PT. KOGAS DRIYAP KONSULTAN in JV with PT. PERENTJANA …new.pamsimas.org/data/kontrak/invoice/romsVI/ROMS-6... · community based water supply project (pamsimas ii) invoice no. 20

Contract No.

REGIONAL OVERSIGHT MANAGEMENT SERVICES (ROMS) - 6 Contract Date.

COMMUNITY BASED WATER SUPPLY PROJECT (PAMSIMAS II) Invoice No. 20

PREVIOUS COMULATIF TOTAL CLAIM TOTAL COMULATIVE BALANCE

A REMUNERATION 18,244,200,000 8,767,478,096 500,770,000 9,268,248,096 8,975,951,904

1 Regional Team 1,714,800,000 788,040,000 50,400,000 838,440,000 876,360,000

2 Provincial Team 3,601,800,000 1,719,980,000 105,300,000 1,825,280,000 1,776,520,000

3 District Team 12,927,600,000 6,259,458,096 345,070,000 6,604,528,096 6,323,071,904

B REIMBURSABLE 21,262,928,960 5,711,531,267 254,902,500 5,966,433,767 15,296,495,193

1 Duty Travel

1.1. Spot Cheking 125,420,000 26,395,000 - 26,395,000 99,025,000

Management Fee 10% of [1.1] 12,542,000 2,639,500 - 2,639,500 9,902,500

1.1. Spot Cheking 1,424,650,000 83,720,100 15,500,400 99,220,500 1,325,429,500

Management Fee 10% of [1.1] 142,465,000 8,372,010 1,550,040 9,922,050 132,542,950

1.2. Monitoring Evaluation 1,501,436,400 97,371,867 22,614,526 119,986,393 1,381,450,007


1.3. Coordination Meeting 1,376,356,800 262,756,412 - 262,756,412 1,113,600,388


1.4. Coordination For Several Event By Request 105,046,400 - - - 105,046,400

Management Fee 10% of [1.4] 10,504,640 - - - 10,504,640

1.5. National Meeting in Jakarta : as request/invitation by Owner 245,160,000 45,135,700 3,570,300 48,706,000 196,454,000

Management Fee 10% of [1.5] 24,516,000 4,513,570 357,030 4,870,600 19,645,400

2 Mobilization and Demobilization 106,854,000 25,590,200 - 25,590,200 81,263,800

Management Fee 10% of (2.1) 10,685,400 2,559,020 - 2,559,020 8,126,380

3 Office Space 2,115,770,000 1,270,390,000 22,500,000 1,292,890,000 822,880,000

4 Utilities Expenses 722,240,000 349,965,000 20,890,000 370,855,000 351,385,000

5 Office Equipment 849,125,000 675,460,000 6,500,000 681,960,000 167,165,000

6 Vehicle Rental 6,255,450,000 2,497,055,000 136,585,000 2,633,640,000 3,621,810,000

7 Communication 550,800,000 79,666,991 9,487,501 89,154,492 461,645,508

Management Fee of [7.1 + 7.2] 55,080,000 7,966,699 948,750 8,915,449 46,164,551

8 Training 5,068,388,000 203,434,200 10,637,500 214,071,700 4,854,316,300

Management Fee of [8.1+8.2+8.3.1+8.3.2+8.5+8.6+8.7+8.8+8.9] 232,285,000 16,777,170 1,000,000 17,777,170 214,507,830

9 Reporting 40,375,000 15,750,000 500,000 16,250,000 24,125,000

C Pelatihan STBM Pamsimas II [ TF 094792 ] 352,423,500 303,407,500 - 303,407,500 49,016,000

Pelatihan STBM Pamsimas II 320,385,000 275,825,000 - 275,825,000 44,560,000

Management Fee 10.1 % of 10.1 32,038,500 27,582,500 - 27,582,500 4,456,000

D Additional Training [ IDA CR. 4204 IND ] 428,207,560 405,429,530 - 405,429,530 22,778,030

Provincial Training for District Assosiation 389,279,600 368,572,300 - 368,572,300 20,707,300

Management Fee 10 % of 11.1 38,927,960 36,857,230 - 36,857,230 2,070,730

E Fasilitator [ APBN - RM ] 2,847,310,000 1,808,010,584 - 1,808,010,584 1,039,299,416

12.1 Salary Fasilitator FK dan FM 1,955,000,000 1,295,858,334 - 1,295,858,334 659,141,666


12.2 Biaya Lain-lain Fasilitator 544,600,000 288,885,000 - 288,885,000 255,715,000


F Cost of "Basic Program" to The District Association [ TF 094792 ] 343,750,000 327,250,000 - 327,250,000 16,500,000

Cost of "Basic Program" 312,500,000 297,500,000 - 297,500,000 15,000,000

Management Fee 10% 0f 13 31,250,000 29,750,000 - 29,750,000 1,500,000

G TOTAL = [ A + B + C + D + E + F ] 43,478,820,020 17,323,106,977 755,672,500 18,078,779,477 25,400,040,543

- IBRD FINANCING, [ 80% x (A + B) ] 31,605,703,168 11,583,207,490 604,538,000 12,187,745,490 19,417,957,678

Repayment of Advance Payment (of IBRD Portion) 2,925,800,000 2,925,800,000 - 2,925,800,000 -

H Total Claim This Invoice IBRD Portion 31,605,703,168 11,583,207,490 604,538,000 12,187,745,490 19,417,957,678

- APBN RMP FINANCING, [ 20% x (A + B) ] 7,901,425,792 2,895,801,873 151,134,500 3,046,936,373 4,854,489,419

Repayment of Advance Payment (of RMP Portion) 731,450,000 731,450,000 - 731,450,000 -

Claim This Invoice APBN-RMP Portion 7,901,425,792 2,895,801,873 151,134,500 3,046,936,373 4,854,489,419

- VAT APBN RMP, [ 10% ] 790,142,579 289,580,187 15,113,450 304,693,637 485,448,942

I Total Claim This Invoice APBN-RMP Portion 8,691,568,371 3,185,382,060 166,247,950 3,351,630,010 5,339,938,361

J - TF - 094792, [ J = ( C + F ) ] 696,173,500 630,657,500 - 630,657,500 65,516,000

K - IDA FINANCING, [ K = D ] 428,207,560 405,429,530 - 405,429,530 22,778,030

- APBN RM , [ E = 100% ] 2,847,310,000 1,808,010,584 - 1,808,010,584 1,039,299,416

- VAT APBN RM, [ 10% ] 284,731,000 180,801,058 - 180,801,058 103,929,942

L Total Claim This Invoice APBN-RM Portion 3,132,041,000 1,988,811,643 - 1,988,811,643 1,143,229,357

M GRAND TOTAL, [ M = H + I + J + K + L ] 44,553,693,599 17,793,488,223 770,785,950 18,564,274,172 25,989,419,427

PPK Pembinaan Pelaksanaan Wilayah II Jakarta, 11 Mei 2015

Satuan Kerja Pengembangan Air Minum Berbasis Masyarakat PT. Kogas Driyap Konsultan

DIAH SURYANINGTYAS YENNI SITI ROSTIANI

NIP. 197804252006042001 President Director

AMENDMENT NO. 3

: KU.08.08/Kontrak/Pamsimas/175/VIII/2013

: August 27, 2013

: April 2015

PT. KOGAS DRIYAP KONSULTAN in JV with PT. PERENTJANA DJAJA

AMOUNT (IDR) AMOUNT (IDR) AMOUNT (IDR) NO. DESCRIPTION

AMOUNT (IDR)

: April 2015

B REIMBURSABLE COST

1 DUTY TRAVEL 406,770,000 98,288,800 10,382,900 108,671,700 298,098,300

1.1 SPOT CHECKING 125,420,000 26,395,000 - 26,395,000 99,025,000 1.1.1 Provincial Team - Province to District to Village

Gorontalo

Inland Transport 3 person 33 200,000 6,520,000 7.00 1,000,000 200,000 - 7 1,000,000 26 5,520,000 Accomodation 3 person 65 200,000 13,040,000 10.00 1,595,000 200,000 - 10 1,595,000 55 11,445,000 OSA (Fixed) 3 person 98 200,000 19,560,000 18.00 3,600,000 200,000 - 18 3,600,000 80 15,960,000 Sulawesi Tengah

Inland Transport 3 person 14 200,000 2,800,000 5.00 950,000 200,000 - 5 950,000 9 1,850,000 Accomodation 3 person 38 200,000 7,600,000 11.00 1,950,000 200,000 - 11 1,950,000 27 5,650,000 OSA (Fixed) 3 person 32 200,000 6,400,000 17.00 3,400,000 200,000 - 17 3,400,000 15 3,000,000 Sulawesi Utara, Maluku, Malut

Inland Transport 3 person 14 200,000 2,800,000 4.00 400,000 200,000 - 4 400,000 10 2,400,000 Accomodation 3 person 38 200,000 7,600,000 6.00 1,200,000 200,000 - 6 1,200,000 32 6,400,000 OSA (Fixed) 3 person 32 200,000 6,400,000 10.00 2,000,000 200,000 - 10 2,000,000 22 4,400,000

