Request for Bids

Goods
(Two-Envelope Bidding Process)

Procurement of Cathlab

ADDENDUM No.1
Dated: April 30, 2024

to

RFB No: ID-PMU SIHREN-395529-GO-RFB

Project: Indonesia Health Systems Strengthening Project
Purchaser: Ministry of Health
Country: Indonesia
Issued on: May 2, 2024
This amendment to the Bidding Document No.: ID-PMU SIHREN-395529-GO-RFB is made
on April 30, 2024.

Notice is hereby given that pursuant to ITB 8, Procurement Committee1 - IHSS, MoH has
amended this Bidding Document as follows.

1. Section I, ITB 14.8(a)(i) is amended to correct a typo in the brackets following the
abbreviation of DDP:

“the price of the Goods quoted DDP (Delivery Duty Paid), including all customs duties
and sales and other taxes already paid or payable on the components and raw material
used in the manufacture or assembly of the Goods;”

2. Section II, Bid Data Sheet (BDS), ITB 7.1 is amended to revise the email address of the
Purchaser.

B. Contents of Bidding Document

ITB 7.1 Currently written in the bidding documents:
For Clarification of Bid purposes only, the Purchaser’s address is:
Attention: Procurement Committee1 - IHSS, MoH
Address: Prof. Dr. Sujudi 14th Floor,
Jl. H.R. Rasuna Said Blok X-5 Kav. 4-9 Jakarta 12950 Indonesia
Telephone: +62 21 52921482 ext 1233 and 1360
Electronic mail address: int.proc@kemkes.go.id
Web page: www.kemkes.go.id
The bidders are especially encouraged to raise questions if they find any of
the technical specifications unclear or restrictive by indicating the item and
the issue with a particular specification requirement. Requests for
clarification should be received by the Purchaser no later than ten (10)
business days (i.e., 2 May 2024) before the deadline of bid submission to
ensure sufficient time for the Purchaser to answer, so that these can be
addressed early to all the potential bidders. Late requests for clarification
will not be reviewed and responded to.
 To be amended:
For Clarification of Bid purposes only, the Purchaser’s address is:
Attention: Procurement Committee1 - IHSS, MoH
Address: Prof. Dr. Sujudi 14th Floor,
Jl. H.R. Rasuna Said Blok X-5 Kav. 4-9 Jakarta 12950 Indonesia
Telephone: +62 21 52921482 ext 1233 and 1360
Electronic mail address: pc1_ihss@kemkes.go.id
Web page: https://ihss.kemkes.go.id/
The bidders are especially encouraged to raise questions if they find any of
the technical specifications unclear or restrictive by indicating the item and
the issue with a particular specification requirement. Requests for
clarification should be received by the Purchaser no later than ten (10)
business days (i.e., 14 May 2024) before the deadline of bid submission to
ensure sufficient time for the Purchaser to answer, so that these can be
addressed early to all the potential bidders. Late requests for clarification
will not be reviewed and responded to.

3. Section II, Bid Data Sheet (BDS), ITB 18.1, the current sentences is amended as follows:

“The Bid shall be valid until: October 15, 2024.”

4. Section II, Bid Data Sheet (BDS), ITB 22.1, the deadline of bid submission is extended as
follows:

For Bid submission purposes only, the bids shall be addressed to the following:
Attention: Procurement Committee 1 - IHSS, MoH
Street Address: Jl. H.R. Rasuna Said Blok X-5 Kav. 4-9 Jakarta
Floor: Prof. Dr. Sujudi Building 14th Floor
City: Jakarta
Postal Code: 12950
Country: Indonesia
The deadline for Bid submission is:
Date: May 30, 2024
Time: 10:00 AM Jakarta Time (Western Indonesia Time)
Bidders shall not have the option of submitting their Bids electronically.
5. Section II, Bid Data Sheet (BDS), ITB 25.1, the current sentences is amended as follows:

The Bid opening shall take place hybrid at:

Ministry of Health’s office
Street Address: Jl. H.R. Rasuna Said Blok X-5 Kav. 4-9 Jakarta 12950 Indonesia
Floor: Prof. Dr. Sujudi Building 14th Floor
Date: May 30, 2024
Time: 10:30 AM Jakarta Time (Western Indonesia Time)

Zoom link: https:/link.kemkes.go.id/OpeningCathlab

6. Section II, Bid Data Sheet (BDS), ITB 25.6 is amended to delete “Second Envelope” as
follows:

“The Letter of Bid - Technical Part and sealed envelope marked “Financial Part” shall be
initialed by a minimum of three (3) representatives of the Purchaser conducting Technical
Part opening”.

7. Section III, Evaluation and Qualification Criteria - Technical Part, 1(b) is amended to
revise the required documentary evidence regarding completed contracts.

“… In order to demonstrate it meets the experience requirement at minimum, the Bidder

shall furnish detailed information regarding contracts completed: the purchaser’s name
and address, country, name and object of the contract, scope of services, date of contract
completion, equipment supplied, contract amount, contract role (prime supplier,
subcontractor, partner in Joint Venture) and percent of the contract value undertaken by
subcontract. The documentary evidence shall contain at minimum a copy of the relevant
pages of the signed contract providing the above requested information”.

8. Section III Evaluation and Qualification Criteria, Technical Evaluation – Rated Criteria
Scoring Table is updated in alignment with revisions to the technical specifications, as
follows:
 SINGLE PLANE BIPLANE
Maximum Points Maximum Points
Rated Criteria Category Allocation Allocation
Criteria whereby the bidder goes beyond minimum
requirements in terms of physical equipment
specifications, including technical performance and
physical specifications 70 72
Mechanical & Electrical (M&E) Requirements 3 3
IT Requirements 2 2
AI and Telemedicine Requirements 11 11
Criteria whereby the bidder goes beyond minimum
requirements in relation to operational support
(training, provision of consumables, etc.) in terms of
after-Sales Maintenance & Service Requirements 40 44
Total maximum score 126 132

9. Section III, Evaluation and Qualification Criteria – Financial Part, 2(e)(iii) is amended
to revise the definition of recurrent cost table:

I = discount rate to be used for the Net Present Value calculation, as specified in the
Bid Data Sheet

10. Section III, Evaluation and Qualification Criteria – Financial Part, 2(e)(iv) is amended
to reflect an update in the wording on consumables and their cost indication to be
provided as part of the bid:

“and the following information is required from bidders: i) list of spare parts need to be
replaced including the cost for 10 years period of operation, and a confirmation that all
these spare parts are already included in the comprehensive operations and maintenance
contract for years 1 through 5 (and as extended thereafter) with no additional payment to
be made by the Purchaser; ii) proprietary consumables for the equipment and its accessories
and the requirement in terms of quantities/volume for each consumable for quantities
specified in the technical specifications document (cost for this set quantity per to be
 provided in the financial bid valid for 5 years); iii) any other proprietary costs incurred
during operational support and maintenance period”.

11. Section III, Evaluation and Qualification Criteria – Multiple Contracts (ITB 34.4) is
amended to reflect a typo on the word ‘than’ which was mis-spelled:

“Discounts that are conditional on the award of more than one lot will not be considered
for bid evaluation purpose.”

12. Section IV, Bidding Forms – Functional Guarantees is amended, with the text and table
to be replaced by a reference to the Device-Specific Excel spreadsheet with technical
specifications:

“To be submitted as part of the Device-Specific Excel spreadsheet on technical

specifications.”

