A D D E N D U M D O K U M E N P E N G A D A A N

A D D E N D U M D O K U M E N P E N G A D A A N Nomor : PR.01.01.107.02.12.0748 Tanggal : 01 Maret 2012 untuk Pengadaan R E A G E N Kelompok Kerja Unit Layanan Pengadaan BALAI BESAR PENGAWAS OBAT DAN MAKANAN (BBPOM) DI DENPASAR Tahun Anggaran 2012

BAB I. UMUM BAB II. PENGUMUMAN PELELANGAN UMUM DENGAN PASCAKUALIFIKASI

BAB III. INSTRUKSI KEPADA PESERTA (IKP) C. PENYIAPAN DOKUMEN PENAWARAN DAN KUALIFIKASI 15. Dokumen Penawaran a. dokumen penawaran teknis yang terdiri dari: 1) TETAP 2) TETAP 3) TETAP 4) TETAP DITAMBAH 5) Surat Pernyataan kesanggupan untuk menyerahkan CoA dan MSDS untuk semua item barang pada saat pengiriman barang. 4) 28. Evaluasi Penawaran 28.12 Evaluasi Teknis: a. TETAP b. evaluasi teknis dilakukan dengan sistem gugur, dengan ketentuan: 1). TETAP 2). Penilaian syarat teknis minimal dilakukan terhadap: BERUBAH a) Spesifikasi teknis barang (nama reagen, merek, satuan, nomor katalog, jumlah order, harga satuan, dan harga total) yang ditawarkan tercantum dengan lengkap dan jelas; b) Jadwal waktu penyerahan

BAB IV. LEMBAR DATA PEMILIHAN G. DOKUMEN PENAWARAN 1. TETAP 2. Uji mutu/teknis/fungsi diperlukan untuk : a. Bahan : SNI (melampirkan CoA dan MSDS untuk semua item barang pada saat pengiriman barang Bab V. LEMBAR DATA KUALIFIKASI (LDK) Bab VI. BENTUK DOKUMEN PENAWARAN Bab VII. SYARAT-SYARAT UMUM KONTRAK Bab VIII. SYARAT-SYARAT KHUSUS KONTRAK

Bab IX. SPESIFIKASI TEKNIS MEDIA MIKROBIOLOGI NO NAMA BARANG KEMASAN JUMLAH PADAT 1 Ammonium Acetat for Analysis 1 kg 2 2 1,8-dihidroxy-2-(-4-sulfophenylazo) naphtalene- 3,6-disulfonic acid trisodium salt 25 g 1 3 5-(P-(dimethylamino)benzylidene) Rhodanine 10 gr 1 4 Ammonium bicarbonat 500 g 1 5 Ammonium Dibasic hydrogen Phosphat 500 g 1 6 Ammonium dihidrogen phosphat for Analysis 500 g 1 7 Ammonium formate 50 g 1 8 Ammonium Iron (II) Sulfahexahydrat 1 kg 1 9 Asam Barbiturat 25 g 1 10 Barium Chloride Dihydrat 500 g 1 11 Bis (trimethylsilyl) trifluoroacetamide for GC 25 g 1 12 Boiling Chips Granules 100 gr 2 13 Boric Acid for Analysis 1 kg 2 14 Bromophenol Blue Indicator 5 gr 2 15 Calcium Chloride dihidrat for Analysis 1 kg 2 16 Calcium Hydroxid 1000 g 1 17 Chloramin Trihydrat 250 g 1 18 Chlorotrimethylsilane 250 g 1 19 Citric Acid 1 Kg 2 20 Copper (II) Sulfate anhydrous for Analysis 250 g 1 21 Curcuma Paper/Turmeric Paper Pack (200 strip) 5 22 Curcumin for sintesis 10 gr 1 23 Dipotasium hydrogen Phosphat Anhidrat 1000 g 2 24 Extrelut NT 20 column 25 unit 1 25 Ferri (III) Chloride 500 g 1 26 Ferri Ammonium Sulfat 1000 g 1 27 Heptafluorobutyric acid for synthesis 25 g 1 28 HPTLC Plates Silica Gel 60 F254 (20x10) GLASS Pack 10 29 Iodine 100 g 1 30 Kieselgel / silica gel 1 kg 1