1.1.2 District Team - District to Village

District Coordinator Gorontalo 4 district 30 50,000 1,500,000 30.00 1,500,000 50,000 - 30 1,500,000 - - District Coordinator Sulteng 10 district 654 50,000 32,700,000 35.00 1,750,000 50,000 - 35 1,750,000 619 30,950,000 District Coordinator Sulut 2 district 30 50,000 1,500,000 30.00 1,500,000 50,000 - 30 1,500,000 - - District Coordinator Maluku 5 district 30 50,000 1,500,000 8.00 400,000 50,000 - 8 400,000 22 1,100,000 District Coordinator Malut 3 district 30 50,000 1,500,000 - - 50,000 - - - 30 1,500,000 Financial Management Ass. Gorontalo 4 district 30 50,000 1,500,000 29.00 1,450,000 50,000 - 29 1,450,000 1 50,000 Financial Management Ass. Sulteng 10 district 160 50,000 8,000,000 44.00 2,200,000 50,000 - 44 2,200,000 116 5,800,000 Financial Management Ass. Sulut 2 district 30 50,000 1,500,000 30.00 1,500,000 50,000 - 30 1,500,000 - - Financial Management Ass. Maluku 5 district 30 50,000 1,500,000 - - 50,000 - - - 30 1,500,000 Financial Management Ass. Malut 3 district 30 50,000 1,500,000 - - 50,000 - - - 30 1,500,000 Management Fee 10% of [1.1] 12,542,000 2,639,500 - 2,639,500 9,902,500

1.1.1 Spot Checking Provincial Team - Province to District to Regular Village 281,350,000 71,893,800 10,382,900 82,276,700 199,073,300 a. Cluster Province Gorontalo - Sulut (PC/QAS & FMS)

a-1 Spot Checking for Regular PC/QAS (6 phase) (total desa 53 village x 10%)

1 Menado to Minahasa Utara & Minahasa Selatan (Uji Petik Tahap 2 & 5)

Inland transport Gorontalo - Menado pp 1 person 2 600,000 1,200,000 1.00 300,000 600,000 - 1 300,000 1 900,000 Inland transport Menado to Minahasa Utara & Minahasa Selatan 1 person 2 200,000 400,000 - - 200,000 - - - 2 400,000 Accomodation 1 person 6 300,000 1,800,000 2.00 330,000 300,000 - 2 330,000 4 1,470,000 OSA (Fixed) 1 person 8 200,000 1,600,000 4.00 800,000 200,000 - 4 800,000 4 800,000

2 Gorontalo to kab Gorontalo & Gorut (pp) (Uji Petik Tahap 3 & 6)

Inland transport Gorontalo to kab Gorontalo & Gorut (pp) 1 person 2 200,000 400,000 2.00 400,000 200,000 - 2 400,000 - - Accomodation 1 person 6 300,000 1,800,000 - - 300,000 - - - 6 1,800,000 OSA (Fixed) 1 person 8 200,000 1,600,000 8.00 1,600,000 200,000 - 8 1,600,000 - -

3 Gorontalo to Boalemo & Bone Bolango (pp) (Uji Petik Tahap 4)

Inland transport Gorontalo to Boalemo & Bone Bolango (pp) 1 person 1 200,000 200,000 - - 200,000 - - - 1 200,000 Accomodation 1 person 3 300,000 900,000 - - 300,000 - - - 3 900,000 OSA (Fixed) 1 person 4 200,000 800,000 - - 200,000 - - - 4 800,000

a-2 Spot Checking for Regular FMS (6 phase) (total desa 53 village x 10%)

1 Menado to Minahasa Utara & Minahasa Selatan

Inland transport Gorontalo - Menado pp 1 person 2 600,000 1,200,000 2.00 675,000 600,000 - 2 675,000 - 525,000 Inland transport Menado to Minahasa Utara & Minahasa Selatan 1 person 2 200,000 400,000 1.00 200,000 200,000 - 1 200,000 1 200,000 Accomodation 1 person 6 300,000 1,800,000 6.00 990,000 300,000 - 6 990,000 - 810,000 OSA (Fixed) 1 person 8 200,000 1,600,000 8.00 1,600,000 200,000 - 8 1,600,000 - -

2 Gorontalo to kab Gorontalo & Gorut (pp)

Inland transport Gorontalo to kab Gorontalo & Gorut (pp) 1 person 2 200,000 400,000 - - 200,000 - - - 2 400,000

AMENDMENT NO. 3

Vol. Unit Rate [IDR]NO. DESCRIPTION

PREVIOUS COMULATIVE

Vol. Amount [IDR]Amount [IDR]

BALANCE

Vol. Amount [IDR]

TOTAL CLAIM

Vol. Unit Rate [IDR] Amount [IDR]

TOTAL COMULATIVE

Vol. Amount [IDR]

AMENDMENT NO. 3


PREVIOUS COMULATIVE


BALANCE

Vol. Amount [IDR]

TOTAL CLAIM


TOTAL COMULATIVE

Vol. Amount [IDR]

Accomodation 1 person 6 300,000 1,800,000 - - 300,000 - - - 6 1,800,000 OSA (Fixed) 1 person 8 200,000 1,600,000 - - 200,000 - - - 8 1,600,000

3 Gorontalo to Boalemo & Bone Bolango (pp)


b. Cluster Province Central Sulawesi (PC/QAS dan FMS)

b-1 Spot Checking for Regular PC/QAS (6 phase) (total desa 93 x 10%)

1 From Palu to Donggala, Sigi dan Parimo (Uji Petik Tahap 3)

Inland transport Palu to Donggala, Sigi dan Parimo 1 person 1 600,000 600,000 - - 600,000 - - - 1 600,000 Inland transport 1 person 1 500,000 500,000 - - 500,000 - - - 1 500,000 Accomodation 1 person 5 300,000 1,500,000 - - 300,000 - - - 5 1,500,000 OSA (Fixed) 1 person 6 200,000 1,200,000 - - 200,000 - - - 6 1,200,000

2 From Palu to Morowali, Poso, Toujo Una Una (Uji Petik Tahap 4)

Inland transport Palu to Morowali, Poso, Toujo Una Una 1 person 1 500,000 500,000 1.00 400,000 500,000 - 1 400,000 - 100,000 Inland transport 1 person 1 500,000 500,000 - - 500,000 - - - 1 500,000 Accomodation 1 person 5 300,000 1,500,000 2.00 400,000 300,000 - 2 400,000 3 1,100,000 OSA (Fixed) 1 person 6 200,000 1,200,000 3.00 600,000 200,000 - 3 600,000 3 600,000

3 From Palu to Buol, Toli Toli (Uji Petik Tahap 5)

Inland transport Palu to Buol, Toli Toli 1 person 1 600,000 600,000 1.00 600,000 600,000 - 1 600,000 - - Inland transport 1 person 1 500,000 500,000 1.00 340,000 500,000 - 1 340,000 - 160,000 Accomodation 1 person 5 300,000 1,500,000 5.00 1,110,000 300,000 - 5 1,110,000 - 390,000 OSA (Fixed) 1 person 6 200,000 1,200,000 6.00 1,200,000 200,000 - 6 1,200,000 - -

4 From Palu to Banggai, Banggai Kepulauan (Uji Petik Tahap 6)

Inland transport Palu to Banggai, Banggai Kepulauan 1 person 1 800,000 800,000 1.00 540,000 800,000 - 1 540,000 - 260,000 Inland transport 1 person 1 1,000,000 1,000,000 - - 1,000,000 - - - 1 1,000,000 Accomodation 1 person 5 300,000 1,500,000 2.00 300,000 300,000 - 2 300,000 3 1,200,000 OSA (Fixed) 1 person 6 200,000 1,200,000 4.00 800,000 200,000 - 4 800,000 2 400,000

b-2 Spot Checking for Regular FMS (6 phase) (total desa 93 x 10%)


Inland transport Palu to Donggala, Sigi dan Parimo 1 person 1 600,000 600,000 1.00 400,000 600,000 - 1 400,000 - 200,000 Inland transport 1 person 1 500,000 500,000 - - 500,000 - - - 1 500,000 Accomodation 1 person 5 300,000 1,500,000 - - 300,000 - - - 5 1,500,000 OSA (Fixed) 1 person 6 200,000 1,200,000 4.00 800,000 200,000 - 4 800,000 2 400,000


Inland transport Palu to Morowali, Poso, Toujo Una Una 1 person 1 500,000 500,000 - - 1 500,000 500,000 1 500,000 - - Inland transport 1 person 1 500,000 500,000 - - 1 500,000 405,500 1 405,500 - 94,500 Accomodation 1 person 5 300,000 1,500,000 - - 5 300,000 1,000,000 5 1,000,000 - 500,000 OSA (Fixed) 1 person 6 200,000 1,200,000 - - 6 200,000 1,200,000 6 1,200,000 - -

-

AMENDMENT NO. 3


PREVIOUS COMULATIVE


BALANCE

Vol. Amount [IDR]

TOTAL CLAIM


TOTAL COMULATIVE

Vol. Amount [IDR]

3 From Palu to Buol, Toli Toli (Uji Petik Tahap 5) - Inland transport Palu to Buol, Toli Toli 1 person 1 600,000 600,000 1.00 420,000 600,000 - 1 420,000 - 180,000 Inland transport 1 person 1 500,000 500,000 1.00 440,000 500,000 - 1 440,000 - 60,000 Accomodation 1 person 5 300,000 1,500,000 4.00 780,000 300,000 - 4 780,000 1 720,000 OSA (Fixed) 1 person 6 200,000 1,200,000 6.00 1,200,000 200,000 - 6 1,200,000 - -


