unfpa hereby solicits a quotation for the following … nu jawa timur jl. masjid al akbar timur...
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United Nations Population Fund7th Floor Menara Thamrin
Jl. M.H. Thamrin Kav.3, Jakarta 10250E-mail: [email protected]
Website: indonesia.unfpa.org
1 of 7
Date: 4 February 2019
REQUEST FOR QUOTATIONRFQ Nº UNFPA/IDN/RFQ/19/004
Dear Sir/Madam,
UNFPA hereby solicits a quotation for the following service:
Packaging and Shipping*Details list please see annex IV
This Request for Quotation is open to all legally-constituted companies that can provide the requestedservices and have legal capacity to perform in the country, or through an authorized representative.
I. About UNFPAUNFPA, the United Nations Population Fund (UNFPA), is an international development agency that works todeliver a world where every pregnancy is wanted, every child birth is safe and every young person’s potentialis fulfilled.
UNFPA is the lead UN agency that expands the possibilities for women and young people to lead healthysexual and reproductive lives. To read more about UNFPA, please go to: UNFPA about us
Objective:The objective of the RFQ is to identify a supplier who can provide UNFPA with the above mentioned product.The selected vendor is expected to provide such product, based on specific Purchase Orders submitted tothe vendor.
II. QuestionsQuestions or requests for further clarifications should be submitted in writing to the contact person below:
Name of contact person at UNFPA: Ms. Maya Dewi
Tel Nº: +62 21 29802300
Fax Nº: +62 21 31927902
Email address of contact person: [email protected]
The deadline for submission of questions is Monday, February 11th 2018 at 17:00 Jakarta Time1. Questionswill be answered in writing and shared will parties as soon as possible after this deadline.
III. Content of quotationsQuotations should be submitted in a single e-mail whenever possible, depending on file size. Quotations mustcontain price quotation, to be submitted strictly in accordance with Price Quotation Form, and comply withthe requirements outlined in the specifications described in Annex IV. The quotation must be signed by thecompany’s relevant authority and submitted in PDF format.
IV. Instructions for submission
1 http://www.timeanddate.com/worldclock/city.html?n=69
United Nations Population Fund7th Floor Menara Thamrin
Jl. M.H. Thamrin Kav.3, Jakarta 10250E-mail: [email protected]
Website: indonesia.unfpa.org
2 of 7
Quotations should be prepared based on the guidelines set forth in Section III above, along with a properlyfilled out and signed price quotation form, are to be sent by e-mail to [email protected] no laterthan: Monday, February 18th 2018 at 23:59 Jakarta Time2.
Please note the following guidelines for electronic submissions:
The following reference must be included in the email subject line: RFQ Nº UNFPA/IDN/RFQ/19/004 –Packaging & Shipping. Quotations that do not contain the correct email subject line may be overlookedby the procurement officer and therefore not considered.
The total e-mail size may not exceed 20 MB (including e-mail body, encoded attachments and headers).Where they are in large electronic files, it is recommended that these be sent separately before thedeadline.
V. Overview of Evaluation ProcessQuotations will be evaluated based on the compliance with the technical specifications (Annex III) and thetotal cost of the goods (price quote).
VI. Award CriteriaUNFPA shall award a Purchase Order to the lowest priced bidder whose bid has been determined to besubstantially compliant with the bidding documents.
VII. Right to Vary Requirements at Time of AwardUNFPA reserves the right at the time of award of contract to increase or decrease by up to 20% the volume
of goods specified in this RFQ without any change in unit prices or other terms and conditions.
VIII. Payment TermsUNFPA payment terms are net 30 days upon receipt of shipping documents, invoice and other
documentation required by the contract.
IX. Fraud and CorruptionUNFPA is committed to preventing, identifying, and addressing all acts of fraud against UNFPA, as well as
against third parties involved in UNFPA activities. UNFPA’s policy regarding fraud and corruption is available
here: Fraud Policy. Submission of a proposal implies that the Bidder is aware of this policy.
Suppliers, their subsidiaries, agents, intermediaries and principals must cooperate with the UNFPA Office of
Audit and Investigations Services as well as with any other oversight entity authorized by the Executive
Director and with the UNFPA Ethics Advisor as and when required. Such cooperation shall include, but not
be limited to, the following: access to all employees, representatives agents and assignees of the vendor; as
well as production of all documents requested, including financial records. Failure to fully cooperate with
investigations will be considered sufficient grounds to allow UNFPA to repudiate and terminate the
Agreement, and to debar and remove the supplier from UNFPA's list of registered suppliers.
A confidential Anti-Fraud Hotline is available to any Bidder to report suspicious fraudulent activities at UNFPA
Investigation Hotline.
X. Zero ToleranceUNFPA has adopted a zero-tolerance policy on gifts and hospitality. Suppliers are therefore requested not tosend gifts or offer hospitality to UNFPA personnel. Further details on this policy are available here: ZeroTolerance Policy.
