AMENDMENT No - new.pamsimas.orgnew.pamsimas.org/data/kontrak/amendment/ROMS-5 Contract Amend No.1... · amendment no.1 dated november 25th, 2013 to contract for non-consulting services

AMENDMENT No.1

Dated November 25th, 2013

TO

CONTRACT

FOR

NON-CONSULTING SERVICES

TIME BASED

REGIONAL OVERSIGHT MANAGEMENT SERVICES (ROMS) - 5 Under IBRD Loan No. 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 27th, 2013

Summary of Contract

SUMMARY OF CONTRACT

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

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

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

Amendment No.1 : Dated : November 25th, 2013

4. Domicile/Address of : Plaza Golden Fatmawati (D’Best) Blok J 8-9, Service Providers Jl. RS Fatmawati No. 15 Jakarta Selatan Telephone : (021) 75916012-16

Fax : (021) 75915802

Email : [email protected]

5. Value of Contract :

Original Contract : IDR 39.307.875.000,- (Net of VAT) IDR 40.094.032.500,- (Include VAT 10% APBN Portion)

Amendment No.1 : IDR 39.977.355.000,- (Net of VAT)

IDR 40.763.512.500,- (Include VAT 10% APBN Portion)

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

7. Percentage Eligible for : IBRD Financing

Original Contract : 80 % Net of VAT

Amendment No.1 : 80 % Net of VAT

8. Percentage Eligible for : APBN-RM Financing

Original Contract : 20 % Net of VAT

Amendment No.1 : 20 % Net of VAT

9. 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)

10. Amount Eligible for : TF Financing

Original Contract : Nil

Amendment No.1 : IDR 669.480.000,- (Net of VAT)

Section I: Form of Contract

SECTION I FORM OF CONTRACT

Section I: Form of Contract 1

AMENDMENT NO .1

To

O RIGINAL CONTRACT

No. KU.08.08/Kontrak/Pamsimas/174/VIII/2013 Dated: August 27th, 2013

Between

Directorate of Water Supply Development Directorate General of Human Sett lements

Ministry of Public Works

And

PT. Tata Guna Patria In Joint Venture with :

AHT Group Consultants

For

REGIO NAL O VERSIGHT MANAGEMENT SERVICES (RO MS) - 5

Under IBRD Loan No. 8259-ID

This Contract Amendment No.1 (hereinafter called the “Amendment No.1”) is made on 25th day of the month of November, 2013 to further amend the Original Contract Number. KU.08.08/Kontrak /Pamsimas/174/VIII/2013 dated August 27, 2013 between, on the one hand, Directorate of Water Supply Development, Directorate General of Human Sett lements, Ministry of Public Works, Government of Indonesia (hereinafter called the “Employer” ) and, on other hand, a joint venture PT. Tata Guna Patria consisting of the following entities, each member of which will be jointly and severally liable to the Employer for all the Service P rovider obligat ions under this Contract, namely AHT Group Consultants (hereinafter called the “Service Provider”). WHEREAS (a) Decree of the Minister of Public Works of the Republic of Indonesia Number:

79/KPTS/DC/2013 dated 21 August 2013, regarding change the target number of districts;

(b) Memorandum Of Ageement No. 1 to the Contract has been signed by the parties, on the replacement and additional of key personnels

(c) The Employer had officially requested NOL to T OR and Cost Estimate of STBM T raining Pamsimas II Fiscal Year 2013, and NOL has been issued by World Bank Date 18 November 2013;

(d) In response to the Employer letter dated 19th November 2013 requesting the est imation of costs for the above additional scope of works, the Service Provider in its letter dated 21 November 2013 submitt ed the cost estimation which was subsequent ly clarification and approved by the Employer as per the Minutes of Meeting and Detailed of Breakdown of Cost Clarification dated 22 November 2013;

(e) Pursuant to Clause 2.4 of the General Conditions of Contract, it is deemed necessary to legally administer the changes in the Form of Contract Amendment.

