TENDER ANNOUNCEMENT No. 213500.Peng/LG.01.01/KP-LOG/2012 PT Perusahaan Gas Negara (Persero) Tbk (“PGN”) in favor of this Bid hereby invite Local Construction Company in the form of by its own or in a partnership, and also invite a Foreign Construction Company which shall be in the form of partnership with Local Construction Company to participate in the bidding process as follow: 1.
2.
Name of Package - Name of Package
:
- Source of funds
:
Pengadaan EPC Labuhan Maringgai – Tanjung Karang Pipeline Project (CP-7) PT Perusahaan Gas Negara (Persero) Tbk’s Fund (APGN)
Requirements of Bidder a. Local Construction Company which is already listed in DPT (Daftar Penyedia Barang/Jasa Terdaftar). Any Local Construction Company which has not been listed in DPT shall be required to conduct the Proses Pendaftaran Penyedia Barang/Jasa in accordance to the schedule as mention in this announcement with the following requirements: 1) 2)
Qualification Classification
: :
Non kecil, Gred 7 Jasa Pelaksana Konstruksi, Bidang Mekanikal Sub Bidang Konstruksi Perpipaan Minyak, Gas dan Energi (Pekerjaan Rekayasa), termasuk Perawatannya (23009), or other qualified requirement in accordance to the Works.
b. For Foreign Construction Company shall be required to develop a partnership agreement in the form of a Joint Venture (“JV“) or Consorsium or Association with Local Construction Company and shall obtain all requirements and business license as stipulated in Peraturan Menteri Pekerjaan Umum No.5/PRT/M/2011. The Local Construction Company is required to meet the requirement in point 2.a. c. Special Requirements 1) Bidder or one of its member shall be listed as the perusahaan usaha penunjang pada kegiatan usaha minyak dan gas bumi with bidang usaha Jasa Konstruksi Migas, Sub Bidang Jasa Pelaksanaan Konstruksi which shall be proven with evidence of Surat Keterangan Terdaftar dari MIGAS. 2) Shall having experience in completing the similar work with minimal amount of Rp 120.000.000.000,- (one hundred twenty billion Rupiah) or equivalent within last 10 (ten) years, which is proven with the copy of previous contract and the certificate of completion. 3) Shall having experience as the main contractor in completing the engineering, procurement, and construction contract (EPC) for pipeline construction for oil and gas within the last 10 (ten) years which is proven with the copy of previous contract and the certificate of completion. 4) Shall having experience in completing pipeline construction contract minimum diameter 16” with minimum length of 20 km within the last 10 (ten) years which is proven with the copy of previous contract and the certificate of completion If Bidder in the form of JV or Consortium or Association, the Lead Partner shall be required to comply with the requirement in the item No. c.2) and c.3). Minimum one of member shall be required to comply with item No. c.4).
3. Process of Pendaftaran Penyedia Barang/Jasa (for any Local Construction Company which is not been listed in DPT) a. Registration and Announcement Schedule of DPT Date : 19 December 2012 – 27 February 2013 Time : 09.00 – 15.00 WIB Venue : Logistic Division, Graha PGAS Building, 4th Floor PT Perusahaan Gas Negara (Persero) Tbk Jl. KH. Zainul Arifin No. 20, Jakarta b. Requirement of DPT Registration 1) Submit a power of attorney completed with stamp duty (original) made by the corporate leader (president director of the company or head of branch office), if the applicant is not the corporate leader. 2) Submit the Surat Pernyataan Minat to join the Proses Pendaftaran Penyedia Barang/Jasa signed by the corporate leader. 4. Bidding Process (for Local Construction Company listed in DPT and Bidder in the form of partnership) a. Registration Schedule of Bidding dan Acquirement of Bid Enquiry Document Date : 19 December 2012 – 6 March 2013 Time : 09.00 – 15.00 WIB Venue : Logistic Division, Graha PGAS Building, 4th Floor PT Perusahaan Gas Negara (Persero) Tbk Jl. KH. Zainul Arifin No. 20, Jakarta b. Pre-Bid Meeting (aanwijzing): 7 January 2013 time: 10.00 WIB. c. Requirement of Bidding Registration: 1) Submit a power of attorney completed with stamp duty (original) made by the corporate leader or authorized officer appointed to represent the partnership (if the sign is not the leader of the company or authorized officer appointed to represent the partnership). 