PRE QUALIFICATION DOCUMENT
P R E - Q UA L I F I C AT I O N D O C U M E N T
Number : 01/PPBJ-01/DOK-PQ/XII/SAR-2014
Date: December,22th 2014
Procurement of Medium Class Intermediate Helicopters
BID COMMITEE
BADAN SAR NASIONAL
.
CHAPTER I
GENERAL
A. This Qualification Document is arranged on the basis of Presidential Rule of Republic
of Indonesia No 54 Year 2010 concerning the Implementation Guidelines on
Procurement of Goods and Services for Government Bodies.
B. This Qualification Document uses terminologies, terms and abbreviations are as
follows :
- Goods
: any material, both tangible and intangible, moving or not moving,
which can be traded, used or utilized by User;
- HPS
: Owner’s Estimate;
- Partership/
Joint
Operation
(KSO)
- QDS
: Joint operation among the suppliers in wich each party has clear
right, obligations, and responsibility stipulated in a written
agreement;
: Qualification Data Sheet;
- Bid Committee : The Working Group (Procurement Service Unit) that functions to
undertake Procurement of Goods and Services.
C. Qualification Document consists of:
1. General;
2. Announcement of Pre Qualification;
3. Instructions to Bidder;
4. Qualification Data Sheet (QDS);
5. Integrity Pact;
6. Qualification Forms;
7. Guidance on Qualification Form Fulfillment;
8. Partnership Agreement/ Joint Operation;
9. Qualifitaion Evaluation Pracedures.
D. This Procurement through prequalification is funded by Source of Fund listed in QDS.
E.
This Pre Qualification is opened and able to be followed by all participants in the forms
of firm or partnership/joint operation.
Chapter I - General
I-1
ANNOUNCEMENT OF PRE-QUALIFICATION
Number : 01/PPBJ-01/PENG-PQ/XII/SAR-2014
The National SAR Agency of Indonesia is inviting for pre-qualification of procurement as
follows :
1. Procurement Package :
Name of Procurement Package
Scope of Procurement
Owner’s Estimate Price
Source of Funds
: Procurement of Medium Class Intermediate
Helicopters
: Procurement of 1 (One) Units Helicopter SAR
Version
: Rp. 220.000.000.000,- (two hundred and twenty
billion rupiah)
: The Budget of National SAR Agency of Indonesia
Fiscal Year 2015
Period of work completion until November, 30th 2015 (240 Calendar days)
2. Eligible Applicants :
This procurement package is opened for aircraft Manufacturer;
3. Invited Applicants:
1. Agusta Westland, NV
2. Airbus Helicopter, Inc.
3. Bell Helicopter Textron, Inc.
4. Sikorsky Aircraft Corporation
5. Kaman Corporation
Others applicant who are interested can submit at the address below.
4. Pre-qualification Schedule :
Registration and Pre-qualification Document Collection :
Day/Date
: Monday, December 22nd ,2014 to Monday, January 5th, 2015
Time
: At 07.00 a.m to 02.00 p.m (local time)
Place and Address
: Bid Committee of SAR Helicopter Procurement, Basarnas
Office, Lantai 6 , Jalan Angkasa Blok B 15 Kav. 2-3
Jakarta Pusat, Indonesia 10720
Submission of Applications :
Day/Date
: Tuesday, December,23rd 2014 s/d Tuesday, January,6th 2015
Time
: At 07.00 a.m to 02.00 p.m (local time)
Place and Address
: Bid Committee of SAR Helicopter Procurement, Basarnas
Office, Lantai 6 , Jalan Angkasa Blok B 15 Kav. 2-3
Jakarta Pusat, Indonesia 10720
Email for Applicants : [email protected] /cc : [email protected]
Explanation of
: Monday, December 22nd ,2014 to Monday, January 5th, 2015
Pre-qualification
At 07.00 a.m to 02.00 p.m (local time)
documents
Chapter II- Announcement of Pre-Qualification
II - 1
5. Registration and Pre-qualification Document Collection can be represented by other
person with the identity card and letter of assignment from the president director /
leader of the company / head of branch office.
6. A person is not allowed to represent more than 1 (one) company in the registration and
Pre-qualification Document collection.
7. Documents can be received in hardcopy.
Jakarta, December, 22nd 2014
BID COMMITEE
Chapter II- Announcement of Pre-Qualification
II - 2
CHAPTER III
INSTRUCTIONS TO BIDDER
A.
GENERAL
1.
Eligible Applicants for Pre-Qualification
In case of an applicant will or is having a partnership with both national company(s),
the applicant shall own Letter of Joint Operation Agreement/partnership which
contains the percentage of partnerships and the companies that represent the
partnership.
2.
Prohibition of Corruption, Collusion and Nepotism Practices and Fraud
2.1
Applicant and all parties associated with this procurement is obliged to obey the
ethics of the procurement of goods / services by avoiding and not undertaking the
prohibited practices as follows :
a. to influence the member(s) of the Bid Committee in a such way whatever, either
directly or indirectly to meet the Applicants’s interest contradicted to the provisions
and procedures set out in the qualification document, and / or contradicted to the
prevailing legislation;
b. to make conspiracy with the other participants to set the qualifications to reduce /
prevent / minimize / eliminate competition and / or harm others
c. to create and/or submit the documents and/or other information that is untrue to
meet the requirements in the Prequalification Document.
The Applicant(s) which according to the Bid Committee assesment is deemed proved
to undertake the prohibited practices as stated in Clause 2.1 above shall be imposed
by the sanctions as follows:
a. administrative sanctions, such as the elimination or cancellation of their
participation in qualification process or cancellation of their qualification
graduation;
b. sanction of the Black List;
c. sued in civil lawsuit; and/or
d. criminally report to the relevant authorities.
2.2
2.3
The imposition of sanctions is reported by the Bid Committee to the PA/KPA
3.
Prohibition of Conflict of Interest
3.1
The parties in carrying out their duties, functions and roles shall not have / perform
double roles or affiliated.
Double roles as mentioned in point 3.1. above includes as follows:
a. a member of the Board of Directors or Board of Commisioners of the Bussiness
Entities is prohibited from concurrently as members of the Board of Directors or
Board of Commissioners of other business entities which become participants in the
same bidding.
3.2
Chapter III- Instructions To Applicant
III - 1
b. a management member of employees’ cooperative in a ministry / agency /
department or its subsidiaries in the state-owned enterprises that follows the
Procurement of Goods and competes with other companies, are prohibited from
concurrently as a member of the Bid Committee or authorized officer who
determines the tender award.
3.3
3.4
4.
Affiliation as mentioned in point 3.1. above is the linkage relationships, both among
participants, between participants and Project Manager (PPK) and / or Bid Committee
members that includes:
a. family relationships by marriage and descent to the second degree, both
horizontally and vertikal;
b. PPK and / or members of the Bid Committee, either directly or indirectly controls
or runs participant’s company.
c. the relationship between 2 (two) either directly or indirectly controlled companies
by the same party, that is more than 50% (fifty percent) of shareholders and / or
one of its management members is same.
