Request for Quotations No: 1833-XX

For Printing and Distribution of IEC Materials

Issued by the Nutrition International “NI” (formerly known as the Micronutrient Initiative)

Deadline for receipt of proposals at the NI:

Friday, 17 August 2018

17:00 West Indonesia Standard Time

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RFQ No: 1833-XX Printing and Distribution of IEC materials

1. SCOPE

Nutrition International/NI is implementing MITRA Youth, a project supporting Weekly

Iron Folic Acid Supplementation (WIFAS) for prevention and reduction of Iron
Deficiency Anaemia (IDA) among school-going adolescent girls, in selected districts in
two provinces of Indonesia: East Java and East Nusa Tenggara. MITRA Youth is
supported by Department of Foreign Affairs and Trade (DFAT) Australia.

NI is implementing MITRA Youth in 10 districts in East Java and 10 districts in East

Nusa Tenggara. To increase uptake and use of WIFAS, Behavior Change Intervention
strategy and materials focusing on nutrition education and increasing awareness on
the importance and benefit of taking IFA supplements for girls are developed. A
consultant was hired to review and modified the existing BCI strategy including the BCI
materials developed for the NI demonstration project. The review was based on the
findings of the formative research and consultation meetings with different
stakeholders, namely UNICEF, NI-Springster, GAIN, Public Health Faculty University
of Indonesia, and NI technical experts. The revised draft of the BCI strategy and
materials was then presented during a stakeholders’ workshop on 21 March 2018.
Pretesting of the materials was carried out in hence the BCI strategy and materials
were finalized.
As a part of this ongoing intervention. BCI materials are to be printed and distributed
schools and puskesmas at district and provincial level to raise awareness about
anaemia, WIFAS and improving nutritional status of adolescent girls.

2. TECHNICAL SPECIFICATIONS

Bidders should refer to Annexure 2.

3. GENERAL INSTRUCTIONS AND CONSIDERATIONS

3.1 Bidders must provide all the information requested below. Quotations that do not
provide the required information, or do not follow the submission requirements, will not
be reviewed.

3.2 Bidders are responsible for all costs associated with quotation preparation and sample
submission.

3.3 Requests for further information must be sent in writing by email by 14 August 2018
(By 12:00 West Indonesia Standard Time) to
proposalsindonesia@nutritionintl.org
Questions received thereafter will not be answered.

3.4 Nutrition International reserves the right to reject or accept any quotation in whole or in
part and to reject all quotations at any time without assigning any reason whatsoever
before award of Contract.

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RFQ No: 1833-XX Printing and Distribution of IEC materials

4. SUBMISSION OF QUOTATIONS

The closing date for submission of quotations is on or before 17 August 2018, West
Indonesia Standard Time. Late or incomplete quotations will not be considered. The
quotations along with technical information must be submitted by email in English at
the following Email address: proposalsindonesia@nutritionintl.org, with the reference
of “RFQ No: 1833-XX Printing and Distribution of IEC Materials” in the subject line.

4.1 The specification of material to be used for printing of BCI material must be as per
the NI‘s requirement (as mentioned in Annexure 2).

4.2 The agency will be required to submit printed samples of all materials for approval
before commencing the final printing.

4.3 Unit price quoted for printed material should be in Indonesian Rupiah (IDR). Price
should be broken down in terms of taxes (if any), freight, packaging and other costs
(if any). Delivery should be made in cartons and should be delivered as per the
distribution plan mentioned in Annexure 3 both Alternative 1 and 2.

4.4 Bidders should refer to Annexure 4 both Alternative 1 and 2 for the format for
quotations.

4.5 Bidders must include the delivery schedule in Annexure 3 both Alternative 1 and 2
along with their quotation and indicate their ability to meet the schedule by
accepting or adjusting the dates.

4.6 All prices shall be valid for a period of 2 months after the Closing Date.

5. BIDDER SELECTION AND CONFIDENTIALITY

5.1 The NI will review all complete quotations and inform the successful Bidders within
3 weeks of the Closing Date.

5.2 NI will respect the confidentiality of all information provided by Bidders.

6. SAMPLE OF PROOF FOR THE PRINTED MATERIALS

The selected Bidder will need to submit the printed sample of the material as per
specifications, to Nutrition International Indonesia at the address mentioned in section
3.3, within 10 days from acceptance of signed PO and duly approved soft copy of the
file from NI.

