
400
1.5
1.1
(..)

NO
D.
DESCRIPTION
UNIT
Material for Support

Hight Strength Steel material
- Minimum tensile strength
N/mm
- Minimum yield strength
N/mm
- Minimum elogation on 200 m
Mild Strength Steel material

- Minimum tensile strength
N/mm
- Minimum yield strength
N/mm
- Minimum elogation on 200 m
Shear on Bolts
- Mild steel strength
N/mm
- Hight tension steel
N/mm
Bearing on Bolt
- Mild steel strength
N/mm
- Hight tension steel
N/mm
Galvanizing
- Minimum quatity of zinc coating
BIDDER'S SIGNATURE
(....)
g/m
(..)
REQUIRED
370
Required
Required
250
Required
Required
234
350
465
700
610
(..)

NO
E.
DESCRIPTION
UNIT
Clearance Internal to Lines

The configuration of double and four circuit towers
will take info account the following internal clearance
E.1
Groundwire
a. Number per tower
b. Shield angle (max)
E.2
Distance between tower arm and jumper
E.3
Maximum allowable swing angle
deg.
m
a. Suspension
deg.
b. Tension (jumper)
deg.
E.4
Normal Insulation spacing
E.5
Minimum Insulation spacing
(under swing condition)
BIDDER'S SIGNATURE
(....)
(..)
REQUIRED
2
15
1.9
40
20
1.8
1.3
(..)

TPG V.3.8 Steel Tower
NO
DESCRIPTION
Type of insulator set
Maximum angle of deviation
Basic span
Maximum tower base (extension + 0) dimension at ground level

(transerverse x longitudinal)
BIDDER'S SIGNATURE
(....)
UNIT
REQUIRED
AA
BB
CC
Suspension
Tension
Tension
deg
20
40
350
350
350
mxm
(..)
D GUARANTEE
REQUIRED

DD
DDR
EE
Tension
Tension
Tension
60
60
60
350
350
350
AA
BB
CC
DD
Reqiured
DDR
EE
[NAMA PROYEK]
DAFTAR ISIAN 4 : PENYIMPANGAN TERHADAP DOKUMEN PENGADAAN
(1) - Kontraktor harus menyampaikan dalam form ini bahwa penawarannya sesuai atau sesuai sebagian dengan dokumen lelang
(2) - Bila ada penyimpangan / deviasi harus ditulis dalam form ini dan juga bila ada interpretasi lain dari dokumen lelang
NO
I-1
PERNYATAAN TERHADAP DOKUMEN LELANG

Apa penawaran sudah lengkap dan sesuai dengan semua yang diminta
dalam dokumen lelang
I-2
Apa kontraktor akan melengkapi semua kebutuhan yang diminta

dalam dokumen lelang
NO
DAFTAR PENYIMPANGAN / DEVIASI
II - 1
II - 2
II - 3
II - 4
II - 5
II - 6
TANGGAL :
NAMA KONTRAKTOR :
TANDA TANGAN KONTRAKTOR
BAB / No. ITEM
BUKU A, B atau C
OYEK]
RHADAP DOKUMEN PENGADAAN
arannya sesuai atau sesuai sebagian dengan dokumen lelang
ni dan juga bila ada interpretasi lain dari dokumen lelang

STATEMENT OF THE BIDDER
(Please state : YES or DEVIATES as in the list below)
..
..
URAIAN DARI PENYIMPANGAN / DEVIASI
[NAMA PROYEK]
DAFTAR ISIAN 5 : NAMA DAN TEMPAT PABRIK, PENGUJIAN DAN INSPEKSI
(Harus di isi untuk setiap peralatan / material)
NO
URAIAN
Conductor TACSR
Earthwire GSW
OPGW
Insulator Unit
Insulator Fittings
Hardwares For Conductoers TACSR
Hardwares For Earthwire GSW
Accessories For OPGW
Steel Tower
TANGGAL :
NAMA KONTRAKTOR :
NAMA PABRIKAN
ALAMAT PABRIKAN
AN INSPEKSI
ALAMAT TESTING AND

