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DAFTAR KUANTITAS DAN HARGA (DKH)

PELAYANAN TATA USAHA PADA UPT RSUD MALINGPING


BELANJA MODAL PEMBANGUNAN GEDUNG IBS DAN ICU
TAHUN ANGGARAN 2021

URAIAN PEKERJAAN JUMLAH

SUB REKAPITULASI PEKERJAAN NON STANDARD


PELAYANAN TATA USAHA PADA UPT RSUD MALINGPING
BELANJA MODAL PEMBANGUNAN GEDUNG IBS DAN ICU

B. PEKERJAAN NON STANDAR

DIVISI, C.1.0. PEKERJAAN NON STANDAR ARSITEKTUR Rp. 6.339.554.228,39

DIVISI, C.2.0 PEKERJAAN NON STANDAR MEKANIKAL Rp. 19.459.447.115,95

DIVISI, C.3.0. PEKERJAAN NON STANDAR ELEKTRIKAL Rp. 1.972.579.242,50

Jumlah B. PEKERJAAN NON STANDAR Rp. 27.771.580.586,84


DAFTAR KUANTITAS DAN HARGA (DKH)
PELAYANAN TATA USAHA PADA UPT RSUD MALINGPING
BELANJA MODAL PEMBANGUNAN GEDUNG IBS DAN ICU
TAHUN ANGGARAN 2021
URAIANPEKERJAAN JUMLAH

SUB REKAPITULASI PEKERJAAN ARSITEKTUR NON STANDARD


PELAYANAN TATA USAHA PADA UPT RSUD MALINGPING
BELANJA MODAL PEMBANGUNAN GEDUNG IBS DAN ICU

DIVISI, C.1.0. PEKERJAAN NON STANDAR ARSITEKTUR

Section C.1.1. PEKERJAAN PELAPIS DINDING DAN PELAPIS LANTAI Rp. 1.154.927.364,38

Section C.1.2. FINISHING RUANG OPERASI - LANTAI 3 Rp. 5.004.814.814,01

Section C.1.3. INTERIOR Rp. 179.812.050,00

Jumlah DIVISI, C.1.0. PEKERJAAN NON STANDAR ARSITEKTUR Rp. 6.339.554.228,39


DAFTAR KUANTITAS DAN HARGA (DKH)
PELAYANAN TATA USAHA PADA UPT RSUD MALINGPING
BELANJA MODAL PEMBANGUNAN GEDUNG IBS DAN ICU
TAHUN ANGGARAN 2021
No. URAIAN PEKERJAAN VOLUME HARGA SATUAN JUMLAH

DIVISI, C.1.0. PEKERJAAN NON STANDAR ARSITEKTUR

Section C.1.1. PEKERJAAN PELAPIS DINDING DAN PELAPIS LANTAI


A. LANTAI 1
1 Memasang lantai vinyl sheet 213,93 m² Rp. 748.012,50 Rp. 160.022.314,13
2 Passbox R. Steril Suplly Uk. 800 x 800 x 500, SS Mirror, Elecktrik 2,00 unit Rp. 73.950.000,00 Rp. 147.900.000,00

B. LANTAI 2
1 Rail guard dengan wall guard Alumunium Extrude profil 122,65 m¹ Rp. 990.000,00 Rp. 121.423.500,00
(Cover Vinyl Handrail, Endcap Section)
- Alumunium Extrude profil 140mm
- Cover Vinyl Handrail 140mm
- Braket Wall
- Return Section (End Cap)
- Ongkos pasang, alat bantu dan overhead
2 Memasang lantai vinyl sheet 409,98 m² Rp. 748.012,50 Rp. 306.670.164,75

C. LANTAI 3
1 Rail guard dengan wall guard Alumunium Extrude profil 135,09 m¹ Rp. 990.000,00 Rp. 133.739.100,00
(Cover Vinyl Handrail, Endcap Section)
- Alumunium Extrude profil 140mm
- Cover Vinyl Handrail 140mm
- Braket Wall
- Return Section (End Cap)
- Ongkos pasang, alat bantu dan overhead
2 Memasang lantai vinyl sheet 381,24 m² Rp. 748.012,50 Rp. 285.172.285,50

Jumlah Section C.1.1. PEKERJAAN PELAPIS DINDING DAN PELAPIS LANTAI Rp. 1.154.927.364,38

Section C.1.2. FINISHING RUANG OPERASI - LANTAI 3


1 Ruang operasi OR-1 Ukuran 5500 x 8380 mm, h : 3 meter
a. Pengukuran dan leveling 51,80 m² Rp. 116.289,90 Rp. 6.023.816,82
b. Sandwich Panel EPS Schnell tebal : 50 mm utk dinding t = 3 meter 90,18 m² Rp. 1.275.000,00 Rp. 114.979.500,00
c. Sandwich Panel EPS Schnell tebal : 50 mm utk plafond 46,40 m² Rp. 1.275.000,00 Rp. 59.160.000,00
d. Accessories : Alumunium Curving & Consumable 1,00 lot Rp. 29.606.350,00 Rp. 29.606.350,00
e. Timbal (Pb) tebal 2mm untuk dinding 90,03 m² Rp. 2.125.000,00 Rp. 191.313.750,00
f. Timbal (Pb) tebal 2mm untuk plafond 46,40 m² Rp. 2.125.000,00 Rp. 98.600.000,00
g. LED Light 40 Watt size 1200x300x22,5mm 14,00 unit Rp. 5.376.250,00 Rp. 75.267.500,00
h. Operating Timer LED 32" (waktu, countdown, temp, humudity) 1,00 unit Rp. 25.755.000,00 Rp. 25.755.000,00
• TV LED 32", mouse wireless, HMI + kabel HDMI
i. X-Ray Film Viewer, kap. 2 NEC ukuran 800 (w) 600 (h) mm 1,00 unit Rp. 15.725.000,00 Rp. 15.725.000,00
j. Sliding Hermetic Automatic Single Door size 1600 (w) x 2150 (h) mm 1,00 unit Rp. 157.250.000,00 Rp. 157.250.000,00
• View window Uk. : 600 (w) x 400 (h) mm, anti radiasi glass 8 mm
• Frame door & Kusen ex. TORMAX
• Mesin : TORMAX
k. Passbox Lapis Pb uk. 800 x 800 x 500 mm, SS Mirror Elektrik Interlock system 2,00 unit Rp. 73.950.000,00 Rp. 147.900.000,00
• Lampu LED dia.22 mm, 220 Volt, Warna Merah & Hijau, Mekanikal Interlock
• Power Supply, Pilot Lamp, Switch, Relay, Engsel,Handle, Seal & kaca Pb 15 mm
l. Lemari Alat : SS Mirror SUS 304 uk. 1200x1600x400mm 1,00 unit Rp. 43.350.000,00 Rp. 43.350.000,00
m. Lemari Obat : SS Mirror SUS 304 uk. 600x1600x400mm 1,00 unit Rp. 43.350.000,00 Rp. 43.350.000,00
n. Information Panel size 1194 x 1050 x 200 mm 1,00 unit Rp. 83.776.000,00 Rp. 83.776.000,00
• Material Electro - Static Spraying Iron
• Enable to Install necessary : air control box, Power Switch
o. Relief Damfer size : 340 x 340 mm Hemisphere, stainless steel, dia. 250 mm 1,00 unit Rp. 12.342.000,00 Rp. 12.342.000,00
• Material Electro - Static Spraying Steel
p. Vinil Homogenous ex. Amstrong, untuk Lantai tebal 2 mm 47,43 m² Rp. 748.012,50 Rp. 35.478.232,88
• Tebal : 2 mm
• Protection : Trueshield Coating / PUR
• Antibacterial, Anti Staining, Anti Static, Anti Iodine / Pewarna, Anti Scuffing

2 Ruang operasi OR-2 Ukuran 5500 x 7375 mm, h : 3 meter


a. Pengukuran dan leveling 42,87 m² Rp. 116.289,90 Rp. 4.985.348,01
b. Sandwich Panel EPS Schnell tebal : 50 mm utk dinding t = 3 meter 87,93 m² Rp. 1.275.000,00 Rp. 112.110.750,00
c. Sandwich Panel EPS Schnell tebal : 50 mm utk plafond 40,56 m² Rp. 1.275.000,00 Rp. 51.714.000,00
d. Accessories : Alumunium Curving & Consumable 1,00 lot Rp. 29.606.350,00 Rp. 29.606.350,00
e. LED Light 40 Watt size 1200x300x22,5mm 14,00 unit Rp. 5.376.250,00 Rp. 75.267.500,00
f. Operating Timer LED 32" (waktu, countdown, temp, humudity) 1,00 unit Rp. 25.755.000,00 Rp. 25.755.000,00
• TV LED 32", mouse wireless, HMI + kabel HDMI
g. X-Ray Film Viewer, kap. 2 NEC ukuran 800 (w) 600 (h) mm 1,00 unit Rp. 15.725.000,00 Rp. 15.725.000,00
h. Sliding Hermetic Automatic Single Door size 1600 (w) x 2150 (h) mm 1,00 unit Rp. 157.250.000,00 Rp. 157.250.000,00
• View window Uk. : 600 (w) x 400 (h) mm, anti radiasi glass 8 mm
• Frame door & Kusen ex. TORMAX
• Mesin : TORMAX
DAFTAR KUANTITAS DAN HARGA (DKH)
PELAYANAN TATA USAHA PADA UPT RSUD MALINGPING
BELANJA MODAL PEMBANGUNAN GEDUNG IBS DAN ICU
TAHUN ANGGARAN 2021
No. URAIAN PEKERJAAN VOLUME HARGA SATUAN JUMLAH

i. Passbox Lapis Pb uk. 800 x 800 x 500 mm, SS Mirror Elektrik Interlock system 2,00 unit Rp. 73.950.000,00 Rp. 147.900.000,00
• Lampu LED dia.22 mm, 220 Volt, Warna Merah & Hijau, Mekanikal Interlock
• Power Supply, Pilot Lamp, Switch, Relay, Engsel,Handle, Seal & kaca Pb 15 mm
j. Lemari Alat : SS Mirror SUS 304 uk. 1200x1600x400mm 1,00 unit Rp. 43.350.000,00 Rp. 43.350.000,00
k. Lemari Obat : SS Mirror SUS 304 uk. 600x1600x400mm 1,00 unit Rp. 43.350.000,00 Rp. 43.350.000,00
l. Information Panel size 1194 x 1050 x 200 mm 1,00 unit Rp. 83.776.000,00 Rp. 83.776.000,00
• Material Electro - Static Spraying Iron
• Enable to Install necessary : air control box, Power Switch
m. Relief Damfer size : 340 x 340 mm Hemisphere, stainless steel, dia. 250 mm 1,00 unit Rp. 12.342.000,00 Rp. 12.342.000,00
• Material Electro - Static Spraying Steel
n. Vinil Homogenous ex. Amstrong, untuk Lantai tebal 2 mm 41,43 m² Rp. 748.012,50 Rp. 30.990.157,88
• Tebal : 2 mm
• Protection : Trueshield Coating / PUR
• Antibacterial, Anti Staining, Anti Static, Anti Iodine / Pewarna, Anti Scuffing

3 Ruang operasi OR-3 Ukuran 5500 x 7375 mm, h : 3 meter


a. Pengukuran dan leveling 42,87 m² Rp. 116.289,90 Rp. 4.985.348,01
b. Sandwich Panel EPS Schnell tebal : 50 mm utk dinding t = 3 meter 87,93 m² Rp. 1.275.000,00 Rp. 112.110.750,00
c. Sandwich Panel EPS Schnell tebal : 50 mm utk plafond 40,56 m² Rp. 1.275.000,00 Rp. 51.714.000,00
d. Accessories : Alumunium Curving & Consumable 1,00 lot Rp. 29.606.350,00 Rp. 29.606.350,00
e. LED Light 40 Watt size 1200x300x22,5mm 14,00 unit Rp. 5.376.250,00 Rp. 75.267.500,00
f. Operating Timer LED 32" (waktu, countdown, temp, humudity) 1,00 unit Rp. 25.755.000,00 Rp. 25.755.000,00
• TV LED 32", mouse wireless, HMI + kabel HDMI
g. X-Ray Film Viewer, kap. 2 NEC ukuran 800 (w) 600 (h) mm 1,00 unit Rp. 15.725.000,00 Rp. 15.725.000,00
h. Sliding Hermetic Automatic Single Door size 1600 (w) x 2150 (h) mm 1,00 unit Rp. 157.250.000,00 Rp. 157.250.000,00
• View window Uk. : 600 (w) x 400 (h) mm, anti radiasi glass 8 mm
• Frame door & Kusen ex. TORMAX
• Mesin : TORMAX
i. Passbox Lapis Pb uk. 800 x 800 x 500 mm, SS Mirror Elektrik Interlock system 2,00 unit Rp. 73.950.000,00 Rp. 147.900.000,00
• Lampu LED dia.22 mm, 220 Volt, Warna Merah & Hijau, Mekanikal Interlock
• Power Supply, Pilot Lamp, Switch, Relay, Engsel,Handle, Seal & kaca Pb 15 mm
j. Lemari Alat : SS Mirror SUS 304 uk. 1200x1600x400mm 1,00 unit Rp. 43.350.000,00 Rp. 43.350.000,00
k. Lemari Obat : SS Mirror SUS 304 uk. 600x1600x400mm 1,00 unit Rp. 43.350.000,00 Rp. 43.350.000,00
l. Information Panel size 1194 x 1050 x 200 mm 1,00 unit Rp. 83.776.000,00 Rp. 83.776.000,00
• Material Electro - Static Spraying Iron
• Enable to Install necessary : air control box, Power Switch
m. Relief Damfer size : 340 x 340 mm Hemisphere, stainless steel, dia. 250 mm 1,00 unit Rp. 12.342.000,00 Rp. 12.342.000,00
• Material Electro - Static Spraying Steel
n. Vinil Homogenous ex. Amstrong, untuk Lantai tebal 2 mm 41,43 m² Rp. 748.012,50 Rp. 30.990.157,88
• Tebal : 2 mm
• Protection : Trueshield Coating / PUR
• Antibacterial, Anti Staining, Anti Static, Anti Iodine / Pewarna, Anti Scuffing

4 Ruang operasi OR-4 Ukuran 5500 x 8675 mm, h : 3 meter


a. Pengukuran dan leveling 51,80 m² Rp. 116.289,90 Rp. 6.023.816,82
b. Sandwich Panel EPS Schnell tebal : 50 mm utk dinding t = 3 meter 95,73 m² Rp. 1.275.000,00 Rp. 122.055.750,00
c. Sandwich Panel EPS Schnell tebal : 50 mm utk plafond 47,70 m² Rp. 1.275.000,00 Rp. 60.817.500,00
d. Accessories : Alumunium Curving & Consumable 1,00 lot Rp. 29.606.350,00 Rp. 29.606.350,00
e. LED Light 40 Watt size 1200x300x22,5mm 14,00 unit Rp. 5.376.250,00 Rp. 75.267.500,00
f. Operating Timer LED 32" (waktu, countdown, temp, humudity) 1,00 unit Rp. 25.755.000,00 Rp. 25.755.000,00
• TV LED 32", mouse wireless, HMI + kabel HDMI
g. X-Ray Film Viewer, kap. 2 NEC ukuran 800 (w) 600 (h) mm 1,00 unit Rp. 15.725.000,00 Rp. 15.725.000,00
h. Sliding Hermetic Automatic Single Door size 1600 (w) x 2150 (h) mm 1,00 unit Rp. 157.250.000,00 Rp. 157.250.000,00
• View window Uk. : 600 (w) x 400 (h) mm, anti radiasi glass 8 mm
• Frame door & Kusen ex. TORMAX
• Mesin : TORMAX
i. Passbox Lapis Pb uk. 800 x 800 x 500 mm, SS Mirror Elektrik Interlock system 2,00 unit Rp. 73.950.000,00 Rp. 147.900.000,00
• Lampu LED dia.22 mm, 220 Volt, Warna Merah & Hijau, Mekanikal Interlock
• Power Supply, Pilot Lamp, Switch, Relay, Engsel,Handle, Seal & kaca Pb 15 mm
j. Lemari Alat : SS Mirror SUS 304 uk. 1200x1600x400mm 1,00 unit Rp. 43.350.000,00 Rp. 43.350.000,00
k. Lemari Obat : SS Mirror SUS 304 uk. 600x1600x400mm 1,00 unit Rp. 43.350.000,00 Rp. 43.350.000,00
l. Information Panel size 1194 x 1050 x 200 mm 1,00 unit Rp. 83.776.000,00 Rp. 83.776.000,00
• Material Electro - Static Spraying Iron
• Enable to Install necessary : air control box, Power Switch
m. Relief Damfer size : 340 x 340 mm Hemisphere, stainless steel, dia. 250 mm 1,00 unit Rp. 12.342.000,00 Rp. 12.342.000,00
• Material Electro - Static Spraying Steel
n. Vinil Homogenous ex. Amstrong, untuk Lantai tebal 2 mm 48,77 m² Rp. 748.012,50 Rp. 36.480.569,63
• Tebal : 2 mm
• Protection : Trueshield Coating / PUR
• Antibacterial, Anti Staining, Anti Static, Anti Iodine / Pewarna, Anti Scuffing

