SURUHANJAYA SYARIKAT MALAYSIA (SSM) KENYATAAN TAWARAN

SURUHANJAYA SYARIKAT MALAYSIA (SSM) KENYATAAN TAWARAN

Pembekal adalah dipelawa daripada Syarikat/ Perniagaan/ Perkongsian Liabiliti Terhad (PLT) yang berdaftar dengan Suruhanjaya Syarikat Malaysia atau Pihak Berkuasa Tempatan Sarawak, berpengalaman dan menjalankan aktiviti perniagaan yang berkaitan serta masih dibenarkan membuat tawaran pada masa ini.

Keterangan Tawaran	Kerja-kerja Membekal, Memasang dan Mengujiterima Sistem Pencahayaan Jenis LED Di Tingkat 7 dan 8, Bangunan SSM Sarawak
Jenis Tawaran	Terbuka
Xxxxxx Xxxx Xxxxxxx	15 September 2023
Tarikh Tutup Tawaran	21 September 2023, 12 Tengahari
Tempoh Sah Laku	90 Hari
Gred, Kategori & Pengkhususan	Gred – G1 Kategori – ME (Elektrikal) Pengkhususan – E4 & E11 (Pemasangan Voltan Rendah & Kerja Am Elektrik)

Pembekal WAJIB mengemukakan dokumen-dokumen berikut:

(i) Salinan Sijil Pendaftaran Suruhanjaya Syarikat Malaysia (SSM) atau Pihak Berkuasa Tempatan Sarawak yang masih sah laku;

(ii) Salinan Sijil Akuan Pendaftaran dengan CIDB Kod Bidang berkaitan (bekalan / perkhidmatan) yang masih sah laku;

(iii) Salinan Sijil Bumiputera dengan Kementerian Kewangan (MOF) yang masih sah laku (jika berdaftar);

(iv) Rekod Pengalaman Perkhidmatan/Bekalan Berkaitan; dan

(v) Salinan Penyata Akaun Bank Tiga (3) Bulan Terkini.

SURAT AKUAN PEMBIDA BAGI

KERJA-KERJA MEMBEKAL, MEMASANG DAN MENGUJITERIMA SISTEM PENCAHAYAAN JENIS LED DI TINGKAT 7 DAN 8, BANGUNAN SSM SARAWAK

(SSM/APID/PLN1/B15/2023/PT(320))

Xxxx, ………………………………………….… Nombor K.P. ……….………..………… yang mewakili

…………………………….…………………............................……………....................................

Nombor Pendaftaran …………………………….……………………………...…… dengan ini mengisytiharkan bahawa saya atau mana-mana individu yang mewakili syarikat ini tidak akan menawar atau memberi rasuah kepada mana-mana individu dalam Suruhanjaya Syarikat Malaysia atau mana-mana individu lain, sebagai ganjaran mendapatkan sebut harga seperti di atas. Bersama-sama ini dilampirkan Surat Perwakilan Kuasa bagi saya mewakili syarikat seperti tercatat di atas untuk membuat pengisytiharan ini.

2. Sekiranya saya atau mana-mana individu yang mewakili syarikat ini didapati bersalah menawar atau memberi rasuah kepada mana-mana individu dalam Suruhanjaya Syarikat Malaysia atau mana-mana individu lain sebagai ganjaran mendapatkan sebut harga seperti di atas, maka saya sebagai wakil syarikat bersetuju tindakan-tindakan berikut diambil:

2.1 penarikan balik tawaran kontrak bagi sebut harga di atas; atau

2.2 penamatan kontrak bagi sebut harga di atas; dan

2.3 lain-lain tindakan tatatertib mengikut peraturan perolehan Suruhanjaya Syarikat Malaysia.

3. Sekiranya terdapat mana-mana individu cuba meminta rasuah daripada saya atau mana-mana individu yang berkaitan dengan syarikat ini sebagai ganjaran mendapatkan sebut harga seperti di atas, maka saya berjanji akan dengan segera melaporkan perbuatan tersebut kepada pejabat Suruhanjaya Pencegahan Rasuah Malaysia (SPRM) atau balai polis yang berhampiran.

