| No | Nama Peserta | K | A | T | P | PT | H | P | PK | Alasan |
|---|---|---|---|---|---|---|---|---|---|---|
| 1 | PT. SHIMA BAHTERA NUSANTARA - 71.244.282.1-411.000 | Rp. 75.533.700.000,00 |
Rp. 75.533.700.000,00 |
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| 2 | PT.DYLAN MEDIKAL INDO - 66.729.344.3-039.000 | Rp. 75.794.268.000,00 |
Rp. 75.794.268.000,00 |
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| 3 | PT. Adi Jaya Merta - 03.339.923.9-903.000 | Rp. 75.883.898.200,00 |
Rp. 75.883.898.200,00 |
Surat Keagenan (LoA), Surat registrasi (AKL), brosur tidak lengkap dan ada item barang tidak sesuai dengan spesifikasi yang dipersyaratkan dalam dokumen pengadaan | ||||||
| 4 | PT.TODOMA - 01.310.473.2-029.000 | Rp. 73.680.585.000,00 |
Rp. 73.680.585.000,00 |
Surat registrasi (AKL) tidak lengkap dan ada item barang tidak sesuai dengan spesifikasi yang dipersyaratkan dalam dokumen pengadaan | ||||||
| 5 | PT. KASA HUSADA WIRA JATIM - 02.206.383.8-631.000 | |
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| 6 | PT. BIMASAKTI PUTRA PERKASA - 03.193.764.2-615.000 | |
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| 7 | PT. WAHAIN - 03.168.276.8-101.000 | |
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| 8 | PT. SAMUDRA MEDIKA JAYA - 31.704.806.4-503.000 | |
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| 9 | PT. SABA INDOMEDIKA - 02.405.004.9-038.000 | |
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| 10 | PT. SETIO HARTO (LTD) - 01.302.673.7-073.000 | |
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| 11 | PT. SETUNGGAL BUDAYA NUSANTARA - 75.003.503.2-723.000 | |
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| 12 | PT. CINTA SEJATI - 02.025.107.0-526.000 | |
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| 13 | PT GLOBAL BIOMEDILAB - 31.402.239.3-426.000 | |
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| 14 | PT. MEGAH GELORA UTAMA - 71.230.263.7-025.000 | |
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| 15 | PT Surgika Alkesindo - 01.899.639.7-073.000 | |
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| 16 | PT. AZKA GRAHA MANDIRI - 70.367.098.4-901.000 | |
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| 17 | PT. HOSPITEKNIKA ALKESINDO - 03.206.576.5-039.000 | |
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| 18 | PT. SALMA SURYA SENTOSA - 02.727.480.2-432.000 | |
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| 19 | PT.Khanza Medika Pratama - 72.956.382.5-008.000 | |
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| 20 | PT. HUTAMA SEJAHTERA RADOFA - 03.135.666.0-001.000 | |
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| 21 | PT. REZA MITRA UTAMA - 03.022.220.2-024.000 | |
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| 22 | PT. Cottonindo Ariesta - 01.613.275.5-439.000 | |
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| 23 | PT. SURYA CHANDRA NATA - 66.228.127.8-905.000 | |
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| 24 | CV. TRIGIL - 70.996.286.4-821.000 | |
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| 25 | PT. ITS SCIENCE INDONESIA - 02.983.303.5-043.000 | |
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| 26 | PT. ITS SCIENCE INDONESIA - 02.983.303.5-043.000 | |
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| 27 | PT. Biosains Medika Indonesia - 31.651.474.4-412.000 | |
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| 28 | PT. MAJU LESTARI ABADI - 72.976.556.0-013.000 | |
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| 29 | PT. KALIKANDRI BANYU BENING - 70.206.265.4-407.000 | |
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| 30 | PT. TEGUH MAKMUR SENTOSA - 70.706.661.9-029.000 | |
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| 31 | PT. NAULI MAKMUR GRAHA - 01.375.389.2-062.000 | |
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| 32 | SURYA GEMILANG NUSANTARA - 03.048.675.7-019.000 | |
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| 33 | PT. Sinar Memossa Pratama - 81.024.171.1-424.000 | |
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| 34 | PT ZIPA SEJAHTERA MANDIRI - 03.200.759.3-311.000 | |
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| 35 | PT. MERLINIAN UTAMA - 75.763.888.7-615.000 | |
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| 36 | PT Mulya Husada Jaya - 01.730.643.2-631.000 | |
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| 37 | CV. PUTRA KHARISMA JAYA - 03.099.178.0-701.000 | |
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| 38 | PT. Dynatech International - 02.424.045.9-086.000 | |
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| 39 | PT Citra Vita Buana - 02.510.623.8-432.000 | |
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- A Evaluasi Administrasi
- T Evaluasi Teknis
- ST Skor Teknis
- P Penawaran
- PT Penawaran Terkoreksi
- HN Hasil Negosiasi
- SH Skor Harga
- SA Skor Akhir
- K Evaluasi Kualifikasi
- SK Skor Kualifikasi
- SB Skor Pembuktian
- H Evaluasi Harga/Biaya
- P Pemenang
- PK Pemenang Berkontrak