2 http://www.timeanddate.com/worldclock/city.html?n=69
United Nations Population Fund7th Floor Menara Thamrin
Jl. M.H. Thamrin Kav.3, Jakarta 10250E-mail: [email protected]
Website: indonesia.unfpa.org
3 of 7
XI. RFQ ProtestBidder(s) perceiving that they have been unjustly or unfairly treated in connection with a solicitation,
evaluation, or award of a contract may submit a complaint to the UNFPA Representative, Dr. Annette Sachs
Robertson at [email protected]. Should the supplier be unsatisfied with the reply provided by the
UNFPA Representative, the supplier may contact the Chief, Procurement Services Branch at
XII. DisclaimerShould any of the links in this RFQ document be unavailable or inaccessible for any reason, bidders can
contact the Procurement Officer in charge of the procurement to request for them to share a PDF version of
such document(s).
United Nations Population Fund7th Floor Menara Thamrin
Jl. M.H. Thamrin Kav.3, Jakarta 10250E-mail: [email protected]
Website: indonesia.unfpa.org
4 of 7
PRICE QUOTATION FORM
Name of Bidder:
Date of the quotation: Click here to enter a date.
Request for quotation Nº: UNFPA/IDN/RFQ/19/004
Currency of quotation : IDR
Delivery charges based on the following2010 Incoterm:
N/A
Validity of quotation:(The quotation must be valid for a period ofat least 3 months after the submissiondeadline)
Quoted rates must be exclusive of all taxes, since UNFPA is exempt from taxes.
The format provided shall be used as a model in preparing the Price Quotation. The format includes specificexpenditures, which may or may not be required or applicable but are indicated to serve as examples.
In case of discrepancy between unit price and total price, the lower price shall prevail and the higher price shall becorrected. If the Bidder does not accept the correction of errors, its Proposal will be rejected.
Item Destination
*Name of City/District and Province
UOM(KG/M3)
*please Specify
LeadTime
Mode ofTransportation
Unit Price (IDR)/ UOM
1. KG Land/Sea
M3
KG Air
M3
2. KG Land/Sea
M3
KG Air
M3*please adjust the column as required
DescriptionUnit
Price
Packaging and handling All-in 1 package
I hereby certify that the company mentioned above, which I am duly authorized to sign for, has reviewed RFQ Nº
UNFPA/IDN/RFQ/19/001 including all annexes, amendments to the RFQ document (if applicable) and the responses
provided by UNFPA on clarification questions from the prospective service providers. Further, the company accepts the
General Conditions of Contract for UNFPA and we will abide by this quotation until it expires.
Click here to enter adate.
Name and title Date and place
Vendor’s Comments:
United Nations Population Fund7th Floor Menara Thamrin
Jl. M.H. Thamrin Kav.3, Jakarta 10250E-mail: [email protected]
Website: indonesia.unfpa.org
5 of 7
ANNEX I:General Conditions of Contracts:
De Minimis Contracts
This Request for Quotation is subject to UNFPA’s General Conditions of Contract: De Minimis Contracts,which are available in: English, Spanish and French
United Nations Population Fund7th Floor Menara Thamrin
Jl. M.H. Thamrin Kav.3, Jakarta 10250E-mail: [email protected]
Website: indonesia.unfpa.org
6 of 7
ANNEX II:BIDDER IDENTIFICATION FORM
UNFPA/IDN/RFQ/19/004
1. Organizational Information
Company/Institution Name
Address, City, Country
Telephone/FAX
Website
Date of establishment
Legal Representative: Name/Surname/Position
Legal structure: natural person/Co. Ltd,
NGO/institution/other (specify)
Organizational Type: Manufacturer, Wholesaler,
Trader, Service provider, etc.
Areas of expertise of the organization
Current Licenses, if any, and permits (with dates,
numbers and expiration dates)
Years supplying to UN organizations
Years supplying to UNFPA
Production Capacity
Subsidiaries (indicate names of subsidiaries and
addresses, if relevant to the Bid)
Commercial Representatives in the country:
Name/Address/Phone (for international companies
only)
2. Expertise of Staff
Total number of staff
Number of staff involved in similar contracts
3. Contact details of persons that UNFPA may contact for requests for clarification during Bid
evaluation
Name/Surname
Telephone Number (direct)
Email address (direct)
United Nations Population Fund7th Floor Menara Thamrin
Jl. M.H. Thamrin Kav.3, Jakarta 10250E-mail: [email protected]
Website: indonesia.unfpa.org
7 of 7
ANNEX III:BIDDER’S PREVIOUS EXPERIENCE
UNFPA/IDN/RFQ/19/004
OrderNo. &Date
Description3 Client
Contactperson,phone
number,email address
Date ofservice
ContractAmount
Satisfactorycompletion
From To (Currency)
Indicate the description of products, services or works provided to their clients.To be attached: Evidence (client’s letter or certificate) in support of satisfactory completion of aboveorders.