The employee in a ministry / agency / department is prohibited to become participant
except they are being on leave beyond the responsibility of the ministry / agency /
department.
One Application for Each Applicant
4.1
Each Applicant, either as single Applicant or on behalf of a member of a Joint
Operation is only allowed to submit 1 (one) Application.
4.2. Each Applicant which is a member in a partnership / Joint Operation is prohibited
from becoming participants either individually or as members of other partnerships /
joint operation in the same work package.
B.
QUALIFICATION DOCUMENT
5.
Contents of the Qualification Document
Applicant shall examine and verify overall instructions, forms, and requirements in
the Qualification Document. Negligence to give the information in the qualification
document as required is the simply risk born by Applicant.
6.
Qualification Document Language
Qualification document and all the written correspondences within use Indonesian
and English languages.
7.
Amendments to Qualification Document
7.1
Prior to the deadline for submission of application, the Bid Committee may amend the
Qualification Document by issuing addenda.
Any addendum issued shall be a part of the Qualification Document and shall be
notified to all applicants.
The Bid Committee may extend the deadline for submission of application if there is
addendum for the Qualification Document .
7.2
7.3
Chapter III- Instructions To Applicant
III - 2
8.
Validity of Qualification
This qualification is only valid for the procurement package stated in LDK.
9.
Application Cost
9.1 Applicant shall bear all the costs incurred to follow this qualification process.
9.2. The Bid Committee shall not be liable for any loss suffered by the Participant during
the qualification process.
C.
PREPARATION OF APPLICATION
10.
Filling Application
10.1 Applicant shall fill out and complete the Integrity Pact and Application Forms.
10.2 The Integrity Pact and Application document shall be signed by :
a. president director / head of company
b. the endorsee of power attorney from the president director / head of the company
whose endorser’s name is listed in the deed of company or its amendments;
c. The branch manager appointed by head office of the company proved by an
authentic document;
d. The official who has right to represent company under the partnership agreement.
11.
Form of Application Document
Application is submitted in 2 (two) copies, which consists of : 1 (one) original
document and 1 (one) of its copy, and is marked with "ORIGINAL" and "COPY". If
there is a discrepancy between original document and its copy, the original document
is valid.
12. Integrity Pact
12.1 The Integrity pact contains a pledge to prevent and not do and will report the
occurrence of collusion, corruption, and nepotism (KKN) practices during the process
of procurement of goods.
12.2 The Integrity pact is inserted into the Application Document and becomes a part of the
Application Document.
D.
SUBMISSION OF APPLICATION
13.
Submission of Application
13.1 Application document is inserted into a sealed envelope and marked outside with
“APPLICATION DOCUMENT”, name of the Procurement Package, name and address
of the Applicant, and submitted to the Bid Committee at the address specified in LDK.
13.3 Applicant submits Application Document directly by hand to the Bid Committee in
line with the schedule specified in LDK.
13.3 Applicant may submit Application Document by mail/courier on the condition that
the Application Document shall be received by the Bid Committee in line with the
schedule specified in LDK
Chapter III- Instructions To Applicant
III - 3
13.4 In case of Application Document is submitted by mail/courier, the sealed envelope is
inserted into the outer envelope bearing the name of the procurement package and
the address of the bid committee.
14.
Late Application
14.1 Every application received by the Bid Committee beyond the deadline for submission
of applications will be rejected and sent back to the Applicant in a sealed envelope
(not opened) accompanied by evidence of receipt.
14.2 To the late application submitted by mail / courier, the Bid Committee will open the
outer cover to find out the name and address of applicant, and then notify the
concerned applicants to take back the application accompanied by evidence of receipt.
14.3 In case of application document is submitted by mail / courier, all risks of delay and
destruction of documents shall be the risks of applicant.
15.
Confidentiality of Evaluation Process
The information relating to the evaluation on applications shall not be disclosed to
Applicants or to any other parties until the results of Qualification is announced.
16. Evaluation of Application
16.1 Evaluation of applications is carried out by using a knockout evaluation method.
16.2 Integrity pact shall has been completed, signed, and attached in Application
Document.
16.3 The procedures of application evaluation is conducted in accordance with Chapter
VIII of this Qualification Document.
16.4 If the applicants passed the qualification evaluation is less than 3 (three), then the
bidding fails.
17.
Clarification on Application
17.1 Clarification on qualification for the qualified applicants shall be undertaken after
evaluation of applications is accomplished.
17.2 Clarification on applications is conducted by verifying original document or endorsed
documents with its copy.
17.3 if necessary, the Bid Committee clarify and / or verify the documents to the issuer.
17.4 If the results of application clarification find false data, the applicant shall be failed or
eliminated and included in the Black List.
E.
QUALIFICATION RESULTS
18.
Determination of Qualification Results
18.1 All the qualified Applicants shall be included into bidder shortlist by the Bid
Committee.
18.2 if the qualified applicants is less than 3 (three) applicants, the bidding shall be failed.
19.
Notification of Qualification Results
Upon approval by the Bid Committee, the qualification results shall be notified to all
Applicants in writting and announced by the Bid Committee in the website as listed in
LDK and in the public notice board.
Chapter III- Instructions To Applicant
III - 4
20.
Objection
20.1 Applicant may raise written objection to the Bid Committee on the qualification results
not later than 5 (five) working days following the notification of qualification results
attached with evidence of fraud, with cc to the PPK, PA/KPA and internal control unit.
20.2 Objection may only be submitted if accompanied by the evidences of procedures
manipulation, including:
a. manipulation to the provisions and procedures stipulated in Presidential Regulation
No 54 Year 2010 and has been specified in the Qualification Document;
b. certain manipulations that prevent a fair competition among Applicants, and/or
c. abuse of authority by the Bid Committee and/or by other autorized officials.
20.3 The bid committee shall provide written response on all objections arising not later
than 5 (five) working days following the objection received.
20.4 If the objection is sustained, the bid committee shall fail the tender.
20.5 The objection submitted not to the bid committee or submitted beyond objection
period, it should be considered as a complaint and shall be responded.
20.6 There is no appeal objection in the qualification process.
21.
Re-qualification
21.1 If the qualified applicants are less than 3 (three) applicants, the Bid Committee shall
re-announce the qualification to invite new applicants other than the qualified
applicants. The qualified Applicants are not necessary to re-evaluated, unless there is
an amendment in qualification document.
21.2 In case of upon re-qualification is conducted but the qualified Applicants is still less
than 3 (three), the Bid Committee shall proceed the tender process.
22.
Invitation to the Qualified Applicants
If there is no objection or the objection is rejected, the qualified Applicants shall be
invited to bid on the procurement package.