13. Section IV, Bidding Forms – Price Schedule for Goods manufactured outside and within
the Purchaser’s Country and table of Recurrent Costs for Operations and Maintenance
are amended as highlighted in blue font below:
Price Schedule: Goods Manufactured Outside the Purchaser’s Country, to be Imported
Date:________________________
(Group C Bids, goods to be imported) RFB No: _____________________

Alternative No: ________________

Currencies in accordance with ITB 15
Page N ______ of ______
1 2 3 4 5 6 7 8 9 10
Line Description of Goods Country of Delivery Quantity and Unit price Custom Duties *) Price per line item for Unit price DDP Price net of Total Price per Line item
Item Origin Date as name of the DDP [insert place of and Import Taxes inland transportation, Custom Duties and Import (Col. (5x9) + 7 + 8)
N defined by physical unit destination] to be paid per unit insurance, and other Taxes, inland transportation,
Incoterms in accordance with in accordance services required in the insurance, and other services
ITB 14.8(b)(i) with ITB Purchaser’s Country to required in the Purchaser’s
14.8(b)(ii) convey the goods to their Country to convey the goods
final destination, as to their final destination per
specified in BDS in line item
accordance with ITB (Col. 6-7-8)
14.8 (b)(iii)
[insert [insert name of good] [insert [insert [insert number [insert unit price [Custom Duties [insert price per line [insert unit price DDP price [insert total price of the line
numbe country of quoted of units to be DDP per unit] and Import Taxes item for inland net of Custom Duties and item]
r of the origin of Delivery supplied and to be paid per transportation, Import Taxes, inland
item] the Good] Date] name of the unit] insurance, and other transportation, insurance,
physical unit] services required in the and other services required
Purchaser’s Country] in the Purchaser’s Country
to convey the goods to their
final destination per line
item]

*) breakdown cost is needed for the purpose of domestic preference application only, if applicable Total Price

Name of Bidder [insert complete name of Bidder] Signature of Bidder [signature of person signing the Bid] Date [Insert Date]
Price Schedule: Goods Manufactured Outside the Purchaser’s Country, already
imported*
Date:_________________________
(Group C Bids, Goods already imported) RFB No: _____________________
Alternative No: ________________
Currencies in accordance with ITB 15 Page N ______ of ______
1 2 3 4 5 6 7 8 9 10 11 12
Line Description of Country Delivery Quantity Unit price Custom Duties Unit Price Price per line Price per line Sales and Total Price per
Item Goods of Origin Date as and name including and Import net of custom item net of item for inland other taxes line item
N defined by of the Custom Taxes paid per duties and Custom transportation, paid or (Col. 9+10+7+11)
Incoterms physical Duties and unit in import taxes, Duties and insurance and payable per
unit Import Taxes accordance in Import Taxes other services item if
paid, in with ITB accordance paid, in required in the Contract is
accordance 14.8(c)(ii) , [to with ITB accordance Purchaser’s awarded (in
with ITB be supported by 14.8 (c) (iii) with ITB Country to accordance
14.8(c)(i) documents] (Col. 6 14.8(c)(i) convey the goods with ITB
minus Col.7) (Col. 58) to their final 14.8(c)(iv)
destination, as
specified in BDS
in accordance
with ITB 14.8
(c)(v)
[insert [insert name of [insert [insert [insert [insert unit [insert custom [insert unit [ insert price [insert price per [insert sales [insert total price
number Goods] country quoted number price per duties and taxes price net of per line item line item for and other per line item]
of the of origin Delivery of units to unit] paid per unit] customs net of custom inland taxes payable
item] of the Date] be duties and duties and transportation, per item if
Good] supplied import taxes] import taxes] insurance and Contract is
and name other services awarded]
of the required in the
physical Purchaser’s
unit] Country]

Name of Bidder [insert complete name of Bidder] Signature of Bidder [signature of person signing the Bid] Date [insert date]
* [For previously imported Goods, the quoted price shall be distinguishable from the original import value of these Goods declared to customs and shall include
any rebate or mark-up of the local agent or representative and all local costs except import duties and taxes, which have been and/or have to be paid by the
Purchaser. For clarity the Bidders are asked to quote the price including import duties, and additionally to provide the import duties and the price net of import
duties which is the difference of those values.]
 Price Schedule: Goods Manufactured in the Purchaser’s Country
Date:________________________
Purchaser’s Country (Group A and B Bids) RFB No: _____________________
Alternative No: ________________
______________________ Page N ______ of ______
Currencies in accordance with ITB 15

1 2 3 4 5 6 7 8 9
Line Description of Goods Delivery Quantity Unit price DDP Sales and other Unit price DDP Cost of local labor, Total Price per line item
Item Date as and including the taxes payable per net of Sales and raw materials and (Col. 4x7)
N defined by physical price for inland line item if other taxes components from with
Incoterms unit transportation, Contract is awarded payable per line origin in the
insurance, and (in accordance with item Purchaser’s Country%
other local ITB 14.8(a)(ii) of Col. 5
services required
to convey the
Goods to their
final destination
[insert [insert name of Good] [insert [insert [insert DDP unit [insert sales and [insert unit price [Insert cost of local
number quoted number of price including other taxes payable DDP net of sales labor, raw material
of the Delivery units to be the price for per line item if taxes and other and components from
item] Date] supplied inland Contract is taxes payable] within the Purchase’s
and name transportation, awarded] country as a % of the
of the insurance, and DDP price per line
physical other local item]
unit] services
required to
convey the
Goods to their
final
destination]

Name of Bidder [insert complete name of Bidder] Signature of Bidder [signature of person signing the Bid] Date [insert date]
 Recurrent Costs for Operation and Maintenance
Currency: [specify: the currency of the Recurrent Costs in which the costs expressed in this Table are expressed]

All-inclusive costs – lump-sum (for costs in [ insert: currency ])

No. Activity Y1 Y2 Y3 Y4 Y5 Y6 Y7 Y8 Y9 Y10 Sub-total

Total cost for operations and maintenance
services in accordance with Section VII Schedule
1 of Requirements – 2. Operation and Maintenance
requirements will include the following activities
but not be limited to:
a) Spare parts needing replacement Included in bid price Insert quoted cost yearly
Proprietary consumables for equipment and its Included in bid price Insert quoted cost yearly
b)
accessories
Any other proprietary costs incurred during Included in bid price Insert quoted cost yearly
c)
operational support and maintenance services
d) User Training and operational support Included in bid price Insert quoted cost yearly
Any software and hardware updates including for Included in bid price Insert quoted cost yearly
e) telemedicine, AI, audiovisual, and privacy and
security modalities

Annual Subtotals:

.
The total cost includes the travel costs, accommodation, transportation and all other costs related to the operation and maintenance services for the provided
goods)

Authorized Representative: _______________________________________

Name and position: _______________________________________
Bidder’s name: _______________________________________
 14. Section VII, Schedule of Requirements, 1. List of Goods and Delivery Schedule, is
revised to include possibility for bidder to add offered delivery date:

Line Description of Quanti Physical Final Delivery (as per Incoterms) Date
Item Goods ty unit (Project
Earliest Latest Bidder’s offered
N Site)
Delivery Delivery Date Delivery date [to
Destination
Date be provided by
as specified
the Bidder]
in BDS
1 Cath Lab (Single 419 -
Plane and Bi Plane)
151 - Please refer December May 2027 [dd-mm-yyyy]
Lot 1: Procurement to detailed 2024
of Single-Plane table below
Cathlabs for on list of
Western Indonesia final
Region destination
(151 units)
- Please refer December May 2027 [dd-mm-yyyy]
Lot 2: Procurement 71 to detailed 2024
of Single-Plane table below
Cathlabs for on list of
Central Indonesia final
Region destination
(71 units)
- Please refer December May 2027 [dd-mm-yyyy]
Lot 3: Procurement 185 to detailed 2024
of Single-Plane table below
Cathlabs for on list of
Eastern Indonesia final
Region destination
(185 units)
12 Please refer December May 2027 [dd-mm-yyyy]
Lot 4: Procurement to detailed 2024
of Biplane table below
Cathlabs across on list of
Indonesia (12 final
units) destination
 Lot 1: Procurement of Single-Plane Cathlabs for Western Indonesia Region – Single Plane (151 units)
Total
Provinces Cities Hospitals 2024 2025 2026 2027
Qty
Single Plane
Aceh Aceh Barat Daya RS Umum Daerah Teungku Peukan 1 1
Aceh Aceh Besar RS Umum Daerah Kabupaten Aceh Besar 1 1
Aceh Aceh Jaya RS Umum Daerah Teuku Umar Kabupaten Aceh Jaya 1 1
Aceh Aceh Singkil RS Umum Daerah Aceh Singkil 1 1
Aceh Aceh Tamiang RS Umum Daerah Tamiang 1 1
Aceh Aceh Tenggara RS Umum Daerah H. Sahudin Kutacane 1 1
Aceh Aceh Timur RS Umum Daerah dr. Zubir Mahmud 1 1
Aceh Bener Meriah RS Umum Daerah Muyang Kute Redelong Bener Meriah 1 1
Aceh Bireuen RS Umum Daerah Dr. Fauziah Bireun 1 1
Aceh Kota Langsa RS Umum Daerah Langsa 1 1
Aceh Kota Sabang RS Umum Daerah Sabang 1 1
Aceh Kota Subulussalam RS Umum Daerah Kota Subulussalam 1 1
Aceh Nagan Raya RS Umum Daerah Sultan Iskandar Muda Nagan Raya 1 1
Aceh Pidie RS Umum Daerah TGK Chik Ditiro Sigli 1 1
Aceh Pidie Jaya RS Umum Daerah Pidie Jaya 1 1
Aceh Simeulue RS Umum Daerah Simeulue 1 1
Banten Kota Cilegon RS Umum Daerah Kota Cilegon 1 1
Banten Kota Serang RS Umum Daerah Kota Serang 1 1
Banten Kota Tangerang RS Umum Daerah Kota Tangerang 1 1
Banten Kota Tangerang Selatan RS Umum Daerah Kota Tangerang Selatan 1 1
Banten Lebak RS Umum Daerah Malingping 1 1
Banten Pandeglang RS Umum Daerah Berkah Pandeglang 1 1
Bengkulu Bengkulu Selatan RS Umum Daerah Hasanuddin Damrah Manna 1 1
Bengkulu Bengkulu Tengah RS Umum Daerah Bengkulu Tengah 1 1
Bengkulu Bengkulu Utara RS Umum Daerah Arga Makmur 1 1
Bengkulu Kaur RS Umum Daerah Kaur 1 1
 Total
Provinces Cities Hospitals 2024 2025 2026 2027
Qty
Single Plane
Bengkulu Kepahiang RS Umum Daerah Kepahiang 1 1
Bengkulu Kota Bengkulu RS Umum Daerah Harapan dan Doa 1 1
Bengkulu Lebong RS Umum Daerah Lebong 1 1
Bengkulu Muko Muko RS Umum Daerah Mukomuko 1 1
Bengkulu Rejang Lebong RS Umum Daerah Curup 1 1
Bengkulu Seluma RS Umum Daerah Tais Kabupaten Seluma 1 1
Jambi Batang Hari RS Umum Daerah Haji Abdoel Madjid Batoe 1 1
Jambi Kota Sungai penuh RS Umum Daerah Mayjen H. A. Thalib 1 1
Jambi Merangin RS Umum Daerah Kolonel Abundjani/Bangko 1 1
Jambi Muaro Jambi RS Umum Daerah Ahmad Ripin 1 1
Jambi Sarolangun RS Umum Daerah Prof. Dr. H. Chatib Quzwain 1 1
Jambi Tanjung Jabung Barat RS Umum Daerah KH. Daud Arif 1 1
Jambi Tanjung Jabung Timur RS Umum Daerah Nurdin Hamzah 1 1
Jambi Tebo RS Umum Daerah Sultan Thaha Saifuddin 1 1
Jawa Barat Bandung RS Umum Daerah Majalaya 1 1
Jawa Barat Bandung Barat RS Umum Daerah Cikalong Wetan 1 1
Jawa Barat Ciamis RS Umum Daerah Kab. Ciamis 1 1
Jawa Barat Cianjur RS Umum Daerah Sayang 1 1
Jawa Barat Cirebon RS Umum Daerah Arjawinangun 1 1
Jawa Barat Garut RS Umum Daerah dr. Slamet Garut 1 1
Jawa Barat Indramayu RS Umum Daerah Kab. Indramayu 1 1
Jawa Barat Kota Depok RS Umum Daerah Kota Depok 1 1
Jawa Barat Kuningan RS Umum Daerah 45 Kuningan 1 1
Jawa Barat Majalengka RS Umum Daerah Cideres Majalengka 1 1
Jawa Barat Pangandaran RS Umum Daerah Pandega Pangandaran 1 1
Jawa Barat Purwakarta RS Umum Daerah Bayu Asih 1 1
Jawa Barat Subang RS Umum Daerah Subang 1 1
 Total
Provinces Cities Hospitals 2024 2025 2026 2027
Qty
Single Plane
Jawa Barat Sukabumi RS Umum Daerah Jampang Kulon 1 1
Jawa Barat Tasikmalaya RS Umum Daerah Singaparna Medika Citrautama 1 1
Kepulauan Bangka
Bangka RS Umum Daerah Depati Bahrin 1 1
Belitung
Kepulauan Bangka
Bangka Barat RS Umum Daerah Sejiran Setason 1 1
Belitung
Kepulauan Bangka
Bangka Selatan RS Umum Daerah Kabupaten Bangka Selatan 1 1
Belitung
Kepulauan Bangka
Bangka Tengah RS Umum Daerah Kab.Bangka Tengah 1 1
Belitung
Kepulauan Bangka
Belitung Timur RS Umum Daerah Kab.Belitung Timur 1 1
Belitung
Kepulauan Riau Bintan RS Umum Daerah Kabupaten Bintan 1 1
Kepulauan Riau Karimun RS Umum Daerah Muhammad Sani Kabupaten Karimun 1 1
Kepulauan Riau Kepulauan Anambas RS Umum Daerah Palmatak 1 1
Kepulauan Riau Kota Tanjung Pinang RS Umum Daerah Kota Tanjung Pinang 1 1
Kepulauan Riau Lingga RS Umum Daerah Dabo Kabupaten Lingga 1 1
Kepulauan Riau Natuna RS Umum Daerah Natuna 1 1
Lampung Kota Metro RS Umum Daerah Ahmad Yani Metro 1 1
Lampung Lampung Barat RS Umum Daerah Alimuddin Umar 1 1
Lampung Lampung Selatan RS Umum Daerah Dr. H. Bob Bazar, SKM 1 1
Lampung Lampung Tengah RS Umum Daerah Demang Sepulau Raya 1 1
Lampung Lampung Timur RS Umum Daerah Sukadana 1 1
Lampung Lampung Utara RS Umum Daerah May Jen HM Ryacudu 1 1
Lampung Mesuji RS Umum Daerah Ragab Begawe Caram 1 1
Lampung Pesawaran RS Umum Daerah Pesawaran 1 1
Lampung Pesisir Barat RS Umum Daerah KH. Muhammad Thohir KRUI 1 1
Lampung Pringsewu RS Umum Daerah Pringsewu 1 1
Lampung Tanggamus RS Umum Daerah Batin Mangunang 1 1
 Total
Provinces Cities Hospitals 2024 2025 2026 2027
Qty
Single Plane
Lampung Tulang Bawang RS Umum Daerah Menggala Tulang Bawang 1 1
Lampung Tulang Bawang Barat RS Umum Daerah Tulang Bawang Barat 1 1
Lampung Way Kanan RS Umum Daerah Zainal Abidin Pagar Alam 1 1
Riau Bengkalis RS Umum Daerah Bengkalis 1 1
Riau Indragiri Hilir RS Umum Daerah Puri Husada Tembilahan 1 1