7. DELIVERY TERMS

The Goods will be delivered within 30 days after receipt of duly signed Purchase Order
and go ahead on approved file ready for printing from NI. Any change in the delivery
date will be mutually agreed upon by the vendor and NI.

8. PAYMENT

Payment will be made within 30 days of the delivery and acceptance of all the printed
materials; and invoice and lorry receipt.

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RFQ No: 1833-XX Printing and Distribution of IEC materials

ANNEXURE 1:

1. Background

Nutrition International/NI is implementing MITRA Youth, a project supporting Weekly Iron Folic
Acid Supplementation (WIFAS) for prevention and reduction of Iron Deficiency Anaemia (IDA)
among school-going adolescent girls, in selected districts in two provinces of Indonesia: East
Java and East Nusa Tenggara. MITRA Youth is supported by Department of Foreign Affairs
and Trade (DFAT) Australia.

NI is implementing MITRA Youth in 10 districts in East Java and 10 districts in East Nusa
Tenggara. To increase uptake and use of WIFAS, BCI strategy and Information, Education
and Communication (IEC) materials focusing on nutrition education and increasing awareness
on the importance and benefit of taking IFA supplements for girls are developed. A consultant
was hired to review and modified the existing BCI strategy including the IEC materials
developed for the NI demonstration project. The review was based on the findings of the
formative research and consultation meetings with different stakeholders, namely UNICEF,
NI-Springster, GAIN, Public Health Faculty University of Indonesia, and NI technical experts.
The revised draft of the BCI strategy and materials was then presented during a stakeholders’
workshop on 21 March 2018. Pretesting of the materials was carried out in hence the BCI
strategy and materials were finalized.

As a part of this ongoing intervention. IEC materials are to be printed and distributed schools
and puskesmas at district and provincial level to raise awareness about anaemia, WIFAS and
improving nutritional status of adolescent girls.

2. Objectives

The objective is to print IEC materials and distribute to schools, puskesmas, districts and
provinces stakeholders.

3. Expected Output

The IEC materials for schools, puskesmas, districts and provinces stakeholders are printed
and distributed.

4. Deliverables

 Final layout and design

 Dummy production
 Printing IEC materials
 Distribution of IEC materials
 Handover notes

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RFQ No: 1833-XX Printing and Distribution of IEC materials

The number of printed materials required are as follows:

No District Flipchart Poster Booklet Booklet Booklet Booklet Video Monitoring

for for for Girls for Card
parents teachers Boys
EAST JAVA
1 Banyuwangi 50 572 398 572 1790 572 224 31,754
2 Bondowoso 30 435 300 435 1380 435 165 11,615
3 Situbondo 22 376 258 376 1202 376 140 14,243
4 Lumajang 30 390 270 390 1230 390 150 16,477
5 Jember 55 1030 705 1030 3305 1030 380 42,780
6 Ponorogo 36 396 186 261 786 261 111 18,812
7 Ngawi 29 209 155 218 659 218 92 15,109
8 Pacitan 29 314 303 440 1399 440 166 8,779
9 Sampang 26 749 508 749 2436 749 267 14,778
10 Bangkalan 27 552 375 549 1767 549 201 15,767
11 Province 60 100 100 100 100 100 60 200
Sub Total 394 5,123 3,558 5,120 16,054 5,120 1,956 190,314
EAST NUSA TENGGARA
1 Ende 29 155 113 155 239 155 71 7,202
2 Nagekeo 12 69 50 69 107 69 31 3,713
3 Ngada 19 94 69 94 144 94 44 4,125
4 Sabu Raijua 11 41 31 41 61 41 21 2,054
5 Sumba Barat 20 203 142 203 325 203 81 8,678
Daya
6 Malaka 25 118 87 118 180 118 56 4,934
7 Kota Kupang 16 202 140 202 326 202 78 12,051
8 Alor 31 199 143 199 311 199 87 4,744
9 Sumba 13 37 29 37 53 37 21 1,663
Tengah
10 Manggarai 26 140 102 140 216 140 64 6,331
Barat
11 Province 50 80 80 80 80 80 50 100
Sub Total
252 1,338 986 1,338 2,042 1,338 317 55,595
NI Jakarta Office 30 60 30 30 30 30 20 91
TOTAL 676 6,521 4,574 6,488 18,126 6,488 2,580 246,000

5. Qualifications of the agency

 Minimum 3 years of experience in printing

 Experience in working NI would be an asset

6. Timeline

The printing and distribution will be conducted in August until end of September 2018.

