rks sma unggulan full item rev
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DOKUMEN PENGADAAN
Nomor:
Tanggal:
Untuk pekerjaan
LANJUTAN PEMBANGUNAN GEDUNG SEKOLAHUNGGULAN
SAMA!NDA TAHAP !!
DENGAN KONTAK """"""""
PAN!T!A PENGADAAN BAANG # JASAD!NAS PEND!D!KAN PO$!NS! KAL!MANTAN T!MU
TAHUN ANGGAAN %&'(
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Da)tar !*+
BAB !, UMUM -
BAB !!, PENGUMUMAN PELELANGAN UMUM DENGAN PAS.AKUAL!/!KAS!
0
BAB !!!, !NSTUKS! KEPADA PESETA 1!KP2 3A, UMUM 3
1. LINGKUP PEKERJAAN 9
2. SUMBER DANA 9
3. PESERTA [P ELELANGAN U MUM /P EMILIHAN L ANGSUNG ] 9
4. LARANGAN K ORUPSI, K OLUSI, DAN NEPOTISME (KKN) SERTA PENIPUAN 9
5. LARANGAN PERTENTANGAN K EPENTINGAN 10
6. PENDAYAGUNAAN PRODUKSI DALAM NEGERI 10
. SATU PENA!ARAN TIAP PESERTA 11
B, DOKUMEN PENGADAAN ''
". ISI DOKUMEN PENGADAAN 129. BA#ASA DOKUMEN PENGADAAN 12
10. PEMBERIAN PENJELASAN 12
11. PERUBA#AN DOKUMEN PENGADAAN 13
12. PERUBA#AN !AKTU 13
., PEN4!APAN DOKUMEN PENA5AAN '6
13. BIAYA DALAM PENYIAPAN PENA!ARAN 13
14. BA#ASA PENA!ARAN 13
15. DOKUMEN PENA!ARAN 13
16. #ARGA PENA!ARAN 14
1. MATA UANG PENA!ARAN DAN $ARA PEMBAYARAN 14
1". MASA BERLAKU PENA!ARAN DAN JANGKA !AKTU PELAKSANAAN 1419. BENTUK DOKUMEN PENA!ARAN 14
20. PAKTA I NTEGRITAS 14
21. PENGISIAN DOKUMEN ISIAN K UALI%IKASI 15
22. JAMINAN PENA!ARAN 15
D, PEMASUKAN DOKUMEN PENA5AAN '-
23. PENYAMPULAN DAN PENANDAAN SAMPUL PENA!ARAN 16
24. PENYAMPAIAN DOKUMEN PENA!ARAN 16
25. BATAS AK#IR !AKTU PEMASUKAN PENA!ARAN 16
E, PEMBUKAAN DAN E$ALUAS! PENA5AAN '-
26. PEMBUKAAN PENA!ARAN 162. E&ALUASI PENA!ARAN 1
2". E&ALUASI K UALI%IKASI 22
29. PEMBUKTIAN K UALI%IKASI 22
/, PENETAPAN PEMENANG %6
30. PENGUMUMAN PEMENANG 23
31. SANGGA#AN 23
32. SANGGA#AN BANDING 23
G, PENUNJUKAN PEMENANG PENGADAAN %7
33. PENUNJUKAN PENYEDIA BARANG'JASA 24
34. BA#P DAN K ERA#ASIAAN PROSES 24
H, PELELANGAN GAGAL %(
R*++ K-+ D+ S++/S++/ L+-/+ P++ G S78+ U8+ S++:+ 1
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35. PELELANGAN GAGAL 25
!, SUAT JAM!NAN PELAKSANAAN %-
36. SURAT JAMINAN PELAKSANAAN 26
J, PENANDATANGANAN KONTAK %-
3. PENANDATANGANAN K ONTRAK 26
BAB !$, LEMBA DATA PEM!L!HAN 1LDP2 %0
A. LINGKUP PEKERJAAN 2"
B. SUMBER DANA 2"
$. PEMBERIAN PENJELASAN DOKUMEN PENGADAAN DAN PENINJAUAN LAPANGAN 2"
D. DOKUMEN PENA!ARAN 2"
E. MATA UANG PENA!ARAN DAN $ARA PEMBAYARAN 29
%. MASA BERLAKUNYA PENA!ARAN 29
G. JAMINAN PENA!ARAN 30
#. PEMASUKAN DOKUMEN PENA!ARAN 30
I. BATAS AK#IR !AKTU PENYAMPAIAN PENA!ARAN 30
J. PEMBUKAAN PENA!ARAN 30
K. [A MBANG B ATAS S ISTIM GUGUR ] 30
L. SANGGA#AN, SANGGA#AN BANDING DAN PENGADUAN 30
M. JAMINAN SANGGA#AN BANDING 30
N. JAMINAN PELAKSANAAN 30
BAB $, LEMBA DATA KUAL!/!KAS! 1LDK2 6'
A. LINGKUP K UALI%IKASI 31
B. PERSYARATAN K UALI%IKASI 31
BAB $!, BENTUK DOKUMEN PENA5AAN 66
A. BENTUK SURAT PENA!ARAN PESERTA BADAN USA#A'KEMITRAAN (KSO)
33
B. BENTUK PERJANJIAN KEMITRAAN'KERJA SAMA OPERASI (KSO) 34
$. BENTUK DOKUMEN PENA!ARAN TEKNIS 36
D. BENTUK %ORMULIR REKAPITULASI PER#ITUNGAN TINGKAT KOMPONEN
DALAM NEGERI (TKDN) 3
E. BENTUK JAMINAN PENA!ARAN DARI BANK
%. BENTUK JAMINAN PENA!ARAN DARI ASURANSI'PERUSA#AAN PENJAMINAN
................................................................................................................................................
