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AMENDMENT NO. 2 TO THE CONTRACT (Dated May 30, 2014) FOR NON-CONSULTING SERVICES TIME BASED REGIONAL OVERSIGHT MANAGEMENT SERVICES (ROMS) 5 IBRD Loan 8259-ID BETWEEN Directorate of Water Supply Development Directorate General of Human Settlements Ministry of Public Works AND PT. Tata Guna Patria in Joint Venture With : AHT Group Consultants Contract Number : KU.08.08/Kontrak/Pamsimas/174/VIII/2013 Dated : August 27, 2013

AMENDMENT NO. 2 TO THE CONTRACT (Dated May 30, 2014)new.pamsimas.org/data/kontrak/amendment/Amendment_2 Pamsima… · in Joint Venture With : ... AMENDMENT No 2 TO THE CONTRACT Dated

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AMENDMENT NO. 2 TO THE CONTRACT(Dated May 30, 2014)

FORNON-CONSULTING SERVICES

TIME BASED

REGIONAL OVERSIGHT MANAGEMENT SERVICES (ROMS) – 5IBRD Loan 8259-ID

BETWEEN

Directorate of Water Supply DevelopmentDirectorate General of Human Settlements

Ministry of Public Works

AND

PT. Tata Guna Patriain Joint Venture With :

AHT Group Consultants

Contract Number : KU.08.08/Kontrak/Pamsimas/174/VIII/2013Dated : August 27, 2013

SUMMARY OF CONTRACT

1. Loan No. : Loan IBRD 8259 ID (Third Water Supply andSanitation for Low Income Communities-WSLIC3/PAMSIMAS II)

2. Name of Service Providers : PT. Tata Guna PatriaIn Joint Venture with :AHT Group Consultants

3. Contract No. and Date : : KU.08.08/Kontrak/Pamsimas/174/VIII/2013Date: August 27, 2013

Amendment No. 1 : Dated : November 25, 2013

Amendment No. 2 : Dated : May 30, 2014

4. Domicile/Address of : Plaza Golden Fatmawati (D’Best) Blok J 8-9Service Providers Jl. RS Fatmawati No. 16 – Jakarta Selatan

Telpon (021) 75916012-16Fax (021) 75915802

5. Value of Contract :

Original Contract : IDR 40.094.032.500 (Include VAT 10% APBN Portion)

Amendment No. 1 : IDR 40,763,512,500 (Include VAT 10% APBN Portion)

Amendment No. 2 : IDR 44,445,295,000 (Include VAT 10% APBN Portion)

6. Brief Description of Services : Provision of advisory services for the ProvincialProject Management Unit and District ProjectManagement Unit in the daily operation,management and implementation of Community-Based Water Supply Project (PAMSIMAS II) in theProvinces of Bali, Nusa Tenggara Barat and NusaTenggara Timur.

7. Percentage Eligible for :IBRD Financing

Original Contract : 80 % Net of VATAmendment No. 1 : 80 % Net of VATAmendment No. 2 : 80 % Net of VAT

8. Percentage Eligible for :APBN-RM Financing

Original Contract : 20 % Net of VATAmendment No. 1 : 20 % Net of VATAmendment No. 2 : 20 % Net of VAT

9. Percentage Eligible for :

APBN-RM Financing

(Non Sharing)

Original Contract : Nil

Amendment No. 1 : Nil

Amendment No. 2 : 100 % Net of VAT

10. Amount Eligible for :

IBRD Financing

Original Contract : IDR 31,446,300,000 (Net of VAT)

Amendment No. 1 : IDR 31,446,300,000 (Net of VAT)

Amendment No. 2 : IDR 31,446,300,000 (Net of VAT)

11. Amount Eligible for :

APBN-RM Financing

Original Contract : IDR 7,681,575,000 (Net of VAT)

IDR 768,157,500 (VAT 10%)

Amendment No. 1 : IDR 7,861,575,000 (Net of VAT)

IDR 786,157,500 (VAT 10%)

Amendment No. 2 : IDR 7,861,575,000 (Net of VAT)

IDR 786,157,500 (VAT 10%)

12. Amount Eligible for :

TF Financing

Original Contract : Nil

Amendment No. 1 : IDR 669,480,000 (Net of VAT)

Amendment No. 2 : IDR 669,480,000 (Net of VAT)

13. Amount Eligible for :

IDA Credit 4204-IND

Original Contract : Nil

Amendment No. 1 : Nil

Amendment No. 2 : IDR 465,729,000 (Net of VAT)

14. Amount Eligible for :

APBN-RM Financing

(Non Sharing)

Original Contract : Nil

Amendment No. 1 : Nil

Amendment No. 2 : IDR 4,087,133,000 (Net of VAT)

IDR 408,713,300 (VAT 10%)

AMENDMENT No 2 TO THE CONTRACTDated May 30, 2014

REGIONAL OVERSIGHT MANAGEMENT SERVICES (ROMS) 5

IBRD Loan 8259-ID

Contract Number : KU.08.08/Kontrak/Pamsimas/174/VIII/2013Dated : August 27, 2013

This Contract Amendment No. 2 (hereinafter called “Amendment No. 2”) is made on Friday,Thirty of the month of May 2014 between, on the one hand, Directorate of Water SupplyDevelopment, Directorate General of Human Settlements, Ministry of Public Works,Government of Indonesia, (hereinafter called the “Employer”) and, on the other hand, a JointVenture PT. Tata Guna Patria consisting of the following entities, each member of whichwill be jointly and severally liable to the Employer for all the Service Provider’s obligationsunder this Contract, namely, AHT Group Consultants (hereinafter called the “ServiceProvider”).

WHEREAS

(a) the Bank had issued the NOL for TOR and Cost Estimate of Provincial Training forDistrict Association, on April 25, 2014.

(b) the Bank had issued the NOL for PAMSIMAS Facilitator Administration Services inROMS, on March 17, 2014.

(c) the Client had officially requested the Service Provider to submit the draft contractAmendment No. 2, with letter No. UM.01.01/Pamsimas/III/174, dated March 24,2014.

(d) the Service Provider submit the draft contract amendment No. 2(e) the Client had officially requested NOL the draft contract amendment No. 2, with

letter Ref. No. UM.01.14/Ca/Pamsimas/081 dated May 13, 2014, Re. Request forNOL to the Draft Contract Amendment No. 2 of Regional Oversight ManagementServices (ROMS) – Lot 1 up to Lot 7.

(f) the Bank had issued the NOL upon the Draft of Contract Amendment No. 2 on May28, 2014.

NOW THEREFORE the parties hereto hereby agree as follows:

The following documents attached hereto shall be deemed to form an integral part of thisContract:

1. The General Conditions of Contract (including Attachment 1 “Bank Policy – Corrupt andFraudulent Practices); No Change

2. The Special Conditions of Contract; Modified3. Appendices:

(a) Appendix A : Description of Services; Modified(b) Appendix B : Personnel, Staffing Schedule; Modified

Appendix C

Summary Of Cost Estimate(Amended)

TOTAL

IDA-4204 IND TF-094792 APBN-RM

100% VARIATION

1 2 3 5 6

A REMUNERATION 19,723,500,000 19,723,500,000 - - - - - 19,723,500,000

1 Regional Team 1,764,000,000 1,764,000,000 - - 1,764,000,000

2 Provincial Team 3,307,500,000 3,307,500,000 - - 3,307,500,000

3 District Team 14,652,000,000 14,652,000,000 - - 14,652,000,000

B REIMBURSABLE 19,584,375,000 20,253,855,000 - 465,729,000 - 2,923,685,000 3,389,414,000 23,643,269,000

1 Duty Travel 1 (APBN RM 80% + IBRD 20%) 757,440,000 757,440,000 - - - 757,440,000

Management Fee 5% of [1.1.1 + 1.1.2] 37,872,000 37,872,000 - 37,872,000

2 Mobilization and Demobilization 295,940,000 295,940,000 - - - 295,940,000

Management Fee 5% of [2.1] 14,797,000 14,797,000 - - - 14,797,000

3 Office Space 1,484,400,000 1,484,400,000 - - - 1,484,400,000

4 Utilities Expenses 752,400,000 752,400,000 - - - 752,400,000

5 Office Equipment 371,600,000 371,600,000 - - - 371,600,000

6 Vehicle Rental 6,924,000,000 6,924,000,000 - - - 6,924,000,000

7 Communication 589,800,000 589,800,000 - - - 589,800,000

Management Fee 5% of [7.1 + 7.2] 29,490,000 29,490,000 - - - 29,490,000

8 Training 8,106,560,000 8,106,560,000 - - - 8,106,560,000

Management Fee 5% of [8.1 + 8.2 + 8.3.1 + 8.3.2 + 8.5 + 8.6 + 8.7 + 8.8] 175,226,000 175,226,000 - - - 175,226,000

9 Reporting 44,850,000 44,850,000 - - 44,850,000

10 Training STBM Pamsimas 637,600,000 - - 637,600,000

Management Fee 5% of [10] 31,880,000 - - 31,880,000

11 Additional - 465,729,000 - 2,923,685,000 3,389,414,000 3,389,414,000

a DUTY TRAVEL 2 (APBN RM 100%)

Management Fee 5% of [11.c]

b Provincial Training for District Assosiation ( IDA CR. 4204 IND ) - 423,390,000 - 423,390,000 423,390,000