Riau Indragiri Hulu RS Umum Daerah Indrasari Rengat 1 1
Riau Kampar RS Umum Daerah Bangkinang 1 1
Riau Kepulauan Meranti RS Umum Daerah Kabupaten Kepulauan Meranti 1 1
Riau Kota Pekanbaru RS Umum Daerah Madani Kota Pekanbaru 1 1
Riau Kuantan Singingi RS Umum Daerah Teluk Kuantan 1 1
Riau Pelalawan RS Umum Daerah Selasih Riau 1 1
Riau Rokan Hilir RS Umum Daerah Dr. RM. Pratomo Bagansiapiapi 1 1
Riau Rokan Hulu RS Umum Daerah Rokan Hulu 1 1
Riau Siak RS Umum Daerah Tengku Rafi'an Siak Sri Indrapura 1 1
Sumatera Barat Agam RS Umum Daerah Lubuk Basung 1 1
Sumatera Barat Dharmasraya RS Umum Daerah Sungai Dareh 1 1
Sumatera Barat Kepulauan Mentawai RS Umum Daerah Kep. Mentawai 1 1
Sumatera Barat Kota Bukittinggi RS Umum Daerah Kota Bukittinggi 1 1
Sumatera Barat Kota Padang RS Umum Daerah dr. Rasidin Padang 1 1
Sumatera Barat Kota Padang Panjang RS Umum Daerah Padang Panjang 1 1
Sumatera Barat Kota Pariaman RS Umum Daerah Dr Sadikin Kota Pariaman 1 1
Sumatera Barat Kota Payakumbuh RS Umum Daerah Dr. Adnaan WD 1 1
Sumatera Barat Kota Sawah Lunto RS Umum Daerah Sawah Lunto 1 1
Sumatera Barat Lima Puluh Kota RS Umum Daerah dr. Achmad Darwis 1 1
Sumatera Barat Padang Pariaman RS Umum Daerah Padang Pariaman 1 1
Sumatera Barat Pasaman RS Umum Daerah Lubuk Sikaping 1 1
Sumatera Barat Pasaman Barat RS Umum Daerah Pasaman Barat 1 1
 Total
Provinces Cities Hospitals 2024 2025 2026 2027
Qty
Single Plane
Sumatera Barat Pesisir Selatan RS Umum Daerah Dr. Muhammad Zein Painan 1 1
Sumatera Barat Sijunjung RS Umum Daerah Kabupaten Sijunjung 1 1
Sumatera Barat Solok RS Umum Daerah Arosuka Solok 1 1
Sumatera Barat Solok Selatan RS Umum Daerah Muara Labuh 1 1
Sumatera Barat Tanah Datar RS Umum Daerah Prof. Dr. M.A. Hanafiah 1 1
Sumatera Selatan Banyuasin RS Umum Daerah Banyuasin 1 1
Sumatera Selatan Empat Lawang RS Umum Daerah Kabupaten Empat Lawang 1 1
Sumatera Selatan Kota Lubuk Linggau RS Umum Daerah Siti Aisyah Kota Lubuk Linggau 1 1
Sumatera Selatan Kota Pagar Alam RS Umum Daerah Basemah Kota Pagar Alam 1 1
Sumatera Selatan Kota Prabumulih RS Umum Daerah Kota Prabumulih 1 1
Sumatera Selatan Lahat RS Umum Daerah Lahat 1 1
Sumatera Selatan Musi Rawas RS Umum Daerah Dr. Sobirin Kabupaten Musi Rawas 1 1
Sumatera Selatan Musi Rawas Utara RS Umum Daerah Rupit Kabupaten Musi Rawas Utara 1 1
Sumatera Selatan Ogan Ilir RS Umum Daerah Kabupaten Ogan Ilir 1 1
Sumatera Selatan Ogan Komering Ilir RS Umum Daerah Kayuagung 1 1
Sumatera Selatan Ogan Komering Ulu RS Umum Daerah Dr. Ibnu Sutowo Baturaja 1 1
Sumatera Selatan Ogan Komering Ulu Selatan RS Umum Daerah Muara Dua 1 1
Sumatera Selatan Ogan Komering Ulu Timur RS Umum Daerah Ogan Komering Ulu Timur 1 1
Sumatera Selatan Penukal Abab Lematang Ilir RS Umum Daerah Talang Ubi 1 1
Sumatera Utara Asahan RS Umum Daerah H. Abdul Manan Simatupang 1 1
Sumatera Utara Batu Bara RS Umum Daerah Batu Bara 1 1
Sumatera Utara Dairi RS Umum Daerah Sidikalang 1 1
Sumatera Utara Deli Serdang RS Umum Daerah Drs. H. Amri Tambunan 1 1
Sumatera Utara Humbang Hasundutan RS Umum Daerah Dolok Sanggul 1 1
Sumatera Utara Karo RS Umum Daerah Kabanjahe 1 1
Sumatera Utara Kota Binjai RS Umum Daerah Dr. R. M. Djoelham Binjai 1 1
Sumatera Utara Kota Medan RS Umum Daerah Dr. Pirngadi 1 1
 Total
Provinces Cities Hospitals 2024 2025 2026 2027
Qty
Single Plane
Sumatera Utara Kota Padang Sidempuan RS Umum Daerah Padang Sidempuan 1 1
Sumatera Utara Kota Sibolga RS Umum Daerah Dr. FL Tobing Sibolga 1 1
Sumatera Utara Kota Tanjung Balai RS Umum Daerah Dr. Tengku Mansyur 1 1
Sumatera Utara Kota Tebing Tinggi RS Umum Daerah Dr. H. Kumpulan Pane 1 1
Sumatera Utara Labuhan Batu Selatan RS Umum Daerah Kota Pinang 1 1
Sumatera Utara Labuhan Batu Utara RS Umum Daerah Aek Kanopan 1 1
Sumatera Utara Mandailing Natal RS Umum Daerah Panyabungan 1 1
Sumatera Utara Nias RS Umum Daerah dr. M. Thomsen Nias 1 1
Sumatera Utara Nias Barat RS Pratama Kab. Nias Barat 1 1
Sumatera Utara Nias Selatan RS Umum Daerah Lukas Hilisimaetano 1 1
Sumatera Utara Nias Utara RS Pratama Kabupaten Nias Utara 1 1
Sumatera Utara Padang Lawas RS Umum Daerah Sibuhuan 1 1
Sumatera Utara Padang Lawas Utara RS Umum Daerah Gunung Tua 1 1
Sumatera Utara Pakpak Bharat RS Umum Daerah Salak 1 1
Sumatera Utara Samosir RS Umum Daerah Dr. Hadrianus Sinaga 1 1
Sumatera Utara Simalungun RS Umum Daerah Parapat 1 1
Sumatera Utara Tapanuli Selatan RS Umum Daerah Tapanuli Selatan 1 1
Sumatera Utara Tapanuli Tengah RS Umum Daerah Pandan 1 1
Sumatera Utara Tapanuli Utara RS Umum Daerah Tarutung 1 1
Sumatera Utara Toba Samosir RS Umum Daerah Porsea 1 1
Total Single Plane 22 54 62 13 151
 Lot 2: Procurement of Single-Plane Cathlabs for Central Indonesia Region (71 units)
Total
Provinces Cities Hospitals 2024 2025 2026 2027
Qty
Single Plane
DI Yogyakarta Gunung Kidul RS Umum Daerah Wonosari 1 1
DI Yogyakarta Sleman RS Umum Daerah Sleman 1 1
Jawa Tengah Banjarnegara RS Umum Daerah Hj. Anna Lasmanah Banjarnegara 1 1
Jawa Tengah Batang RS Umum Daerah Kab. Batang 1 1
Jawa Tengah Blora RS Umum Daerah Dr. R. Soeprapto Cepu 1 1
Jawa Tengah Brebes RS Umum Daerah Brebes 1 1
Jawa Tengah Cilacap RS Umum Daerah Cilacap 1 1
Jawa Tengah Demak RS Umum Daerah Sunan Kalijaga 1 1
Jawa Tengah Grobogan RS Umum Daerah Dr. R.Soedjati Soemodiardjo 1 1
Jawa Tengah Karanganyar RS Umum Daerah Karanganyar 1 1
Jawa Tengah Kebumen RS Umum Daerah dr. Soedirman Kabupaten Kebumen 1 1
Jawa Tengah Klaten RS Umum Daerah Bagas Waras 1 1
Jawa Tengah Kota Surakarta RS Umum Daerah Bung Karno Kota Surakarta 1 1
Jawa Tengah Magelang RS Daerah Merah Putih 1 1
Jawa Tengah Pemalang RS Umum Daerah Dr. M. Ashari Pemalang 1 1
Jawa Tengah Purbalingga RS Umum Daerah dr. R. Goeteng Taroenadibrata 1 1
Jawa Tengah Purworejo RS Umum Daerah Dr. Tjitrowardojo Purworejo 1 1
Jawa Tengah Rembang RS Umum Daerah dr. R. Soetrasno Rembang 1 1
Jawa Tengah Semarang RS Umum Daerah dr. Gunawan Mangunkusumo 1 1
Jawa Tengah Sragen RS Umum Daerah dr. Soehadi Prijonegoro 1 1
Jawa Tengah Sukoharjo RS Umum Daerah Ir. Soekarno Kabupaten Sukoharjo 1 1
Jawa Tengah Temanggung RS Umum Daerah Djojonegoro Temanggung 1 1