Chapter III- Instructions To Applicant
III - 5
CHAPTER IV
QUALIFICATION DATA SHEET
A. The Scope of Qualification
Name of the Bid Committee :
Pokja ULP Badan SAR Nasional
The Bid Committee’s address :
Jl. Angkasa Blok B-15, Kav. 2-3, Lantai 6 (Ditsarpras), Kemayoran, Jakarta Pusat,
Indonesia 10720
The name of Work Package :
Procurement of Medium Class Intermediate Helicopter.
Period of work completion until November, 30th 2015 (240 Calendar days)
B. Source of Funds
This procurement is funded by the National SAR Agency of Indonesia Budget for Fiscal
Year 2015.
C. Submission of Applications
Date : Monday, December 22nd ,2014 to Monday, January 5th, 2015
Time : At 08.00 a.m to 02.00 p.m (local time)
Place : Jl. Angkasa Blok B-15, Kav. 2-3, Lantai 6 (Ditsarpras), Kemayoran, Jakarta
Pusat, Indonesia 10720
Email
: [email protected] /cc : [email protected]
D. Qualification Requirements
The Applicant shall meet the following requirements:
a) The Integrity Pact signed by the President Director of the Company or by the
Endorsee;
b) Applicants must be aircraft Manufacturer;
c) Company Deed and its amendments, if any, and shall be endorsed by the
Indonesian Embassy in the country of origin;
d) Company Profile which describes:
- Brief company profile,
- List of experience within 10 years,
- List of Corporate Human Resources.
Chapter IV – Qualification Data Sheet
IV - 1
CHAPTER V
INTEGRITY PACT
[Example of an Integrity Pact for Single Applicant]
INTEGRITY PACT
I am, the Undersigned :
Name
: __________[ the name of authorized representative of business
entities]
Identity Number
: __________ [Fill with the identity number]
Position
: __________
Acting for and on : _____________ [fill with the company name]
behalf of
for the Work Procurement of 1 (one) SAR Helicopter Package (Phase 1) at National SAR
Agency of Indonesia, hereby certify that I :
1.
will not commit nepotism,corruption and collution practices;
2.
will report to the Inspectorate of the National SAR Agency of Indonesia and/or
LKPP when we find nepotism,corruption and collution practices during the bidding
process;
3.
will follow the procurement process in a clean, transparent and professional way to
provide the best performance accordance with the provisions of the prevailing
legislation and regulations;
4.
If I violate the things that I have stated in this Integrity Pact, I'm willing to bear the
administrative penalties, sanction to be included in the Black List, compensation and
criminal claims in accordance with the provisions of the prevailing legislation and
regulations.
__________[place], __[date] __________[month] 20____[year]
[Company]
[Signature],
____________
[Complete Name]
Chapter V – Integrity Pact
II - 1
[Example of an Integrity Pact with Joint Operation Applicant]
INTEGRITY PACT
We, the Undersigned :
1. Name
: __________[ name of authorized representative of business
entities]
Identity Number
: __________ [Fill with the identity number]
Position
: __________
Acting for and on
behalf of
: _____________ [fill with the company name]
2. Name
: __________[ name of authorized representative of business
entities]
Identity Number
: __________ [Fill with the identity number]
Position
: __________
Acting for and on
behalf of
: _____________ [fill with the company name]
3. ......[and so on, filled in accordance with the number of partnership member]
for the Work Procurement of 1 (one) SAR Helicopter Package (Phase 1) at National SAR
Agency of Indonesia, hereby certify that I :
1. will not commit nepotism,corruption and collution practices;
2. will report to the Inspectorate of the National SAR Agency of Indonesia and/or
LKPP when we find nepotism,corruption and collution practices during the bid
process;
3. will follow the procurement process in a clean, transparent and professional way to
provide the best performance accordance with the provisions of the prevailing
legislation and regulations;
4. If I violate the things that I have stated in this Integrity Pact, I'm willing to bear the
administrative penalties, sanctioned the inclusion of the Black List, compensation
and criminal claims in accordance with the provisions of the prevailing legislation
and regulations.
__________[place], __[date] __________[month] 20____[year]
[Company]
[Company]
[Company]
[Signature],
[Complete Name]
[Signature],
[Complete Name]
[Signature],
[Complete Name]
[include the signature and name of each member of the Joint Operation]
Chapter V – Integrity Pact
II - 2
CHAPTER VI
QUALIFICATION FORMS
QUALIFICATION FORM
I am, the Undersigned :
Name
Position
Acting for
and on behalf of
Address
No. Telephone/Fax
Email
: ...............................
: ...............................
: Company . . . . . . . . . . . . . . . . . . . . . . .
: ...............................
: ...............................
: ...............................
hereby declare that:
1. I legally have the capacity to sign a contract according to the letter ... ... ... ...
... ... ... ... (according to deed of company / amendment / power of attorney,
stated clearly the establishment number / amendment / power of attorney
and the date);
2. I am not as a government employee of Indonesian ministry / agency /
department / institution [for government employee of Indonesian ministry /
agency / department / institution dependents who is on leave outside the
ministry / agency / department / institution is written as follows: "I am a
government employee of Indonesian ministry / agency / department /
institution is dependents on leave outside the ministry / agency / department
/ institution ”];
3. I'm not serving a criminal penalty;
4. I am not and will not be involved in a conflict of interest with the parties
concerned, directly or indirectly in this procurement process;
5. The business entities that I represent is not included in the Black List, not
under court supervision, not bankrupt or being legally discontinued
operation;
6. one and / or all of the management entity that I represent are not included in
the Black List;
7. My company data are as follows:
Chapter VI - Qualification Forms
VI - 1
A. Administration Data
1.
General
1.
Name of Company
:
2.
Status of Company
:
Head
Office
B.
3.
Address
No. Telephone
No. Fax
E-Mail
4.
Address
of
Office
No. Telephone
No. Fax
E-Mail
:
:
:
:
:
Head :
:
:
:
:
Bussiness License
Business License Number
Validity
Business License Issuer
C.
Branch
: No.…… date ……………..
: Valid until ………….…20…
: ………..
Legal Basis of Company Deed
1.
2.
Company Deed
a. Certificate Number
b. Date
c. Name of Public Notary
Last Amendment Certificate
a. Certificate Number
b. Date
c. Name of Public Notary
:
:
:
:
:
:
D. Company Administrators
1.
Commissioners
NO.
Name
Chapter VI - Qualification Forms
Identity Number
Position in the company
VI - 2
2.
Directors / Legally Liable Persons / Corporate Administrators
NO.
E.
Name
Indentity Number
Position in the company
Financial Data
1.
Shareholder Structure
NO.
2.
