FORMULIR PENYAMPAIAN TINGKAT KOMPONEN DALAM NEGERI (TKDN)

Nama Peserta : CV. WULANSARI

Nama Pekerjaan : Belanja Modal Bangunan Pengaman Sungai/Pantai dan Penanggulangan Bencana Alam (Pemasangan Pagar di Kelurahan Babakan Sari)

Preferensi
Harga Sat. Jumlah Harga TKDN Harga Evaluasi Akhir
No. Uraian Jenis Pekerjaan Sat. Volume Koeff. Harga Keterangan
Rp. Rp. (%) Rp. Rp.
1 2 3 4 5 7 = 4x5x6 8 9 10 = (1-(8x9))x7 11
1 Buah Papan Nama Proyek Menggunakan Multiflex 6 mm,
1 Bh 1.00
Frame Besi Siku dan Tiang Kayu 5/7
Komponen Tenaga Kerja :
Pekerja Oh 1.00 1.0000 162,500.00 162,500.00 100.00% 0% 162,500.00
Tukang Kayu Oh 1.00 1.0000 165,000.00 165,000.00 100.00% 0% 165,000.00
Kepala Tukang Kayu Oh 1.00 0.1000 170,000.00 17,000.00 100.00% 0% 17,000.00
Mandor Oh 1.00 0.1000 175,000.00 17,500.00 100.00% 0% 17,500.00
Tukang Cat Dan Tulis Oh 1.00 1.5000 165,000.00 247,500.00 100.00% 0% 247,500.00
Komponen Material/Barang/Bahan : -
Multiplek tebal 6 mm Lbr 1.00 0.6614 65,000.00 42,990.54 86.12% 25% 33,734.67
Tiang kayu 5/7 kelas II, tinggi 4m m3 1.00 0.0770 1,500,000.00 115,500.00 100.00% 0% 115,500.00
Frame Besi Siku Kg 1.00 5.8000 15,000.00 87,000.00 100.00% 0% 87,000.00
Paku campur Kg 1.00 1.2500 17,500.00 21,875.00 100.00% 0% 21,875.00
Cat kayu Kg 1.00 1.5000 60,000.00 90,000.00 45.00% 25% 79,875.00

Overhead 3% 3% 29,005.97 28,424.54

Keuntungan 7% 7% 67,680.59 66,323.93
-
Biaya SMK3 (Alat Pelindung Kerja, Alat Pelindung Diri, Rambu -
2 LS 1.00
rambu)
Penyiapan RKK
Sosialisasi,Promosi dan
Alat Pelindung Kerja dan Pelindung Diri
Helm bh 1.00 10.00 55,000.00 550,000.00 40.00% 25% 495,000.00
Sarung Tangan psng 1.00 10.00 12,500.00 125,000.00 68.76% 25% 103,512.50
Rompi bh 1.00 10.00 45,000.00 450,000.00 72.04% 25% 368,955.00
Sepatu Psng 1.00 10.00 150,000.00 1,500,000.00 64.00%
Asuransi dan Perizinan - -
Personil Keselamatan Kontruksi Bln 1.00 4.00 4,500,000.00 18,000,000.00 100.00% 25% 13,500,000.00
Fasilitas Sarana, Prasarana dan alat Kesehatan - -
Peralatan P3K Ls 1.00 4.00 150,000.00 600,000.00 100.00% 25% 450,000.00
Masker Pcs 1.00 25.00 5,000.00 125,000.00 66.48% 25% 104,225.00
Sabun Cuci Tangan gln 1.00 1.00 189,524.35 189,524.35 100.00% 25% 142,143.26
Rambu - Rambu Yang Diperlukan - -
Rambu Petunjuk bh 1.00 3.00 75,000.00 225,000.00 70.05% 0% 225,000.00
Rambu peringatan bh 1.00 3.00 75,000.00 225,000.00 70.05%
Rambu Informasi bh 1.00 2.00 75,000.00 150,000.00 70.05% 0% 150,000.00
Jumlah -
Overhead 3% 0%
Keuntungan 7% 0%
 Preferensi
Harga Sat. Jumlah Harga TKDN Harga Evaluasi Akhir
No. Uraian Jenis Pekerjaan Sat. Volume Koeff. Harga Keterangan
Rp. Rp. (%) Rp. Rp.
1 2 3 4 5 7 = 4x5x6 8 9 10 = (1-(8x9))x7 11
3 1 M' Pengukuran & Pemasangan Bouwplank M' 815.12
Komponen Tenaga Kerja :
Pekerja Oh 815.12 0.1000 162,500.00 13,245,700.00 100.00% 0% 13,245,700.00
Tukang Kayu Oh 815.12 0.1000 165,000.00 13,449,480.00 100.00% 0% 13,449,480.00
Kepala Tukang Kayu Oh 815.12 0.0100 170,000.00 1,385,704.00 100.00% 0% 1,385,704.00
Mandor Oh 815.12 0.0050 175,000.00 713,230.00 100.00% 0% 713,230.00
Komponen Material/Barang/Bahan :
Kayu balok Borneo super M3 815.12 0.0070 2,250,000.00 12,838,140.00 100.00% 0% 12,838,140.00
Paku 2" - 3" Kg 815.12 0.0200 17,500.00 285,292.00 100.00% 0% 285,292.00
Kayu papan Albasia M3 815.12 0.0070 1,650,000.00 9,414,636.00 100.00% 0% 9,414,636.00