Xxxx Xxxxx,

…………………………………

(Nama dan No. KP)

Jawatan:

Cop Syarikat/ Perniagaan/ PLT:

SURAT PERWAKILAN KUASA

Ketua Pegawai Eksekutif Suruhanjaya Syarikat Malaysia, Menara SSM@Sentral,

Xx 0, Xxxxx Xxxxxx Xxxxxxx 0, Xxxxx Xxxxxx Xxxxxxx,

50623 Kuala Lumpur. Tarikh:

Tuan/Puan,

PERWAKILAN KUASA MENANDATANGANI BAGI PIHAK SYARIKAT

Dengan hormatnya saya merujuk kepada perkara di atas.

2. Dimaklumkan bahawa saya,…………………………………………………………..., No. K.P

………..…………………………………… selaku Pemilik Syarikat/ Pengarah Syarikat/ Pemilik Perniagaan/ Rakan Kongsi PLT yang diberikan kuasa oleh syarikat/ perniagaan/ PLT

…………..….…………………….................................………………….…. akan menandatangani sendiri semua dokumen atau* mewakilkan kuasa untuk menandatangani bagi pihak syarikat/ perniagaan/ PLT untuk urusan perolehan “Kerja-Kerja Membekal, Memasang Dan Mengujiterima Sistem Pencahayaan Jenis LED Di Tingkat 7 Dan 8, Bangunan SSM Sarawak”.

3. Berikut adalah penama Pemilik Syarikat/Pengarah Syarikat/ Pemilik Perniagaan/ Rakan Kongsi PLT/ Wakil Syarikat/ Wakil Perniagaan/ Wakil PLT* yang diberi kuasa untuk urusan perolehan ini:

a. Nama :

b. Alamat :

c. Jawatan :

d. No. Kad Pengenalan:

e. No. Telefon/No. Faks :

f. Email :

4. Sehubungan itu, dikemukakan untuk makluman/rujukan pihak tuan/puan selanjutnya. Pihak kami akan memaklumkan kepada pihak tuan/puan sekiranya terdapat perubahan penama bagi perkara ini secara rasmi setelah sebut harga disetujuterima.

Sekian, terima kasih.

..................................

Nama Pemilik Syarikat :

Jawatan:

Cop Syarikat/ Perniagaan/ PLT:

Catatan: i) *Potong mana yang tidak berkenaan

BORANG SEBUT HARGA BAGI

KERJA-KERJA MEMBEKAL, MEMASANG DAN MENGUJITERIMA SISTEM PENCAHAYAAN JENIS LED DI TINGKAT 7 DAN 8, BANGUNAN SSM SARAWAK (SSM/APID/PLN1/B15/2023/PT(320))

Kepada : Seksyen Pengurusan Perolehan Suruhanjaya Syarikat Malaysia Tingkat 25, Menara SSM@Sentral No. 0 Xxxxx Xxxxxx Xxxxxxx 0

50623 Kuala Lumpur

Tuan,

2. Kami telah meneliti kandungan sebut harga dan dengan ini kami menawarkan untuk membekalkan “Kerja-Kerja Membekal, Memasang Dan Mengujiterima Sistem Pencahayaan Jenis LED Di Tingkat 7 Dan 8, Bangunan SSM Sarawak” seperti yang telah dinyatakan di dalam dokumen Sebut Harga ini bagi jumlah harga sebanyak Ringgit Malaysia:                             

                     (RM                )

(harga tidak termasuk apa-apa cukai kerajaan).

3. Kami bersetuju untuk memulakan kerja ini dalam tempoh _         hari/ minggu/ bulan* dari tarikh Surat Setuju Terima (surat pelantikan) diterima daripada SSM serta menyempurnakan kerja ini dalam tempoh masa          hari/ minggu/ bulan* dari tarikh mula kerja. Kami juga bersetuju untuk memberi perkhidmatan yang paling memuaskan mengikut penentuan spesifikasi yang telah ditetapkan SSM.