Management Fee 10% of [11.a] - 42,339,000 - 42,339,000 42,339,000

c COST FOR PAMSIMAS FACILITATORS

1. Sallary Pamsimas Facilitators - 2,008,500,000 2,008,500,000 2,008,500,000

Management Fee 15% of [11.b1] - 301,275,000 301,275,000 301,275,000

2. Operational Pamsimas Facilitators - 558,100,000 558,100,000 558,100,000

Management Fee 10% of [11.b2] - 55,810,000 55,810,000 55,810,000

C TOTAL = [C = A + B] 39,307,875,000 39,977,355,000 - 465,729,000 - 2,923,685,000 3,389,414,000 43,366,769,000

D.1 - IBRD FINANCING, [D.1 = 80% * (C-B.10 -B.11)] 31,446,300,000 31,446,300,000 - - - - - 31,446,300,000

D.2 - APBN RM FINANCING, [D.2 = 20% * (C-B.10 -B.11] 7,861,575,000 7,861,575,000 - - - - - 7,861,575,000

D.3 - VAT APBN RM, [D.3 = (10% * D.2)] 786,157,500 786,157,500 - - - - - 786,157,500

E.1 - IDA FINANCING, [E.1 = B.11] - - 465,729,000 - - 465,729,000 465,729,000

F.1 - TF - 094792, [F.1 = (B.10+B.11.a.b.c)] 669,480,000 - - - - - 669,480,000

G.1 - APBN RM , [G.1 = 100% * (Tim Regional, Province dan District ke Jakarta ] - - 2,923,685,000 2,923,685,000 2,923,685,000

G.2 - VAT APBN RM, [G.2 = (10% * G.1)] - - - 292,368,500 292,368,500 292,368,500

C.4 - TF - 094792, [C.4 = (10+11)] 669,480,000 - - - - 669,480,000

H GRAND TOTAL, [D = D.1 + D.2 + D.3 + D.4) 40,094,032,500 40,763,512,500 - 465,729,000 - 3,216,053,500 3,681,782,500 44,445,295,000

CONTRACT

AMANDEMENT 2

VARIANTIONS

IBRD and APBN-RM

[80%-20%]

Original Contract

SUMMARY COST ESTIMATEREGIONAL OVERSIGHT MANAGEMENT SERVICES (OMS) - 5

COMMUNITY BASED WATER SUPPLY PROJECT (PAMSIMAS II)

DRAFT AMENDMENT 2

NO. DESCRIPTION CONTRACT AMENDMENT

No.1

Appendix D

Remuneration and Reimbursable Cost Estimate(Amended)

REGIONAL OVERSIGHT MANAGEMENT SERVICES (OMS) - 5

COMMUNITY BASED WATER SUPPLY PROJECT (PAMSIMAS II)

Minimum

Take Home Pay

[IDR]

1 6 15 16 17 18=[16*17] 16 17 18=[16*17] 16 17 18=[16*17] 15 16 17 18=[16*17]

A REMUNERATION 19,723,500,000 19,723,500,000 19,723,500,000

1 Regional Team 1,764,000,000 1,764,000,000 - 1,764,000,000

1.1 Project Manager 1 pers. x 36 month 11,000,000 Bambang Setijono Bambang Setijono 29

Ir. Effendi 7

1.2 Data Management 1 pers. x 36 month 8,000,000 Johan Felipus Amalo Johan Felipus Amalo 36

1.3 LG Specialist 1 pers. x 36 month 8,000,000 Sonny Pellokila Sonny Pellokila 36

1.4 Trainer Coordinator 1 pers. x 36 month 8,000,000 Herman Umbu Zogara Herman Umbu Zogara 36

Supporting Staff : -

1.5 Office Manager 1 pers. x 36 month 4,500,000 Rachmat Agung Permadi Aletry Yunita Adu 36

-

2 Provincial Team 3,307,500,000 3,307,500,000 - 3,307,500,000

2.1 Provincial Coordinator / LG Kupang 1 1 pers. x 36 month 9,000,000 Petronela Sain Petronela Sain 36

Kupang 2 1 pers. x 36 month 9,000,000 Bastian Bartolens Messah Bastian Bartolens Messah 36

Mataram 1 pers. x 33 month 9,000,000 Paternus Yandinatus Edison L Nababan 2.5

Mulyatno 30.5

2.2 Financial Management Specialist Kupang 1 1 pers. x 36 month 7,500,000 Muhamad Anas Muhamad Anas 36

Kupang 2 1 pers. x 36 month 7,500,000 Agustinus Johanes Agustinus Johanes 36

Mataram 1 pers. x 33 month 7,500,000 Herman Gidion Pamungkas Wiji 33

2.3 Quality Assurance Specialist Kupang 1 1 pers. x 36 month 9,000,000 Riky Octofiato Penlaana Patje J.B Tari 36

Kupang 2 1 pers. x 36 month 9,000,000 Herdi Susanto Paternus Yandinatus 36

Mataram 1 pers. x 33 month 9,000,000 Edison L Nababan Mulyatno 4

To be name 29

3 District Team 14,652,000,000 14,652,000,000 14,652,000,000

3.1 Timor Tengah Selatan old district

3.1.1 District Coordinator 1 pers. x 36 month 7,000,000 Patje J. B. Tari, SE Marihot Sinaga, ST 36

3.1.2 Financial Assistant Management 1 pers. x 36 month 4,500,000 Thomas Hadjon Arnold Jaya Manurung 36

3.1.3 Data Entry Operator/Administration Officer 1 pers. x 36 month 2,750,000 Abdul Rozak Abdul Rozak 36

3.2 Manggarai old district - -

3.2.1 District Coordinator 1 pers. x 36 month 7,000,000 Markus Surah, SH Yohanes B Dapoto, ST 36

3.2.2 Financial Assistant Management 1 pers. x 36 month 4,500,000 Cyprianus C Suy Remigius Sulim 36

3.3.3 Data Entry Operator/Administration Officer 1 pers. x 36 month 2,750,000 Mustain Mustain 36

3.3 Sumba Barat old district - -

3.3.1 District Coordinator 1 pers. x 36 month 7,000,000 Suwito Rismanto 36

3.3.2 Financial Assistant Management 1 pers. x 36 month 4,500,000 Wehelmientje Monding Sarniati Wolla Wunga 36

3.3.3 Data Entry Operator/Administration Officer 1 pers. x 36 month 2,750,000 Adi Viyata Adi Viyata 36

3.4 Timor Tengah Utara old district - -

3.4.1 District Coordinator 1 pers. x 36 month 7,000,000 Askian Baun, SE Rudi Hananto 36

3.4.2 Financial Assistant Management 1 pers. x 36 month 4,500,000 Maria Vianey I Dange Mukhlis 36

3.4.3 Data Entry Operator/Administration Officer 1 pers. x 36 month 2,750,000 UCOK SIMBOLON UCOK SIMBOLON 36

3.5 Rote Ndao old district - -

3.5.1 District Coordinator 1 pers. x 36 month 7,000,000 Andreas Lende U M Rolly Royke Haba 36

3.5.2 Financial Assistant Management 1 pers. x 36 month 4,500,000 Elisabeth Nona Ebit Welmintje Monding, SE 36

3.5.3 Data Entry Operator/Administration Officer 1 pers. x 36 month 2,750,000 Galuh Galuh 36

3.6 Sikka old district - -

3.6.1 District Coordinator 1 pers. x 36 month 7,000,000 Ida Bagus Cakra Rudiana Kalvin Ginting, ST 36

3.6.2 Financial Assistant Management 1 pers. x 36 month 4,500,000 Maria Margarita Letoati Rizal Padapotan Butar butar 36

3.6.3 Data Entry Operator/Administration Officer 1 pers. x 36 month 2,750,000 Kukun S Kukun S 36

3.7 Manggarai Barat old district - -

3.7.1 District Coordinator 1 pers. x 36 month 7,000,000 Bernadus Ambat, SE Odhy Bessy 36

3.7.2 Financial Assistant Management 1 pers. x 36 month 4,500,000 Muhammad Ikhsan Enos Wenipada, SE 36

3.7.3 Data Entry Operator/Administration Officer 1 pers. x 36 month 2,750,000 Ambo Illang Florianus K Tokan 36

3.8 Alor old district - -

3.8.1 District Coordinator 1 pers. x 36 month 7,000,000 Indah ST, MT Desi Eka Deliyati 36

3.8.2 Financial Assistant Management 1 pers. x 36 month 4,500,000 Johanna Javersina M Cyprianus C. Suy, SE 36

3.8.3 Data Entry Operator/Administration Officer 1 pers. x 36 month 2,750,000 Jennifer Putaratho Jennifer Putaratho 36

3.9 Kupang old district - -

3.9.1 District Coordinator 1 pers. x 36 month 7,000,000 Sumarsono Riky Octofiato Penlaana 36

3.9.2 Financial Assistant Management 1 pers. x 36 month 4,500,000 Sumarsono Johanna Javersina M. Mozes 36

3.9.3 Data Entry Operator/Administration Officer 1 pers. x 36 month 2,750,000 Christian Abraham Christian Abraham 36

3.10 Lembata old district - -

3.10.1 District Coordinator 1 pers. x 36 month 7,000,000 Maria Petronela N Lewar Yohannes Gaspar Nahak 36

3.10.2 Financial Assistant Management 1 pers. x 36 month 4,500,000 Sukardiyanto Thomas Hadjon, SE 36

3.10.3 Data Entry Operator/Administration Officer 1 pers. x 36 month 2,750,000 WAHYUDI APRIANGGANA WAHYUDI APRIANGGANA 36