5 Ruang operasi OR-5 Ukuran 5500 x 5700 mm, h : 3 meter


a. Pengukuran dan leveling 34,31 m² Rp. 116.289,90 Rp. 3.989.906,47
b. Sandwich Panel EPS Schnell tebal : 50 mm utk dinding t = 3 meter 77,88 m² Rp. 1.275.000,00 Rp. 99.297.000,00
c. Sandwich Panel EPS Schnell tebal : 50 mm utk plafond 31,35 m² Rp. 1.275.000,00 Rp. 39.971.250,00
DAFTAR KUANTITAS DAN HARGA (DKH)
PELAYANAN TATA USAHA PADA UPT RSUD MALINGPING
BELANJA MODAL PEMBANGUNAN GEDUNG IBS DAN ICU
TAHUN ANGGARAN 2021
No. URAIAN PEKERJAAN VOLUME HARGA SATUAN JUMLAH

d. Accessories : Alumunium Curving & Consumable 1,00 lot Rp. 29.606.350,00 Rp. 29.606.350,00
e. LED Light 40 Watt size 1200x300x22,5mm 14,00 unit Rp. 5.376.250,00 Rp. 75.267.500,00
f. Operating Timer LED 32" (waktu, countdown, temp, humudity) 1,00 unit Rp. 25.755.000,00 Rp. 25.755.000,00
• TV LED 32", mouse wireless, HMI + kabel HDMI
g. X-Ray Film Viewer, kap. 2 NEC ukuran 800 (w) 600 (h) mm 1,00 unit Rp. 15.725.000,00 Rp. 15.725.000,00
h. Sliding Hermetic Automatic Single Door size 1600 (w) x 2150 (h) mm 1,00 unit Rp. 157.250.000,00 Rp. 157.250.000,00
• View window Uk. : 600 (w) x 400 (h) mm, anti radiasi glass 8 mm
• Frame door & Kusen ex. TORMAX
• Mesin : TORMAX
i. Passbox Lapis Pb uk. 800 x 800 x 500 mm, SS Mirror Elektrik Interlock system 2,00 unit Rp. 73.950.000,00 Rp. 147.900.000,00
• Lampu LED dia.22 mm, 220 Volt, Warna Merah & Hijau, Mekanikal Interlock
• Power Supply, Pilot Lamp, Switch, Relay, Engsel,Handle, Seal & kaca Pb 15 mm
j. Lemari Alat : SS Mirror SUS 304 uk. 1200x1600x400mm 1,00 unit Rp. 43.350.000,00 Rp. 43.350.000,00
k. Lemari Obat : SS Mirror SUS 304 uk. 600x1600x400mm 1,00 unit Rp. 43.350.000,00 Rp. 43.350.000,00
l. Information Panel size 1194 x 1050 x 200 mm 1,00 unit Rp. 83.776.000,00 Rp. 83.776.000,00
• Material Electro - Static Spraying Iron
• Enable to Install necessary : air control box, Power Switch
m. Relief Damfer size : 340 x 340 mm Hemisphere, stainless steel, dia. 250 mm 1,00 unit Rp. 12.342.000,00 Rp. 12.342.000,00
• Material Electro - Static Spraying Steel
n. Vinil Homogenous ex. Amstrong, untuk Lantai tebal 2 mm 31,97 m² Rp. 748.012,50 Rp. 23.913.959,63
• Tebal : 2 mm
• Protection : Trueshield Coating / PUR
• Antibacterial, Anti Staining, Anti Static, Anti Iodine / Pewarna, Anti Scuffing

6 Stainless Steel Scrub Sink For 3 Person 3,00 unit Rp. 178.500.000,00 Rp. 535.500.000,00
Product Feature :
Bak Scrup Station be hospital Equipment automatic Sensor, automatic hand drayer and shoap,
stainless steel plat 1.2mm, finishing polished dimensi 240 x 65 x 185, Power Suplay 250W 220
V AC 50 Hz Filtering & UV Sterilizer system, Filter : 1 Pcs main filter 5 micron UV lamp 2 pcs
30 W, 3 Faucets, Water Heater

Jumlah Section C.1.2. FINISHING RUANG OPERASI - LANTAI 3 Rp. 5.004.814.814,01

Section C.1.3. INTERIOR


A. LANTAI 1
1 Pembuatan meja counter 3,85 m¹ Rp. 3.015.000,00 Rp. 11.607.750,00
• Multiplek playwood 18 mm
• Finishing HPL
• List edging PVC 22 mm
• Profil Stainless SUS.304
• Stop kontak
• Assesoris dekson
2 Pemasangan Laci/Rak Dibawah Meja (produksi, racik, dekontaminasi dan linen store) 38,17 m¹ Rp. 1.750.000,00 Rp. 66.797.500,00
• Multiplek playwood 18 mm
• Finishing HPL
• Assesoris dekson

B. LANTAI 2
1 Pembuatan meja nurse station (ruang PICU dan ICU) 14,68 m¹ Rp. 3.015.000,00 Rp. 44.260.200,00
• Multiplek playwood 18 mm
• Finishing HPL
• List edging PVC 22 mm
• Profil Stainless SUS.304
• Stop kontak
• Assesoris dekson
2 Pemasangan Laci/Rak Dibawah Meja (pantry) 1,85 m¹ Rp. 1.750.000,00 Rp. 3.237.500,00
• Multiplek playwood 18 mm
• Finishing HPL
• Assesoris dekson
3 Pemasangan hospital & curtain rail (ruang ICU) 47,30 m¹ Rp. 454.500,00 Rp. 21.497.850,00

C. LANTAI 3
1 Pembuatan meja nurse station 10,75 m¹ Rp. 3.015.000,00 Rp. 32.411.250,00
• Multiplek playwood 18 mm
• Finishing HPL
• List edging PVC 22 mm
• Profil Stainless SUS.304
• Stop kontak
• Assesoris dekson

Jumlah Section C.1.3. INTERIOR Rp. 179.812.050,00


DAFTAR KUANTITAS DAN HARGA (DKH)
PELAYANAN TATA USAHA PADA UPT RSUD MALINGPING
BELANJA MODAL PEMBANGUNAN GEDUNG IBS DAN ICU
TAHUN ANGGARAN 2021
URAIAN P E K E R J A A N JUMLAH

SUB REKAPITULASI PEKERJAAN MEKANIKAL NON STANDARD


PELAYANAN TATA USAHA PADA UPT RSUD MALINGPING
BELANJA MODAL PEMBANGUNAN GEDUNG IBS DAN ICU

DIVISI, C.2.0 PEKERJAAN NON STANDAR MEKANIKAL

Section C.2.1. PEKERJAAN HYDRANT DAN SPRINKLER Rp. 1.762.023.472,45

Section C.2.2. Sistem MEDICAL GAS Rp. 902.476.180,00

Section C.2.3. PEKERJAAN AIR CONDITIONING Rp. 10.215.507.494,50

Section C.2.4. PEKERJAAN PENGADAAN DAN PEMASANGAN ELEVATOR Rp. 2.411.741.500,00

Section C.2.5. PEKERJAAN PENGADAAN DAN PEMASANGAN PNEUMATIC TUBE SYSTEM (PTS) Rp. 4.167.698.469,00

Jumlah DIVISI, C.2.0 PEKERJAAN NON STANDAR MEKANIKAL Rp. 19.459.447.115,95


DAFTAR KUANTITAS DAN HARGA (DKH)
PELAYANAN TATA USAHA PADA UPT RSUD MALINGPING
BELANJA MODAL PEMBANGUNAN GEDUNG IBS DAN ICU
TAHUN ANGGARAN 2021
No. URAIAN PEKERJAAN VOLUME HARGA SATUAN JUMLAH

DIVISI, C.2.0 PEKERJAAN NON STANDAR MEKANIKAL

Section C.2.1. PEKERJAAN HYDRANT DAN SPRINKLER


A. Lantai 1
1 Pengadaan & Pemasangan Instalasi Hydrant
a. Fire Hose Cabinet ( FHC ), 125 x 75 x 18 cm 2,00 unit Rp. 4.736.250,00 Rp. 9.472.500,00
~ Hydrant box 125 x 75 x 18 cm (1 bh)
~ Jet star fire hose 1.5" x 30 m (1 rol)
~ Hydrant valve ozeki 1.5" (1 bh)
~ Seamless nozzle 1.5" (1 bh)
~ Hose rack 1.5" (1 bh)
b. Fire extinguisher (ABC type 6 kg) inc. bracket 7,00 bh Rp. 1.706.085,00 Rp. 11.942.595,00
c. Pemipaan BSP Schedule 40 termasuk fitting, sambungan, penggantung
dan alat bantu lainnya :
c1. BSP Sch.40 diameter 150 mm (dari shaft ke area pompa existing) 11,00 m¹ Rp. 587.545,31 Rp. 6.462.998,44
~ Galian tanah
~ Urugan kembali
~ Pasir urug tebal 5 cm
c2. BSP Sch.40 diameter 100 mm 2,50 m¹ Rp. 355.541,06 Rp. 888.852,66
c3. BSP Sch.40 diameter 65 mm 39,77 m¹ Rp. 203.544,56 Rp. 8.094.967,25
c4. BSP Sch.40 diameter 40 mm 4,10 m¹ Rp. 113.703,75 Rp. 466.185,38
2 Pengadaan & Pemasangan Instalasi Sprinkler
a. Pemipaan BSP Schedule 40 termasuk fitting, sambungan, penggantung
dan alat bantu lainnya :
a1. BSP Sch.40 diameter 125 mm (dari shaft ke area pompa existing), 65,31 m¹ Rp. 430.810,31 Rp. 28.136.221,51
termasuk pekerjaan :
~ Galian tanah
~ Urugan kembali
~ Pasir urug tebal 5 cm
a2. BSP Sch.40 diameter 25 mm 131,23 m¹ Rp. 69.244,88 Rp. 9.087.004,95
a3. BSP Sch.40 diameter 32 mm 13,26 m¹ Rp. 87.652,13 Rp. 1.162.267,18
a4. BSP Sch.40 diameter 40 mm 25,33 m¹ Rp. 113.703,75 Rp. 2.880.115,99
a5. BSP Sch.40 diameter 50 mm 35,57 m¹ Rp. 135.573,75 Rp. 4.822.358,29
a6. BSP Sch.40 diameter 65 mm 17,16 m¹ Rp. 203.544,56 Rp. 3.492.824,69
a7. BSP Sch.40 diameter 75 mm 15,00 m¹ Rp. 247.284,56 Rp. 3.709.268,44
a8. BSP Sch.40 diameter 80 mm 33,73 m¹ Rp. 247.284,56 Rp. 8.340.908,29
b. Sprinkler head pendant type c/w ceiling plate 74,00 bh Rp. 113.355,00 Rp. 8.388.270,00
c. Flashing valve diameter 50 mm 1,00 bh Rp. 6.517.710,00 Rp. 6.517.710,00
d. Gate Valve dia 80 mm ( kontrol valve ) 1,00 bh Rp. 27.162.585,00 Rp. 27.162.585,00
e. Branch Control Valve ( BCV ) dia. 80 mm 1,00 set Rp. 18.438.750,00 Rp. 18.438.750,00

B. Lantai 2
1 Pengadaan & Pemasangan Instalasi Hydrant
a. Fire Hose Cabinet ( FHC ), 125 x 75 x 18 cm 1,00 unit Rp. 4.736.250,00 Rp. 4.736.250,00
~ Hydrant box 125 x 75 x 18 cm (1 bh)
~ Jet star fire hose 1.5" x 30 m (1 rol)
~ Hydrant valve ozeki 1.5" (1 bh)
~ Seamless nozzle 1.5" (1 bh)
~ Hose rack 1.5" (1 bh)
b. Fire extinguisher (ABC type 6 kg) inc. bracket 8,00 bh Rp. 1.706.085,00 Rp. 13.648.680,00
c. Pemipaan BSP Schedule 40 termasuk fitting, sambungan,
Pemipaan BSP Schedule 40 termasuk fitting, sambungan, penggantung
dan alat bantu lainnya :
c1. BSP Sch.40 diameter 65 mm 34,49 m¹ Rp. 203.544,56 Rp. 7.020.251,96
c2. BSP Sch.40 diameter 40 mm 2,05 m¹ Rp. 113.703,75 Rp. 233.092,69
2 Pengadaan & Pemasangan Instalasi Sprinkler
a. Pemipaan BSP Schedule 40 termasuk fitting, sambungan, penggantung
dan alat bantu lainnya :
a1. BSP Sch.40 diameter 25 mm 129,60 m¹ Rp. 69.244,88 Rp. 8.974.135,80
a2. BSP Sch.40 diameter 32 mm 17,40 m¹ Rp. 87.652,13 Rp. 1.525.146,98
a3. BSP Sch.40 diameter 40 mm 17,59 m¹ Rp. 113.703,75 Rp. 2.000.048,96
a4. BSP Sch.40 diameter 50 mm 24,93 m¹ Rp. 135.573,75 Rp. 3.379.853,59
a5. BSP Sch.40 diameter 65 mm 12,35 m¹ Rp. 203.544,56 Rp. 2.513.775,35
a6. BSP Sch.40 diameter 75 mm 14,22 m¹ Rp. 247.284,56 Rp. 3.516.386,48
a7. BSP Sch.40 diameter 80 mm 33,04 m¹ Rp. 247.284,56 Rp. 8.170.281,95
a8. BSP Sch.40 diameter 100 mm 3,89 m¹ Rp. 355.541,06 Rp. 1.383.054,73
b. Sprinkler head pendant type c/w ceiling plate 75,00 bh Rp. 113.355,00 Rp. 8.501.625,00
c. Flashing valve diameter 50 mm 1,00 bh Rp. 6.517.710,00 Rp. 6.517.710,00
d. Gate Valve dia 100 mm ( kontrol valve ) 1,00 bh Rp. 36.649.710,00 Rp. 36.649.710,00
e. Branch Control Valve ( BCV ) dia. 80 mm 1,00 set Rp. 18.438.750,00 Rp. 18.438.750,00
DAFTAR KUANTITAS DAN HARGA (DKH)
PELAYANAN TATA USAHA PADA UPT RSUD MALINGPING
BELANJA MODAL PEMBANGUNAN GEDUNG IBS DAN ICU
TAHUN ANGGARAN 2021
No. URAIAN PEKERJAAN VOLUME HARGA SATUAN JUMLAH

C. Lantai 3
1 Pengadaan & Pemasangan Instalasi Hydrant
a. Fire Hose Cabinet ( FHC ), 125 x 75 x 18 cm 1,00 unit Rp. 4.736.250,00 Rp. 4.736.250,00
~ Hydrant box 125 x 75 x 18 cm (1 bh)
~ Jet star fire hose 1.5" x 30 m (1 rol)
~ Hydrant valve ozeki 1.5" (1 bh)
~ Seamless nozzle 1.5" (1 bh)
~ Hose rack 1.5" (1 bh)
b. Fire extinguisher (ABC type 6 kg) inc. bracket 7,00 bh Rp. 1.706.085,00 Rp. 11.942.595,00
c. Pemipaan BSP Schedule 40 termasuk fitting, sambungan, penggantung
dan alat bantu lainnya :
c1. BSP Sch.40 diameter 65 mm 5,00 m¹ Rp. 203.544,56 Rp. 1.017.722,81
c2. BSP Sch.40 diameter 40 mm 2,05 m¹ Rp. 113.703,75 Rp. 233.092,69
2 Pengadaan & Pemasangan Instalasi Sprinkler
a. Pemipaan BSP Schedule 40 termasuk fitting, sambungan, penggantung
dan alat bantu lainnya :
a1. BSP Sch.40 diameter 25 mm 86,00 m¹ Rp. 69.244,88 Rp. 5.955.059,25
a2. BSP Sch.40 diameter 32 mm 7,30 m¹ Rp. 87.652,13 Rp. 639.860,51
a3. BSP Sch.40 diameter 40 mm 13,79 m¹ Rp. 113.703,75 Rp. 1.567.974,71
a4. BSP Sch.40 diameter 50 mm 20,34 m¹ Rp. 135.573,75 Rp. 2.757.570,08
a5. BSP Sch.40 diameter 65 mm 11,80 m¹ Rp. 203.544,56 Rp. 2.401.825,84
a6. BSP Sch.40 diameter 75 mm 21,50 m¹ Rp. 247.284,56 Rp. 5.316.618,09
a7. BSP Sch.40 diameter 80 mm 3,00 m¹ Rp. 247.284,56 Rp. 741.853,69
b. Sprinkler head pendant type c/w ceiling plate 43,00 bh Rp. 113.355,00 Rp. 4.874.265,00
c. Flashing valve diameter 50 mm 1,00 bh Rp. 6.517.710,00 Rp. 6.517.710,00
d. Gate Valve dia 75 mm ( kontrol valve ) 1,00 bh Rp. 22.602.960,00 Rp. 22.602.960,00
e. Branch Control Valve ( BCV ) dia. 80 mm 1,00 set Rp. 18.438.750,00 Rp. 18.438.750,00

D. Instalasi Pemadam Kebakaran Ruang OK


1 Area : OK 1 s.d OK 4 (Fire Suppression Inergen Selector Valve Systems)
a. Cylinder 80-300 M25 UL&FM 24m³ 4,00 bh Rp. 50.870.250,00 Rp. 203.481.000,00
b. Ci IV8-300 Manosw Plug c/w Low Pressure 4,00 bh Rp. 13.248.000,00 Rp. 52.992.000,00
c. Discharge Hose 4,00 bh Rp. 2.363.250,00 Rp. 9.453.000,00
d. Ci IS8 Solenoid Actuator w/ manual 4,00 bh Rp. 13.989.750,00 Rp. 55.959.000,00
e. Nozzles 7,00 bh Rp. 2.156.250,00 Rp. 15.093.750,00
f. SV 22 Zone kit 4,00 set Rp. 47.679.000,00 Rp. 190.716.000,00
g. SV CiV Start kit 4,00 set Rp. 7.693.500,00 Rp. 30.774.000,00
h. SV 22 Next Kit (Connecting Hose) 3,00 bh Rp. 2.328.750,00 Rp. 6.986.250,00
i. SV22 Brass Manifold and Orifice MT 4 1,00 set Rp. 18.940.500,00 Rp. 18.940.500,00
j. SV Test Port 4,00 bh Rp. 3.501.750,00 Rp. 14.007.000,00
k. End Plug Kit 1,00 bh Rp. 5.589.000,00 Rp. 5.589.000,00
l. SV Discharge Pressure Switch 4,00 bh Rp. 12.592.500,00 Rp. 50.370.000,00
2 Area : OK 5 (Fire Suppression Inergen Single Systems)
a. Cylinder 80-300 M25 UL&FM 24m³ 3,00 bh Rp. 50.870.250,00 Rp. 152.610.750,00
b. Ci IV8-300 Manosw Plug c/w Low Pressure Switch 3,00 bh Rp. 13.248.000,00 Rp. 39.744.000,00
c. Discharge Hose 3,00 bh Rp. 2.363.250,00 Rp. 7.089.750,00
d. Ci IS8 Solenoid Actuator w/ manual 1,00 bh Rp. 13.989.750,00 Rp. 13.989.750,00
e. Nozzles 1,00 bh Rp. 2.156.250,00 Rp. 2.156.250,00
f. Manifold and Orifice MT 3 1,00 set Rp. 7.331.250,00 Rp. 7.331.250,00
3 Panel & Detection Control System : Vigilant-Edwards (UTC)
a. Addressable Fire Suppression Control Unit VS1 1,00 bh Rp. 37.950.000,00 Rp. 37.950.000,00
b. Input Module 3,00 bh Rp. 1.638.750,00 Rp. 4.916.250,00
c. Releasing Module 5,00 bh Rp. 10.608.750,00 Rp. 53.043.750,00
d. Output Module 10,00 bh Rp. 2.415.000,00 Rp. 24.150.000,00
e. Intelligent Photoelectric Smoke Detector 16,00 bh Rp. 2.104.500,00 Rp. 33.672.000,00
f. Manual Release - Single Action 5,00 bh Rp. 2.449.500,00 Rp. 12.247.500,00
g. Abort Switch 5,00 bh Rp. 2.380.500,00 Rp. 11.902.500,00
h. Bell 5,00 bh Rp. 1.725.000,00 Rp. 8.625.000,00
i. Horn & Strobe 5,00 bh Rp. 2.294.250,00 Rp. 11.471.250,00
j. Warning Lamp ( Gas Discharge) 5,00 bh Rp. 3.467.250,00 Rp. 17.336.250,00
k. Warning Lamp ( Evacuate) 5,00 bh Rp. 3.467.250,00 Rp. 17.336.250,00
l. Service Disconnect Switch 1,00 bh Rp. 2.380.500,00 Rp. 2.380.500,00
4 Panel & Detection Control System : Vigilant-Edwards (UTC) 1,00 ls Rp. 166.847.000,00 Rp. 166.847.000,00
a. Pipe ASTM A53/A106 Seamless Sch. 40
b. Pipe Fitting Class 3000
c. Support, Accessories & Tools
d. NYA 1.5 mm, AWG 18 (Belden) & PVC High Impact Conduit (Clipsal)
e. Engineering Cost
f. Labor Cost & Accomodation
g. Testing & Commissioning - Simulation Only - Non Discharge Test
DAFTAR KUANTITAS DAN HARGA (DKH)
PELAYANAN TATA USAHA PADA UPT RSUD MALINGPING
BELANJA MODAL PEMBANGUNAN GEDUNG IBS DAN ICU
TAHUN ANGGARAN 2021
No. URAIAN PEKERJAAN VOLUME HARGA SATUAN JUMLAH