..............................................................................................................................................40
G. BENTUK PAKTA INTEGRITAS 42
#. BENTUK %ORMULIR ISIAN KUALI%IKASI 43
%ORMULIR ISIAN KUALI%IKASI BADAN USA#A 4"
BAB $!!, PETUNJUK PENG!S!AN /OMUL! KUAL!/!KAS! 44BAB $!!!, TATA .AA E$ALUAS! KUAL!/!KAS! 7(
BAB !8, BENTUK KONTAK 79
SURAT PERJANJIAN 4
BAB 8, S4AATS4AAT UMUM KONTAK 1SSUK2 (&
A, KETENTUAN UMUM ((
1. DE%INISI 50
2. PENERAPAN 52
3. BA#ASA DAN #UKUM 52
4. LARANGAN K ORUPSI, K OLUSI DAN NEPOTISME (KKN) SERTA PENIPUAN 525. ASAL MATERIAL' BA#AN 52
6. K ORESPONDENSI 53
. !AKIL SA# PARA PI#AK 53
R*++ K-+ D+ S++/S++/ L+-/+ P++ G S78+ U8+ S++:+ 2
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". PEMBUKUAN 53
9. PERPAJAKAN 53
10. PENGALI#AN DAN'ATAU SUBKONTRAK 53
11. PENGABAIAN 53
12. PENYEDIA MANDIRI 53
13. K EMITRAAN'KSO 53
14. PENGA!ASAN PELAKSANAAN PEKERJAAN 53
15. PERSETUJUAN PENGA!AS PEKERJAAN 541. PENEMUANPENEMUAN 54
1". AKSES KE LOKASI K ERJA 54
B, PELAKSANAAN; PEN4ELESA!AN; ADENDUM DAN PEMUTUSAN KONTAK (7
19. JAD!AL PELAKSANAAN PEKERJAAN 54
B,' PELAKSANAAN PEKEJAAN (7
20. PENYERA#AN LOKASI K ERJA 54
21. SURAT PERINTA# MULAI K ERJA (SPPENGA!AS ) 55
22. PROGRAM MUTU 55
23. R APAT PERSIAPAN PELAKSANAAN K ONTRAK 55
24. MOBILISASI 55
25. PEMERIKSAAN BERSAMA 56
B,% PENGENDAL!AN 5AKTU (-
26. !AKTU PENYELESAIAN PEKERJAAN 56
2. PERPANJANGAN !AKTU 56
2". PENUNDAAN OLE# PENGA!AS PEKERJAAN 5
29. R APAT PEMANTAUAN 5
30. PERINGATAN DINI 5
B,6 PEN4ELESA!AN KONTAK (9
31. SERA# TERIMA PEKERJAAN 532. PENGAMBILALI#AN 5"
33. PEDOMAN PENGOPERASIAN DAN PERA!ATAN 5"
B,7 ADENDUM (0
34. PERUBA#AN K ONTRAK 5"
35. PERUBA#AN LINGKUP PEKERJAAN 5"
36. PERUBA#AN JAD!AL PELAKSANAAN PEKERJAAN 59
B,( KEADAAN KAHA (3
3. K EADAAN K A#AR 59
B,- PENGHENT!AN DAN PEMUTUSAN KONTAK -&
3". PENG#ENTIAN DAN PEMUTUSAN K ONTRAK 60
39. K ETERLAMBATAN PELAKSANAAN PEKERJAAN DAN KONTRAK KRITIS 61
40. PENINGGALAN 62
., HAK DAN KE5AJ!BAN PAA P!HAK -%
41. #AK DAN K E!AJIBAN PARA PI#AK 62
42. PENGGUNAAN DOKUMENDOKUMEN K ONTRAK DAN I N%ORMASI 63
43. #AK K EKAYAAN I NTELEKTUAL 63
44. PENANGGUNGAN DAN R ISIKO 63
45. PERLINDUNGAN TENAGA K ERJA 63
46. PEMELI#ARAAN LINGKUNGAN 64
4. ASURANSI 644". TINDAKAN PENYEDIA YANG MENSYARATKAN PERSETUJUAN PPK ATAU PENGA!AS PEKERJAAN
64
49. LAPORAN #ASIL PEKERJAAN 64
R*++ K-+ D+ S++/S++/ L+-/+ P++ G S78+ U8+ S++:+ 3
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50. K EPEMILIKAN DOKUMEN 65
51. K ERJASAMA A NTARA PENYEDIA DAN SUB PENYEDIA 65
52. USA#A MIKRO, USA#A K E$IL DAN K OPERASI K E$IL 65
53. PENYEDIA LAIN 66
54. K ESELAMATAN 66
55. PEMBAYARAN DENDA 66
56. JAMINAN 66
D, PESON!L DAN#ATAU PEALATAN PEN4ED!A -9
5. PERSONIL I NTI DAN'ATAU PERALATAN 6
E, KE5AJ!BAN PPK -9
5". %ASILITAS 6
59. PERISTI!A K OMPENSASI 6"
/, PEMBA4AAN KEPADA PEN4ED!A -0
60. #ARGA K ONTRAK 6"
61. PEMBAYARAN 6"62. #ARI K ERJA 0
63. PER#ITUNGAN AK#IR 0
64. PENANGGU#AN 0
65. [P ENYESUAIAN H ARGA (U NTUK K ONTRAK H ARGA S ATUAN ATAU K ONTRAK G ABUNGAN H ARGA S ATUAN
DAN LUMP S UM )] 1
G, PENGA5ASAN MUTU 9%
66. PENGA!ASAN DAN PEMERIKSAAN 2
6. PENILAIAN PEKERJAAN SEMENTARA OLE# PPK 2
6". $A$AT MUTU 2
69. PENGUJIAN 2
0. PERBAIKAN $A$AT MUTU 21. K EGAGALAN BANGUNAN 3
H, PEN4ELESA!AN PESEL!S!HAN 96
2. PENYELESAIAN PERSELISI#AN 3
BAB 8!, S4AATS4AAT KHUSUS KONTAK 1SSKK2 97
A. K ORESPONDENSI 4
B. !AKIL SA# PARA PI#AK 4
$. TANGGAL BERLAKU K ONTRAK 4
D. MASA PEMELI#ARAAN 4
E. UMUR K ONSTRUKSI 4
%. PEDOMAN PENGOPERASIAN DAN PERA!ATAN 4G. PEMBAYARAN TAGI#AN 4
#. PEN$AIRAN JAMINAN 4
I. TINDAKAN PENYEDIA YANG MENSYARATKAN PERSETUJUAN PPK ATAU PENGA!AS PEKERJAAN
4
J. K EPEMILIKAN DOKUMEN 4
K. %ASILITAS 5
L. SUMBER PEMBIAYAAN 5
M. PEMBAYARAN UANG MUKA 5
N. PEMBAYARAN PRESTASI PEKERJAAN 5
O. PENYESUAIAN #ARGA 5
P. DENDA 5
;. PENYELESAIAN PERSELISI#AN 5
LAMPIRAN A < SYARATSYARAT K #USUS K ONTRAK 5
R*++ K-+ D+ S++/S++/ L+-/+ P++ G S78+ U8+ S++:+ 4
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BAB 8!!, SPES!/!KAS! UMUM DAN TEKN!S 99
A. PASAL 1 PEKERJAAN PERSIAPAN
B. PASAL 2 MEMULAI KERJA
$. PASAL 3 MOBILISASI
D. PASAL 4 PAPAN NAMA PROYEK
E. PASAL 5 KUASA KONTRAKTOR DILAPANGAN "
%. PASAL 6 REN$ANA KERJA "G. PASAL LOS PENGA!AS, LOS KERJA, GUDANG BA#AN, DAN LAINLAIN "
#. PASAL " KESEJA#TERAAN DAN KESELAMATAN PEKERJA 9
I. PASAL 9 TENAGA DAN SARANA KERJA "0
J. PASAL 10 PERSYARATAN DAN STANDARISASI "0
K. PASAL 11 LAPORAN #ARIAN, MINGGUAN DAN BULAN "1
L. PASAL 12 PENJELASAN RKS DAN GAMBAR "1
M. PASAL 13 TANGGANG JA!AB KONTRAKTOR "3
N. PASAL 14 KETENTUAN = SYARAT BA#ANBA#AN "4
O. PASAL 15 PEMERIKSAAN BA#ANBA#AN "5
P. PASAL 16 SUPPLIER = SUB KONTRAKTOR "6
;. PASAL 1 PEMBERSI#AN TEMPAT KERJA "6
R. PASAL 1" DRAINASE'SALURAN "6S. PASAL 19 PENGUKURAN KONDISI TAPAK DAN PENENTUAN PEIL 0.00 "
T. PASAL 20 PEMASANGAN PATOK UKUR DAN BO!PLANK ""U. PASAL 21 PEMERIKSAAN #ASIL PEKERJAAN...................................................................... "9
PEKEJAAN TEKN!S 3&
A. PEKERJAAN ARSITEKTUR DAN SIPIL 90
B. PEKERJAAN MEKANIKAL DAN ELEKTRIKAL 133
BAB 8!!!, DA/TA KUANT!TAS DAN HAGA '99
K ETERANGAN (U NTUK K ONTRAK #ARGA SATUAN ATAU K ONTRAK GABUNGAN #ARGA SATUAN DAN
LUMP SUM)............................................................................................................................... 1K ETERANGAN (U NTUK K ONTRAK LUMP SUM) 1"
BAB 8!$, BENTUK DOKUMEN LA!N '06
A. BENTUK SURAT PENUNJUKAN PENYEDIA BARANG'JASA (SPPBJ) 1"3
B. BENTUK SURAT PERINTA# MULAI KERJA (SPPENGA!AS ) 1"4
$. BENTUK SURATSURAT JAMINAN 1"5
Jaminan Sanggahan Baning a!i Ban" 1"5
Jaminan P#$a"%anaan a!i Ban" 1"
Jaminan Uang M&"a a!i Ban" 1"9
Jaminan Uang M&"a a!i A%&!an%i/P#!&%ahaan P#n'aminan 191
Jaminan P#m#$iha!aan a!i Ban" 192
Jaminan P#m#$iha!aan a!i A%&!an%i/P#!&%ahaan P#n'aminan 192
R*++ K-+ D+ S++/S++/ L+-/+ P++ G S78+ U8+ S++:+ 5
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BAB !, UMUM
A. D7 P+++ :: :>> +>++ P+/+ P>: R?8: I7>:+ N77 54
T+ 2010 //+ P+++ B++'J+>+ P:/+ + P+/+ M/: P-++ U
N77 @ 0'PRT'M'2011 //+ S/++ D+ P7+ P+++ P-++ K7>/>: D+ J+>+K7>8/+>:.