Name
Identity
Number
Address
Percentage
Taxes
1. Number of Tax Payers Subject
(NPWP)
:
2. Evidence of Corporate Annual
Income Tax Payment in the last
year Number/Date
:
3. Monthly Report of
Corporate
Income Tax/State Income Tax
(PPh/PPN) in the last three months
Number/ Date
:
4. [Fiscal
Statement
number 2 and 3)]
(instead
of
(Attached with copy as evidence that the company has settled tax
liabilities in the last year (PPh / PPN) and monthly reports of income
tax article 25 or article 23 or PPN article 21 in the last 3 (three)
months)
Chapter VI - Qualification Forms
VI - 3
F. The last Corporate Balance Sheet by 31 December ............
(in thousands IDR)
ASSETS
I
II
II
I
*)
LIABILITIES
Current Assets
Cash
Bank
: Rp. ……….
: Rp. ……….
: Rp. ……….
Receivables *)
Supplies
Works in Progress
Total (a)
: Rp. ……….
: Rp. ……….
: Rp. ……….
Fixed Assets
Equipments
machines
Inventory
Buildings
Total (b)
: Rp. ……….
and : Rp. ……….
IV
Liabilities
Account Payable
Tax Payable
Others Liabilities
Total Liability (d)
Rp.
……….
V
Long
(e)
Term
Liability
:
:
Rp. ……….
Rp. ……….
:
Rp. ……….
Rp. ……….
Rp………..
Rp……...
Rp………
: Rp. ……….
: Rp. ……….
Rp.
VI Net Asset (a+b+c) –
……….
(d+e)
Others Assets (c)
Rp.
……….
Total :
: Rp……..
Rp.
Total
……….
Short term receivables (in the period up to six months) : Rp………
Long term receivables (in the period more than six months) : Rp………
Total Amount
Chapter VI - Qualification Forms
Rp............
Rp..............
Rp. ……….
:Rp.
VI - 4
G. Corporate Experience Data in the last 10 years
No
1
Name of
Procureme
nt Package
2
Business
Field/Sub
Field of
Procureme
nt
Loca
tion
3
4
Project
Manager/
Pejabat Pembuat
Komitmen
Contract *)
Date of
Completion
According to
Name
Address
/ phone
No/
Date
Amo
unt
Contrac
t
Minutes
of
Work
Commis
sioning
5
6
7
8
9
10
*) Attached with a copy of Contract as a written evidence
We hereby certify this statement with full awareness and sense of responsibility. If it is
found hereafter that the data / documents we submitted not true and fraudulent, we are
willing to subject to administrative penalties, which includes sanction as the blacklisted
company, and civil and criminal sanctions in accordance with the provisions of the
prevailing laws and regulations.
…………………… , ……………. 20…
Company Name ……………………..
(Name)
Position
Chapter VI - Qualification Forms
CHAPTER VII
INSTRUCTIONS TO FILL UP APPLICATION
A.
1.
2.
3.
4.
Administration Data
Fill with the Name of applicant’s company.
Select the status of a business entity (Head Office/Branch).
Fill with the address, telephone numbers, fax numbers and email of the applicant’s
company that can be contacted.
Fill with address, telephone numbers, fax numbers and email of head office that can be
contacted, if the applicant is a branch office.
B.
1.
2.
3.
Bussiness License
Fill with the type of business license, number and date of publication.
Fill with validity period of license.
Fill with the name of the business license issuing agencies
C.
1.
2.
Legal Basis of Company Deed
Fill with with a number, date and name of the public notary who issues Company Deed.
Fill with with a number, date and name of the public notary who issues Last Amendment
Certificate.
D. Company Administrators
1. Fill with name, ID number and positions in Company, if the company is Limited.
2. Fill with name, ID number and positions in Company.
E.
1.
2.
F.
Financial Data
Fill with name, ID number, and shareholder / partner in addresses and the percentage
ownership of shares / partner in.
Taxes :
a. Fill with Number of Tax Payers Subject (NPWP)
b. Fill with the number and date of last year's tax report in evidence of annual report.
c. Fill with the number and date of the monthly report evidence (for the last three
months)
Fulfillment of the requirements of the last year tax liability with submission the annual
tax reports and monthly reports can be replaced Certificate of Fiscal (SKF) issued by the
tax office.
The last Corporate Balance Sheet
[Filled with financial data compiled by the Financial Accounting Standards issued by the
Indonesian Institute of Accountants]
G. Corporate Experience Data
Fill with Name of Procurement Package, Business Field/Sub Field of Procurement, Project
Location, Name and Address/ phone of Employer/ Pejabat Pembuat Komitmen, No/ Date
and amount of the Contract, Date of Completion According to Contract, and Date of
Completion According to Minutes of Work Commissioning
Chapter VII - Instructions To Fill Up Application
VII - 1
CHAPTER VIII
QUALIFICATION EVALUATION PROCEDURES
A.
1.
Application documents will be evaluated shall meet the following requirements :
Application form is signed by :
a. the president director/head of the company;
b.
c.
d.
the endorsee of the president director / head of the company whose his/her
endorser’s name is listed in the company deed or its amendments;
the Branch manager appointed by head office of the company proved by an
authentic document; or
the officials who has the right to represent company under the partnership
agreement.
2.
have a business license in accordance with prevailing legislation
3.
Submitted a written statement / acknowledgment that the company is not being under
court supervision, not bankrupt, not being discontinued operations, and / or the
directors who act for and on behalf of companies is not being serve criminal penalties.
4.
one and / or all of the management and the company are not included in the Black List;
5.
Have Tax Payers Subject Number (NPWP) and already paid the taxes liabilities for the
last year proven by the copies of receipt of the last Corporate Annual Income Tax (SPT),
and have a monthly report of Income Tax PPh article 21, PPh article 23 (if any), PPh
article 25/article 29 and VAT (for Taxable) for at least 3 (three) months of the year.
Participants can replace this requirement by submitting the Certificate of Fiscal (SKF);
6.
obtain at least 1 (one) job as a supplier in the last 4 (four) years, both in government and
private sector, including subcontract experience.
7.
has the capability to appropriate Sub Field of Procurement.
8.
In case of the applicant will make partnership :
a.
9.
B.
applicant shall have a partnership/joint operation agreements that shows the
percentage of share and companies that represent partnership.
b. the requirement evaluation number 1 up to 7 is carried out for each joint operation
applicant.
the partnership/joint operation agreement as stated in point 8.a shall be made in front of
a public notary, in the form of notary certificate.
The Bid Committee shall examine and compare the data entry requirements with the
applicant’s application, in terms of :
1. completeness of Application Documents; and
2. fulfillment of qualification requirements. Filled with the type of business license,
number and date of issuance.
Chapter VIII Qualification Evaluation Procedures
VIII - 1
C.
If there is unclear or missing data, the Bid Committee may request applicant to make
clarification in writing, but shall not change the substances of the application.
D. The missing/incomplete data can be completed not later than the deadline of Submission
of Applications.