E. SHAFT / RISER
1 Pemipaan BSP Schedule 40 termasuk fitting, sambungan, penggantung
dan alat bantu lainnya :
a. Sistem Hydrant
~ Diameter 150 mm 6,27 m¹ Rp. 587.545,31 Rp. 3.683.909,11
~ Diameter 100 mm 4,20 m¹ Rp. 355.541,06 Rp. 1.493.272,46
~ Diameter 65 mm 4,50 m¹ Rp. 203.544,56 Rp. 915.950,53
b. Sistem Sprinkler
~ Diameter 125 mm 6,27 m¹ Rp. 430.810,31 Rp. 2.701.180,66
~ Diameter 100 mm 4,20 m¹ Rp. 355.541,06 Rp. 1.493.272,46
~ Diameter 75 mm 4,50 m¹ Rp. 247.284,56 Rp. 1.112.780,53
2 Pengadaan & Pemasangan Gate Valve :
a. Diameter 25 mm 2,00 bh Rp. 6.466.230,00 Rp. 12.932.460,00
b. Diameter 65 mm 2,00 bh Rp. 21.889.710,00 Rp. 43.779.420,00
c. Diameter 100 mm 1,00 bh Rp. 36.649.710,00 Rp. 36.649.710,00
3 Pengadaan & Pemasangan Automatic Air Vent ( AAV ) 1,00 bh Rp. 1.680.772,50 Rp. 1.680.772,50

Jumlah Section C.2.1. PEKERJAAN HYDRANT DAN SPRINKLER Rp. 1.762.023.472,45

Section C.2.2. Sistem MEDICAL GAS


A. Instalasi Pipa Utama dan Shaft
1 Pipa Tembaga ASTM B 819 Type L
a, Diameter 5/8" 41,00 m¹ Rp. 203.600,00 Rp. 8.347.600,00
b. Diameter 3/4" 41,00 m¹ Rp. 258.300,00 Rp. 10.590.300,00
c. Diameter 7/8" 30,00 m¹ Rp. 322.400,00 Rp. 9.672.000,00
d. Diameter 1 1/8" 51,00 m¹ Rp. 466.100,00 Rp. 23.771.100,00
e. Diameter 1 3/8" 21,00 m¹ Rp. 617.300,00 Rp. 12.963.300,00
2 Ball Valve 1 1/4" 4,00 bh Rp. 632.500,00 Rp. 2.530.000,00
3 Ball Valve 1 " 4,00 bh Rp. 467.500,00 Rp. 1.870.000,00
4 Ball Valve 3/4 " 2,00 bh Rp. 346.500,00 Rp. 693.000,00
5 Ball Valve 1/2 " 1,00 bh Rp. 275.000,00 Rp. 275.000,00
6 Supporting Material 1,00 ls Rp. 3.267.215,00 Rp. 3.267.215,00

B. Instalasi Dalam Bangunan


Lantai 2
B.1. Pekerjaan Pemipaan
a. Instalasi Jaringan Oksigen
→ Pipa Tembaga ASTM B 819 Type L
~ Diameter 3/8" 54,00 m¹ Rp. 89.200,00 Rp. 4.816.800,00
~ Diameter 1/2" 47,00 m¹ Rp. 143.100,00 Rp. 6.725.700,00
~ Diameter 5/8" 35,00 m¹ Rp. 203.600,00 Rp. 7.126.000,00
~ Diameter 3/4" 39,00 m¹ Rp. 258.300,00 Rp. 10.073.700,00
→ Supporting Material 1,00 ls Rp. 1.437.110,00 Rp. 1.437.110,00
b. Instalasi Jaringan Comp. Air
→ Pipa Tembaga ASTM B 819 Type L
~ Diameter 3/8" 54,00 m¹ Rp. 89.200,00 Rp. 4.816.800,00
~ Diameter 1/2" 47,00 m¹ Rp. 143.100,00 Rp. 6.725.700,00
~ Diameter 5/8" 35,00 m¹ Rp. 203.600,00 Rp. 7.126.000,00
~ Diameter 3/4" 39,00 m¹ Rp. 258.300,00 Rp. 10.073.700,00
→ Supporting Material 1,00 ls Rp. 1.437.110,00 Rp. 1.437.110,00
c. Instalasi Jaringan Vacuum
→ Pipa Tembaga ASTM B 819 Type L
~ Diameter 1/2" 54,00 m¹ Rp. 143.100,00 Rp. 7.727.400,00
~ Diameter 5/8" 47,00 m¹ Rp. 203.600,00 Rp. 9.569.200,00
~ Diameter 3/4" 35,00 m¹ Rp. 258.300,00 Rp. 9.040.500,00
~ Diameter 7/8" 39,00 m¹ Rp. 322.400,00 Rp. 12.573.600,00
→ Supporting Material 1,00 ls Rp. 1.945.535,00 Rp. 1.945.535,00
B.2. Peralatan dalam Ruangan
- Wall Outlet Oxygen (O), pin index, push type 16,00 bh Rp. 2.065.400,00 Rp. 33.046.400,00
- Wall Outlet Compressed Air (A), pin index, push type 16,00 bh Rp. 2.065.400,00 Rp. 33.046.400,00
- Wall Outlet Vacuum (V), pin index, push type, slide base 16,00 bh Rp. 2.065.400,00 Rp. 33.046.400,00
- Zone Valve 3 Gas With Area Alarm 3 Gas (O, A, V) 1,00 set Rp. 23.111.000,00 Rp. 23.111.000,00
- Ball Valve 3/4 " 2,00 bh Rp. 346.500,00 Rp. 693.000,00

Lantai 3
B.1. Pekerjaan Pemipaan
a. Instalasi Jaringan Oksigen
→ Pipa Tembaga ASTM B 819 Type L
~ Diameter 3/8" 65,00 m¹ Rp. 89.200,00 Rp. 5.798.000,00
~ Diameter 1/2" 92,00 m¹ Rp. 143.100,00 Rp. 13.165.200,00
~ Diameter 5/8" 72,00 m¹ Rp. 203.600,00 Rp. 14.659.200,00
~ Diameter 3/4" 33,00 m¹ Rp. 258.300,00 Rp. 8.523.900,00
→ Supporting Material 1,00 ls Rp. 2.107.315,00 Rp. 2.107.315,00
DAFTAR KUANTITAS DAN HARGA (DKH)
PELAYANAN TATA USAHA PADA UPT RSUD MALINGPING
BELANJA MODAL PEMBANGUNAN GEDUNG IBS DAN ICU
TAHUN ANGGARAN 2021
No. URAIAN PEKERJAAN VOLUME HARGA SATUAN JUMLAH

b. Instalasi Jaringan Nitrous Oxide


→ Pipa Tembaga ASTM B 819 Type L
~ Diameter 3/8" 30,00 m¹ Rp. 89.200,00 Rp. 2.676.000,00
~ Diameter 1/2" 59,00 m¹ Rp. 143.100,00 Rp. 8.442.900,00
~ Diameter 5/8" 87,00 m¹ Rp. 203.600,00 Rp. 17.713.200,00
→ Supporting Material 1,00 ls Rp. 1.441.605,00 Rp. 1.441.605,00
c. Instalasi Jaringan Comp. Air
→ Pipa Tembaga ASTM B 819 Type L
~ Diameter 3/8" 65,00 m¹ Rp. 89.200,00 Rp. 5.798.000,00
~ Diameter 1/2" 92,00 m¹ Rp. 143.100,00 Rp. 13.165.200,00
~ Diameter 5/8" 72,00 m¹ Rp. 203.600,00 Rp. 14.659.200,00
~ Diameter 3/4" 33,00 m¹ Rp. 258.300,00 Rp. 8.523.900,00
→ Supporting Material 1,00 ls Rp. 2.107.315,00 Rp. 2.107.315,00
d. Instalasi Jaringan Vacuum
→ Pipa Tembaga ASTM B 819 Type L
~ Diameter 1/2" 65,00 m¹ Rp. 143.100,00 Rp. 9.301.500,00
~ Diameter 5/8" 92,00 m¹ Rp. 203.600,00 Rp. 18.731.200,00
~ Diameter 3/4" 72,00 m¹ Rp. 258.300,00 Rp. 18.597.600,00
~ Diameter 7/8" 33,00 m¹ Rp. 322.400,00 Rp. 10.639.200,00
→ Supporting Material 1,00 ls Rp. 2.863.475,00 Rp. 2.863.475,00
e. Instalasi Jaringan AGSS
→ Pipa Tembaga ASTM B 819 Type L
~ Diameter 3/8" 23,00 m¹ Rp. 89.200,00 Rp. 2.051.600,00
~ Diameter 1/2" 30,00 m¹ Rp. 143.100,00 Rp. 4.293.000,00
→ Supporting Material 1,00 ls Rp. 6.344.600,00 Rp. 6.344.600,00

B.2. Peralatan dalam Ruangan


• Wall Outlet Oxygen (O), pin index, push type 15,00 bh Rp. 2.065.400,00 Rp. 30.981.000,00
• Wall Outlet Nitrous Oxide (N), pin index, push type 5,00 bh Rp. 2.065.400,00 Rp. 10.327.000,00
• Wall Outlet Compressed Air (A), pin index, push type 15,00 bh Rp. 2.065.400,00 Rp. 30.981.000,00
• Wall Outlet Vacuum (V), pin index, push type, slide base 15,00 bh Rp. 2.065.400,00 Rp. 30.981.000,00
• Zone Valve 4 Gas With Area Alarm 4 Gas (O.N.A.V) 5,00 set Rp. 28.247.000,00 Rp. 141.235.000,00
• Zone Valve 3 Gas With Area Alarm 3 Gas (O.A.V) 1,00 set Rp. 23.111.000,00 Rp. 23.111.000,00
• Anesthetic Gas Scavenging System (AGSS) 5,00 unit Rp. 28.761.000,00 Rp. 143.805.000,00
• Ball Valve 3/4 " 3,00 bh Rp. 346.500,00 Rp. 1.039.500,00
• Ball Valve 1/2 " 1,00 bh Rp. 275.000,00 Rp. 275.000,00

Jumlah Section C.2.2. Sistem MEDICAL GAS Rp. 902.476.180,00

Section C.2.3. PEKERJAAN AIR CONDITIONING


A. Lantai 1
1 Outdoor Unit VRF
• Outdoor Kapasitas : 191000 BTU/h VRF SMMS 7 MMY-MAP2007T8P-ID 1,00 unit Rp. 153.776.610,00 Rp. 153.776.610,00
2 Indoor Unit VRV
• Indoor Kapasitas : 15400 BTU/h Cassette (4 Way) MMU-AP0154HP-ID 1,00 unit Rp. 14.616.855,00 Rp. 14.616.855,00
• Indoor Kapasitas : 19100 BTU/h Cassette (4 Way) MMU-AP0184HP-ID 4,00 unit Rp. 14.877.405,00 Rp. 59.509.620,00
• Indoor Kapasitas : 30700 BTU/h Cassette (4 Way) MMU-AP0304HP-ID 1,00 unit Rp. 15.520.095,00 Rp. 15.520.095,00
• Indoor Kapasitas : 9600 BTU/h Wall Mounted MMK-AP0097HP-ID 2,00 unit Rp. 11.125.485,00 Rp. 22.250.970,00
• Indoor Kapasitas : 12300 BTU/h Wall Mounted MMK-AP0127HP-ID 2,00 unit Rp. 11.637.900,00 Rp. 23.275.800,00
• Indoor Kapasitas : 15400 BTU/h Wall Mounted MMK-AP0157HP-ID 2,00 unit Rp. 12.141.630,00 Rp. 24.283.260,00
3 Y-Branch (Indoor pipe connection) 11,00 bh Rp. 2.283.000,00 Rp. 25.113.000,00
4 Remote wired control 12,00 bh Rp. 1.146.000,00 Rp. 13.752.000,00
5 Panel cassette 6,00 unit Rp. 3.187.000,00 Rp. 19.122.000,00
6 Pemipaan (Refrigerant dengan isolasi) 196,00 m¹ Rp. 413.700,00 Rp. 81.085.200,00
7 Pemipaan drain (PVC ø 1") 147,00 m¹ Rp. 31.191,75 Rp. 4.585.187,25
8 Instalasi control AWG 16 206,00 m¹ Rp. 39.690,00 Rp. 8.176.140,00
9 Titik instalasi Indoor Unit (NYM 3x2,5 mm²) 12,00 ttk Rp. 326.025,00 Rp. 3.912.300,00
10 Freon R410a 3,00 can Rp. 3.715.250,00 Rp. 11.145.750,00
11 Pekerjaan Fresh Air Rp. 120.556.485,00
a Outdoor Unit Fresh Air
• SMMS-7 Kap. 95500 BTUH MMY-MAP1007T8P-ID 1,00 unit Rp. 104.841.000,00 Rp. 104.841.000,00
b Indoor Unit Freesh Air
• Fresh Air Intake Duct Kap. 47800 BTUH MMD-AP0481HFE 2,00 unit Rp. 46.981.000,00 Rp. 93.962.000,00
c Accessories Fresh Air
• Main Remote Controller RBC-AMT32E 2,00 bh Rp. 1.146.000,00 Rp. 2.292.000,00
• Y-Shape Branching Joint RBM-BY… 1,00 bh Rp. 2.283.000,00 Rp. 2.283.000,00
• For high-eciency lter or long life prelter TCB-FCY100DE 2,00 unit Rp. 5.572.000,00 Rp. 11.144.000,00
• Dust collecting eect: 50% TCB-PF4D-1E 2,00 unit Rp. 1.372.230,00 Rp. 2.744.460,00
• Drain Pump Kit TCB-DP32DFE 2,00 unit Rp. 5.698.000,00 Rp. 11.396.000,00
Pengondisian AC Critical
12 Air Handling Unit (AHU) Untuk Ruang CCSD
Dimensi : 9500 x 5000 x 3000
Temperature : 23 ± 2 ᵒC
Humidity : 55 ± 5%
Room Class : 100.000 Class (0,5 micron)
DAFTAR KUANTITAS DAN HARGA (DKH)
PELAYANAN TATA USAHA PADA UPT RSUD MALINGPING
BELANJA MODAL PEMBANGUNAN GEDUNG IBS DAN ICU
TAHUN ANGGARAN 2021
No. URAIAN PEKERJAAN VOLUME HARGA SATUAN JUMLAH