Overhead 3% 3% 1,539,965.46 2,008,120.25

Keuntungan 7% 7% 3,593,252.74 4,680,971.24
-
4 Pelaporan, Dokumentasi dan Asbuilt Drawing LS 1.00
Komponen Tenaga Kerja :
Drafter CAD Oh 1.00 2.0000 200,000.00 400,000.00 100.00% 0% 400,000.00
Desain engineer Oh 1.00 2.0000 200,000.00 400,000.00 100.00% 0% 400,000.00
Tukang Foto Oh 1.00 2.0000 160,000.00 320,000.00 100.00% 0% 320,000.00
- -
Komponen Material/Barang/Bahan :
CD copy soft file foto image Bh 1.00 2.0000 12,500.00 25,000.00 100.00% 0% 25,000.00
Foto printing Lbr 1.00 60.0000 7,500.00 450,000.00 100.00% 0% 450,000.00
Foto album Bh 1.00 3.0000 50,000.00 150,000.00 100.00% 0% 150,000.00
Kertas HVS (A1) Rim 1.00 1.2000 60,000.00 72,000.00 100.00% 0% 72,000.00
Peralatan : - -
Sewa komputer Sewa/Bulan 1.00 0.0400 5,000,000.00 200,000.00 100.00% 0% 200,000.00
Sewa scanner
Sewa/Bulan 1.00 0.0300 2,500,000.00 75,000.00 100.00% 0% 75,000.00
ukuran A4
Kamera Digital Sewa/Bulan 1.00 2.0000 350,000.00 700,000.00 100.00% 0% 700,000.00
-
Overhead 3% 3% 83,760.00 83,760.00
Keuntungan 7% 7% 195,440.00 195,440.00
-
5 Pek. Galian Tanah Pondasi M3 195.00
Komponen Tenaga Kerja :
Pekerja Oh 195.00 0.5630 162,500.00 17,840,062.50 100.00% 0% 17,840,062.50
Mandor Oh 195.00 0.0563 175,000.00 1,921,237.50 100.00% 0% 1,921,237.50

Overhead 3% 3% 592,839.00 592,839.00

Keuntungan 7% 7% 1,383,291.00 1,383,291.00
-
6 1 M3 Pek. Urugan Pasir M3 11.85
Komponen Tenaga Kerja :
Pekerja Oh 11.85 0.3000 162,500.00 577,687.50 100.00% 0% 577,687.50
Mandor Oh 11.85 0.0100 175,000.00 20,737.50 100.00% 0% 20,737.50
Komponen Material/Barang/Bahan :
Pasir urug M3 11.85 1.2000 145,000.00 2,061,900.00 100.00% 0% 2,061,900.00
Jumlah
Overhead 3% 3% 79,809.75 79,809.75
Keuntungan 7% 7% 186,222.75 186,222.75
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 Preferensi
Harga Sat. Jumlah Harga TKDN Harga Evaluasi Akhir
No. Uraian Jenis Pekerjaan Sat. Volume Koeff. Harga Keterangan
Rp. Rp. (%) Rp. Rp.
1 2 3 4 5 7 = 4x5x6 8 9 10 = (1-(8x9))x7 11
7 1 M3 Pek. Batu Kosong\/Aanstamping M3 35.55
Komponen Tenaga Kerja :
Pekerja Oh 35.55 0.7800 162,500.00 4,505,962.50 100.00% 0% 4,505,962.50
Tukang Batu Oh 35.55 0.3900 165,000.00 2,287,642.50 100.00% 0% 2,287,642.50
Kepala Tukang Oh 35.55 0.0390 170,000.00 235,696.50 100.00% 0% 235,696.50
Mandor Oh 35.55 0.0390 175,000.00 242,628.75 100.00% 0% 242,628.75
Komponen Material/Barang/Bahan : - -
Batu Belah M3 35.55 1.2000 210,000.00 8,958,600.00 100.00% 0% 8,958,600.00
Pasir Urug M3 35.55 0.4320 145,000.00 2,226,852.00 100.00% 0% 2,226,852.00

