| Reason | |||
|---|---|---|---|
CV Bupolo Keluarga Berencana | 10*0**0****59**4 | Rp 444,555,000 | - |
Sua Lintas Nusantara | 08*9**0****39**0 | Rp 399,600,000 | Tidak menyampaikan Hasil Penilaian Kinerja Penyedia |
| 0715313565941000 | - | - | |
| 0967952805941000 | - | - | |
Drie Karya Cemerlang | 05*8**1****68**0 | - | - |
CV Mandawe | 00*8**1****15**0 | - | - |
| 0721802718001000 | - | - | |
CV Mm Mulia Mandiri | 10*0**0****44**9 | - | - |
| 0956752968803000 | - | - | |
| 0210018909028000 | - | - | |
CV Fazatama Co | 10*0**0****70**7 | - | - |
| 0907133615602000 | - | - |