a. Alat Utama
Pengadaan dan pemasangan peralatan utama H.V.A.C, lengkap dengan support dan accessories
1. AHU - 1.1 1,00 unit Rp. 390.000.000,00 Rp. 390.000.000,00
Kapasitas : 100.000 BTUH
A.F.R : 1.871 CFM
E.S.P : 750 Pa
P.I : 4,8kw, 380V, 3Ph, 50Hz
Type : Customize Split Duct
Lengkap dengan : ~ Pre Filter GFF 35%
~ Medium Filter GFF 95%
~ Booster Fan
~ Magnehelic 0 - 700 pa& Box
~ Hot Gas System
b. Instalasi Pipa
1. Pipa Refrigerant
Pengadaan dan pemasangan Pipa Copper Tube Class ASTM B.2.80 lengkap
dengan Isolasi Superlone, density = 70 kg/m3, t = 15 mm
- Diameter 3/8" 75,00 m¹ Rp. 91.400,00 Rp. 6.855.000,00
- Diameter 5/8" 75,00 m¹ Rp. 167.000,00 Rp. 12.525.000,00
2. Pipa Drain
Pengadaan dan pemasangan Pipa PVC Class AW
- Diameter 25 mm 30,00 m¹ Rp. 31.191,75 Rp. 935.752,50
c. Filter & Control
1. Room Pressure Differensial Indicator
- Hepa Pressure Differential Indicator( Magnehelic 0 ~ 700 pascal ) 1,00 pcs Rp. 6.437.515,00 Rp. 6.437.515,00
- Room Pressure Differential Indicator( Magnehelic 0 ~ 60 Pa pascal ) 1,00 pcs Rp. 6.437.515,00 Rp. 6.437.515,00
2. Hose Pneumatic dan Nozzle 1,00 ls Rp. 4.000.000,00 Rp. 4.000.000,00
3. Temprature dan Humidity Control lengkap dengan sensor 1,00 set Rp. 12.875.030,00 Rp. 12.875.030,00
4. Box Magnehelic SS. 304, Size. 300 x 300 x 70 2,00 set Rp. 2.574.620,00 Rp. 5.149.240,00
d. Elektrikal
1. Panel control AC 1,00 unit Rp. 140.833.000,00 Rp. 140.833.000,00
~ MCCB, MCB, Push Button, Contactor, Relay, Selector, Switch, Pilot Lamp
2. Kabel power
Dari panel Control ke panel incoming 100 m¹ Rp. 60.676,88 Rp. 6.067.687,50
~ NYY 4 x 4mm + NYA 1 x 2,5mm
Dari panel Control AC-1 ke unit outdoor 100 m¹ Rp. 34.689,38 Rp. 3.468.937,50
~ NYY 4 x 2,5mm + NYA 1 x 2,5mm
Dari panel Control AC-1 ke Booster Fan 27 m¹ Rp. 34.689,38 Rp. 936.613,13
~ NYY 4 x 2,5mm + NYA 1 x 2,5mm
Dari panel Control AC-1 ke Dehumidifier 27 m¹ Rp. 35.870,63 Rp. 968.506,88
~ NYY 3 x 2,5mm + NYA 1 x 2,5mm
Kabel Control NYMHY 2 (3 x 0,75mm) 100 m¹ Rp. 29.846,25 Rp. 2.984.625,00
e. Instalasi ducting
Pengadaan dan Pemasangan Duct Galvanished Sheet lengkap dengan Isolasi
Thermobreak, Density = 25 kg/m2, t = 15mm
1. Supply
~ Dimensi 500x500 mm 10,00 m¹ Rp. 1.166.000,00 Rp. 11.660.000,00
~ Dimensi 450x450 mm 7,00 m¹ Rp. 1.058.000,00 Rp. 7.406.000,00
~ Dimensi 250x250 mm 15,00 m¹ Rp. 624.000,00 Rp. 9.360.000,00
2. Return
~ Dimensi 450x450 mm 10,00 m¹ Rp. 1.058.000,00 Rp. 10.580.000,00
~ Dimensi 350x350 mm 10,00 m¹ Rp. 841.000,00 Rp. 8.410.000,00
~ Dimensi 250x250 mm 22,00 m¹ Rp. 624.000,00 Rp. 13.728.000,00
3. Fresh Air
~ Dimensi 200x200 mm 17,00 m¹ Rp. 515.000,00 Rp. 8.755.000,00
4. Accessories Duct
~ Plenum Box, 1000 x 800 x 500 mm 2,00 set Rp. 5.060.460,00 Rp. 10.120.920,00
` S.A.D Perforated SS 304, 400x400 mm 6,00 pcs Rp. 3.137.215,00 Rp. 18.823.290,00
~ R.A.G Perforated SS 304, 500x250 mm 4,00 pcs Rp. 2.941.320,00 Rp. 11.765.280,00
~ Louver Grille Alumunium Amodized c/w OBD, 350x350 mm 2,00 pcs Rp. 1.553.650,00 Rp. 3.107.300,00
~ Volume Damper, 300x300 mm 7,00 pcs Rp. 1.265.115,00 Rp. 8.855.805,00
` Box Chamber, 550x300 mm 4,00 pcs Rp. 2.483.910,00 Rp. 9.935.640,00
~ Box Chamber, 400x400 mm 6,00 pcs Rp. 2.338.195,00 Rp. 14.029.170,00

B. Lantai 2
1 Outdoor Unit VRV
• Outdoor Kapasitas : 341000 BTU/h VRF SMMS 7 MMY-AP3617T8P-ID 1,00 unit Rp. 292.988.475,00 Rp. 292.988.475,00
2 Indoor Unit VRV
• Indoor Kapasitas : 19100 BTU/h Cassette (4 Way) MMU-AP0184HP-ID 3,00 unit Rp. 14.877.405,00 Rp. 44.632.215,00
• Indoor Kapasitas : 24200 BTU/h Cassette (4 Way) MMU-AP0244HP-ID 4,00 unit Rp. 15.007.680,00 Rp. 60.030.720,00
• Indoor Kapasitas : 30700 BTU/h Cassette (4 Way) MMU-AP0304HP-ID 2,00 unit Rp. 15.520.095,00 Rp. 31.040.190,00
• Indoor Kapasitas : 7500 BTU/h Wall Mounted MMK-AP0077HP-ID 16,00 unit Rp. 10.682.550,00 Rp. 170.920.800,00
• Indoor Kapasitas : 12300 BTU/h Wall Mounted MMK-AP0127HP-ID 2,00 unit Rp. 11.637.900,00 Rp. 23.275.800,00
3 Y-Branch (Indoor pipe connection) 26,00 bh Rp. 2.283.000,00 Rp. 59.358.000,00
4 T-Branch 1,00 bh Rp. 2.963.000,00 Rp. 2.963.000,00
5 Remote wired control 27,00 bh Rp. 1.146.000,00 Rp. 30.942.000,00
DAFTAR KUANTITAS DAN HARGA (DKH)
PELAYANAN TATA USAHA PADA UPT RSUD MALINGPING
BELANJA MODAL PEMBANGUNAN GEDUNG IBS DAN ICU
TAHUN ANGGARAN 2021
No. URAIAN PEKERJAAN VOLUME HARGA SATUAN JUMLAH

6 Panel cassette 9,00 unit Rp. 3.187.000,00 Rp. 28.683.000,00


7 Pemipaan (Refrigerant dengan isolasi) 365,00 m¹ Rp. 413.700,00 Rp. 151.000.500,00
8 Pemipaan drain (PVC ø 1") 274,00 m¹ Rp. 31.191,75 Rp. 8.546.539,50
9 Instalasi control AWG 16 384,00 m¹ Rp. 39.690,00 Rp. 15.240.960,00
10 Titik instalasi Indoor Unit (NYM 3x2,5 mm²) 27,00 ttk Rp. 326.025,00 Rp. 8.802.675,00
11 Freon R410a 3,00 can Rp. 3.715.250,00 Rp. 11.145.750,00
12 Pekerjaan Fresh Air
a Outdoor Unit Fresh Air
• SMMS-7 Kap. 230000 BTUH MMY-MAP2407T8P-ID 1,00 unit Rp. 104.841.000,00 Rp. 104.841.000,00
b Indoor Unit Freesh Air
• Fresh Air Intake Duct Kap. 76400 BTUH MMD-AP0721HFE 3,00 unit Rp. 58.905.000,00 Rp. 176.715.000,00
c Accessories Fresh Air
• Main Remote Controller RBC-AMT32E 3,00 unit Rp. 1.146.000,00 Rp. 3.438.000,00
• Y-Shape Branching Joint RBM-BY… 2,00 unit Rp. 2.283.000,00 Rp. 4.566.000,00
• For high-eciency lter or long life prelter TCB-FCY100DE 3,00 unit Rp. 5.572.000,00 Rp. 16.716.000,00
• Dust collecting eect: 50% TCB-PF4D-1E 3,00 unit Rp. 1.372.230,00 Rp. 4.116.690,00
• Drain Pump Kit TCB-DP32DFE 3,00 unit Rp. 5.698.000,00 Rp. 17.094.000,00
Pengondisian AC Critical
13 Air Handling Unit (AHU) Untuk Ruang ICU
Dimensi : 35000 x 10000 x 3000
Temperature : 23 ± 2 ᵒC
Humidity : 55 ± 5%
Room Class : 100.000 Class (0,5 micron)
a. Alat Utama
Pengadaan dan pemasangan peralatan utama H.V.A.C, lengkap dengan support dan accessories
1 AHU - 2.1 2,00 unit Rp. 950.000.000,00 Rp. 1.900.000.000,00
Kapasitas : 300.000 BTUH
A.F.R : 1.871 CFM
E.S.P : 750 Pa
P.I : 4,8kw, 380V, 3Ph, 50Hz
Type : Customize Split Duct
Lengkap dengan : ~ Pre Filter GFF 35%
~ Medium Filter GFF 95%
~ Booster Fan
~ Magnehelic 0 - 700 pa& Box
~ Hot Gas System
b. Instalasi Pipa
1. Pipa Refrigerant
Pengadaan dan pemasangan Pipa Copper Tube Class ASTM B.2.80 lengkap
dengan Isolasi Superlone, density = 70 kg/m3, t = 15 mm
- Diameter 3/4" 150,00 m¹ Rp. 214.000,00 Rp. 32.100.000,00
- Diameter 1 3/8" 150,00 m¹ Rp. 462.000,00 Rp. 69.300.000,00
2. Pipa Drain
Pengadaan dan pemasangan Pipa PVC Class AW
- Diameter 25 mm 60,00 m¹ Rp. 31.191,75 Rp. 1.871.505,00
c. Filter & Control
1. Room Pressure Differensial Indicator
- Hepa Pressure Differential Indicator( Magnehelic 0 ~ 700 pascal ) 2,00 pcs Rp. 6.437.515,00 Rp. 12.875.030,00
- Room Pressure Differential Indicator( Magnehelic 0 ~ 60 Pa pascal ) 2,00 pcs Rp. 6.437.515,00 Rp. 12.875.030,00
2. Hose Pneumatic dan Nozzle 2,00 ls Rp. 4.000.000,00 Rp. 8.000.000,00
3. Temprature dan Humidity Control lengkap dengan sensor 2,00 set Rp. 12.875.030,00 Rp. 25.750.060,00
4. Box Magnehelic SS. 304, Size. 300 x 300 x 70 4,00 set Rp. 2.574.620,00 Rp. 10.298.480,00
d. Elektrikal
1. Panel control AC 1,00 unit Rp. 140.833.000,00 Rp. 140.833.000,00
~ MCCB, MCB, Push Button, Contactor, Relay, Selector, Switch, Pilot Lamp
2. Kabel power
Dari panel Control ke panel incoming 200 m¹ Rp. 60.676,88 Rp. 12.135.375,00
NYY 4 x 4mm + NYA 1 x 2,5mm
Dari panel Control AC-1 ke unit outdoor 200 m¹ Rp. 34.689,38 Rp. 6.937.875,00
NYY 4 x 2,5mm + NYA 1 x 2,5mm
Dari panel Control AC-1 ke Booster Fan 54 m¹ Rp. 34.689,38 Rp. 1.873.226,25
NYY 4 x 2,5mm + NYA 1 x 2,5mm
Dari panel Control AC-1 ke Dehumidifier 54 m¹ Rp. 35.870,63 Rp. 1.937.013,75
NYY 3 x 2,5mm + NYA 1 x 2,5mm
Kabel Control NYMHY 2 (3 x 0,75mm) 200 m¹ Rp. 29.846,25 Rp. 5.969.250,00
e. Instalasi ducting
Pengadaan dan Pemasangan Duct Galvanished Sheet lengkap dengan Isolasi
Thermobreak, Density = 25 kg/m2, t = 15mm
1 Supply
~ Dimensi 500x500 mm 20,00 m¹ Rp. 1.166.000,00 Rp. 23.320.000,00
~ Dimensi 450x450 mm 14,00 m¹ Rp. 1.058.000,00 Rp. 14.812.000,00
~ Dimensi 250x250 mm 30,00 m¹ Rp. 624.000,00 Rp. 18.720.000,00
2 Return
~ Dimensi 450x450 mm 20,00 m¹ Rp. 1.058.000,00 Rp. 21.160.000,00
~ Dimensi 350x350 mm 20,00 m¹ Rp. 841.000,00 Rp. 16.820.000,00
~ Dimensi 250x250 mm 44,00 m¹ Rp. 624.000,00 Rp. 27.456.000,00
DAFTAR KUANTITAS DAN HARGA (DKH)
PELAYANAN TATA USAHA PADA UPT RSUD MALINGPING
BELANJA MODAL PEMBANGUNAN GEDUNG IBS DAN ICU
TAHUN ANGGARAN 2021
No. URAIAN PEKERJAAN VOLUME HARGA SATUAN JUMLAH

3 Fresh Air
~ Dimensi 200x200 mm 34,00 m¹ Rp. 515.000,00 Rp. 17.510.000,00
4 Accessories Duct
~ Plenum Box, 1000 x 800 x 500 mm 4,00 set Rp. 5.060.460,00 Rp. 20.241.840,00
~ S.A.D Perforated SS 304, 400x400 mm 12,00 pcs Rp. 3.137.215,00 Rp. 37.646.580,00
~ R.A.G Perforated SS 304, 500x250 mm 8,00 pcs Rp. 2.941.320,00 Rp. 23.530.560,00
~ Louver Grille Alumunium Amodized c/w OBD, 350x350 mm 4,00 pcs Rp. 1.553.650,00 Rp. 6.214.600,00
~ Volume Damper, 300x300 mm 14,00 pcs Rp. 1.265.115,00 Rp. 17.711.610,00
~ Box Chamber, 550x300 mm 8,00 pcs Rp. 2.483.910,00 Rp. 19.871.280,00
~ Box Chamber, 400x400 mm 12,00 pcs Rp. 2.338.195,00 Rp. 28.058.340,00
14 Air Handling Unit (AHU) Untuk Ruang ISOLASI 1
Dimensi : 6000 x3000 x 3000
Temperature : 23 ± 2 ᵒC
Humidity : 55 ± 5%
Room Class : 100.000 Class (0,5 micron)
a, Alat Utama
Pengadaan dan pemasangan peralatan utama H.V.A.C, lengkap dengan support dan accessories
1 AHU - 2.2 1,00 unit Rp. 172.000.000,00 Rp. 172.000.000,00
Kapasitas : 40.000 BTUH
A.F.R : 793 CFM
E.S.P : - Pa
P.I : 4,8kw, 380V, 3Ph, 50Hz
Type : Customize Split Duct
Lengkap dengan : √ Pre Filter GFF 35%
√ Medium Filter GFF 95%
√ Booster Fan
√ Magnehelic 0 - 700 pa& Box
√ Hot Gas System
Exhaust Fan : √ Kap. 1058 CFM 1,00 unit Rp. 24.414.500,00 Rp. 24.414.500,00
√ Type AXIAL FAN
b. Instalasi Pipa
1. Pipa Refrigerant
Pengadaan dan pemasangan Pipa Copper Tube Class ASTM B.2.80 lengkap
dengan Isolasi Superlone, density = 70 kg/m3, t = 15 mm
- Diameter 3/8" 70,00 m¹ Rp. 91.400,00 Rp. 6.398.000,00
- Diameter 5/8" 70,00 m¹ Rp. 167.000,00 Rp. 11.690.000,00
2. Pipa Drain
Pengadaan dan pemasangan Pipa PVC Class AW
- Diameter 25 mm 30,00 m¹ Rp. 31.191,75 Rp. 935.752,50
c. Filter & Control
1. Room Pressure Differensial Indicator
- Hepa Pressure Differential Indicator( Magnehelic 0 ~ 700 pascal ) 2,00 pcs Rp. 6.437.515,00 Rp. 12.875.030,00
- Room Pressure Differential Indicator( Magnehelic -30 ~ 30 Pa ) 1,00 pcs Rp. 6.437.515,00 Rp. 6.437.515,00
- Housing filter (Exhaust) 1,00 pcs Rp. 5.150.205,00 Rp. 5.150.205,00
- Prefilter 24x24x2 1,00 pcs Rp. 9.012.135,00 Rp. 9.012.135,00
- HEPA Filter 24x24x12 1,00 pcs Rp. 9.012.135,00 Rp. 9.012.135,00
- Carbon filter 24x24x2 1,00 pcs Rp. 15.450.615,00 Rp. 15.450.615,00
2. Hose Pneumatic dan Nozzle 1,00 ls Rp. 4.000.000,00 Rp. 4.000.000,00
3. Temprature dan Humidity Control lengkap dengan sensor 1,00 set Rp. 12.875.030,00 Rp. 12.875.030,00
4. Box Magnehelic SS. 304, Size. 300 x 300 x 70 3,00 set Rp. 2.574.620,00 Rp. 7.723.860,00
d. Elektrikal
1. Panel control AC 1,00 unit Rp. 140.833.000,00 Rp. 140.833.000,00
~ MCCB, MCB, Push Button, Contactor, Relay, Selector, Switch, Pilot Lamp
2. Kabel power
Dari panel Control ke panel incoming 100 m¹ Rp. 60.676,88 Rp. 6.067.687,50
~ NYY 4 x 4mm + NYA 1 x 2,5mm
Dari panel Control AC-1 ke unit outdoor 100 m¹ Rp. 34.689,38 Rp. 3.468.937,50
~ NYY 4 x 2,5mm + NYA 1 x 2,5mm
Dari panel Control AC-1 ke Booster Fan 27 m¹ Rp. 34.689,38 Rp. 936.613,13
~ NYY 4 x 2,5mm + NYA 1 x 2,5mm
Dari panel Control AC-1 ke Dehumidifier 27 m¹ Rp. 35.870,63 Rp. 968.506,88
~ NYY 3 x 2,5mm + NYA 1 x 2,5mm
Kabel Control NYMHY 2 (3 x 0,75mm) 100 m¹ Rp. 29.846,25 Rp. 2.984.625,00
Dari panel Control ke Exhaust 100 m¹ Rp. 35.870,63 Rp. 3.587.062,50
~ NYY 3 x 2,5mm + NYA 1 x 2,5mm
e. Instalasi ducting
Pengadaan dan Pemasangan Duct Galvanished Sheet lengkap dengan Isolasi
Thermobreak, Density = 25 kg/m2, t = 15mm
1 Supply
~ Dimensi 300x300 mm 25,00 m¹ Rp. 732.000,00 Rp. 18.300.000,00
~ Dimensi 250x250 mm 7,00 m¹ Rp. 624.000,00 Rp. 4.368.000,00
~ Dimensi 150x150 mm 7,00 m¹ Rp. 407.000,00 Rp. 2.849.000,00
2 Return
~ Dimensi 300x300 mm 15,00 m¹ Rp. 732.000,00 Rp. 10.980.000,00
~ Dimensi 250x250 mm 12,00 m¹ Rp. 624.000,00 Rp. 7.488.000,00
~ Dimensi 150x150 mm 7,00 m¹ Rp. 407.000,00 Rp. 2.849.000,00
DAFTAR KUANTITAS DAN HARGA (DKH)
PELAYANAN TATA USAHA PADA UPT RSUD MALINGPING
BELANJA MODAL PEMBANGUNAN GEDUNG IBS DAN ICU
TAHUN ANGGARAN 2021
No. URAIAN PEKERJAAN VOLUME HARGA SATUAN JUMLAH