Overhead 3% 3% 553,721.47 553,721.47

Keuntungan 7% 7% 1,292,016.76 1,292,016.76
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 Preferensi
Harga Sat. Jumlah Harga TKDN Harga Evaluasi Akhir
No. Uraian Jenis Pekerjaan Sat. Volume Koeff. Harga Keterangan
Rp. Rp. (%) Rp. Rp.
1 2 3 4 5 7 = 4x5x6 8 9 10 = (1-(8x9))x7 11
8 1 M3 Pek. Pondasi batu belah campuran 1SP 5PP M3 165.90
Komponen Tenaga Kerja :
Pekerja Oh 165.90 1.5000 162,500.00 40,438,125.00 100.00% 0% 40,438,125.00
Tukang Batu Oh 165.90 0.7500 165,000.00 20,530,125.00 100.00% 0% 20,530,125.00
Kepala Tukang Oh 165.90 0.0750 170,000.00 2,115,225.00 100.00% 0% 2,115,225.00
Mandor Oh 165.90 0.0750 175,000.00 2,177,437.50 100.00% 0% 2,177,437.50
Komponen Material/Barang/Bahan : - -
Batu Belah M3 165.90 1.2000 210,000.00 41,806,800.00 100.00% 0% 41,806,800.00
Semen Portland Kg 165.90 136.0000 1,250.00 28,203,000.00 80.03% 25% 22,560,284.78
Pasir Pasang M3 165.90 0.5440 200,000.00 18,049,920.00 100.00% 0% 18,049,920.00

Overhead 3% 3% 4,599,618.98 4,430,337.52

Keuntungan 7% 7% 10,732,444.28 10,337,454.21
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 Preferensi
Harga Sat. Jumlah Harga TKDN Harga Evaluasi Akhir
No. Uraian Jenis Pekerjaan Sat. Volume Koeff. Harga Keterangan
Rp. Rp. (%) Rp. Rp.
1 2 3 4 5 7 = 4x5x6 8 9 10 = (1-(8x9))x7 11
9 [Link] Cerucuk (Bambu Apus dia.10 cm) kedalaman 3m M' 222.30
Komponen Tenaga Kerja :
Pekerja Oh 222.30 0.0500 162,500.00 1,806,187.50 100.00% 0% 1,806,187.50
Mandor Oh 222.30 0.0025 175,000.00 97,256.25 100.00% 0% 97,256.25
Komponen Material/Barang/Bahan :
Bambu Ø7-10 (400 cm) Btg 222.30 0.3333 30,000.00 2,222,777.70 100.00% 0% 2,222,777.70

Overhead 3% 3% 123,786.64 123,786.64

Keuntungan 7% 7% 288,835.50 288,835.50
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 Preferensi
Harga Sat. Jumlah Harga TKDN Harga Evaluasi Akhir
No. Uraian Jenis Pekerjaan Sat. Volume Koeff. Harga Keterangan
Rp. Rp. (%) Rp. Rp.
1 2 3 4 5 7 = 4x5x6 8 9 10 = (1-(8x9))x7 11
10 [Link] Beton Pracetak K-300, (5x50x240) cm BH 1,700.00
Komponen Material/Barang/Bahan :
Ready Mix K 250 Bh 1,700.00 1.0000 147,500.00 250,750,000.00 62.23% 25% 211,739,568.75
Komponen Tenaga Kerja :
Pekerja Oh 1,700.00 0.3750 162,500.00 103,593,750.00 100.00% 0% 103,593,750.00
Tukang Batu Oh 1,700.00 0.1250 165,000.00 35,062,500.00 100.00% 0% 35,062,500.00
Kepala Tukang Oh 1,700.00 0.0120 170,000.00 3,468,000.00 100.00% 0% 3,468,000.00
Mandor Oh 1,700.00 0.0190 175,000.00 5,652,500.00 100.00% 0% 5,652,500.00
Komponen Peralatan :
Truck Crane 0 1,700.00 0.0038 3,500,000.00 22,312,500.00 100.00% 0% 22,312,500.00

