|
PT. BANGGAI SENTRAL SULAWESI
General Contractor and Suppliers | Jl. Urip Sumoharjo No. 53 Luwuk, Kabupaten Banggai, Propinsi Sulawesi Tengah
|
|
RINCIAN PEKERJAAN
| Rincian Pekerjaan | : | 025/BSS-JOB/WS/VIII/2026 |
Ditujukan Kepada | : | JOB Pertamina - Medco E&P Tomori Sulawesi |
| Nomor Kontrak | : | 7201250141 |
Nomor Purchase Order | : | 0 |
| Nama Kontrak | : | Penyediaan General Services Untuk Mendukung Kegiaatan Pengemboran, Kerja Ulang Dan Perawatan Sumur di Blok Senoro - Toili, Sulawesi Tengah |
Lingkup Pekerjaan | : | Penyediaan Additional Camp Services, Heavy Transportation & Equipment Rental Untuk Support Pekerjaan Well Services di Senoro Periode Agustus 2026 |
| Nomor Tender | : | S25048TPD |
Tanggal Purchase Order | : | 07 Aug 2026 |
| Tanggal Proforma | : | 31 Aug 2026 |
Mata Uang | : | IDR |
| No. |
Kategori |
Uraian Pekerjaan |
Qty |
Satuan |
Tgl Mulai |
Tgl Selesai |
Harga Satuan (IDR) |
Total Harga (IDR) |
Keterangan |
| 1 |
ADDITIONAL CAMP SERVICES |
Portacamp - Office Camp, ukuran 40 FT |
0.48 |
Month |
09 Aug 2026 |
31 Aug 2026 |
25,000,000 |
12,000,000 |
Portacamp - Office Camp, ukuran 40 FT Untuk Support Well Services di Lokasi Senoro |
| 2 |
ADDITIONAL CAMP SERVICES |
Portacamp - Living camp,ukuran 40FT (8 sleepers) |
0.48 |
Month |
09 Aug 2026 |
31 Aug 2026 |
20,000,000 |
9,600,000 |
Portacamp - Living camp,ukuran 40FT (8 sleepers) Untuk Support Well Services di Lokasi Senoro |
| 3 |
HEAVY TRANSPORTATION & EQUIPMENT RENTAL |
Genset, cap min 80 KVA, silent type, include maintenance |
0.74 |
Month |
09 Aug 2026 |
31 Aug 2026 |
60,000,000 |
44,400,000 |
Genset, cap min 80 KVA, silent type, include maintenance, Operasi Shift Siang |
| 4 |
HEAVY TRANSPORTATION & EQUIPMENT RENTAL |
Genset, cap min 80 KVA, silent type, include maintenance |
0.74 |
Month |
09 Aug 2026 |
31 Aug 2026 |
60,000,000 |
44,400,000 |
Genset, cap min 80 KVA, silent type, include maintenance, Operasi Shift Malam |
| 5 |
HEAVY TRANSPORTATION & EQUIPMENT RENTAL |
Light Tower & Lamp 1000 Watt, c/w cable,plug & acessories |
0.74 |
Month |
09 Aug 2026 |
31 Aug 2026 |
15,000,000 |
11,100,000 |
Light Tower & Lamp 1000 Watt, c/w cable,plug & acessories Operasi Malam |
| 6 |
HEAVY TRANSPORTATION & EQUIPMENT RENTAL |
Light Tower & Lamp 1000 Watt, c/w cable,plug & acessories |
0.74 |
Month |
09 Aug 2026 |
31 Aug 2026 |
15,000,000 |
11,100,000 |
Light Tower & Lamp 1000 Watt, c/w cable,plug & acessories Operasi Malam |
| TOTAL TAGIHAN : |
132,600,000 |
|
Terbilang : Seratus Tiga Puluh Dua Juta Enam Ratus Ribu Rupiah
DIBUAT OLEH
Yanuar Wiranata / Ireine Langi
Supervisor
|
DIPERIKSA
Onesimus Suriadi
Manager General Services
|
|
|
PT. BANGGAI SENTRAL SULAWESI
