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PT. BANGGAI SENTRAL SULAWESI
General Contractor and Suppliers | Jl. Urip Sumoharjo No. 53 Luwuk, Kabupaten Banggai, Propinsi Sulawesi Tengah
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RINCIAN PEKERJAAN
| Rincian Pekerjaan | : | 016/BSS-JOB/WS/VIII/2026 |
Ditujukan Kepada | : | JOB Pertamina - Medco E&P Tomori Sulawesi |
| Nomor Kontrak | : | 7201250141 |
Nomor Purchase Order | : | 016/BSS-JOB/WS/VIII/2026 |
| Nama Kontrak | : | Penyediaan General Services Untuk Mendukung Kegiaatan Pengemboran, Kerja Ulang Dan Perawatan Sumur di Blok Senoro - Toili, Sulawesi Tengah |
Lingkup Pekerjaan | : | ADDITIONAL CAMP SERVICES, Food & beverage, main course ,Food & beverage, snack coffee/ tea & desert |
| Nomor Tender | : | S25048TPD |
Tanggal Purchase Order | : | 08 Aug 2026 |
| Tanggal Proforma | : | 31 Aug 2026 |
Mata Uang | : | IDR |
| No. |
Kategori |
Uraian Pekerjaan |
Qty |
Satuan |
Tanggal Mulai |
Tanggal Selesai |
Harga Satuan (IDR) |
Total Harga (IDR) |
Keterangan |
| 1 |
ADDITIONAL CAMP SERVICES |
Food & beverage, main course |
2578.00 |
AU |
08 Aug 2026 |
31 Aug 2026 |
65,000.00 |
167,570,000.00 |
ADDITIONAL CAMP SERVICES, Food & beverage, main course |
| 2 |
ADDITIONAL CAMP SERVICES |
Food & beverage, snack coffee/ tea & desert |
1157.00 |
AU |
08 Aug 2026 |
31 Aug 2026 |
33,000.00 |
38,181,000.00 |
ADDITIONAL CAMP SERVICES, Food & beverage, snack coffee/ tea & desert |
| TOTAL TAGIHAN : |
205,751,000.00 |
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Terbilang : Dua Ratus Lima Juta Tujuh Ratus Lima Puluh Satu Ribu Rupiah
DIBUAT OLEH
Yanuar Wiranata / Ireine Langi
Supervisor
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DIPERIKSA
Onesimus Suriadi
Manager General Services
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PT. BANGGAI SENTRAL SULAWESI
General Contractor and Suppliers | Jl. Urip Sumoharjo No. 53 Luwuk, Kabupaten Banggai, Propinsi Sulawesi Tengah
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PROFORMA INVOICE
TO:
JOB Pertamina - Medco E&P Tomori Sulawesi
Bidakara Office Tower I 4Th Floor, Jl. Gatot Subroto Kav. 71 - 73, Jakarta 12870, Indonesia
Attn.: Accounts Payable - Finance Department
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| Proforma Invoice No. | : | 016/BSS-JOB/WS/VIII/2026 |
| Tanggal Performa Invoice | : | 31 Aug 2026 |
| Nomor Kontrak | : | 7201250141 |
| Jangka Waktu Kontrak | : | 2 tahun (17 Desember 2025 sd 03 Desember 2027) |
| Nomor Purchase Order | : | 016/BSS-JOB/WS/VIII/2026 |
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| Item |
Description |
Qty |
Satuan |
Unit Price (IDR) |
TOTAL (IDR) |
| 1 |
ADDITIONAL CAMP SERVICES
Food & beverage, main course
ADDITIONAL CAMP SERVICES, Food & beverage, main course |
2578.00 |
AU |
65,000.00 |
167,570,000.00 |
| 2 |
ADDITIONAL CAMP SERVICES
Food & beverage, snack coffee/ tea & desert
ADDITIONAL CAMP SERVICES, Food & beverage, snack coffee/ tea & desert |
1157.00 |
AU |
33,000.00 |
38,181,000.00 |
| GRAND TOTAL: |
205,751,000.00 |
Terbilang: Dua Ratus Lima Juta Tujuh Ratus Lima Puluh Satu Ribu Rupiah
PAYMENT INSTRUCTION:
Please remit to our bank:
Bank Name: BANK RAKYAT INDONESIA (PERSERO) Tbk.
