Bandung, 16 Sept 2019

No : 091/SPW-DIR/SS/IX/2019
Lampiran : -
Hal : Penawaran Harga Pengadaan Kendaraan Ambulance dan mobil klinik APV GX

Kepada Yth.
Pa Majid
Di Tempat

Assalamu’alaikum warahmatullahi wabarakatuh

Teriring ungkapan syukur atas segala nikmat yang Allah berikan kepada kita, semoga shalawat dan
salam selalu tercurah kepada kekasih kita Rosulullah SAW, kepada sahabat, dan ummatnya sampai
akhir zaman.

Dengan surat penawaran kami memberikan penawaran harga pengadaan ambulance dan mobil Klinik
dengan spesifikasi sebagai berikut :

TYPE Mobil TYPE KAROSERI HARGA ( Rp)

Suzuki APV GX MT AB AMBULANCE STANDAR 290,000,000
Suzuki APV GX MT AB AMBULANCE MEDIUM 310,000,000
Suzuki APV GX MT AB MOBIL KLINIK STANDAR 340,000,000
Suzuki APV GX MT AB MOBIL KLINIK MEDIUM 360,000,000

*belum termasuk PPN 10%

Demikian surat penawaran ini kami sampaikan, ditunggu kabar baik dari Ibu.

Atas perhatiannya kami sampaikan terima kasih.

Wassalamu’alaikum warahmatullahi wabarakatuh

PT SARANA SADAYA

Dadan Arus Cahyadi

Direktur
SPESIFIKASI AMBULANCE STANDAR

No Item Qty

1 Oxygen Delivery System

> Oxygen Cylinder 1M3 1 Pcs
> Oxygen Regulator 1 Pcs
> Flowmeter Oxygen with Humidifier 1 Pcs
> Nasal Oxygen Cannula with Tubing for Adult 1 Pcs
> Oxygen Mask with Tubing for Adult 1 Pcs
2 Washtafel cabinet with 2 Water Tank 1 Set
3 Attendant seat with box space for equipment - ABS Form 1 pcs
4 Box PPPK 1 Set
5 Bumper Protection for Ambulance Stretcher 1 Pcs
6 Sliding Infuse Stainless Steel 1 Pcs
7 Floor Modification Vinyl Covering Anti Bacteria 1 Set
8 LED Flash light bar include coil Filter 1 Set
Input Voltage 12 Volt
Life Time 10.000 Hours
Power Consumption 18 Watt
9 Multi Sound Sirene System, Include Microphone Paging 1 Set
Police Voice, Ambulance Voice & Fire Voice
Current Input 7.5 Ampere
Input Voltage 12 VDC
Power Output 500 Watt
10 Adjustable Lighting spot light 1 Set
11 Adjustable Examination Lamp 1 Pcs
12 Base Stretcher Stainless Steel Covering with space for Scoop Stretcher 1 Set
13 Locking and Unlocking key full Stainless Steel 1 Set
14 Fire extinguisher 1 kg with Bracket 1 Pcs
15 Sticker & Logo Standard 1 Set
16 Curtain (Tirai) Cabin & Patient 1 Pcs
17 Glass Film 60 / 80 % 1 Set
18 Keranda 1 Set
19 Ambulance Stretcher - Automatic locking leg system ensures that the 1 Pcs
cot legs are locked into place once they are fully unfolded.
20 Folding Scoop Stretcher 1 Pcs
SPESIFIKASI AMBULANCE MEDIUM

No Item Qty

1 Oxygen Delivery System

> Oxygen Cylinder 1M3 2 Pcs
> Oxygen Regulator 2 Pcs
> Flowmeter Oxygen with Humidifier 1 Pcs
> Nasal Oxygen Cannula with Tubing for Adult 1 Pcs
> Oxygen Mask with Tubing for Adult 1 Pcs
> Tubing High Pressure and Clamp Tubing 1 Set
> Oxygen Valve On / Off 1 Set
> Tap Pin Index 1 Set
> Neple Elbow 2 Pcs
> Oxygen Wall Outlet 1 Pcs
2 Stretcher - Automatic locking leg system ensures that the 1 Pcs
cot legs are locked into place once they are fully unfolded.
3 Folding Scoop Stretcher 1 Pcs
4 Attendant seat with box space for equipment - ABS Form 1 pcs
5 Bumper Protection for Ambulance Stretcher 1 Pcs
6 Sliding Infuse Stainless Steel 1 Pcs
7 Floor Modification Vinyl Covering Anti Bacteria 1 Set
8 LED Flash light bar include coil Filter 1 Set
Multi Sound Sirene System, Include Microphone Paging
9 Adjustable Lighting spot light 1 Set
10 Adjustable Examination Lamp 1 Pcs
11 Base Stretcher Stainless Steel Covering with space for Scoop Stretcher 1 Set
Locking and Unlocking key full Stainless Steel
12 Three Extra DC Outlet 1 Set
13 One Extra AC Outlets 1 Set
14 Medical Equipment Compartement system with acrylic door, 1 Set
Washtafel cabinet with 2 Water Tank, finishing Duco
15 Fire extinguisher 1 kg with Bracket 1 Pcs
16 Sticker & Logo Standard 1 Set
17 Curtain (Tirai) Cabin & Patient 1 Pcs
18 Glass Film 60 / 80 % 1 Set
19 Keranda 1 Set
20 BOX PPPK 1 Set
Spesifikasi Mobil Klinik Standar