3 Exhaust
~ Dimensi 300x300 mm 15,00 m¹ Rp. 732.000,00 Rp. 10.980.000,00
4 Fresh Air
~ Dimensi 200x200 mm 15,00 m¹ Rp. 515.000,00 Rp. 7.725.000,00
5 Accessories Duct
~ Plenum Box, 1000 x 800 x 500 mm 2,00 set Rp. 5.060.460,00 Rp. 10.120.920,00
~ S.A.D Perforated SS 304, 400x400 mm 3,00 pcs Rp. 3.137.215,00 Rp. 9.411.645,00
~ R.A.G Perforated SS 304, 500x250 mm 2,00 pcs Rp. 2.941.320,00 Rp. 5.882.640,00
~ Louver Grille Alumunium Amodized c/w OBD, 350x350 mm 2,00 pcs Rp. 1.553.650,00 Rp. 3.107.300,00
~ Volume Damper, 300x300 mm 2,00 pcs Rp. 1.265.115,00 Rp. 2.530.230,00
~ Volume Damper, 250x250 mm 1,00 pcs Rp. 1.054.745,00 Rp. 1.054.745,00
~ Volume Damper, 150x150 mm 1,00 pcs Rp. 633.040,00 Rp. 633.040,00
~ Box Chamber, 550x300 mm 2,00 pcs Rp. 2.483.910,00 Rp. 4.967.820,00
~ Box Chamber, 400x400 mm 3,00 pcs Rp. 2.338.195,00 Rp. 7.014.585,00
15 Air Handling Unit (AHU) Untuk Ruang ISOLASI 2
Dimensi : 6000 x3000 x 3000
Temperature : 23 ± 2 ᵒC
Humidity : 55 ± 5%
Room Class : 100.000 Class (0,5 micron)
a. Alat Utama
Pengadaan dan pemasangan peralatan utama H.V.A.C, lengkap dengan support dan accessories
1. AHU - 2.3 1,00 unit Rp. 172.000.000,00 Rp. 172.000.000,00
Kapasitas : 40.000 BTUH
A.F.R : 793 CFM
E.S.P : - Pa
P.I : 4,8kw, 380V, 3Ph, 50Hz
Type : Customize Split Duct
Lengkap dengan : √ Pre Filter GFF 35%
√ Medium Filter GFF 95%
√ Booster Fan
√ Magnehelic 0 - 700 pa& Box
√ Hot Gas System
Exhaust Fan : √ Kap. 1058 CFM 1,00 unit Rp. 24.414.500,00 Rp. 24.414.500,00
√ Type AXIAL FAN
b. Instalasi Pipa
1. Pipa Refrigerant
Pengadaan dan pemasangan Pipa Copper Tube Class ASTM B.2.80 lengkap
dengan Isolasi Superlone, density = 70 kg/m3, t = 15 mm
- Diameter 3/8" 70,00 m¹ Rp. 91.400,00 Rp. 6.398.000,00
- Diameter 5/8" 70,00 m¹ Rp. 167.000,00 Rp. 11.690.000,00
2. Pipa Drain
Pengadaan dan pemasangan Pipa PVC Class AW
- Diameter 25 mm 30,00 m¹ Rp. 31.191,75 Rp. 935.752,50
c. Filter & Control
1. Room Pressure Differensial Indicator
- Hepa Pressure Differential Indicator( Magnehelic 0 ~ 700 pascal ) 2,00 pcs Rp. 6.437.515,00 Rp. 12.875.030,00
- Room Pressure Differential Indicator( Magnehelic -30 ~ 30 Pa ) 1,00 pcs Rp. 6.437.515,00 Rp. 6.437.515,00
- Housing filter (Exhaust) 1,00 pcs Rp. 5.150.205,00 Rp. 5.150.205,00
- Prefilter 24x24x2 1,00 pcs Rp. 9.012.135,00 Rp. 9.012.135,00
- HEPA Filter 24x24x12 1,00 pcs Rp. 9.012.135,00 Rp. 9.012.135,00
- Carbon filter 24x24x2 1,00 pcs Rp. 15.450.615,00 Rp. 15.450.615,00
2. Hose Pneumatic dan Nozzle 1,00 ls Rp. 4.000.000,00 Rp. 4.000.000,00
3. Temprature dan Humidity Control lengkap dengan sensor 1,00 set Rp. 12.875.030,00 Rp. 12.875.030,00
4. Box Magnehelic SS. 304, Size. 300 x 300 x 70 3,00 set Rp. 2.574.620,00 Rp. 7.723.860,00
d. Elektrikal
1. Panel control AC 1,00 unit Rp. 140.833.000,00 Rp. 140.833.000,00
~ MCCB, MCB, Push Button, Contactor, Relay, Selector, Switch, Pilot Lamp
2. Kabel power
Dari panel Control ke panel incoming 100 m¹ Rp. 60.676,88 Rp. 6.067.687,50
~ NYY 4 x 4mm + NYA 1 x 2,5mm
Dari panel Control AC-1 ke unit outdoor 100 m¹ Rp. 34.689,38 Rp. 3.468.937,50
~ NYY 4 x 2,5mm + NYA 1 x 2,5mm
Dari panel Control AC-1 ke Booster Fan 27 m¹ Rp. 34.689,38 Rp. 936.613,13
~ NYY 4 x 2,5mm + NYA 1 x 2,5mm
Dari panel Control AC-1 ke Dehumidifier 27 m¹ Rp. 35.870,63 Rp. 968.506,88
~ NYY 3 x 2,5mm + NYA 1 x 2,5mm
Kabel Control NYMHY 2 (3 x 0,75mm) 100 m¹ Rp. 29.846,25 Rp. 2.984.625,00
Dari panel Control ke Exhaust 100 m¹ Rp. 35.870,63 Rp. 3.587.062,50
~ NYY 3 x 2,5mm + NYA 1 x 2,5mm
e. Instalasi ducting
Pengadaan dan Pemasangan Duct Galvanished Sheet lengkap dengan Isolasi
Thermobreak, Density = 25 kg/m2, t = 15mm
1 Supply
~ Dimensi 300x300 mm 25,00 m¹ Rp. 732.000,00 Rp. 18.300.000,00
~ Dimensi 250x250 mm 7,00 m¹ Rp. 624.000,00 Rp. 4.368.000,00
~ Dimensi 150x150 mm 7,00 m¹ Rp. 407.000,00 Rp. 2.849.000,00
DAFTAR KUANTITAS DAN HARGA (DKH)
PELAYANAN TATA USAHA PADA UPT RSUD MALINGPING
BELANJA MODAL PEMBANGUNAN GEDUNG IBS DAN ICU
TAHUN ANGGARAN 2021
No. URAIAN PEKERJAAN VOLUME HARGA SATUAN JUMLAH

2 Return
~ Dimensi 300x300 mm 15,00 m¹ Rp. 732.000,00 Rp. 10.980.000,00
~ Dimensi 250x250 mm 12,00 m¹ Rp. 624.000,00 Rp. 7.488.000,00
~ Dimensi 150x150 mm 7,00 m¹ Rp. 407.000,00 Rp. 2.849.000,00
3 Exhaust
~ Dimensi 300x300 mm 15,00 m¹ Rp. 732.000,00 Rp. 10.980.000,00
4 Fresh Air
~ Dimensi 200x200 mm 15,00 m¹ Rp. 515.000,00 Rp. 7.725.000,00
5 Accessories Duct
~ Plenum Box, 1000 x 800 x 500 mm 2,00 set Rp. 5.060.460,00 Rp. 10.120.920,00
~ S.A.D Perforated SS 304, 400x400 mm 3,00 pcs Rp. 3.137.215,00 Rp. 9.411.645,00
~ R.A.G Perforated SS 304, 500x250 mm 2,00 pcs Rp. 2.941.320,00 Rp. 5.882.640,00
~ Louver Grille Alumunium Amodized c/w OBD, 350x350 mm 2,00 pcs Rp. 1.553.650,00 Rp. 3.107.300,00
~ Volume Damper, 300x300 mm 2,00 pcs Rp. 1.265.115,00 Rp. 2.530.230,00
~ Volume Damper, 250x250 mm 1,00 pcs Rp. 1.054.745,00 Rp. 1.054.745,00
~ Volume Damper, 150x150 mm 1,00 pcs Rp. 633.040,00 Rp. 633.040,00
~ Box Chamber, 550x300 mm 2,00 pcs Rp. 2.483.910,00 Rp. 4.967.820,00
~ Box Chamber, 400x400 mm 3,00 pcs Rp. 2.338.195,00 Rp. 7.014.585,00

C. Lantai 3
1 Outdoor Unit VRV
• Outdoor Kapasitas : 191000 BTU/h VRF SMMS 7 MMY-MAP2007T8P-ID 1,00 unit Rp. 153.776.610,00 Rp. 153.776.610,00
2 Indoor Unit VRV
• Indoor Kapasitas : 24200 BTU/h Cassette (4 Way) MMU-AP0244HP-ID 4,00 unit Rp. 15.007.680,00 Rp. 60.030.720,00
• Indoor Kapasitas : 7500 BTU/h Wall Mounted MMK-AP0077HP-ID 7,00 unit Rp. 10.682.550,00 Rp. 74.777.850,00
• Indoor Kapasitas : 12300 BTU/h Wall Mounted MMK-AP0127HP-ID 1,00 unit Rp. 11.637.900,00 Rp. 11.637.900,00
3 Y-Branch (Indoor pipe connection) 11,00 bh Rp. 2.283.000,00 Rp. 25.113.000,00
4 Remote wired control 12,00 bh Rp. 1.146.000,00 Rp. 13.752.000,00
5 Panel cassette 4,00 unit Rp. 3.187.000,00 Rp. 12.748.000,00
6 Pemipaan (Refrigerant dengan isolasi) 175,00 m¹ Rp. 413.700,00 Rp. 72.397.500,00
7 Pemipaan drain (PVC ø 1") 131,00 m¹ Rp. 31.191,75 Rp. 4.086.119,25
8 Instalasi control AWG 16 184,00 m¹ Rp. 39.690,00 Rp. 7.302.960,00
9 Titik instalasi Indoor Unit (NYM 3x2,5 mm²) 12,00 ttk Rp. 326.025,00 Rp. 3.912.300,00
10 Freon R410a 3,00 can Rp. 3.715.250,00 Rp. 11.145.750,00
11 Pekerjaan Fresh Air
a Outdoor Unit Fresh Air
SMMS-7 Kap. 230000 BTUH MMY-MAP2407T8P-ID 1,00 unit Rp. 104.841.000,00 Rp. 104.841.000,00
b Indoor Unit Freesh Air
Fresh Air Intake Duct Kap. 76400 BTUH MMD-AP0721HFE 3,00 unit Rp. 58.905.000,00 Rp. 176.715.000,00
c Accessories Fresh Air
Main Remote Controller RBC-AMT32E 3,00 unit Rp. 1.146.000,00 Rp. 3.438.000,00
Y-Shape Branching Joint RBM-BY… 2,00 unit Rp. 2.283.000,00 Rp. 4.566.000,00
For high-eciency lter or long life prelter TCB-FCY100DE 3,00 unit Rp. 5.572.000,00 Rp. 16.716.000,00
Dust collecting eect: 50% TCB-PF4D-1E 3,00 unit Rp. 1.372.230,00 Rp. 4.116.690,00
Drain Pump Kit TCB-DP32DFE 3,00 unit Rp. 5.698.000,00 Rp. 17.094.000,00
Pengondisian AC Critical
12 Air Handling Unit (AHU) Untuk Ruang OK 3 dan 5
Dimensi : 6000 x5500 x 3000
Temperature : 23 ± 2 ᵒC
Humidity : 55 ± 5%
Room Class : 100.000 Class (0,5 micron)
a. Alat Utama
Pengadaan dan pemasangan peralatan utama H.V.A.C, lengkap dengan support dan accessories
1. R. OKA (IU-3.84) 1,00 unit Rp. 370.000.000,00 Rp. 370.000.000,00
Kapasitas : 120.000 BTUH
A.F.R : 4.140 CFM
E.S.P : 1000 Pa
P.I : 14.4kw, 380V, 3Ph, 50Hz
Type : Customize Split Duct
Lengkap dengan : ~ Pre Filter GFF 35%
~ Medium Filter GFF 95%
~ Booster Fan
~ Magnehelic 0 - 700 pa& Box
~ Magnehelic 0 - 60 pa& Box
~ Box Magnehelic
2. DH-1 (Dehumidifier) 1,00 unit Rp. 21.451.950,00 Rp. 21.451.950,00
Kapasitas : 290 CMH
P.I. : 3.54Kw, 220V, 1ph, 50Hz
Type : Refrigerant
3. EF-1 (Exhaust) 1,00 unit Rp. 11.097.500,00 Rp. 11.097.500,00
Kapasitas : 500 CMH
Type : Axial Fan
DAFTAR KUANTITAS DAN HARGA (DKH)
PELAYANAN TATA USAHA PADA UPT RSUD MALINGPING
BELANJA MODAL PEMBANGUNAN GEDUNG IBS DAN ICU
TAHUN ANGGARAN 2021
No. URAIAN PEKERJAAN VOLUME HARGA SATUAN JUMLAH

b. Instalasi Pipa
1. Pipa Refrigerant
Pengadaan dan pemasangan Pipa Copper Tube Class ASTM B.2.80 lengkap
dengan Isolasi Superlone, density = 70 kg/m3, t = 15 mm
- Diameter 1/2" 36,00 m¹ Rp. 143.000,00 Rp. 5.148.000,00
- Diameter 3/4" 36,00 m¹ Rp. 214.000,00 Rp. 7.704.000,00
2. Pipa Drain
Pengadaan dan pemasangan Pipa PVC Class AW
- Diameter 25 mm 18,00 m¹ Rp. 31.191,75 Rp. 561.451,50
c. Filter & Control
1. Hepa Filter - EFF 99.995 %
- Size. 24 x 48 x 6" 4,00 pcs Rp. 9.012.135,00 Rp. 36.048.540,00
- Size. 24 x 24 x 6" 2,00 pcs Rp. 9.012.135,00 Rp. 18.024.270,00
2. Housing Hepa Filter - EFF 99.995 %
- Size. 610 x 1220 x 600 4,00 pcs Rp. 6.339.085,00 Rp. 25.356.340,00
- Size. 610 x 610 x 600 2,00 pcs Rp. 5.150.205,00 Rp. 10.300.410,00
3. Filter Pressure Differensial Indicator ( Magnehelic 0 ~ 700 pascal ) 1,00 pcs Rp. 6.437.515,00 Rp. 6.437.515,00
4. Room Pressure Differential Indicator( Magnehelic 0 ~ 60 Pa pascal ) 1,00 pcs Rp. 6.437.515,00 Rp. 6.437.515,00
5. Hose Pneumatic dan Nozzle 1,00 ls Rp. 4.000.000,00 Rp. 4.000.000,00
6. Temprature dan Humidity Control lengkap dengan sensor 1,00 set Rp. 12.875.030,00 Rp. 12.875.030,00
7. Box Magnehelic SS. 304, Size. 600 x 300 x 70 1,00 set Rp. 2.574.620,00 Rp. 2.574.620,00
d. Elektrikal
1. Panel control AC 1,00 unit Rp. 140.833.000,00 Rp. 140.833.000,00
~ MCCB, MCB, Push Button, Contactor, Relay, Selector, Switch, Pilot Lamp
2. Kabel power
Dari panel Control AC-1 ke unit AC 36 m¹ Rp. 60.676,88 Rp. 2.184.367,50
~ NYY 4 x 4mm + NYA 1 x 2,5mm
Dari panel Control AC-1 ke Booster Fan 20 m¹ Rp. 34.689,38 Rp. 693.787,50
~ NYY 4 x 2,5mm + NYA 1 x 2,5mm
Dari panel Control AC-1 ke Dehumidifier 20 m¹ Rp. 35.870,63 Rp. 717.412,50
~ NYY 3 x 2,5mm + NYA 1 x 2,5mm
Kabel Control NYMHY 2 (3 x 0,75mm) 40 m¹ Rp. 29.846,25 Rp. 1.193.850,00
Dari panel Control ke Exhaust 26 m¹ Rp. 35.870,63 Rp. 932.636,25
~ NYY 3 x 2,5mm + NYA 1 x 2,5mm
e. Instalasi ducting
Pengadaan dan Pemasangan Duct Galvanished Sheet lengkap dengan Isolasi
Thermobreak, Density = 25 kg/m2, t = 15mm
1 Supply
~ Dimensi 500x400 mm 28,00 m¹ Rp. 1.058.000,00 Rp. 29.624.000,00
~ Dimensi 350x300 mm 10,00 m¹ Rp. 787.000,00 Rp. 7.870.000,00
~ Dimensi 300x200 mm 20,00 m¹ Rp. 624.000,00 Rp. 12.480.000,00
2 Return
~ Dimensi 450x450 mm 56,00 m¹ Rp. 1.058.000,00 Rp. 59.248.000,00
~ Dimensi 350x350 mm 10,00 m¹ Rp. 841.000,00 Rp. 8.410.000,00
~ Dimensi 300x200 mm 26,00 m¹ Rp. 624.000,00 Rp. 16.224.000,00
3 Accessories Duct
~ Plenum Box, 1000 x 800 x 500 mm 1,00 set Rp. 5.060.460,00 Rp. 5.060.460,00
~ S.A.D Perforated SS 304, 1220 x 610 mm 4,00 pcs Rp. 7.175.740,00 Rp. 28.702.960,00
~ S.A.D Perforated SS 304, 610 x 610 mm 2,00 pcs Rp. 4.783.505,00 Rp. 9.567.010,00
~ R.A.G Perforated SS 304, 500x250 mm 4,00 pcs Rp. 2.941.320,00 Rp. 11.765.280,00
~ Louver Grille Alumunium Amodized c/w OBD, 350x350 mm 2,00 pcs Rp. 1.553.650,00 Rp. 3.107.300,00
~ Volume Damper, 300x200 mm 4,00 pcs Rp. 1.054.745,00 Rp. 4.218.980,00
~ Volume Damper, 250x200 mm 4,00 pcs Rp. 948.595,00 Rp. 3.794.380,00
~ Box Chamber, 550x300 mm 4,00 pcs Rp. 2.483.910,00 Rp. 9.935.640,00
~ Box Chamber, 400x400 mm 2,00 pcs Rp. 2.338.195,00 Rp. 4.676.390,00
13 Air Handling Unit (AHU) Untuk Ruang OK 1, 2 dan 4
Dimensi : 8500 x 5500 x 3000
Temperature : 23 ± 2 ᵒC
Humidity : 55 ± 5%
Room Class : 100.000 Class (0,5 micron)
a. Alat Utama
Pengadaan dan pemasangan peralatan utama H.V.A.C, lengkap dengan support dan accessories
1. R. OKA (IU-3.5) 1,00 unit Rp. 393.000.000,00 Rp. 393.000.000,00
Kapasitas : 140.000 BTUH
A.F.R : 6.950 CFM
E.S.P : 1000 Pa
P.I : 6.6kw, 380V, 3Ph, 50Hz
Type : Customize Split Duct
Lengkap dengan : √ Pre Filter GFF 35%
√ Medium Filter GFF 95%
√ Booster Fan
√ Magnehelic 0 - 700 pa& Box
√ Box Magnehelic
2. DH-1 (Dehumidifier) 1,00 unit Rp. 31.816.050,00 Rp. 31.816.050,00
Kapasitas : 430 CMH
P.I. : 4.57Kw, 220V, 1ph, 50Hz
Type : Refrigerant
DAFTAR KUANTITAS DAN HARGA (DKH)
PELAYANAN TATA USAHA PADA UPT RSUD MALINGPING
BELANJA MODAL PEMBANGUNAN GEDUNG IBS DAN ICU
TAHUN ANGGARAN 2021
No. URAIAN PEKERJAAN VOLUME HARGA SATUAN JUMLAH