Amount [IDR]

2

Input Remuneration

Rate [IDR] Amount [IDR] NAME

NO. POSITION

Original Contract Amandement No. 1 Amandement No. 2

(THP to be

paid to staff,

supported by

actual receipt)

NAME Input Remuneration

Rate [IDR] Amount [IDR]

Variation

Input Remuneration

Rate [IDR] Amount [IDR] Input

Remuneration

Rate [IDR]

Minimum

Take Home Pay

[IDR]

Amount [IDR] Input Remuneration

Rate [IDR] Amount [IDR] NAME

NO. POSITION

Original Contract Amandement No. 1 Amandement No. 2

(THP to be

paid to staff,

supported by

actual receipt)

NAME Input Remuneration

Rate [IDR] Amount [IDR]

Variation

Input Remuneration

Rate [IDR] Amount [IDR] Input

Remuneration

Rate [IDR]

3.11 Sumba Tengah new district - -

3.11.1 District Coordinator 1 pers. x 33 month 7,000,000 Rolly Reyke Haba, ST Dani Kadarusman 33

3.11.2 Financial Assistant Management 1 pers. x 33 month 4,500,000 Hans Ubbu Duka Hendra Dami 33

3.11.3 Data Entry Operator/Administration Officer 1 pers. x 33 month 2,750,000 Josef Budi Indrasworo Erryke Boloe 33

3.12 Sabu Raijua new district - -

3.12.1 District Coordinator 1 pers. x 33 month 7,000,000 Mulyatno Hendra Malau, ST 33

3.12.2 Financial Assistant Management 1 pers. x 33 month 4,500,000 Remigius Sulim Yan Adi Rohi Jami 33

3.12.3 Data Entry Operator/Administration Officer 1 pers. x 33 month 2,750,000 Dadang Swiberthus Ebenhazer U 33

3.13 Sumba Barat Daya new district - -

3.13.1 District Coordinator 1 pers. x 33 month 7,000,000 Timotius Lende Bulu Mulkan 33

3.13.2 Financial Assistant Management 1 pers. x 33 month 4,500,000 Rizal Padapotan Dorthia F Amtiran 33

3.13.3 Data Entry Operator/Administration Officer 1 pers. x 33 month 2,750,000 DIRGO SIAMBODO DIRGO SIAMBODO 33

3.14 Sumba Timur new district - -

3.14.1 District Coordinator 1 pers. x 33 month 7,000,000 Vinsensia Martuti S Ferdi W.M Radja 33

3.14.2 Financial Assistant Management 1 pers. x 33 month 4,500,000 Triviany Meilani Dani Rumianto 33

3.14.3 Data Entry Operator/Administration Officer 1 pers. x 33 month 2,750,000 Ebo Gregorius Maria Giri 33

3.15 Manggarai Timur new district - -

3.15.1 District Coordinator 1 pers. x 33 month 7,000,000 Apri Moeni Matte Betu Anisius 33

3.15.2 Financial Assistant Management 1 pers. x 33 month 4,500,000 Ria V,W Hermenegildo P Djemarut 33

3.15.3 Data Entry Operator/Administration Officer 1 pers. x 33 month 2,750,000 Iman Dedi Hidayat 33

3.16 Flores Timur new district - -

3.16.1 District Coordinator 1 pers. x 33 month 7,000,000 Subri Ahadi Mas'ul Ikhwan 33

3.16.2 Financial Assistant Management 1 pers. x 33 month 4,500,000 Dian Mardianto Elizabeth nona Ebit 33

3.16.3 Data Entry Operator/Administration Officer 1 pers. x 33 month 2,750,000 M MARZUKI Elisabeth Kumanireng 33

3.17 Belu new district - -

3.17.1 District Coordinator 1 pers. x 33 month 7,000,000 Yosias J. Bako Wahiduddin 33

3.17.2 Financial Assistant Management 1 pers. x 33 month 4,500,000 Dian Ariyanto Maria Wendelina Naif 33

3.17.3 Data Entry Operator/Administration Officer 1 pers. x 33 month 2,750,000 NOVI SRIYANTI Yusirwan 33

3.18 Nagekeo new district - -

3.18.1 District Coordinator 1 pers. x 33 month 7,000,000 Eko Pudjono Widijasmoro Akhyar Waldi 33

3.18.2 Financial Assistant Management 1 pers. x 33 month 4,500,000 Indra Widhi W Aloysius Keluang Niron 33

3.18.3 Data Entry Operator/Administration Officer 1 pers. x 33 month 2,750,000 RAMLAN FX. Lian Koten 33

3.19 Ende new district - -

3.19.1 District Coordinator 1 pers. x 33 month 7,000,000 Lukas M Ndaulima Robyanto Suryantoro 33

3.19.2 Financial Assistant Management 1 pers. x 33 month 4,500,000 Rini Handayani Maria Intan Dange 33

3.19.3 Data Entry Operator/Administration Officer 1 pers. x 33 month 2,750,000 SATYA Andreas Willyam Floriady W 33

3.20 Tabanan new district - -

3.20.1 District Coordinator 1 pers. x 33 month 7,000,000 Ferdi W.M. Radja Ida Bagus Cakra Rudiana 33

3.20.2 Financial Assistant Management 1 pers. x 33 month 4,500,000 Iqbal Munnazzah Ni Kadek Eli Dwipayanti 33

3.20.3 Data Entry Operator/Administration Officer 1 pers. x 33 month 2,750,000 Wawan I Made Wirawan 33

3.21 Lombok Utara new district - -

3.21.1 District Coordinator 1 pers. x 33 month 7,000,000 Desi Eka Deliyati Akhmad Rumnatandi 33

3.21.2 Financial Assistant Management 1 pers. x 33 month 4,500,000 Yuliza Putrika Asris Minarni 33

3.21.3 Data Entry Operator/Administration Officer 1 pers. x 33 month 2,750,000 EMA WORYANI EMA WORYANI 33

3.22 Lombok Timur new district - -

3.22.1 District Coordinator 1 pers. x 33 month 7,000,000 Mukhlis Indah ST 33

3.22.2 Financial Assistant Management 1 pers. x 33 month 4,500,000 Naning Mardiniah Hanan 33

3.22.3 Data Entry Operator/Administration Officer 1 pers. x 33 month 2,750,000 RAMA AMBARA Baiq Zohreny Pebriani 33

3.23 Bima new district - -

3.23.1 District Coordinator 1 pers. x 33 month 7,000,000 Odhy Bessy Kamaluddin Mastar 33

3.23.2 Financial Assistant Management 1 pers. x 33 month 4,500,000 Kusnendar Muhamad Ikhsan 33

3.23.3 Data Entry Operator/Administration Officer 1 pers. x 33 month 2,750,000 willy lesmana Ansharullah 33

3.24 Lombok Tengah new district - -

3.24.1 District Coordinator 1 pers. x 33 month 7,000,000 Anita Maisura Manshur Anita Maisura Manshur 33

3.24.2 Financial Assistant Management 1 pers. x 33 month 4,500,000 Hindi Susanti Hasan Basri 33

3.24.3 Data Entry Operator/Administration Officer 1 pers. x 33 month 2,750,000 Lola N Kukuh Setia Bhakti 33

3.25 Sumbawa new district - -

3.25.1 District Coordinator 1 pers. x 33 month 7,000,000 Marthen Rede Lomi Muhammad Husen 33

3.25.2 Financial Assistant Management 1 pers. x 33 month 4,500,000 Hendra Susanto Setiyo Widodo Dwi Sedarmo 33

3.25.3 Data Entry Operator/Administration Officer 1 pers. x 33 month 2,750,000 Hilmy Moh. Ali, S 33

3.26 Dompu new district - -

3.26.1 District Coordinator 1 pers. x 33 month 7,000,000 Supratman Fauzan 33

3.26.2 Financial Assistant Management 1 pers. x 33 month 4,500,000 Decky HL Paah Jhordy Hartono, S.Kom 33

3.26.3 Data Entry Operator/Administration Officer 1 pers. x 33 month 2,750,000 mikli mikli 33

TOTAL REMUNERATION [1+2+3] 19,723,500,000 19,723,500,000 - 19,723,500,000

COST ESTIMATE FOR REIMBURSABLE

REGIONAL OVERSIGHT MANAGEMENT SERVICES (OMS) - 5

COMMUNITY BASED WATER SUPPLY PROJECT (PAMSIMAS II)

1 3 4 5 6 4 5 6 10 11 12 13 14 15 19

B REIMBURSABLE COST

1 DUTY TRAVEL 1 (APBN RM 80% + IBRD 20%)

1.1 Spot Checking 757,440,000 757,440,000 - - - 757,440,000 -

1.1.1 Provincial Team - Province to District to Village 476,640,000 476,640,000 - 476,640,000

Bali

Inland Transport 3 person 8 village x 10% x 3 years x 2 time x r-trip 14 200,000 2,880,000 14 200,000 2,880,000 - 14 200,000 2,880,000 ceiling rate