Chapter VIII Qualification Evaluation Procedures
VIII - 2
Number : 01/PPBJ-01/DOK-PQ/XII/SAR-2014
Date: December,22th 2014
Procurement of Medium Class Intermediate Helicopters
BID COMMITEE
BADAN SAR NASIONAL
.
CHAPTER I
GENERAL
A. This Qualification Document is arranged on the basis of Presidential Rule of Republic
of Indonesia No 54 Year 2010 concerning the Implementation Guidelines on
Procurement of Goods and Services for Government Bodies.
B. This Qualification Document uses terminologies, terms and abbreviations are as
follows :
- Goods
: any material, both tangible and intangible, moving or not moving,
which can be traded, used or utilized by User;
- HPS
: Owner’s Estimate;
- Partership/
Joint
Operation
(KSO)
- QDS
: Joint operation among the suppliers in wich each party has clear
right, obligations, and responsibility stipulated in a written
agreement;
: Qualification Data Sheet;
- Bid Committee : The Working Group (Procurement Service Unit) that functions to
undertake Procurement of Goods and Services.
C. Qualification Document consists of:
1. General;
2. Announcement of Pre Qualification;
3. Instructions to Bidder;
4. Qualification Data Sheet (QDS);
5. Integrity Pact;
6. Qualification Forms;
7. Guidance on Qualification Form Fulfillment;
8. Partnership Agreement/ Joint Operation;
9. Qualifitaion Evaluation Pracedures.
D. This Procurement through prequalification is funded by Source of Fund listed in QDS.
E.
This Pre Qualification is opened and able to be followed by all participants in the forms
of firm or partnership/joint operation.
Chapter I - General
I-1
ANNOUNCEMENT OF PRE-QUALIFICATION
Number : 01/PPBJ-01/PENG-PQ/XII/SAR-2014
The National SAR Agency of Indonesia is inviting for pre-qualification of procurement as
follows :
1. Procurement Package :
Name of Procurement Package
Scope of Procurement
Owner’s Estimate Price
Source of Funds
: Procurement of Medium Class Intermediate
Helicopters
: Procurement of 1 (One) Units Helicopter SAR
Version
: Rp. 220.000.000.000,- (two hundred and twenty
billion rupiah)
: The Budget of National SAR Agency of Indonesia
Fiscal Year 2015
Period of work completion until November, 30th 2015 (240 Calendar days)
2. Eligible Applicants :
This procurement package is opened for aircraft Manufacturer;
3. Invited Applicants:
1. Agusta Westland, NV
2. Airbus Helicopter, Inc.
3. Bell Helicopter Textron, Inc.
4. Sikorsky Aircraft Corporation
5. Kaman Corporation
Others applicant who are interested can submit at the address below.
4. Pre-qualification Schedule :
Registration and Pre-qualification Document Collection :
Day/Date
: Monday, December 22nd ,2014 to Monday, January 5th, 2015
Time
: At 07.00 a.m to 02.00 p.m (local time)
Place and Address
: Bid Committee of SAR Helicopter Procurement, Basarnas
Office, Lantai 6 , Jalan Angkasa Blok B 15 Kav. 2-3
Jakarta Pusat, Indonesia 10720
Submission of Applications :
Day/Date
: Tuesday, December,23rd 2014 s/d Tuesday, January,6th 2015
Time
: At 07.00 a.m to 02.00 p.m (local time)
Place and Address
: Bid Committee of SAR Helicopter Procurement, Basarnas
Office, Lantai 6 , Jalan Angkasa Blok B 15 Kav. 2-3
Jakarta Pusat, Indonesia 10720
Email for Applicants : [email protected] /cc : [email protected]
Explanation of
: Monday, December 22nd ,2014 to Monday, January 5th, 2015
Pre-qualification
At 07.00 a.m to 02.00 p.m (local time)
documents
Chapter II- Announcement of Pre-Qualification
II - 1
5. Registration and Pre-qualification Document Collection can be represented by other
person with the identity card and letter of assignment from the president director /
leader of the company / head of branch office.
6. A person is not allowed to represent more than 1 (one) company in the registration and
Pre-qualification Document collection.
7. Documents can be received in hardcopy.
Jakarta, December, 22nd 2014
BID COMMITEE
Chapter II- Announcement of Pre-Qualification
II - 2
CHAPTER III
INSTRUCTIONS TO BIDDER
A.
GENERAL
1.
Eligible Applicants for Pre-Qualification
In case of an applicant will or is having a partnership with both national company(s),
the applicant shall own Letter of Joint Operation Agreement/partnership which
contains the percentage of partnerships and the companies that represent the
partnership.
2.
Prohibition of Corruption, Collusion and Nepotism Practices and Fraud
2.1
Applicant and all parties associated with this procurement is obliged to obey the
ethics of the procurement of goods / services by avoiding and not undertaking the
prohibited practices as follows :
a. to influence the member(s) of the Bid Committee in a such way whatever, either
directly or indirectly to meet the Applicants’s interest contradicted to the provisions
and procedures set out in the qualification document, and / or contradicted to the
prevailing legislation;
b. to make conspiracy with the other participants to set the qualifications to reduce /
prevent / minimize / eliminate competition and / or harm others
c. to create and/or submit the documents and/or other information that is untrue to
meet the requirements in the Prequalification Document.
The Applicant(s) which according to the Bid Committee assesment is deemed proved
to undertake the prohibited practices as stated in Clause 2.1 above shall be imposed
by the sanctions as follows:
a. administrative sanctions, such as the elimination or cancellation of their
participation in qualification process or cancellation of their qualification
graduation;
b. sanction of the Black List;
c. sued in civil lawsuit; and/or
d. criminally report to the relevant authorities.
2.2
2.3
The imposition of sanctions is reported by the Bid Committee to the PA/KPA
3.
Prohibition of Conflict of Interest
3.1
The parties in carrying out their duties, functions and roles shall not have / perform
double roles or affiliated.
Double roles as mentioned in point 3.1. above includes as follows:
a. a member of the Board of Directors or Board of Commisioners of the Bussiness
Entities is prohibited from concurrently as members of the Board of Directors or
Board of Commissioners of other business entities which become participants in the
same bidding.
3.2
Chapter III- Instructions To Applicant
III - 1
b. a management member of employees’ cooperative in a ministry / agency /
department or its subsidiaries in the state-owned enterprises that follows the
Procurement of Goods and competes with other companies, are prohibited from
concurrently as a member of the Bid Committee or authorized officer who
determines the tender award.
3.3
3.4
4.
Affiliation as mentioned in point 3.1. above is the linkage relationships, both among
participants, between participants and Project Manager (PPK) and / or Bid Committee
members that includes:
a. family relationships by marriage and descent to the second degree, both
horizontally and vertikal;
b. PPK and / or members of the Bid Committee, either directly or indirectly controls
or runs participant’s company.
c. the relationship between 2 (two) either directly or indirectly controlled companies
by the same party, that is more than 50% (fifty percent) of shareholders and / or
one of its management members is same.