4. Kami faham bahawa SSM tidak terikat untuk menerima tawaran terendah atau mana-mana tawaran. SSM juga berhak menerima mana-mana bahagian daripada tawaran dan tidak perlu memberikan apa-apa sebab kepada penyebut harga berhubung keputusan SSM.

Tandatangan Penyebut Harga	:	Tandatangan Saksi	:
Nama	:	Nama	:
Nombor Kad Pengenalan	:	Nombor Kad Pengenalan	:
Alamat	:	Alamat	:
Jawatan	:	Tarikh	:
Tarikh	:
Cop Syarikat/ Perniagaan/ PLT		:

Catatan: * Potong mana yang tidak berkaitan

SENARAI KUANTITI BAGI

KERJA-KERJA MEMBEKAL, MEMASANG DAN MENGUJITERIMA SISTEM PENCAHAYAAN JENIS LED DI TINGKAT 7 DAN 8, BANGUNAN SSM SARAWAK (SSM/APID/PLN1/B15/2023/PT(320))

BILL NO.1: PRELIMINARIES

ITEM	KETERANGAN	JUMLAH (RM)
A.	ELEMENT NO.1 – PRELIMINARIES AND GENERAL CONDITIONS
1.	KEEPING SITE & BUILDING CLEAN AND DRY, REMOVAL OF RUBBISH The Contractor shall pay all fees and expenses and keep the site, access, routes, roads and footpaths etc. clean and dry during the progress of the Works and periodically cart away all dirt, building rubbish and surplus materials as the work proceeds and on completion. All new and existing building elements, components, parts etc. shall be handed over to the Employer in clean conditions.
2.	TESTING AND COMMISSIONING The Contractor shall conduct testing and commissioning on building works, plumbing and sewerage, all electrical and mechanical installations as required by the S.O prior to the issuance of the Certificate of Practical Completion. All utility required for the testing and commissioning shall be borne by contractor. Join meter reading for the testing and commissioning shall be done by both S.O and contractor upon handing over.
3.	DEFECTS AFTER COMPLETION The Contractor shall allow for inspecting the Works at the end of the Defects Liability Period and for making good all defects. He shall allow for inspecting and make good such defects as may be of urgent nature during the Defects Liability Period as instructed by the S.O.

ITEM KETERANGAN JUMLAH (RM)
4.	AS BUILT DRAWINGS, OPERATING & MAINTENANCE INSTRUCTIONS, AND INVENTORY LIST The Contractor shall prepare, and shall cause his sub-contractors to prepare, “as-built” drawings indicating the actual locations, dimensions and levels of the completed works. Unless otherwise specified, the Contractor shall submit 5 sets of A1 sizes all as-built drawings, 3 set softcopy in AutoCAD in A1 sizes in CD and 1 set of A3 sizes of reduced size drawings. The Contractor shall submit 5 sets of each for any operating and maintenance instructions or manuals provided by manufacturers, suppliers or sub-contractors. These shall be bind with hardcover in book form with the name of the project embossed on the hardcover. All such as-built drawings and manuals are to be submitted to the S.O within a reasonable period before the Date of Completion or expiry of any extended time thereof. It shall be a condition precedent to the release of the performance bond that the above submissions are made and accepted by the S.O. Upon handing over the Works to the Government, the Contractor shall fill up and submit to the S.O. inventory cards for all furniture, equipment and fittings supplied and installed for the Works.
	To Collection :
	ELEMENT NO.1 – PRELIMINARIES AND GENERAL CONDITIONS (Cont’d)
5.	SITE MEETINGS The Contractor is to make arrangements for monthly consultants site meeting or when as directed by the S.O site or elsewhere as directed by the S.O. The Contractor shall provide stationeries, refreshments and record the minutes of meetings and distribute to all parties concerned within three (3) days. The S.O may instructed the Contractor to hold meeting between the nominated sub-contractors, his own sub-contractors, specialist contractors and other supplier in order to coordinate and ensure the Work programs are adhered to. Minutes of such meetings shall be circulated to the Employer and the S.O. The cost and expenses of such meeting shall be allowed in.