Accomodation 3 person 8 village x 10% x 3 years x 2 time x 2 days r-trip 29 200,000 5,760,000 29 200,000 5,760,000 - 29 200,000 5,760,000 ceiling rate

OSA (Fixed) 3 person 8 village x 10% x 3 years x 2 time x 3 days r-trip 43 200,000 8,640,000 43 200,000 8,640,000 - 43 200,000 8,640,000 ceiling rate

- - -

Nusa Tenggara Barat - - -

Inland Transport 3 person 48 village x 10% x 3 years x 2 time x r-trip 86 200,000 17,280,000 86 200,000 17,280,000 - 86 200,000 17,280,000 ceiling rate

Accomodation 3 person 48 village x 10% x 3 years x 2 time x 2 days r-trip 173 200,000 34,560,000 173 200,000 34,560,000 - 173 200,000 34,560,000 ceiling rate

OSA (Fixed) 3 person 48 village x 10% x 3 years x 2 time x 3 days r-trip 259 200,000 51,840,000 259 200,000 51,840,000 - 259 200,000 51,840,000 ceiling rate

- - -

Nusa Tenggara Timur - - - - -

Inland Transport 3 person 76 village x 10% x 3 years x 2 time x r-trip 137 1,600,000 218,880,000 137 1,600,000 218,880,000 - 137 1,600,000 218,880,000 ceiling rate

Accomodation 3 person 76 village x 10% x 3 years x 2 time x 2 days r-trip 274 200,000 54,720,000 274 200,000 54,720,000 - 274 200,000 54,720,000 ceiling rate

OSA (Fixed) 3 person 76 village x 10% x 3 years x 2 time x 3 days r-trip 410 200,000 82,080,000 410 200,000 82,080,000 - 410 200,000 82,080,000 ceiling rate

-

1.1.2 District Team - District to Village - 280,800,000 280,800,000 - 280,800,000 -

District Coordinator Bali 1 district 8 village x 50% x 3 years x 10 time r-trip 120 50,000 6,000,000 120 50,000 6,000,000 120 50,000 6,000,000 ceiling rate

District Coordinator NTB 6 district 48 village x 50% x 3 years x 10 time r-trip 720 50,000 36,000,000 720 50,000 36,000,000 720 50,000 36,000,000 ceiling rate

District Coordinator NTT 19 district 152 village x 50% x 3 years x 10 time r-trip 2,280 50,000 114,000,000 2,280 50,000 114,000,000 2,280 50,000 114,000,000 ceiling rate

Financial Management Ass. Bali 1 district 8 village x 50% x 3 years x 8 time r-trip 96 50,000 4,800,000 96 50,000 4,800,000 96 50,000 4,800,000 ceiling rate

Financial Management Ass. NTB 6 district 48 village x 50% x 3 years x 8 time r-trip 576 50,000 28,800,000 576 50,000 28,800,000 576 50,000 28,800,000 ceiling rate

Financial Management Ass. NTT 19 district 152 village x 50% x 3 years x 8 time r-trip 1,824 50,000 91,200,000 1,824 50,000 91,200,000 1,824 50,000 91,200,000 ceiling rate

REMARKS

2

VOL UNIT PRICE [IDR] AMOUNT [IDR]UNIT PRICE

[IDR]AMOUNT [IDR]

VARIANTIONS

VOL

CONTRACT AMENDMENT No.1 CONTRACT AMANDEMENT 2

VOLUNIT PRICE

[IDR]AMOUNT [IDR]

ORIGINAL CONTRACT

VOLUNIT PRICE

[IDR]AMOUNT [IDR]

NO. DESCRIPTION UNIT

Duty Travel // 3 dari 10

COST ESTIMATE FOR REIMBURSABLE

REGIONAL OVERSIGHT MANAGEMENT SERVICES (OMS) - 5 6,924,000,000

COMMUNITY BASED WATER SUPPLY PROJECT (PAMSIMAS II)

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2 MOBILIZATION AND DEMOBILIZATION 295,940,000 295,940,000 - - 295,940,000

2.1 Regional Team - Jakarta to Province to Jakarta -

2.1.1 Project Manager Jakarta - Mataram - Jakarta 1 pers. x 1 r-trip r-trip 1 3,020,000 3,020,000 1 3,020,000 3,020,000 1.00 3,020,000 3,020,000 ceiling rate

2.1.2 Data Management Jakarta - Mataram - Jakarta 1 pers. x 1 r-trip r-trip 1 3,020,000 3,020,000 1 3,020,000 3,020,000 1.00 3,020,000 3,020,000 ceiling rate

2.1.3 LG Specialist Jakarta - Mataram - Jakarta 1 pers. x 1 r-trip r-trip 1 3,020,000 3,020,000 1 3,020,000 3,020,000 1.00 3,020,000 3,020,000 ceiling rate

2.1.4 Trainer Coordinator Jakarta - Mataram - Jakarta 1 pers. x 1 r-trip r-trip 1 3,020,000 3,020,000 1 3,020,000 3,020,000 1.00 3,020,000 3,020,000 ceiling rate

2.1.5 Local Transport 4 pers. x 1 r-trip r-trip 4 200,000 800,000 4 200,000 800,000 4.00 200,000 800,000 ceiling rate

2.2 Provincial Team - Jakarta to Province to Jakarta - - -

2.2.1 Provincial Coordinator / LG Jakarta - Mataram - Jakarta 1 pers. x 1 r-trip r-trip 1 3,020,000 3,020,000 1 3,020,000 3,020,000 1.00 3,020,000 3,020,000 ceiling rate

Jakarta - Denpasar - Jakarta 1 pers. x 1 r-trip r-trip 1 3,050,000 3,050,000 1 3,050,000 3,050,000 1.00 3,050,000 3,050,000 ceiling rate

Jakarta - Kupang - Jakarta 1 pers. x 1 r-trip r-trip 1 4,750,000 4,750,000 1 4,750,000 4,750,000 1.00 4,750,000 4,750,000 ceiling rate

2.2.2 Financial Management Specialist Jakarta - Mataram - Jakarta 1 pers. x 1 r-trip r-trip 1 3,020,000 3,020,000 1 3,020,000 3,020,000 1.00 3,020,000 3,020,000 ceiling rate

Jakarta - Denpasar - Jakarta 1 pers. x 1 r-trip r-trip 1 3,050,000 3,050,000 1 3,050,000 3,050,000 1.00 3,050,000 3,050,000 ceiling rate

Jakarta - Kupang - Jakarta 1 pers. x 1 r-trip r-trip 1 4,750,000 4,750,000 1 4,750,000 4,750,000 1.00 4,750,000 4,750,000 ceiling rate

2.2.3 Quality Assurance Specialist Jakarta - Mataram - Jakarta 1 pers. x 1 r-trip r-trip 1 3,020,000 3,020,000 1 3,020,000 3,020,000 1.00 3,020,000 3,020,000 ceiling rate

Jakarta - Denpasar - Jakarta 1 pers. x 1 r-trip r-trip 1 3,050,000 3,050,000 1 3,050,000 3,050,000 1.00 3,050,000 3,050,000 ceiling rate

Jakarta - Kupang - Jakarta 1 pers. x 1 r-trip r-trip 1 4,750,000 4,750,000 1 4,750,000 4,750,000 1.00 4,750,000 4,750,000 ceiling rate

2.2.4 Local Transport 9 pers. x 1 r-trip r-trip 9 200,000 1,800,000 9 200,000 1,800,000 9.00 200,000 1,800,000 ceiling rate

2.3 District Team - Jakarta to Province to Jakarta -

2.3.1 District Coordinator Jakarta - Mataram - Jakarta 6 pers. x 1 r-trip r-trip 6 4,750,000 28,500,000 6 4,750,000 28,500,000 6.00 4,750,000 28,500,000 ceiling rate

Jakarta - Denpasar - Jakarta 1 pers. x 1 r-trip r-trip 1 4,750,000 4,750,000 1 4,750,000 4,750,000 1.00 4,750,000 4,750,000 ceiling rate

Jakarta - Kupang - Jakarta 19 pers. x 1 r-trip r-trip 19 3,050,000 57,950,000 19 3,050,000 57,950,000 19.00 3,050,000 57,950,000 ceiling rate

2.3.2 Financial Management Assistant Jakarta - Mataram - Jakarta 6 pers. x 1 r-trip r-trip 6 4,750,000 28,500,000 6 4,750,000 28,500,000 6.00 4,750,000 28,500,000 ceiling rate

Jakarta - Denpasar - Jakarta 1 pers. x 1 r-trip r-trip 1 4,750,000 4,750,000 1 4,750,000 4,750,000 1.00 4,750,000 4,750,000 ceiling rate

Jakarta - Kupang - Jakarta 19 pers. x 1 r-trip r-trip 19 3,050,000 57,950,000 19 3,050,000 57,950,000 19.00 3,050,000 57,950,000 ceiling rate

2.3.3 Local Transport (Province to District) 14 pers. x 1 r-trip r-trip 14 400,000 5,600,000 14 400,000 5,600,000 14.00 400,000 5,600,000 ceiling rate

2.3.4 Local Transport (Province to District) 38 pers. x 1 r-trip r-trip 38 1,600,000 60,800,000 38 1,600,000 60,800,000 38.00 1,600,000 60,800,000 ceiling rate