Section I: Form of Contract 2

NOW THEREFORE the parties hereto hereby agree as follows: 1. The following documents documents shall be deemed to form an integral part of this

Amendment: a. The General Conditions of Contract ; (No Change) b. The Special Conditions of Contract; (Amended)

1) Original Contract

Clause 6.1 the ceiling of local currency : IDR.40.094.032.500,-

[Include VAT 10% APBN Portion] to

be funded as follow:

% Eligible for IBRD funding : 80% Net of VAT

Amount Eligible for IBRD funding : IDR. 31.446.300.000,-

% Eligible for APBN-RM funding : 20 % Net of VAT

Amount Eligible for APBN-RM : IDR. 8.647.732.500,-

[ Including VAT. 10% ]

2) Amended to Contract Amendment No. 1

Clause 6.1 the ceiling of local currency : IDR. 40.763.512.500,-

[Include VAT 10% APBN Portion] to

be funded as follow:

% Eligible for IBRD funding : 80% Net of VAT.

Amount Eligible for IBRD funding : IDR. 31.446.300.000,-

% Eligible for APBN-RM funding : 20 % Net of VAT.

Amount Eligible for APBN-RM : IDR. 8.647.732.500,-

[ Including VAT. 10% ]

Amount Eligible for TF funding : IDR. 669.480.000,- ( Net of VAT ) to be funded a STBM Training

2. To amend Appendix A – Description of Services change to accommodate Decree of the Minister of Public Works as above regarding the number of targetted district s within ROMS has changed, and to accommodate for the implementation of STBM Training;

3. To amend Appendix C – Key Experts – Hours of Work for key Personnel and Schedule change to accommodate additional personnel additional new district and replacement of key personnels;

4. To amend Appendix E - Cost Estimates in Local Currency change to accommodate referred to in 2) above and the associated cost and expenses;

All terms and conditions in the Contract other than those specifically revised by this Amendment shall remain in full force and effect.

Appendix C : Summary of Cost Estimate

APPENDIX C SUMMARY OF COST ESTIMATE

(Amended)

Appendix D : Remuneration And Reimbursable Cost Estimates

APPENDIX D REMUNERATION AND REIMBURSABLE COST

ESTIMATES (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] 15 16 17 18=[16*17]

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

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

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

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

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

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

Supporting Staff :

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

2 Provincial Team 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 36 Petronela Sain 36

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

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

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

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

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

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

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

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

3 District Team 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 36 Marihot Sinaga, ST 36

3.1.2 Financial Assistant Management 1 pers. x 36 month 4,500,000 Thomas Hadjon 36 Maria Margarita Letoati, SE 36

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

3.2 Manggarai old district

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

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

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

3.3 Sumba Barat old district

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

3.3.2 Financial Assistant Management 1 pers. x 36 month 4,500,000 Wehelmientje Monding 36 Hans Ubbu Duka 36

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

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

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

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

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

3.6 Sikka old district

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

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

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

NO. POSITION

Amount [IDR]

Original Contract

NAME Input Remuneration

Rate [IDR]

Amandement No. 1


Rate [IDR] Amount [IDR]

2

(THP to be

paid to staff,

supported by

actual receipt)

Minimum

Take Home Pay

[IDR]

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

NO. POSITION

Amount [IDR]

Original Contract


Rate [IDR]

Amandement No. 1



2

(THP to be

paid to staff,

supported by

actual receipt)

3.7 Manggarai Barat old district

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

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

3.7.3 Data Entry Operator/Administration Officer 1 pers. x 36 month 2,750,000 Ambo Illang 36 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 36 Desi Eka Deliyati 36

