Chevron Makassar, Ltd.

PENGUMUMAN PRAKUALIFIKASI

PREQUALIFICATION ANNOUNCEMENT

No. 7/PQ/5/2021

I. PREQUALIFICATION INFORMATION

Prequalification : Chevron Makassar, Ltd.

Address : Sentral Senayan I, Jl. Asia Afrika No. 8 Jakarta

Prequalification Title : Provision of Health & Medical Services

Scope of Work or Specification of Goods Summary : Service

Penyediaan layanan medis profesional; obat-obatan dan kelengkapan medis; pengelolaan limbah medis; penyewaan peralatan medis; perawatan, kalibrasi, dan perbaikan peralatan medis; pengurusan izin klinik; dan jasa ambulans udara di Jakarta, West Seno dan Balikpapan atau lokasi lainnya yang masih merupakan Daerah Operasi dari Pelaksana Prakualifikasi.

II. PREQUALIFICATION REQUIREMENT AND DOCUMENT

A. Prequalification Requirement

Business Classification : Medium Enterprise (Usaha Menengah) atau Large Enterprise (Usaha Besar)

Company Domicile Requirement : Applicable, East Kalimantan Province

Type of Procurement : Other Services (Jasa Lainnya)

Company Status : - PDN

- PN

- Kons. PDN - PDN

- Kons. PDN - PN

Business Field : - REPARASI PERALATAN ELEKTRONIK DAN OPTIK (KBLI 2020)

- PERDAGANGAN BESAR MAKANAN DAN MINUMAN LAINNYA DAN TEMBAKAU (KBLI 2020)

- PERDAGANGAN BESAR BARANG KEPERLUAN RUMAH TANGGA LAINNYA (KBLI 2020)

- PERDAGANGAN BESAR MESIN, PERALATAN DAN PERLENGKAPAN LAINNYA (KBLI 2020)

- PERDAGANGAN BESAR PRODUK LAINNYA TERMASUK BARANG SISA DAN POTONGAN YTDL (KBLI 2020)

- AKTIVITAS KONSULTASI MANAJEMEN (KBLI 2020)

- AKTIVITAS PENYEWAAN DAN SEWA GUNA USAHA TANPA HAK OPSI MOBIL, BUS, TRUK DAN SEJENISNYA (KBLI 2020)

- AKTIVITAS PENYEDIAAN TENAGA KERJA WAKTU TERTENTU (KBLI 2020)

- AKTIVITAS RUMAH SAKIT (KBLI 2020)

- AKTIVITAS PRAKTIK DOKTER DAN DOKTER GIGI (KBLI 2020)

- AKTIVITAS PELAYANAN KESEHATAN MANUSIA LAINNYA (KBLI 2020)

Business Subfield : - REPARASI PERALATAN IRADIASI, ELEKTROMEDIS DAN ELEKTROTERAPI (KBLI 2020).

- PERDAGANGAN BESAR MAKANAN DAN MINUMAN LAINNYA (KBLI 2020).

- PERDAGANGAN BESAR ALAT OLAHRAGA (KBLI 2020).

- PERDAGANGAN BESAR ALAT PERMAINAN DAN MAINAN ANAK-ANAK (KBLI 2020).

- PERDAGANGAN BESAR BERBAGAI BARANG DAN PERLENGKAPAN RUMAH TANGGA LAINNYA YTDL (KBLI 2020).

- PERDAGANGAN BESAR MESIN KANTOR DAN INDUSTRI PENGOLAHAN, SUKU CADANG DAN PERLENGKAPANNYA (KBLI 2020).

- PERDAGANGAN BESAR MESIN, PERALATAN DAN PERLENGKAPAN LAINNYA (KBLI 2020).

- PERDAGANGAN BESAR ALAT LABORATORIUM, ALAT FARMASI DAN ALAT KEDOKTERAN UNTUK MANUSIA (KBLI 2020).

- PERDAGANGAN BESAR KARET DAN PLASTIK DALAM BENTUK DASAR (KBLI 2020).

- AKTIVITAS KONSULTANSI TRANSPORTASI (KBLI 2020).

- AKTIVITAS KONSULTASI MANAJEMEN LAINNYA (KBLI 2020).

- AKTIVITAS PENYEWAAN DAN SEWA GUNA USAHA TANPA HAK OPSI MOBIL, BUS, TRUK DAN SEJENISNYA (KBLI 2020).

- AKTIVITAS PENYEDIAAN TENAGA KERJA WAKTU TERTENTU (KBLI 2020).

- AKTIVITAS RUMAH SAKIT PEMERINTAH (KBLI 2020).

- AKTIVITAS PUSKESMAS (KBLI 2020).

- AKTIVITAS RUMAH SAKIT SWASTA (KBLI 2020).

- AKTIVITAS KLINIK PEMERINTAH (KBLI 2020).

- AKTIVITAS KLINIK SWASTA (KBLI 2020).