ITEM	KETERANGAN	JUMLAH (RM)
6.	CLEANING THE WORKS
	i. Completely remove all debris and rubbish within the buildings, around the apron and in all the drains and gutters and cart away from the site. ii. Remove paint spots from floors, walls, hardware, glass, etc iii. Clean and polish all glass, glazed tiles and stainless steel surfaces. iv. Ease all doors, windows, cupboard doors and drawers to facilitate each movement. Touch up all paint surfaces v. Check and adjust all locks vi. Ensure that all services and equipment are functioning efficiently and to the approval of the S.O. vii. Wash, clean, dry and polish all floor finishes viii. Hand over keys of all doors to the Superintending Officer. Keys shall have identifying tags attached ix. Leave the building and the surroundings clean, tidy and ready for immediate occupation.
7.	ANY OTHER ITEMS
	The Tenderer is to list down below and allow a sum/sums for the items which are not included in any of the above items but shown in the drawings and/or described in the Specifications of which is in his opinion is necessary for the proper execution of the Works a)…………………………………………………………………………… b)…………………………………………………………………………… c)……………………………………………………………………………
	To Collection :

BILL NO.1 : PRELIMINARIES

ITEM	KETERANGAN	JUMLAH (RM)
B.	ELEMENT NO.2 – CONDITIONS OF CONTRACT
1.	CIDB, LAW REGULATION AND REQUIREMENTS
	The Contractor shall comply, if required, to Part VIII of the Lembaga Pembangunan Industri Pembinaan Malaysia Act 1994 and the Construction Industry (Levy Collection) Regulations 1996, and shall submit a notification

ITEM	KETERANGAN	JUMLAH (RM)
	on Form CIDB L1/96 to the Lembaga not later than 14 days before the commencement of the Works, whichever date is earlier.
2.	SAFETY, HEALTH AND WELFARE OF WORKS PEOPLE
	Provide for all costs incurred by complying with Akta 514 – Akta Keselamatan dan Kesihatan Pekerjaan 1994 to all workpeople (including those employed by Nominated Sub-Contractor) employed on the Site. The contractor shall also allow for providing competent site safety supervisor and any other requirements to confirm with the provisions of this legislation.
3.	INSURANCE OF WORKS
	The liability shall be covered by Workmen’s Compensation (WC) and a Contractor’s All Risk (CAR) Policy which also shall include all Third Party Liabilities, Injury to Person and Property; and Fire. The policy shall be for unlimited number of occurrence/ claims with a maximum of RM500,000.00 for each occurrence/claim. The insurance policy shall provide expressly for payment in the first instance place to the Employer of any insurance monies due under the policy.
	The policy shall cover particularly the following :- i. Earthquake, volcanism, tsunami, storm, cyclone, flood, inundation, landslide, fire, lighting, explosion, tempest, ground subsidence, etc. as stated in the Conditions of Contract. ii. Strike, riots and civil commotion iii. Theft The Workmen Compensation is based on the amount of 30% of the Contract Sum. Additional coverage for the above the contract sum is added to the Insurance for fire coverage. The Contractor at his own cost shall take an All Risk Physical Damage Insurance for full replacement value of all materials and Contractor’s Equipment used, owned, leased or hired. The Contractor shall instructed all his sub-contractors and suppliers to do the same. The Contractor shall fulfill all requirements as required by the Conditions of Contract. In addition, the contractor to purchase insurance for coverage of the existing building from damages due to fire and damages due to the work in the amount of not less than RM 3 million. No excess clause shall be specified in policy or policies in effecting the above. The Contractor will be required to produce all cover notes and receipts for premiums paid in respect of all insurance for the inspection of the S.O before the commencement of any work in this Contract. There shall be no excess clauses in any of these policies.
	To Collection :
C.	ELEMENT NO.2 – CONDITIONS OF CONTRACT (Cont’d)

ITEM	KETERANGAN	JUMLAH (RM)
4.	ANY OTHER ITEMS
	The Tenderer is to list down below and allow a sum/sums for the items which are not included in any of the above items but shown in the drawings and/or described in the Specifications of which is in his opinion is necessary for the proper execution of the Works a)…………………………………………………………………………… b)…………………………………………………………………………… c)……………………………………………………………………………
	To Collection :