Jawa Tengah Wonogiri RS Umum Daerah Dr. Soediran Mangun Sumarso Wonogi
1 1
Jawa Tengah Wonosobo RS Umum Setjonegoro Wonosobo 1 1
Kalimantan Barat Bengkayang RSUD drs. Jacobus Luna Bengkayang 1 1
 Total
Provinces Cities Hospitals 2024 2025 2026 2027
Qty
Single Plane
Kalimantan Barat Kapuas Hulu RS Umum Daerah dr. A. Diponegoro Putussibau 1 1
Kalimantan Barat Kayong Utara RS Umum Daerah Sultan Muhammad Jamaludin I 1 1
Kalimantan Barat Kota Pontianak RS Umum Daerah Sultan Syarif Mohammad Alkadrie 1 1
Kalimantan Barat Kota Singkawang RS Umum Daerah Dr. Abdul Aziz Singkawang 1 1
Kalimantan Barat Kubu Raya RS Umum Daerah Kabupaten Kubu Raya 1 1
Kalimantan Barat Landak RS Umum Daerah Kabupaten Landak 1 1
Kalimantan Barat Melawi RS Umum Daerah Kabupaten Melawi 1 1
Kalimantan Barat Mempawah RS Umum Daerah Dr. Rubini Mempawah 1 1
Kalimantan Barat Sambas RS Umum Daerah Pemangkat 1 1
Kalimantan Barat Sekadau RS Umum Daerah Kabupaten Sekadau 1 1
Kalimantan Barat Sintang RS Umum Daerah Ade Muhammad Djoen Sintang 1 1
Kalimantan Selatan Balangan RS Umum Daerah Balangan 1 1
Kalimantan Selatan Banjar RS Umum Daerah Ratu Zalecha 1 1
Kalimantan Selatan Barito Kuala RS Umum Daerah H. Abdul Aziz Marabahan 1 1
Kalimantan Selatan Hulu Sungai Selatan RS Umum Daerah Brigjed H. Hasan Basry Kandangan 1 1
Kalimantan Selatan Hulu Sungai Tengah RS Umum Daerah H Damanhuri Barabai 1 1
Kalimantan Selatan Hulu Sungai Utara RS Umum Daerah Pambalah Batung 1 1
Kalimantan Selatan Kota Banjar baru RS Umum Daerah Idaman Banjarbaru 1 1
Kalimantan Selatan Kota Banjarmasin RS Umum Daerah Sultan Suriansyah Banjarmasin 1 1
Kalimantan Selatan Kota baru RS Umum Daerah Pangeran Jaya Sumitra 1 1
Kalimantan Selatan Tabalong RS Umum Daerah H. Badaruddin Kasim 1 1
Kalimantan Selatan Tanah Bumbu RS Umum Daerah dr. H. Andi Abdurrahman Noor 1 1
Kalimantan Selatan Tapin RS Umum Daerah Datu Sanggul Rantau 1 1
Kalimantan Tengah Barito Selatan RS Umum Daerah Jaraga Sasameh 1 1
Kalimantan Tengah Barito Timur RS Umum Daerah Tamiang Layang 1 1
Kalimantan Tengah Barito Utara RS Umum Daerah Muara Teweh 1 1
Kalimantan Tengah Gunung Mas RS Umum Daerah Kuala Kurun 1 1
 Total
Provinces Cities Hospitals 2024 2025 2026 2027
Qty
Single Plane
Kalimantan Tengah Kapuas RS Umum Daerah Dr. H. Soemarno Sosroaatmojo 1 1
Kalimantan Tengah Katingan RS Umum Daerah Mas Amsyar Kasongan 1 1
Kalimantan Tengah Kota Palangka Raya RS Umum Kelas D Kota Palangka Raya 1 1
Kalimantan Tengah Kotawaringin Barat RS Umum Daerah Sultan Imanuddin 1 1
Kalimantan Tengah Lamandau RS Umum Daerah Kabupaten Lamandau 1 1
Kalimantan Tengah Murung Raya RS Umum Daerah Puruk Cahu 1 1
Kalimantan Tengah Pulang Pisau RS Umum Daerah Pulang Pisau 1 1
Kalimantan Tengah Seruyan RS Umum Daerah Kuala Pembuang 1 1
Kalimantan Tengah Sukamara RS Umum Daerah Sukamara 1 1
Kalimantan Timur Berau RS Umum Daerah Dr. Abdul Rivai 1 1
Kalimantan Timur Kota Samarinda RS Umum Daerah Inche Abdoel Moeis 1 1
Kalimantan Timur Kutai Barat RS Umum Daerah Harapan Insan Sendawar 1 1
Kalimantan Timur Mahakam Hulu RS Gerbang Sehat Mahulu 1 1
Kalimantan Timur Paser RS Umum Daerah Panglima Sebaya 1 1
Kalimantan Timur Penajam Paser Utara RS Umum Daerah Ratu Aji Putri Botung 1 1
Kalimantan Utara Bulungan RS Umum Daerah Tanjung Selor 1 1
Kalimantan Utara Kota Tarakan RSUD Kota Tarakan 1 1
Kalimantan Utara Malinau RS Umum Daerah Kabupaten Malinau 1 1
Kalimantan Utara Tana Tidung RS Umum Daerah Akhmad Berahim 1 1
Total Single Plane 20 13 34 4 71
 Lot 3: Procurement of Single-Plane Cathlabs for Eastern Indonesia Region (185 units)
Total
Provinces Cities Hospitals 2024 2025 2026 2027
Qty
Single Plane
Bali Bangli RS Umum Daerah Kabupaten Bangli 1 1
Bali Gianyar RS Umum Daerah Sanjiwani Gianyar 1 1
Bali Jembrana RS Umum Daerah Negara 1 1
Bali Karangasem RS Umum Daerah Karangasem 1 1
Bali Klungkung RS Umum Daerah Kab. Klungkung 1 1
Bali Kota Denpasar RS Umum Daerah Wangaya 1 1
Bali Tabanan RS Umum Daerah Tabanan 1 1
Gorontalo Boalemo RS Umum Daerah Tani dan Nelayan 1 1
Gorontalo Bone Bolango RS Umum Daerah Toto Kabila 1 1
Gorontalo Gorontalo Utara RS Umum Daerah dr. Zainal Umar Sidiki 1 1
Gorontalo Kota Gorontalo RS Umum Daerah Otanaha 1 1
Gorontalo Pohuwato RS Umum Daerah Bumi Panua 1 1
Jawa Timur Bangkalan RS Umum Daerah Syarifah Ambami Rato Ebu 1 1
Jawa Timur Blitar RS Umum Daerah Ngudi Waluyo Wlingi 1 1
Jawa Timur Gresik RS Umum Daerah Ibnu Sina Kab. Gresik 1 1
Jawa Timur Kediri RS Umum Daerah Kabupaten Kediri 1 1
Jawa Timur Kota Blitar RS Umum Daerah Mardi Waluyo 1 1