3. EF-1 (Exhaust) 1,00 unit Rp. 11.097.500,00 Rp. 11.097.500,00


Kapasitas : 500 CMH
Type : Axial Fan
b. Instalasi Pipa
1. Pipa Refrigerant
Pengadaan dan pemasangan Pipa Copper Tube Class ASTM B.2.80 lengkap
dengan Isolasi Superlone, density = 70 kg/m3, t = 15 mm
- Diameter 1/2" 36,00 m¹ Rp. 143.000,00 Rp. 5.148.000,00
- Diameter 1" 36,00 m¹ Rp. 367.000,00 Rp. 13.212.000,00
2. Pipa Drain
Pengadaan dan pemasangan Pipa PVC Class AW
- Diameter 25 mm 18,00 m¹ Rp. 31.191,75 Rp. 561.451,50
c. Filter & Control
1. Hepa Filter - EFF 99.995 %
- Size. 24 x 48 x 6" 12,00 pcs Rp. 9.012.135,00 Rp. 108.145.620,00
2. Housing Hepa Filter - EFF 99.995 %
- Size. 610 x 1220 x 600 12,00 pcs Rp. 6.339.085,00 Rp. 76.069.020,00
3. Filter Pressure Differensial Indicator ( Magnehelic 0 ~ 700 pascal ) 1,00 pcs Rp. 6.437.515,00 Rp. 6.437.515,00
4. Room Pressure Differential Indicator( Magnehelic 0 ~ 60 Pa pascal ) 1,00 pcs Rp. 6.437.515,00 Rp. 6.437.515,00
5. Hose Pneumatic dan Nozzle 1,00 ls Rp. 4.000.000,00 Rp. 4.000.000,00
6. Temprature dan Humidity Control lengkap dengan sensor 1,00 set Rp. 12.875.030,00 Rp. 12.875.030,00
7. Box Magnehelic SS. 304, Size. 600 x 300 x 70 1,00 set Rp. 2.574.620,00 Rp. 2.574.620,00
d. Elektrikal
1 Panel control AC 1,00 unit Rp. 140.833.000,00 Rp. 140.833.000,00
~ MCCB 35A, 3 ph, 1 ea
~ MCB 20A, 3 ph, 1 ea
~ MCB 16A, 3 ph, 2 ea
~ MCB 16A, 1 ph, 2 ea
~ Push Button, Contactor, Relay, Selector, Switch, Pilot Lamp
2 Kabel power
Dari panel Control AC-1 ke unit AC 36 m¹ Rp. 60.676,88 Rp. 2.184.367,50
~ NYY 4 x 4mm + NYA 1 x 2,5mm
Dari panel Control AC-1 ke Booster Fan 20 m¹ Rp. 34.689,38 Rp. 693.787,50
~ NYY 4 x 2,5mm + NYA 1 x 2,5mm
Dari panel Control AC-1 ke Dehumidifier 20 m¹ Rp. 35.870,63 Rp. 717.412,50
~ NYY 3 x 2,5mm + NYA 1 x 2,5mm
Kabel Control NYMHY 2 (3 x 0,75mm) 36 m¹ Rp. 29.846,25 Rp. 1.074.465,00
Dari panel Control ke Exhaust 26 m¹ Rp. 35.870,63 Rp. 932.636,25
~ NYY 3 x 2,5mm + NYA 1 x 2,5mm
e. Instalasi ducting
Pengadaan dan Pemasangan Duct Galvanished Sheet lengkap dengan Isolasi
Thermobreak, Density = 25 kg/m2, t = 15mm
1 Supply
~ Dimensi 600x400 mm 38,00 m¹ Rp. 1.166.000,00 Rp. 44.308.000,00
~ Dimensi 350x300 mm 16,00 m¹ Rp. 787.000,00 Rp. 12.592.000,00
~ Dimensi 300x200 mm 20,00 m¹ Rp. 624.000,00 Rp. 12.480.000,00
2 Return
~ Dimensi 500x500 mm 21,00 m¹ Rp. 1.166.000,00 Rp. 24.486.000,00
~ Dimensi 450x400 mm 5,00 m¹ Rp. 1.004.000,00 Rp. 5.020.000,00
~ Dimensi 400x400 mm 9,00 m¹ Rp. 949.000,00 Rp. 8.541.000,00
~ Dimensi 350x350 mm 15,00 m¹ Rp. 841.000,00 Rp. 12.615.000,00
~ Dimensi 300x200 mm 26,00 m¹ Rp. 624.000,00 Rp. 16.224.000,00
3 Accessories Duct
~ Plenum Box, 1000 x 800 x 500 mm 1,00 set Rp. 5.060.460,00 Rp. 5.060.460,00
~ S.A.D Perforated SS 304, 1220 x 610 mm 6,00 pcs Rp. 7.175.740,00 Rp. 43.054.440,00
~ S.A.D Perforated SS 304, 610 x 610 mm 2,00 pcs Rp. 4.783.505,00 Rp. 9.567.010,00
~ R.A.G Perforated SS 304, 500x250 mm 6,00 pcs Rp. 2.941.320,00 Rp. 17.647.920,00
~ Louver Grille Alumunium Amodized c/w OBD, 350x350 mm 6,00 pcs Rp. 1.553.650,00 Rp. 9.321.900,00
~ Volume Damper, 300x200 mm 6,00 pcs Rp. 1.054.745,00 Rp. 6.328.470,00
~ Volume Damper, 250x200 mm 6,00 pcs Rp. 948.595,00 Rp. 5.691.570,00
~ Box Chamber, 550x300 mm 6,00 pcs Rp. 2.483.910,00 Rp. 14.903.460,00
~ Box Chamber, 400x400 mm 2,00 pcs Rp. 2.338.195,00 Rp. 4.676.390,00
14 Air Handling Unit (AHU) Untuk Ruang Koridor Bersih
Dimensi : 20000 x 6000 x 3000
Temperature : 23 ± 2 ᵒC
Humidity : 55 ± 5%
Room Class : 100.000 Class (0,5 micron)
a. Alat Utama
Pengadaan dan pemasangan peralatan utama H.V.A.C, lengkap dengan support dan accessories
1. R. KORIDOR (IU-3.6) 1,00 unit Rp. 415.000.000,00 Rp. 415.000.000,00
Kapasitas : 160.000 BTUH
A.F.R : 4.700 CFM
E.S.P : 1000 Pa
P.I : 19.2kw, 380V, 3Ph, 50Hz
Type : Customize Split Duct
Lengkap dengan : ~ Pre Filter GFF 35%
~ Medium Filter GFF 95%
DAFTAR KUANTITAS DAN HARGA (DKH)
PELAYANAN TATA USAHA PADA UPT RSUD MALINGPING
BELANJA MODAL PEMBANGUNAN GEDUNG IBS DAN ICU
TAHUN ANGGARAN 2021
No. URAIAN PEKERJAAN VOLUME HARGA SATUAN JUMLAH

~ Booster Fan
~ Magnehelic 0 - 700 pa& Box
2. DH-1 (Dehumidifier) 1,00 unit Rp. 31.816.050,00 Rp. 31.816.050,00
Kapasitas : 430 CMH
P.I. : 4.57Kw, 220V, 1ph, 50Hz
Type : Refrigerant
b. Instalasi Pipa
1. Pipa Refrigerant
Pengadaan dan pemasangan Pipa Copper Tube Class ASTM B.2.80 lengkap
dengan Isolasi Superlone, density = 70 kg/m3, t = 15 mm
- Diameter 1/2" 36,00 m¹ Rp. 143.000,00 Rp. 5.148.000,00
- Diameter 1" 36,00 m¹ Rp. 367.000,00 Rp. 13.212.000,00
2. Pipa Drain
Pengadaan dan pemasangan Pipa PVC Class AW
- Diameter 25 mm 26,00 m¹ Rp. 31.191,75 Rp. 810.985,50
c. Filter & Control
1. Pre Filter F8 2,00 pcs Rp. 9.012.135,00 Rp. 18.024.270,00
- Size. 24 x 24 x 6"
2. Medium Filter F8 2,00 pcs Rp. 9.012.135,00 Rp. 18.024.270,00
- Size. 24 x 24 x 6"
3. Filter Pressure Differensial Indicator ( Magnehelic 0 ~ 700 pascal ) 1,00 pcs Rp. 6.437.515,00 Rp. 6.437.515,00
4. Room Pressure Differential Indicator( Magnehelic 0 ~ 60 Pa pascal ) 1,00 pcs Rp. 6.437.515,00 Rp. 6.437.515,00
5. Hose Pneumatic dan Nozzle 1,00 ls Rp. 4.000.000,00 Rp. 4.000.000,00
6. Temprature dan Humidity Control lengkap dengan sensor 1,00 set Rp. 12.875.030,00 Rp. 12.875.030,00
7. Box Magnehelic SS. 304, Size. 300 x 300 x 70 2,00 set Rp. 2.574.620,00 Rp. 5.149.240,00
8. Inverter 3kw (Modulating) 1,00 set Rp. 19.312.545,00 Rp. 19.312.545,00
d. Elektrikal
1. Panel control AC 1,00 unit Rp. 140.833.000,00 Rp. 140.833.000,00
~ MCCB, MCB, Push Button, Contactor, Relay, Selector, Switch, Pilot Lamp
2. Kabel power
Dari panel Control AC-1 ke unit AC
~ NYY 4 x 10mm + NYA 1 x 10mm 52,00 m¹ Rp. 137.700,00 Rp. 7.160.400,00
~ NYY 4 x 2,5mm + NYA 1 x 2,5mm 96,00 m¹ Rp. 34.689,38 Rp. 3.330.180,00
~ NYY 3 x 2,5mm + NYA 1 x 2,5mm 48,00 m¹ Rp. 35.870,63 Rp. 1.721.790,00
Dari panel Control AC-1 ke Booster Fan
~ NYY 4 x 2,5mm + NYA 1 x 2,5mm 48,00 m¹ Rp. 34.689,38 Rp. 1.665.090,00
Dari panel Control AC-1 ke Dehumidifier
~ NYY 3 x 2,5mm + NYA 1 x 2,5mm 48,00 m¹ Rp. 35.870,63 Rp. 1.721.790,00
Kabel Control NYMHY 2 (3 x 0,75mm) 196,00 m¹ Rp. 29.846,25 Rp. 5.849.865,00
e. Instalasi ducting
Pengadaan dan Pemasangan Duct Galvanished Sheet lengkap dengan Isolasi
Thermobreak, Density = 25 kg/m2, t = 15mm
1 Supply
~ Dimensi 500x400 mm 38,00 m¹ Rp. 1.058.000,00 Rp. 40.204.000,00
~ Dimensi 400x300 mm 2,00 m¹ Rp. 841.000,00 Rp. 1.682.000,00
~ Dimensi 350x250 mm 3,00 m¹ Rp. 732.000,00 Rp. 2.196.000,00
~ Dimensi 350x200 mm 5,00 m¹ Rp. 678.000,00 Rp. 3.390.000,00
~ Dimensi 300x200 mm 20,00 m¹ Rp. 624.000,00 Rp. 12.480.000,00
~ Dimensi 200x200 mm 10,00 m¹ Rp. 515.000,00 Rp. 5.150.000,00
2 Return
~ Dimensi 400x400 mm 38,00 m¹ Rp. 949.000,00 Rp. 36.062.000,00
~ Dimensi 350x250 mm 7,00 m¹ Rp. 732.000,00 Rp. 5.124.000,00
~ Dimensi 350x200 mm 12,00 m¹ Rp. 678.000,00 Rp. 8.136.000,00
~ Dimensi 300x200 mm 10,00 m¹ Rp. 624.000,00 Rp. 6.240.000,00
~ Dimensi 200x200 mm 15,00 m¹ Rp. 515.000,00 Rp. 7.725.000,00
3 Accessories Duct
~ Plenum Box, 1000 x 800 x 600 mm 1,00 set Rp. 5.060.460,00 Rp. 5.060.460,00
~ Plenum Box, 900 x 600 x 400 mm 1,00 set Rp. 4.217.050,00 Rp. 4.217.050,00
~ S.A.D Perforated SS 304, 300 x 300 mm 8,00 pcs Rp. 2.352.670,00 Rp. 18.821.360,00
~ R.A.G Perforated SS 304, 350x200 mm 8,00 pcs Rp. 2.156.775,00 Rp. 17.254.200,00
~ Louver Grille Alumunium Amodized c/w OBD, 900x300 mm 1,00 pcs Rp. 2.663.400,00 Rp. 2.663.400,00
~ Volume Damper, 650x350 mm 1,00 pcs Rp. 2.108.525,00 Rp. 2.108.525,00
~ Volume Damper, 350x300 mm 3,00 pcs Rp. 1.370.300,00 Rp. 4.110.900,00
~ Box Chamber, 950 x 350 mm 1,00 pcs Rp. 3.799.205,00 Rp. 3.799.205,00
~ Box Chamber, 600 x 300 mm 9,00 pcs Rp. 2.630.590,00 Rp. 23.675.310,00
~ Box Chamber, 400 x 400 mm 11,00 pcs Rp. 2.338.195,00 Rp. 25.720.145,00

Jumlah Section C.2.3. PEKERJAAN AIR CONDITIONING Rp. 10.215.507.494,50

Section C.2.4. PEKERJAAN PENGADAAN DAN PEMASANGAN ELEVATOR


1 Elevator 2,00 unit Rp. 801.683.250,00 Rp. 1.603.366.500,00
a. Jenis : Hospital Bed Elevator
b. Kapasitas : 1600 Kg
c. Kecepatan : 60 Mpm
d. Lintasan : 3 Lantai / 3 Stop
e. Sistem Operasi / kontrol ( Simplex Selective Collective )
DAFTAR KUANTITAS DAN HARGA (DKH)
PELAYANAN TATA USAHA PADA UPT RSUD MALINGPING
BELANJA MODAL PEMBANGUNAN GEDUNG IBS DAN ICU
TAHUN ANGGARAN 2021
No. URAIAN PEKERJAAN VOLUME HARGA SATUAN JUMLAH

f. Kelengkapan : ARD
- Earth Quake controller
- Safety Device Controller (Emergency Break Hoist)
- Over load Protection
- Over limit velocity Protection
- Emergency Lighting
- Emergency Call
- Hand rail
2 Earthquake Sensor 2,00 unit Rp. 8.437.500,00 Rp. 16.875.000,00
3 Pekerjaan Dumbwaiter 2,00 unit Rp. 395.750.000,00 Rp. 791.500.000,00
a. Jenis : Lift Barang
b. Kapasitas : 200 kg
c. Kecepatan : 30 Mpm
d. Lintasan : 3 Lantai
e. Jasa pemasangan, perijinan & test comm
f. Pekerjaan Separator Beam

Jumlah Section C.2.4. PEKERJAAN PENGADAAN DAN PEMASANGAN ELEVATOR Rp. 2.411.741.500,00

Section C.2.5. PEKERJAAN PENGADAAN DAN PEMASANGAN PNEUMATIC TUBE SYSTEM (PTS)
I. PERALATAN UTAMA DAN PENDUKUNG
A. TRANSFER ROOM, MAIN CONTROL & CABLES
1. Central Control Unit Dual Line System and Power Supply Unit 1,00 set Rp. 200.193.800,00 Rp. 200.193.800,00
2. Blower incl. assesories 1,00 paket Rp. 385.618.200,00 Rp. 385.618.200,00
• Blower 3-Phase 2 unit
• Blower Connecting Set 2 set
• Blower Mounting Buffer 4 buah
• Blower Sound Absorber 2 buah
• Blower Controller 2 buah
• Air/Transfer Diverter 4 unit
• Bypass 2 buah
• Transfer Bend 16 buah
• Hose Clamp 50-70 8 buah
• Air Hose 2 meter
• Air Lid 2 buah
• Air Bow 10 buah
• Reduction Air Diverter 4 buah
• Connecting Tube 2 buah
3. PC-Monitoring and Programing System RFID, 2-Line System 1,00 set Rp. 234.696.000,00 Rp. 234.696.000,00
B. DIVERTERS AND ACCESSORIES
• Diverter 3-Way 2,00 unit Rp. 36.000.100,00 Rp. 72.000.200,00
C. TUBE AND LINE SYSTEM (CENTRAL)
• Tubes PVC - Diam. 110 MM RAL 7000 20,00 meter Rp. 217.800,00 Rp. 4.356.000,00
• Bend R=800, RAL 7001, Grey 10,00 buah Rp. 1.503.400,00 Rp. 15.034.000,00
• Sleeve 45,00 buah Rp. 80.100,00 Rp. 3.604.500,00
• Cable 2x2x0.22 + 3x2.5F 60,00 meter Rp. 167.000,00 Rp. 10.020.000,00
D. VARIOUS INSTALLATION MATERIAL
• Supporting Material 1,00 lot Rp. 23.138.067,50 Rp. 23.138.067,50
(Clutch Clamp, PVC Conduit, Pipeclamp, Screw Bolt, Adhesive Glue, dll)
• Biaya Instalasi 1,00 ls Rp. 18.510.454,00 Rp. 18.510.454,00