INSPECTION
STANDART UNTUK TESTING

DAN INSPEKSI
[NAMA PROYEK]
DAFTAR ISIAN 6 : SERTIFIKAT HASIL UJI PERALATAN YANG DIMASUKAN DALAM PENAWARAN
(Harus Dilampirkan dalam dokumen penawaran)
NO
URAIAN
Conductor TACSR
Earthwire GSW
OPGW
Insulator Unit
Insulator Fittings
Hardwares For Conductoers TACSR
Hardwares For Earthwire GSW
Accessories For OPGW
Steel Tower
TANGGAL :
NAMA KONTRAKTOR :
NAME OF MANUFACTURER
PLACE OF MANUFACTURER
DATE OF TEST
WARAN
NAME OF
LABORATORY
PLACE OF TESTING AND

INSPECTION
[NAMA PROYEK]
DAFTAR ISIAN 7 : PENGALAMAN DAN KEMAMPUAN PABRIKAN PERALATAN YANG DIMASUKKAN DALAM PENAWARAN
(Kontraktor harus menyampaikan daftar pengalaman dan kemapuan pabrikan dari setiap peralatan / material)
NO
NAMA PERALATAN / MATERIAL
TANGGAL :
NAMA KONTRAKTOR :
NAMA PABRIKAN & ALAMAT
NAMA / LOKASI PROYEK
TAHUN OPERASI
AM PENAWARAN
tan / material)
VOLUME
TANGGAL
[NAMA PROYEK]
DAFTAR ISIAN 8 : PENGALAMAN DAN KEMAMPUAN KONTRAKTOR YANG DIMASUKAN DALAM PENAWARAN
(Kontraktor harus menyampaikan daftar pengalaman dan kemapuan pabrikan dari setiap peralatan / material)
NO
URAIAN PROYEK
TANGGAL :
NAMA KONTRAKTOR :
NAMA & ALAMAT
NAMA / LOKASI PROYEK
TAHUN OPERASI
ENAWARAN
tan / material)
VOLUME
ADA SERTIFIKAT
[NAMA PROYEK]
DAFTAR ISIAN 9 : SPARE PART & TOOLS (MANDATORY)
(1) kontraktor harus mengisi semua type / jenis peralatan (Spare part & Tool), lengkap dengan kapasitas peralatan (bila ada), pabrikan yang memproduks
dan asal negara (bila ada) sesuai jumlah / quantity pada BOQ, semua jenis peralatan yang ditulis adalah merupakan pengadaan
Mandatory Peralatan yang harus diserahkan ke PLN (Owner).
NO
ITEM SPARE PART & TOOLS
TANGGAL :
NAMA KONTRAKTOR :
UNIT
TYPE
MERK
CAPACITY
MANUFACTURER
da), pabrikan yang memproduksi
rupakan pengadaan
COUNTRY
TEST CERTIFICATE
[NAMA PROYEK]
DAFTAR ISIAN 10 : SUBCONTRACOR PROPOSED BY THE BIDDER
The Bidder Shall provide detailed information of subcontractors to be empolyed for execution of a part or
parts the Contact (complete a separate sheet for each subcontractor).
a. Name and incorparated status of the Subcontractor :
b. Registered address of the Subcontractor :
c. Work to be Subcontractor :
d. Subcontractor period :
e. Tools and equipment owned by the Subcontractor :
TANGGAL :
NAMA KONTRAKTOR :
[NAMA PROYEK]
DAFTAR ISIAN 11 : BIDDER'S FINANCIAL QUALIFICATION
The Following information shall be supplied by the Bidders whose attention is drawn to the Section III
Evaluation and Qualification Criteria
a. SIZE OF OPERATION :
Turnover (Rp)
Year
1
2
3
4
5
Average :
b. FINANCIAL POSITION :
Net Income (Loss) (Rp)
Year
1
2
3
4
5
Average :
c.
CASHFLOW CAPACITY :
(Rp)
Note : Evidences for the above shall be submitted with the Bid
TANGGAL :
NAMA KONTRAKTOR :
Rp)
DAFTAR ISIAN 12.1 : TKDN gabungan barang dan jasa untuk material langsung (Bahan baku)
Nama Penyedia Barang / Jasa
Alamat
Nama Pekerjaan
Pemilik Pekerjaan
No. Dokumen
No.
(1)
uraian
(2)
Spesifikasi
(3)
Pemasok /
Negara asal
TKDN (%)
(4)
(5)
Jumlah
(6)
Satuan
Harga satuan
(Ribu Rp)
(7)
Biaya (Rp)
KDN
(8)
(9)
(5)x(6)x(8)
1
2
3
Material Langsung (Bahan Baku)
Ket :
Kolom (9) DN : kolom (5) x kolom (6) x kolom (8)