B. D+8+ 7 :: :?++ ?/:+, :>/:8+ + >:+/+ >++: :/@
Pekerjaan
Kon*truk*+ @ >8 ?-++ + + + ?8+>+++ 7>/>: ++
+/+ ?+/+ - :>: 8+:+C
HPS @ #++ P:++ S::C
HEA @ #++ E+8+>: A:C
Kem+traan#
Kerja Sama
Opera*+
1KSO2 @ -+ >++ >++ +/+ ?:+ + +>:+>: ?:+ ?+: +,
+-:+ + /+ -++ + -8+> +>++ ?-+-:+ //8:>C
LDP @ L+ D+/+ P:8:+C
LDK @ L+ D+/+ K+8::+>:C
Pokja ULP @ K87?7 K-+ ULP + >: / 8+>+++ P+++B++'J+>+ +8+ +8 :: P+:/:+ P+++ B++ ' J+>+ B+8+: DINAS
PENDIDIKAN PRO&INSI KALIMANTAN TIMUR
- KPA : K+>+ P+ A++ ++8+ ?-++/ + ://+?+ 78 PA /
++ APBD +/+ ://+?+ 78 K?+8+ D++ / ++
APBD.
- PA : P+ A++ + >8+-/+ :>/ PA ++8+ P-++/ ?+
++ ?++ +++ K/:+' L++' S+/+ K-+
P++/ D++ +/+ P-++/ + :>+++ ?++ I>/:/>: 8+: P+
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PPK @ P-++/ P+/ K7:/ ++8+ ?-++/ + /+ -++ +/+>
?8+>+++ ?-++C
SPPBJ @ S+/ P-+ P:+ B++'J+>+C
SPPENGA5AS @ S+/ P:/+ M8+: K-+
TKDN @ T:+/ K7?7 D+8+ N:.
Pra K6K @ P+ R*++ K>8++/+ + K>+/+ K-+ (K3) K7/+ ++8+ 7
?+ *++ ?8+++ K>8++/+ + K>+/+ K-+ K7>/>: :+ ?8+++ 7>/>: + :+/ 78 P:+ +8+
+-+ ?+++C
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ATSP @ A+8:>+ T:> S+/+ P-++ ++8+ +:+ ?:/+ /+ ? >+/+
/++ -+ ++ + ?+8+/+ / +?+/+ >+/ >+/+ -:> ?-++
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- BAPL @ B:/+ A*++ P-8+>+ L+-/+.
LPSE @ L+++ P+++ S*++ E8/7: ++8+ :/ -+ K'L'D'I + :/ / 8+++ >:>/ ?8+++ P+++ B++'J+>+ >*++
8/7:.
Apl+ka*+ LPSE @ A?8:+>: ?++/ 8+ S:>/ P+++ S*++ E8/7: (LPSE)
+>:> + /?+>+ : > LPSE + +?+/ :+>> 8+8: >:/
LPSE.
$. P#$#$angan Um&m + ?+>*++8::+>: :: ::++: +: > ?+++ >++:++
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D. P#$#$angan Um&m :: /+ + +?+/ ::/: 78 >+ ?>/+ + / ++ >++ +/+
:/++'KSO .
R*++ K-+ D+ S++/S++/ L+-/+ P++ G S78+ U8+ S++:+
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BAB !!, PENGUMUMAN PELELANGAN UMUM DENGAN PAS.AKUAL!/!KAS!
PENGUMUMAN PELELANGAN UMUM DENGAN PAS.AKUAL!/!KAS! N77 @ ................................... 2013
P+:/:+ P+++ B++ ' J+>+ D:+> D!NAS PEND!D!KAN PO$!NS! KAL!MANTAN
T!MU ++ 8+>+++ P#$#$angan Um&m + ?+>*++8::+>: / ?+/ ?-++ 7>/>:
>*++ 8/7: >++: :/@
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N++ ?+/ ?-++ @ Lanjutan Pem Unggulan Samar+n=a
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N* Biang S&- Biang K*# G!a#
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4. J++8 P8+>+++ P+++ @ +?+/ :8:+/ ?++ 8#-%i+# LPSE
5. D7 P+++ :+:8 +8+ / %*+0*9, 8+8: +?8:+>: LPSE.
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PANITIA PENGADAAN BARANG ' JASA
D!NAS PEND!D!KAN PO$!NS! KAL!MANTAN T!MU
R*++ K-+ D+ S++/S++/ L+-/+ P++ G S78+ U8+ S++:+ "
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BAB !!!, !NSTUKS! KEPADA PESETA 1!KP2
A, Umum
', L+ngkup
Pekerjaan
1.1 P7-+ ULP ?++> + ?++ ?++ ?>/+ /
+?+:+ ?+++ +/+> ?+/ ?-++ 7>/>:
>++:++ /*+/ +8+ LDP.
1.2 N++ ?+/ + 8:? ?-++ >++:++ /*+/ +8+
LDP.
1.3 P:+ + :/- +-:+ / 8>+:+
?-++ +8+ -++ +/ >++:++ /*+/ +8+ LDP,
+>++ >++/ + >++/ >> 7/+ + /
>>+: >?>::+>: /:> + ++ >>+: 7/+.
%, Sum ?+++ >++:++ /*+/ +8+LDP.
6, Pe*erta
Pelelangan
Umum
3.1 P#$#$angan Um&m ?:+ ?-++ 7>/>: :: /+ +
+?+/ ::/: 78 >+ ?>/+ + / ++ >++,
:/++'KSO + : +8::+>:.
3.2 D+8+ +8 ?>/+ ++ +/+ >+ 8++ :/++'KSO,
+: + ?>+++ +>:7+8 +? +>: ++ ?>/+ +>
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3.3 P>/+ :/++'KSO :8++ / + P-+-:+K:/++'K-+ S++ O?+>:.
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:8:+ ?:+) ++ :/++'KSO +> /:: +: ?>+++
+>:7+8.
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?88++ +> :8:: /: :-: ?+:8+ -+>+ 7>/>:
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+8 /+?+/ ?>+++ +>:7+8 + :8:: +?+
::+ + >+/+.
7, LaranganKorup*+; Kolu*+;
=an Nepot+*me
1KKN2 *erta
Pen+puan
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>++: :/@
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//++ + D7 P+++, +'+/+ ?+/+
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/:++ >++:++ :+> +8+ ++ 4.1 :++ >+>:
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-, Pen=a?agunaan
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Neger+
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R*++ K-+ D+ S++/S++/ L+-/+ P++ G S78+ U8+ S++:+ 10
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+>: +> ::?7C
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R95444444444344 ($ima mi$ia! !&9iah) an TKDN ia+a% 15;
(&a 9&$&h $ima 9#!%#!a+&%)]
9, Satu Pena@aran
T+ap Pe*erta
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B, Dokumen Penga=aan
0, !*+ Dokumen
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/:+ : ?>++/+ + ://+?+ +8+ D7
P+++ :: >?+ ?++ :>:7 ?>/+.