General Contractor and Suppliers | Jl. Urip Sumoharjo No. 53 Luwuk, Kabupaten Banggai, Propinsi Sulawesi Tengah
|
|
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
|
| Proforma Invoice No. | : | 025/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 | : | 0 |
|
| Item |
Description |
Qty |
Satuan |
Unit Price (IDR) |
TOTAL (IDR) |
| 1 |
ADDITIONAL CAMP SERVICES
Portacamp - Office Camp, ukuran 40 FT
Portacamp - Office Camp, ukuran 40 FT Untuk Support Well Services di Lokasi Senoro |
0.48 |
Month |
25,000,000 |
12,000,000 |
| 2 |
ADDITIONAL CAMP SERVICES
Portacamp - Living camp,ukuran 40FT (8 sleepers)
Portacamp - Living camp,ukuran 40FT (8 sleepers) Untuk Support Well Services di Lokasi Senoro |
0.48 |
Month |
20,000,000 |
9,600,000 |
| 3 |
HEAVY TRANSPORTATION & EQUIPMENT RENTAL
Genset, cap min 80 KVA, silent type, include maintenance
Genset, cap min 80 KVA, silent type, include maintenance, Operasi Shift Siang |
0.74 |
Month |
60,000,000 |
44,400,000 |
| 4 |
HEAVY TRANSPORTATION & EQUIPMENT RENTAL
Genset, cap min 80 KVA, silent type, include maintenance
Genset, cap min 80 KVA, silent type, include maintenance, Operasi Shift Malam |
0.74 |
Month |
60,000,000 |
44,400,000 |
| 5 |
HEAVY TRANSPORTATION & EQUIPMENT RENTAL
Light Tower & Lamp 1000 Watt, c/w cable,plug & acessories
Light Tower & Lamp 1000 Watt, c/w cable,plug & acessories Operasi Malam |
0.74 |
Month |
15,000,000 |
11,100,000 |
| 6 |
HEAVY TRANSPORTATION & EQUIPMENT RENTAL
Light Tower & Lamp 1000 Watt, c/w cable,plug & acessories
Light Tower & Lamp 1000 Watt, c/w cable,plug & acessories Operasi Malam |
0.74 |
Month |
15,000,000 |
11,100,000 |
| GRAND TOTAL: |
132,600,000 |
Terbilang: Seratus Tiga Puluh Dua Juta Enam Ratus 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
|
PT Banggai Sentral Sulawesi
Onesimus Suriadi
Manager General Services
|
|
BERITA ACARA MULAI PEKERJAAN (BAMP)
|
|
Pada hari ini, tanggal 9 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 | : 0 |
| Tanggal Purchase Order | : 07 Aug 2026 |
| Lingkup Pekerjaan | : Penyediaan Additional Camp Services, Heavy Transportation & Equipment Rental Untuk Support Pekerjaan Well Services di Senoro Periode Agustus 2026 |
Dengan ini PIHAK KEDUA menyatakan mulai melaksanakan seluruh pekerjaan secara baik dan siap terhitung mulai tanggal 9 Agustus 2026 dengan rincian sebagai berikut:
| NO |
KETERANGAN PEKERJAAN |
JUMLAH |
SATUAN |
CATATAN |
| 1 |
ADDITIONAL CAMP SERVICES
Portacamp - Office Camp, ukuran 40 FT |
0.48 |
Month |
Mulai Berlaku Tanggal 9 Agustus 2026
Portacamp - Office Camp, ukuran 40 FT Untuk Support Well Services di Lokasi Senoro |
| 2 |
ADDITIONAL CAMP SERVICES