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 RFQ No: 1833-XX Printing and Distribution of IEC materials

ANNEXURE 2:
TECHNICAL SPECIFICATIONS FOR PRINTING AND DISTRIBUTION
OF IEC MATERIALS

Product Printing Specification Unit

DVD Video “Sehat Copy DVD, DVD Case, cover on DVD 2,580
Berprestasi Tanpa and casing, full color printing. Expected
Anemia” casing as picture below:

Flipchart Size A4 676

- Art carton 260 grams
- 35 pages
- Two-sided printing
- Full color printing 4/4
- Laminating doft
- Spiral binding (landscape)
- Standing board no 40 covered black
lynen, front size: 30x23 cms
Booklet for parents - Size 16 x 14 cms 4,574
- 8 pages or 4 pages two-sided printing
- Art carton 190 grams
- Full color printing 4/4
- Staple binding
Booklet for girls - Size A6 18,126
- 32 pages or 16 pages two-sided
printing
- Matte paper 150 grams
- Full color printing 4/4
- Staple binding
Booklet for boys - Size A6 6,488
- 8 pages or 4 pages two-sided printing
- Matte paper 150 grams
- Full color printing 4/4
- Staple binding
Booklet for teachers - Size 15x20 cms 6,488
- 44 pages or 22 pages two-sided
printing
- Matte paper 150 grams
- Full color printing 4/4
- Staple binding

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 RFQ No: 1833-XX Printing and Distribution of IEC materials

Poster - Size A2 6,521

- Full color printing 4/0
- Art paper 190 grams
- Finishing laminating glossy
Nutrition control cards - Size 26 x 9 cm 246,000
- Matte paper 150 grams
- Full color printing 4/4
- Finishing fold into 3 parts

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RFQ No: 1833-XX Printing and Distribution of IEC materials

ANNEXURE 3:
DISTRIBUTION OF PRINTED MATERIAL

No For Flipchart Poster Booklet for parents Booklet for teachers Booklet for Girls Booklet for Boys Video Monitoring Card
1 East Java 394 5,123 3,558 5,120 16,054 5,120 1,956 190,314
2 East Nusa Tenggara 252 1,338 986 1,338 2,042 1,338 604 55,595
3 Jakarta 30 60 30 30 30 30 20 91
TOTAL 676 6,521 4,574 6,488 18,126 6,488 2,580 246,000

DELIVERY WISE QUANTITIES AND CONTACT DETAILS FOR DISTRIBUTION OF IEC MATERIAL FOR EAST JAVA
Distribution Information Distribution Information Distribution Information

Contact Information Quantities Contact Information Quantities Contact Information Quantities

No District
Shipment address Shipment address Shipment address
Booklet for Booklet for Booklet for Booklet for Monitoring Booklet for Booklet for Booklet for Booklet for Monitoring Booklet for Booklet for Booklet for Booklet for Monitoring
Contact Number Contact Person Flipchart Poster Video Contact Number Contact Person Poster Video Contact Number Contact Person Poster Video
parents teachers Girls Boys Card parents teachers Girls Boys Card parents teachers Girls Boys card