Jawa Timur Kota Kediri RS Umum Daerah Gambiran 1 1
Jawa Timur Kota Malang RS Umum Daerah Kota Malang 1 1
Jawa Timur Kota Pasuruan RS Umum Daerah Dr. R. Soedarsono Kota Pasuruan 1 1
Jawa Timur Lamongan RS Umum Daerah Dr. Soegiri Lamongan 1 1
Jawa Timur Lumajang RS Daerah Dr. Haryoto Kabupaten Lumajang 1 1
Jawa Timur Madiun RS Umum Daerah Caruban 1 1
Jawa Timur Magetan RS Umum Daerah dr. Sayidiman Magetan 1 1
Jawa Timur Mojokerto RS Umum Daerah Prof. Dr. Soekandar 1 1
Jawa Timur Ngawi RS Umum Daerah Dr. Soeroto Ngawi 1 1
 Total
Provinces Cities Hospitals 2024 2025 2026 2027
Qty
Single Plane
Jawa Timur Pacitan RS Umum Daerah dr. Darsono 1 1
Jawa Timur Ponorogo RS Umum Daerah Dr. Harjono S. Kabupaten Ponorogo 1 1
Jawa Timur Probolinggo RS Umum Daerah Waluyo Jati Kraksaan 1 1
Jawa Timur Sampang RS Umum Daerah dr. Mohammad Zyn Sampang 1 1
Jawa Timur Situbondo RS Umum Daerah dr. Abdoer Rahem 1 1
Jawa Timur Sumenep RS Umum Daerah dr. H. Moh. Anwar 1 1
Jawa Timur Trenggalek RS Umum Daerah Dr.Soedomo Trenggalek 1 1
Maluku Buru RSUD Kab. Buru 1 1
Maluku Buru Selatan RS Umum Daerah dr. Salim Alkatiri 1 1
Maluku Kepulauan Aru RS Umum Daerah Cendrawasih Dobo 1 1
Maluku Kepulauan Tanimbar RS Umum Daerah Dr. P. P. Magretti Saumlaki 1 1
Maluku Kota Tual RS Umum Daerah Maren Kota Tual 1 1
Maluku Maluku Barat Daya RS Umum Daerah Tiakur 1 1
Maluku Maluku Tengah RS Umum Masohi 1 1
Maluku Maluku Tenggara RS Umum Karel Sadsuitubun 1 1
Maluku Seram Bagian Barat RS Umum Piru 1 1
Maluku Seram Bagian Timur RS Umum Daerah Bula 1 1
Maluku Utara Halmahera Barat RS Umum Daerah Jailolo 1 1
Maluku Utara Halmahera Selatan RS Umum Daerah Labuha 1 1
Maluku Utara Halmahera Tengah RS Umum Daerah Weda 1 1
Maluku Utara Halmahera Timur RS Umum Daerah Maba 1 1
Maluku Utara Kepulauan Sula RS Umum Daerah Sanana 1 1
Maluku Utara Kota Ternate RS Umum Daerah Kota Ternate 1 1
Maluku Utara Kota Tidore Kepulauan RS Umum Daerah Kota Tidore Kepulauan 1 1
Maluku Utara Pulau Morotai RS Umum Daerah Kab. Pulau Morotai 1 1
Maluku Utara Pulau Taliabu RS Umum Daerah Bobong 1 1
Nusa Tenggara Barat Bima RS Umum Bima 1 1
 Total
Provinces Cities Hospitals 2024 2025 2026 2027
Qty
Single Plane
Nusa Tenggara Barat Dompu RS Umum Dompu 1 1
Nusa Tenggara Barat Kota Bima RS Umum Daerah Kota Bima 1 1
Nusa Tenggara Barat Lombok Barat RS Umum Daerah Patut Patuh Patju 1 1
Nusa Tenggara Barat Lombok Tengah RS Umum Praya 1 1
Nusa Tenggara Barat Lombok Utara RS Umum Kab. Lombok Utara 1 1
Nusa Tenggara Barat Sumbawa Barat RS Umum Daerah Asy-Syifa Sumbawa Barat 1 1
Nusa Tenggara Timur Alor RS Daerah Kalabahi 1 1
Nusa Tenggara Timur Belu RS Umum Daerah MGR Gabriel Manek 1 1
Nusa Tenggara Timur Ende RS Umum Daerah Ende 1 1
Nusa Tenggara Timur Flores Timur RSUD dr. Hendrikus Fernandez Larantuka 1 1
Nusa Tenggara Timur Kota Kupang RS Umum Daerah S. K. Lerik 1 1
Nusa Tenggara Timur Kupang RS Umum Daerah Naibonat 1 1
Nusa Tenggara Timur Lembata RS Umum Daerah Lewoleba 1 1
Nusa Tenggara Timur Malaka RS Umum Penyangga Perbatasan Betun 1 1
Nusa Tenggara Timur Manggarai RS Umum Daerah dr. Ben Mboi Ruteng 1 1
Nusa Tenggara Timur Manggarai Timur RS Umum Daerah Borong 1 1
Nusa Tenggara Timur Nagekeo RS Daerah Aeramo Kabupaten Nagekeo 1 1
Nusa Tenggara Timur Ngada RS Umum Bajawa 1 1
Nusa Tenggara Timur Rote Ndao RS Umum Daerah Rote Ndao Ba’a 1 1
Nusa Tenggara Timur Sabu Raijua RS Umum Daerah Sabu Raijua 1 1
Nusa Tenggara Timur Sikka RS Umum Dr TC Hillers Maumere 1 1
Nusa Tenggara Timur Sumba Barat RS Umum Waikabubak 1 1
Nusa Tenggara Timur Sumba Barat Daya RS Umum Daerah Pratama Reda Bolo 1 1
Nusa Tenggara Timur Sumba Tengah RS Umum Daerah Waibakul 1 1
Nusa Tenggara Timur Sumba Timur RS Umum Daerah Waingapu 1 1
Nusa Tenggara Timur Timor Tengah Selatan RS Umum Soe 1 1
Nusa Tenggara Timur Timor Tengah Utara RS Umum Daerah Kefamenanu 1 1
 Total
Provinces Cities Hospitals 2024 2025 2026 2027
Qty
Single Plane
Papua Jayapura RS Umum Daerah Yowari Sentani 1 1
Papua Keerom RS Umum Daerah Kwaingga Kabupaten Keerom 1 1
Papua Kepulauan Yapen RS Umum Daerah Serui 1 1
Papua Kota Jayapura RS Umum Daerah Abepura 1 1
Papua Mamberamo Raya RS Umum Daerah Kawera 1 1
Papua Sarmi RS Hendrik Fintay Kabupaten Sarmi 1 1
Papua Supiori RS Umum Daerah Supiori 1 1
Papua Waropen RS Umum Daerah Rumah Rodo Fabo 1 1
Papua Barat Fakfak RS Umum Daerah Fakfak 1 1
Papua Barat Kaimana RS Umum Daerah Kaimana 1 1
Papua Barat Manokwari RS Umum Daerah Manokwari 1 1
Papua Barat Manokwari Selatan RS Pratama Elia Waran 1 1
Papua Barat Teluk Bintuni RS Umum Daerah Teluk Bintuni 1 1