-

3 OFFICE SPACE (Rental) 2,300,400,000 1,484,400,000 - 1,484,400,000

3.1 Regional Team & Prov. Team -

3.2 District Team - -

-

4 UTILITIES EXPENSES 752,400,000 752,400,000 - 752,400,000 -

4.1 Regional and Province -

4.2 District - - - -

-

REMARKS

CONTRACT AMANDEMENT 2

VOL UNIT PRICE

[IDR]UNIT PRICE [IDR]

VARIATIONS

AMOUNT [IDR] VOL

ORIGINAL CONTRACT

NO. DESCRIPTION

AMOUNT [IDR]

2

UNITUNIT PRICE

[IDR]

CONTRACT AMENDMENT No.1

VOLUNIT PRICE

[IDR]AMOUNT [IDR] VOL AMOUNT [IDR]

Reimbursable // 4 dari 10

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REMARKS

CONTRACT AMANDEMENT 2

VOL UNIT PRICE

[IDR]UNIT PRICE [IDR]

VARIATIONS

AMOUNT [IDR] VOL

ORIGINAL CONTRACT

NO. DESCRIPTION

AMOUNT [IDR]

2

UNITUNIT PRICE

[IDR]

CONTRACT AMENDMENT No.1

VOLUNIT PRICE

[IDR]AMOUNT [IDR] VOL AMOUNT [IDR]

5 OFFICE EQUIPMENT 371,600,000 371,600,000 - 371,600,000

5.1 Notebook Computer (Regional+Provincial+District) (Purchase) 13 + 26 pers. x 1 unit unit 39 5,000,000 195,000,000 39 5,000,000 195,000,000 39.00 5,000,000 195,000,000 fixed rate

5.2 Portable Computer for Supporting Regional (Purchase) 2 pers. x 1 unit unit 2 3,500,000 7,000,000 2 3,500,000 7,000,000 2.00 3,500,000 7,000,000 fixed rate

5.3 Portable Computer + Printer for Supporting District (Purchase) 26 pers. x 1 unit unit 26 5,000,000 130,000,000 26 5,000,000 130,000,000 26.00 5,000,000 130,000,000 fixed rate

5.4 Printer Laserjet (Purchase) 3 office x 1 unit unit 3 2,500,000 7,500,000 3 2,500,000 7,500,000 3.00 2,500,000 7,500,000 fixed rate

5.5 Printer Colour A3 (Purchase) 3 office x 1 unit unit 3 3,000,000 9,000,000 3 3,000,000 9,000,000 3.00 3,000,000 9,000,000 fixed rate

5.6 Scanner (Purchase) 3 office x 1 unit unit 3 1,500,000 4,500,000 3 1,500,000 4,500,000 3.00 1,500,000 4,500,000 fixed rate

5.7 Facsimilie (Purchase) 3 office x 1 unit unit 3 1,000,000 3,000,000 3 1,000,000 3,000,000 3.00 1,000,000 3,000,000 fixed rate

5.8 Digital Camera (Purchase) 3 office x 1 unit unit 3 1,000,000 3,000,000 3 1,000,000 3,000,000 3.00 1,000,000 3,000,000 fixed rate

5.9 GSM Modem + SIM Card (Purchase) 3 office x 1 unit unit 3 500,000 1,500,000 3 500,000 1,500,000 3.00 500,000 1,500,000 fixed rate

5.10 Router, LAN Peripheral (Purchase) 3 office x 1 unit unit 3 700,000 2,100,000 3 700,000 2,100,000 3.00 700,000 2,100,000 fixed rate

5.11 GPS (Purchase) 3 office x 2 unit unit 6 1,500,000 9,000,000 6 1,500,000 9,000,000 6.00 1,500,000 9,000,000 fixed rate

-

6 VEHICLE RENTAL 6,924,000,000 6,924,000,000 - 6,924,000,000

6.1 Regional and Province -

6.2 District - - - -

7 COMMUNICATION 589,800,000 589,800,000 589,800,000 -

7.1 Regional and Province -

7.1.1 Telephone and Postage 3 office x 1 line x 36 month month 108 1,000,000 108,000,000 108 1,000,000 108,000,000 108.00 1,000,000 108,000,000 ceiling rate

7.1.2 Internet Connection for Office 3 office x 1 line x 36 month month 108 350,000 37,800,000 108 350,000 37,800,000 108.00 350,000 37,800,000 ceiling rate

7.2 District - - -

7.2.1 Telephone and Internet Connection old District 10 district x 1 line x 36 month month 360 500,000 180,000,000 360 500,000 180,000,000 360.00 500,000 180,000,000 ceiling rate

new district 16 district x 1 line x 33 month month 528 500,000 264,000,000 528 500,000 264,000,000 528.00 500,000 264,000,000 ceiling rate

-

8 TRAINING 8,106,560,000 8,106,560,000 - - - - - 8,106,560,000 -

8.1 Pelatihan FM Ass. dan Data Entry Operator 55,600,000 55,600,000 - 55,600,000

8.1.1 Peserta -

a Paket Fullboard 26 district x 2 pers. x 3 days days 156 250,000 39,000,000 156 250,000 39,000,000 156.00 250,000 39,000,000 fixed rate

b Transportation 26 district x 2 pers. x 1 time time 52 200,000 10,400,000 52 200,000 10,400,000 52.00 200,000 10,400,000 ceiling rate

8.1.2 Pelatih - - -

a Accomodation 3 pers. x 3 days days 9 400,000 3,600,000 9 400,000 3,600,000 9.00 400,000 3,600,000 ceiling rate

b Training Material + Kit 26 district x 2 pers. x 1 package paket 52 50,000 2,600,000 52 50,000 2,600,000 52.00 50,000 2,600,000 ceiling rate

- - -

8.2 Expert Group Meeting - Central - 70,200,000 70,200,000 - - 70,200,000

8.2.1 Regional Team - Air Fare Province to Jakarta covered by CMAC days - - - -

8.2.2 Provincial Team - Air Fare Province to Jakarta covered by CMAC days - - - -

8.2.3 Inland Transport - Regional and Provincial Team covered by CMAC - - - -

8.2.4 OSA (Fixed) - Regional Team 1 reg. x 4 pers x 3 day x 6 time days 72 300,000 21,600,000 72 300,000 21,600,000 72.00 300,000 21,600,000 fixed rate

8.2.5 OSA (Fixed) - Provincial Team 3 prov. x 3 pers x 3 day x 6 time days 162 300,000 48,600,000 162 300,000 48,600,000 162.00 300,000 48,600,000 fixed rate

- - -

8.3 Expert Group Meeting - Regional - 1,282,680,000 1,282,680,000 - - 1,282,680,000

Fullboard package for district team 3 year x 2 time x 26 district x 3 pers. x 2 days days 936 150,000 140,400,000 936 150,000 140,400,000 936.00 150,000 140,400,000 fixed rate

Fullboard package for provincial team 3 year x 2 time x 3 prov x 3 pers. x 2 days days 108 250,000 27,000,000 108 250,000 27,000,000 108.00 250,000 27,000,000 fixed rate

Fullboard package for regional team 3 year x 2 time x 1 region x 4 pers. x 2 days days 48 360,000 17,280,000 48 360,000 17,280,000 48.00 360,000 17,280,000 fixed rate

8.3.1 Air Transport [Economy Class] - - - -

a Regional Team/ Mataram 4 pers. x 3 years x 2 time r-trip 24 1,300,000 31,200,000 24 1,300,000 31,200,000 24.00 1,300,000 31,200,000 ceiling rate

b Regional Team/ Mataram 4 pers. x 3 years x 2 time r-trip 24 7,700,000 184,800,000 24 7,700,000 184,800,000 24.00 7,700,000 184,800,000 ceiling rate

Reimbursable // 5 dari 10

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REMARKS

CONTRACT AMANDEMENT 2

VOL UNIT PRICE

[IDR]UNIT PRICE [IDR]

VARIATIONS

AMOUNT [IDR] VOL

ORIGINAL CONTRACT

NO. DESCRIPTION

AMOUNT [IDR]

2

UNITUNIT PRICE

[IDR]

CONTRACT AMENDMENT No.1

VOLUNIT PRICE

[IDR]AMOUNT [IDR] VOL AMOUNT [IDR]

8.3.2 Inland Transport - - - -

a District Team/ Denpasar 3 pers. x 3 years x 2 time r-trip 18 200,000 3,600,000 18 200,000 3,600,000 18.00 200,000 3,600,000 ceiling rate

b District Team/ Mataram 18 pers. x 3 years x 2 time r-trip 108 200,000 21,600,000 108 200,000 21,600,000 108.00 200,000 21,600,000 ceiling rate

c District Team/ Kupang 57 pers. x 3 years x 2 time r-trip 342 1,600,000 547,200,000 342 1,600,000 547,200,000 342.00 1,600,000 547,200,000 ceiling rate

8.3.3 OSA (Fixed) 516 trip x 3 days days 1,548 200,000 309,600,000 1,548 200,000 309,600,000 1,548.00 200,000 309,600,000 ceiling rate

Expert Group Meeting - Regional - - -

- - -

8.4 OJT Fasilitator - 351,000,000 351,000,000 - - 351,000,000

8.4.1 Training Material + Kit 3 years x 6 time x 26 district x 6 pers. x 1 days days 2,808 50,000 140,400,000 2,808 50,000 140,400,000 2,808.00 50,000 140,400,000 fixed rate