Inland transport Palu to Banggai, Banggai Kepulauan 1 person 1 800,000 800,000 1.00 520,000 800,000 - 1 520,000 - 280,000 Inland transport 1 person 1 1,000,000 1,000,000 1.00 743,000 1,000,000 - 1 743,000 - 257,000 Accomodation 1 person 5 300,000 1,500,000 4.00 900,000 300,000 - 4 900,000 1 600,000 OSA (Fixed) 1 person 6 200,000 1,200,000 5.00 1,000,000 200,000 - 5 1,000,000 1 200,000

c. Cluster Province Maluku - Maluku Utara (PC/QAS dan FMS)

c-1 Spot Checking for Regular PC/QAS (6 phase) (total desa 51 x 10%)

1 From Ambon to Halmahera Selatan (Uji Petik Tahap 2)

Air transport Ambon to Ternate 1 person 1 3,200,000 3,200,000 1.00 1,291,300 3,200,000 - 1 1,291,300 - 1,908,700 Inland transport Ternate to Halmahera 1 person 1 700,000 700,000 1.00 680,000 700,000 - 1 680,000 - 20,000 Inland transport to village 1 person 1 950,000 950,000 1.00 820,000 950,000 - 1 820,000 - 130,000 Accomodation 1 person 3 300,000 900,000 3.00 550,000 300,000 - 3 550,000 - 350,000 OSA (Fixed) 1 person 4 200,000 800,000 4.00 800,000 200,000 - 4 800,000 - -

2 From Ambon to Maluku Barat Daya (Uji Petik Tahap 3)

Transport Ambon to MBD 1 person 1 4,000,000 4,000,000 1.00 3,144,300 4,000,000 - 1 3,144,300 - 855,700 Inland transport MBD to village 1 person 1 1,450,000 1,450,000 1.00 1,352,000 1,450,000 - 1 1,352,000 - 98,000 Accomodation 1 person 5 300,000 1,500,000 5.00 1,325,000 300,000 - 5 1,325,000 - 175,000 OSA (Fixed) 1 person 6 200,000 1,200,000 6.00 1,200,000 200,000 - 6 1,200,000 - -

3 From Ambon to Maluku Tenggara (Uji Petik Tahap 4)

Air transport 1 person 1 2,650,000 2,650,000 1.00 1,858,400 2,650,000 - 1 1,858,400 - 791,600 Inland transport 1 person 1 200,000 200,000 - - 200,000 - - - 1 200,000 Inland transport Maluku Tenggara to Village 1 person 1 1,200,000 1,200,000 1.00 1,000,000 1,200,000 - 1 1,000,000 - 200,000 Accomodation 1 person 3 300,000 900,000 3.00 675,000 300,000 - 3 675,000 - 225,000 OSA (Fixed) 1 person 4 200,000 800,000 4.00 800,000 200,000 - 4 800,000 - -

4 From Ambon to Maluku Tengah (Uji Petik Tahap 5)

Inland transport 1 person 1 750,000 750,000 1.00 327,000 750,000 - 1 327,000 - 423,000 Inland transport Maluku Tengah to Village 1 person 1 1,700,000 1,700,000 1.00 1,700,000 1,700,000 - 1 1,700,000 - - Accomodation 1 person 3 300,000 900,000 3.00 525,000 300,000 - 3 525,000 - 375,000 OSA (Fixed) 1 person 4 200,000 800,000 4.00 800,000 200,000 - 4 800,000 - -

5 From Ambon to Buru to Buru Selatan (Uji Petik Tahap 6)

Inland transport 1 person 1 900,000 900,000 1.00 770,000 900,000 - 1 770,000 - 130,000 Inland transport Buru to Village 1 person 1 1,000,000 1,000,000 1.00 218,500 1,000,000 - 1 218,500 - 781,500 Inland transport Buru Selatan to Village 1 person 1 800,000 800,000 1.00 305,000 800,000 - 1 305,000 - 495,000 Accomodation 1 person 3 300,000 900,000 3.00 900,000 300,000 - 3 900,000 - - OSA (Fixed) 1 person 4 200,000 800,000 4.00 800,000 200,000 - 4 800,000 - -

c-2 Spot Checking for Regular FMS (6 phase) (total desa 51 x 10%)


Air transport Ambon to Ternate 1 person 1 3,200,000 3,200,000 1.00 3,200,000 3,200,000 - 1 3,200,000 - - Inland transport Ternate to Halmahera Selatan 1 person 1 700,000 700,000 1.00 700,000 700,000 - 1 700,000 - - Inland transport to village 1 person 1 950,000 950,000 1.00 565,000 950,000 - 1 565,000 - 385,000 Accomodation 1 person 3 300,000 900,000 3.00 792,000 300,000 - 3 792,000 - 108,000 OSA (Fixed) 1 person 4 200,000 800,000 4.00 800,000 200,000 - 4 800,000 - -


Transport Ambon to MBD 1 person 1 4,000,000 4,000,000 1.00 3,121,300 4,000,000 - 1 3,121,300 - 878,700 Inland transport MBD to village 1 person 1 1,450,000 1,450,000 1.00 1,250,000 1,450,000 - 1 1,250,000 - 200,000 Accomodation 1 person 5 300,000 1,500,000 5.00 1,025,000 300,000 - 5 1,025,000 - 475,000

AMENDMENT NO. 3


PREVIOUS COMULATIVE


BALANCE

Vol. Amount [IDR]

TOTAL CLAIM


TOTAL COMULATIVE

Vol. Amount [IDR]

OSA (Fixed) 1 person 6 200,000 1,200,000 6.00 1,200,000 200,000 - 6 1,200,000 - -


Air transport 1 person 1 2,650,000 2,650,000 - - 1 2,650,000 2,052,400 1 2,052,400 - 597,600 Inland transport 1 person 1 200,000 200,000 - - 1 200,000 200,000 1 200,000 - - Inland transport Maluku Tenggara to Village 1 person 1 1,200,000 1,200,000 - - 1 1,200,000 850,000 1 850,000 - 350,000 Accomodation 1 person 3 300,000 900,000 - - 3 300,000 825,000 3 825,000 - 75,000 OSA (Fixed) 1 person 4 200,000 800,000 - - 4 200,000 800,000 4 800,000 - -


Inland transport 1 person 1 750,000 750,000 1.00 327,000 750,000 - 1 327,000 - 423,000 Inland transport Maluku Tengah to Village 1 person 1 1,700,000 1,700,000 1.00 1,700,000 1,700,000 - 1 1,700,000 - - Accomodation 1 person 3 300,000 900,000 3.00 525,000 300,000 - 3 525,000 - 375,000 OSA (Fixed) 1 person 4 200,000 800,000 4.00 800,000 200,000 - 4 800,000 - -


Inland transport 1 person 1 900,000 900,000 1.00 609,000 900,000 - 1 609,000 - 291,000 Inland transport Buru to Village 1 person 1 1,000,000 1,000,000 - - 1,000,000 - - - 1 1,000,000 Inland transport Buru Selatan to Village 1 person 1 800,000 800,000 1.00 800,000 800,000 - 1 800,000 - - Accomodation 1 person 3 300,000 900,000 3.00 730,000 300,000 - 3 730,000 - 170,000 OSA (Fixed) 1 person 4 200,000 800,000 4.00 800,000 200,000 - 4 800,000 - -

1.1.2 Spot Checking Provincial Team - Province to District to Sustainability Village

a. Cluster Province Gorontalo - Sulut (PC/QAS & FMS)

a-1 Spot Checking PC/QAS (1 phase) - (2 kabupaten x 2 = 4 desa)


Inland transport Gorontalo - Menado pp 1 person - 600,000 - - - 600,000 - - - - - Inland transport Menado to Minahasa Utara & Minahasa Selatan 1 person - 100,000 - - - 100,000 - - - - - Accomodation 1 person - 300,000 - - - 300,000 - - - - - OSA (Fixed) 1 person - 200,000 - - - 200,000 - - - - -


Inland transport Gorontalo to kab Gorontalo & Gorut (pp) 1 person - 200,000 - - - 200,000 - - - - - Accomodation 1 person - 300,000 - - - 300,000 - - - - - OSA (Fixed) 1 person - 200,000 - - - 200,000 - - - - -



a-2 Spot Checking FMS (1 phase) - (2 kabupaten x 2 = 4 desa)







b. Cluster Province Central Sulawesi (PC/QAS & FMS)

b-1 Spot Checking PC/QAS (1 phase) (7 kabupaten x 2 = 14 desa)

AMENDMENT NO. 3


PREVIOUS COMULATIVE


BALANCE

Vol. Amount [IDR]

TOTAL CLAIM


TOTAL COMULATIVE

Vol. Amount [IDR]

1 From Palu to Donggala

Inland transport Palu to Donggala 1 person 1 200,000 200,000 - - 200,000 - - - 1 200,000 Inland transport 1 person 1 500,000 500,000 - - 500,000 - - - 1 500,000 Accomodation 1 person 2 300,000 600,000 - - 300,000 - - - 2 600,000 OSA (Fixed) 1 person 3 200,000 600,000 - - 200,000 - - - 3 600,000

2 From Palu to Sigi

Inland transport Palu to Sigi 1 person - 200,000 - - - 200,000 - - - - - Inland transport 1 person - 1,000,000 - - - 1,000,000 - - - - - Accomodation 1 person - 300,000 - - - 300,000 - - - - - OSA (Fixed) 1 person - 200,000 - - - 200,000 - - - - -

3 From Palu to Parigi Mountong

Inland transport Palu to Parimo 1 person 1 200,000 200,000 - - 200,000 - - - 1 200,000 Accomodation 1 person 2 300,000 600,000 - - 300,000 - - - 2 600,000 OSA (Fixed) 1 person 3 200,000 600,000 - - 200,000 - - - 3 600,000