Portacamp - Living camp,ukuran 40FT (8 sleepers) |
0.48 |
Month |
Mulai Berlaku Tanggal 9 Agustus 2026
Portacamp - Living camp,ukuran 40FT (8 sleepers) Untuk Support Well Services di Lokasi Senoro |
| 3 |
HEAVY TRANSPORTATION & EQUIPMENT RENTAL
Genset, cap min 80 KVA, silent type, include maintenance |
0.74 |
Month |
Mulai Berlaku Tanggal 9 Agustus 2026
Genset, cap min 80 KVA, silent type, include maintenance, Operasi Shift Siang |
| 4 |
HEAVY TRANSPORTATION & EQUIPMENT RENTAL
Genset, cap min 80 KVA, silent type, include maintenance |
0.74 |
Month |
Mulai Berlaku Tanggal 9 Agustus 2026
Genset, cap min 80 KVA, silent type, include maintenance, Operasi Shift Malam |
| 5 |
HEAVY TRANSPORTATION & EQUIPMENT RENTAL
Light Tower & Lamp 1000 Watt, c/w cable,plug & acessories |
0.74 |
Month |
Mulai Berlaku Tanggal 9 Agustus 2026
Light Tower & Lamp 1000 Watt, c/w cable,plug & acessories Operasi Malam |
| 6 |
HEAVY TRANSPORTATION & EQUIPMENT RENTAL
Light Tower & Lamp 1000 Watt, c/w cable,plug & acessories |
0.74 |
Month |
Mulai Berlaku Tanggal 9 Agustus 2026
Light Tower & Lamp 1000 Watt, c/w cable,plug & acessories Operasi Malam |
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
|
PT Banggai Sentral Sulawesi
PIHAK KEDUA
Ir. Ferry Tatimu
Direktur
|
Dokumen No: FM-GS-14 Rev:03
|
|
BERITA ACARA SELESAI PEKERJAAN (BASP)
|
|
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 | : 0 |
| Tanggal Purchase Order | : 07 Aug 2026 |
| Lingkup Pekerjaan | : Penyediaan Additional Camp Services, Heavy Transportation & Equipment Rental Untuk Support Pekerjaan Well Services di Senoro Periode Agustus 2026 |
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
Portacamp - Office Camp, ukuran 40 FT |
0.48 |
Month |
Selesai Pelaksanaan Pekerjaan Tanggal 31 Agustus 2026
Portacamp - Office Camp, ukuran 40 FT Untuk Support Well Services di Lokasi Senoro |
| 2 |
ADDITIONAL CAMP SERVICES
Portacamp - Living camp,ukuran 40FT (8 sleepers) |
0.48 |
Month |
Selesai Pelaksanaan Pekerjaan Tanggal 31 Agustus 2026
Portacamp - Living camp,ukuran 40FT (8 sleepers) Untuk Support Well Services di Lokasi Senoro |
| 3 |
HEAVY TRANSPORTATION & EQUIPMENT RENTAL
Genset, cap min 80 KVA, silent type, include maintenance |
0.74 |
Month |
Selesai Pelaksanaan Pekerjaan Tanggal 31 Agustus 2026
Genset, cap min 80 KVA, silent type, include maintenance, Operasi Shift Siang |
| 4 |
HEAVY TRANSPORTATION & EQUIPMENT RENTAL
Genset, cap min 80 KVA, silent type, include maintenance |
0.74 |
Month |
Selesai Pelaksanaan Pekerjaan Tanggal 31 Agustus 2026
Genset, cap min 80 KVA, silent type, include maintenance, Operasi Shift Malam |
| 5 |
HEAVY TRANSPORTATION & EQUIPMENT RENTAL