Overhead 3% 3% 12,625,177.50 11,454,864.56

Keuntungan 7% 7% 29,458,747.50 26,728,017.31
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11 [Link] Beton Pracetak K-300, (18x16x325) cm BH 330.00
Komponen Tenaga Kerja :
Pekerja Oh 330.00 0.3750 162,500.00 20,109,375.00 100.00% 0% 20,109,375.00
Tukang Besi Oh 330.00 0.1250 165,000.00 6,806,250.00 100.00% 0% 6,806,250.00
Kepala Tukang Oh 330.00 0.0120 170,000.00 673,200.00 100.00% 0% 673,200.00
Mandor Oh 330.00 0.0190 175,000.00 1,097,250.00 100.00% 0% 1,097,250.00
Komponen Material/Barang/Bahan :
Kolom Beton Pracetak K-300, (5x50x240) cm Bh 330.00 1.0000 450,000.00 148,500,000.00 52.81% 25% 128,894,287.50
Komponen Peralatan :
Truck Crane Sewa/Hari 330.00 0.0038 3,500,000.00 4,331,250.00 100.00% 0% 4,331,250.00

Overhead 3% 3% 5,445,519.75 4,857,348.38

Keuntungan 7% 7% 12,706,212.75 11,333,812.88
-
12 Pek. Beton K-175 (200 titik) M3 5.40
Komponen Tenaga Kerja :
Pekerja Oh 5.40 1.6500 162,500.00 1,447,875.00 100.00% 0% 1,447,875.00
Tukang Batu Oh 5.40 0.2750 165,000.00 245,025.00 100.00% 0% 245,025.00
Kepala Tukang batu Oh 5.40 0.0280 170,000.00 25,704.00 100.00% 0% 25,704.00
Mandor Oh 5.40 0.0830 175,000.00 78,435.00 100.00% 0% 78,435.00
Komponen Material/Barang/Bahan : -
Semen Portland kg 5.40 299.0000 1,250.00 2,018,250.00 80.03% 25% 1,614,448.63
Pasir beton m3 5.40 799.0000 225.00 970,785.00 100.00% 0% 970,785.00
Kerikil (Maks 30 mm) m3 5.40 1,017.0000 235.00 1,290,573.00 100.00% 0% 1,290,573.00
Air m3 5.40 215.0000 150.00 174,150.00 100.00% 0% 174,150.00

Overhead 3% 3% 187,523.91 175,409.87

Keuntungan 7% 7% 437,555.79 409,289.69
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[Link] Pengaman Tinggi 1,40 m (Pipa Galvanis 3 Jarak 2m -
6 M' 326.00
200 titik)
Komponen Tenaga Kerja :
Pekerja Oh 326.00 0.1350 162,500.00 7,151,625.00 100.00% 0% 7,151,625.00
Tukang Kayu Oh 326.00 0.2250 165,000.00 12,102,750.00 100.00% 0% 12,102,750.00
Kepala Tukang Kayu Oh 326.00 0.0230 170,000.00 1,274,660.00 100.00% 0% 1,274,660.00
Mandor Oh 326.00 0.0070 175,000.00 399,350.00 100.00% 0% 399,350.00
Komponen Material/Barang/Bahan : -
 Preferensi
Harga Sat. Jumlah Harga TKDN Harga Evaluasi Akhir
No. Uraian Jenis Pekerjaan Sat. Volume Koeff. Harga Keterangan
Rp. Rp. (%) Rp. Rp.
1 2 3 4 5 7 = 4x5x6 8 9 10 = (1-(8x9))x7 11
Pipa Galvanis 3" M' 326.00 1.6800 200,000.00 109,536,000.00 100.00% 0% 109,536,000.00
Perlengkapan Ls 326.00 0.3500 200,000.00 22,820,000.00 100.00% 0% 22,820,000.00

Overhead 3% 3% 4,598,531.55 4,598,531.55

Keuntungan 7% 7% 10,729,906.95 10,729,906.95
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TOTAL HARGA PENAWARAN SEBELUM PPN 1,138,979,056.66
TOTAL NILAI TKDN 93%
TOTAL HEA 1,061,741,762.90 77,237,293.76