Dinas Kesehatan Kabupaten

Kanwil Kementerian Agama
Banyuwangi Cabang Dinas Pendidikan
Office: (0333) 424794 Frida Herdyana (Staf Istu (Kepala Cabang Jl. Adisucipto No. 112, Banyuwangi, Zainal Abidin (Kasi
1 Banyuwangi Jl. Letkol Istiqlah No. 42, Singonegaran, 50 50 50 50 50 50 50 Jl. Lateng Kecamatan Banyuwangi, Mobile: 082244621580 372 248 372 1240 372 124 26,054 Mobile: 085258508816 150 100 150 500 150 50 5,700
Mobile: 081336131747 Gizi) Dinas) Sobo, Kec. Banyuwangi, Kab. Pendidikan Madrasah)
Kec. Banyuwangi, Kab. Banyuwangi, Banyuwangi, Jawa Timur 68414
Banyuwangi, Jawa Timur 68418
Jawa Timur 68415
Dinas Kesehatan Kabupaten
Cabang Dinas Pendidikan
Bondowoso Kanwil Kementerian Agama
Office: (0332) 421341 Luluk Mas'adah (staf Jl. HOS Cokrroaminoto No. 218, Mahrus (Kepala Cabang Mudhasir (Kasi
2 Bondowoso Jl. Imam Bonjol, Kademangan, Kec. 30 30 30 30 30 30 30 Mobile: 085230507623 231 154 231 770 231 77 7,928 Jl. Kademangan, Kec. Bondowoso, Kab. Mobile: 085232747752 174 116 174 580 174 58 3,687
Mobile: 082330640587 gizi) Kademangan, Kec. Bondowoso, Jawa Dinas) Pendidikan Madrasah)
Bondowoso, Kab. Bondowoso, Jawa Bondowoso, Jawa Timur 68217
Timur 68217
Timur 68217

Dinas Kesehatan Kabupaten Situbondo Kanwil Kementerian Agama

Cabang Dinas Pendidikan
Jl. Raya PB Sudirman No. 14, Patokan, Office: (0338) 671850 Kusharyatik (Kasubag Jl. PB Sudirman No. 1, Patokan, Kec. Susiawan (Kasi
3 Situbondo Mardiyah (Kasi Gizi) 22 22 22 22 22 22 22 Jl. Mimbaan, Panji, Kab. Situbondo, Mobile: 082338859343 162 108 162 540 162 54 9,789 Mobile: 082335483800 192 128 192 640 192 64 4,454
Kec. Situbondo, Kab. Situbondo, Jawa Mobile: 08113508115 TU) Situbondo, Kab. Situbondo, Jawa Timur Pendidikan Madrasah)
Jawa Timur 68323
Timur 68312 68312

Dinas Kesehatan Kabupaten Lumajang Cabang Dinas Pendidikan Kanwil Kementerian Agama
Jl. Jend. S. Parman No. 13, Rogotrunan, Office: (0334) 881066 Jl. AR Hakim No. 04, Ditotrunan, Kec. Sugiono (Kepala Cabang Jl. Pisang Agung No. 49, Sumberejo, Khoiri (Kasi Pendidikan
4 Lumajang Faria (Kasi Gizi) 30 30 30 30 30 30 30 Mobile: 085335111966 195 130 195 650 195 65 11,929 Mobile: 081336071339 165 110 165 550 165 55 4,548
Kec. Lumajang, Kab. Lumjang, Jawa Mobile: 082333803733 Lumajang, Kab. Lumajang, Jawa Timur Dinas) Sukodono, Kec. Lumajang, Kab. Madrasah)
Timur 67311 67316 Lumajang, Jawa Timur 67316

Kanwil Kementerian Agama

Dinas Kesehatan Kabupaten Jember Office: (0331) 487577 Cabang Dinas Pendidikan
Dwi Handarisasi (Kasi Fathur (Staf Cabang Jl. KH Wachid Hasyim, Kepatihaan, Irma (Kasi Pendidikan
5 Jember Jl. Srikoyo 1 No. 3, Patrang, Bintoro, Mobile: 085145782349 55 55 55 55 55 55 55 Jl. Kalimantan No. 42 Sumbersari, Kab. Mobile: 082132079273 681 454 681 2270 681 227 31,599 Mobile: 081331180771 294 196 294 980 294 98 11,181
Gizi) Dinas) Kaliwaates, Kab. Jember, Jawa Timur Madrasah)
Kab. Jember, Jawa Timur 68111 085258376761 Jember, Jawa Timur 68121
68131
Kanwil Kementerian Agama
Dinas Kesehatan Kabupaten Ponorogo Cabang Dinas Pendidikan
Ofice: (0352) 484550 Jl. Ir. H Juanda No. 64, Tonatan, Kec. Siswo (Kasi Pendidikan
6 Ponorogo Jl. Basuki Rahmat Gedung Terpadu Lt.1- Lis Suwarni (Kasi Gizi) 36 36 36 36 36 36 36 Jl. Tonatan, Kec. Ponorogo, Kab. Mobile: 081259988355 Eko (Kasi SMA dan SMK) 168 112 168 560 168 56 12,668 Mobile: 081234204937 192 38 57 190 57 19 6,144
Mobile: 081329509999 Ponorogo, Kab. Ponorogo, Jawa Timur Madrasah)
2 Ponorogo, Jawa Timur 63418
63419