8.4.2 Meals, Snack 3 years x 6 time x 26 district x 6 pers. x 1 days paket 2,808 75,000 210,600,000 2,808 75,000 210,600,000 2,808.00 75,000 210,600,000 fixed rate

8.5 Pelatihan Penguatan BPSPAM in District - 2,110,160,000 2,110,160,000 - - 2,110,160,000

8.5.1 Paket Fullboard Participant 2 time x 26 district x 25 pers. x 4 days days 5,200 250,000 1,300,000,000 5,200 250,000 1,300,000,000 5,200.00 250,000 1,300,000,000 fixed rate

8.5.2 Paket Fullday for DPMU + TKK 2 time x 26 district x 2 pers. x 4 days days 416 350,000 145,600,000 416 350,000 145,600,000 416.00 350,000 145,600,000 fixed rate

8.5.3 Uang Saku Participant 2 time x 26 district x 25 pers. x 4 days days 5,200 50,000 260,000,000 5,200 50,000 260,000,000 5,200.00 50,000 260,000,000 ceiling rate

8.5.4 Uang Transport Participant 2 time x 26 district x 25 pers. time 1,300 200,000 260,000,000 1,300 200,000 260,000,000 1,300.00 200,000 260,000,000 ceiling rate

8.5.5 Spanduk 2 time x 26 district x 2 unit unit 104 140,000 14,560,000 104 140,000 14,560,000 104.00 140,000 14,560,000 ceiling rate

8.5.6 Training Material + Kit 2 time x 26 district x 25 pers. paket 1,300 100,000 130,000,000 1,300 100,000 130,000,000 1,300.00 100,000 130,000,000 ceiling rate

- - -

8.6 Pelatihan Kader AMPL in District - 2,110,160,000 2,110,160,000 - - 2,110,160,000

8.6.1 Paket Fullboard Participant 2 time x 26 district x 25 pers. x 4 days days 5,200 250,000 1,300,000,000 5,200 250,000 1,300,000,000 5,200.00 250,000 1,300,000,000 fixed rate

8.6.2 Paket Fullday for DPMU + TKK 2 time x 26 district x 2 pers. x 4 days days 416 350,000 145,600,000 416 350,000 145,600,000 416.00 350,000 145,600,000 fixed rate

8.6.3 Uang Saku Participant 2 time x 26 district x 25 pers. x 4 days days 5,200 50,000 260,000,000 5,200 50,000 260,000,000 5,200.00 50,000 260,000,000 ceiling rate

8.6.4 Uang Transport Participant 2 time x 26 district x 25 pers. time 1,300 200,000 260,000,000 1,300 200,000 260,000,000 1,300.00 200,000 260,000,000 ceiling rate

8.6.5 Spanduk 2 time x 26 district x 2 unit unit 104 140,000 14,560,000 104 140,000 14,560,000 104.00 140,000 14,560,000 ceiling rate

8.6.6 Training Material + Kit 2 time x 26 district x 25 pers. paket 1,300 100,000 130,000,000 1,300 100,000 130,000,000 1,300.00 100,000 130,000,000 ceiling rate

- - -

8.7 Workshop RAD AMPL - 780,000,000 780,000,000 - - 780,000,000

1. Workshop RAD AMPL (in district) 2 time x 26 district 50 pers. x 3 years paket 156 5,000,000 780,000,000 156 5,000,000 780,000,000 156.00 5,000,000 780,000,000 ceiling rate

- - -

8.8 Workshop Forum/Asosiasi BPSPAM in Province - 279,760,000 279,760,000 - - 279,760,000

8.8.1 Paket Fullboard Participant + DPMU + TKK 2 time x 26 district x 5 pers. x 2 days days 520 360,000 187,200,000 520 360,000 187,200,000 520.00 360,000 187,200,000 fixed rate

8.8.2 Uang Transport Participant 2 time x 7 district x 5 pers. time 70 200,000 14,000,000 70 200,000 14,000,000 70.00 200,000 14,000,000 ceiling rate

Uang Transport Participant 2 time x 19 district x 5 pers. time 190 200,000 38,000,000 190 200,000 38,000,000 190.00 200,000 38,000,000 ceiling rate

8.8.3 Training Material + Kit 2 time x 26 district x 5 pers. paket 260 100,000 26,000,000 260 100,000 26,000,000 260.00 100,000 26,000,000 ceiling rate

8.8.4 Spanduk 2 time x 26 district x 2 unit unit 104 140,000 14,560,000 104 140,000 14,560,000 104.00 140,000 14,560,000 ceiling rate

- - -

8.9 Pelatihan Pengelola Program Kabupaten (DPMU+TKK+Satker) in Province - 429,000,000 429,000,000 - - 429,000,000

8.9.1 Paket Fullboard Participant + DPMU + TKK 3 time x 26 district x 3 pers. x 4 days days 936 360,000 336,960,000 936 360,000 336,960,000 936.00 360,000 336,960,000 936.0

8.9.2 Uang Transport Participant NTB District 3 time x 7 district x 3 pers. days 234 200,000 46,800,000 234 200,000 46,800,000 234.00 200,000 46,800,000 234.0

Uang Transport Participant NTT District 2 time x 19 district x 5 pers. time - - - - - - - - -

Training Material + Kit 3 time x 26 district x 3 pers. paket 234 100,000 23,400,000 234 100,000 23,400,000 234.00 100,000 23,400,000

Spanduk 3 time x 26 district 2 unit unit 156 140,000 21,840,000 156 140,000 21,840,000 156.00 140,000 21,840,000

- - -

8.10 Printing/ Media: village district province - 638,000,000 638,000,000 - - 638,000,000

8.9.1 Spanduk 2 theme x 208 x 2 unit 832 125,000 104,000,000 832 125,000 104,000,000 832.00 125,000 104,000,000 fixed rate

8.9.2 Poster 10 theme x 208 x 5 26 x 5 3 x 5 x 2 unit 23,700 9,000 213,300,000 23,700 9,000 213,300,000 23,700.00 9,000 213,300,000 fixed rate

8.9.3 Leaflet 4 theme x 208 x 25 26 x 5 3 x 5 x 2 unit 42,760 7,500 320,700,000 42,760 7,500 320,700,000 42,760.00 7,500 320,700,000 fixed rate

-

Reimbursable // 6 dari 10

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REMARKS

CONTRACT AMANDEMENT 2

VOL UNIT PRICE

[IDR]UNIT PRICE [IDR]

VARIATIONS

AMOUNT [IDR] VOL

ORIGINAL CONTRACT

NO. DESCRIPTION

AMOUNT [IDR]

2

UNITUNIT PRICE

[IDR]

CONTRACT AMENDMENT No.1

VOLUNIT PRICE

[IDR]AMOUNT [IDR] VOL AMOUNT [IDR]

9 REPORTING - 44,850,000 44,850,000 - - 44,850,000

9.1 Inception Report 1 time exp. 25 100,000 2,500,000 25 100,000 2,500,000 - 100,000 - 25.00 100,000 2,500,000 fixed rate

9.2 Monthly Report 9 time x 3 years x 20 copies exp. 540 25,000 13,500,000 540 25,000 13,500,000 - 25,000 - 540.00 25,000 13,500,000 fixed rate

9.3 Quarterly Report 3 time x 3 years x 20 copies exp. 180 35,000 6,300,000 180 35,000 6,300,000 - 35,000 - 180.00 35,000 6,300,000 fixed rate

9.4 Special Report 3 time x 20 copies exp. 60 30,000 1,800,000 60 30,000 1,800,000 - 30,000 - 60.00 30,000 1,800,000 fixed rate

9.5 Annual Report 3 time x 20 copies exp. 60 75,000 4,500,000 60 75,000 4,500,000 - 75,000 - 60.00 75,000 4,500,000 fixed rate

9.6 Financial Management Report (FMR) 3 time x 20 copies exp. 60 25,000 1,500,000 60 25,000 1,500,000 - 25,000 - 60.00 25,000 1,500,000 fixed rate

9.7 Draft Final Report 1 time x 20 copies exp. 20 75,000 1,500,000 20 75,000 1,500,000 - 75,000 - 20.00 75,000 1,500,000 fixed rate

9.8 Final Report 1 time x 20 copies exp. 20 100,000 2,000,000 20 100,000 2,000,000 - 100,000 - 20.00 100,000 2,000,000 fixed rate

9.9 Training Program Report 5 theme x 3 years x 15 copies exp. 225 50,000 11,250,000 225 50,000 11,250,000 - 50,000 - 225.00 50,000 11,250,000 fixed rate

-

10 STBM TRAINING PAMSIMAS II Klaster 9 - Nusa Tenggara Timur - 637,600,000 637,600,000

Honorarium Trainer/Fasilitator/Instruktur khusus -

10.1 Perdiem -

10.2 - Central Government 2 3 p-day p-day - 6.0 105,000 630,000 6.00 105,000 630,000 fix rate

- Provincial Government 2 3 p-day p-day - 6.0 105,000 630,000 6.00 105,000 630,000 fix rate

- Advisor 1 5 p-day p-day - 5.0 105,000 525,000 5.00 105,000 525,000 fix rate

- Panitia Lokal 4 5 p-day p-day - 20.0 105,000 2,100,000 20.00 105,000 2,100,000 fix rate