II. GEDUNG UGD & RAWAT INAP


A. STATIONS & DIVERTERS AND ACCESSORIES
• Diverter 3-Way 4,00 unit Rp. 36.000.100,00 Rp. 144.000.400,00
• Bottom Loading Station 6,00 unit Rp. 48.445.800,00 Rp. 290.674.800,00
• Top Loading Station 3,00 unit Rp. 58.172.600,00 Rp. 174.517.800,00
All Stations incl.: Basket, Cushion and Carrier Rack
B. TUBE AND LINE SYSTEM
• Tubes PVC - Diam. 110 MM RAL 7000 700,00 meter Rp. 217.800,00 Rp. 152.460.000,00
• Tubes PVC - Diam. 110 MM Transparent 14,00 meter Rp. 1.379.400,00 Rp. 19.311.600,00
• Bend R=800, RAL 7001, Grey 58,00 buah Rp. 1.503.400,00 Rp. 87.197.200,00
• Bend R=800, RAL 7001, Transparent 7,00 buah Rp. 4.709.000,00 Rp. 32.963.000,00
• Sleeve 410,00 buah Rp. 80.100,00 Rp. 32.841.000,00
• Cable 2x2x0.22 + 3x2.5F 1.030,00 meter Rp. 167.000,00 Rp. 172.010.000,00
C. CARRIERS AND ACCESSORIES
• Long Carrier with 2xChips 9,00 buah Rp. 3.701.700,00 Rp. 33.315.300,00
• Short Carrier with 2xChips 36,00 buah Rp. 2.903.700,00 Rp. 104.533.200,00
D. VARIOUS INSTALLATION MATERIAL
• Supporting Material 1,00 lot Rp. 31.095.607,50 Rp. 31.095.607,50
• Biaya Instalasi 1,00 ls Rp. 24.876.486,00 Rp. 24.876.486,00

III. GEDUNG POLIKLINIK & LABORATORIUM


A. STATIONS & DIVERTERS AND ACCESSORIES
• Diverter 3-Way 1,00 unit Rp. 36.000.100,00 Rp. 36.000.100,00
• Bottom Loading Station 1,00 unit Rp. 48.445.800,00 Rp. 48.445.800,00
• Multi Lab Station (2 fully automatic sending dispatchs and 1 receiving dispatch) 4,00 unit Rp. 101.301.200,00 Rp. 405.204.800,00
All Stations incl.: Basket, Cushion and Carrier Rack
DAFTAR KUANTITAS DAN HARGA (DKH)
PELAYANAN TATA USAHA PADA UPT RSUD MALINGPING
BELANJA MODAL PEMBANGUNAN GEDUNG IBS DAN ICU
TAHUN ANGGARAN 2021
No. URAIAN PEKERJAAN VOLUME HARGA SATUAN JUMLAH

B. TUBE AND LINE SYSTEM


• Tubes PVC - Diam. 110 MM RAL 7000 240,00 meter Rp. 217.800,00 Rp. 52.272.000,00
• Tubes PVC - Diam. 110 MM Transparent 28,00 meter Rp. 1.379.400,00 Rp. 38.623.200,00
• Bend R=800, RAL 7001, Grey 23,00 buah Rp. 1.503.400,00 Rp. 34.578.200,00
• Bend R=800, RAL 7001, Transparent 9,00 buah Rp. 4.709.000,00 Rp. 42.381.000,00
• Sleeve 180,00 buah Rp. 80.100,00 Rp. 14.418.000,00
• Cable 2x2x0.22 + 3x2.5F 410,00 meter Rp. 167.000,00 Rp. 68.470.000,00
C. CARRIERS AND ACCESSORIES
• Long Carrier with 2xChips 5,00 buah Rp. 3.701.700,00 Rp. 18.508.500,00
• Short Carrier with 2xChips 20,00 buah Rp. 2.903.700,00 Rp. 58.074.000,00
D. VARIOUS INSTALLATION MATERIAL
• Supporting Material 1,00 lot Rp. 20.424.390,00 Rp. 20.424.390,00
• Biaya Instalasi 1,00 ls Rp. 16.339.512,00 Rp. 16.339.512,00

IV. GEDUNG INSTALASI BEDAH SENTRAL & ICU


A. STATIONS & DIVERTERS AND ACCESSORIES
• Diverter 3-Way 1,00 unit Rp. 36.000.100,00 Rp. 36.000.100,00
• Bottom Loading Station 3,00 unit Rp. 48.445.800,00 Rp. 145.337.400,00
• Top Loading Station 1,00 unit Rp. 58.172.600,00 Rp. 58.172.600,00
All Stations incl.: Basket, Cushion and Carrier Rack
B. TUBE AND LINE SYSTEM
• Tubes PVC - Diam. 110 MM RAL 7000 117,00 meter Rp. 217.800,00 Rp. 25.482.600,00
• Tubes PVC - Diam. 110 MM Transparent 6,00 meter Rp. 1.379.400,00 Rp. 8.276.400,00
• Bend R=800, RAL 7001, Grey 12,00 buah Rp. 1.503.400,00 Rp. 18.040.800,00
• Bend R=800, RAL 7001, Transparent 3,00 buah Rp. 4.709.000,00 Rp. 14.127.000,00
• Sleeve 90,00 buah Rp. 80.100,00 Rp. 7.209.000,00
• Cable 2x2x0.22 + 3x2.5F 195,00 meter Rp. 167.000,00 Rp. 32.565.000,00
C. CARRIERS AND ACCESSORIES
• Long Carrier with 2xChips 4,00 buah Rp. 3.701.700,00 Rp. 14.806.800,00
• Short Carrier with 2xChips 16,00 buah Rp. 2.903.700,00 Rp. 46.459.200,00
D. VARIOUS INSTALLATION MATERIAL
• Supporting Material 1,00 lot Rp. 10.161.922,50 Rp. 10.161.922,50
• Biaya Instalasi 1,00 ls Rp. 8.129.538,00 Rp. 8.129.538,00

V. GEDUNG RAWAT INAP IBU DAN ANAK (LAHAN BARU)


A. STATIONS & DIVERTERS AND ACCESSORIES
• Diverter 3-Way 1,00 unit Rp. 36.000.100,00 Rp. 36.000.100,00
• Top Loading Station 3,00 unit Rp. 58.172.600,00 Rp. 174.517.800,00
All Stations incl.: Basket, Cushion and Carrier Rack
B. TUBE AND LINE SYSTEM
• Tubes PVC - Diam. 110 MM RAL 7000 50,00 meter Rp. 217.800,00 Rp. 10.890.000,00
• Tubes PVC - Diam. 110 MM Transparent 5,00 meter Rp. 1.379.400,00 Rp. 6.897.000,00
• Bend R=800, RAL 7001, Grey 6,00 buah Rp. 1.503.400,00 Rp. 9.020.400,00
• Bend R=800, RAL 7001, Transparent 1,00 buah Rp. 4.709.000,00 Rp. 4.709.000,00
• Sleeve 46,00 buah Rp. 80.100,00 Rp. 3.684.600,00
• Cable 2x2x0.22 + 3x2.5F 90,00 meter Rp. 167.000,00 Rp. 15.030.000,00
C. CARRIERS AND ACCESSORIES
• Long Carrier with 2xChips 3,00 buah Rp. 3.701.700,00 Rp. 11.105.100,00
• Short Carrier with 2xChips 12,00 buah Rp. 2.903.700,00 Rp. 34.844.400,00
D. VARIOUS INSTALLATION MATERIAL
• Supporting Material 1,00 lot Rp. 7.667.460,00 Rp. 7.667.460,00
• Biaya Instalasi 1,00 ls Rp. 6.133.968,00 Rp. 6.133.968,00

VI. GEDUNG RAWAT INAP KELAS 1 & VIP (LAHAN BELAKANG)


A. STATIONS & DIVERTERS AND ACCESSORIES
• Top Loading Station 3,00 unit Rp. 58.172.600,00 Rp. 174.517.800,00
All Stations incl.: Basket, Cushion and Carrier Rack
B. TUBE AND LINE SYSTEM
• Tubes PVC - Diam. 110 MM RAL 7000 77,00 meter Rp. 217.800,00 Rp. 16.770.600,00
• Tubes PVC - Diam. 110 MM Transparent 5,00 meter Rp. 1.379.400,00 Rp. 6.897.000,00
• Bend R=800, RAL 7001, Grey 9,00 buah Rp. 1.503.400,00 Rp. 13.530.600,00
• Bend R=800, RAL 7001, Transparent 1,00 buah Rp. 4.709.000,00 Rp. 4.709.000,00
• Sleeve 58,00 buah Rp. 80.100,00 Rp. 4.645.800,00
• Cable 2x2x0.22 + 3x2.5F 130,00 meter Rp. 167.000,00 Rp. 21.710.000,00
C. CARRIERS AND ACCESSORIES
• Long Carrier with 2xChips 3,00 buah Rp. 3.701.700,00 Rp. 11.105.100,00
• Short Carrier with 2xChips 12,00 buah Rp. 2.903.700,00 Rp. 34.844.400,00
D. VARIOUS INSTALLATION MATERIAL
• Supporting Material 1,00 lot Rp. 7.218.257,50 Rp. 7.218.257,50
• Biaya Instalasi 1,00 ls Rp. 5.774.606,00 Rp. 5.774.606,00

Jumlah Section C.2.5. PEKERJAAN PENGADAAN DAN PEMASANGAN PNEUMATIC TUBE SYSTEM (PTS) Rp. 4.167.698.469,00
DAFTAR KUANTITAS DAN HARGA (DKH)
PELAYANAN TATA USAHA PADA UPT RSUD MALINGPING
BELANJA MODAL PEMBANGUNAN GEDUNG IBS DAN ICU
TAHUN ANGGARAN 2021
URAIAN P E K E R J A A N JUMLAH

SUB REKAPITULASI PEKERJAAN ELEKTRIKAL NON STANDARD


PELAYANAN TATA USAHA PADA UPT RSUD MALINGPING
BELANJA MODAL PEMBANGUNAN GEDUNG IBS DAN ICU

DIVISI, C.3.0. PEKERJAAN NON STANDAR ELEKTRIKAL

Section C.3.1. LOW VOLTAGE DISTRIBUTION Rp. 1.340.900.000,00

Section C.3.2. SISTEM TELECOMMUNICATION Rp. 17.749.912,50

Section C.3.3. SISTEM LOCAL AREA NETWORK (LAN) Rp. 37.025.775,00

Section C.3.4. SISTEM PENGINDERA KEBAKARAN Rp. 180.890.837,50

Section C.3.5. SISTEM PUBLIC ADRESS & TATA SUARA Rp. 110.761.135,00

Section C.3.6. SISTEM MASTER AREAL TELEVISION (MATV) Rp. 115.149.485,00

Section C.3.7. SISTEM CCTV Rp. 113.848.097,50

Section C.3.8. PENANGKAL PETIR Rp. 56.254.000,00

Jumlah DIVISI, C.3.0. PEKERJAAN NON STANDAR ELEKTRIKAL Rp. 1.972.579.242,50


DAFTAR KUANTITAS DAN HARGA (DKH)
PELAYANAN TATA USAHA PADA UPT RSUD MALINGPING
BELANJA MODAL PEMBANGUNAN GEDUNG IBS DAN ICU
TAHUN ANGGARAN 2021
No. URAIAN PEKERJAAN VOLUME HARGA SATUAN JUMLAH

DIVISI, C.3.0. PEKERJAAN NON STANDAR ELEKTRIKAL

Section C.3.1. LOW VOLTAGE DISTRIBUTION

1. CP-BS.OK.1 dan CP-BS.OK.4 2,00 set Rp. 125.125.000,00 Rp. 250.250.000,00


S-IPS-F (Single Isolated Power System Floorstanding
dimention : 600W x 2000H x 400D (mm) inc :
~ Isolating transformer 6.3kVA/1ph with leakage
current ≤ 0.5 mA (1 bh)
~ Isometer for insulation monitoring (1 bh)
~ Load monitoring & load breaker (1 bh)
~ Remote Alarm Indicator (1 bh)
~ MCB 2P/32A/10kA (input + output) (1 bh)
~ MCB 2P/25A/10kA (input + output) (1 bh)
~ MCB 2P/10A/6kA for distribution (10 bh)
~ Selector switch by pass for trafo 1 phase (1 bh)
~ Fan for panel (2 bh)
~ Pilot lamp in out (2 bh)
~ Fuse + holder for pilot lamp (2 bh)
~ Filter Fan for panel (1 bh)
~ Terminal block phoenix contact (1 lot)
~ Wiring dan accessories (1 lot)

2. CP-BS.OK.2 dan CP-BS.OK.3 2,00 set Rp. 125.125.000,00 Rp. 250.250.000,00


S-IPS-F (Single Isolated Power System Floorstanding
dimention : 600W x 2000H x 400D (mm) inc :
~ Isolating transformer 6.3kVA/1ph with leakage
current ≤ 0.5 mA (1 bh)
~ Isometer for insulation monitoring (1 bh)
~ Load monitoring & load breaker (1 bh)
~ Remote Alarm Indicator (1 bh)
~ MCB 2P/32A/10kA (input + output) (1 bh)
~ MCB 2P/25A/10kA (input + output) (1 bh)
~ MCB 2P/10A/6kA for distribution (10 bh)
~ Selector switch by pass for trafo 1 phase (1 bh)
~ Fan for panel (2 bh)
~ Pilot lamp in out (2 bh)
~ Fuse + holder for pilot lamp (2 bh)
~ Filter Fan for panel (1 bh)
~ Terminal block phoenix contact (1 lot)
~ Wiring dan accessories (1 lot)

3. CP-BS.OK.5 1,00 set Rp. 125.125.000,00 Rp. 125.125.000,00


S-IPS-F (Single Isolated Power System Floorstanding
dimention : 600W x 2000H x 400D (mm) inc :
~ Isolating transformer 6.3kVA/1ph with leakage
current ≤ 0.5 mA (1 bh)
~ Isometer for insulation monitoring (1 bh)
~ Load monitoring & load breaker (1 bh)
~ Remote Alarm Indicator (1 bh)
~ MCB 2P/32A/10kA (input + output) (1 bh)
~ MCB 2P/25A/10kA (input + output) (1 bh)
~ MCB 2P/10A/6kA for distribution (10 bh)
~ Selector switch by pass for trafo 1 phase (1 bh)
~ Fan for panel (2 bh)
~ Pilot lamp in out (2 bh)
~ Fuse + holder for pilot lamp (2 bh)
~ Filter Fan for panel (1 bh)
~ Terminal block phoenix contact (1 lot)
~ Wiring dan accessories (1 lot)
4. UPS 40 kVA Redundant 1,00 set Rp. 715.275.000,00 Rp. 715.275.000,00
~ Kapasitas : 2 x 40 kVA Redundant
~ Back Up Time : 15 menit Redundant
~ Input / Output : 380 V, 3 Phasa, 50 Hz
~ Rectifier : IGBT System
~ Inverter : IGBT System

Jumlah Section C.3.1. LOW VOLTAGE DISTRIBUTION Rp. 1.340.900.000,00


DAFTAR KUANTITAS DAN HARGA (DKH)
PELAYANAN TATA USAHA PADA UPT RSUD MALINGPING
BELANJA MODAL PEMBANGUNAN GEDUNG IBS DAN ICU
TAHUN ANGGARAN 2021
No. URAIAN PEKERJAAN VOLUME HARGA SATUAN JUMLAH

Section C.3.2. SISTEM TELECOMMUNICATION


B Sub Distribution System :
C.1 Kabel Distribusi dari MDF eksisting (Bangunan Genset) ke TTB-BS
~ Outdoor Telephone Cable 30 x 2 x 0,6 mm² 56,00 m¹ Rp. 62.100,00 Rp. 3.477.600,00

C.2 Lantai - 1
1 Telepon terminal box (TTB-BS.1, 30 pair) 1,00 bh Rp. 591.000,00 Rp. 591.000,00
1 Inst. telepon ITC (4 x 0.6 mm²) in HIPVC ø 20 mm 5,00 ttk Rp. 178.368,75 Rp. 891.843,75
2 Outlet telepon 5,00 bh Rp. 89.662,50 Rp. 448.312,50
3 Hand set telephone analog 5,00 bh Rp. 426.375,00 Rp. 2.131.875,00

C.3 Lantai - 2
1 Telepon terminal box (TTB-BS.2, 10 pair) 1,00 bh Rp. 591.000,00 Rp. 591.000,00
2 Inst. telepon ITC (4 x 0.6 mm²) in HIPVC ø 20 mm 6,00 ttk Rp. 178.368,75 Rp. 1.070.212,50
3 Outlet telepon 6,00 bh Rp. 89.662,50 Rp. 537.975,00
4 Hand set telephone analog 6,00 bh Rp. 426.375,00 Rp. 2.558.250,00

C.4 Lantai - 3
1 Telepon terminal box (TTB-BS.3, 10 pair) 1,00 bh Rp. 591.000,00 Rp. 591.000,00
2 Inst. telepon ITC (4 x 0.6 mm²) in HIPVC ø 20 mm 7,00 ttk Rp. 178.368,75 Rp. 1.248.581,25
3 Outlet telepon 7,00 bh Rp. 89.662,50 Rp. 627.637,50
4 Hand set telephone analog 7,00 bh Rp. 426.375,00 Rp. 2.984.625,00

Jumlah Section C.3.2. SISTEM TELECOMMUNICATION Rp. 17.749.912,50

Section C.3.3. SISTEM LOCAL AREA NETWORK (LAN)


Sub Distribution System :
A Lantai - 1
1 Kabel distribusi fibre optic wire 4 core dari server ke :
~ Switch HUB-BS.1 60,00 m' Rp. 77.000,00 Rp. 4.620.000,00
~ Switch HUB-BS.2 64,00 m' Rp. 77.000,00 Rp. 4.928.000,00
~ Switch HUB-BS.3 68,00 m' Rp. 77.000,00 Rp. 5.236.000,00
2 Switch HUB-BS.1 (16 port) 1,00 bh Rp. 991.350,00 Rp. 991.350,00
Rack HUB c/w : 1,00 unit Rp. 2.998.000,00 Rp. 2.998.000,00
~ wall mounted type
~ depth 490 mm (double door)
~ fan (1 unit)
~ power distribusi panel 5 outlet (1 unit)
~ UPS 500 VA
~ material support & instalasi
3 Outlet IT, RG45 cat.6 8,00 bh Rp. 95.512,50 Rp. 764.100,00
4 Instalasi kabel UTP category 6 termasuk pipa 8,00 ttk Rp. 271.406,25 Rp. 2.171.250,00