Papua Barat Teluk Wondama RS Umum Daerah Kabupaten Teluk Wondama (PAPUA BARAT) 1 1

Papua Barat Daya Kota Sorong RS Umum Daerah Sele Be Solu 1 1

Papua Barat Daya Maybrat RS Umum Pratama Type D Kab. Maybrat 1 1
Papua Barat Daya Raja Ampat RS Umum Daerah Raja Ampat 1 1
Papua Barat Daya Sorong Selatan RS Umum Daerah Scholoo Keyen 1 1
Papua Barat Daya Tambrauw RS Umum Kelas D Pratama Kab. Tambrauw 1 1
Papua Pegunungan Jayawijaya RS Umum Wamena 1 1
Papua Pegunungan Lanny Jaya RS Umum Daerah Tiom 1 1

Papua Pegunungan Mamberamo Tengah RS Umum Daerah Lukas Enembe Kab. Memberamo Tengah 1 1

Papua Pegunungan Nduga RS Pratama Elvrida Sara 1 1

Papua Pegunungan Pegunungan Bintang RS Umum Daerah Oksibil 1 1
Papua Pegunungan Tolikara RS Umum Daerah Karubaga 1 1
 Total
Provinces Cities Hospitals 2024 2025 2026 2027
Qty
Single Plane
Papua Pegunungan Yahukimo RS Umum Daerah Dekai 1 1
Papua Selatan Asmat RS Umum Daerah Agats Kab. Asmat 1 1
Papua Selatan Boven Digoel RS Umum Daerah Boven Digoel 1 1
Papua Selatan Mappi RS Umum Daerah Kabupaten Mappi 1 1
Papua Selatan Merauke RS Umum Merauke 1 1
Papua Tengah Deiyai RS Umum Daerah Pratama Waghete 1 1
Papua Tengah Dogiyai RS Umum Daerah Pratama Dogiyai 1 1
Papua Tengah Intan Jaya RS Umum Daerah Kabupaten Intan Jaya 1 1
Papua Tengah Mimika RS Umum Daerah Kabupaten Mimika 1 1
Papua Tengah Nabire RS Umum Nabire 1 1
Papua Tengah Paniai RS Umum Daerah Paniai 1 1
Papua Tengah Puncak Jaya RS Umum Daerah Mulia 1 1
Sulawesi Barat Majene RS Umum Daerah Kabupaten Majene 1 1
Sulawesi Barat Mamasa RS Umum Daerah Kondosapata Kab. Mamasa 1 1
Sulawesi Barat Mamuju RS Umum Daerah Kabupaten Mamuju 1 1
Sulawesi Barat Mamuju Tengah RS Umum Daerah Kabupaten Mamuju Tengah 1 1
Sulawesi Barat Pasangkayu RS Umum Daerah Mamuju Utara 1 1
Sulawesi Selatan Bantaeng RS Umum Daerah Prof. Dr. H. Anwar Makkatutu 1 1
Sulawesi Selatan Barru RS Umum Daerah La Patarai 1 1
Bolaang Mongondow
Sulawesi Selatan RS Umum Daerah Bolaang Mongondow Selatan 1 1
Selatan
Sulawesi Selatan Bulukumba RS Umum Daerah H.A. Sulthan Daeng Radja 1 1
Sulawesi Selatan Enrekang RS Umum Daerah Massenrempulu Enrekang 1 1
Sulawesi Selatan Gowa RS Umum Daerah Syehk Yusuf Gowa 1 1
Sulawesi Selatan Jeneponto RS Umum Daerah Lanto Daeng Pasewang 1 1
Sulawesi Selatan Kepulauan Selayar RS Umum Daerah KH. Hayyung Kepulauan Selayar 1 1
Sulawesi Selatan Kota Makassar RS Umum Daerah Daya Kota Makassar 1 1
Sulawesi Selatan Kota Pare-pare RS Dr. Hasri Ainun Habibie Parepare 1 1
 Total
Provinces Cities Hospitals 2024 2025 2026 2027
Qty
Single Plane
Sulawesi Selatan Luwu RS Umum Daerah Batara Guru 1 1
Sulawesi Selatan Luwu Timur RS Umum Daerah I Lagaligo 1 1
Sulawesi Selatan Luwu Utara RS Umum Daerah Andi Djemma Masamba 1 1
Sulawesi Selatan Maros RS Umum Daerah dr. La Palaloi 1 1
Sulawesi Selatan Pangkajene Kepulauan RS Umum Batara Siang 1 1
Sulawesi Selatan Pinrang RS Umum Daerah Lasinrang Pinrang 1 1
Sulawesi Selatan Sidenreng Rappang RS Umum Daerah Arifin Numang 1 1
Sulawesi Selatan Sinjai RS Umum Daerah Kabupaten Sinjai 1 1
Sulawesi Selatan Takalar RS Umum Daerah Pratama Takalar 1 1
Sulawesi Selatan Tana Toraja RS Umum Daerah Lakipadada 1 1
Sulawesi Selatan Toraja Utara RS Umum Daerah Pongtiku 1 1
Sulawesi Selatan Wajo RS Umum Daerah Lamaddukkelleng Kabupaten Wajo 1 1
Sulawesi Tengah Banggai RS Umum Daerah Kabupaten Banggai 1 1
Sulawesi Tengah Banggai Kepulauan RS Umum Daerah Trikora Salakan 1 1
Sulawesi Tengah Banggai Laut RS Umum Daerah Banggai 1 1
Sulawesi Tengah Buol RS Umum Daerah Mokoyurli Buol 1 1
Sulawesi Tengah Donggala RS Umum Daerah Kabelota 1 1
Sulawesi Tengah Kota Palu RS Umum Daerah Madani Palu 1 1
Sulawesi Tengah Morowali RS Umum Daerah Morowali 1 1
Sulawesi Tengah Morowali Utara RS Umum Daerah Kolonodale 1 1
Sulawesi Tengah Poso RS Umum Daerah Poso 1 1
Sulawesi Tengah Sigi RS Umum Daerah Tora Belo 1 1
Sulawesi Tengah Tojo Una-Una RS Umum Daerah Ampana 1 1
Sulawesi Tenggara Bombana RS Umum Daerah Kabupaten Bombana 1 1
Sulawesi Tenggara Buton RS Umum Daerah Kabupaten Buton 1 1
Sulawesi Tenggara Buton Selatan RS Umum Daerah Kabupaten Buton Selatan 1 1
Sulawesi Tenggara Buton Tengah RS Umum Daerah Kabupaten Buton Tengah 1 1
 Total
Provinces Cities Hospitals 2024 2025 2026 2027
Qty
Single Plane
Sulawesi Tenggara Buton Utara RS Umum Daerah Kabupaten Buton Utara 1 1
Sulawesi Tenggara Kolaka RS Benyamin Guluh Kolaka 1 1
Sulawesi Tenggara Kolaka Timur RS Umum Daerah Kabupaten Kolaka Timur 1 1
Sulawesi Tenggara Kolaka Utara RS Umum Daerah H.M.Djafar Harun 1 1
Sulawesi Tenggara Konawe RS Umum Daerah Konawe 1 1
Sulawesi Tenggara Konawe Kepulauan RS Umum Daerah Kabupaten Konawe Kepulauan 1 1
Sulawesi Tenggara Konawe Selatan RS Umum Daerah Konawe Selatan 1 1
Sulawesi Tenggara Konawe Utara RS Umum Daerah Kab.Konawe Utara 1 1
Sulawesi Tenggara Kota Kendari RS Bahteramas Provinsi Sultra 1 1
Sulawesi Tenggara Kota Kendari RS Umum Daerah Kota Kendari 1 1
Sulawesi Tenggara Muna RS Umum Daerah Raha 1 1
Sulawesi Tenggara Muna Barat RS Umum Daerah Kabupaten Muna Barat 1 1
Sulawesi Tenggara Wakatobi RS Umum Daerah Kabupaten Wakatobi 1 1
Sulawesi Utara Bolaang Mongondow RS Umum Datoe Binangkang 1 1
Bolaang Mongondow
Sulawesi Utara RS Umum Daerah Bolaang Mongondow Utara 1 1
Utara
Sulawesi Utara Kepulauan Sangihe RS Umum Liun Kendage 1 1
Kepulauan Siau
Sulawesi Utara RS Umum Daerah Tagulandang 1 1
Tagulandang Biaro
Sulawesi Utara Kepulauan Talaud RS Umum Daerah Talaud 1 1
Sulawesi Utara Kota Bitung RS Umum Daerah Manembo-Nembo Bitung 1 1
Sulawesi Utara Kota Tomohon RS Umum Daerah Anugerah 1 1
Sulawesi Utara Kotamobagu RS Umum Daerah Kota Kotamobagu 1 1
Sulawesi Utara Minahasa Selatan RS Umum Daerah Amurang 1 1
Sulawesi Utara Minahasa Tenggara RS Umum Daerah Mitra Sehat 1 1
Sulawesi Utara Minahasa Tenggara RSU Ratatotok Buyat 1 1
Sulawesi Utara Minahasa Utara RS Umum Daerah Maria Walanda Maramis 1 1
Sulawesi Utara Bolaang RS Umum Daerah Pratama Kabupaten Bolaang 1 1
 Total
Provinces Cities Hospitals 2024 2025 2026 2027
Qty
Single Plane
Total Single Plane 27 60 56 42 185

Lot 4: Procurement of Biplane Cathlabs across Indonesia (12 units)

Total
Provinces Cities Hospitals 2024 2025 2026 2027
Qty
Biplane
DKI Jakarta Jakarta Barat RS Jantung dan Pembuluh Darah Harapan Kita 1 1 2
Jawa Tengah Klaten RS Umum Pusat Dr. Soeradji Tirtonegoro 1 1
Jawa Tengah Kota Surakarta RS Umum Pusat Surakarta 1 1
Kepulauan Bangka Belitung Bangka RS Umum Daerah Dr. (HC) Ir. Soekarno 1 1
Lampung Kota Bandar Lampung RS Umum Daerah Dr. H. Abdul Moeloek 1 1
Maluku Utara Kota Ternate RS Umum Daerah Dr. H. Chasan Boesoirie Ternate 1 1
Papua Barat Manokwari RS Umum Daerah Provinsi Papua Barat 1 1
Sulawesi Selatan Kota Makassar RS Umum Daerah Labuang Baji 1 1
Sumatera Barat Kota Bukittinggi RS Otak DR. drs. M. Hatta Bukittinggi 1 1
Sumatera Selatan Banyuasin RS Umum Pusat Dr. Rivai Abdullah 1 1
Sumatera Selatan Kota Palembang RS Umum Pusat Dr. Mohammad Hoesin Palembang 1 1
Total Biplane 4 8 0 0 12
 15. Section VII, Schedule of Requirements, 2. List of Related Services and Completion Schedule, the row on User Training and
Operational Support is revised to reflect updated wording on the completion of services and the cut-off date for final
completion date(s) of services number 1 and 2 below are revised to be from contract signing:

Place where Services Final Completion Date(s) of Services

Description of Service Quantity1 Physical Unit shall be performed
Service

Room readiness and pre- 1 per unit At installation site Reference Delivery and Installation
installation services1, with Schedule, within 210 days from
Supplier
1 and Purchaser contract signing
1. responsibilities detailed in
the technical specifications
document
Installation,
1 testing and 1 per unit At installation site At time of Installation, within 210
2. commissioning days from contract signing

3. User Training and 2 per unit At installation site As specified in Section VII.
Operational Support 3.Technical Specifications 2.16
4. Warranty for Maintenance 5 years At installation site 5 years upon installation
and repairs
Comprehensive Service 5 years At installation site 6-10 years after installation
6. Contract for Maintenance
and Repairs
Proprietary consumables 5 years During operation and 5 years upon installation
7.
maintenance
16. Section VII, Schedule of Requirements, 3. Technical Specifications, point 2 Technical
Specifications Table of Compliance is amended as highlighted in blue font for ease of
reference including to add the hyperlink to the device-specific Excel spreadsheet, as
follows:

2. TECHNICAL SPECIFICATIONS TABLE OF COMPLIANCE.

(See attached Device-Specific Excel Spreadsheet available in the following link
https://ihss.kemkes.go.id/naskah/announcement)

17. Section VII, Schedule of Requirements, 3. Technical Specifications, point 13 Functional

Guarantees is amended to reflect a reference to the technical specifications Excel sheet:

“Bidder is to provide a list of detailed functional guarantees covered by the Warranty in

the Device-Specific Excel Spreadsheet available in the following link
https://ihss.kemkes.go.id/naskah/announcement.”

18. Section VIII, General Conditions of Contract (GCC) 25.1 is amended as follows to reflect
the inclusion of offloading of good and their placement at the final destination:

“Unless otherwise specified in the SCC, responsibility for arranging transportation of the
Goods shall be in accordance with the specified Incoterms, including as needed offloading
the Goods and their placement at the final destination.”