- AKTIVITAS RUMAH SAKIT LAINNYA (KBLI 2020).

- AKTIVITAS PRAKTIK DOKTER (KBLI 2020).

- AKTIVITAS PRAKTIK DOKTER SPESIALIS (KBLI 2020).

- AKTIVITAS PRAKTIK DOKTER GIGI (KBLI 2020).

- AKTIVITAS PELAYANAN KESEHATAN YANG DILAKUKAN OLEH TENAGA KESEHATAN SELAIN DOKTER DAN DOKTER GIGI (KBLI 2020).

- AKTIVITAS PELAYANAN PENUNJANG KESEHATAN (KBLI 2020).

- AKTIVITAS ANGKUTAN KHUSUS PENGANGKUTAN ORANG SAKIT (MEDICAL EVACUATION) (KBLI 2020).

Minimum Threshold of Domestic Content : Not Applicable

Provisions for Consortium:

1. Leadfirm : In the event of Consortium, Domestic Company must act as Leadfirm of Consortium.

2. Foreign Company membership : Consortium can not be composed of Foreign Company.

3. At least one of parties in Consortium has business license as per requirement.

4. Leadfirm has to meet business classification as per requirement.

5. Business classification from all parties joined in the Consortium must not exceed requirement.

B. Prequalification Document

1. Cover Letter to participate in prequalification.

2. Valid Administration Document Replacement Certificate (SPDA) from Centralized Integrated Vendor Database (CIVD) system on the business subfield as per this announcement.

This requirement is applicable for all consortium members in the event that Bidder Candidate registers as Consortium.

In the event the consortium member is not incorporated under Indonesia law (Foreign Company), SPDA CIVD refer to requirements of Tender Executor, e.g.: Article of Incorporation, Certificate of Domicile.

3. Prequalification requirements are detailed in http://www.indonesia.chevron.com, menu "work with us -> suppliers -> tenders announcement". Only Goods/Services Provider that has valid SPDA in relevant subfield may participate in this Prequalification process.

4. Especially for Tender of Goods, in the event Bidder Candidate is appointed Agent/Distributor of domestic manufacturer, must submit evidence as Agent/Distributor from the domestic manufacturer.

III. JADWAL PRAKUALIFIKASI / PREQUALIFICATION SCHEDULE

Prequalification Document Submission Date : 28 May 2021 - 31 May 2021

Waktu / Time : 08.00 – 14.00 / 8 am - 2 pm WIB

Location : Surat Elektronik kepada: IBUTenderAnnouncementAdmin@chevron.com dan chrisvalldano@chevron.com sebagai Pihak yang Dapat Dihubungi selama Proses Prakualifikasi / IBUTenderAnnouncementAdmin@chevron.com and chrisvalldano@chevron.com as Contact Person during Prequalification Process

NOTES :

1. Penyerahan dokumen prakualifikasi adalah sebagai berikut/ Submission of prequalification documents are these followings:

Name of Folder	Document Submission	Remarks
Folder 1 – Admin/ Legal	Electronic mail to Contact Person during Prequalification Process and IBUTenderAnnouncementAdmin@chevron.com	Size of e-mail not exceed 5 MB
Folder 2 – Technical Capability Prequalification Document	Ariba eSourcing Event	The Ariba eSourcing event invitation will be sent later by Prequalification Contact Person
Folder 3 – Compliance, Financial and Information Protection Prequalification Document	Electronic mail to Contact Person during Prequalification Process and IBUTenderAnnouncementAdmin@chevron.com	Size of e-mail not exceed 5 MB
Folder 4 – HES (CHESM) Prequalification Document	Ariba eSourcing Event	The Ariba eSourcing event invitation will be sent later by Prequalification Contact Person

2. IBUTenderAnnouncementAdmin@chevron.com Participants are responsible for ensuring the submitted documents are in accordance with prequalification requirements and have been received by and or Contact Person during Prequalification Process according to submission schedule. This determines the continuation of prequalification evaluation process.

IV. Lain-lain / Miscellaneous

1. announcement is subject to the provisions under SKK Migas Work Procedure "No. PTK-007/SKKMA0000/2017/S0 (Revision 4) and Tender Implementation Guideline "No. EDR- 0167/SKKMH0000/2017/S7".

2. Other provisions in relation to the registration procedure shall refer to TENDER REGISTRATION PROCEDURE, which can be downloaded from the website http://www.indonesia.chevron.com, menu "work with us", submenu "suppliers", sub-submenu "tender registration procedure".

3. Only Prequalification Participants that has been declared as passed the Prequalification process will be invited to participate in the related Tender process.

4. Prequalification Participants that cannot fulfill Prequalification requirements and documents will be declared as not passed Prequalification process.

5. Registration and document submission beyond the above designated time and place is unacceptable.

Jakarta, 24 May 2021

PROCUREMENT