2) Submit the Bidder Interest Letter to join this Bid and Pact of Integrity which is signed by the leader of the company or authorized officer appointed to represent the partnership. 3) For Local Construction Company shall submit copy of Surat Pengumuman Hasil DPT. 4) For Foreign Construction Company in partnership with the Local Construction Company, submit administrative documents with complete copies of legal documents. 5) Submit a copy of partnership agreement (if the Bidder in the form of partnership). 6) Submit a copy of Ijin Usaha Jasa Pelaksana Konstruksi according to the requirements point 2.a. 7) Submit a copy of Surat Keterangan Terdaftar MIGAS in accordance with the requirement item No 2.c.1). 8) Submit the copy of previous contract and certificate of completion in accordance with the requirement item No 2.c.2), 2.c.3), and 2.c.4). All forms are available on website http://www.pgn.co.id. For further information please contact Kelompok Pengadaan Barang/Jasa – Divisi Logistik, PT Perusahaan Gas Negara (Persero) Tbk. Gedung Graha PGAS Lantai 4, JI. KH. Zainul Arifin No 20, Jakarta Barat, 11140, Phone : 0216334848, 6334838 ext 5705, 5715, 5741 and shall be available in Company’s Board of Announcement or in website: http://www.pgn.co.id. Jakarta, 18 December 2012 Kelompok Pengadaan Barang/Jasa – Divisi Logistik
FORMS FOR LOCAL CONSTRUCTION COMPANY LISTED IN DPT
KOP PERUSAHAAN
SURAT PERNYATAAN MINAT UNTUK MENGIKUTI PENGADAAN
Yang bertanda tangan di bawah ini: Nama :............................... Jabatan :............................... Bertindak untuk : PT/CV/Koperasi/Badan Hukum Lainnya/Lainnya . . . . . . dan atas nama Alamat :............................... Telepon/Fax :............................... Email :............................... Menyatakan dengan sesungguhnya bahwa setelah mengetahui pengadaan yang akan dilaksanakan oleh PT PERUSAHAAN GAS NEGARA (Persero) Tbk Kantor Pusat, maka dengan ini saya menyatakan berminat untuk mengikuti paket pengadaan: Pengadaan EPC Labuhan Maringgai – Tanjung Karang Pipeline Project (CP-7). Demikian pernyataan ini kami buat dengan penuh kesadaran dan rasa tanggung jawab.
……………………….. , ……………..20... PT/CV/Koperasi/Badan Hukum Lainnya/Lainnya ……………………..
(Nama Jelas*) Jabatan Keterangan: *) ditandatangani oleh pemimpin/direktur utama perusahaan atau penerima kuasa dari direktur utama yang nama penerima kuasanya tercantum dalam akte pendirian atau perubahannya, atau kepala cabang perusahaan yang diangkat oleh kantor pusat yang dibuktikan dengan dokumen otentik, atau pejabat yang menurut perjanjian kerjasama adalah yang berhak mewakili perusahaan yang bekerjasama.
KOP PERUSAHAAN PAKTA INTEGRITAS Saya yang bertanda tangan di bawah ini, dalam rangka Pengadaan EPC Labuhan Maringgai – Tanjung Karang Pipeline Project (CP-7) di PT PERUSAHAAN GAS NEGARA (Persero) Tbk Kantor Pusat, dengan ini menyatakan bahwa saya: 1. 2.
3. 4.
5. 6. 7.
Tidak akan melakukan praktek KKN; Dalam proses pengadaan ini, berjanji akan mengikuti pengadaan dan/atau melaksanakan pekerjaan secara bersih, transparan, dan profesional dalam arti akan mengerahkan segala kemampuan dan sumber daya secara optimal untuk memberikan hasil kerja terbaik mulai dari penyiapan penawaran, pelaksanaan, dan penyelesaian pekerjaan/kegiatan ini; Dalam proses pengadaan ini, berjanji akan menghindari dan mencegah terjadinya pertentangan para pihak yang terkait langsung maupun tidak langsung; Menyatakan bahwa saat ini tidak termasuk dalam kelompok yang terkena sanksi atau daftar hitam di PT Perusahaan Gas Negara (Persero) Tbk maupun di instansi lainnya, dan tidak dalam sengketa dengan PT Perusahaan Gas Negara (Persero) Tbk; Menyatakan bahwa semua informasi/dokumen/formulir yang disampaikan adalah benar; Dalam proses pengadaan dan/atau pelaksanaan pekerjaan, akan mengedepankan prinsipprinsip keselamatan kerja serta hak asasi manusia (HAM); Apabila saya melanggar hal-hal yang saya nyatakan dalam PAKTA INTEGRITAS ini, saya bersedia dikenakan sanksi penawaran saya digugurkan, serta penyitaan dan pencairan Jaminan Penawaran, dan dimasukkan dalam daftar hitam sekurang-kurangnya 2 (dua) tahun, dan dapat dilaporkan kepada pihak yang berwajib sesuai dengan ketentuan peraturan perundang-undangan yang berlaku.