Light Tower & Lamp 1000 Watt, c/w cable,plug & acessories |
0.74 |
Month |
Selesai Pelaksanaan Pekerjaan Tanggal 31 Agustus 2026
Light Tower & Lamp 1000 Watt, c/w cable,plug & acessories Operasi Malam |
| 6 |
HEAVY TRANSPORTATION & EQUIPMENT RENTAL
Light Tower & Lamp 1000 Watt, c/w cable,plug & acessories |
0.74 |
Month |
Selesai Pelaksanaan Pekerjaan Tanggal 31 Agustus 2026
Light Tower & Lamp 1000 Watt, c/w cable,plug & acessories Operasi Malam |
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
|
PT Banggai Sentral Sulawesi
PIHAK KEDUA
Ir. Ferry Tatimu
Direktur
|
Dokumen No: FM-GS-05 Rev:03
|
|
JASA SEWA ALAT BERAT PENDUKUNG OPERASIONAL SENORO & TIAKA
Contract No. 7201250141
|
|
WORK COMPLETION CERTIFICATE
CERTIFICATE NO : 025/BSS-JOB/WS/VII/2026
On the date of 31 August 2026 we on behalf of PT Banggai Sentral Sulawesi have completed the following job:
| WORK ORDER NUMBER |
: |
- |
| WORK ORDER TITLE |
: |
Penyediaan Additional Camp Services, Heavy Transportation & Equipment Rental Untuk Support Pekerjaan Well Services di Senoro Periode Agustus 2026 |
| CTR NUMBER |
: |
- |
| DESCRIPTION |
: |
| 100% - Penyelesaian Pekerjaan | Rp 132,600,000 |
|
| AMOUNT TOTAL |
: |
Seratus Tiga Puluh Dua Juta Enam Ratus 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
|
JOB Pertamina - Medco E&P Tomori Sulawesi
Approved by,
Aldito Fauzi Roe / Aryanto Yoga
Contract Engineer
|
|
|
PT. BANGGAI SENTRAL SULAWESI
General Contractor and Suppliers | Jl. Urip Sumoharjo No. 53 Luwuk
|
|
BERITA ACARA PEKERJAAN / OPNAME
| JOB TITLE / WO / PO | : Penyediaan Additional Camp Services, Heavy Transportation & Equipment Rental Untuk Support Pekerjaan Well Services di Senoro Periode Agustus 2026 |
| CTR / WO / PO No. | : 0 |
| DATE | : 31 Agustus 2026 |
| PROFORMA INVOICE No. | : 025/BSS-JOB/WS/VIII/2026 |
| NO |
ITEM - DESCRIPTION |
UOM |
BASE ON CTR / PO |
PREVIOUS OPNAME (IDR) |
AKTUAL OPNAME (BULAN INI) (IDR) |
CUMMULATIVE OPNAME (IDR) |
| VOLUME |
UNIT PRICE |
TOTAL PRICE |
VOLUME |
TOTAL PRICE |
VOLUME |
TOTAL PRICE |
VOLUME |
TOTAL PRICE |
| 1.1 |
ADDITIONAL CAMP SERVICES
Portacamp - Office Camp, ukuran 40 FT
Portacamp - Office Camp, ukuran 40 FT Untuk Support Well Services di Lokasi Senoro |
Month |
0.48 |
25,000,000 |
12,000,000 |
0.00 |
0 |
0.48 |
12,000,000 |
0.48 |
12,000,000 |
| 1.2 |
ADDITIONAL CAMP SERVICES
Portacamp - Living camp,ukuran 40FT (8 sleepers)
Portacamp - Living camp,ukuran 40FT (8 sleepers) Untuk Support Well Services di Lokasi Senoro |
Month |
0.48 |
20,000,000 |
9,600,000 |
0.00 |
0 |
0.48 |
9,600,000 |
0.48 |
9,600,000 |
| 1.3 |
HEAVY TRANSPORTATION & EQUIPMENT RENTAL
Genset, cap min 80 KVA, silent type, include maintenance