Kolom (9) LN : (1-kolom(5)) x kolom (6) x kolom (8)
SUB TOTAL
Biaya (Rp)
KLN
TOTAL
(9)
(100%-(5))x(6)x(8)
TKDN Barang
(%)
(10)
DN + LN
DAFTAR ISIAN 12.2 : TKDN gabungan barang dan jasa untuk peralatan (Barang Jadi)
Alamat
Nama Pekerjaan
Pemilik Pekerjaan
No. Dokumen
No.
(1)
uraian
(2)
Spesifikasi
(3)
Pemasok /
Negara asal
TKDN (%)
(4)
(5)
Jumlah
(6)
Satuan
Harga satuan
(Ribu Rp)
(7)
Biaya (Rp)
KDN
(8)
(9)
(5)x(6)x(8)
1
2
3
Peralatan (Barang Jadi)
Ket :
Kolom (9) DN : kolom (5) x kolom (6) x kolom (8)

Kolom (9) LN : (1-kolom(5)) x kolom (6) x kolom (8)
SUB TOTAL
Biaya (Rp)
KLN
TOTAL
(9)
(100%-(5))x(6)x(8)
TKDN Barang
(%)
(10)
DN + LN
DAFTAR ISIAN 12.3 : TKDN gabungan barang dan jasa untuk Manajemen Proyek dan Perekayasaan
Alamat
Nama Pekerjaan
Pemilik Pekerjaan
No. Dokumen
No.
(1)
uraian
(2)
Kualifikasi
(3)
Warga Negara
TKDN (%)
(4)
(5)
Jumlah
(6)
Satuan / Durasi
Harga satuan
(Ribu Rp)
(7)
Biaya (Ribu Rp)

KDN
(8)
(9)
(5)x(6)x(8)
1
2
3
Manajemen Proyek dan Perekayasaan
Ket :
Kolom (9) DN : kolom (5) x kolom (6) x kolom (7) x kolom (8)
Kolom (9) LN : (1-kolom(5)) x kolom (6) x kolom (7) x kolom (8)
SUB TOTAL
Biaya (Ribu Rp)

TKDN Jasa (%)
KLN
TOTAL
(9)
(100%-(5))x(6)x(8)
(10)
DN + LN
DAFTAR ISIAN 12.4 : TKDN gabungan barang dan jasa untuk Alat Kerja / Fasilits Kerja
Alamat
Nama Pekerjaan
Pemilik Pekerjaan
No. Dokumen
No.
(1)
uraian
(2)
Spesifikasi /
pemasok
(3)
Kepemilikan Alat Kerja

Jumlah
Dibuat
Dimiliki
Satuan / Durasi
TKDN %
(4)
(5)
Biaya
Depresiasi /
Sewa (Ribu Rp)
(6)
Biaya (Ribu Rp)

KDN
(7)
(8)
(4)x(5)x(6)x(7)
1
2
3
Alat Kerja / Fasilitas Kerja
Ket :
Kolom (9) DN : kolom (4) kolom (5) x kolom (6) x kolom (7)
Kolom (9) LN : (1-kolom (4)) x kolom (5) x kolom (6) x kolom (7)
SUB TOTAL
Biaya (Ribu Rp)

TKDN Jasa (%)
KLN
TOTAL
(8)
(100%-(4))x(5)x(6)x(7)
(9)
DN + LN
DAFTAR ISIAN 12.5 : TKDN gabungan barang dan jasa untuk Kontruksi / Fabrikasi
Alamat
Nama Pekerjaan
Pemilik Pekerjaan
No. Dokumen
No.
(1)
uraian
(2)
Kewarganegaraan
TKDN %
(3)
Jumlah
(4)
(5)
Durasi
Harga satuan
upah (Ribu Rp)
(6)
Biaya (Ribu Rp)