Dinas Kesehatan Kabupaten Ngawi Jl. S Cabang Dinas Pendidikan Kanwil Kementerian Agama
Office: (0351) 749147 Supardi (Kepala Cabang Fatkhurrohman (Staf
7 Ngawi Parman No. 25A, Beran, Kec. Ngawi, Sayuti (Kasi Gizi) 29 29 29 29 29 29 29 Jl. Ketanggi, Kec. Ngawi, Kab. Ngawi, Mobile: 081259409966 123 82 123 410 123 41 12,668 Jl. Kartini No. 15, Margomulyo, Kec. Mobile: 081234250088 57 44 66 220 66 22 2,441
Mobile: 085708316891 Dinas) Pendidikan Madrasah)
Kab. Ngawi, Jawa Timur 63216 Jawa Timur 63211 Ngawi, Kab. Ngawi, Jawa Timur 63217

Dinas Kesehatan Kabupaten Pacitan Cabang Dinas Pendidikan Kanwil Kementerian Agama
Office: (0357) 885708 Sumino (Staf Pendidikan
8 Pacitan Jl. Sasuit Tubun No. 1 Telp. 0357881292, Nur (Kasi Gizi) 29 29 29 29 29 29 29 Jl. Pacitan, Kec. Pacitan, Kab, Pacitan, Mobile: 087758366054 Anik (Kasubag TU) 219 146 219 730 219 73 7,377 Jl. Pacitan, Kec. Pacitan, Kab. Pacitan, Mobile: 081703798198 66 128 192 640 192 64 1,402
Mobile: 08113389383 Madrasah)
Kabupaten Pacitan, Jawa Timur 63513 Jawa Timur 63511 Jawa Timur 63511

Dinas Kesehatan Kabupaten Sampang Kanwil Kementerian Agama

Cabang Dinas Pendidikan
Jl. KH. Wahid Hasyim No. 53, Gn. Sekar, Office: (0323) 322584 Asyari (Kepala Cabang Jl. Jamaludin No. 5, 69213, Gn. Sekar, Mawardi (Kasi
9 Sampang dr.Lusi (Kasi Gizi) 26 26 26 26 26 26 26 Jl. Gunung Sekar, Kec. Sampang, Kab. Mobile: 087750220405 456 304 456 1520 456 152 8,992 Mobile: 082337968600 267 178 267 890 267 89 5,786
Kec. Sampang, Kab. Sampang, Jawa Mobile: 083853213085 Dinas) Kec. Sampang, Kab. Sampang, Jawa Pendidikan Madrasah)
Sampang, Jawa Timur 69216
Timur 69216 Timur 69216

Dinas Kesehatan Kabupaten Bangkalan Cabang Dinas Pendidikan Kanwil Kementerian Agama
Jl. Mertajasah No. 70, Mertajasah, Kec. Office: (031) 3095381 Jl. Mertajasah No. 70, Mertajasah, Kec. Arif (Kepala Cabang Jl. Soekarno Hatta No. 09-A, Mlajah, Mobile: 081332465777 Hamid (Kasi Pendidikan
10 Bangkalan Suhdi (Kasi Gizi) 27 27 27 27 27 27 27 Mobile: 081252678938 354 236 354 1180 354 118 11,598 171 112 168 560 168 56 4,169
Bangkalan, Kab. Bangkalan, Jawa Timur Mobile: 081235530000 Bangkalan, Kab. Bangkalan, Jawa Timur Dinas) Kec. Bangkalan, Kab. Bangkalan, Jawa 08175263865 (WA) Madrasah)
69116 69116 Timur 69116

Dinas Kesehatan Provinsi Jawa Timur

Office: (0338) 671850
11 Province Jl. A Yani No. 118, Surabaya, Jawa Ari Saadah 60 100 100 100 100 100 60 200
Mobile: 085291098476
Timur 60231

TOTAL 394 434 434 434 434 434 394 200 2961 1974 2961 9870 2961 987 140602 1728 1150 1725 5750 1725 575 49512

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DELIVERY WISE QUANTITIES AND CONTACT DETAILS FOR DISTRIBUTION OF IEC MATERIAL FOR EAST NUSA TENGGARA
Distribution Information Distribution Information Distribution Information