Signature and stamp of the Bidder:
Name and title:
Name of Company:
Telephone:
Email:
Date:
3 Please indicate relevant contracts to the one requested in the RFQ.
PROGRAM HIV-AIDSNote : berat 1.5 kg/200 pc leaflet (7.5gr/pc leaflet)
berat 7.36kg/200 pc booklet (36.8gr/pc booklet)
NO Alamat Pengiriman Penerima Jabatan TelpMedia Kie
FSW
Media KIE
MSM/TG
Media
KIE PWID
Media Kie
FSW
Media KIE
MSM/TG
Media KIE
PWID
1Yayasan Bina Muda Gemilang
Jl.Raya Kresek Perum Villa Balaraja Blok C9 No.24 Rt.05 Rw.04
Desa, Kec Balaraja, Kab Tangerang, Banten, 15610 Bpk. Bambang Sumantri 0813-8581-1707 2000 11600 300 10 58 1,5
2Fatayat NU Jawa Timur
Jl. Masjid Al Akbar Timur No.9, Surabaya, Jawa Timur Ibu Hikmah Bafaqih 0821-4182-1296 0 7000 0 0 35 0
3Yayasan KAPETA
Jl. Pluto Dalam I, No 8, Villa Cinere Mas, Kelurahan Pisangan, Kec
Ciputat Timur, Tangerang Selatan, Banten, 15419 Bpk. Indhi Sadrha 0815-1960-8074 0 9000 400 0 45 2
4
Jakarta 0 0 4000 0 0 20
5Kelompok Kerja Bina Sehat (KKBS)
Jl. Ikan Wiji Nongko RT 01/07, Lingkungan Setendo, Kel Tukang
Kayu, Kab Banyuwangi, Jawa Timur, 68416 Bpk. Moch Hairon 0852-3255-0855 0 5400 1000 0 27 5
6LKKNU Kalimantan Selatan
Jl. A. Yani KM. 12,5 Gedung Dakwah NU Kal-Sel, Kec Gambut, Kab
Banjat, Kalimantan Selatan Bpk. Samsul Rani 0816-212-258 0 2200 0 0 11 0
DAFTAR ALAMAT PENGIRIMAN DAN JUMLAH MEDIA KIE YANG AKAN DIKIRIM
pc pack (isi 200 pc)
United Nations Population Fund
7th Floor Menara Thamrin
Jl. M.H. Thamrin Kav.3, Jakarta 10250
E-mail: [email protected]
Website: indonesia.unfpa.org
ANNEX IV
PROGRAM HIV-AIDSNote : berat 1.5 kg/200 pc leaflet (7.5gr/pc leaflet)
berat 7.36kg/200 pc booklet (36.8gr/pc booklet)
NO Alamat Pengiriman Penerima Jabatan TelpMedia Kie
FSW
Media KIE
MSM/TG
Media
KIE PWID
Media Kie
FSW
Media KIE
MSM/TG
Media KIE
PWID
DAFTAR ALAMAT PENGIRIMAN DAN JUMLAH MEDIA KIE YANG AKAN DIKIRIM
pc pack (isi 200 pc)
7PKBI Jawa Timur
Jl. Indragiri No 24, Kec Wonokromo, Surabaya, Jawa Timur, 60241 Ibu Zahrotul Ulya 0838-3999-9090 0 8600 500 0 43 2,5
8PKBI Kalimantan Timur
Jl. Letjend Suprapto. No 1, Samarinda, Klaimantan Timur, 75123 Bpk. Moeran Gautama 0812-5301-865 5000 12600 500 25 63 2,5
9PKBI Daerah RIAU
JL. Adisucipto NO. 283 (Asrama Transito) Kel. Sidomulya Timur,
Kec. Marpoyan Damai, Kota Pekanbaru, Riau, 28125 Ibu. Kuntum khaira 0812-6736-9900 5800 4400 0 29 22 0
10Yayasan PONTIANAK PLUS
Jl. Gusti Hamzah, Gg Nursalim No 5B, Pontianak, Kalimantan Barat Bpk. Syarizal Alkadrie 0821-5209-5458 0 5000 500 0 25 2,5
11PPTI Balikpapan
Jl. Adil Makmur RT 23, No 01, Kelurahan Baru Ulu, Balikpapan
Barat, Kalimantan Timur, 76133 0542-850310 0 5600 0 0 28 0
12Yayasan SADAR HATI
Jl. Kuntabhaswara II, No 27, Polehan, Blimbing, Malang, Jawa
Timur, 65121 Bpk. M. Theo Zaenuri 0813-3074-0741 0 0 2800 0 0 14
13Yayasan REDLINE
Jl. Hasyim Ashari, Gg Mawar 37A, Banjarmelati, Mojorotoo, Kota
Kediri, Jawa Timur, 64114 Bpk. Hanjar Makhmucik 0822-5767-7477 0 6000 0 0 30 0
PROGRAM HIV-AIDSNote : berat 1.5 kg/200 pc leaflet (7.5gr/pc leaflet)
berat 7.36kg/200 pc booklet (36.8gr/pc booklet)