31 Lanthanum Nitrate Hexahydrate for Analysis 100 g 1 32 Magnesium Nitrat hexahydrate for Analysis 500 g 1 33 Magnesium Sulfat heptahidrat 1000 g 1 34 Molybdatophosporic acid for Analysis 25 g 1 35 Molybdenum (VI) oxid anhidrat 100 g 1 36 Nitrit Reagent test kit (range 0,005-0,1 mg/l) Pack 4 37 Octane-1-Sulfonic Acid Sodium Salt 25 g 2 38 Pb Asetat trihidrat 250 g 1 39 ph indicator Strips ph0-14 Pack 8 40 Potasium dichromate for Analysis 500 g 1 41 Potasium Hydroxide for Analysis 1 kg 1 42 Potassium chloride 1000 g 1 43 Potassium dihydrogen phospat for Analysis 1 kg 1 44 Potassium Iodida for analysis 500 g 1 45 Potassium kromat 250 g 1 46 Potassium Nitrat Suprapur 99,99% 50 g 1 47 Potassium permanganat 250 g 2 48 Potassium Sodium tartrat tetrahidrat 1000 g 1 49 Silica Gel 60 F254 25 TLC 20 x 20 cm GLASS 25 unit 47 50 Silicone High Vacuum Grease Medium Pack 10 51 Silika gel TLC with Concentrating zone 25 unit 2 52 Silika Gel with Moisture Indicator (LAB) 1 kg 1 53 Silver Nitrat GR for Analysis 25 g 1 54 Sodium Acetat Anhidrat for Analysis 1 Kg 2 55 Sodium Borohydride for sintesis 100 g 1 56 Sodium carbonate anhydrate 1 kg 1 57 Sodium Fluorida anhidrat 250 g 1 58 Sodium Heptan-1-Sulfonic Acid 25 g 2 59 Sodium Hexan-1- Sulfonic Acid 25 g 3 60 Sodium hidrogen karbonat 1000 g 1 61 Sodium hydroxide for Analysis 1 kg 4 62 Sodium L-Ascorbat 500 g 1 63 Sodium nitrat 1000 g 1 64 Sodium Pentan-1- Sulfonic Acid 25 g 2 65 Sodium phosphat dibasic anhydrous 1 kg 3 66 Sodium phosphat monobasic dyhidrat for Analysis 1 kg 3

67 Sodium Sulfat Anhidrat for Analysis 1 kg 3 68 Stannous Chloride dihydrate 500 g 1 69 Starch Soluble 250 g 1 70 Sucrose for biochem reag. Ph Eur 1000 g 1 71 Tablet kalibrator prednison USP 30 tab 2 72 Tembaga (II) Asetat monohidrat 250 g 1 73 Tetra Metil Ammonium Bromide 100 g 1 74 Tetrabutil amonium bromid for sintesis 50 g 1 75 Tetrazolium Blue 5 gr 1 76 Tin (II) Chloride 100 g 2 77 TLC Plates Silica Gel 60 F254 (10x20cm) GLASS Pack 12 78 Tri natrium Sitrat dihidrat p.a 500 g 1 79 Vanadium (V) Oxid 250 g 1 80 Zirconium (IV) oxide chloride octahydrate 100 g 1 CAIR 1 Acetaldehyde 100 ml 2 2 1-propanol p.a. 1000 ml 2 3 2-Propanol for Analysis 2.5 ltr 2 4 Acetic Acid Glaciale 2,5 ltr 5 5 Acetic Anhydride For Analysis 2,5 ltr 1 6 Aceton for Analysis 2,5 ltr 21 7 Acetonitril HPLC 4 ltr 66 8 Acetylaceton 100 ml 3 9 Acid acetic 96% for Analysis 2,5 ltr 3 10 Acid hydrochloric 25% for Analysis 2.5 L 4 11 Acid Hydrochloric 37% for Analysis 2,5 ltr 6 12 Acid nitric 65 % 2.5 L 7 13 Acid Sulfuric 95-97% for Analysis 2,5 ltr 14 14 Ammonia Solution 25% for Analysis 2,5 ltr 2 15 Ammonia Solution 32% 2,5 ltr 5 16 Bromcresol green/ methyl red mixed indicator solution in methanol 6 x 100 ml 1 17 Buffer Solution ph 4 Sentipur 1 L 2 18 Buffer Solution ph 7 Sentipur 1 L 2