Contact Information Quantities Contact Information Quantities Contact Information Quantities

No District
Shipment address Shipment address Shipment address
Booklet for Booklet for Booklet for Booklet for Monitoring Booklet for Booklet for Booklet for Booklet for Monitoring Booklet for Booklet for Booklet for Booklet for Monitoring
Contact Number Contact Person No. telpon kantor No. Hp Flipchart Poster Video Contact Number Contact Person Poster Video Contact Number Contact Person Poster Video
parents teachers Girls Boys Card parents teachers Girls Boys Card parents teachers Girls Boys Card

Vinsensius F. Sare
(Kepala Seksi SMA
Dinas Kesehatan Kabupaten Ende: Maria Antonia Eka Upt Pendidikan Wilayah 8 Tati Maria Fatima
UPT Pendidikan Kementerian Agama
Jl. Melati Kelurahan Mautapaga Mobile : 0821-5343- (Kasie Kesehatan Jalan Nangka, Ende, Nusa Tenggara (Pengawas Sekolah
1 Ende (0333) 424794 085259303405 29 29 29 29 29 29 29 0813-3790-3267 Wilayah 8 Kupang 108 72 108 180 108 36 6,223 Jl. Melati Kel. Mautapaga Kec. 0852-3937-3739 18 12 18 30 18 6 979
Kecamatan Ende Timur RT 02 RW 2647 Keluarga Gizi dan Gizi Timur Madya Tk. MTs/MA
(Kab. Ende, Kab Ende Tengah
01 Kab. Ende) Kemenag Kab Ende)
Ngada dan Kab
Nagekeo)

Vinsensius F. Sare
Dinas Kesehatan Kabupaten
(Kepala Seksi SMA
Nagekeo - Natzir Muhamad
Mobile: Upt Pendidikan Wilayah 8 UPT Pendidikan Kementerian Agama Kabupaten
Kompleks Kantor Bupati Tk II Budiman (Kasie Gizi (Pengawas
2 Nagekeo 082122736996/ (031) 3095381 085850535500 12 12 12 12 12 12 12 Jalan Nangka, Ende, Nusa Tenggara 0813-3790-3267 Wilayah 8 Kupang 48 32 48 80 48 16 3,514 Nagekeo) 0852-3895-3268 9 6 9 15 9 3 199
Nagekeo, Nagekeo. Kelurahan Dinkes Nagekeo) Pendidikan Agama
081239106564 Timur (Kab. Ende, Kab Jl. Poros Danga Maropokat Mbay
Lape Kecamatan Aesesa Kode Pos Islam Kab. Nagekeo)
Ngada dan Kab
86472
Nagekeo)

Dinas Kesehatan Kabupaten Ngada

Vinsensius F. Sare
Jl. Gajah Mada No.2 86411
Maria A. D. Wea (Kepala Seksi SMA
Ragha (Kepala Seksi Upt Pendidikan Wilayah 8 UPT Pendidikan Kementerian Agama (Kabupaten Andi Mulyati (Seksi
Mobile: 0813-3779-
3 Ngada Perbaikan Gizi (0332) 421341 085859838322 19 19 19 19 19 19 19 Jalan Nangka, Ende, Nusa Tenggara 0813-3790-3267 Wilayah 8 Kupang 69 46 69 115 69 23 3,986 Ngada) 0812-2761-1111 Pendidikan Islam 6 4 6 10 6 2 139
0822
Masyarakat Kab. Timur (Kab. Ende, Kab Jln. Letjen Soeprapto Bajawa Kemenag Kab. Ngada)
Ngada) Ngada dan Kab
Nagekeo)
Dinas Kesehatan Kabupaten Sabu
Raijua
Jl. El Tari, Seba Km. 07 Dominggus Karmoi
Naomi Karing (Kepala
Upt Pendidikan Wilayah 4 Kementerian Agama Kabupaten (Pengawas
Seksi Pelayanan
Mobile: 0812-4662- Jalan Eltari Menia Km 07, Desa 082146859299/ Sabu Pendidikan Agama
4 Sabu Raijua Kesehatan Khusus KIA (0331) 487577 085790535231 11 11 11 11 11 11 11 Yanto 27 18 27 45 27 9 2,028 0852-5335-9996 3 2 3 5 3 1 26
2056 Menia.Seba, Sabu Raijua, Nusa 082237851602 Jln. Eltari, Menia, Seba, Kec. Sabu Kristen Kantor
dan Gizi Kab. Sabu
Tenggara Timur. 85391 Barat. Sabu Raijua, NTT Kementrian Agama
Raijua)
Kab. Sabu Raijua)