4 From Palu to Morowali, Poso, Toujo Una Una

Inland transport Palu to Morowali, Poso, Toujo Una Una 1 person 1 500,000 500,000 1.00 400,000 500,000 - 1 400,000 - 100,000 Inland transport 1 person 1 500,000 500,000 - - 500,000 - - - 1 500,000 Accomodation 1 person 2 300,000 600,000 2.00 450,000 300,000 - 2 450,000 - 150,000 OSA (Fixed) 1 person 3 200,000 600,000 3.00 600,000 200,000 - 3 600,000 - -

5 From Palu to Buol, Toli Toli

Inland transport Palu to Buol, Toli Toli 1 person 1 600,000 600,000 - - 600,000 - - - 1 600,000 Inland transport 1 person 1 500,000 500,000 - - 500,000 - - - 1 500,000 Accomodation 1 person 2 300,000 600,000 - - 300,000 - - - 2 600,000 OSA (Fixed) 1 person 3 200,000 600,000 - - 200,000 - - - 3 600,000

6 From Palu to Banggai, Banggai Kepulauan

Inland transport Palu to Banggai, Banggai Kepulauan 1 person 1 800,000 800,000 1.00 460,000 800,000 - 1 460,000 - 340,000 Inland transport 1 person 1 1,000,000 1,000,000 1.00 300,000 300,000 - 1 300,000 - 700,000 Accomodation 1 person 2 300,000 600,000 2.00 300,000 300,000 - 2 300,000 - 300,000 OSA (Fixed) 1 person 3 200,000 600,000 3.00 600,000 200,000 - 3 600,000 - -

b-2 Spot Checking FMS (1 phase) (7 kabupaten x 2 = 14 desa)



2 From Palu to Sigi





Inland transport Palu to Morowali, Poso, Toujo Una Una 1 person 1 500,000 500,000 - - 500,000 - - - 1 500,000 Inland transport 1 person 1 500,000 500,000 - - 500,000 - - - 1 500,000 Accomodation 1 person 2 300,000 600,000 - - 300,000 - - - 2 600,000 OSA (Fixed) 1 person 3 200,000 600,000 - - 200,000 - - - 3 600,000


AMENDMENT NO. 3


PREVIOUS COMULATIVE


BALANCE

Vol. Amount [IDR]

TOTAL CLAIM


TOTAL COMULATIVE

Vol. Amount [IDR]

Inland transport Palu to Buol, Toli Toli 1 person 1 600,000 600,000 1.00 560,000 600,000 - 1 560,000 - 40,000 Inland transport 1 person 1 500,000 500,000 - - 500,000 - - - 1 500,000 Accomodation 1 person 2 300,000 600,000 2.00 600,000 300,000 - 2 600,000 - - OSA (Fixed) 1 person 3 200,000 600,000 3.00 600,000 200,000 - 3 600,000 - -


Inland transport Palu to Banggai, Banggai Kepulauan 1 person 1 800,000 800,000 - - 800,000 - - - 1 800,000 Inland transport 1 person 1 1,000,000 1,000,000 - - 1,000,000 - - - 1 1,000,000 Accomodation 1 person 2 300,000 600,000 - - 300,000 - - - 2 600,000 OSA (Fixed) 1 person 3 200,000 600,000 - - 200,000 - - - 3 600,000


c-1 Spot Checking PC/QAS (6 phase) - (1 kabupaten x 2 = 2)


Air transport Ambon to Ternate 1 person - 3,200,000 - - - 3,200,000 - - - - - Inland transport Ternate to Halmahera Selatan 1 person - 700,000 - - - 700,000 - - - - - Inland transport to village 1 person - 950,000 - - - 950,000 - - - - - Accomodation 1 person - 300,000 - - - 300,000 - - - - - OSA (Fixed) 1 person - 200,000 - - - 200,000 - - - - -


Transport Ambon to MBD 1 person - 4,000,000 - - - 4,000,000 - - - - - Inland transport MBD to village 1 person - 1,450,000 - - - 1,450,000 - - - - - Accomodation 1 person - 300,000 - - - 300,000 - - - - - OSA (Fixed) 1 person - 200,000 - - - 200,000 - - - - -


Air transport 1 person - 2,650,000 - - - 2,650,000 - - - - - Inland transport 1 person - 200,000 - - - 200,000 - - - - - Inland transport Maluku Tenggara to Village 1 person - 1,200,000 - - - 1,200,000 - - - - - Accomodation 1 person - 300,000 - - - 300,000 - - - - - OSA (Fixed) 1 person - 200,000 - - - 200,000 - - - - -


Inland transport 1 person 1 750,000 750,000 - - 750,000 - - - 1 750,000 Inland transport Maluku Tengah to Village 1 person 1 1,700,000 1,700,000 - - 1,700,000 - - - 1 1,700,000 Accomodation 1 person 2 300,000 600,000 - - 300,000 - - - 2 600,000 OSA (Fixed) 1 person 3 200,000 600,000 - - 200,000 - - - 3 600,000


Inland transport 1 person - 900,000 - - - 900,000 - - - - - Inland transport Buru to Village 1 person - 1,000,000 - - - 1,000,000 - - - - - Inland transport Buru Selatan to Village 1 person - 800,000 - - - 800,000 - - - - - Accomodation 1 person - 300,000 - - - 300,000 - - - - - OSA (Fixed) 1 person - 200,000 - - - 200,000 - - - - -





Sea transport Ambon to MBD 1 person - 4,000,000 - - - 4,000,000 - - - - - Inland transport MBD to village 1 person - 1,450,000 - - - 1,450,000 - - - - - Accomodation 1 person - 300,000 - - - 300,000 - - - - - OSA (Fixed) 1 person - 200,000 - - - 200,000 - - - - -

AMENDMENT NO. 3


PREVIOUS COMULATIVE


BALANCE

Vol. Amount [IDR]

TOTAL CLAIM


TOTAL COMULATIVE

Vol. Amount [IDR]







1.1.3 District Team - DC and DFMA to Village (50% - 6 cycle) Regular

District Coordinator Sulawesi Tengah

1 Kab. Sigi to Village (10 village) 2 person 4 200,000 800,000 - - 200,000 - - - 4 800,000 Kab. Sigi to Village 2 person 4 300,000 1,200,000 1.00 250,000 300,000 - 1 250,000 3 950,000 Kab. Sigi to Village (remote) 2 person 4 800,000 3,200,000 - - 800,000 - - - 4 3,200,000 Accomodation 2 person 8 200,000 1,600,000 - - 200,000 - - - 8 1,600,000 OSA 2 person 12 50,000 600,000 8.00 400,000 50,000 - 8 400,000 4 200,000

2 Kab. Toli-toli to Village (5 village) 2 person 4 50,000 200,000 - - 2 50,000 100,000 2 100,000 2 100,000 Kab. Toli-toli to Village 2 person 4 100,000 400,000 - - 2 100,000 200,000 2 200,000 2 200,000 Accomodation 2 person 8 200,000 1,600,000 - - 200,000 - - - 8 1,600,000 OSA 2 person 12 50,000 600,000 - - 50,000 - - - 12 600,000

3 Kab. Donggala to Village (10 village) 2 person 4 100,000 400,000 1.00 100,000 100,000 - 1 100,000 3 300,000 Kab. Donggala to Village 2 person 4 200,000 800,000 - - 200,000 - - - 4 800,000 Kab. Donggala to Village 2 person 4 300,000 1,200,000 - - 300,000 - - - 4 1,200,000 Accomodation 2 person 8 200,000 1,600,000 - - 200,000 - - - 8 1,600,000 OSA 2 person 12 50,000 600,000 7.00 350,000 50,000 - 7 350,000 5 250,000

4 Kab. Poso to Village (10 village) 2 person 4 100,000 400,000 - - 100,000 - - - 4 400,000 Kab. Poso to Village 2 person 4 200,000 800,000 - - 200,000 - - - 4 800,000 Kab. Poso to Village 2 person 4 300,000 1,200,000 - - 300,000 - - - 4 1,200,000 Accomodation 2 person 8 200,000 1,600,000 - - 200,000 - - - 8 1,600,000 OSA 2 person 12 50,000 600,000 - - 50,000 - - - 12 600,000

5 Kab. Tojo Una-una to Village (8 villlage) 2 person 4 50,000 200,000 - - 50,000 - - - 4 200,000 Kab. Tojo Una-una to Village 2 person 4 200,000 800,000 - - 200,000 - - - 4 800,000 Kab. Tojo Una-una to Village 2 person 4 300,000 1,200,000 - - 300,000 - - - 4 1,200,000 Accomodation 2 person 8 200,000 1,600,000 - - 200,000 - - - 8 1,600,000 OSA 2 person 12 50,000 600,000 - - 50,000 - - - 12 600,000

6 Kab. Buol to Village (10 village) 2 person 4 100,000 400,000 - - 100,000 - - - 4 400,000 Kab. Buol to Village 2 person 4 200,000 800,000 - - 200,000 - - - 4 800,000 Kab. Buol to Village 2 person 4 300,000 1,200,000 - - 300,000 - - - 4 1,200,000 Accomodation 2 person 8 200,000 1,600,000 - - 200,000 - - - 8 1,600,000 OSA 2 person 12 50,000 600,000 - - 50,000 - - - 12 600,000