- Pemandu STBM (Province & Districts) 7 5 p-day p-day - 35.0 105,000 3,675,000 35.00 105,000 3,675,000 fix rate

- Participants (Sanitarian/Kader/Natural leader/Bidan) 96 5 p-day p-day - 480.0 105,000 50,400,000 480.00 105,000 50,400,000 fix rate

Transportation - - - - - -

10.3 a. Tickets - - - - - -

- Central Government 2 1 trip trip - 2.0 4,750,000 9,500,000 2.00 4,750,000 9,500,000 ceiling rate

- Advisor 1 1 trip trip - 1.0 4,750,000 4,750,000 1.00 4,750,000 4,750,000 ceiling rate

- Pemandu (outside Timor) 3 1 trip trip - 3.0 3,000,000 9,000,000 3.00 3,000,000 9,000,000 ceiling rate

- Participants (outside Timor) 73 1 trip trip - 73.0 3,000,000 219,000,000 73.00 3,000,000 219,000,000 ceiling rate

b. Inland/Local Transport - - - - - -

- Taxi (pp) for Central Personnels 3 1 trip trip - 3.0 480,000 1,440,000 3.00 480,000 1,440,000 fix rate

- Provincial Government 2 1 p-trip p-trip - 2.0 110,000 220,000 2.00 110,000 220,000 fix rate

- Pemandu STBM (Province) 1 1 p-trip p-trip - 1.0 110,000 110,000 1.00 110,000 110,000 fix rate

- Pemandu STBM (Districts) 6 1 p-trip p-trip - 6.0 300,000 1,800,000 6.00 300,000 1,800,000 fix rate

- Participants (Sanitarian/Kader/Natural leader/Bidan) 96 1 p-trip p-trip - 96.0 300,000 28,800,000 96.00 300,000 28,800,000 fix rate

Fullboard Package - - - - - -

10.4 a. Central - - - - - -

- Central Government 2 2 p-day p-day - 4.0 375,000 1,500,000 4.00 375,000 1,500,000 ceiling rate

- Provincial Government 2 2 p-day p-day - 4.0 375,000 1,500,000 4.00 375,000 1,500,000 ceiling rate

- TDS / CMAC 1 4 p-day p-day - 4.0 375,000 1,500,000 4.00 375,000 1,500,000 ceiling rate

- Advisor 1 4 p-day p-day - 4.0 375,000 1,500,000 4.00 375,000 1,500,000 ceiling rate

b. Local Participants - - - - - -

- Pemandu STBM (Province & Districts) 7 4 p-day p-day - 28.0 375,000 10,500,000 28.00 375,000 10,500,000 ceiling rate

- Participants (Sanitarian/Kader/Natural leader/Bidan) 96 4 p-day p-day - 384.0 375,000 144,000,000 384.00 375,000 144,000,000 ceiling rate

- Additional Accomodation (Participants from outside Timor) 73 1 p-day p-day - 73.0 375,000 27,375,000 73.00 375,000 27,375,000 ceiling rate

c. Panitia Lokal 4 4 p-day p-day - 16.0 375,000 6,000,000 16.00 375,000 6,000,000 ceiling rate

Training Kit [Tas Punggung, Kaos, Topi] berlogo AUSAID 103 1 set set - 103.0 250,000 25,750,000 103.00 250,000 25,750,000 ceiling rate

10.5 Training Material 103 1 set set - 103.0 275,000 28,325,000 103.00 275,000 28,325,000 ceiling rate

10.6 Stationery 1 2 LS LS - 2.0 2,000,000 4,000,000 2.00 2,000,000 4,000,000 ceiling rate

10.7 Equipment - - - - - -

Reimbursable // 7 dari 10

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REMARKS

CONTRACT AMANDEMENT 2

VOL UNIT PRICE

[IDR]UNIT PRICE [IDR]

VARIATIONS

AMOUNT [IDR] VOL

ORIGINAL CONTRACT

NO. DESCRIPTION

AMOUNT [IDR]

2

UNITUNIT PRICE

[IDR]

CONTRACT AMENDMENT No.1

VOLUNIT PRICE

[IDR]AMOUNT [IDR] VOL AMOUNT [IDR]

10.8 a. Video Camera Rental 1 5 unit-day unit-day - 5.0 260,000 1,300,000 5.00 260,000 1,300,000 ceiling rate

b. Banner 1 1 set set - 1.0 500,000 500,000 1.00 500,000 500,000 ceiling rate

c. Backdrop 1 1 set set - 1.0 1,250,000 1,250,000 1.00 1,250,000 1,250,000 ceiling rate

d. Additional Classroom 3 4 unit-day unit-day - 12.0 1,500,000 18,000,000 12.00 1,500,000 18,000,000 ceiling rate

e. Additional Infocus Rental 3 4 unit-day unit-day - 12.0 350,000 4,200,000 12.00 350,000 4,200,000 ceiling rate

f. Preparation Meeting (Snack & Lunch) 20 2 set set - 40.0 48,000 1,920,000 40.00 48,000 1,920,000 ceiling rate

g. Car Rental 1 5 unit-day unit-day - 5.0 580,000 2,900,000 5.00 580,000 2,900,000 ceiling rate

h. Computer/Laptop Rental 4 5 unit-day unit-day - 20.0 300,000 6,000,000 20.00 300,000 6,000,000 ceiling rate

i. Printer Rental 3 5 unit-day unit-day - 15.0 300,000 4,500,000 15.00 300,000 4,500,000 ceiling rate

j. Bus Rental (Field Visit) 6 1 unit-day unit-day - 6.0 2,000,000 12,000,000 6.00 2,000,000 12,000,000 ceiling rate

10.9 Training Report 1 5 set set - 5.0 100,000 500,000 5.00 100,000 500,000 ceiling rate

11 COST ESTIMATE FOR PELATIHAN PENGUATAN ASOSIASI PENGELOLA SPAMS PERDESAAN 423,390,000 427,390,000

1.0 Perdiem 57,750,000 57,750,000 -

- CPMU (Ditjen PMD/Ditjen Bangda/Ditjen PP&PL/Ditjen CK) 1 5 p-day 5 105,000 525,000 5.00 105,000 525,000 fix rate

- Advisory CPMU 1 5 p-day 5 105,000 525,000 5.00 105,000 525,000 fix rate

- Pemandu 6 5 p-day 30 105,000 3,150,000 30.00 105,000 3,150,000 fix rate

- Government [Bappeda, PU, Dinkes, PMD, Satker] 5 5 p-day 25 105,000 2,625,000 25.00 105,000 2,625,000 fix rate

- Participants 95 5 p-day 475 105,000 49,875,000 475.00 105,000 49,875,000 fix rate

- Panitia lokal 2 5 p-day 10 105,000 1,050,000 10.00 105,000 1,050,000 fix rate

- - - - -

2.0 Transportation - 171,740,000 171,740,000

a. Tickets - - - - -

- CPMU (Ditjen PMD/Ditjen Bangda/Ditjen PP&PL/Ditjen CK) 1 1 r-trip 1 4,750,000 4,750,000 1.00 4,750,000 4,750,000 ceiling rate

- Advisory CPMU 1 1 r-trip 1 4,750,000 4,750,000 1.00 4,750,000 4,750,000 ceiling rate

- Participants - - - - -

1. District Timor Tengah Selatan 8 pers. r-trip 8 - - 8.00 - - ceiling rate

2. District Manggarai 8 pers. r-trip 8 2,240,000 17,920,000 8.00 2,240,000 17,920,000 ceiling rate

3. District Sumba Barat 8 pers. r-trip 8 2,480,000 19,840,000 8.00 2,480,000 19,840,000 ceiling rate

4. District Timor Tengah Utara 8 pers. r-trip 8 - - 8.00 - - ceiling rate

5. District Rote Ndao 8 pers. r-trip 8 300,000 2,400,000 8.00 300,000 2,400,000 ceiling rate

6. District Sikka 8 pers. r-trip 8 1,640,000 13,120,000 8.00 1,640,000 13,120,000 ceiling rate

7. District Manggarai Barat 8 pers. r-trip 8 2,440,000 19,520,000 8.00 2,440,000 19,520,000 ceiling rate

8. District Alor 8 pers. r-trip 8 1,590,000 12,720,000 8.00 1,590,000 12,720,000 ceiling rate

9. District Kupang 8 pers. r-trip 8 - - 8.00 - - ceiling rate

10. Kota Kupang 8 pers. r-trip 8 - - 8.00 - - ceiling rate

11. District Lembata 8 pers. r-trip 8 1,840,000 14,720,000 8.00 1,840,000 14,720,000 ceiling rate

- DC Old District - - - - -

1. District Timor Tengah Selatan 1 pers. r-trip 1 - - 1.00 - - ceiling rate

2. District Manggarai 1 pers. r-trip 1 2,240,000 2,240,000 1.00 2,240,000 2,240,000 ceiling rate

3. District Sumba Barat - pers. r-trip - 2,480,000 - - 2,480,000 - ceiling rate

4. District Timor Tengah Utara 1 pers. r-trip 1 - - 1.00 - - ceiling rate

5. District Rote Ndao 1 pers. r-trip 1 300,000 300,000 1.00 300,000 300,000 ceiling rate

6. District Sikka 1 pers. r-trip 1 1,640,000 1,640,000 1.00 1,640,000 1,640,000 ceiling rate

7. District Manggarai Barat - pers. r-trip - 2,440,000 - - 2,440,000 - ceiling rate

8. District Alor - pers. r-trip - 1,590,000 - - 1,590,000 - ceiling rate

9. District Kupang 1 pers. r-trip 1 - - 1.00 - - ceiling rate

10. District Lembata 1 pers. r-trip 1 1,840,000 1,840,000 1.00 1,840,000 1,840,000 ceiling rate

- Pemandu (Outside NTT) 5 pers. r-trip 5 2,480,000 12,400,000 5.00 2,480,000 12,400,000 ceiling rate