3, Ba>a*a
Dokumen
Penga=aan
D7 P+++ >/+ >8 7>?7>: //8:> +8+ ?7>>
?+++ ++ B++>+ I7>:+.
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>>+: -++8 +8+ +?8:+>: LPSE.
10.2 K/:+:/>/++ ?>/+ ?++ >++/ ?:+ ?-8+>+ /:+
+?+/ :-+:+ +>+ / 78+'+ ?+++.10.3 A?+:8+ :?++ ?8, P7-+ ULP 8+8: Aan8i' + :/-, +?+/ :+ ?-8+>+ 8+-/+ +
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+8+ +?8:+>: LPSE. J:+ :8+>+++ ?:-++ 8+?++ +?+/
:+/ B:/+ A*++ P-8+>+ L+-/+ (BAPL) + :+
+8+ >:/ LPSE + +?+/ :8:+/ 8+8: +?8:+>: LPSE.10.6 A?+:8+ /+?+/ +8+8'//+ + +/+ ?++ ?/: +
?8 :/+?, ++ P7-+ ULP ++ +8+ A
D7 P+++ + -+: +:+ /:+ /?:>++ +:
D7 P+++.
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8+ ++8+ D7 P+++ ++8.
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ULP ?++ +?8:+>: LPSE.
R*++ K-+ D+ S++/S++/ L+-/+ P++ G S78+ U8+ S++:+ 12
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'', Peruan
Dokumen
Penga=aan
11.1 S/8+ P:+ P-8+>+ + >8 +/+> +: +/
?+>+ ?+++, P7-+ ULP +?+/ /+?+ A
D7 P+++, +>++ :7+>: + +
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/?:>++ +: D7 P+++.11.3 P>/+ ::/+ >*++ 8/7: 78 P7-+ ULP /
A D7 P+++ + :+ P7-+
ULP ?++ +?8:+>: LPSE.
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(+) +: >8 +/+> +: ?+>+ ?+++. A?+:8+
A D7 P+++ :8++ + +: 2 (+) +:
>8 +/+> +: ?+>+ ?+++, ++ P7-+ ULP +-:
+ +/+> +: ?+>+ ?+++.
'%, Peruan
5aktu
P7-+ ULP +?+/ 8++ ?++ +/ ?++ >/:+? /++?+ 88+
+ /++ +8+>+ ?++.
., Pen?+apan Dokumen Pena@aran
'6, B+a?a =alam
Pen?+apan
Pena@aran
13.1 P>/+ + >+ :++ +8+ ?:+?+ + ?+?+:+
?+++.
13.2 P7-+ ULP /:+ /+ -++ +/+> :+ +?+? +
:/+ 78 ?>/+.
'7, Ba>a*a
Pena@aran
14.1 S+ D7 P+++ +> ++ B++>+ I7>:+.
14.2 D7 ?-+ + /+:/ + D7 P+++ +?+/++ B++>+ I7>:+ +/+ ++>+ +>:.
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++ + 8+ ++8+ ?-8+>+ +8+ B++>+ I7>:+.
'(, Dokumen
Pena@aran
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. %78: +?:/8+>: ?:/+ TKDNC
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:+:+/+ >8++ ?-++ 7>/>: 8+> ($7>/*/:7 A88
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'-, Harga
Pena@aran
16.1 #++ ?+++ :/8:> + -8+> +8+ ++ + .
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9#m-a,a!an/9#"#!'aan a$am Da+a! K&an+i+a% an Ha!ga]
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'9, Mata UangPena@aran =an
.ara
Pem +8+ / +/+ +>++:++ /*+/ +8+ LDP.
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'0, Ma*a Berlaku
Pena@aran =an
Jangka 5aktu
Pelak*anaan
1".1 M+>+ 8+ ?+++ >++:++ /*+/ +8+ LDP.
1".2 A?+:8+ +8+>: 8 >8>+: :8+>+++, >8 +: +>+
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8:: -++ +/ >++:++ /*+/ +8+ LDP.
'3, Bentuk
Dokumen
Pena@aran
D7 P+++ :>+?+:+ +8+ / %*+0*9, ?+ i$# + /8+
::?>:.
R*++ K-+ D+ S++/S++/ L+-/+ P++ G S78+ U8+ S++:+ 14
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%&, Pakta
!ntegr+ta*
20.1 P+/+ I/:/+> :>: :+ / *+ + /:+ 8++
+ ++ 8+?7+ /-+:+ 78>:, 7?>:, + ?7/:>
(KKN).
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8+8: +?8:+>: LPSE, ++ ?>/+ :++? /8+ ++/++:
P+/+ I/:/+>.
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I/:/+> :/++/++: 78 >8 ?>+++ + :/+ +:+>+ +8+ 7 ?+++ (.>).
20.4 P+/+ :/:/+> >++:++ :+> ++ 20.3 :>+?+:+
+ *++ :?:+: (>*+).
%', Peng+*+an
Dokumen !*+an
Kual+)+ka*+
21.1 P>/+ +-:+ / /-: P+/+ I/:/+> + :>:
I>:+ D+/+ K+8::+>: +8+ +?8:+>: LPSE.
21.2 P+/+ I/:/+> + D+/+ K+8::+>: :++? /8+ :>/-: +
:/++/++: 78 ?>/+ ?+++.
%%, Jam+nan
Pena@aran
22.1 P>/+ ++ J+:+ P+++ +8+ +/+ +
?+++ >++:++ /*+/ +8+ LDP.
22.2 J+:+ P+++ : //+ >++: :/@
+. :/:/+ 78 B+ U, ?>+++ ?-+:+ +/+
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>++:++ /*+/ +8+ LDPC
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P+++C
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++ + C
. ++ P7-+ ULP + :+ J+:+ P+++ >++
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?-+: >>+: + 7+/ + ++ ++ 1(>+/) /++
/++ /+?+ ++ /++ /++ /-+: >>+ :8+: J+:+
+8+ +/ ?+8: 8++/ 14 (?+/ 8+>) +: -+, >/8+>+/ ?+/++ +?>/+>: +: P7-+ ULP :/:+ 78
P:/ J+:+C
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R*++ K-+ D+ S++/S++/ L+-/+ P++ G S78+ U8+ S++:+ 15
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88+.
22.6 J+:+ P+++ ++ :>:/+ +?+:8+@
+. ?>/+ /8:+/ KKNC
. *+87 ?+ + *+87 ?+ *+++ 1 + 2 /:+
>:+ ++ :8+: J+:+ P8+>+++ +8+ +8 ++
?++++ : ++ "0 #PSC
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:8++ +8+>:, /:+ +: +8+ 8+::+>: +'+/+::+>: +8::+>: + +8+>+ + /:+ +?+/ :/:+C
+/+
. *+87 ?+ + *+87 ?+ *+++ 1 + 2
+ :: +/+ ++8 /++ /++ 7/+.
D, Pema*ukan Dokumen Pena@aran
%6, Pen?ampulan
=an Penan=aan
Sampul
Pena@aran
%7, Pen?ampa+an
Dokumen
Pena@aran
%(, Bata* Ak>+r
5aktu
Pema*ukan
Pena@aran
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APENDO + />:+ ?++ +?8:+>: APENDO.
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+ //+@
+. P/++/++, ::?++> + 7 :>:+ +8::+>:
8+8: +?8:+>: LPSEC . D:8+-/+ + + :8 ?+++ /:?>:
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i$# ?+++ >*++ 8+ >8 +/+> +: +/
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+ i$# ?+++ + /8+ /:: >8+.
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LPSE ?++ P7-+ ULP ?+8: 8++/ ?++ +/ + ://+
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++ 78+ >/:+? i$# ?+++ + :::.