NO Alamat Pengiriman Penerima Jabatan TelpMedia Kie
FSW
Media KIE
MSM/TG
Media
KIE PWID
Media Kie
FSW
Media KIE
MSM/TG
Media KIE
PWID
DAFTAR ALAMAT PENGIRIMAN DAN JUMLAH MEDIA KIE YANG AKAN DIKIRIM
pc pack (isi 200 pc)
14Yayasan VESTA INDONESIA
Jl. Sukun, NO:21, Pondok Karangbendo, Kecamatan Banguntapan,
Kab Bantul, DIY, 55198 bpk. Supriyanto 0857-2935-0699 1600 6000 400 8 30 2
15Yayasan Embun Pelangi
Perumahan Anggrek Permai Blok K no.22, Baloi Indah, Lubuk Baja
, Batam , Kepri, 29432 Bpk. Hasiholan Kristanto Lumban Tobing0821-6173-6446 0 4800 0 0 24 0
16Yayasan Pelangi Maluku
Jl. Dr. Kayadoe-Kudamati, Depan RSU Dr M Haulussy Ambon,
Maluku, 97117 Ibu Rosano C Pentury 0813-4327-0400 3600 3400 0 18 17 0
17Yayasan BAHTERA
Jl. Cijerah, Gg. Al Hidayah No 40, Bandung , Jawa Barat, 40213 Bpk. A Tamami Zain 0812-2339-928 0 12000 500 0 60 2,5
18Yayasan Gaya Patriot Bekasi (GPB)
Jl, Guntur 2, blok DD No.1 Komplek Keuangan, Kelurahan
Kayuringin, Bekasi Selatan, Jawa Barat, 17144 Bpk. Bayu Tri Indriatmoko 0815-8621-5793 0 7600 400 0 38 2
19Yayasan GRAPIKS
Komplek Bina Karya 1, C56, RT 03/13, Cimekar Cileunyi, Bandung,
Jawa Barat, 40393 Bpk. Kartono 0812-1473-7876 0 8400 2800 0 42 14
20Komunitas Aksi Kemanusiaan Indonesia (KAKI)
Jl. Curug Agung Raya, RT. 003/06 NO. 14, Kelurahan Tanah Baru,
Kec. Beji Depok, Jawa Barat, 16426 Bpk. R. Tommy Soemantri 0856- 2417- 0066 2600 7000 500 13 35 2,5
PROGRAM HIV-AIDSNote : berat 1.5 kg/200 pc leaflet (7.5gr/pc leaflet)
berat 7.36kg/200 pc booklet (36.8gr/pc booklet)
NO Alamat Pengiriman Penerima Jabatan TelpMedia Kie
FSW
Media KIE
MSM/TG
Media
KIE PWID
Media Kie
FSW
Media KIE
MSM/TG
Media KIE
PWID
DAFTAR ALAMAT PENGIRIMAN DAN JUMLAH MEDIA KIE YANG AKAN DIKIRIM
pc pack (isi 200 pc)
21Lembaga Kajian Strategis (LEKAS)
Jl. Sukasari III Ujung, No 19, RT 001/RW 001, Kel Tajur, Kec. Bogor
Timur, Kota Bogor, Jawa Barat, 16142 Bpk. Muksin Zaenal Abidin, S.Ag 0878-7025-8674 5600 10200 8900 28 51 44,5
22Yayasan LENSA SUKABUMI
Jl. Yulius Usman No. 04, Sukabumi, Jawa Barat Bpk. Mahbub Alpariji 0857-2061-6292 0 10600 1100 0 53 5,5
23PKBI Cab Garut
Jl. Patriot No 49, RT 04/06, Kel. Sukagalih, Kec Tarogong Kidul
Garut, Jawa Barat, 44151 Bpk. Denden Supresiana 0811 -2112-230 0 13000 1000 0 65 5
24PKBI Cab Subang
Perum Puri Panji Kencana No.20, Cigadung, Kec. Subang,
Kabupaten Subang, Jawa Barat 4121 0 10000 1100 0 50 5,5
25Yayasan SRIKANDI PASUNDAN
Jl. Sarimanah Blok 10 no 99, Sarijadi, Bandung, Jawa Barat, 40151 Riri Wirayadi 0821-2033-1973 0 15000 0 0 75 0
26
kota cirebon 0 13400 1700 0 67 8,5
27
Yayasan Caritas PSE
Jalan W.R. Supratman, Pasar IV, Lingkungan V, Kelurahan Lubuk
Pakam I-II, Kec Lubuk Pakam, Kab Deli Serdang, Sumatera Utara,
20511 Bpk. Mangatur Markus Manurung 0812-6492-106 0 3000 500 0 15 2,5
PROGRAM HIV-AIDSNote : berat 1.5 kg/200 pc leaflet (7.5gr/pc leaflet)
berat 7.36kg/200 pc booklet (36.8gr/pc booklet)
NO Alamat Pengiriman Penerima Jabatan TelpMedia Kie
FSW
Media KIE
MSM/TG
Media
KIE PWID
Media Kie
FSW
Media KIE
MSM/TG
Media KIE
PWID
DAFTAR ALAMAT PENGIRIMAN DAN JUMLAH MEDIA KIE YANG AKAN DIKIRIM