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

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

3.9 Kupang old district

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

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

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

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

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

3.11 Sumba Tengah new district

3.11.1 District Coordinator 1 pers. x 33 month 7,000,000 Rolly Reyke Haba, ST 33 TBN / Abdullah Hadely 33

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

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

3.12 Sabu Raijua new district

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

3.12.2 Financial Assistant Management 1 pers. x 33 month 4,500,000 Remigius Sulim 33 Sukardiyanto 33

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

3.13.2 Financial Assistant Management 1 pers. x 33 month 4,500,000 Rizal Padapotan 33 Andreas Lende U M 33

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

3.14.2 Financial Assistant Management 1 pers. x 33 month 4,500,000 Triviany Meilani 33 Dorthia F Amtiran 33

3.14.3 Data Entry Operator/Administration Officer 1 pers. x 33 month 2,750,000 Ebo 33 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 33 Betu Anisius 33

3.15.2 Financial Assistant Management 1 pers. x 33 month 4,500,000 Ria V,W 33 Dorthia F Amtiran 33

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

3.16 Flores Timur new district

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

3.16.2 Financial Assistant Management 1 pers. x 33 month 4,500,000 Dian Mardianto 33 Timotius Lende Bulu 33

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

3.17 Belu new district

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

3.17.2 Financial Assistant Management 1 pers. x 33 month 4,500,000 Dian Ariyanto 33 arnold jaya manurung 33

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

3.18 Nagekeo new district

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

3.18.2 Financial Assistant Management 1 pers. x 33 month 4,500,000 Indra Widhi W 33 Markus Surah 33

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

Minimum

Take Home Pay

[IDR]

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

NO. POSITION

Amount [IDR]

Original Contract


Rate [IDR]

Amandement No. 1



2

(THP to be

paid to staff,

supported by

actual receipt)

3.19 Ende new district

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

3.19.2 Financial Assistant Management 1 pers. x 33 month 4,500,000 Rini Handayani 33 Apri Moeni Matte 33

3.19.3 Data Entry Operator/Administration Officer 1 pers. x 33 month 2,750,000 SATYA 33 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 33 Ida Bagus Cakra Rudiana 33

3.20.2 Financial Assistant Management 1 pers. x 33 month 4,500,000 Iqbal Munnazzah 33 Askian baun 33

3.20.3 Data Entry Operator/Administration Officer 1 pers. x 33 month 2,750,000 Wawan 33 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 33 Akhmad Rumnatandi 33

3.21.2 Financial Assistant Management 1 pers. x 33 month 4,500,000 Yuliza Putrika 33 Decky Herbinson L Fa'ah, SE 33

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

3.22 Lombok Timur new district

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

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

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

3.23 Bima new district

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

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

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

3.24 Lombok Tengah new district

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

3.24.2 Financial Assistant Management 1 pers. x 33 month 4,500,000 Hindi Susanti 33 zacky firmansyah dwi putra 33

3.24.3 Data Entry Operator/Administration Officer 1 pers. x 33 month 2,750,000 Lola N 33 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 33 Muhammad Husen 33

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

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

3.26 Dompu new district

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

3.26.2 Financial Assistant Management 1 pers. x 33 month 4,500,000 Decky HL Paah 33 Dedi Purwantoro, SE 33

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

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

REGIONAL OVERSIGHT MANAGEMENT SERVICES (OMS) - 5

COMMUNITY BASED WATER SUPPLY PROJECT (PAMSIMAS II)

Variation

1 3 7 22 23 24=[22*23] 22 23 24=[22*23] 24=[22*23]

B REIMBURSABLE COST

1 DUTY TRAVEL 757,440,000 757,440,000 -

1.1 Spot Checking

1.1.1 Provincial Team - Province to District to Village

Bali

Inland Transport r-trip ceiling rate 14 200,000 2,880,000 14 200,000 2,880,000 -

Accomodation r-trip ceiling rate 29 200,000 5,760,000 29 200,000 5,760,000 -

OSA (Fixed) r-trip ceiling rate 43 200,000 8,640,000 43 200,000 8,640,000 -

Nusa Tenggara Barat -

Inland Transport r-trip ceiling rate 86 200,000 17,280,000 86 200,000 17,280,000 -