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R*++ K-+ D+ S++/S++/ L+-/+ P++ G S78+ U8+ S++:+ 16
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8+-/+ ?7>> +/+> ?+++ + >+/+.
26.3 P+++ +> ++8+ 7 ?+++ + +>:8 :+
+ 8+? >++:++ +8+ ++ 23.2.
26.4 A?+:8+ ?+++ + +> + +: 3 (/:+) ++ ?88++
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?++ ?+++ *+8: / :8 ?+++ + >+
:?+>/:+ /:+ +?+/ :+ +>++ /++ LPSE.
%9, Ealua*+
Pena@aran
2.1 E+8+>: ?+++ :8++ + >:>/ .
2.2 [S#-#$&m #>a$&a%i 9#na8a!an3 &n+&" "*n+!a" ha!ga %a+&an a+a&
"*n+!a" ga-&ngan ha!ga %a+&an an $&m9 %&m i$a"&"an "*!#"%i
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*) /++8C
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:8+?: /7 -+ / -:>-:> ?-++ /++
+ ?-++ ?-+ +/+ ?-++ >/++ +
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R*++ K-+ D+ S++/S++/ L+-/+ P++ G S78+ U8+ S++:+ 20
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++ ++ +/+> :8+: /:>, ?+++
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R*++ K-+ D+ S++/S++/ L+-/+ P++ G S78+ U8+ S++:+ 21
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>/+ :+>+ +8+ D+/+ #:/+.
*. M?:/+ ?>: ++ +/+> ?++ ?7>:
+8+ : + //+@
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2".2 E+8+>: +8::+>: :8++ + ++ /7
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+8+ D7 K+8::+>:.
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++ 88+ :+/++ ++8.
%3, Pem: /++? ?>/+ + : ?>++/++8::+>: :8++ >/8+ +8+>: +8::+>:.
29.2 P/:+ +8::+>: :8++ + *++ 8:+/ +>8:+
7 + :/+ >+8:++ P/:+ +8::+>: :8++
+ *++ 8:+/ +>8:+ 7 +: 7 +>8: +/+
>+8:+ 7 + >+ :8+8:>: 78 ?-++/ + +
+ :/+ >+8:+ 7 />/. D+8+ ?/:+
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R*++ K-+ D+ S++/S++/ L+-/+ P++ G S78+ U8+ S++:+ 22
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29.3 P7-+ ULP 8++ 8+::+>: +'+/+ ::+>: ?++ ?:/
7, +?+:8+ :?8+.
29.4 A?+:8+ +>:8 ?/:+ +8::+>: :/+ ?+8>+ +/+,
++ ?>/+ :+, ++ >++ +'+/+ ?>+
:+>+ +8+ D+/+ #:/+.
29.5 A?+:8+ /:+ ++ *+87 ?+ + 88> ?/:+
+8::+>:, ++ 88+ :+/++ ++8.
/, Penetapan Pemenang
6&, Pengumuman
Pemenang
P7-+ ULP ?++> + ?+ + ?+ *+++ 1 + 2
(+?+:8+ ++) 8+8: +?8:+>: LPSE, : 8#-%i+# >++:++ /*+/ +8+
LDP + ?+?+ ?+ >: / +>+++/.
6', Sangga>an 31.1 P>/+ +?+/ +?+:+ >+++ >*++ 8/7: 8+8:
+?8:+>: LPSE +/+> ?/+?+ ?+ ?++ P7-+ ULP +8+
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/: /-+:+ ?:?++, + />+ :>+?+:+
>*++ *$in# ?++ PPK, PA'KPA + APIP K'L'D'I >++:++
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31.2 S+++ :+-+ 78 ?>/+ +?+:8+ /-+: ?:?++
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>+++ ?+8: 8++/ 5 (8:+) +: -+ >/8+ :+ >+/
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?88++ ++8.
31.5 S+++ + :>+?+:+ >*++ *$in#, + ?++ P7-+
ULP +/+ :>+?+:+ :8+ +>+ >++, :++? >++:
?++ + //+? +> :/:+8+-/: >*++ *$in# : 8+
+?8:+>: LPSE 78 ?:+?:+ + +.
6%, Sangga>an
Ban=+ng
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ULP, +?+/ +-+ >+++ +: >*++ //8:> ?++
M/:'K?+8+ L++'K?+8+ D++' P:?:+ I>/:/>:
>++:++ /*+/ +8+ LDP, ?+8: 8++/ 5 (8:+) +: -+
>/8+ :+ -+++ >+++, + />+ ?++PPK, P7-+ ULP, + APIP K'L'D'I >++:++ /*+/ +8+
LDP.
32.2 M/:'K?+8+ L++'K?+8+ D++' P:?:+ I>/:/>:
>++:++ /*+/ +8+ LDP, +-: :+ -+++
>*++ //8:> +/+> >+ >+++ +: ?+8: 8++/ 15 (8:+
8+>) +: -+ >/8+ >+/ >+++ +: :/:+.
32.3 P>/+ + ++ 8++ >+++ +: +> :+
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LDP + +>+ 8+ 20 (+ ?8) +: -+ >-+ /++8
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32.5 S+++ +: /:+ ?7>> ?88++.32.6 S+++ +: + :>+?+:+ + ?++ M/:'K?+8+
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R*++ K-+ D+ S++/S++/ L+-/+ P++ G S78+ U8+ S++:+ 23
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+8+ LDP +/+ :>+?+:+ : 8+ +>+ >++ +:,
:++? >++: ?++ + //+? +> :/:+8+-/:.
G, Penunjukan Pemenang Penga=aan
66, Penunjukan
Pen?e=+a
Barang#Ja*a
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+8+ +?+8:+>: LPSE + :7+>:+ ?++ PPK >++:
+>+ / :/+ S+/ P-+ P:+ B++'J+>+(SPPBJ).
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>+/+ :*+:+ + :>/7+ >++:++ /*+/
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D+/+ #:/+C +/+
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BAB !$, LEMBA DATA PEM!L!HAN 1LDP2
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Pem
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Berlakun?a
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BAB $, LEMBA DATA KUAL!/!KAS! 1LDK2
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". P>/+ / ++ >++ +> ?78 ?+8: >::/ 1 (>+/) ?-++
?++ > :+ + >++ >++: ?:+ +8+ +/ 4 (?+/) /+
/+:, +: : 8:+ ?:/+ +? >+>/+ /+> ?+8++ >7/+, *+8: +:
?:+ + + :: + +: 3 (/:+) /+.
9. N(+*+ ?( 31 D(>(( 2011 /(8+9 :+:/ 78(9
+6/+ ?8:6.
10. M:8:: >/::+/ ++- / ' ISO 9001 + >/::+/ ++- K3 '
O#SAS 1"000.
11. M+?+:+ +/+ ?-++ + >+ -+8+
R*++ K-+ D+ S++/S++/ L+-/+ P++ G S78+ U8+ S++:+ 32
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BAB $!, BENTUK DOKUMEN PENA5AAN
A. BENTUK SUAT PENA5AAN PESETA BADAN USAHA#KEM!TAAN 1KSO2
.ONTOH
[K*9 S&!a+ Baan U%aha/K#mi+!aan (KSO)]
N77 @ , 20
L+?:+ @
K?++ Y/.@
P+:/:+ P++ B++ ' J+>+
D!NAS PEND!D!KAN PO$!NS! KAL!MANTAN T!MU
[ii%i *$#h P*"'a ULP]
:
P:+8 @ P+++ P-++ LANJUTAN PEMBANGUNAN GEDUNG SEKOLA#UNGGULAN SAMARINDA
S+ + ?+ ?+/++ + ?+:8+ D7 P+++ 77@
/++8 + >/8+ +: ?8+-+: +
>+>++ D7 P+++ + B:/+ A*++ P:+ P-8+>+ [%#!+a a#n&m
D*"&m#n P#ngaaan], + :: +: +-+ ?+++ / ?-++
LANJUTAN PEMBANGUNAN GEDUNG SEKOLA# UNGGULAN SAMARINDA .