Branch: Cabang Luwuk
Account No: 0167 0167 8888 303
Account Name: PT. BANGGAI SENTRAL SULAWESI
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PT Banggai Sentral Sulawesi
Onesimus Suriadi
Manager General Services
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BERITA ACARA MULAI PEKERJAAN (BAMP)
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Pada hari ini, tanggal 8 Agustus 2026, yang bertanda tangan di bawah ini:
| 01. PIHAK PERTAMA | |
| Nama Perusahaan | : JOB Pertamina - Medco E&P Tomori Sulawesi |
| Alamat | : Bidakara Office Tower I 4Th Floor, Jl. Gatot Subroto Kav. 71 - 73, Jakarta 12870, Indonesia |
| Diwakili oleh | : Aldito Fauzi Roe / Aryanto Yoga |
| Jabatan | : Contract Engineer |
| 02. PIHAK KEDUA | |
| Nama Perusahaan | : PT Banggai Sentral Sulawesi |
| Alamat | : Jl. Urip Sumorharjo No. 53, Luwuk, Kabupaten Banggai, Provinsi Sulawesi Tengah (94715), Indonesia |
| Diwakili oleh | : Ir. Ferry Tatimu |
| Jabatan | : Direktur |
DASAR PELAKSANAAN PEKERJAAN
| Nomor Kontrak | : 7201250141 |
| Tanggal Kontrak | : 17 Dec 2025 |
| Nomor Purchase Order | : 016/BSS-JOB/WS/VIII/2026 |
| Tanggal Purchase Order | : 08 Aug 2026 |
| Lingkup Pekerjaan | : ADDITIONAL CAMP SERVICES, Food & beverage, main course ,Food & beverage, snack coffee/ tea & desert |
Dengan ini PIHAK KEDUA menyatakan mulai melaksanakan seluruh pekerjaan secara baik dan siap terhitung mulai tanggal 8 Agustus 2026 dengan rincian sebagai berikut:
| NO |
KETERANGAN PEKERJAAN |
JUMLAH |
SATUAN |
CATATAN |
| 1 |
ADDITIONAL CAMP SERVICES
Food & beverage, main course |
2578.00 |
AU |
Mulai Berlaku Tanggal 8 Agustus 2026
ADDITIONAL CAMP SERVICES, Food & beverage, main course |
| 2 |
ADDITIONAL CAMP SERVICES
Food & beverage, snack coffee/ tea & desert |
1157.00 |
AU |
Mulai Berlaku Tanggal 8 Agustus 2026
ADDITIONAL CAMP SERVICES, Food & beverage, snack coffee/ tea & desert |
Demikian Berita Acara Mulai Pekerjaan ini dibuat dan ditandatangani oleh kedua belah pihak untuk dipergunakan sebagaimana mestinya.
JOB Pertamina - Medco E&P Tomori Sulawesi
PIHAK PERTAMA
Aldito Fauzi Roe / Aryanto Yoga
Contract Engineer
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PT Banggai Sentral Sulawesi
PIHAK KEDUA
Ir. Ferry Tatimu
Direktur
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Dokumen No: FM-GS-14 Rev:03
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BERITA ACARA SELESAI PEKERJAAN (BASP)
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Pada hari ini, tanggal 31 Agustus 2026, yang bertanda tangan di bawah ini:
| 01. PIHAK PERTAMA | |
| Nama Perusahaan | : JOB Pertamina - Medco E&P Tomori Sulawesi |
| Alamat | : Bidakara Office Tower I 4Th Floor, Jl. Gatot Subroto Kav. 71 - 73, Jakarta 12870, Indonesia |
| Diwakili oleh | : Aldito Fauzi Roe / Aryanto Yoga |
| Jabatan | : Contract Engineer |
| 02. PIHAK KEDUA | |
| Nama Perusahaan | : PT Banggai Sentral Sulawesi |
| Alamat | : Jl. Urip Sumorharjo No. 53, Luwuk, Kabupaten Banggai, Provinsi Sulawesi Tengah (94715), Indonesia |
| Diwakili oleh | : Ir. Ferry Tatimu |
| Jabatan | : Direktur |
DASAR PELAKSANAAN PEKERJAAN
| Nomor Kontrak | : 7201250141 |
| Tanggal Kontrak | : 17 Dec 2025 |
| Nomor Purchase Order | : 016/BSS-JOB/WS/VIII/2026 |
| Tanggal Purchase Order | : 08 Aug 2026 |
| Lingkup Pekerjaan | : ADDITIONAL CAMP SERVICES, Food & beverage, main course ,Food & beverage, snack coffee/ tea & desert |
Dengan ini PIHAK KEDUA menyatakan telah menyelesaikan seluruh pekerjaan secara baik dan lengkap terhitung sampai dengan tanggal 31 Agustus 2026 dengan rincian sebagai berikut:
| NO |
KETERANGAN PEKERJAAN |
JUMLAH |
SATUAN |
CATATAN |
| 1 |
ADDITIONAL CAMP SERVICES
Food & beverage, main course |
2578.00 |
AU |
Selesai Pelaksanaan Pekerjaan Tanggal 31 Agustus 2026
ADDITIONAL CAMP SERVICES, Food & beverage, main course |
| 2 |
ADDITIONAL CAMP SERVICES
Food & beverage, snack coffee/ tea & desert |
1157.00 |
AU |
Selesai Pelaksanaan Pekerjaan Tanggal 31 Agustus 2026
ADDITIONAL CAMP SERVICES, Food & beverage, snack coffee/ tea & desert |
Demikian Berita Acara Selesai Pekerjaan ini dibuat dan ditandatangani oleh kedua belah pihak untuk dipergunakan sebagaimana mestinya.