Demikian pernyataan ini kami buat dengan sebenar-benarnya, untuk digunakan sebagaimana mestinya. …………………………………. , ………….20... PT/CV/Koperasi/Badan Hukum Lainnya/Lainnya …………………….. Materai Rp.6000, tanggal, tanda tangan dan cap perusahaan
(Nama Jelas*) Jabatan Keterangan: *) ditandatangani oleh pemimpin/direktur utama perusahaan atau penerima kuasa dari direktur utama yang nama penerima kuasanya tercantum dalam akte pendirian atau perubahannya, atau kepala cabang perusahaan yang diangkat oleh kantor pusat yang dibuktikan dengan dokumen otentik, atau pejabat yang menurut perjanjian kerjasama adalah yang berhak mewakili perusahaan yang bekerjasama.
FORMS FOR FOREIGN CONSTRUCTION COMPANY
Administration Form PENGADAAN EPC LABUHAN MARINGGAI – TANJUNG KARANG PIPELINE PROJECT (CP-7)
The undersigned : Name Position Acting for and in the name of The Company
:............................... :............................... :...............................
Address Phone/Fax Email
:............................... :............................... :...............................
Hereby truly declares that: 1. I have the capacity legally sign a contract on the basis of ……………………(in accordance with the deed of establishment/the amendment/power of attorney, clearly specify the number and date of the deed of establishment/the amendment/power of attorney); 2. I / my Company is not being declared bankrupt or its business activities are not being ceased or not performing criminal sanction or under the court custody; 3. I have never been sentenced by virtue of court decision for the action related to my professional efficiency report; 4. My company has a good performance and are not included in the group who have been punished or blacklisted in PT Perusahaan Gas Negara (Persero) Tbk and in other institutions, and not in dispute with PT Perusahaan Gas Negara (Persero) Tbk; 5. My personal / My company data are as follows :
Administrative Data 1.
Company’s Name
:
2.
Status
:
3.
Company’s Address
:
Phone No.
:
Fax No.
:
E-Mail
:
Head Office’s Address
:
Phone No.
:
Fax No.
:
E-Mail
:
4.
Head Office
Branch Office
(to be filled in, if the bidder is the branch office /not the head office)
Business Licences 1.
No: ....................
Date : ...../...../........
Validity : ...../...../........
2.
............................ ............................
No: ....................
Date : ...../...../........
Validity : ...../...../........
3.
............................
No: ....................
Date : ...../...../........
Validity : ...../...../........
4.
............................
No: ....................
Date : ...../...../........
Validity : ...../...../........
5.
............................
No: ....................
Date : ...../...../........
Validity : ...../...../........
6.
............................
No: ....................
Date : ...../...../........
Validity : ...../...../........
Name of Notary : ....................
Legal Basis of Company Establishment 1.
Deed of Establishment of Company
No: ....................
Date : ...../...../........
2.
Deed of Establishment of Company’s Ratification
No: ....................
Date : ...../...../........
3.
Last Amendment
No: ....................
Date : ...../...../........
4.
Last Amendment’s Ratification
No: ....................
Date : ...../...../........
Name of Notary : ....................
Composition of Corporate Board (Director and Commisioner) Name
ID No.
Position
1. 2. 3. 4. 5.
Financial and Tax Data 1.
Composition of Shareholders Name
2.
ID. No
Percentage
Tax Tax ID
No: ....................
Company Experience
No.
1
Name of Work Package 2
Field/SubField of Work 3
Employer / Service User Site Name 4
5
Contract *)
Completion Date according to
Phone
No / Date
Value
Contract
Official Report of Hand-over
6
7
8
9
10
Address/
In witness whereof, this Statement is truly made out with the sense of full responsibility. Should any submitted documents and forms are found to be not proper, our bid shall be rejected, and we shall be subjected administrative sanction, namely be included in the black list of PT Perusahaan Gas Negara (Persero) Tbk and shall not be included in any tender process for a period of 2 (two) years, shall be claimed for indemnification or sued in a civil lawsuit in accordance with the applicable laws and regulations. …………………… , ………………. 2012 (Name of Company)
(Name*) Position
Note: *) Be signed by the leader of the company or official who receive power of attorney from the leader of the company which the recipient's name listed in the article of proxies or amendment, or the head of the branch who are appointed by the company's headquarters, proved by authentic documents, or by officials who are entitled to a cooperation agreement represents companies that work together.