>>+ R? ().
P+++ :: >+ ?+/:+ //+ + ?>++/+ + /*+/ +8+ D7
P+++ / 8+>+++ ?-++ />/ : +/+>.
K+: ++ 8+>+++ ?-++ />/ + -++ +/ ?8+>+++ ?-++ >8++
() +: +8.
P+++ :: 8+ >8++ 60 (+ ?8) +: +8 >-+ /++8 >+/ ?+++ ::.S>+: + ?>++/+, >++ S+/ P+++ :: +: 8+?:+@
#+>:8 ?:+:+ (>*+) J+:+ P+++C
1 D+/+ K+/:/+> + #++ 3?
: [S&!a+ 9#!'an'ian "#mi+!aan/K#!'a Sama O9#!a%i3 a9a-i$a aa]?
@ D7 ?+++ /:>, /:: +: @
a M/7+ P8+>+++C
- J++8 !+/ P8+>+++C
0 D+/+ P>7:8 I/:C
J:>, +?+>:/+>, 7?7>:>:, + -8+ ?+8+/+ /++ ::+8 + :/+C
# S?>::+>: /:>C
[Bagian P#"#!'aan ,ang a"an i%&-"*n+!a""an3 a9a-i$a aa]
5 %78: +?:/8+>: ?:/+ T:+/ K7?7 D+8+ N: (TKDN)C
6 D7 :>:+ +8::+>: + ::: 8+8: +?8:+>: LPSEC
7 D7 8+: + :?>++/+.
D+ :>+?+:++ S+/ P+++ ::, ++ +: +/++ >+? + ++ /
?++ >+ //+ + /*+/ +8+ D7 P+++.
PT'$&'%:+'K:/++ (KSO)
[9i$ih ,ang %#%&ai an 0an+&9#nga8a% an nama]
..........................J++/+
R*++ K-+ D+ S++/S++/ L+-/+ P++ G S78+ U8+ S++:+ 33
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B. BENTUK PEJANJ!AN KEM!TAAN#KEJA SAMA OPEAS! 1KSO2
.ONTOH
SUAT PEJANJ!AN KEM!TAAN#
KEJA SAMA OPEAS! 1KSO2
S+ + ?88++ ?-++ + ?++ ?++++ ++
:8++ : ?++ /++8 20, ++ +:@
[nama 9#%#!+a ]
[nama 9#%#!+a 1]
[nama 9#%#!+a :]
[an %#+#!&%n,a]
+> / :/: ?88++ + ?8+>+++ 7/+ >*++ >++>++ +8+ /
:/++'K-+ S++ O?+>: (KSO).
K+: /-: + />+ ++@
1. S*++ >++>++@+. M/ :/++'KSO + ++ :/++'KSO ++8+
. M- [nama 9#%#!+a ] >++: ?>+++ /++
($#aing i!m) / :/++'KSO + +:8: >/+ /:+ / + +/+> ++
:/++'KSO.
*. M/-: +?+:8+ :/- >++: ?+, +-: /+ -++ +: >*++ >++
>++ +/+ +>:+>: +/+> >+ +-:+ >>+: //+ 7 7/+.
2. K:/>/++ 7+8 (%ha!ing) >/:+? ?>+++ +8+ :/++'KSO ++8+@
[nama 9#%#!+a ] %#-#%a! ( ?>)
[nama 9#%#!+a 1] %#-#%a! ( ?>)
[nama 9#%#!+a :] %#-#%a! ( ?>)
[%+]
3. M+>:+>: ?>/+ +7/+ :/++'KSO, ++ +:8 +:+ >>+: %ha!ing />/ ?++
/: 2. +8+ +8 ?8++, /+, + :+ +: :/++'KSO.
4. P+:+ %ha!ing +8+ :/++'KSO :: /:+ ++ :+ +: >8++ +>+ ?+++
+? >?+-+ +>+ 7/+, *+8: + ?>/-+ //8:> /8: +8 +: P-++/
P+/ K7:/ (PPK) + ?>/-+ >++ >*++ //8:> +: +>:+>: +7/+
:/++'KSO.
5. T8?+> +: %ha!ing + ://+?+ : +/+>, +>:+>: +7/+ :/++'KSO ++
8++ ?++>+ ? /++? >+ +>? ?8+>+++ +: ?-+-:+ ::, /+> +
/ :>+ ++, ?:/+ ?8:+, /++ /:+, +/+ ?+8+/+ + /++ -+,
?-+-:+ >7/+, >+/+/, + 8+:8+:.
6. !+ ++/++: / + +/+> ++ :/++'KSO ::+ ?++
[nama 8a"i$ 9#%#!+a] +8+ ++ >++: :/
/++':/ ?8+>++ [nama 9#%#!+a ] +>++ ?>/-+
//8:> +: >8 +7/+ :/ ++ 'KSO.
. P-+-:+ :: 8+ >-+ /++8 :/++/++:.
". P-+-:+ :: >*++ 7/7+/:> -+: +/+8 + /:+ 8+ 8+: :8+ ?88++ /:+ :++
78 ?>+++ :/++'KSO.
9. P-+-:+ :: :+/ +8+ ++? () + +>:+>: ?+: +/+
+ >++.
R*++ K-+ D+ S++/S++/ L+-/+ P++ G S78+ U8+ S++:+ 34
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DENGAN KESEPAKATAN !N! >+ +7/+ :/++'KSO + /++ /++ :
?++ +: /++8 8+ , /+
[P#%#!+a ] [P#%#!+a 1]
() ()
[P#%#!+a :] [%+
() ()]
$+/+/+@
S&!a+ P#!'an'ian K#mi+!aan/K#!'a Sama O9#!a%i ini ha!&% i-&a+ ia+a% "#!+a% %#g#$
R*++ K-+ D+ S++/S++/ L+-/+ P++ G S78+ U8+ S++:+ 35
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C. BENTUK DOKUMEN PENA5AAN TEKN!S
Dokumen Pena@aran Tekn+*
[Fan+&9#nga8a% an an '#$a%"an %#0a!a !in0i ha$2ha$ -#!i"&+ Ji"a i9#!$&"an3 "#+#!angan a9a+
i0an+&9#nga8a% an a$am $#m-a! +#!%#ni!i/+am-ahan]
/7 ?8+>+++ ?-++ + :/+++ +++ ?+>++ +8+ ?8>+:+
?-++, ::*: ?++ +>:+>: :/ ?-++, + 8+?:+ /7 ?8+:
:++C
1 -++8 +/ ?8+>+++ ?-++ + :/+++ /:+ 8+?+: +/+> +/ >++:++
/*+/ +8+ LDP, ?+ + S.
: -:>, +?+>:/+>, 7?7>:>: + -8+ ?+8+/+ ::+8 + :>:++ >++:++ /*+/
+8+ LDPC + 8+?:+ >+/ +' /: ?:8:+ >/:+? ?+8+/+ +
:/+++.
@ >?>::+>: /:> ' >8+ /:> + +++ ?-++ + ++ :/+++, >?>::+>:
/:> ?+ +/+ ++'+8+/'+/:+8 + /+ 8: >?>::'-8+> +>+8 ?7>:''+'++ + : ?>++/+ + ://+?+ +8+ D7
P+++ ::C
5 ?>7:8 :/: + ++ :/?+/+ >*++ ? >>+: + ?>++/+ >++:++ /*+/
+8+ LDP >/+ ?7>:>:+ +8+ ++- ?8+>+++ ?-++ >>+: + 7+:>+>:
?8+>+++ + :+-+ + 8+?:+ >+/ >:++ :/+>+, D+/+ R:+/ #:?