JOB Pertamina - Medco E&P Tomori Sulawesi
PIHAK PERTAMA
Aldito Fauzi Roe / Aryanto Yoga
Contract Engineer
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PT Banggai Sentral Sulawesi
PIHAK KEDUA
Ir. Ferry Tatimu
Direktur
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Dokumen No: FM-GS-05 Rev:03
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Penyediaan General Services Untuk Mendukung Kegiaatan Pengemboran, Kerja Ulang Dan Perawatan Sumur di Blok Senoro - Toili, Sulawesi Tengah
Contract No. 7201250141
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WORK COMPLETION CERTIFICATE
CERTIFICATE NO : 016/BSS-JOB/WS/VIII/2026
On the date of 31 August 2026 we on behalf of PT Banggai Sentral Sulawesi have completed the following job:
| WORK ORDER NUMBER |
: |
016/BSS-JOB/WS/VIII/2026 |
| WORK ORDER TITLE |
: |
ADDITIONAL CAMP SERVICES, Food & beverage, main course ,Food & beverage, snack coffee/ tea & desert |
| CTR NUMBER |
: |
016/BSS-JOB/WS/VIII/2026 |
| DESCRIPTION |
: |
| 100% - Penyelesaian Pekerjaan | Rp 205,751,000.00 |
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| AMOUNT TOTAL |
: |
Dua Ratus Lima Juta Tujuh Ratus Lima Puluh Satu Ribu Rupiah |
The work has been properly completed as per requirement, witnessed and accepted by JOB Pertamina - Medco E&P Tomori Sulawesi.
Luwuk, 31 August 2026
PT Banggai Sentral Sulawesi
Prepared by,
Onesimus Suriadi
Manager General Services
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JOB Pertamina - Medco E&P Tomori Sulawesi
Approved by,
Aldito Fauzi Roe / Aryanto Yoga
Contract Engineer
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PT. BANGGAI SENTRAL SULAWESI
General Contractor and Suppliers | Jl. Urip Sumoharjo No. 53 Luwuk
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BERITA ACARA PEKERJAAN / OPNAME
| JOB TITLE / WO / PO | : ADDITIONAL CAMP SERVICES, Food & beverage, main course ,Food & beverage, snack coffee/ tea & desert |
| CTR / WO / PO No. | : 016/BSS-JOB/WS/VIII/2026 |
| DATE | : 31 Agustus 2026 |
| PROFORMA INVOICE No. | : 016/BSS-JOB/WS/VIII/2026 |
| NO | ITEM - DESCRIPTION | UOM |
BASE ON CTR / PO |
PREVIOUS OPNAME (IDR) |
AKTUAL OPNAME (BULAN INI) (IDR) |
CUMMULATIVE OPNAME (IDR) |
SISA ANGGARAN (DEVIASI) (IDR) |
| VOLUME | UNIT PRICE (IDR) | TOTAL PRICE (IDR) |
VOLUME | TOTAL PRICE |
VOLUME | TOTAL PRICE |
VOLUME | TOTAL PRICE |
VOLUME | TOTAL PRICE |
| 1.1 |
ADDITIONAL CAMP SERVICES
Food & beverage, main course
ADDITIONAL CAMP SERVICES, Food & beverage, main course |
AU |
2578.00 |
65,000.00 |
167,570,000.00 |
0.00 |
0.00 |
2578.00 |
167,570,000.00 |
2578.00 |
167,570,000.00 |
0.00 |
0.00 |
| 1.2 |
ADDITIONAL CAMP SERVICES
Food & beverage, snack coffee/ tea & desert
ADDITIONAL CAMP SERVICES, Food & beverage, snack coffee/ tea & desert |
AU |
1157.00 |
33,000.00 |
38,181,000.00 |
0.00 |
0.00 |