- - - - -

Reimbursable // 8 dari 10

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REMARKS

CONTRACT AMANDEMENT 2

VOL UNIT PRICE

[IDR]UNIT PRICE [IDR]

VARIATIONS

AMOUNT [IDR] VOL

ORIGINAL CONTRACT

NO. DESCRIPTION

AMOUNT [IDR]

2

UNITUNIT PRICE

[IDR]

CONTRACT AMENDMENT No.1

VOLUNIT PRICE

[IDR]AMOUNT [IDR] VOL AMOUNT [IDR]

b. Inland/Local Transport - - - - -

- CPMU (Ditjen PMD/Ditjen Bangda/Ditjen PP&PL/Ditjen CK) 1 1 r-trip 1 480,000 480,000 1.00 480,000 480,000 fix rate

- Advisory CPMU 1 1 r-trip 1 480,000 480,000 1.00 480,000 480,000 fix rate

- SKPD yang menjadi pembina Asosiasi (Provinsi) 2 1 r-trip 2 110,000 220,000 2.00 110,000 220,000 fix rate

- Pemandu 6 1 r-trip 6 300,000 1,800,000 6.00 300,000 1,800,000 fix rate

- Participants 95 1 r-trip 95 400,000 38,000,000 95.00 400,000 38,000,000 fix rate

- Prov. Government (Bappeda, PU, Dinkes, PMD, Satker) 5 1 r-trip 5 400,000 2,000,000 5.00 400,000 2,000,000

- Panitia lokal 2 1 r-trip 2 300,000 600,000 2.00 300,000 600,000 fix rate

- - - - -

3.0 Fullboard Package - 159,900,000 159,900,000

a. Central - - - - -

- CPMU (Ditjen PMD/Ditjen Bangda/Ditjen PP&PL/Ditjen CK) 1 4 p-day 4 325,000 1,300,000 4.00 325,000 1,300,000 ceiling rate

- Advisory CPMU 1 4 p-day 4 325,000 1,300,000 4.00 325,000 1,300,000 ceiling rate

b. Local Participants - - - - -

- Pemandu 6 4 p-day 24 325,000 7,800,000 24.00 325,000 7,800,000 ceiling rate

- Participants 95 4 p-day 380 325,000 123,500,000 380.00 325,000 123,500,000 ceiling rate

- Additional Accomodation (Participants Outside NTT) 72 1 p-day 72 325,000 23,400,000 72.00 325,000 23,400,000 ceiling rate

c. Panitia lokal 2 4 p-day 8 325,000 2,600,000 8.00 325,000 2,600,000 ceiling rate

Fullday Package

- Prov. Government (Bappeda, PU, Dinkes, PMD, Satker) 5 4 p-day 20 200,000 4,000,000 20.00 200,000 4,000,000 ceiling rate

4.0 Training Kit + Training Material - 20,600,000 20,600,000 ceiling rate

Training Kit + Training Material 103 1 set 103 200,000 20,600,000 103.00 200,000 20,600,000 ceiling rate

5.0 Stationery 3 LS 3 1,000,000 3,000,000 3 1,000,000 3,000,000 ceiling rate

- - - - -

6.0 Equipment - 10,100,000 10,100,000

a. Horizontal Banner 2 1 set 2 250,000 500,000 2.00 250,000 500,000 ceiling rate

b. Additional Classroom 1 2 unit-day 2 1,500,000 3,000,000 2.00 1,500,000 3,000,000 ceiling rate

c. Preparation Meeting (Snack & Lunch) 7 2 set 14 50,000 700,000 14.00 50,000 700,000 ceiling rate

d. Car Rental 1 5 unit-day 5 580,000 2,900,000 5.00 580,000 2,900,000 ceiling rate

e. Computer/Laptop Rental 1 5 unit-day 5 300,000 1,500,000 5.00 300,000 1,500,000 ceiling rate

f. Printer Rental 1 5 unit-day 5 300,000 1,500,000 5.00 300,000 1,500,000 ceiling rate

7.0 Training Report 3 set 3 100,000 300,000 3.00 100,000 300,000 ceiling rate

COST FOR PAMSIMAS FACILITATORS

1. Sallary Pamsimas Facilitators 2,008,500,000 2,008,500,000 -

Fasilitator Keberlanjutan (FK) -

Bali - pers. x 4 month - - - - - -

Nusa Tenggara Barat - pers. x 4 month - - - - - -

Nusa Tenggara Timur 26 pers. x 4 month 104 6,000,000 624,000,000 104 6,000,000 624,000,000

- - - - -

Fasilitator Masyarakat (FM) Januari - Maret 2014 - - - - -

Bali 2 pers. x 3 month 6 3,250,000 19,500,000 6 3,250,000 19,500,000

Nusa Tenggara Barat 12 pers. x 3 month 36 3,250,000 117,000,000 36 3,250,000 117,000,000

Nusa Tenggara Timur 76 pers. x 3 month 228 3,250,000 741,000,000 228 3,250,000 741,000,000

- - - - -

Fasilitator Masyarakat (FM) April 2014 - - - - -

Bali 6 pers. x 1 month 6 3,250,000 19,500,000 6 3,250,000 19,500,000

Nusa Tenggara Barat 32 pers. x 1 month 32 3,250,000 104,000,000 32 3,250,000 104,000,000

Nusa Tenggara Timur 118 pers. x 1 month 118 3,250,000 383,500,000 118 3,250,000 383,500,000

Reimbursable // 9 dari 10

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REMARKS

CONTRACT AMANDEMENT 2

VOL UNIT PRICE

[IDR]UNIT PRICE [IDR]

VARIATIONS

AMOUNT [IDR] VOL

ORIGINAL CONTRACT

NO. DESCRIPTION

AMOUNT [IDR]

2

UNITUNIT PRICE

[IDR]

CONTRACT AMENDMENT No.1

VOLUNIT PRICE

[IDR]AMOUNT [IDR] VOL AMOUNT [IDR]

2. UTILITIES EXPENSES-Biaya - Biaya Lain Fasilitator 558,100,000 558,100,000

Fasilitator Keberlanjutan (FK)

Bali

Nusa Tenggara Barat

Nusa Tenggara Timur Sewa Laptop 0 Unit x 26 Pers x 4 Month - 450,000 - - 450,000 -

Perjalanan Dinas 1 trip x 26 Pers x 4 Month 104 920,000 95,680,000 104 920,000 95,680,000

Fasilitator Masyarakat (FM)

Bali

Sewa Laptop Maret 2014 0 Unit x 2 Pers x 3 Month - 450,000 - - 450,000 -

Sewa Laptop April 2014 0 Unit x 6 Pers x 1 Month - 450,000 - - 450,000 -

Perjalanan Dinas Jan-Maret 2014 1 x 2 Pers x 3 Month 6 300,000 1,800,000 6 300,000 1,800,000

Perjalanan Dinas April 2014 1 x 6 Pers x 1 Month 6 300,000 1,800,000 6 300,000 1,800,000

BOP Jan-Maret 2014 1 x 2 Pers x 3 Month 6 250,000 1,500,000 6 250,000 1,500,000

BOP April 2014 1 x 6 Pers x 1 Month 6 250,000 1,500,000 6 250,000 1,500,000

Nusa Tenggara Barat

Sewa Laptop Maret 2014 0 Unit x 12 Pers x 3 Month - 450,000 - - 450,000 -

Sewa Laptop April 2014 0 Unit x 32 Pers x 1 Month - 450,000 - - 450,000 -

Perjalanan Dinas Jan-Maret 2014 1 x 12 Pers x 3 Month 36 500,000 18,000,000 36 500,000 18,000,000

Perjalanan Dinas April 2014 1 x 32 Pers x 1 Month 32 500,000 16,000,000 32 500,000 16,000,000

BOP Jan-Maret 2014 1 x 12 Pers x 3 Month 36 250,000 9,000,000 36 250,000 9,000,000

BOP April 2014 1 x 32 Pers x 1 Month 32 250,000 8,000,000 32 250,000 8,000,000

Nusa Tenggara Timur

Sewa Laptop 0 Unit x 76 Pers x 3 Month - 450,000 - - 450,000 -

Sewa Laptop 0 Unit x 118 Pers x 1 Month - 450,000 - - 450,000 -

Perjalanan Dinas Jan-Maret 2014 1 x 76 Pers x 3 Month 228 920,000 209,760,000 228 920,000 209,760,000

Perjalanan Dinas April 2014 1 x 118 Pers x 1 Month 118 920,000 108,560,000 118 920,000 108,560,000

BOP Jan-Maret 2014 1 x 76 Pers x 3 Month 228 250,000 57,000,000 228 250,000 57,000,000

BOP April 2014 1 x 118 Pers x 1 Month 118 250,000 29,500,000 118 250,000 29,500,000

Reimbursable // 10 dari 10