19 Cadmium Standart Solution 1000 mg/l 100 ml 2 20 Chicken Pankreatin vial for 50 sample preparation 1 21 Chloroform for Analysis 2,5 ltr 16 22 Cyclohexane for Analysis 2,5 ltr 6 23 Dichlormethane 2,5 ltr 2 24 Diethyl eter for Analysis 5 ltr 6 25 Diethylamin for sintesis 2,5 ltr 3 26 Dri-Dye Check Kit Pack 2 27 Easi- Extract Folic acid 10 columns (3ml) 2 28 Ethanol 70% (bebas metanol) 1 L 170 29 Ethanol Absolut 2.5 L 27 30 Ethanol for LC 2.5 l 2 31 Ethyl acetat for Analysis 2,5 ltr 7 32 Ethyl Methyl Keton 2.5 ltr 1 33 Extran AP21 2500 ml 1 34 Isobutanol 2,5 ltr 2 35 Isopropylamin 100 ml 1 36 Lead Standart Solution ICP 1000 mg/l 100 ml 2 37 Methanol HPLC 4 ltr 102 38 Methyl acetate for sintesis 1 ltr 2 39 Millon Reagent 50 ml 1 40 N-Hexane for analysis 2.5 L 4 41 Nitrite standard solution, certipur 500 ml 1 42 N-N-Dimethyl Formamide 1 L 3 43 N-N-dimetil-oktilamina for sintesis 25 ml 1 44 N-pentan 2.5 L 1 45 Ortho-Phosphoric acid 85% 2,5 ltr 1 46 Parafin 1 ltr 1 47 Perhydrol 30% H2O2 1 L 11 48 Piridin 100 ml 1 49 Standard Solutin (AS) Arsen ICP 1000 mg/l 100 ml 2 50 Standard Solution (Al) Aluminium ICP 1000 mg/l 100 ml 1 51 Standard Solution (Ba) Barium ICP 1000 mg/l 100 ml 1

52 Standard Solution (Bo) Boron ICP 1000 mg/l 100 ml 1 53 Standard Solution (Fe) Besi 1000 mg/l 100 ml 1 54 Standard Solution (Hg) Mercury ICP 1000 mg/l 100 ml 2 55 Standard Solution (Na) Natrium ICP 1000 mg/l 100 ml 1 56 Standard Solution (Se) Selenium 1000 mg/l 100 ml 1 57 Tetrabutyl ammonium hydroxide for sintesis 100 ml 3 58 Tetrahydrofuran for LC 1 ltr 4 59 Tetra-n-butylammonium hydroxide Solution 1000 ml 1 60 Trietilamin For Syntesis 1 L 2 61 Trifluoroacetic anhydrida for GC 10 ml 1 62 Trifluoroacetic acid for sintesis 100 ml 1 TOTAL Rp 693.512.800,00 Keterangan : 1. Item PPI dikeluarkan dari spesifikasi yang diminta yaitu : Nomor 45 reagen padat : Potassium Hexasianoferat (III) Nomor 50 reagen padat : Potassium Sianida Nomor 34 reagen cair : Formaldehyde Solution 37% Nomor 60 reagen cair : Trietanolamin For Analisis 2. Reagen padat nomor 40 : Piridin dipindah ke reagen cair

Bab X. DAFTAR KUANTITAS DAN HARGA Bab XI. BENTUK DOKUMEN LAIN