Nusa Tenggara Timur -

Inland Transport r-trip ceiling rate 137 1,600,000 218,880,000 137 1,600,000 218,880,000 -



1.1.2 District Team - District to Village -

District Coordinator Bali r-trip ceiling rate 120 50,000 6,000,000 120 50,000 6,000,000 -

District Coordinator NTB r-trip ceiling rate 720 50,000 36,000,000 720 50,000 36,000,000 -

District Coordinator NTT r-trip ceiling rate 2,280 50,000 114,000,000 2,280 50,000 114,000,000 -

Financial Management Ass. Bali r-trip ceiling rate 96 50,000 4,800,000 96 50,000 4,800,000 -

Financial Management Ass. NTB r-trip ceiling rate 576 50,000 28,800,000 576 50,000 28,800,000 -

Financial Management Ass. NTT r-trip ceiling rate 1,824 50,000 91,200,000 1,824 50,000 91,200,000 - -

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

2.1 Regional Team - Jakarta to Province to Jakarta -

2.1.1 Project Manager Jakarta - Mataram - Jakarta r-trip ceiling rate 1 3,020,000 3,020,000 1 3,020,000 3,020,000 -

2.1.2 Data Management Jakarta - Mataram - Jakarta r-trip ceiling rate 1 3,020,000 3,020,000 1 3,020,000 3,020,000 -

2.1.3 LG Specialist Jakarta - Mataram - Jakarta r-trip ceiling rate 1 3,020,000 3,020,000 1 3,020,000 3,020,000 -

2.1.4 Trainer Coordinator Jakarta - Mataram - Jakarta r-trip ceiling rate 1 3,020,000 3,020,000 1 3,020,000 3,020,000 -

2.1.5 Local Transport r-trip ceiling rate 4 200,000 800,000 4 200,000 800,000 -

2.2 Provincial Team - Jakarta to Province to Jakarta -

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

Jakarta - Denpasar - Jakarta r-trip ceiling rate 1 3,050,000 3,050,000 1 3,050,000 3,050,000 -

Jakarta - Kupang - Jakarta r-trip ceiling rate 1 4,750,000 4,750,000 1 4,750,000 4,750,000 -

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



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



NO. DESCRIPTION Unit

2

Original Contract

RemarksVol.

Unit Rate

[IDR]Amount [IDR]

Amandement No. 1

Amount [IDR]Vol.Unit Rate

[IDR]Amount [IDR]

Variation

1 3 7 22 23 24=[22*23] 22 23 24=[22*23] 24=[22*23]


2

Original Contract

RemarksVol.

Unit Rate

[IDR]Amount [IDR]

Amandement No. 1


[IDR]Amount [IDR]

2.2.4 Local Transport r-trip ceiling rate 9 200,000 1,800,000 9 200,000 1,800,000 -

2.3 District Team - Jakarta to Province to Jakarta -

2.3.1 District Coordinator Jakarta - Mataram - Jakarta r-trip ceiling rate 6 4,750,000 28,500,000 6 4,750,000 28,500,000 -



2.3.2 Financial Management Assistant Jakarta - Mataram - Jakarta r-trip ceiling rate 6 4,750,000 28,500,000 6 4,750,000 28,500,000 -



2.3.3 Local Transport (Province to District) r-trip ceiling rate 14 400,000 5,600,000 14 400,000 5,600,000 -

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

3 OFFICE SPACE (Rental) 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 -

4.1 Regional and Province -

4.2 District - -

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

5.1 Notebook Computer (Regional+Provincial+District) unit fixed rate 39 5,000,000 195,000,000 39 5,000,000 195,000,000 -

5.2 Portable Computer for Supporting Regional unit fixed rate 2 3,500,000 7,000,000 2 3,500,000 7,000,000 -

5.3 Portable Computer + Printer for Supporting District unit fixed rate 26 5,000,000 130,000,000 26 5,000,000 130,000,000 -