7 Kab. Morowali to Village (12 village) 2 person 4 200,000 800,000 - - 200,000 - - - 4 800,000

AMENDMENT NO. 3


PREVIOUS COMULATIVE


BALANCE

Vol. Amount [IDR]

TOTAL CLAIM


TOTAL COMULATIVE

Vol. Amount [IDR]

Kab. Morowali to Village 2 person 4 350,000 1,400,000 - - 350,000 - - - 4 1,400,000 Accomodation 2 person 8 200,000 1,600,000 - - 200,000 - - - 8 1,600,000 OSA 2 person 12 50,000 600,000 - - 50,000 - - - 12 600,000

8 Kab. Banggai to Village (8 village) 2 person 4 300,000 1,200,000 - - 300,000 - - - 4 1,200,000 Kab. Banggai to Village 2 person 4 400,000 1,600,000 - - 400,000 - - - 4 1,600,000 Accomodation 2 person 8 200,000 1,600,000 - - 200,000 - - - 8 1,600,000 OSA 2 person 12 50,000 600,000 - - 50,000 - - - 12 600,000

9 Kab. Banggai Kepulauan to Village (8 village 2 person 4 300,000 1,200,000 - - 300,000 - - - 4 1,200,000 Kab. Banggai Kepulauan to Village 2 person 4 400,000 1,600,000 - - 400,000 - - - 4 1,600,000 Kab. Banggai Kepulauan to Village 2 person 4 700,000 2,800,000 - - 700,000 - - - 4 2,800,000 Accomodation 2 person 8 200,000 1,600,000 - - 200,000 - - - 8 1,600,000 OSA 2 person 12 50,000 600,000 - - 50,000 - - - 12 600,000

10 Kab. Parigi Mountong to Village (14 village) 2 person 4 300,000 1,200,000 - - 300,000 - - - 4 1,200,000 Kab. Banggai Kepulauan to Village 2 person 4 400,000 1,600,000 - - 400,000 - - - 4 1,600,000 Kab. Banggai Kepulauan to Village 2 person 4 700,000 2,800,000 - - 700,000 - - - 4 2,800,000 Accomodation 2 person 8 200,000 1,600,000 - - 200,000 - - - 8 1,600,000 OSA 2 person 12 50,000 600,000 - - 50,000 - - - 12 600,000

District Coordinator Gorontalo

1 Gorontalo to Village (10 village) 2 person 4 50,000 200,000 - - 50,000 - - - 4 200,000 OSA 2 person 12 50,000 600,000 8.00 400,000 50,000 - 8 400,000 4 200,000

2 Boalemo to Village (5 village) 2 person 4 50,000 200,000 - - 50,000 - - - 4 200,000 OSA 2 person 12 50,000 600,000 - - 50,000 - - - 12 600,000

3 Gorontalo Utara to Village (10 village) 2 person 4 50,000 200,000 - - 50,000 - - - 4 200,000 OSA 2 person 12 50,000 600,000 - - 50,000 - - - 12 600,000

4 Bone Bolango to Village (10 village) 2 person 4 50,000 200,000 - - 50,000 - - - 4 200,000 OSA 2 person 12 50,000 600,000 2.00 100,000 50,000 - 2 100,000 10 500,000

District Coordinator Sulawesi Utara

1 Minahasa Selatan to Village (10 village) 2 person 4 50,000 200,000 - - 50,000 - - - 4 200,000 OSA 2 person 12 50,000 600,000 12.00 600,000 50,000 - 12 600,000 - -

2 Minahasa Utara to Village (8 village) 2 person 4 50,000 200,000 - - 50,000 - - - 4 200,000 OSA 2 person 12 50,000 600,000 - - 50,000 - - - 12 600,000

District Coordinator Maluku

1 Maluku Tengah to Village (10 village) 2 person 4 400,000 1,600,000 - - 400,000 - - - 4 1,600,000 Maluku Tengah to Village 2 person 4 700,000 2,800,000 3.00 1,700,000 700,000 - 3 1,700,000 1 1,100,000 Maluku Tengah to Village 2 person 4 1,300,000 5,200,000 - - 1,300,000 - - - 4 5,200,000 Accomodation 2 person 8 200,000 1,600,000 8.00 1,400,000 200,000 - 8 1,400,000 - 200,000 OSA 2 person 12 50,000 600,000 11.00 550,000 50,000 - 11 550,000 1 50,000

2 Maluku Tenggara to Village (9 village) 2 person 4 250,000 1,000,000 - - 250,000 - - - 4 1,000,000 Maluku Tenggara to Village 2 person 4 400,000 1,600,000 - - 400,000 - - - 4 1,600,000 Maluku Tenggara to Village 2 person 4 800,000 3,200,000 - - 800,000 - - - 4 3,200,000 Accomodation 2 person 8 200,000 1,600,000 - - 200,000 - - - 8 1,600,000 OSA 2 person 12 50,000 600,000 - - 50,000 - - - 12 600,000

3 Kab. Buru to Village (10 village) 2 person 4 1,000,000 4,000,000 - - 1,000,000 - - - 4 4,000,000 Kab. Buru to Village 2 person 4 1,500,000 6,000,000 - - 1,500,000 - - - 4 6,000,000 Accomodation 2 person 8 200,000 1,600,000 - - 200,000 - - - 8 1,600,000 OSA 2 person 12 50,000 600,000 - - 50,000 - - - 12 600,000

AMENDMENT NO. 3


PREVIOUS COMULATIVE


BALANCE

Vol. Amount [IDR]

TOTAL CLAIM


TOTAL COMULATIVE

Vol. Amount [IDR]

4 Kab. Buru Selatan to Village (10 village) 2 person 4 300,000 1,200,000 - - 300,000 - - - 4 1,200,000 Kab. Buru Selatan to Village 2 person 4 800,000 3,200,000 - - 800,000 - - - 4 3,200,000 Kab. Buru Selatan to Village 2 person 4 1,200,000 4,800,000 - - 1,200,000 - - - 4 4,800,000 Accomodation 2 person 8 200,000 1,600,000 - - 200,000 - - - 8 1,600,000 OSA 2 person 12 50,000 600,000 - - 50,000 - - - 12 600,000

5 Maluku Barat Daya to Village (9 village) 2 person 4 650,000 2,600,000 - - 650,000 - - - 4 2,600,000 Maluku Barat Daya to Village 2 person 4 1,000,000 4,000,000 - - 1,000,000 - - - 4 4,000,000 Maluku Barat Daya to Village 2 person 4 3,500,000 14,000,000 - - 3,500,000 - - - 4 14,000,000 Accomodation 2 person 8 200,000 1,600,000 - - 200,000 - - - 8 1,600,000 OSA 2 person 12 50,000 600,000 - - 50,000 - - - 12 600,000

District Coordinator Maluku Utara remote area

1 Halmahera Selatan to Village (6 village) 2 person 4 300,000 1,200,000 - - 300,000 - - - 4 1,200,000 Halmahera Selatan to Village 2 person 4 500,000 2,000,000 - - 500,000 - - - 4 2,000,000 Halmahera Selatan to Village 2 person 4 650,000 2,600,000 - - 2 650,000 1,300,000 2 1,300,000 2 1,300,000 Accomodation 2 person 8 200,000 1,600,000 - - 5 200,000 600,000 5 600,000 3 1,000,000 OSA 2 person 12 50,000 600,000 - - 7 50,000 350,000 7 350,000 5 250,000


1 Minahasa Selatan to Village (10 village) 2 person 4 50,000 200,000 - - 50,000 - - - 4 200,000 OSA 2 person 12 50,000 600,000 - - 50,000 - - - 12 600,000


1.1.4 District Team - DC to Village (1 cycle) Sustainability


1 Kab. Sigi to Village (10 village) 1 person - 200,000 - - - 200,000 - - - - - Kab. Sigi to Village 1 person - 300,000 - - - 300,000 - - - - - Kab. Sigi to Village (remote) 1 person - 800,000 - - - 800,000 - - - - - Accomodation 1 person - 200,000 - - - 200,000 - - - - - OSA 1 person - 50,000 - - - 50,000 - - - - -

2 Kab. Toli-toli to Village (5 village) 1 person - 50,000 - - - 50,000 - - - - - Kab. Toli-toli to Village 1 person - 100,000 - - - 100,000 - - - - - Accomodation 1 person - 200,000 - - - 200,000 - - - - - OSA 1 person - 50,000 - - - 50,000 - - - - -

3 Kab. Donggala to Village (10 village) 1 person 1 100,000 100,000 - - 100,000 - - - 1 100,000 Accomodation 1 person 1 200,000 200,000 - - 200,000 - - - 1 200,000 OSA 1 person 2 50,000 100,000 - - 50,000 - - - 2 100,000

4 Kab. Poso to Village (10 village) 1 person 1 100,000 100,000 - - 100,000 - - - 1 100,000 Accomodation 1 person 1 200,000 200,000 - - 200,000 - - - 1 200,000 OSA 1 person 2 50,000 100,000 - - 50,000 - - - 2 100,000

5 Kab. Tojo Una-una to Village (8 villlage) 1 person 1 50,000 50,000 - - 50,000 - - - 1 50,000 Accomodation 1 person 1 200,000 200,000 - - 200,000 - - - 1 200,000 OSA 1 person 2 50,000 100,000 - - 50,000 - - - 2 100,000

6 Kab. Buol to Village (10 village) 1 person 1 100,000 100,000 - - 100,000 - - - 1 100,000 Accomodation 1 person 1 200,000 200,000 - - 200,000 - - - 1 200,000 OSA 1 person 2 50,000 100,000 - - 50,000 - - - 2 100,000