pc pack (isi 200 pc)
28Yayasan Galatea
Jalan Danau Marsabut No. 79 A Medan, Sumatera Utara, 20111 Bpk. Badurani Lubis 0812-6511-276 0 8000 500 0 40 2,5
29
Kota Kendari 0 4800 0 0 24 0
30LKKNU Gorontalo
Jl. Bypass, kel Pauwo, Kec Kabila Kab Bone Bolaango, Gorontalo,
96583 Bpk. Yunus Asssagaf 0812-4482-818 0 5000 0 0 25 0
31NAD Support Group
Jl. Residen Danu Broto lr. Taman Mulia No 27, Desa Geuceu Kayee
Jato, Kec Banda Raya Aceh, Kota Banda Aceh, NAD, 23239 Bpk. Muhammad Gunawan Purba 0813-9796-6955 0 3000 0 0 15 0
32
Kota Jayapura 0 3000 0 0 15 0
33PKBI Daerah Sulawesi Utara
Jl. Ahmad Yani 14, Lr GPDI sario Tumpaan, Manado, Sulawesi
Utara, 95114 Bpk. Asep Rahman 0815-2708-3919 0 15000 800 0 75 4
34Yayasan AKBAR SUMBAR
Jl Jati V No. 14D Kelurahan Jati Baru, Kec. Padang Timur, Kota
Padang, Sumatera Barat, 25129 Bpk. Toni Gusti 0812-6609-5461 0 7000 0 0 35 0
PROGRAM HIV-AIDSNote : berat 1.5 kg/200 pc leaflet (7.5gr/pc leaflet)
berat 7.36kg/200 pc booklet (36.8gr/pc booklet)
NO Alamat Pengiriman Penerima Jabatan TelpMedia Kie
FSW
Media KIE
MSM/TG
Media
KIE PWID
Media Kie
FSW
Media KIE
MSM/TG
Media KIE
PWID
DAFTAR ALAMAT PENGIRIMAN DAN JUMLAH MEDIA KIE YANG AKAN DIKIRIM
pc pack (isi 200 pc)
35Yayasan Gaya Celebes (YGC)
Jl. Inspeksi Kanal No 50, Landak baru, Kel Bonto Lebang, Makassar,
Sulawesi Selatan, 90133 Bpk. Aziz La Sabbe 0813-4354-4131 0 8000 1200 0 40 6
36Yayasan GAYA DEWATA (YGD)
Jl. Sakura IV, No.8, Denpasar, Bali, 80233 Bpk. Christian Supriyadinata '0812-3681-0000 0 11200 800 0 56 4
37Yayasan INSET NTB
Jl. Kesra Raya, No 62, Perumnas Tanjung Karang, mataram, NTB,
83115 Bpk. Himawan Afrian 0818-0366-0666 0 5000 500 0 25 2,5
38Yayasan Mitra Husada
Komp. Bumi Permata Sudiang, Blok E1, No 12
Makassar, Sulawesi Selatan, 90242 Bpk. Zainuddin '0852-9920-7202 9600 6000 400 48 30 2
39Yayasan INTERMEDIKA PRANA
Wisma Griya Kemayoran R-20, Jl Industri Raya No 9-10, jakarta,
10720 Bpk. Ardhian Harrymukti P 0812-9404-1979 0 8000 0 0 40 0
40
Yayasan PESONA JAKARTA
Jl. Kebon Baru II/L, No 7, RT 004/011, Kel Kebon Baru, Kec. Tebet,
Jakarta Selatan, 12830
Bpk. Juna Riston Damanik 0813-1137-9909 0 13800 0 0 69 0
41Yayasan SRIKANDI SEJATI
Jl. Moncokerto I no.3 Rt01/13 Utan Kayu Jakarta Timur, DKI
Jakarta, 13120 Ibu Lenny Eko Sugiharto 0812-8040-8213 0 4000 0 0 20 0
PROGRAM HIV-AIDSNote : berat 1.5 kg/200 pc leaflet (7.5gr/pc leaflet)
berat 7.36kg/200 pc booklet (36.8gr/pc booklet)
NO Alamat Pengiriman Penerima Jabatan TelpMedia Kie
FSW
Media KIE
MSM/TG
Media
KIE PWID
Media Kie
FSW
Media KIE
MSM/TG
Media KIE
PWID
DAFTAR ALAMAT PENGIRIMAN DAN JUMLAH MEDIA KIE YANG AKAN DIKIRIM
pc pack (isi 200 pc)
42Yayasan FKPB Batang
Jl. Rata Banyuputih - Limpung KM 1, Dk. Lokojoyo, RT 008/003, Ds
Banyuputih, Kec Banyuputih, kab batang, Jawa tengah, 51271 Bpk. Nur Khasan 08122-8822-9111 5800 13400 0 29 67 0
43Yayasan KALANDARA
Jl. Duku No 57, lamper Kidul
Kec. Seamrang Selatan, Kota Semarang< Jawa Tengah, 50249 Bpk. Yacobus Kristono 0812-2811-166 0 10600 0 0 53 0
44
Lingkungan Hidup (LPPSLH)
Jl. Jatisari No.28 Kelurahan Sumampir Kec.Purwokerto Utara Kab.