KDN
(7)
(8)
(4)x(5)x(6)x(7)
1
2
3
Konstruksi / Fabrikasi
Ket :
SUB TOTAL
KLN
(100%-(4))x(5)x(6)x(7)
p)
TKDN Jasa (%)
TOTAL
(9)
DN + LN
DAFTAR ISIAN 12.6 : TKDN gabungan barang dan jasa untuk Jasa Umum
Alamat
Nama Pekerjaan
Pemilik Pekerjaan
No. Dokumen
No.
(1)
uraian
(2)
Pemasok
(3)
Kepemilikan
KDN %
Jumlah
(4)
(5)
Satuan / Durasi
Harga satuan
(Ribu Rp)
(6)
Biaya (Ribu Rp)

KDN
(7)
(8)
(4)x(5)x(6)x(7)
1
2
3
Jasa Umum
Ket :
SUB TOTAL
KLN
(100%-(4))x(5)x(6)x(7)
p)
TKDN Jasa (%)
TOTAL
(9)
DN + LN
DAFTAR ISIAN 12.7 : Rekapitulasi penilaian TKDN Gabungan Barang dan Jasa
A.
Nama Penyedia barang / Jasa
B.
Alamat
C.
Nama pekerjaan
D.
Pemilik Pekerjaan
E.
No Dokumen
Nilai Gabungan Barang dan Jasa
(Ribu Rp)
URAIAN
(1)
Barang
I.
II.
Material Langsung
(Bahan Baku)
Peralatan
(Barang Jadi)
F. Sub Total Barang

III.
IV.
V.
VI.
Manajemen Proyek
Dan Perekayasaan
Alat Kerja / Fasilitas
Kerja
Kontruksi dan
Fabrikasi
Jasa Umum
G. Sub Total Jasa

H. TOTAL Biaya (F+G)
KDN
KLN
(2)
(3)
TOTAL
Ribu Rp
(4)
:
:
:
:
:
TKDN %
TOTAL
% KDN
(5)
Barang / Jasa
Gabungan
(6)
(7)

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DAFTAR ISIAN 3 : TECHNICAL PARTICULAR AND GUARANTEE

TPG V.3.1 - TACSR

Sectional area of Aluminium

Sectional area of steel

Total sectional area

Number and diameter Aluminium Wire

Number and diameter Aluminium-clad Steel Wire

Overall diameter approximately

Linear mass (approximately)

Rated strength (minimum)

Coefficient of linear expansion

Length of one drum

Approximate gross weight of one drum

Approximate net weight of one drum

Dimension of drum (diameter x weight)

Direction of stranding of outermost layer

PROPOSED AND GUARANTEE

DAFTAR ISIAN 3 : TECHNICAL PARTICULAR AND GUARANTEE

Resistivity at 20C (corresponding to 60% IACS conductivity)

Coefficient of linear expansion

Constant-mass temperature coefficient of resistance at 20 C

Minimum tensile strength

Final modulus of elasticity

For Zinc-Coated Steel Wires

Designation according to IEC 61089

Coefficient of linear expansion

Minimum tensile strength

Final modulus of elasticity

Minimum mass of zinc coating

Initial setting of oxtensometer (gauge length 250 mm)

Minimum number of twisting on length of 100 x dia

PROPOSED AND GUARANTEE

DAFTAR ISIAN 3 : TECHNICAL PARTICULAR AND GUARANTEE

Number and diameter of steel wire

Overall diameter (approximately)

Sectional area of conductor

Linear mass (approximately)

Rated Strength (minimum)

Coefficient of linear expansion

Length of one drum

Approximate gross weight of one drum

Approximate net weight of one drum

Dimension of drum (diameter x weight)

Direction of stranding of outermost layer

Short circuit current capacity (mm)

For Zinc-Coated Steel Wires

Coefficient of linear expansion

Minimum tensile strength

Initial stetting of extensometer (gauge length 250 mm)

Regular strength steel

Minimum number of twisting on length of 100 x dia

Minimum mass of zinc coating

PROPOSED AND GUARANTEE

DAFTAR ISIAN 3 : TECHNICAL PARTICULAR AND GUARANTEE

Fittings And Accessories for Conductor

TECHNICAL PARTICULAR AND GUARANTEE

PROPOSED AND GUARANTEE

DAFTAR ISIAN 3 : TECHNICAL PARTICULAR AND GUARANTEE

TECHNICAL PARTICULAR AND GUARANTEE

PROPOSED AND GUARANTEE

DAFTAR ISIAN 3 : TECHNICAL PARTICULAR AND GUARANTEE

- Ultimate breaking strength