7 Kab. Morowali to Village (12 village) 1 person 2 200,000 400,000 - - 200,000 - - - 2 400,000 Accomodation 1 person 2 200,000 400,000 - - 200,000 - - - 2 400,000 OSA 1 person 4 50,000 200,000 - - 50,000 - - - 4 200,000

AMENDMENT NO. 3


PREVIOUS COMULATIVE


BALANCE

Vol. Amount [IDR]

TOTAL CLAIM


TOTAL COMULATIVE

Vol. Amount [IDR]

8 Kab. Banggai to Village (8 village) 1 person - 300,000 - - - 300,000 - - - - - Accomodation 1 person - 200,000 - - - 200,000 - - - - - OSA 1 person - 50,000 - - - 50,000 - - - - -

9 Kab. Banggai Kepulauan to Village (8 village) 1 person 1 300,000 300,000 - - 300,000 - - - 1 300,000 Accomodation 1 person 1 200,000 200,000 - - 200,000 - - - 1 200,000 OSA 1 person 2 50,000 100,000 - - 50,000 - - - 2 100,000

10 Kab. Parigi Mountong to Village (14 village) 1 person 1 300,000 300,000 - - 300,000 - - - 1 300,000 Accomodation 1 person 1 200,000 200,000 - - 200,000 - - - 1 200,000 OSA 1 person 2 50,000 100,000 - - 50,000 - - - 2 100,000


1 Gorontalo to Village (10 village) 1 person 1 50,000 50,000 - - 50,000 - - - 1 50,000 OSA 1 person 1 50,000 50,000 - - 50,000 - - - 1 50,000


3 Gorontalo Utara to Village (10 village) 1 person - 50,000 - - - 50,000 - - - - - OSA 1 person - 50,000 - - - 50,000 - - - - -

4 Bone Bolango to Village (10 village) 1 person - 50,000 - - - 50,000 - - - - - OSA 1 person - 50,000 - - - 50,000 - - - - -


1 Minahasa Selatan to Village (10 village) 1 person - 50,000 - - - 50,000 - - - - - OSA 1 person - 50,000 - - - 50,000 - - - - -

2 Minahasa Utara to Village (8 village) 1 person - 50,000 - - - 50,000 - - - - - OSA 1 person - 50,000 - - - 50,000 - - - - -


1 Maluku Tengah to Village (10 village) 1 person 1 400,000 400,000 - - 400,000 - - - 1 400,000 Accomodation 1 person 1 200,000 200,000 - - 200,000 - - - 1 200,000 OSA 1 person 2 50,000 100,000 - - 50,000 - - - 2 100,000

2 Maluku Tenggara to Village (9 village) 1 person - 250,000 - - - 250,000 - - - - - Accomodation 1 person - 200,000 - - - 200,000 - - - - - OSA 1 person - 50,000 - - - 50,000 - - - - -

3 Kab. Buru to Village (10 village) 1 person - 1,000,000 - - - 1,000,000 - - - - - Accomodation 1 person - 200,000 - - - 200,000 - - - - - OSA 1 person - 50,000 - - - 50,000 - - - - -

4 Kab. Buru Selatan to Village (10 village) 1 person - 300,000 - - - 300,000 - - - - - Accomodation 1 person - 200,000 - - - 200,000 - - - - - OSA 1 person - 50,000 - - - 50,000 - - - - -

5 Maluku Barat Daya to Village (9 village) 1 person - 650,000 - - - 650,000 - - - - - Accomodation 1 person - 200,000 - - - 200,000 - - - - - OSA 1 person - 50,000 - - - 50,000 - - - - -


1 Halmahera Selatan to Village (6 village) 1 person - 300,000 - - - 300,000 - - - - - Accomodation 1 person - 200,000 - - - 200,000 - - - - - OSA 1 person - 50,000 - - - 50,000 - - - - -


AMENDMENT NO. 3


PREVIOUS COMULATIVE


BALANCE

Vol. Amount [IDR]

TOTAL CLAIM


TOTAL COMULATIVE

Vol. Amount [IDR]

1 Minahasa Selatan to Village (10 village) 1 person - 50,000 - - - 50,000 - - - - - OSA 1 person - 50,000 - - - 50,000 - - - - -

2 Minahasa Utara to Village (8 village) 1 person - 50,000 - - - 50,000 - - - - - OSA 1 person - 50,000 - - - 50,000 - - - - -


: April 2015

B REIMBURSABLE COST

1 DUTY TRAVEL

1.1 SPOT CHECKING 642,000,000 11,826,300 5,117,500 16,943,800 625,056,200

1.1.1 Spot Checking Provincial Team - Province to District to Regular Village




Inland transport Gorontalo - Menado pp 1 person 2 600,000 1,200,000 1 600,000 600,000 - 1 600,000 1 600,000

Inland transport Menado to Minahasa Utara & Minahasa Selatan 1 person 2 200,000 400,000 1 200,000 200,000 - 1 200,000 1 200,000

Accomodation 1 person 6 300,000 1,800,000 4 1,068,400 300,000 - 4 1,068,400 2 731,600

OSA (Fixed) 1 person 8 200,000 1,600,000 5 1,000,000 200,000 - 5 1,000,000 3 600,000



Accomodation 1 person 6 300,000 1,800,000 - - 300,000 - - - 6 1,800,000

OSA (Fixed) 1 person 8 200,000 1,600,000 - - 200,000 - - - 8 1,600,000


Inland transport Gorontalo to Boalemo & Bone Bolango (pp) 1 person 2 200,000 400,000 - - 200,000 - - - 2 400,000


OSA (Fixed) 1 person 8 200,000 1,600,000 - - 200,000 - - - 8 1,600,000



Inland transport Gorontalo - Menado pp 1 person 2 600,000 1,200,000 - - 600,000 - - - 2 1,200,000

Inland transport Menado to Minahasa Utara & Minahasa Selatan 1 person 2 200,000 400,000 - - 200,000 - - - 2 400,000


OSA (Fixed) 1 person 8 200,000 1,600,000 - - 200,000 - - - 8 1,600,000




OSA (Fixed) 1 person 8 200,000 1,600,000 - - 200,000 - - - 8 1,600,000




OSA (Fixed) 1 person 8 200,000 1,600,000 - - 200,000 - - - 8 1,600,000



1 From Palu to Donggala, Sigi dan Parimo (Uji Petik Tahap 1 dan 5)

Inland transport Palu to Donggala, Sigi dan Parimo 1 person 2 600,000 1,200,000 - - 600,000 - - - 2 1,200,000

Inland transport 1 person 2 500,000 1,000,000 - - 500,000 - - - 2 1,000,000


OSA (Fixed) 1 person 12 200,000 2,400,000 - - 200,000 - - - 12 2,400,000

2 From Palu to Morowali, Poso, Toujo Una Una (Uji Petik Tahap 2 dan 6)

Inlang transport Palu to Morowali, Poso, Toujo Una Una 1 person 2 500,000 1,000,000 1 500,000 500,000 - 1 500,000 1 500,000


Accomodation 1 person 10 300,000 3,000,000 4 1,135,000 300,000 - 4 1,135,000 6 1,865,000

OSA (Fixed) 1 person 12 200,000 2,400,000 5 1,000,000 200,000 - 5 1,000,000 7 1,400,000


Inlang transport Palu to Buol, Toli Toli 1 person 1 600,000 600,000 1 600,000 600,000 - 1 600,000 - -

NO. DESCRIPTIONVol. Unit Rate [IDR] Amount [IDR]

AMENDMENT NO. 3 PREVIOUS COMULATIVE

Vol. Amount [IDR]

TOTAL CLAIM


TOTAL COMULATIVE

Vol. Amount [IDR]

BALANCE

Vol. Amount [IDR]



Vol. Amount [IDR]

TOTAL CLAIM


TOTAL COMULATIVE

Vol. Amount [IDR]

BALANCE

Vol. Amount [IDR]

Inland transport 1 person 1 500,000 500,000 1 164,900 500,000 - 1 164,900 - 335,100

Accomodation 1 person 5 300,000 1,500,000 5 1,250,000 300,000 - 5 1,250,000 - 250,000

OSA (Fixed) 1 person 6 200,000 1,200,000 6 1,200,000 200,000 - 6 1,200,000 - -


Inlang transport Palu to Banggai, Banggai Kepulauan 1 person 1 800,000 800,000 - - 800,000 - - - 1 800,000

Inland transport 1 person 1 1,000,000 1,000,000 - - 1,000,000 - - - 1 1,000,000


OSA (Fixed) 1 person 6 200,000 1,200,000 - - 200,000 - - - 6 1,200,000


1 From Palu to Donggala, Sigi dan Parimo (Uji Petik Tahap 1 dan 5)

Inland transport Palu to Donggala, Sigi dan Parimo 1 person 2 600,000 1,200,000 - - 600,000 - - - 2 1,200,000



OSA (Fixed) 1 person 12 200,000 2,400,000 - - 200,000 - - - 12 2,400,000

2 From Palu to Morowali, Poso, Toujo Una Una (Uji Petik Tahap 2 dan 6)

Inlang transport Palu to Morowali, Poso, Toujo Una Una 1 person 2 500,000 1,000,000 - - 500,000 - - - 2 1,000,000



OSA (Fixed) 1 person 12 200,000 2,400,000 - - 200,000 - - - 12 2,400,000


Inlang transport Palu to Buol, Toli Toli 1 person 1 600,000 600,000 - - 600,000 - - - 1 600,000