Banyumas, Jawa tengah, 53125
Bpk. Bangkit Ari Sasongko 0815-4887-3580 3000 10000 400 15 50 2
45PKBI Cab Kota Semarang
Jl. Nangka III, No 3, Kel. Lamper Kidul, kec. Semarang Selatan, jawa
Tengah, 50249 Bpk. Dwi Yoga Yulianto 0811-2711-1 57 0 10000 400 0 50 2
46Fatayat NU Jawa Tengah
Jl. Dr. Cipto, 180, Semarang, jawa tengah, 50125 Ibu. Khizanaturrohmah 0812-2533-0777 0 11000 800 0 55 4
47Solidaritas Perempuan untuk Kemanusiaan dan HAM (SPEK-HAM)
Jl. Srikoyo No 14, RT 01/04, Karangasem, Laweyan, Surakarta,
Jawa Tengah, 57145 Ibu. Rahayu Purwaningsih 0856-4215-9760 0 9000 800 0 45 4
48Yayasan PESONA BENGKULU
JL. Gunung Bungkuk RT. 03 RW. 02 NO. 33. KEL Tanah Patah, Kec.
Ratu Agung, Kota Bengkulu, Bengkulu, 38224 Bpk. Yayan Triyansyah Putra 0821-8261-6665 3600 6000 0 18 30 0
PROGRAM HIV-AIDSNote : berat 1.5 kg/200 pc leaflet (7.5gr/pc leaflet)
berat 7.36kg/200 pc booklet (36.8gr/pc booklet)
NO Alamat Pengiriman Penerima Jabatan TelpMedia Kie
FSW
Media KIE
MSM/TG
Media
KIE PWID
Media Kie
FSW
Media KIE
MSM/TG
Media KIE
PWID
DAFTAR ALAMAT PENGIRIMAN DAN JUMLAH MEDIA KIE YANG AKAN DIKIRIM
pc pack (isi 200 pc)
49Yayasan INTAN MAHARANI
Jl. Mayor Salim Batubara, Lr. Pendopo no. 164G Sekip Ujung -
Palembang, Sumatera Selatan, 30127 Bpk. Syahri 0813-6741-3340 0 12000 1200 0 60 6
50YKMNU Jawa Tengah
Gedung Pendidikan Muslimat NU Jateng, Jl Prof Hamka Ngaliyan,
Semarang, Jawa Tengah, 50185 dr.Siti Masfufah 0815-6581-770 0 10000 0 0 50 0
51Yayasan MITRA ALAM
Jl. Batara Bromo E-3, Perum Gentan Wyakta, gentan, baki,
Sukoharjo, Jawa Tengah, 57194 Bpk. Ligik Triyogo 0813-2952-5252 3000 9400 800 15 47 4
52PKBI Sumatera Utara
Jl. Multatuli 34-X Kota Medan, Sumatera Utara 20151
Telp. 061 - 451 4595 / 061 - 414 3302 Ibu Ummi Lestari Koordinator IU081260047856 7600 38
53
Jl. Narumonda Bawah No. 15 Simpang Jalan Gunung Sinabung,
Kel. Karo, Kec. Siantar Selatan, Pematang Siantar, Sumatera Utara,
21122
Pak Hardiman Koordinator IU081396100842 6600 33
54PKBI Sumatera Barat
Jl. Sutan Syahrir No. 50 Padang 25214
Telp. (0751) 39630 Eva Herawati Damanik / LovaKoordinator IU081363857174 3600 18
55PKBI Jambi
Jl. Dara Jingga No. 49, Jambi 36143
Telp. (0741) 7554579 Helina Erika Siregar / Elin Koordinator IU081268972308 3000 15
PROGRAM HIV-AIDSNote : berat 1.5 kg/200 pc leaflet (7.5gr/pc leaflet)
berat 7.36kg/200 pc booklet (36.8gr/pc booklet)
NO Alamat Pengiriman Penerima Jabatan TelpMedia Kie
FSW
Media KIE
MSM/TG
Media
KIE PWID
Media Kie
FSW
Media KIE
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DAFTAR ALAMAT PENGIRIMAN DAN JUMLAH MEDIA KIE YANG AKAN DIKIRIM
pc pack (isi 200 pc)
56
PKBI Sumatera Selatan
Jl. Kol H. Burlian / Mahkamah Militer KM 6 Palembang - Sumatra
Selatan
Telp. (0711) 421692 M. Zulkarnaen Koordinator IU08127826080 9000 45
57
PKBI Lampung
Jl. Abdi Negara No. 1 Gulak Galik, Teluk Betung, Bandar Lampung,
Lampung 35214
Telp. (0721) 487483 / 488395 Rachmad Cahya Aji / Aji Koordinator IU08127970657 3000 15
58PKBI Kepulauan Riau
Jl. RH Fisabilillah No. 56i Sei Jang, Tanjung Pinang, Kepulauan Riau
Telp. 0771-8081195 Rosdawati Laode Koordinator IU081364705304 7000 35
59Yayasan Wijaya Kusuma
Jl. Masjid Al Hikmah RT/RW 004/002 Kel. Jerambah Gantung, Kec.
Gabeg, Kota Pangkal Pinang, Kepulauan Bangka Belitung, 33119 Yorian Gunanda Koordinator IU081379959557 1400 7
60OPSI Banten
Jl. Lingkar Selatan - Perumahan Citraland Puri Blok D6 No. 9
Ciracas, Kota Serang, Banten RR. Ratu Reza Umami Koordinator IU081906226000 7400 37
61Yayasan Gema Indonesia
Jl. Kemang Selatan XA No. 19 RT 003 RW 02 Kel. Bangka Kec.