1157.00 |
38,181,000.00 |
1157.00 |
38,181,000.00 |
0.00 |
0.00 |
| TOTAL : |
2578.00 | - | 205,751,000.00 |
0.00 | 0.00 |
2578.00 | 205,751,000.00 |
2578.00 | 205,751,000.00 |
0.00 | 0.00 |
Total Akumulasi Penyerapan (Cumulative Opname): Rp 205,751,000.00
Sisa Nilai Anggaran PO (Deviasi): Rp 0.00
Luwuk, 31 Agustus 2026
PT Banggai Sentral Sulawesi
Prepared by,
Onesimus Suriadi
Manager General Services
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JOB Pertamina - Medco E&P Tomori Sulawesi
Approved by,
Aldito Fauzi Roe / Aryanto Yoga
Contract Engineer
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PT. BANGGAI SENTRAL SULAWESI
General Contractor and Suppliers | Jl. Urip Sumoharjo No. 53 Luwuk
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TABEL PERHITUNGAN TINGKAT KOMPONEN DALAM NEGERI - JASA
SELF - ASSESSMENT (PERMEN ESDM NO. 15 TAHUN 2013)
| Nama Penyedia Jasa | : | PT Banggai Sentral Sulawesi |
Nomor Kontrak | : | 7201250141 |
| Judul Kontrak | : | Penyediaan General Services Untuk Mendukung Kegiaatan Pengemboran, Kerja Ulang Dan Perawatan Sumur di Blok Senoro - Toili, Sulawesi Tengah |
Nomor PO | : | 016/BSS-JOB/WS/VIII/2026 |
| Mata Uang | : | IDR |
Tanggal | : | 8 September 2026 |
A. KOMPONEN BIAYA
(COST COMPONENT) |
MATA UANG |
KDN (A) |
KLN (B) |
TOTAL (C = A + B) |
% NILAI TKDN
(D = A / C) |
NILAI TKDN
(E = C X D) |
I. Biaya Bahan (Material) Terpakai
(material used cost) |
Rp |
Rp 0.00 |
Rp 0.00 |
Rp 0.00 |
0.00% |
Rp 0.00 |
|
US$ |
0.00 |
0.00 |
0.00 |
0.00% |
0.00 |
II. Biaya Tenaga Kerja & Konsultan
(personnel & consultant cost) |
Rp |
Rp 0.00 |
Rp 0.00 |
Rp 0.00 |
0.00% |
Rp 0.00 |
|
US$ |
0.00 |
0.00 |
0.00 |
0.00% |
0.00 |
III. Biaya Alat Kerja / Fasilitas Kerja
(equipment & work facility cost) |
Rp |
Rp 0.00 |
Rp 0.00 |
Rp 0.00 |
0.00% |
Rp 0.00 |
|
US$ |
0.00 |
0.00 |
0.00 |
0.00% |
0.00 |
IV. Biaya Jasa Umum
(other services cost) |
Rp |
Rp 195,463,450.00 |
Rp 0.00 |
Rp 195,463,450.00 |
100.00% |
Rp 195,463,450.00 |
|
US$ |
0.00 |
0.00 |
0.00 |
0.00% |
0.00 |
V. JUMLAH BIAYA (Σ I s/d IV)
(Total Cost) |
Rp |
Rp 195,463,450.00 |
Rp 0.00 |
Rp 195,463,450.00 |
100.00% |
Rp 195,463,450.00 |
|
US$ |
0.00 |
0.00 |
0.00 |
0.00% |
0.00 |
B. KOMPONEN BUKAN BIAYA
(Non-cost Component) |
Rp |
|
Rp 10,287,550.00 |
|
|
US$ |
|
0.00 |
|
| C. JUMLAH NILAI TOTAL (A + B) |
Rp |
|
Rp 205,751,000.00 |
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|
US$ |
|
0.00 |
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| CAPAIAN PERSENTASE TKDN AKHIR (%): |
95.00 % |
Catatan:
• Isi hanya pada kolom yang berwarna kuning pastel.
• Formulasi perhitungan mengacu pada Permen ESDM No. 15 Tahun 2013.
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Luwuk, 8 September 2026
PT Banggai Sentral Sulawesi
Ir. Ferry Tatimu
Direktur
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