Inland transport 1 person 1 500,000 500,000 - - 500,000 - - - 1 500,000


OSA (Fixed) 1 person 6 200,000 1,200,000 - - 200,000 - - - 6 1,200,000


Inlang transport Palu to Banggai, Banggai Kepulauan 1 person 1 800,000 800,000 - - 800,000 - - - 1 800,000



OSA (Fixed) 1 person 6 200,000 1,200,000 - - 200,000 - - - 6 1,200,000




Air transport Ambon to Ternate 1 person 1 3,200,000 3,200,000 - - 3,200,000 - - - 1 3,200,000

Inland transport Ternate to Halmahera 1 person 1 700,000 700,000 - - 700,000 - - - 1 700,000

Inland transport to village 1 person 1 950,000 950,000 - - 950,000 - - - 1 950,000

Accomodation 1 person 3 300,000 900,000 - - 300,000 - - - 3 900,000

OSA (Fixed) 1 person 4 200,000 800,000 - - 200,000 - - - 4 800,000


Transport Ambon to MBD 1 person 1 4,000,000 4,000,000 - - 4,000,000 - - - 1 4,000,000

Inland transport MBD to village 1 person 1 1,450,000 1,450,000 - - 1,450,000 - - - 1 1,450,000


OSA (Fixed) 1 person 6 200,000 1,200,000 - - 200,000 - - - 6 1,200,000



Vol. Amount [IDR]

TOTAL CLAIM


TOTAL COMULATIVE

Vol. Amount [IDR]

BALANCE

Vol. Amount [IDR]


Air transport 1 person 1 2,650,000 2,650,000 - - 2,650,000 - - - 1 2,650,000


Inland transport Maluku Tenggara to Village 1 person 1 1,200,000 1,200,000 - - 1,200,000 - - - 1 1,200,000


OSA (Fixed) 1 person 4 200,000 800,000 - - 200,000 - - - 4 800,000

4 From Ambon to Maluku Tengah (Uji Petik Tahap 1 dan 5)


Inland transport Maluku Tengah to Village 1 person 2 1,700,000 3,400,000 - - 1,700,000 - - - 2 3,400,000


OSA (Fixed) 1 person 8 200,000 1,600,000 - - 200,000 - - - 8 1,600,000


Inland transport 1 person 1 900,000 900,000 1 330,000 900,000 - 1 330,000 - 570,000

Inland transport Buru to Village 1 person 1 1,000,000 1,000,000 1 528,000 1,000,000 - 1 528,000 - 472,000

Inland transport Buru Selatan to Village 1 person 1 800,000 800,000 - - 800,000 - - - 1 800,000

Accomodation 1 person 3 300,000 900,000 3 750,000 300,000 - 3 750,000 - 150,000

OSA (Fixed) 1 person 4 200,000 800,000 4 800,000 200,000 - 4 800,000 - -




Inland transport Ternate to Halmahera Selatan 1 person 1 700,000 700,000 - - 700,000 - - - 1 700,000



OSA (Fixed) 1 person 4 200,000 800,000 - - 200,000 - - - 4 800,000


Sea transport Ambon to MBD 1 person 1 4,000,000 4,000,000 - - 4,000,000 - - - 1 4,000,000



OSA (Fixed) 1 person 6 200,000 1,200,000 - - 200,000 - - - 6 1,200,000






OSA (Fixed) 1 person 4 200,000 800,000 - - 200,000 - - - 4 800,000

4 From Ambon to Maluku Tengah (Uji Petik Tahap 1 & 5)




OSA (Fixed) 1 person 8 200,000 1,600,000 - - 200,000 - - - 8 1,600,000



Inland transport Buru to Village 1 person 1 1,000,000 1,000,000 - - 1,000,000 - - - 1 1,000,000



OSA (Fixed) 1 person 4 200,000 800,000 - - 200,000 - - - 4 800,000






Vol. Amount [IDR]

TOTAL CLAIM


TOTAL COMULATIVE

Vol. Amount [IDR]

BALANCE

Vol. Amount [IDR]


Inland transport Gorontalo - Menado pp 1 person 1 600,000 600,000 - - 600,000 - - - 1 600,000



OSA (Fixed) 1 person 3 200,000 600,000 - - 200,000 - - - 3 600,000




OSA (Fixed) 1 person 3 200,000 600,000 - - 200,000 - - - 3 600,000

- - - - - 3 Gorontalo to Boalemo & Bone Bolango (pp)



OSA (Fixed) 1 person 3 200,000 600,000 - - 200,000 - - - 3 600,000



Inland transport Gorontalo - Menado pp 1 person 1 600,000 600,000 - - 600,000 - - - 1 600,000



OSA (Fixed) 1 person 3 200,000 600,000 - - 200,000 - - - 3 600,000




OSA (Fixed) 1 person 3 200,000 600,000 - - 200,000 - - - 3 600,000




OSA (Fixed) 1 person 3 200,000 600,000 - - 200,000 - - - 3 600,000




Inland transport Palu to Donggala 1 person 1 200,000 200,000 - - 200,000 - - - 1 200,000



OSA (Fixed) 1 person 3 200,000 600,000 - - 200,000 - - - 3 600,000

2 From Palu to Sigi

Inland transport Palu to Sigi 1 person 1 200,000 200,000 - - 200,000 - - - 1 200,000



OSA (Fixed) 1 person 3 200,000 600,000 - - 200,000 - - - 3 600,000


Inland transport Palu to Parimo 1 person 1 200,000 200,000 - - 200,000 - - - 1 200,000


OSA (Fixed) 1 person 3 200,000 600,000 - - 200,000 - - - 3 600,000


Inland transport Palu to Morowali, Poso, Toujo Una Una 1 person 1 500,000 500,000 - - 500,000 - - - 1 500,000



OSA (Fixed) 1 person 3 200,000 600,000 - - 200,000 - - - 3 600,000



Vol. Amount [IDR]

TOTAL CLAIM


TOTAL COMULATIVE

Vol. Amount [IDR]

BALANCE

Vol. Amount [IDR]


Inland transport Palu to Buol, Toli Toli 1 person 1 600,000 600,000 - - 600,000 - - - 1 600,000



OSA (Fixed) 1 person 3 200,000 600,000 - - 200,000 - - - 3 600,000


Inland transport Palu to Banggai, Banggai Kepulauan 1 person 1 800,000 800,000 - - 800,000 - - - 1 800,000



OSA (Fixed) 1 person 3 200,000 600,000 - - 200,000 - - - 3 600,000



Inland transport Palu to Donggala 1 person 1 200,000 200,000 - - 200,000 - - - 1 200,000



OSA (Fixed) 1 person 3 200,000 600,000 - - 200,000 - - - 3 600,000

2 From Palu to Sigi

Inland transport Palu to Sigi 1 person 1 200,000 200,000 - - 200,000 - - - 1 200,000



OSA (Fixed) 1 person 3 200,000 600,000 - - 200,000 - - - 3 600,000


Inland transport Palu to Parimo 1 person 1 200,000 200,000 - - 200,000 - - - 1 200,000


OSA (Fixed) 1 person 3 200,000 600,000 - - 200,000 - - - 3 600,000


Inland transport Palu to Morowali, Poso, Toujo Una Una 1 person 1 500,000 500,000 - - 500,000 - - - 1 500,000



OSA (Fixed) 1 person 3 200,000 600,000 - - 200,000 - - - 3 600,000


Inland transport Palu to Buol, Toli Toli 1 person 1 600,000 600,000 - - 600,000 - - - 1 600,000



OSA (Fixed) 1 person 3 200,000 600,000 - - 200,000 - - - 3 600,000


Inland transport Palu to Banggai, Banggai Kepulauan 1 person 1 800,000 800,000 - - 800,000 - - - 1 800,000



OSA (Fixed) 1 person 3 200,000 600,000 - - 200,000 - - - 3 600,000








OSA (Fixed) 1 person 3 200,000 600,000 - - 200,000 - - - 3 600,000



Vol. Amount [IDR]

TOTAL CLAIM


TOTAL COMULATIVE

Vol. Amount [IDR]

BALANCE

Vol. Amount [IDR]


Transport Ambon to MBD 1 person 1 4,000,000 4,000,000 - - 4,000,000 - - - 1 4,000,000



OSA (Fixed) 1 person 6 200,000 1,200,000 - - 200,000 - - - 6 1,200,000






OSA (Fixed) 1 person 3 200,000 600,000 - - 200,000 - - - 3 600,000





OSA (Fixed) 1 person 3 200,000 600,000 - - 200,000 - - - 3 600,000






OSA (Fixed) 1 person 3 200,000 600,000 - - 200,000 - - - 3 600,000







OSA (Fixed) 1 person 3 200,000 600,000 - - 200,000 - - - 3 600,000


Sea transport Ambon to MBD 1 person 1 4,000,000 4,000,000 - - 4,000,000 - - - 1 4,000,000



OSA (Fixed) 1 person 6 200,000 1,200,000 - - 200,000 - - - 6 1,200,000






OSA (Fixed) 1 person 3 200,000 600,000 - - 200,000 - - - 3 600,000





OSA (Fixed) 1 person 3 200,000 600,000 - - 200,000 - - - 3 600,000







Vol. Amount [IDR]

TOTAL CLAIM


TOTAL COMULATIVE

Vol. Amount [IDR]

BALANCE

Vol. Amount [IDR]