Mampang Prapatan Jakarta Selatan Fauzi Dhonie / Oji Koordinator IU081314102511 13200 66
62PKBI Cab Jakarta Timur
Jl. Raya Kelapa Dua Wetan RT/RW 06/01 No. 1 Kel. Ciracas, Kec.
Ciracas, Jakarta Timur Junnedi Galingging Koordinator IU081296161415 7000 35
PROGRAM HIV-AIDSNote : berat 1.5 kg/200 pc leaflet (7.5gr/pc leaflet)
berat 7.36kg/200 pc booklet (36.8gr/pc booklet)
NO Alamat Pengiriman Penerima Jabatan TelpMedia Kie
FSW
Media KIE
MSM/TG
Media
KIE PWID
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FSW
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MSM/TG
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DAFTAR ALAMAT PENGIRIMAN DAN JUMLAH MEDIA KIE YANG AKAN DIKIRIM
pc pack (isi 200 pc)
63Yayasan Hidup Positif
Jl. Raya PKP Gg. Darusalam No. 48 RT/RW 01/12 Kel. Kelapa Dua
Wetan, Kec. Ciracas, Jakarta Timur 13730 Novi Mudjiati Koordinator IU08128104056 5000 25
64PKBI Cab Jakarta Utara
Jl. Matahari No. 12 RT/RW 005/014 Kel. Rawa Badak Utara, Kec.
Koja, Jakarta Utara Muhammad Suhendra / HendraKoordinator IU085100747463 7400 37
65Yayasan Grapiks Bekasi
Perumahan Villa Bekasi Indah 1 No. 41 Blok B6, RT.012/RW.012,
Desa Mangun Jaya, Kec. Tambun Selatan, Kab. Bekasi SANTIANA KOORDINATOR IU08990500835 8000 40
66PKBI Cab Kota Bandung
Jl. Pasir Kaliki No. 26 Bandung 40181 GANJAR SUTISNA KOORDINATOR IU081322891933 7000 35
67PKBI Cab Cirebon
Perumahan Pondok Mutiara, Blok C6 N0. 03, Kel. Gegunung, Kec.
Sumber, Cirebon LANLAN MUHRIA KOORDINATOR IU085223716840 5000 25
68
Yayasan Resik Subang
Jl. Raya Pantura Sukamandi (Klinik Pramagistra), Dsn Wesel,
RT.39/RW.18, Desa Sukamandi Jaya, Kec. Ciasem, Kab. Subang
41256 HASANUDIN KOORDINATOR IU08122179302 4000 20
69SOKOGURU Foundation
Jl. Sembungan Utara No. 264 Ungaran, Kab. Semarang SUTARDI KOORDINATOR IU081325061442 7000 35
PROGRAM HIV-AIDSNote : berat 1.5 kg/200 pc leaflet (7.5gr/pc leaflet)
berat 7.36kg/200 pc booklet (36.8gr/pc booklet)
NO Alamat Pengiriman Penerima Jabatan TelpMedia Kie
FSW
Media KIE
MSM/TG
Media
KIE PWID
Media Kie
FSW
Media KIE
MSM/TG
Media KIE
PWID
DAFTAR ALAMAT PENGIRIMAN DAN JUMLAH MEDIA KIE YANG AKAN DIKIRIM
pc pack (isi 200 pc)
70Yayasan Tekad
Jl. Arum Blok B7, RT.02/RW.10, Kel. Randugunting, Kec. Tegal
Selatan, Kota Tegal ANANG KOORDINATOR IU08156533181 6000 30
71PKBI Kalimantan Barat
Jl. Letjend No. 17A Pontianak, Kalimantan Timur. 78121 Ishak Koordinator IU0896-4804-4498 4600 23
72PKBI Kalimantan Selatan
Jl. Brigjend. Hasan Basri No. 24A, Banjarmasin, 70125. Hapniah Koordinator IU0811-5180-582 3600 18
73PKBI Kalimantan Tengah
Jl. Putri Junjung Buih I No. 2, Palangkaraya, Kalimantan Tengah Alin Koordinator IU0812-4955-2551/ 0815-2841-17111400 7
74PKBI Kota Tarakan
Jl. Jenderal Sudirman Belakang Gedung Gadis I RT.03 Kelurahan
Pamusian, Kecamatan Tarakan Tengah, 77134 Amrin Koordinator IU0812-5553-277 2000 10
75SuaR Indonesia
Jalan Dandang Gendis Perum pondok Doko Indah Blok A Nomer 1,
doko kecamatan Gampeng Kabupaten Kediri Bayu Koordinator IU0823-3503-2881/ 0811-3674-1149000 45
76Yayasan Paramitra
Jl. Ir. Sukarno No.369 Kota Batu Iwan Koordinator IU0812-3358-712 4000 20
PROGRAM HIV-AIDSNote : berat 1.5 kg/200 pc leaflet (7.5gr/pc leaflet)
berat 7.36kg/200 pc booklet (36.8gr/pc booklet)
NO Alamat Pengiriman Penerima Jabatan TelpMedia Kie
FSW
Media KIE
MSM/TG
Media
KIE PWID
Media Kie
FSW