5.4 Printer Laserjet unit fixed rate 3 2,500,000 7,500,000 3 2,500,000 7,500,000 -

5.5 Printer Colour A3 unit fixed rate 3 3,000,000 9,000,000 3 3,000,000 9,000,000 -

5.6 Scanner unit fixed rate 3 1,500,000 4,500,000 3 1,500,000 4,500,000 -

5.7 Facsimilie unit fixed rate 3 1,000,000 3,000,000 3 1,000,000 3,000,000 -

5.8 Digital Camera unit fixed rate 3 1,000,000 3,000,000 3 1,000,000 3,000,000 -

5.9 GSM Modem + SIM Card unit ceiling rate 3 500,000 1,500,000 3 500,000 1,500,000 -

5.10 Router, LAN Peripheral unit ceiling rate 3 700,000 2,100,000 3 700,000 2,100,000 -

5.11 GPS unit fixed rate 6 1,500,000 9,000,000 6 1,500,000 9,000,000 - -

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

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

7.1 Regional and Province -

7.1.1 Telephone and Postage month ceiling rate 108 1,000,000 108,000,000 108 1,000,000 108,000,000 -

7.1.2 Internet Connection for Office month ceiling rate 108 350,000 37,800,000 108 350,000 37,800,000 -

7.2 District -

7.2.1 Telephone and Internet Connection month ceiling rate 360 500,000 180,000,000 360 500,000 180,000,000 -

month ceiling rate 528 500,000 264,000,000 528 500,000 264,000,000 - -

Variation

1 3 7 22 23 24=[22*23] 22 23 24=[22*23] 24=[22*23]


2

Original Contract

RemarksVol.

Unit Rate

[IDR]Amount [IDR]

Amandement No. 1


[IDR]Amount [IDR]

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

8.1 Pelatihan FM Ass. dan Data Entry Operator -

8.1.1 Peserta -

a Fullboard package days fixed rate 156 250,000 39,000,000 156 250,000 39,000,000 -

b Transportation time ceiling rate 52 200,000 10,400,000 52 200,000 10,400,000 -

8.1.2 Pelatih -

a Accomodation days fixed rate 9 400,000 3,600,000 9 400,000 3,600,000 -

b Training Material + Kit paket ceiling rate 52 50,000 2,600,000 52 50,000 2,600,000 -

8.2 Expert Group Meeting - Central -

8.2.1 Regional Team - Air Fare Province to Jakarta -

8.2.2 Provincial Team - Air Fare Province to Jakarta -

8.2.3 Inland Transport - Regional and Provincial Team -

8.2.4 OSA (Fixed) - Regional Team days fixed rate 72 300,000 21,600,000 72 300,000 21,600,000 -

8.2.5 OSA (Fixed) - Provincial Team days fixed rate 162 300,000 48,600,000 162 300,000 48,600,000 -

8.3 Expert Group Meeting - Regional -

Fullboard package for district team days fixed rate 936 150,000 140,400,000 936 150,000 140,400,000 -

Fullboard package for provincial team days fixed rate 108 250,000 27,000,000 108 250,000 27,000,000 -

Fullboard package for regional team days fixed rate 48 360,000 17,280,000 48 360,000 17,280,000 -

8.3.1 Air Transport [Economy Class] -

a Regional Team/ Mataram r-trip ceiling rate 24 1,300,000 31,200,000 24 1,300,000 31,200,000 -

b Regional Team/ Mataram r-trip ceiling rate 24 7,700,000 184,800,000 24 7,700,000 184,800,000 -

8.3.2 Inland Transport -

a District Team/ Denpasar r-trip ceiling rate 18 200,000 3,600,000 18 200,000 3,600,000 -

b District Team/ Mataram r-trip ceiling rate 108 200,000 21,600,000 108 200,000 21,600,000 -

c District Team/ Kupang r-trip ceiling rate 342 1,600,000 547,200,000 342 1,600,000 547,200,000 -