BILL NO.1 : PRELIMINARIES

ITEM	KETERANGAN			JUMLAH (RM)
	COLLECTION
A.	ELEMENT NO.1 – PRELIMINARIES AND GENERAL CONDITIONS
	From Page No. |	:	…………………………………………………..
	From Page No. |	:	…………………………………………………..
B.	ELEMENT NO.2 – CONDITIONS OF CONTRACT
	From Page No. |	:	…………………………………………………..
	From Page No. |	:	…………………………………………………..
	Total Bill No.1: Preliminaries carried forward

BILL NO.2 : INTERNAL LIGHTING SYSTEM

ITEM	KETERANGAN	UNIT	kuantitI	KADAR	JUMLAH (RM)
A.	ELEMENT NO.1 – CURCUIT WIRING
1.	Meter Panel Board
	To supply and install new incoming Meter Panel Board (MPB), cabling, accessories fitting & fixing, testing & commissioning, including application, document preparation and submission to SED for meter installation by authorized and competent electrical person.
	7th Floor: for unit No 7A	Set	1
	7th Floor: for unit No 7B	Set	1
	8th Floor: for unit No 8A	Set	1
	8th Floor: for unit No 8B	Set	1
	2.	Distribution board
To supply and install new Distribution board (DB) 100A TPN inclusive surge protection, MCCB, RCCB, MCB, bar wiring and other accessories;
7th Floor: for unit No 7A		Set	1
7th Floor: for unit No 7B		Set	1
8th Floor: for unit No 8A		Set	1
8th Floor: for unit No 8B		Set	1
3.		Cabling work
	To supply and install new cable wiring using 4C x 16mm PVC cable + 1C x 10mm PVC earthing cable in 2 x GI hot dipped trunking for DB power including making new route through concrete wall c/w bracket and fire stopper.
	7th Floor: for unit No 7A	Lot	1
	7th Floor: for unit No 7B	Lot	1
	8th Floor: for unit No 8A	Lot	1
	8th Floor: for unit No 8B	Lot	1
	4.	Lighting control wiring
To supply and install new lighting wiring using 2C x 1.5mm PVC cable + 1C x 1.5mm PVC earthing cable in 19mm PVC conduit high rigid impact for lighting point including 10 Amp PVC switches.
7th Floor: for unit No 7A		Nos	46
7th Floor: for unit No 7B		Nos	45
8th Floor: for unit No 8A		Nos	46
8th Floor: for unit No 8B		Nos	45
		To Collection

	ELEMENT NO.2 – LIGHT FITTING
1.	600mm x 1200mm Recessed mounted
	To supply and install new 600mm x 1200mm recessed mounted light fttg with 2 x 14.5W LED tube standard fitting (6000K) c/w aluminium mirror reflector, and accessories fitting & fixing.
	7th Floor: for unit No 7A	Nos	22
	7th Floor: for unit No 7B	Nos	19
	8th Floor: for unit No 8A	Nos	22
	8th Floor: for unit No 8B	Nos	19
	2.	600mm x 600mm Recessed mounted
To supply and install new 600mm x 600mm recessed mounted light fttg with 2 x 10.0W LED tube standard fitting (6000K) c/w aluminium mirror reflector, and accessories fitting & fixing.
7th Floor: for unit No 7A		Nos	4
7th Floor: for unit No 7B		Nos	1
8th Floor: for unit No 8A		Nos	4
8th Floor: for unit No 8B		Nos	1
3.		Surface mounted
	To supply and install 300mm x 600mm surface mounted light fttg with 1 x 10.0W LED tube standard fitting (6000K) c/w aluminium mirror reflector, and accessories fitting & fixing.
	7th Floor: for unit No 7A	Nos	2
	7th Floor: for unit No 7B	Nos	2
	8th Floor: for unit No 8A	Nos	2
	8th Floor: for unit No 8B	Nos	2
	4.	Downlight To supply and install 2 x E27 round recessed mounted downlight fttg with 2x11W E27 LED stick bulb (6000K) c/w aluminium mirror reflector and other accessories fitting & fixing.
7th Floor: for unit No 7A		Nos	13
7th Floor: for unit No 7B		Nos	18
8th Floor: for unit No 8A		Nos	13
8th Floor: for unit No 8B		Nos	18
5.		Emergency light
	To supply and install Recessed mounted LED super bright emergency light fitting c/w other accessories fitting & fixing.
	7th Floor: for unit No 7A	Nos	4
	7th Floor: for unit No 7B	Nos	4
	8th Floor: for unit No 8A	Nos	4
	8th Floor: for unit No 8B	Nos	4
		To Collection