Dinas Kesehatan Kabupaten

Wilhelmus Yohanes
Sumba Barat Daya, Hasan Bin Husin
Gerardus Ngongo Upt Pendidikan Wilayah 10 Mali (Kasubag Tata
Jl. Ir. Soekarno, Kadula. Kecamatan Kementerian Agama Kabupaten Lataku (Kepala Seksi
Mobile: 0822-3751- Ghello (Staff Kesga Jalan Pisang, Kerekelo, Usaha UPT Wilayah X
5 Sumba Barat Daya Kota Tambolaka, Sumba Barat (0334) 881066 081334906432 20 20 20 20 20 20 20 0821-4476-8547 168 112 168 280 168 56 8,407 Sumba Barat Daya 0813-3924-6890 Pendidikan dan Bimas 15 10 15 25 15 5 271
1227 Gizi Dinkes Sumba Waikabubak, Sumba Barat, Nusa Kab. Sumba Barat,
Daya Jln Kasimo Poma Tambolaka Islam Kab. Sumba
Barat Daya) Tenggara Timur Sumba Barat Daya
Barat Daya)
dan SumbaTengah)
Kantor Dinas Kesehatan Malaka, UPT Pendidikan Wilayah 2 Kementerian Agama Kabupaten Seprianus (Seksi
Kaletek, Betun. Maria G. D. Baria, S.Gz Maria Fatima
Mobile: 0813-3921- Jalan Y.A Bere Mau, Belu, Malaka Pendidikan Kristen
6 Malaka (Pengelola Gizi KIA (0352) 484550 082139996937 25 25 25 25 25 25 25 0811-3823-337 Agamitte, S. Kom, M. 90 60 90 150 90 30 4,919 0813-3933-9418 3 2 3 5 3 1 15
2757 / 085253853424 Atambua, Nusa Tenggara Timur. Jl. Haslaran/ Belakang Gereja GMIT Kemenag Kabupaten
Kab. Malaka) T (Staf UPT Kab. Belu0
85711 Ebenhaezer, Betun Malaka)
Dinas Kesehatan Kota Kupang
Jl. Perintis Kemerdekaan Kec. Teren Bonaventura UPT Pendidikan Wilayah 1 Mahklon O. Takubessi
Kelapa Lima 85111, Sitti Aminah (Staf
Mobile: 0852-3914- (Kasie Anak, Remaja & Jalan Jendral Soeharto No. 57, (Koordinator Kementerian Agama Kota Kupang
7 Kupang Kota (0351) 749147 081335554814 16 16 16 16 16 16 16 0813-3940-7079 174 116 174 290 174 58 11,710 0812-3980-1871 Seksi Pendidikan 12 8 12 20 12 4 341
4106 Usila Dinkes Kota Kota Raja, Kota Kupang, Nusa Pengawas Kota Jln. S.K Lerik Kota Kupang
Islam Kota Kupang)
Kupang) Tenggara Tim. 85142 Kupang)

Dinas Kesehatan Kabupaten Alor,

Jl. Prof. DR. WZ. Johanes UPT Pendidikan Wilayah 5
Theresia Surat Nama Simon Dael (Staf UPT Kementerian Agama Kabupaten Jakaria Jaka (Staf
Mobile: 0812-3054- (Kabupaten Alor) 0813-3959-4500/
8 Alor (Kasie Kesga dan Gizi (0357) 885708 08174130025 31 31 31 31 31 31 31 0812-3759-8780 Pendidikan Wilayah 147 98 147 245 147 49 4,039 Alor Kementrian Agama 21 14 21 35 21 7 705
3362 Jalan Sumatera no 12 RT 1 / RW 1 0812-3790-0310
Dinkes Kab. Alor) 5 Kab. Alor) Jln Kelimutu No. 1 Kalabahi Kab. Alor)
Bungawaru- Kalabahi Timur