8.3.3 OSA (Fixed) days ceiling rate 1,548 200,000 309,600,000 1,548 200,000 309,600,000 -

8.4 OJT Fasilitator -

8.4.1 Training Material + Kit days fixed rate 2,808 50,000 140,400,000 2,808 50,000 140,400,000 -

8.4.2 Meals, Snack days fixed rate 2,808 75,000 210,600,000 2,808 75,000 210,600,000 -

8.5 Pelatihan Penguatan BPSPAM in District -

8.5.1 Paket Fullboard Participant days fixed rate 5,200 250,000 1,300,000,000 5,200 250,000 1,300,000,000 -

8.5.2 Paket Fullday for DPMU + TKK days fixed rate 416 350,000 145,600,000 416 350,000 145,600,000 -

8.5.3 Uang Saku Participant days ceiling rate 5,200 50,000 260,000,000 5,200 50,000 260,000,000 -

8.5.4 Uang Transport Participant time ceiling rate 1,300 200,000 260,000,000 1,300 200,000 260,000,000 -

8.5.5 Spanduk unit ceiling rate 104 140,000 14,560,000 104 140,000 14,560,000 -

8.5.6 Training Material + Kit paket ceiling rate 1,300 100,000 130,000,000 1,300 100,000 130,000,000 -

8.6 Pelatihan Kader AMPLin District -

8.6.1 Paket Fullboard Participant days fixed rate 5,200 250,000 1,300,000,000 5,200 250,000 1,300,000,000 -

8.6.2 Paket Fullday for DPMU + TKK days fixed rate 416 350,000 145,600,000 416 350,000 145,600,000 -

8.6.3 Uang Saku Participant days ceiling rate 5,200 50,000 260,000,000 5,200 50,000 260,000,000 -

8.6.4 Uang Transport Participant time ceiling rate 1,300 200,000 260,000,000 1,300 200,000 260,000,000 -


8.6.6 Training Material + Kit paket ceiling rate 1,300 100,000 130,000,000 1,300 100,000 130,000,000 - -

Variation

1 3 7 22 23 24=[22*23] 22 23 24=[22*23] 24=[22*23]


2

Original Contract

RemarksVol.

Unit Rate

[IDR]Amount [IDR]

Amandement No. 1


[IDR]Amount [IDR]