Genset, cap min 80 KVA, silent type, include maintenance, Operasi Shift Siang |
Month |
0.74 |
60,000,000 |
44,400,000 |
0.00 |
0 |
0.74 |
44,400,000 |
0.74 |
44,400,000 |
| 1.4 |
HEAVY TRANSPORTATION & EQUIPMENT RENTAL
Genset, cap min 80 KVA, silent type, include maintenance
Genset, cap min 80 KVA, silent type, include maintenance, Operasi Shift Malam |
Month |
0.74 |
60,000,000 |
44,400,000 |
0.00 |
0 |
0.74 |
44,400,000 |
0.74 |
44,400,000 |
| 1.5 |
HEAVY TRANSPORTATION & EQUIPMENT RENTAL
Light Tower & Lamp 1000 Watt, c/w cable,plug & acessories
Light Tower & Lamp 1000 Watt, c/w cable,plug & acessories Operasi Malam |
Month |
0.74 |
15,000,000 |
11,100,000 |
0.00 |
0 |
0.74 |
11,100,000 |
0.74 |
11,100,000 |
| 1.6 |
HEAVY TRANSPORTATION & EQUIPMENT RENTAL
Light Tower & Lamp 1000 Watt, c/w cable,plug & acessories
Light Tower & Lamp 1000 Watt, c/w cable,plug & acessories Operasi Malam |
Month |
0.74 |
15,000,000 |
11,100,000 |
0.00 |
0 |
0.74 |
11,100,000 |
0.74 |
11,100,000 |
| TOTAL : |
0.48 | - | 132,600,000 |
0.00 | 0 |
0.48 | 132,600,000 |
0.48 | 132,600,000 |
Total Akumulasi Penyerapan (Cumulative Opname): Rp 132,600,000
Sisa Nilai Anggaran PO (Deviasi): Rp 0
Luwuk, 31 Agustus 2026
PT Banggai Sentral Sulawesi
Prepared by,
Onesimus Suriadi
Manager General Services
|
JOB Pertamina - Medco E&P Tomori Sulawesi
Approved by,
Aldito Fauzi Roe / Aryanto Yoga
Contract Engineer
|
|
|
PT. BANGGAI SENTRAL SULAWESI
General Contractor and Suppliers | Jl. Urip Sumoharjo No. 53 Luwuk
|
|
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 | : | 0 |
| Mata Uang | : | IDR |
Tanggal | : | 31 Agustus 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 |
Rp 0 |
Rp 0 |
0.00% |
Rp 0 |
|
US$ |
0.00 |
0.00 |
0.00 |
0.00% |
0.00 |
II. Biaya Tenaga Kerja & Konsultan
(personnel & consultant cost) |
Rp |
Rp 0 |
Rp 0 |
Rp 0 |
0.00% |
Rp 0 |
|
US$ |
0.00 |
0.00 |
0.00 |
0.00% |
0.00 |
III. Biaya Alat Kerja / Fasilitas Kerja
(equipment & work facility cost) |
Rp |
Rp 0 |
Rp 0 |
Rp 0 |
0.00% |
Rp 0 |
|
US$ |
0.00 |
0.00 |
0.00 |
0.00% |
0.00 |
IV. Biaya Jasa Umum
(other services cost) |
Rp |
Rp 125,970,000 |
Rp 0 |
Rp 125,970,000 |
100.00% |
Rp 125,970,000 |
|
US$ |
0.00 |
0.00 |
0.00 |
0.00% |
0.00 |
V. JUMLAH BIAYA (Σ I s/d IV)
(Total Cost) |
Rp |
Rp 125,970,000 |
Rp 0 |
Rp 125,970,000 |
100.00% |
Rp 125,970,000 |
|
US$ |
0.00 |
0.00 |
0.00 |
0.00% |
0.00 |
B. KOMPONEN BUKAN BIAYA
(Non-cost Component) |
Rp |
|
Rp 6,630,000 |
|
|
US$ |
|
0.00 |
|
| C. JUMLAH NILAI TOTAL (A + B) |
Rp |
|
Rp 132,600,000 |
|
|
US$ |
|
0.00 |
|
| 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.
|
Luwuk, 31 Agustus 2026
PT Banggai Sentral Sulawesi
Ir. Ferry Tatimu
Direktur
|