B. Lantai - 2
1 Switch HUB-BS.2 (16 port) 1,00 bh Rp. 991.350,00 Rp. 991.350,00
Rack HUB c/w : 1,00 unit Rp. 2.998.000,00 Rp. 2.998.000,00
~ wall mounted type
~ depth 490 mm (double door)
~ fan (1 unit)
~ power distribusi panel 5 outlet (1 unit)
~ UPS 500 VA
~ material support & instalasi
2 Outlet IT, RG45 cat.6 12,00 bh Rp. 95.512,50 Rp. 1.146.150,00
3 Instalasi kabel UTP category 6 termasuk pipa 12,00 ttk Rp. 271.406,25 Rp. 3.256.875,00

C. Lantai - 3
1 Switch HUB-BS.3 (16 port) 1,00 bh Rp. 991.350,00 Rp. 991.350,00
2 Rack HUB c/w : 1,00 unit Rp. 2.998.000,00 Rp. 2.998.000,00
~ wall mounted type
~ depth 490 mm (double door)
~ fan (1 unit)
~ power distribusi panel 5 outlet (1 unit)
~ UPS 500 VA
~ material support & instalasi
3 Outlet IT, RG45 cat.6 8,00 bh Rp. 95.512,50 Rp. 764.100,00
4 Instalasi kabel UTP category 6 termasuk pipa 8,00 ttk Rp. 271.406,25 Rp. 2.171.250,00

Jumlah Section C.3.3. SISTEM LOCAL AREA NETWORK (LAN) Rp. 37.025.775,00
DAFTAR KUANTITAS DAN HARGA (DKH)
PELAYANAN TATA USAHA PADA UPT RSUD MALINGPING
BELANJA MODAL PEMBANGUNAN GEDUNG IBS DAN ICU
TAHUN ANGGARAN 2021
No. URAIAN PEKERJAAN VOLUME HARGA SATUAN JUMLAH

Section C.3.4. SISTEM PENGINDERA KEBAKARAN

A Distribution System :
1 MCFA (Addressable) kapasitas 2 loop : 1,00 set Rp. 34.470.000,00 Rp. 34.470.000,00
~ c/w Rechargegeable Lead acid battery
~ c/w Master intercom
2 Anunciator 1,00 unit Rp. 12.973.500,00 Rp. 12.973.500,00
3 MDF 1,00 unit Rp. 8.438.625,00 Rp. 8.438.625,00
4 Kabel distribusi AWG18 dalam HI PVC ø 20 mm dari :
• MCFA ke MDF (2 pair) 3,00 m¹ Rp. 49.140,00 Rp. 147.420,00
• MDF ke FTB-BS.1 (2 pair) 20,00 m¹ Rp. 49.140,00 Rp. 982.800,00
• MDF ke FTB-BS.2 (2 pair) 33,00 m¹ Rp. 49.140,00 Rp. 1.621.620,00
• MDF ke FTB-BS.3 (2 pair) 39,00 m¹ Rp. 49.140,00 Rp. 1.916.460,00
5 Kabel telepon ITC 2 x 0.6 mm² dlm HI PVC ø 20 mm dari :
• MCFA ke MDF (2 pair) 3,00 m¹ Rp. 12.521,25 Rp. 37.563,75
• MDF ke FTB-BS.1 (2 pair) 20,00 m¹ Rp. 12.521,25 Rp. 250.425,00
• MDF ke FTB-BS.2 (2 pair) 33,00 m¹ Rp. 12.521,25 Rp. 413.201,25
• MDF ke FTB-BS.3 (2 pair) 39,00 m¹ Rp. 12.521,25 Rp. 488.328,75
6 Kabel kontrol NYM 2 x 2.5 mm² dlm HI PVC ø 20 mm dari :
• MCFA ke MDF (2 pair) 3,00 m¹ Rp. 20.790,00 Rp. 62.370,00
• MDF ke FTB-BS.1 (2 pair) 20,00 m¹ Rp. 20.790,00 Rp. 415.800,00
• MDF ke FTB-BS.2 (2 pair) 33,00 m¹ Rp. 20.790,00 Rp. 686.070,00
• MDF ke FTB-BS.3 (2 pair) 39,00 m¹ Rp. 20.790,00 Rp. 810.810,00

B Instalasi & Fixtures :


B.1 Lantai - 1
1 Combination box with fire hydrant cabinet c/w :
• Manual call point / manual pull station 1,00 bh Rp. 463.000,00 Rp. 463.000,00
• Bell / alarm 1,00 bh Rp. 664.425,00 Rp. 664.425,00
• Indicating lamp 1,00 bh Rp. 1.110.937,50 Rp. 1.110.937,50
• Line telepon FHC / jack telepon 1,00 bh Rp. 305.000,00 Rp. 305.000,00
2 Instalasi & Fixtures
• Photo elektric smoke detector c/w base 15,00 bh Rp. 793.000,00 Rp. 11.895.000,00
• Rate of rise heat detector 23,00 bh Rp. 399.825,00 Rp. 9.195.975,00
• Fire terminal box (FTB-F1) 1,00 bh Rp. 2.566.125,00 Rp. 2.566.125,00
• Instalasi AWG 18 (1 pair) dlm HI PVC ø 20 mm 29,00 ttk Rp. 290.587,50 Rp. 8.427.037,50
• Instalasi NYM 3 x 1.5 mm² dlm HI PVC ø 20 mm 1,00 ttk Rp. 256.837,50 Rp. 256.837,50
• Instalasi ITC 2 x 0.6 mm² dlm HI PVC ø 20 mm 1,00 ttk Rp. 107.493,75 Rp. 107.493,75

B.2 Lantai - 2
1 Combination box with fire hydrant cabinet c/w :
• Manual call point / manual pull station 1,00 bh Rp. 463.000,00 Rp. 463.000,00
• Bell / alarm 1,00 bh Rp. 664.425,00 Rp. 664.425,00
• Indicating lamp 1,00 bh Rp. 1.110.937,50 Rp. 1.110.937,50
• Line telepon FHC / jack telepon 1,00 bh Rp. 305.000,00 Rp. 305.000,00
2 Instalasi & Fixtures
• Photo elektric smoke detector c/w base 19,00 bh Rp. 793.000,00 Rp. 15.067.000,00
• Rate of rise heat detector 22,00 bh Rp. 399.825,00 Rp. 8.796.150,00
• Fire terminal box (FTB-F) 1,00 bh Rp. 2.566.125,00 Rp. 2.566.125,00
• Instalasi AWG 18 (1 pair) dlm HI PVC ø 20 mm 42,00 ttk Rp. 290.587,50 Rp. 12.204.675,00
• Instalasi NYM 3 x 1.5 mm² dlm HI PVC ø 20 mm 1,00 ttk Rp. 256.837,50 Rp. 256.837,50
• Instalasi ITC 2 x 0.6 mm² dlm HI PVC ø 20 mm 1,00 ttk Rp. 107.493,75 Rp. 107.493,75

B.3 Lantai - 3 & atap


1 Combination box with fire hydrant cabinet c/w :
• Manual call point / manual pull station 2,00 bh Rp. 463.000,00 Rp. 926.000,00
• Bell / alarm 2,00 bh Rp. 664.425,00 Rp. 1.328.850,00
• Indicating lamp 2,00 bh Rp. 1.110.937,50 Rp. 2.221.875,00
• Line telepon FHC / jack telepon 2,00 bh Rp. 305.000,00 Rp. 610.000,00
2 Instalasi & Fixtures
• Photo elektric smoke detector c/w base 12,00 bh Rp. 793.000,00 Rp. 9.516.000,00
• Rate of rise heat detector 28,00 bh Rp. 399.825,00 Rp. 11.195.100,00
• Fire terminal box (FTB-F3) 1,00 bh Rp. 2.566.125,00 Rp. 2.566.125,00
• Instalasi AWG 18 (1 pair) dlm HI PVC ø 20 mm 41,00 ttk Rp. 290.587,50 Rp. 11.914.087,50
• Instalasi NYM 3 x 1.5 mm² dlm HI PVC ø 20 mm 1,00 ttk Rp. 256.837,50 Rp. 256.837,50
• Instalasi ITC 2 x 0.6 mm² dlm HI PVC ø 20 mm 1,00 ttk Rp. 107.493,75 Rp. 107.493,75

Jumlah Section C.3.4. SISTEM PENGINDERA KEBAKARAN Rp. 180.890.837,50


DAFTAR KUANTITAS DAN HARGA (DKH)
PELAYANAN TATA USAHA PADA UPT RSUD MALINGPING
BELANJA MODAL PEMBANGUNAN GEDUNG IBS DAN ICU
TAHUN ANGGARAN 2021
No. URAIAN PEKERJAAN VOLUME HARGA SATUAN JUMLAH

Section C.3.5. SISTEM PUBLIC ADRESS & TATA SUARA


A Distribution System :
1 CRPS (Cabinet Rack PA System) : 1,00 set Rp. 64.152.000,00 Rp. 64.152.000,00
~ DVD/MP3/CD player (1 unit)
~ Remote microphone 20 ch (1 bh)
~ Emergency microphone (1 bh)
~ Sound repeater w/emergency panel (1 set)
~ Mixer frame m/modules (1 set)
~ Power amplifier 240 W (2 bh)
~ Speaker selector switch : 10 channel (1 bh)
~ Cabinet rack & accessories (1 lot)
2 Kabel distribusi dari CRPS ke :
• STB, NYMHY 6 x (3 x 1.5 mm²) 40,00 m¹ Rp. 79.458,75 Rp. 3.178.350,00

B Sub Distribution System :


B.1 Lantai - 1
1 Sound terminal box (STB) 1,00 bh Rp. 376.000,00 Rp. 376.000,00
2 Ceiling speaker 3 W 29,00 bh Rp. 152.167,50 Rp. 4.412.857,50
3 Volume control 6 W 9,00 bh Rp. 216.180,00 Rp. 1.945.620,00
4 Instalasi NYMHY 3 x 1.5 mm² dalam HI PVC ø 20 mm 29,00 ttk Rp. 273.375,00 Rp. 7.927.875,00

B.2 Lantai - 2
1 Ceiling speaker 3 W 32,00 bh Rp. 152.167,50 Rp. 4.869.360,00
2 Volume control 6 W 7,00 bh Rp. 216.180,00 Rp. 1.513.260,00
3 Instalasi NYMHY 3 x 1.5 mm² dalam HI PVC ø 20 mm 32,00 ttk Rp. 273.375,00 Rp. 8.748.000,00

B.3 Lantai - 3
1 Ceiling speaker 3 W 29,00 bh Rp. 152.167,50 Rp. 4.412.857,50
2 Volume control 5 W 6,00 bh Rp. 216.180,00 Rp. 1.297.080,00
3 Instalasi NYMHY 3 x 1.5 mm² dalam HI PVC ø 20 mm 29,00 ttk Rp. 273.375,00 Rp. 7.927.875,00

Jumlah Section C.3.5. SISTEM PUBLIC ADRESS & TATA SUARA Rp. 110.761.135,00

Section C.3.6. SISTEM MASTER AREAL TELEVISION (MATV)

A Distribution System :
1 Antenna parabola 6 feet c/w F,H LNB & tiang 1,00 unit Rp. 5.737.000,00 Rp. 5.737.000,00
2 VHF antenna 10 elemen 1,00 unit Rp. 1.068.000,00 Rp. 1.068.000,00
3 UHF antenna 36 elemen 2,00 unit Rp. 1.647.000,00 Rp. 3.294.000,00
4 Masterhead Amplifier 1,00 unit Rp. 949.500,00 Rp. 949.500,00
5 Power devider 2,00 unit Rp. 726.480,00 Rp. 1.452.960,00
6 Receiver digital 10,00 unit Rp. 2.250.000,00 Rp. 22.500.000,00
7 Modulator 10,00 unit Rp. 3.768.000,00 Rp. 37.680.000,00
8 Programable amplifier 10 filter 1,00 unit Rp. 10.462.000,00 Rp. 10.462.000,00
9 Combiner 16 channel 1,00 unit Rp. 2.250.000,00 Rp. 2.250.000,00
10 Open rack 42U 2,00 unit Rp. 6.300.000,00 Rp. 12.600.000,00
11 Booster amplifier 2,00 unit Rp. 2.920.230,00 Rp. 5.840.460,00
12 Coaxial cable RG-11 dari parabola ke ruang kontrol dan kabel distribusi utama 28,00 m¹ Rp. 17.443,13 Rp. 488.407,50

B Sub Distribution System :


B.1 Lantai - 1
1 Coupler 4 way 1,00 unit Rp. 332.730,00 Rp. 332.730,00
2 Spliter 4 way 2,00 unit Rp. 276.480,00 Rp. 552.960,00
3 Spliter 2 way 1,00 unit Rp. 220.230,00 Rp. 220.230,00
4 Outlet TV 6,00 bh Rp. 161.662,50 Rp. 969.975,00
5 Instalasi kabel coaxial RG-11 dalam HI PVC ø 20 mm 6,00 ttk Rp. 273.375,00 Rp. 1.640.250,00

B.2 Lantai - 2
1 Coupler 2 way 1,00 unit Rp. 332.730,00 Rp. 332.730,00
2 Spliter 4 way 1,00 unit Rp. 276.480,00 Rp. 276.480,00
3 Spliter 3 way 1,00 unit Rp. 237.105,00 Rp. 237.105,00
4 Outlet TV 7,00 bh Rp. 161.662,50 Rp. 1.131.637,50
5 Instalasi kabel coaxial RG-11 dalam HI PVC ø 20 mm 7,00 ttk Rp. 273.375,00 Rp. 1.913.625,00

C.3 Lantai - 3
1 Coupler 2 way 1,00 unit Rp. 332.730,00 Rp. 332.730,00
2 Spliter 4 way 1,00 unit Rp. 276.480,00 Rp. 276.480,00
3 Outlet TV 6,00 bh Rp. 161.662,50 Rp. 969.975,00
4 Instalasi kabel coaxial RG-11 dalam HI PVC ø 20 mm 6,00 ttk Rp. 273.375,00 Rp. 1.640.250,00

Jumlah Section C.3.6. SISTEM MASTER AREAL TELEVISION (MATV) Rp. 115.149.485,00
DAFTAR KUANTITAS DAN HARGA (DKH)
PELAYANAN TATA USAHA PADA UPT RSUD MALINGPING
BELANJA MODAL PEMBANGUNAN GEDUNG IBS DAN ICU
TAHUN ANGGARAN 2021
No. URAIAN PEKERJAAN VOLUME HARGA SATUAN JUMLAH

Section C.3.7. SISTEM CCTV


A Distribution System
1 Digital video recorder 16 ch, hardisk 1,000GB 1,00 unit Rp. 13.643.000,00 Rp. 13.643.000,00
contoller internet (ruang security lantai-1) c/w :
2 LED monitor 32" color (ruang administrasi) 1,00 unit Rp. 11.162.000,00 Rp. 11.162.000,00

B Sub Distribution System


B.1. Lantai - 1
1 Dome camera fixed lens 3.6 mm 6,00 unit Rp. 3.333.960,00 Rp. 20.003.760,00
2 Dome camera fixed lens 3.6 mm (16 x zoom) 2,00 unit Rp. 4.329.585,00 Rp. 8.659.170,00
3 Instalasi kabel video dari camera ke ruang kontrol 8,00 ttk Rp. 273.375,00 Rp. 2.187.000,00
kabel coaxial RG-11 dalam pipa conduit ø 20 mm
4 Instalasi kabel power NYM 3 x 2.5 mm² untuk setiap 8,00 ttk Rp. 300.937,50 Rp. 2.407.500,00
camera dalam pipa conduit ø 20 mm

B.2. Lantai - 2
1 Dome camera fixed lens 3.6 mm 4,00 unit Rp. 3.333.960,00 Rp. 13.335.840,00
2 Dome camera fixed lens 3.6 mm (16 x zoom) 3,00 unit Rp. 4.329.585,00 Rp. 12.988.755,00
3 Instalasi kabel video dari camera ke ruang kontrol 7,00 ttk Rp. 273.375,00 Rp. 1.913.625,00
kabel coaxial RG-11 dalam pipa conduit ø 20 mm
4 Instalasi kabel power NYM 3 x 2.5 mm² untuk setiap 7,00 ttk Rp. 300.937,50 Rp. 2.106.562,50
camera dalam pipa conduit ø 20 mm

B.3. Lantai - 3
1 Dome camera fixed lens 3.6 mm 4,00 unit Rp. 3.333.960,00 Rp. 13.335.840,00
2 Dome camera fixed lens 3.6 mm (16 x zoom) 2,00 unit Rp. 4.329.585,00 Rp. 8.659.170,00
3 Instalasi kabel video dari camera ke ruang kontrol 6,00 ttk Rp. 273.375,00 Rp. 1.640.250,00
kabel coaxial RG-11 dalam pipa conduit ø 20 mm
4 Instalasi kabel power NYM 3 x 2.5 mm² untuk setiap 6,00 ttk Rp. 300.937,50 Rp. 1.805.625,00
camera dalam pipa conduit ø 20 mm

Jumlah Section C.3.7. SISTEM CCTV Rp. 113.848.097,50

Section C.3.8. PENANGKAL PETIR


1 Penangkal petir type Elektrostatik R = 75 m 1,00 set Rp. 26.101.000,00 Rp. 26.101.000,00
~ Air terminal / spit
~ Connecting sleeve
~ Counter stroke
2 Pipa GIP medium class ø 2" & 1.50" (H = 6 m¹), lengkap dengan base 1,00 unit Rp. 646.000,00 Rp. 646.000,00
3 Obstruction lamp 1,00 set Rp. 6.553.000,00 Rp. 6.553.000,00
4 Down conductor XLPE 70 mm² 22,50 m¹ Rp. 614.000,00 Rp. 13.815.000,00
5 Test box 1,00 bh Rp. 253.000,00 Rp. 253.000,00
6 Control box (50 x 50 x 50) cm 1,00 bh Rp. 309.000,00 Rp. 309.000,00
7 Arde grounding spit ø 1" (max. resistance 2 ohm) 1,00 unit Rp. 3.234.000,00 Rp. 3.234.000,00
8 Clamp, bolt & material support 1,00 ls Rp. 3.656.000,00 Rp. 3.656.000,00
9 Perijinan, testing & commissioning 1,00 ls Rp. 1.687.000,00 Rp. 1.687.000,00

Jumlah Section C.3.8. PENANGKAL PETIR Rp. 56.254.000,00

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