8+?:+ >: +: ?+ -+>+, KTP, I-+>+, NP!P, B/: ?7/7 ?+-+ ?:+: , S/::+/
K+8:+'K/+?:8+C
6 +:+ ?-++ + ++ :>7/++ >>+: + ?>++/+ >++:++ /*+/
+8+ LDPC
7 [Ha$2ha$ $ain ,ang i9#!%,a!a+"an]
Fa+a+an . P#!a$a+an an 9#!%*ni$ ,ang i%am9ai"an a$am 9#na8a!an han,a &n+&" (%a+&) 9a"#+
9#"#!'aan ,ang i$#$ang"an3 a9a-i$a m#m#!$&"an 9#!a$a+an an 9#!%*ni$ &n+&" 9a"#+
9#"#!'aan $ain ha!&% a!i 9#!a$a+an an 9#!%*ni$ ,ang -#!-#a
R*++ K-+ D+ S++/S++/ L+-/+ P++ G S78+ U8+ S++:+ 36
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D. BENTUK /OMUL! EKAP!TULAS! PEH!TUNGAN T!NGKAT KOMPONEN
DALAM NEGE! 1TKDN2
/OMUL! EKAP!TULAS! PEH!TUNGAN T!NGKAT KOMPONEN DALAM
NEGE! 1TKDN2
U+:+ P-++
N:8+: G++ B++'J+>+ (R?) TKDN
DN LN
T7/+8B++'
J+>+G++R:
R?
KDN
(1) (2) (3) (4) (5) () (")
B++
I. M+/:+8 L+>
(B++ +) (1A) (1B) (1$) (1D) (1E) (1G)
II. P+8+/+ (B++ -+:) (2A) (2B) (2$) (2D) (2E) (2G)
A. S T7/+8 B++ (3A) (3B) (3$) (3D) (3E) (3G)
J+>+
III. M++- P7
+ P++>++ (4A) (4B) (4$) (4D) (4E) (4G)
I&. A8+/ K-+ ' %+>:8:/+>
K-+ (5A) (5B) (5$) (5D) (5E) (5G)
&. K7>/>: +
%+:+>: (6A) (6B) (6$) (6D) (6E) (6G)
&I. J+>+ U (A) (B) ($) (D) (E) (G)
B. S T7/+8 J+>+ ("A) ("B) ("$) ("D) ("E) ("G)
$. TOTAL B:++ (A B) (9A) (9B) (9$) (9D) (9E) (9G)
%78+>: ?:/+@
N:8+: B++ T7/+8 (3$) N:8+: B++ L+ N: (3B)
N:8+: G++ B++ + J+>+ (9$)
TKDN (G++
B++ + J+>+)
N:8+: J+>+ T7/+8("$) N:8+: J+>+ L+ N: ("B)
N:8+: G++ B++ + J+>+ (9$)
[+#m9a+], [+angga$] [-&$an] 20 [+ah&n]
[+ana +angan]
[nama 8a"i$ %ah -aan &%aha/9#mim9in "#mi+!aan (KSO)/9#!*!angan]
E. BENTUK JAM!NAN PENA5AAN DA! BANK
R*++ K-+ D+ S++/S++/ L+-/+ P++ G S78+ U8+ S++:+ 3
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.onto>
[K*9 Ban" P#n#!-i+ Jaminan]
GAANS! BANK
*e8+
+8+ +8 :: /:+ / + +/+> ++
[nama -an"] + :
[a$ama+]
/ >8+-/+ :>/@ PENJAM!N
+ :: +/++ ++ ++ ?++@
N++ @ [P*"'a ULP]
A8++/ @
>8+-/+ :>/@ PENE!MA JAM!NAN>-8+ + R?
(/:8+ ) +8+ / ++>:
+ >++: J+:+ P+++ +/+> ?-++ +>++ D7 P+++
N7. /++8, +?+:8+@
N++ @ [9#%#!+a 9#$#$angan]
A8++/ @
>8+-/+ :>/@ 4ANG D!JAM!N
/+/+ >+?+: +/+> +/ + ://+, + /:+ 8:: /++8 +/+> +/ 8++
G++>: B+ ::, 8+8+:'/:+ : +-:++ ?++ P:+ J+:+ +:/@
+. Y+ D:-+: +: +8: ?++++ >8++ :8+>++++ ?88++ +/+ >>+
:+/++ >++: ?+C
. Y+ D:-+: /:+@1) ++ J+:+ P8+>+++ >/8+ :/- >++: ?+C
2) ++/++: K7/+C +/+
3) +: +8+ 8+::+>: +'+/+ ::+>: >++: *+87 ?+C
*. Y+ D:-+: /8:+/ K7?>:, K78>: + N?7/:> (KKN)C
>++:++ ://+ +8+ D7 P+++ + ::/: 78 Y+ D:-+:.
G++>: B+ :: :8++ + //+ >++: :/@
1. B8+ >8++ () +: +8, +: /++8 >..
.
2. T//+ ?*+:+ +/+ 8+: +?+/ :+-+ >*++ //8:> + 8+?:+ S+/ P+/++
!+?>/+>: +: P:+ J+:+ ?+8: 8++/ 14 (?+/ 8+>) +: +8 >/8+ /++8
-+/ /?7 G++>: B+ >++:++ /*+/ +8+ /: 1.3. P-+: ++ ++ ?++ P:+ J+:+ >-8+ :8+: -+:+ />/ : +/+> +8+
+/ ?+8: 8++/ 14 (?+/ 8+>) +: -+ /+?+ >++/ (Un0*ni+i*na$) >/8+ :+
///+ ?*+:+ +: P:+ J+:+ +>+ S+/ P+/++ !+?>/+>: +: P:+
J+:+ +: ?++ >+>: +:+/ Y+ D:-+: *:+ -+-:'8+8+:'/:+ :
+-:++.
4. P-+: 8?+>+ ++ :>/:++ / // >?++ ++ + ::+/
>++: -+:+ 8: +8 :>:/+ + :-+8 / 8+>: /+ Y+ D:-+: >++:++
:+> +8+ P+>+8 1"31 K:/+ U+U+ # P+/+.
5. T:+ +?+/ :?:+/+++ +/+ :-+:+ -+:+ ?++ ?:+ 8+:.
6. S+8+ +8 + : /:8 >++: +:+/ +: G++>: B+ ::, +>:+>: ?:+
:8: 7:>:8: + + //+? : K+/7 P+:8+ N:
R*++ K-+ D+ S++/S++/ L+-/+ P++ G S78+ U8+ S++:+ 3"
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D:8++ : @
P++ /++8 @
[Ban"]
M+/+: R?.6000,00
[Nama an Ja-a+an]
R*++ K-+ D+ S++/S++/ L+-/+ P++ G S78+ U8+ S++:+ 39
Untuk keyakinan,
pemegang Garansi Bankdisarankan untukmengkonfrmasi Garansi
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F. BENTUK JAM!NAN PENA5AAN DA! ASUANS!#PEUSAHAAN PENJAM!NAN
.onto>
[K*9 P#n#!-i+ Jaminan]
JAM!NAN PENA5AAN
N77 J+:+@ N:8+:@
Y+ /++ /++ :++ :: @
N++ @ H++ ?:/ -+:+,
A8++/ @ H+8++/, >++: P-+:,
S8+-/+ :>/ >++: PENJAM!N
+ :: +/++ ++ ++ ?++@
N++ @ [P*"'a ULP]
A8++/ @ >8+-/+ :>/@ PENE!MA JAM!NAN
>-8+ + R? (/:8+ )
+8+ / S/ B7 >++: J+:+ P+++ +/+> ?-++ +>++
D7 P+++ N7. /++8, +?+:8+@
N++ @ [9#%#!+a 9#$#$angan]
A8++/ @
>8+-/+ :>/@ 4ANG D!JAM!N
1. M++ +:, TERJAMIN + PENJAMIN + :: :+/+ :: / 8++
?+++ -8+ />/ :+/+> + +: + + :8+ ++ TERJAMIN /:+ :
+-:+ >++: ++ ://+?+ +8+ 7 ?+++ / ?8+>+++ ?88++ / ?-++..........................................................+ :>8+++ 78 PENERIMA JAMINAN.