The employee in a ministry / agency / department is prohibited to become participant
except they are being on leave beyond the responsibility of the ministry / agency /
department.
One Application for Each Applicant
4.1
Each Applicant, either as single Applicant or on behalf of a member of a Joint
Operation is only allowed to submit 1 (one) Application.
4.2. Each Applicant which is a member in a partnership / Joint Operation is prohibited
from becoming participants either individually or as members of other partnerships /
joint operation in the same work package.
B.
QUALIFICATION DOCUMENT
5.
Contents of the Qualification Document
Applicant shall examine and verify overall instructions, forms, and requirements in
the Qualification Document. Negligence to give the information in the qualification
document as required is the simply risk born by Applicant.
6.
Qualification Document Language
Qualification document and all the written correspondences within use Indonesian
and English languages.
7.
Amendments to Qualification Document
7.1
Prior to the deadline for submission of application, the Bid Committee may amend the
Qualification Document by issuing addenda.
Any addendum issued shall be a part of the Qualification Document and shall be
notified to all applicants.
The Bid Committee may extend the deadline for submission of application if there is
addendum for the Qualification Document .
7.2
7.3
Chapter III- Instructions To Applicant
III - 2
8.
Validity of Qualification
This qualification is only valid for the procurement package stated in LDK.
9.
Application Cost
9.1 Applicant shall bear all the costs incurred to follow this qualification process.
9.2. The Bid Committee shall not be liable for any loss suffered by the Participant during
the qualification process.
C.
PREPARATION OF APPLICATION
10.
Filling Application
10.1 Applicant shall fill out and complete the Integrity Pact and Application Forms.
10.2 The Integrity Pact and Application document shall be signed by :
a. president director / head of company
b. the endorsee of power attorney from the president director / head of the company
whose endorser’s name is listed in the deed of company or its amendments;
c. The branch manager appointed by head office of the company proved by an
authentic document;
d. The official who has right to represent company under the partnership agreement.
11.
Form of Application Document
Application is submitted in 2 (two) copies, which consists of : 1 (one) original
document and 1 (one) of its copy, and is marked with "ORIGINAL" and "COPY". If
there is a discrepancy between original document and its copy, the original document
is valid.
12. Integrity Pact
12.1 The Integrity pact contains a pledge to prevent and not do and will report the
occurrence of collusion, corruption, and nepotism (KKN) practices during the process
of procurement of goods.
12.2 The Integrity pact is inserted into the Application Document and becomes a part of the
Application Document.
D.
SUBMISSION OF APPLICATION
13.
Submission of Application
13.1 Application document is inserted into a sealed envelope and marked outside with
“APPLICATION DOCUMENT”, name of the Procurement Package, name and address
of the Applicant, and submitted to the Bid Committee at the address specified in LDK.
13.3 Applicant submits Application Document directly by hand to the Bid Committee in
line with the schedule specified in LDK.
13.3 Applicant may submit Application Document by mail/courier on the condition that
the Application Document shall be received by the Bid Committee in line with the
schedule specified in LDK
Chapter III- Instructions To Applicant
III - 3
13.4 In case of Application Document is submitted by mail/courier, the sealed envelope is
inserted into the outer envelope bearing the name of the procurement package and
the address of the bid committee.
14.
Late Application
14.1 Every application received by the Bid Committee beyond the deadline for submission
of applications will be rejected and sent back to the Applicant in a sealed envelope
(not opened) accompanied by evidence of receipt.
14.2 To the late application submitted by mail / courier, the Bid Committee will open the
outer cover to find out the name and address of applicant, and then notify the
concerned applicants to take back the application accompanied by evidence of receipt.
14.3 In case of application document is submitted by mail / courier, all risks of delay and
destruction of documents shall be the risks of applicant.
15.
Confidentiality of Evaluation Process
The information relating to the evaluation on applications shall not be disclosed to
Applicants or to any other parties until the results of Qualification is announced.
16. Evaluation of Application
16.1 Evaluation of applications is carried out by using a knockout evaluation method.
16.2 Integrity pact shall has been completed, signed, and attached in Application
Document.
16.3 The procedures of application evaluation is conducted in accordance with Chapter
VIII of this Qualification Document.
16.4 If the applicants passed the qualification evaluation is less than 3 (three), then the
bidding fails.
17.
Clarification on Application
17.1 Clarification on qualification for the qualified applicants shall be undertaken after
evaluation of applications is accomplished.
17.2 Clarification on applications is conducted by verifying original document or endorsed
documents with its copy.
17.3 if necessary, the Bid Committee clarify and / or verify the documents to the issuer.
17.4 If the results of application clarification find false data, the applicant shall be failed or
eliminated and included in the Black List.
E.
QUALIFICATION RESULTS
18.
Determination of Qualification Results
18.1 All the qualified Applicants shall be included into bidder shortlist by the Bid
Committee.
18.2 if the qualified applicants is less than 3 (three) applicants, the bidding shall be failed.
19.
Notification of Qualification Results
Upon approval by the Bid Committee, the qualification results shall be notified to all
Applicants in writting and announced by the Bid Committee in the website as listed in
LDK and in the public notice board.
Chapter III- Instructions To Applicant
III - 4
20.
Objection
20.1 Applicant may raise written objection to the Bid Committee on the qualification results
not later than 5 (five) working days following the notification of qualification results
attached with evidence of fraud, with cc to the PPK, PA/KPA and internal control unit.
20.2 Objection may only be submitted if accompanied by the evidences of procedures
manipulation, including:
a. manipulation to the provisions and procedures stipulated in Presidential Regulation
No 54 Year 2010 and has been specified in the Qualification Document;
b. certain manipulations that prevent a fair competition among Applicants, and/or
c. abuse of authority by the Bid Committee and/or by other autorized officials.
20.3 The bid committee shall provide written response on all objections arising not later
than 5 (five) working days following the objection received.
20.4 If the objection is sustained, the bid committee shall fail the tender.
20.5 The objection submitted not to the bid committee or submitted beyond objection
period, it should be considered as a complaint and shall be responded.
20.6 There is no appeal objection in the qualification process.
21.
Re-qualification
21.1 If the qualified applicants are less than 3 (three) applicants, the Bid Committee shall
re-announce the qualification to invite new applicants other than the qualified
applicants. The qualified Applicants are not necessary to re-evaluated, unless there is
an amendment in qualification document.
21.2 In case of upon re-qualification is conducted but the qualified Applicants is still less
than 3 (three), the Bid Committee shall proceed the tender process.
22.
Invitation to the Qualified Applicants
If there is no objection or the objection is rejected, the qualified Applicants shall be
invited to bid on the procurement package.