8.7 Workshop RAD AMPL paket ceiling rate 156 5,000,000 780,000,000 156 5,000,000 780,000,000 -

8.8 Workshop Forum/Asosiasi BPSPAM in Province -

8.8.1 Paket Fullboard Participant + DPMU + TKK days fixed rate 520 360,000 187,200,000 520 360,000 187,200,000 -

8.8.2 Uang Transport Participant days ceiling rate 70 200,000 14,000,000 70 200,000 14,000,000 -

8.8.3 Uang Transport Participant NTT District time ceiling rate 190 200,000 38,000,000 190 200,000 38,000,000 -

8.8.4 Training Material + Kit paket ceiling rate 260 100,000 26,000,000 260 100,000 26,000,000 -


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

8.9.1 Paket Fullboard Participant days fixed rate 936 360,000 336,960,000 936 360,000 336,960,000 -

8.9.2 Uang Transport Participant days ceiling rate 234 200,000 46,800,000 234 200,000 46,800,000 -

8.9.3 Uang Transport Participant NTT District time ceiling rate -

8.9.4 Training Material + Kit paket ceiling rate 234 100,000 23,400,000 234 100,000 23,400,000 -


8.10 Printing/ Media: -

8.10.1 Spanduk unit fixed rate 832 125,000 104,000,000 832 125,000 104,000,000 -

8.10.2 Poster unit fixed rate 23,700 9,000 213,300,000 23,700 9,000 213,300,000 -

8.10.3 Leaflet unit fixed rate 42,760 7,500 320,700,000 42,760 7,500 320,700,000 - -

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

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

9.2 Monthly Report exp. fixed rate 540 25,000 13,500,000 540 25,000 13,500,000 -

9.3 Quarterly Report exp. fixed rate 180 35,000 6,300,000 180 35,000 6,300,000 -

9.4 Special Report exp. fixed rate 60 30,000 1,800,000 60 30,000 1,800,000 -

9.5 Annual Report exp. fixed rate 60 75,000 4,500,000 60 75,000 4,500,000 -

9.6 Financial Management Report (FMR) exp. fixed rate 60 25,000 1,500,000 60 25,000 1,500,000 -

9.7 Draft Final Report exp. fixed rate 20 75,000 1,500,000 20 75,000 1,500,000 -

9.8 Final Report exp. fixed rate 20 100,000 2,000,000 20 100,000 2,000,000 -

9.9 Training Program Report exp. fixed rate 225 50,000 11,250,000 225 50,000 11,250,000 - -

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

-

10.1 Honorarium Trainer/Fasilitator/Instruktur khusus - - - - -

10.2 Perdiem -

- Central Government p-day fix rate 2 3 p-day 6 105,000 630,000 630,000

- Provincial Government p-day fix rate 2 3 p-day 6 105,000 630,000 630,000

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

- Panitia Lokal p-day fix rate 4 5 p-day 20 105,000 2,100,000 2,100,000

- Pemandu STBM (Province & Districts) p-day fix rate 7 5 p-day 35 105,000 3,675,000 3,675,000

- Participants (Sanitarian/Kader/Natural leader/Bidan) p-day fix rate 96 5 p-day 480 105,000 50,400,000 50,400,000

Variation

1 3 7 22 23 24=[22*23] 22 23 24=[22*23] 24=[22*23]


2

Original Contract

RemarksVol.

Unit Rate

[IDR]Amount [IDR]

Amandement No. 1


[IDR]Amount [IDR]

10.3 Transportation - -

a. Tickets - -

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

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

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

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

b. Inland/Local Transport - -

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

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

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

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

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

10.4 Fullboard Package - -

a. Central - -

- Central Government p-day ceiling rate 2 2 p-day 4 375,000 1,500,000 1,500,000

- Provincial Government p-day ceiling rate 2 2 p-day 4 375,000 1,500,000 1,500,000

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

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

b. Local Participants - -

- Pemandu STBM (Province & Districts) p-day ceiling rate 7 4 p-day 28 375,000 10,500,000 10,500,000

- Participants (Sanitarian/Kader/Natural leader/Bidan) p-day ceiling rate 96 4 p-day 384 375,000 144,000,000 144,000,000

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

c. Panitia Lokal p-day ceiling rate 4 4 p-day 16 375,000 6,000,000 6,000,000

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

10.6 Training Material set ceiling rate 103 1 set 103 275,000 28,325,000 28,325,000

10.7 Stationery LS ceiling rate LS 2 2,000,000 4,000,000 4,000,000

10.8 Equipment - -

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

b. Banner set ceiling rate 1 1 set 1 500,000 500,000 500,000

c. Backdrop set ceiling rate 1 1 set 1 1,250,000 1,250,000 1,250,000

d. Additional Classroom unit-day ceiling rate 3 4 unit-day 12 1,500,000 18,000,000 18,000,000

e. Additional Infocus Rental unit-day ceiling rate 3 4 unit-day 12 350,000 4,200,000 4,200,000

f. Preparation Meeting (Snack & Lunch) set ceiling rate 20 2 set 40 48,000 1,920,000 1,920,000

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

h. Computer/Laptop Rental unit-day ceiling rate 4 5 unit-day 20 300,000 6,000,000 6,000,000

i. Printer Rental unit-day ceiling rate 3 5 unit-day 15 300,000 4,500,000 4,500,000

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

10.9 Training Report set ceiling rate 5 set 5 100,000 500,000 500,000

Documents

AMENDMENT No - new.pamsimas.orgnew.pamsimas.org/data/kontrak/amendment/ROMS-5 Contract Amend No.1... · amendment no.1 dated november 25th, 2013 to contract for non-consulting services