Dinas Kesehatan Kabupaten

Sumba Tengah
Jl. Wallolung, Waibakul, Sumba Wilhelmus Yohanes
Kementerian Agama Kabupaten Yohan Nani Marthen
Tengah Theresia Foni UPT Pendidikan Wilayah 10 Mali (Kasubag Tata
Sumba Tengah (Kepala Seksi
Mobile: 0812-3622- Solokana (Kasie Kesga Jalan Pisang, Kerekelo, Usaha UPT Wilayah X
9 Sumba Tengah (0323) 322584 087850944344 13 13 13 13 13 13 13 0821-4476-8547 18 12 18 30 18 6 1,611 Kompleks Pemerintahan Makatul, 0812-3756-5192 Pendidikan Kristen 6 4 6 10 6 2 52
1548 dan Gizi Dinkes Kab. Waikabubak, Sumba Barat, Nusa Kab. Sumba Barat,
Jl. Wallolung, Waibakul, Sumba Kemenag Kab. Sumba
Sumba Tengah) Tenggara Timur Sumba Barat Daya
Tengah Tengah)
dan SumbaTengah)

Dinas Kesehatan Kabupaten

Manggarai Barat Sanusi (Pengevaluasi
Ismiatun (Staf Seksi Apolonarius
Jl. Daniel Daeng Nabit, Labuan Bajo Mobile: 0812-3883- UPT Pendidikan Wilayah 7 Kementerian Agama Kabupaten Tenaga Kependidikan
Kesehatan Keluarga Kurniawan
10 Manggarai Barat Kode pos 86554 8111 (0338) 671850 08123490486 26 26 26 26 26 26 26 Jalan Jenderal Sudirman, La'o, 0813-3812-1675 102 68 102 170 102 34 5,797 Manggarai Barat 0813-3936-6082 Seksi Pendidikan 12 8 12 20 12 4 534
dan Gizi Dinkes Kab. (Staf Upt Pendidikan
Office: (0385) 2443205 Ruteng, Nusa Tenggara Timur Jln Frans Nala Desa Batu Cermin Islam Kab. Manggarai
Manggarai Barat) Wil VII)
Barat)

Dinas Kesehatan Provinsi Nusa

Donna Angelina Rade
Tenggara Timur
11 Province Mobile: 082237736971 (Provincial (0338) 671850 08123490486 50 80 80 80 80 80 50 100
Jalan Palapa No. 22 Kupang
Coordinator)
Nusa Tenggara Timur, 85111
TOTAL 252 282 282 282 282 282 252 100 951 634 951 1585 951 317 52234 105 70 105 175 105 35 3261

Please note:
The final address will be confirmed by NI prior to distribution.

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RFQ No: 1833-XX Printing and Distribution of IEC materials

ANNEXURE 4

FORMAT FOR SUBMITTING QUOTATIONS

Item Description Unit QUANTITY Unit

Total Cost
No. Cost
(IDR)
(IDR)
Designing charge Lump 1
1
sum
2 DVD Each 2,580
3 Flipchart Each 676
4 Booklet for parents Each 4,574
5 Booklet for girls Each 18,126
6 Booklet for boys Each 6,488
7 Booklet for teachers Each 6,488
8 Poster Each 6,521
9 Nutrition control cards Each 246,000
Freight charge to 10 districts Lump 1
in East Java Province and sum
10
East Java Provincial Health
Office
Freight charge to 10 districts Lump 1
in East Nusa Tenggara sum
11 Province and East Nusa
Tenggara Provincial Health
Office
Freight charge to NI office Lump 1
12
sum
Tax (@____ %)
Other charges, if any
(please specify)
Total amount

Other conditions:

1) Payment Terms –
2) Delivery period -

NOTE (Important)
- Agency is required to attach with this bid, an Organizational profile stating the relevant
experience, and a detailed client list.
- Cost of printed items should include, printing as per specifications, packaging (as per
district wise distribution list which shall be provided by NI), delivery, loading and unloading
of material at destination etc.
- Payment shall be made after submission of invoice by agency, along with the duly
receipted delivery challans.

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RFQ No: 1833-XX Printing and Distribution of IEC materials

- Printing should be done as per the prototypes and specifications provided by NI. Some
modification may be required in adapting the designs to actual proportions.
- Artwork files (service bureau with Corel Draw version) and e-version will be shared by NI.

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