Chapter III- Instructions To Applicant
III - 5
CHAPTER IV
QUALIFICATION DATA SHEET
A. The Scope of Qualification
Name of the Bid Committee :
Pokja ULP Badan SAR Nasional
The Bid Committee’s address :
Jl. Angkasa Blok B-15, Kav. 2-3, Lantai 6 (Ditsarpras), Kemayoran, Jakarta Pusat,
Indonesia 10720
The name of Work Package :
Procurement of Medium Class Intermediate Helicopter.
Period of work completion until November, 30th 2015 (240 Calendar days)
B. Source of Funds
This procurement is funded by the National SAR Agency of Indonesia Budget for Fiscal
Year 2015.
C. Submission of Applications
Date : Monday, December 22nd ,2014 to Monday, January 5th, 2015
Time : At 08.00 a.m to 02.00 p.m (local time)
Place : Jl. Angkasa Blok B-15, Kav. 2-3, Lantai 6 (Ditsarpras), Kemayoran, Jakarta
Pusat, Indonesia 10720
: [email protected] /cc : [email protected]
D. Qualification Requirements
The Applicant shall meet the following requirements:
a) The Integrity Pact signed by the President Director of the Company or by the
Endorsee;
b) Applicants must be aircraft Manufacturer;
c) Company Deed and its amendments, if any, and shall be endorsed by the
Indonesian Embassy in the country of origin;
d) Company Profile which describes:
- Brief company profile,
- List of experience within 10 years,
- List of Corporate Human Resources.
Chapter IV – Qualification Data Sheet
IV - 1
CHAPTER V
INTEGRITY PACT
[Example of an Integrity Pact for Single Applicant]
INTEGRITY PACT
I am, the Undersigned :
Name
: __________[ the name of authorized representative of business
entities]
Identity Number
: __________ [Fill with the identity number]
Position
: __________
Acting for and on : _____________ [fill with the company name]
behalf of
for the Work Procurement of 1 (one) SAR Helicopter Package (Phase 1) at National SAR
Agency of Indonesia, hereby certify that I :
1.
will not commit nepotism,corruption and collution practices;
2.
will report to the Inspectorate of the National SAR Agency of Indonesia and/or
LKPP when we find nepotism,corruption and collution practices during the bidding
process;
3.
will follow the procurement process in a clean, transparent and professional way to
provide the best performance accordance with the provisions of the prevailing
legislation and regulations;
4.
If I violate the things that I have stated in this Integrity Pact, I'm willing to bear the
administrative penalties, sanction to be included in the Black List, compensation and
criminal claims in accordance with the provisions of the prevailing legislation and
regulations.
__________[place], __[date] __________[month] 20____[year]
[Company]
[Signature],
____________
[Complete Name]
Chapter V – Integrity Pact
II - 1
[Example of an Integrity Pact with Joint Operation Applicant]
INTEGRITY PACT
We, the Undersigned :
1. Name
: __________[ name of authorized representative of business
entities]
Identity Number
: __________ [Fill with the identity number]
Position
: __________
Acting for and on
behalf of
: _____________ [fill with the company name]
2. Name
: __________[ name of authorized representative of business
entities]
Identity Number
: __________ [Fill with the identity number]
Position
: __________
Acting for and on
behalf of
: _____________ [fill with the company name]
3. ......[and so on, filled in accordance with the number of partnership member]
for the Work Procurement of 1 (one) SAR Helicopter Package (Phase 1) at National SAR
Agency of Indonesia, hereby certify that I :
1. will not commit nepotism,corruption and collution practices;
2. will report to the Inspectorate of the National SAR Agency of Indonesia and/or
LKPP when we find nepotism,corruption and collution practices during the bid
process;
3. will follow the procurement process in a clean, transparent and professional way to
provide the best performance accordance with the provisions of the prevailing
legislation and regulations;
4. If I violate the things that I have stated in this Integrity Pact, I'm willing to bear the
administrative penalties, sanctioned the inclusion of the Black List, compensation
and criminal claims in accordance with the provisions of the prevailing legislation
and regulations.
__________[place], __[date] __________[month] 20____[year]
[Company]
[Company]
[Company]
[Signature],
[Complete Name]
[Signature],
[Complete Name]
[Signature],
[Complete Name]
[include the signature and name of each member of the Joint Operation]
Chapter V – Integrity Pact
II - 2
CHAPTER VI
QUALIFICATION FORMS
QUALIFICATION FORM
I am, the Undersigned :
Name
Position
Acting for
and on behalf of
Address
No. Telephone/Fax
: ...............................
: ...............................
: Company . . . . . . . . . . . . . . . . . . . . . . .
: ...............................
: ...............................
: ...............................
hereby declare that:
1. I legally have the capacity to sign a contract according to the letter ... ... ... ...
... ... ... ... (according to deed of company / amendment / power of attorney,
stated clearly the establishment number / amendment / power of attorney
and the date);
2. I am not as a government employee of Indonesian ministry / agency /
department / institution [for government employee of Indonesian ministry /
agency / department / institution dependents who is on leave outside the
ministry / agency / department / institution is written as follows: "I am a
government employee of Indonesian ministry / agency / department /
institution is dependents on leave outside the ministry / agency / department
/ institution ”];
3. I'm not serving a criminal penalty;
4. I am not and will not be involved in a conflict of interest with the parties
concerned, directly or indirectly in this procurement process;
5. The business entities that I represent is not included in the Black List, not
under court supervision, not bankrupt or being legally discontinued
operation;
6. one and / or all of the management entity that I represent are not included in
the Black List;
7. My company data are as follows:
Chapter VI - Qualification Forms
VI - 1
A. Administration Data
1.
General
1.
Name of Company
:
2.
Status of Company
:
Head
Office
B.
3.
Address
No. Telephone
No. Fax
4.
Address
of
Office
No. Telephone
No. Fax
:
:
:
:
:
Head :
:
:
:
:
Bussiness License
Business License Number
Validity
Business License Issuer
C.
Branch
: No.…… date ……………..
: Valid until ………….…20…
: ………..
Legal Basis of Company Deed
1.
2.
Company Deed
a. Certificate Number
b. Date
c. Name of Public Notary
Last Amendment Certificate
a. Certificate Number
b. Date
c. Name of Public Notary
:
:
:
:
:
:
D. Company Administrators
1.
Commissioners
NO.
Name
Chapter VI - Qualification Forms
Identity Number
Position in the company
VI - 2
2.
Directors / Legally Liable Persons / Corporate Administrators
NO.
E.
Name
Indentity Number
Position in the company
Financial Data
1.
Shareholder Structure
NO.
2.