BILL NO.2 : INTERNAL LIGHTING SYSTEM

ITEM		AMOUNT (RM)
	COLLECTION
A.	ELEMENT NO.1 – CURCUIT WIRING
	From Page No. | : …………………………………………………..
B.	ELEMENT NO.2 – LIGHT FITTING
	From Page No. | : …………………………………………………..
	Total Bill No.2 : Internal Lighting System carried forward

JADUAL HARGA BAGI

KERJA-KERJA MEMBEKAL, MEMASANG DAN MENGUJITERIMA SISTEM PENCAHAYAAN JENIS LED DI TINGKAT 7 DAN 8, BANGUNAN SSM SARAWAK (SSM/APID/PLN1/B15/2023/PT(320))

ITEM	KETERANGAN	JUMLAH (RM)
A	BILL NO.1: PRELIMINARIES
B	BILL NO.2 : INTERNAL LIGHTING SYSTEM
Jumlah Harga Keseluruhan Tidak Termasuk Cukai Perkhidmatan
Cukai Perkhidmatan (JIKA ADA)
Jumlah Harga Keseluruhan Termasuk Cukai Perkhidmatan

Nota: Harga tawaran hendaklah termasuk pakaian seragam, KWSP, PERKESO, INSURANS dan lain-lain.

Perkataan: Ringgit Malaysia …………………………………………………………………………………….

adalah harga untuk jumlah kos keseluruhan projek dan akan disiapkan dalam [ ] Bulan. Harga ini termasuk tempoh liabiliti kecacatan (DLP) selama 12 bulan selepas projek siap. Saya dengan ini mengesahkan bahawa semua maklumat di atas adalah betul dan harga yang ditawarkan adalah termasuk semua kos yang terlibat dalam melengkapkan semua terma dan syarat untuk skop kerja yang diperlukan dalam bidaan ini.

………………………………	………………………………
Tandatangan pembida	Tandatangan saksi
Nama: …………………………………………….	Nama: …………………………………………….
No I/C.: ……………………………………….….	No I/C: ………………………….……….………..
Jawatan: …………………………………………	Jawatan: …………………………….……………
Alamat: …………………………………….…….	Alamat: ……………………………….…………..
………………………………………………………..	………………………………………………………….
Xxxxxx: …………………………………………….	Xxxxxx: …………………………………….………

PROFIL SYARIKAT/ PERNIAGAAN/ PLT BAGI

KERJA-KERJA MEMBEKAL, MEMASANG DAN MENGUJITERIMA SISTEM PENCAHAYAAN JENIS LED DI TINGKAT 7 DAN 8, BANGUNAN SSM SARAWAK (SSM/APID/PLN1/B15/2023/PT(320))

PERKARA	MAKLUMAT PENYEBUT HARGA
Nama Perniagaan/ Syarikat/ PLT
Alamat Pejabat Berdaftar
Alamat Surat Menyurat (Jika berlainan)
No.Telefon
Email
Ditubuhkan Dalam/ Luar Negeri
Nombor Pendaftaran Perniagaan/ Syarikat/ PLT
Tarikh Pendaftaran
No. Pendaftaran MOF / CIDB *Mana yang berkaitan
Tarikh Pendaftaran MOF / CIDB *Mana yang berkaitan

Ekuiti Syarikat (jika berkaitan)

Asing (%)

Tempatan

(a) % Bumiputra

(b) % Bukan Bumiputra

Modal Syarikat (jika berkaitan)