19. Section VIII, General Conditions of Contract (GCC) 36.1 is amended as follows:

Currently written in the bidding document:

36.1 Neither the Purchaser nor the Supplier shall assign, in whole or in
GCC 36
part, their obligations under this Contract, except with prior written
Assignment
consent of the other party.

To be amended as follows:

36.1 Neither Party shall assign the whole or any part of the Contract or any
GCC 36
benefit or interest in or under the Contract. However, either Party:
Assignment
(a) may assign the whole or any part of the Contract with the prior
agreement of the other Party, at the sole discretion of such other
Party; and
(b) may, as security in favor of a bank or financial institution, assign the
Party’s right to any moneys due, or to become due, under the
Contract without the prior agreement of the other Party.
20. Section IX – Special Conditions of Contract, GCC 13.1 revised to include notification of
upfront shipping of goods for pre-installation purposes as follows:

GCC 13.1 Details of Shipping and other Documents to be furnished by the Supplier are:
(a) For Goods supplied from abroad, to be imported:
Delivery term: DDP final destinations.
Upon delivery, the Supplier shall notify the Purchaser and the Insurance
Company by cable of fax or email the full details of shipment, including
Contract number, description of goods, quantity, the transport means,
the Shipping and Forwarding Receipt from freight Company showing
full details, place of loading, date of shipment, place of discharge, etc.
The Supplier shall mail the following documents to the Purchaser, with
a copy to the cargo Insurance Company:
(i) Proforma Supplier’s invoice showing goods’ description, quantity,
unit price, and total amount;
(ii) Airway bill (AWB) and /or bill of landing, and/or truck transport
document (road consignment note; CMR) and/ or railway transport
document (railway consignment note), and/or FCR (Forwarders
Certificate of Receipt), in one Original and one Copy marked
“freight prepaid” attesting that the goods are at the irrevocable
disposal of the Purchaser;
(iii) Original of the packing list identifying contents of each package;
(iv) Original of the certificate(s) of origin, issued by the Chamber of
Commerce or other relevant authority of the country of origin of the
Goods or the shipment country;
(v) Original of the insurance certificate or the company general
insurance certificate.
(vi) Manufacturer’s or Supplier’s warranty certificate
(vii) Inspection certificate issued by nominated inspection agency
The above documents shall be received by the Purchaser before arrival of the
Goods and, if not received, the Supplier will be responsible for any
consequent expenses.
The Supplier must notify the Purchaser about date and point of arrival of the
Goods in Indonesia and at the site with at least fourteen (14) days before their
arrival. The Supplier must notify the Purchaser about any requirement for
some of the Goods that would require to ship upfront for pre-installation
purpose, which would be required to comply with all above requisites.

(a) For Goods and Services supplied from within the Purchaser’s
country:
(i) Original of the Supplier’s invoice showing goods’ description,
quantity, unit price, and total amount;
 (ii) Original of the packing list identifying contents of each package;
(iii) Original of the manufacturer's or supplier's warranty certificate for
each equipment;
(iv) Original of the certificate(s) of origin, issued by the Chamber of
Commerce or other relevant authority of the country of origin of
the Goods or the shipment country;
(v) Original of the insurance certificate or the company general
insurance certificate.
(vi) Manufacturer’s or Supplier’s warranty certificate
(vii) Inspection certificate issued by nominated inspection agency
The above documents shall be received by the Purchaser before delivery of
the Goods and, if not received, the Supplier will be responsible for any
consequent expenses.
The Supplier must notify the Purchaser about date of delivery of the Goods
with at least fourteen (14) days before their arrival at the site. The Supplier
must notify the Purchaser about any requirement for some of the Goods that
would require to deliver upfront for pre-installation purpose, which would be
required to comply with all above requisites.

21. Section IX, Special Conditions of Contract, GCC 14.11: added new sub-clause as
follows:

14.11 Each item of Equipment shall, to the extent consistent with the
GCC 14.11
mandatory requirements of the Laws of the Country, become the
property of the Purchaser at whichever is the earlier of the following
times, free from liens and other encumbrances:
(a) when it is delivered to the Final Destination:
(b) when the Contractor is paid the value of the Equipment under
GCC 16.1

22. Section IX – Special Conditions of Contract, GCC 16.1 revised to remove a typo in the
accidental duplication of wording in (iii) and include details on invoicing frequency as
follows:

GCC 16.1 GCC 16.1—The method and conditions of payment to be made to the
Supplier under this Contract shall be as follows:
Payment for Goods supplied from abroad:
Payment of foreign currency portion shall be made in [currency of the
Contract Price] in the following manner:
(i) On Advance Payment: Ten (10%) percent of the Unitary Contract
Price for the quantity ordered in that batch shall be paid within thirty
 (30) days of signing of the Contract, and upon submission of claim
and a bank guarantee for equivalent amount valid until the Goods are
accepted and fully commissioned for respective batch and in the form
provided in the bidding document or another form acceptable to the
Purchaser.
(ii) On Shipment: Twenty-five (25%) percent of the Unitary Contract
Price of the quantity of Goods shipped shall be paid through
irrevocable confirmed letter of credit opened in favor of the Supplier
in a bank in its country, upon submission of documents specified in
GCC Clause 13.
(iii) On Acceptance, testing, commissioning, and training: Fifteen
(15%) percent of the Unitary Contract Price for the quantity of Goods
accepted and fully commissioned shall be paid to the Supplier within
thirty (30) days after the date of the acceptance certificate for the
respective delivery issued by the Purchaser. Acceptance and full
commissioning will include the first training of the users of the
equipment at the facility, in addition to installation, safety check,
calibration and commissioning of the equipment. In addition to the
acceptance payment, the advance payment made under (i) above will
also stand fully settled at acceptance.
(iv) On uptime performance linked payment: twelve point five
(12.5%) percent per half year of the Unitary Contract Price of fully
commissioned equipment adjusted for any penalty for delayed repair
or higher downtime shall be paid within thirty (30) days of upon
submission of claim supported by ASPAK* data for the
corresponding period over four (4) half year periods.
Payment of local currency portion shall be made in Indonesia Rupiah within
thirty (30) days of presentation of claim supported by a certificate from the
Purchaser declaring that the Goods have been delivered and that all other
contracted Services have been performed.
Note*: ASPAK (Aplikasi Sarana, Prasarana, dan Alat Kesehatan) is the main source of data
and the MoH’s facility-based information system on building, infrastructure, and equipment,
triangulated with other health facility data from other reports and surveys such as Rifaskes
2019 and rapid primary data collection.

Payment for Goods and Services supplied from within the Purchaser’s
Country:
Payment for Goods and Services supplied from within the Purchaser’s
Country shall be made in _____ [currency], as follows:
(i) Advance Payment: Ten (10) percent of the Unitary Contract
Price for the quantity ordered in that batch shall be paid
within thirty (30) days of signing of the Contract, and upon
submission of claim and a bank guarantee for the equivalent
amount valid until Goods are accepted and fully
 commissioned for respective batch and in the form provided
in the bidding document or another form acceptable to the
Purchaser.
(ii) On Delivery: Twenty-five (25) percent of the Unitary
Contract Price of the quantity of Goods receipt shall be paid
upon submission of the documents specified in GCC Clause
13.
(iii) On Acceptance, testing, commissioning, and training:
Fifteen (15) percent of the Unitary Contract Price for the
quantity of Goods accepted and fully commissioned shall be
paid to the Supplier within thirty (30) days after the date of
the acceptance certificate for the respective delivery issued
by the Purchaser. Acceptance and full commissioning will
include the first training of the users of the equipment at the
facility, in addition to installation, safety check, calibration
and commissioning of the equipment. In addition to the
acceptance payment, the advance payment made under (i)
above will also stand fully settled at acceptance.
(iv) On uptime performance linked payment: twelve point five
(12.5%) percent per half year of the Unitary Contract Price
of fully commissioned equipment adjusted for any penalty
for delayed repair or higher downtime shall be paid within
thirty (30) days of upon submission of claim supported by
ASPAK* data for the corresponding period over four (4) half
year periods.

The Supplier may submit invoice for milestones (i), (ii), and (iii) as an
aggregated monthly invoice. The invoice for (iv) should be raised per lot as
a whole at a six-monthly frequency.

23. Section IX, Special Conditions of Contract, under GCC 33.1 added new paragraph at the
end of this clause to clarify the maximum increase or decrease in the Change Orders as
follows:

The maximum increase or decrease in the quantities of the Goods and Related
GCC 33.1
Services is ten (10) percent.