2. S+/ J+:+ :: 8+ +?+:8+ 4ANG D!JAM!N@
+. +: +8: ?++++ >8++ :8+>++++ ?88++ +/+ >>+ :+/++
>++: ?+C
. /:+@
1) ++ J+:+ P8+>+++ >/8+ :/- >++: ?+C
2) ++/++: K7/+C +/+
3) +: +8+ 8+::+>: +'+/+ ::+>: >++: *+87 ?+C
*. /8:+/ K7?>:, K78>: + N?7/:> (KKN).
3. S+/ J+:+ :: 8+ >8++ () +: +8 + /: 8+: +: /++8
>+?+: + /++8
4. PENJAMIN ++ ++ ?++ PENE!MA JAM!NAN >-8+ :8+: -+:+ />/ :
+/+> +8+ +/ ?+8: 8++/ 14 (?+/ 8+>) +: -+ /+?+ >++/ (Un0*ni+i*na$ ) >/8+
:+ ///+ ?+:+ >*++ //8:> +: PENERIMA JAMINAN +>+ K?/>+
PENE!MA JAM!NAN +: ?++ >+>: +:+/ 4ANG D!JAM!N *:+
-+-:'+?>/+>:.
5. M- ?++ P+>+8 1"32 KU# P+/+ + :: :/+>+ +8: ++ PENJAMIN
8?+>+ ++ :>/:+ / // >?++ +/+ + TERJAMIN 8: +8 :>:/+
+ :-+8 + +?+/ 8+>: /++ >++:++ :+> +8+ P+>+8 1"31 KU# P+/+.
6. T//+ ?*+:+ /++? PENJAMIN +>++ J+:+ :: +> >+ :+-+ >8++/
8++/+ +8+ +/ 30 (/:+ ?8) +: +8 >>+ +:+ +>+ 8+ J+:+
::.
R*++ K-+ D+ S++/S++/ L+-/+ P++ G S78+ U8+ S++:+ 40
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D:8++ :
?++ /++8
PENJAM!N
M+/+: R?.6000,00
"""""""""""""""""" (N++ = J++/+)
R*++ K-+ D+ S++/S++/ L+-/+ P++ G S78+ U8+ S++:+ 41
Untuk keyakinan,pemegang Jaminandisarankan untukmengkonfrmasi Jaminan
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G. BENTUK PAKTA !NTEG!TAS
[F*n+*h Pa"+a In+#g!i+a% Baan U%aha D#ngan K#mi+!aan/KSO]
PAKTA !NTEG!TAS
K+: + /++ /++ : ++ ::@
1. N++ @ [nama 8a"i$ %ah -aan &%aha]
J++/+ @
B/:+
/ +
+/+> ++
@ PT'$&'%:+'K7?+>: [9i$ih ,ang %#%&ai
an 0an+&9#nga8a% an nama]
2. N++ @ [nama 8a"i$ %ah -aan &%aha]
J++/+ @
B/:+
/ +
+/+> ++
@ PT'$&'%:+'K7?+>: [9i$ih ,ang %#%&ai
an 0an+&9#nga8a% an nama]
3. ......[an %#+#!&%n,a3 ii%i %#%&ai #ngan '&m$ah angg*+a "#mi+!aan/KSO]
+8+ ++ ?+++ [i%i nama 9a"#+] ?++ [i%i %#%&ai #ngan K/L/D/I]
+ :: +/++ ++@
1. /:+ ++ 8++ ?+/ K7?>:, K78>:, + N?7/:> (KKN)C
2. ++ 8+?7+ ?++ APIP [i%i %#%&ai #ngan K/L/D/I] + >+/+ +'+/+
LKPP +?+:8+ /+: ++ ::+>: KKN +8+ ?7>> ?+++ ::C
3. ++ :/: ?7>> ?+++ >*++ >:, /+>?++, + ?7>:7+8 / :+
+>:8 -+ /+: >>+: //+ ?+/+ ?+++C
4. +?+:8+ 8++ +8+8 + :+/++ +8+ PAKTA INTEGRITAS ::, >:+ :+
>+>: +::>/+/:, :+ >+>: ?*+/+ +8+ D+/+ #:/+, :+/ >*++ ?+/+
+'+/+ :8+?7+ >*++ ?:++.
[+#m9a+], [+angga$] [-&$an] 20 [+ah&n]
[Nama P#n,#ia] [Nama P#n,#ia] [Nama P#n,#ia]
[ +ana +angan], [ +ana +angan] , [ +ana +angan] ,
[nama $#ng"a9] [nama $#ng"a9] [nama $#ng"a9]
[0an+&9#nga8a% an +ana +angan an nama %#+ia9 angg*+a K#mi+!aan/KSO]
R*++ K-+ D+ S++/S++/ L+-/+ P++ G S78+ U8+ S++:+ 42
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H. BENTUK /OMUL! !S!AN KUAL!/!KAS!
/OMUL! !S!AN KUAL!/!KAS! BADAN USAHA
(S8+: $7/7 %7+/ M7+8 K-+ %78: I>:+ K+8::+>: /8+ :>:++ +8+ +?8:+>: LPSE)
Mo=al Kerja
S+/ + ++ +: B+@
N77 @
T++8 @
N++ B+@
N:8+: @
D::+ ?+/++ :: >++ +/ + >++ + ? +>+ /+ -++. J:+ ::+
+: :/: ++ +/+'7 + >++ >+?+:+ /:+ + + ++ ?+8>+, ++ >++ +
++ >++ + >++ +:8: >:+ :++ >+>: ?+ >+>: +::>/+/:, >+>: ?*+/+
+8+ D+/+ #:/+, +/+ >*++ ?+/+, +'+/+ ?8+?7+ >*++ ?:++ ?++ ?:+ +
>>+: + //+ ?+/+ ?+++.
[+#m9a+], [+angga$] [-&$an] 20 [+ah&n]
PT'$&'%:+'K7?+>:
[9i$ih ,ang %#%&ai an 0an+&9#nga8a% an nama]
(nama $#ng"a9 8a"i$ %ah -aan &%aha)
['a-a+an 9aa -aan &%aha]
Fa+a+an.
[S&!a+ P#!n,a+aan ini i ma%&""an -#!%amaan #ngan S&!a+ K#+#!angan D&"&ngan Ban" a$am
=*!m&$i! I%ian K&a$ii"a%i ,ang i%#ia"an a$am a9$i"a%i LPSE M#n& D&"&ngan Ban"]
R*++ K-+ D+ S++/S++/ L+-/+ P++ G S78+ U8+ S++:+ 43
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BAB $!!, PETUNJUK PENG!S!AN /OMUL! KUAL!/!KAS!
(P/- P:>:+ %78: I>:+ K+8::+>: :/: P/- P7?+>:7+ (U%#! G&i#)
+?8:+>: LPSE)
R*++ K-+ D+ S++/S++/ L+-/+ P++ G S78+ U8+ S++:+ 44
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BAB $!!!, TATA .AA E$ALUAS! KUAL!/!KAS!
A. D7 K+8::+>: + ++ :+8+>: +> : ?>++/+ >++: :/@
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BAB !8, BENTUK KONTAK
SUAT PEJANJ!AN
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