Modal dibenar/ Authorised capital (RM)

Modal berbayar/ Paid Capital (RM)

Bank

Nama Bank

Alamat Bank

No. akaun

Overdraft

Kemudahan overdraft

Nilai (RM)

Nama Bank

Alamat Bank

Lembaga Pengarah Syarikat / Pemilik Perniagaan

BIL. NAMA NO.K/P WARGANEGARA

Bilangan Pekerja

KATEGORI	IBU PEJABAT	CAWANGAN	JUMLAH
Pengurus
Eksekutif
Teknikal
Pengkeranian
Lain-lain

Bidang, Sub bidang dan pecahan bidang urusan/perniagaan

KATEGORI KOD BIDANG

AKTIVITI NAMA PERKONGSIAN

(Sila sediakan dan nyatakan rujukan lampiran sekiranya ruang tidak mencukupi) Ikatan perniagaan dengan Syarikat lain (jika berkaitan)

(Sila sediakan dan nyatakan rujukan lampiran sekiranya ruang tidak mencukupi)

Lain-lain maklumat Syarikat (jika ada)

(Sila gunakan lampiran sekiranya ruang tidak mencukupi)

Adalah dengan ini saya memperakui bahawa segala keterangan di atas adalah benar

………………………………………..	………………………………………..
(Tandatangan Penyebut Harga)	(Tandatangan Saksi)
………………………………………..	………………………………………..
(Nama)	(Nama)
………………………………………..	………………………………………..
(Xxxxxx Xxx Xxxxxxxxxx)	(Xxxxxx Xxx Xxxxxxxxxx)
………………………………………..	………………………………………..
(Jawatan)	(Xxxxxxx)
………………………………………..	………………………………………..
(Cop Perniagaan/ Syarikat/ PLT)	(Cop Perniagaan/ Syarikat/ PLT)
………………………………………..	………………………………………..
(Tarikh)	(Tarikh)

LAMPIRAN C

REKOD PENGALAMAN KERJA BERKAITAN BAGI

KERJA-KERJA MEMBEKAL, MEMASANG DAN MENGUJITERIMA SISTEM PENCAHAYAAN JENIS LED DI TINGKAT 7 DAN 8, BANGUNAN SSM SARAWAK

(SSM/APID/PLN1/B15/2023/PT(320))

(Senaraikan semua bekalan dan perkhidmatan yang yang mempunyai persamaan dengan sebut harga ini yang telah / sedang dilaksanakan dalam tempoh Januari 2018 – Ogos 2023)

BIL.	NAMA PERKHIDMATAN	SKOP KERJA PERKHIDMATAN	NILAI KONTRAK (RM)	TARIKH TEMPOH KONTRAK		NAMA & ALAMAT AGENSI
				TARIKH MULA	TARIKH TAMAT

Nota: *Sila sertakan bersama salinan dokumen sokongan seperti surat pelantikan/pesanan belian tempatan/Certification of Project Completion/Project Closure Sign Off dan lain-lain.

**Sila gunakan lampiran tambahan sekiranya ruangan di atas tidak mencukupi.

Saya mengaku bahawa maklumat yang dinyatakan di atas adalah benar.

Tandatangan Nama Jawatan Cop Perniagaan/ Syarikat/ PLT Tarikh : : : : :

LAMPIRAN D

PEMATUHAN KEWANGAN BAGI

KERJA-KERJA MEMBEKAL, MEMASANG DAN MENGUJITERIMA SISTEM

PENCAHAYAAN JENIS LED DI TINGKAT 7 DAN 8, BANGUNAN SSM SARAWAK

(SSM/APID/PLN1/B15/2023/PT(320))

Sila sertakan salinan penyata bank bagi Syarikat/ Perniagaan/ PLT untuk tempoh tiga

(3) bulan terkini (Jun 2023, Julai 2023 dan Ogos 2023) [Penyata akaun bank mestilah di atas nama Perniagaan/ Syarikat/ PLT]

LAMPIRAN D

19

LAMPIRAN D

20

LAMPIRAN D

21