Media KIE
MSM/TG
Media KIE
PWID
DAFTAR ALAMAT PENGIRIMAN DAN JUMLAH MEDIA KIE YANG AKAN DIKIRIM
pc pack (isi 200 pc)
77Laskar Jember
Perum Taman Muktisari Blok Anggrek No. 12 A- Kelurahan Tegal
Besar Kecamatan Kaliwates Jember Jawa Timur Khamid Direktur 0852-0497-3822 8000 40
78Yayasan Orbit
Jl. Bratang Binangun 5c No. 19 Surabaya Jawa Timur. Faisol Koordinator IU0856-4621-4751/ 0822-3298-91245400 27
79Yayasan Bambu Nusantara
Jl. Nginden Intan Utara No.32 Surabaya Titik Koordinator IU0812-3061-537 2000 10
80Yayasan Citra Usadha Indonesia
Jl. Sarigading Timur No. 1 Denpasar Bali Wayan Yudana Koordinator IU0819-3655-0003 5000 25
81Yayasan Kerti Praja
Jalan Raya Sesetan No. 270 Denpasar, Bali Wayan Swastina Koordinator IU0851-0117-8871 9000 45
82Yayasan Inset
Jalan Kesra Raya No. 62 Perumnas Tanjung Karang Permai,
Ampenan, Mataram Yudi Kusnagin Koordinator IU0821-4448-8196 1400 7
83Yayasan Tanpa Batas
Jl. Percetakan Cendana no.01 Fonten Kupang Deni Sailana Koordinator IU0813-3333-1476 2400 12
PROGRAM HIV-AIDSNote : berat 1.5 kg/200 pc leaflet (7.5gr/pc leaflet)
berat 7.36kg/200 pc booklet (36.8gr/pc booklet)
NO Alamat Pengiriman Penerima Jabatan TelpMedia Kie
FSW
Media KIE
MSM/TG
Media
KIE PWID
Media Kie
FSW
Media KIE
MSM/TG
Media KIE
PWID
DAFTAR ALAMAT PENGIRIMAN DAN JUMLAH MEDIA KIE YANG AKAN DIKIRIM
pc pack (isi 200 pc)
84LKKNU Sulawesi Utara
Jl Hasanudin 14 No.45 Kel Islam Kec. Tuminting Manado Sulawesi
Selatan Tomy Panaha Koordinator IU0852-5625-6621 5000 25
85PKBI Sulawesi Tengah
Jl. Pue Bongo Lr. Lekatu No.7 Palu Yospina Koordinator IU0821-8989-4280 2000 10
86Yayasan Alpen Sultra
BTN, Az Zharna Blok A/14 Jl. Badak, Kel. Wundumbatu, kec.
Poasia, Kota Kendari, Sulawesi Tenggara Hasmida Direktur 0812-4270-188 4000 20
87Yasobat
Kampung Katemba RT 2 Distrik Fakfak Tengah, Kode Pos 98613,
Papua Barat Rhyan Daffa IU Koordinator082248223545 1400 7
88PTPS Manokwari
Jl. Swapen Perkebunan No.51 Manokwari Kode Pos 98312, Papua
Barat Saragih IU Koordinator85244493862 1400 7
89YAPARI Sorong
Yayasan Papua Lestari Jl. Moyo Permai Blok C No. 61 Klamana
Sorong Timur Kota Sorong 98417, Papua Barat Hilal Achmad IU Koordinator085244339362 3000 15
90Klasis GPIP Merauke
Jl. R.E. Martadinata 2 Merauke Kode Pos 99611, Papua Herry Erlely IU Koordinator081344130402 2400 12
PROGRAM HIV-AIDSNote : berat 1.5 kg/200 pc leaflet (7.5gr/pc leaflet)
berat 7.36kg/200 pc booklet (36.8gr/pc booklet)
NO Alamat Pengiriman Penerima Jabatan TelpMedia Kie
FSW
Media KIE
MSM/TG
Media
KIE PWID
Media Kie
FSW
Media KIE
MSM/TG
Media KIE
PWID
DAFTAR ALAMAT PENGIRIMAN DAN JUMLAH MEDIA KIE YANG AKAN DIKIRIM
pc pack (isi 200 pc)
91Yukemdi Wamena
Kantor Yukemdi, Jalan JB Wenas no. 17 wesaput. Wamena
Kode Pos 99511, Jayawijaya-Papua Loisa Siburi IU Koordinator081226930026 1000 5
92Primari Nabire
Jl. Pipit Girimulyo, PO Box 138 Nabire 98814, Papua Krisna Tohariadi IU Koordinator085254876446 3000 15
93
FPPA Mimika
Sekretariat FPPA Kab. Mimika, Jalan Poros Mapurujaya KM.7
Timika,
Papua Benny Tulenan IU Koordinator081240001224 3000 15
94Yakenpa
Perum. Doyo Baru Grand, Blok C Jalur 1 No.16.
Kabupaten Jayapura 99111, Papua Nani Pundu IU Koordinator081344755908 2000 10
95 YHI Papua
Gang Bisoka IB No. 83 Kotataraja Dalam 99225, Jayapura-Papua Hiswita Pangau IU Koordinator0811480645 5000 25
260.400 405.000 37.500 1.302 2.025 188