NO SPESIFIKASI
Oxygen Delivery system
- 1 pcs oxygen cylinder 1m3
1. - 1 pcs oxygen regulator with humidifier & flowmeter
- 1 pcs nasal oxygen cannula with tubing for adult
- 1 pcs oxygen mask with tubing for adult
2. Attendant seat with box space for equipment ( material : multi flex coated with ABS form )
3. Washtafel cabinet with 2 water tank
4. Bumper protection for ambulance stretcherMaterials : plate sainless steels
5. Sliding infuse, materials : stainless steels
6. Box PPPK
7. Floor modification vinyl covering anti bacteria
LED flash light bar include coil filter
Length : 120 cm, width: 30 cm, height: 22 cm
- Input voltage 12 volt - life time 10.000 hours

8. Multi sound sirine system include microphone paging

- Police voice, ambulance voice & fire voice
- input voltage 12 VDC
- Current input 7.5 anpere
- power output 100
9. Adjustable lighting spot light, 1 pcs
10. Adjustable examination lamp, 2 pcs
11. Base stretcher full stainless steel with space for scoop stretcher locking and unlocking key
12. Fire extinguisher 1 kg with bracket
13. Sticker & logo standard
14. Glass film 60 / 80 %
Ambulance stretcher
Features and benefits
- Tubular aluminium construction provides durability & strength
- Automatic locking leg system ensures that the cot legs are locked into place aone they are fully
unfolded
- Adjustable bracket angle from 0 to 75 allows patient to be in the most com fortable position
possible during transport
- Patient restraint system ensures safety of patient during transport
15.
Specification :
Length : 186.5 cm
Width : 57 cm
Height maximum : 86.5 cm
Height minimum ( lowest level ) : 20 cm
weight : 26.5 kg
Max. load : 160 kg
Castor : 4 pc swivel
Folding scoop stretcher
Dimension :
Max. length : 227 cm
Length as folded : 122 cm
Length : 169 cm, width: 42 cm, height: 7 cm
16.
Max. load : 160 kg
Accessories : 3 safety belt
Material : - aluminium
- nylon fiber
Finishing : powder coating
 17. AED
18. EMERGENCY KIT
19. NECK COLLAR
20. AMBU ANAK
21. AMBU DEWASA
22. PULSE OXYMETER

SPESIFIKASI MOBIL KLINIK MEDIUM

NO SPESIFIKASI
Fixed central gas system
- 2 pcs oxygen cylinder 1m3
- 2 pcs oxygen regulator
- 2 pcs neple wlbow
- 1 pcs oxygen wall outlet
1. - 1 pcs nasal oxygen cannula with tubing for adult
- 1 pcs oxygen mask with tubing for adult
- 1 set tap pin index
- 1 set oxygen valve on / off
- Tubing high pressure and clamp tubing
- 1 pcs flowmeter oxygen with humidifier
2. Attendant seat with box space for equipment ( material : multi flex coated with ABS form )
Medical equipment compartement system with acrylic door, including washtafel cabinet with 2 water
3.
tank, finishing duco
4. Bumper protection for ambulance stretcherMaterials : plate sainless steels
5. Sliding infuse, materials : stainless steels
6. Three extra DC outlets
7. One extra AC outlets
8. Floor modification vinyl covering anti bacteria
LED flash light bar include coil filter
Length : 120 cm, width: 30 cm, height: 22 cm
- Input voltage 12 volt - life time 10.000 hours

9. Multi sound sirine system include microphone paging

- Police voice, ambulance voice & fire voice
- input voltage 12 VDC
- Current input 7.5 anpere
- power output 100
10. Adjustable lighting spot light, 1 pcs
11. Adjustable examination lamp, 2 pcs
12. Base stretcher full stainless steel with space for scoop stretcher locking and unlocking key
13. Fire extinguisher 1 kg with bracket
14. Sticker & logo standard
15. Glass film 60 / 80 %
Ambulance stretcher
Features and benefits
- Tubular aluminium construction provides durability & strength
- Automatic locking leg system ensures that the cot legs are locked into place aone they are fully
unfolded
16.
- Adjustable bracket angle from 0 to 75 allows patient to be in the most com fortable position
possible during transport
- Patient restraint system ensures safety of patient during transport
Specification :
Length : 186.5 cm
 Width : 57 cm
Height maximum : 86.5 cm
Height minimum ( lowest level ) : 20 cm
weight : 26.5 kg
Max. load : 160 kg
Castor : 4 pc swivel
17. Folding scoop stretcher
Dimension :
Max. length : 227 cm
Length as folded : 122 cm
Length : 169 cm, width: 42 cm, height: 7 cm
Max. load : 160 kg
Accessories : 3 safety belt
Material : - aluminium
- nylon fiber
Finishing : powder coating
18. AED
19. EMERGENCY KIT
20. NECK COLLAR
21. AMBU ANAK
22. AMBU DEWASA
23. PULSE OXYMETER

TIPE STANDAR TIPE MEDIUM