Documents to be attached are: 1) Letter of Intent to Participate in Bid; 2) Power of Attorney (if any); 3) Bidder’s Pact of Integrity; 4) Copy of The Business Licences; 5) Copy of The Deed of Establishment of Company; 6) Copy of The Deed of Establishment of Company’s Ratification; 7) Copy of The Last Amendment of Deed of Establishment of Company (if any); 8) Copy of The Last Amendment’s Ratification of Last Amendment of Deed of Establishment of Company (if any); 9) Copy of Tax ID; 10) Company Experience.
Form 1: Letter of Intent to Participate in Bid
LETTER OF INTENT TO PARTICIPATE IN BID OF PENGADAAN EPC LABUHAN MARINGGAI – TANJUNG KARANG PIPELINE PROJECT (CP-7)
The undersigned: Name Position Acting for and in the name of
:............................... :............................... : PT/CV/Firm/Cooperative . . . . . . . . . . .
Address Phone/Fax Email
:............................... :............................... :...............................
hereby truly declares that after having known the tender to be held by PT Perusahaan Gas Negara (Persero) Tbk, herewith I am declaring to have an interest to participate in the tender process of bid package : Pengadaan EPC Labuhan Maringgai – Tanjung Karang Pipeline Project (CP-7) until the end. In witness whereof, this statement is truly made out with the full sense of responsibility.
……………………….. , ……………..2012 PT/CV/Firm/Cooperative- ……………………..
(Full Name) Position
Form 2: Bidder’s Pact of Integrity
BIDDER’S PACT OF INTEGRITY
I, the undersigned, in the context of tender of Pengadaan EPC Labuhan Maringgai – Tanjung Karang Pipeline Project (CP-7) at PT Perusahaan Gas Negara (Persero) Tbk hereby declare that I: 1. Shall not engage in the practice of Collusion, Corruption and Nepotism; 2. In this tender process, shall perform the duties, in a clean, transparent and professional manner in the sense that will put all the ability and resources optimally to provide the best Services from bid preparation, execution, and completion of Services. 3. In this procurement process, promised to avoid conflict and prevent the parties concerned directly or indirectly. 4. States that are not currently included in the group exposed to sanctions or blacklisting at PT Perusahaan Gas Negara (Persero) Tbk and in other institutions, and not in dispute with PT Perusahaan Gas Negara (Persero) Tbk. 5. Declare that all information / documents / forms submitted is true. 6. In the tender process and / or execution of work, will put forward the principles of safety and human rights. 7. If I violate the statement in this PACT OF INTEGRITY, our Bid Proposal shall be rejected, our bid security shall be confiscated and be blacklisted at least 2 (two) years, and can be reported to the authorities in accordance with the provisions of applicable laws and regulations. In witness whereof, this Statement is truly made out to be used accordingly. …………………………………. , ………….2012 Name of Company
(.......................................) Name and position of the Company’s Representative, dated, signature, company’s seal
Note: *) Be signed by the leader of the company or official who receive power of attorney from the leader of the company which the recipient's name listed in the article of proxies or amendment, or the head of the branch who are appointed by the company's headquarters, proved by authentic documents, or by officials who are entitled to a cooperation agreement represents companies that work together.
FORMS FOR ANY LOCAL CONSTRUCTION COMPANY WHICH IS NOT BEEN LISTED IN DPT
KOP PERUSAHAAN
SURAT PERNYATAAN MINAT UNTUK MENGIKUTI PENDAFTARAN PENYEDIA BARANG/JASA *)
Yang bertanda tangan di bawah ini: Nama Jabatan Bertindak untuk dan atas nama Alamat Telepon/Fax Email
:............................... :............................... : PT/CV/Koperasi/Badan Hukum Lainnya/Lainnya . . . . . . :............................... :............................... :...............................
Menyatakan dengan sesungguhnya bahwa dengan ini saya berminat untuk mengikuti proses Pendaftaran Penyedia Barang/Jasa untuk menjadi Penyedia Barang/Jasa Terdaftar di PT Perusahaan Gas Negara (Persero) Tbk. Demikian pernyataan ini kami buat dengan penuh kesadaran dan rasa tanggung jawab.
……………………….. , ……………..2012 PT/CV/Koperasi/Badan Hukum Lainnya/Lainnya ……………………..
(Nama Jelas**) Jabatan Keterangan: *) khusus bagi peserta pengadaan yang belum terdaftar dalam DPT (Daftar Penyedia Barang/Jasa Terdaftar) **) ditandatangani oleh pemimpin/direktur utama perusahaan atau penerima kuasa dari direktur utama yang nama penerima kuasanya tercantum dalam akte pendirian atau perubahannya, atau kepala cabang perusahaan yang diangkat oleh kantor pusat yang dibuktikan dengan dokumen otentik, atau pejabat yang menurut perjanjian kerjasama adalah yang berhak mewakili perusahaan yang bekerjasama.