Name
Identity
Number
Address
Percentage
Taxes
1. Number of Tax Payers Subject
(NPWP)
:
2. Evidence of Corporate Annual
Income Tax Payment in the last
year Number/Date
:
3. Monthly Report of
Corporate
Income Tax/State Income Tax
(PPh/PPN) in the last three months
Number/ Date
:
4. [Fiscal
Statement
number 2 and 3)]
(instead
of
(Attached with copy as evidence that the company has settled tax
liabilities in the last year (PPh / PPN) and monthly reports of income
tax article 25 or article 23 or PPN article 21 in the last 3 (three)
months)
Chapter VI - Qualification Forms
VI - 3
F. The last Corporate Balance Sheet by 31 December ............
(in thousands IDR)
ASSETS
I
II
II
I
*)
LIABILITIES
Current Assets
Cash
Bank
: Rp. ……….
: Rp. ……….
: Rp. ……….
Receivables *)
Supplies
Works in Progress
Total (a)
: Rp. ……….
: Rp. ……….
: Rp. ……….
Fixed Assets
Equipments
machines
Inventory
Buildings
Total (b)
: Rp. ……….
and : Rp. ……….
IV
Liabilities
Account Payable
Tax Payable
Others Liabilities
Total Liability (d)
Rp.
……….
V
Long
(e)
Term
Liability
:
:
Rp. ……….
Rp. ……….
:
Rp. ……….
Rp. ……….
Rp………..
Rp……...
Rp………
: Rp. ……….
: Rp. ……….
Rp.
VI Net Asset (a+b+c) –
……….
(d+e)
Others Assets (c)
Rp.
……….
Total :
: Rp……..
Rp.
Total
……….
Short term receivables (in the period up to six months) : Rp………
Long term receivables (in the period more than six months) : Rp………
Total Amount
Chapter VI - Qualification Forms
Rp............
Rp..............
Rp. ……….
:Rp.
VI - 4
G. Corporate Experience Data in the last 10 years
No
1
Name of
Procureme
nt Package
2
Business
Field/Sub
Field of
Procureme
nt
Loca
tion
3
4
Project
Manager/
Pejabat Pembuat
Komitmen
Contract *)
Date of
Completion
According to
Name
Address
/ phone
No/
Date
Amo
unt
Contrac
t
Minutes
of
Work
Commis
sioning
5
6
7
8
9
10
*) Attached with a copy of Contract as a written evidence
We hereby certify this statement with full awareness and sense of responsibility. If it is
found hereafter that the data / documents we submitted not true and fraudulent, we are
willing to subject to administrative penalties, which includes sanction as the blacklisted
company, and civil and criminal sanctions in accordance with the provisions of the
prevailing laws and regulations.
…………………… , ……………. 20…
Company Name ……………………..
(Name)
Position
Chapter VI - Qualification Forms
CHAPTER VII
INSTRUCTIONS TO FILL UP APPLICATION
A.
1.
2.
3.
4.
Administration Data
Fill with the Name of applicant’s company.
Select the status of a business entity (Head Office/Branch).
Fill with the address, telephone numbers, fax numbers and email of the applicant’s
company that can be contacted.
Fill with address, telephone numbers, fax numbers and email of head office that can be
contacted, if the applicant is a branch office.
B.
1.
2.
3.
Bussiness License
Fill with the type of business license, number and date of publication.
Fill with validity period of license.
Fill with the name of the business license issuing agencies
C.
1.
2.
Legal Basis of Company Deed
Fill with with a number, date and name of the public notary who issues Company Deed.
Fill with with a number, date and name of the public notary who issues Last Amendment
Certificate.
D. Company Administrators
1. Fill with name, ID number and positions in Company, if the company is Limited.
2. Fill with name, ID number and positions in Company.
E.
1.
2.
F.
Financial Data
Fill with name, ID number, and shareholder / partner in addresses and the percentage
ownership of shares / partner in.
Taxes :
a. Fill with Number of Tax Payers Subject (NPWP)
b. Fill with the number and date of last year's tax report in evidence of annual report.
c. Fill with the number and date of the monthly report evidence (for the last three
months)
Fulfillment of the requirements of the last year tax liability with submission the annual
tax reports and monthly reports can be replaced Certificate of Fiscal (SKF) issued by the
tax office.
The last Corporate Balance Sheet
[Filled with financial data compiled by the Financial Accounting Standards issued by the
Indonesian Institute of Accountants]
G. Corporate Experience Data
Fill with Name of Procurement Package, Business Field/Sub Field of Procurement, Project
Location, Name and Address/ phone of Employer/ Pejabat Pembuat Komitmen, No/ Date
and amount of the Contract, Date of Completion According to Contract, and Date of
Completion According to Minutes of Work Commissioning
Chapter VII - Instructions To Fill Up Application
VII - 1
CHAPTER VIII
QUALIFICATION EVALUATION PROCEDURES
A.
1.
Application documents will be evaluated shall meet the following requirements :
Application form is signed by :
a. the president director/head of the company;
b.
c.
d.
the endorsee of the president director / head of the company whose his/her
endorser’s name is listed in the company deed or its amendments;
the Branch manager appointed by head office of the company proved by an
authentic document; or
the officials who has the right to represent company under the partnership
agreement.
2.
have a business license in accordance with prevailing legislation
3.
Submitted a written statement / acknowledgment that the company is not being under
court supervision, not bankrupt, not being discontinued operations, and / or the
directors who act for and on behalf of companies is not being serve criminal penalties.
4.
one and / or all of the management and the company are not included in the Black List;
5.
Have Tax Payers Subject Number (NPWP) and already paid the taxes liabilities for the
last year proven by the copies of receipt of the last Corporate Annual Income Tax (SPT),
and have a monthly report of Income Tax PPh article 21, PPh article 23 (if any), PPh
article 25/article 29 and VAT (for Taxable) for at least 3 (three) months of the year.
Participants can replace this requirement by submitting the Certificate of Fiscal (SKF);
6.
obtain at least 1 (one) job as a supplier in the last 4 (four) years, both in government and
private sector, including subcontract experience.
7.
has the capability to appropriate Sub Field of Procurement.
8.
In case of the applicant will make partnership :
a.
9.
B.
applicant shall have a partnership/joint operation agreements that shows the
percentage of share and companies that represent partnership.
b. the requirement evaluation number 1 up to 7 is carried out for each joint operation
applicant.
the partnership/joint operation agreement as stated in point 8.a shall be made in front of
a public notary, in the form of notary certificate.
The Bid Committee shall examine and compare the data entry requirements with the
applicant’s application, in terms of :
1. completeness of Application Documents; and
2. fulfillment of qualification requirements. Filled with the type of business license,
number and date of issuance.
Chapter VIII Qualification Evaluation Procedures
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C.
If there is unclear or missing data, the Bid Committee may request applicant to make
clarification in writing, but shall not change the substances of the application.
D. The missing/incomplete data can be completed not later than the deadline of Submission
of Applications.
Chapter VIII Qualification Evaluation Procedures
VIII - 2