OSA (Fixed) 1 person 3 200,000 600,000 - - 200,000 - - - 3 600,000



1 Kab. Sigi to Village (10 village) 2 person 12 200,000 2,400,000 - - 200,000 - - - 12 2,400,000

Kab. Sigi to Village 2 person 12 300,000 3,600,000 - - 300,000 - - - 12 3,600,000

Kab. Sigi to Village (remote) 2 person 12 800,000 9,600,000 - - 800,000 - - - 12 9,600,000


OSA 2 person 36 50,000 1,800,000 - - 50,000 - - - 36 1,800,000

2 Kab. Toli-toli to Village (5 village) 2 person 12 50,000 600,000 - - 50,000 - - - 12 600,000

Kab. Toli-toli to Village 2 person 12 100,000 1,200,000 - - 100,000 - - - 12 1,200,000


OSA 2 person 36 50,000 1,800,000 - - 50,000 - - - 36 1,800,000

3 Kab. Donggala to Village (10 village) 2 person 12 100,000 1,200,000 - - 100,000 - - - 12 1,200,000

Kab. Donggala to Village 2 person 12 200,000 2,400,000 - - 200,000 - - - 12 2,400,000



OSA 2 person 36 50,000 1,800,000 - - 50,000 - - - 36 1,800,000

4 Kab. Poso to Village (10 village) 2 person 12 100,000 1,200,000 - - 100,000 - - - 12 1,200,000

Kab. Poso to Village 2 person 12 200,000 2,400,000 - - 200,000 - - - 12 2,400,000



OSA 2 person 36 50,000 1,800,000 - - 50,000 - - - 36 1,800,000

5 Kab. Tojo Una-una to Village (8 villlage) 2 person 12 50,000 600,000 - - 50,000 - - - 12 600,000

Kab. Tojo Una-una to Village 2 person 12 200,000 2,400,000 - - 200,000 - - - 12 2,400,000



OSA 2 person 36 50,000 1,800,000 - - 50,000 - - - 36 1,800,000

6 Kab. Buol to Village (10 village) 2 person 12 100,000 1,200,000 - - 100,000 - - - 12 1,200,000

Kab. Buol to Village 2 person 12 200,000 2,400,000 - - 200,000 - - - 12 2,400,000



OSA 2 person 36 50,000 1,800,000 - - 50,000 - - - 36 1,800,000

7 Kab. Morowali to Village (12 village) 2 person 12 200,000 2,400,000 - - 200,000 - - - 12 2,400,000

Kab. Morowali to Village 2 person 12 350,000 4,200,000 - - 350,000 - - - 12 4,200,000


OSA 2 person 36 50,000 1,800,000 - - 50,000 - - - 36 1,800,000

8 Kab. Banggai to Village (8 village) 2 person 12 300,000 3,600,000 - - 300,000 - - - 12 3,600,000

Kab. Banggai to Village 2 person 12 400,000 4,800,000 - - 400,000 - - - 12 4,800,000


OSA 2 person 36 50,000 1,800,000 - - 50,000 - - - 36 1,800,000

9 Kab. Banggai Kepulauan to Village (8 village 2 person 12 300,000 3,600,000 - - 300,000 - - - 12 3,600,000

Kab. Banggai Kepulauan to Village 2 person 12 400,000 4,800,000 - - 400,000 - - - 12 4,800,000



OSA 2 person 36 50,000 1,800,000 - - 50,000 - - - 36 1,800,000

10 Kab. Parigi Mountong to Village (14 village) 2 person 12 300,000 3,600,000 - - 300,000 - - - 12 3,600,000



Vol. Amount [IDR]

TOTAL CLAIM


TOTAL COMULATIVE

Vol. Amount [IDR]

BALANCE

Vol. Amount [IDR]




OSA 2 person 36 50,000 1,800,000 - - 50,000 - - - 36 1,800,000


1 Gorontalo to Village (10 village) 2 person 12 50,000 600,000 - - 50,000 - - - 12 600,000

OSA 2 person 36 50,000 1,800,000 14 700,000 50,000 - 14 700,000 22 1,100,000

2 Boalemo to Village (5 village) 2 person 12 50,000 600,000 - - 50,000 - - - 12 600,000

OSA 2 person 36 50,000 1,800,000 - - 50,000 - - - 36 1,800,000

3 Gorontalo Utara to Village (10 village) 2 person 12 50,000 600,000 - - 50,000 - - - 12 600,000

OSA 2 person 36 50,000 1,800,000 - - 50,000 - - - 36 1,800,000

4 Bone Bolango to Village (10 village) 2 person 12 50,000 600,000 - - 50,000 - - - 12 600,000

OSA 2 person 36 50,000 1,800,000 - - 50,000 - - - 36 1,800,000


1 Minahasa Selatan to Village (10 village) 2 person 12 50,000 600,000 - - 50,000 - - - 12 600,000

OSA 2 person 36 50,000 1,800,000 - - 50,000 - - - 36 1,800,000

2 Minahasa Utara to Village (8 village) 2 person 12 50,000 600,000 - - 50,000 - - - 12 600,000

OSA 2 person 36 50,000 1,800,000 - - 50,000 - - - 36 1,800,000


1 Maluku Tengah to Village (10 village) 2 person 12 400,000 4,800,000 - - 400,000 - - - 12 4,800,000

Maluku Tengah to Village 2 person 12 700,000 8,400,000 - - 700,000 - - - 12 8,400,000

Maluku Tengah to Village 2 person 12 1,300,000 15,600,000 - - 3 1,300,000 2,567,500 3 2,567,500 9 13,032,500

Accomodation 2 person 24 200,000 4,800,000 - - 9 200,000 1,800,000 9 1,800,000 15 3,000,000

OSA 2 person 36 50,000 1,800,000 - - 15 50,000 750,000 15 750,000 21 1,050,000

2 Maluku Tenggara to Village (9 village) 2 person 12 250,000 3,000,000 - - 250,000 - - - 12 3,000,000

Maluku Tenggara to Village 2 person 12 400,000 4,800,000 - - 400,000 - - - 12 4,800,000



OSA 2 person 36 50,000 1,800,000 - - 50,000 - - - 36 1,800,000

3 Kab. Buru to Village (10 village) 2 person 12 1,000,000 12,000,000 - - 1,000,000 - - - 12 12,000,000

Kab. Buru to Village 2 person 12 1,500,000 18,000,000 - - 1,500,000 - - - 12 18,000,000


OSA 2 person 36 50,000 1,800,000 - - 50,000 - - - 36 1,800,000

4 Kab. Buru Selatan to Village (10 village) 2 person 12 300,000 3,600,000 - - 300,000 - - - 12 3,600,000

Kab. Buru Selatan to Village 2 person 12 800,000 9,600,000 - - 800,000 - - - 12 9,600,000

Kab. Buru Selatan to Village 2 person 12 1,200,000 14,400,000 - - 1,200,000 - - - 12 14,400,000


OSA 2 person 36 50,000 1,800,000 - - 50,000 - - - 36 1,800,000

5 Maluku Barat Daya to Village (9 village) 2 person 12 650,000 7,800,000 - - 650,000 - - - 12 7,800,000

Maluku Barat Daya to Village 2 person 12 1,000,000 12,000,000 - - 1,000,000 - - - 12 12,000,000



OSA 2 person 36 50,000 1,800,000 - - 50,000 - - - 36 1,800,000


1 Halmahera Selatan to Village (6 village) 2 person 12 300,000 3,600,000 - - 300,000 - - - 12 3,600,000



Vol. Amount [IDR]

TOTAL CLAIM


TOTAL COMULATIVE

Vol. Amount [IDR]

BALANCE

Vol. Amount [IDR]

Halmahera Selatan to Village 2 person 12 500,000 6,000,000 - - 500,000 - - - 12 6,000,000



OSA 2 person 36 50,000 1,800,000 - - 50,000 - - - 36 1,800,000



OSA 2 person 36 50,000 1,800,000 - - 50,000 - - - 36 1,800,000


OSA 2 person 36 50,000 1,800,000 - - 50,000 - - - 36 1,800,000



1 Kab. Sigi to Village (10 village) 1 person 1 200,000 200,000 - - 200,000 - - - 1 200,000

Kab. Sigi to Village 1 person 1 300,000 300,000 - - 300,000 - - - 1 300,000

Kab. Sigi to Village (remote) 1 person 1 800,000 800,000 - - 800,000 - - - 1 800,000


OSA 1 person 2 50,000 100,000 - - 50,000 - - - 2 100,000

2 Kab. Toli-toli to Village (5 village) 1 person 1 50,000 50,000 - - 50,000 - - - 1 50,000

Kab. Toli-toli to Village 1 person 1 100,000 100,000 - - 100,000 - - - 1 100,000


OSA 1 person 2 50,000 100,000 - - 50,000 - - - 2 100,000

3 Kab. Donggala to Village (10 village) 1 person 1 100,000 100,000 - - 100,000 - - - 1 100,000


OSA 1 person 2 50,000 100,000 - - 50,000 - - - 2 100,000

4 Kab. Poso to Village (10 village) 1 person 1 100,000 100,000 - - 100,000 - - - 1 100,000


OSA 1 person 2 50,000 100,000 - - 50,000 - - - 2 100,000

5 Kab. Tojo Una-una to Village (8 villlage) 1 person 1 50,000 50,000 - - 50,000 - - - 1 50,000


OSA 1 person 2 50,000 100,000 - - 50,000 - - - 2 100,000

6 Kab. Buol to Village (10 village) 1 person 1 100,000 100,000 - - 100,000 - - - 1 100,000


OSA 1 person 2 50,000 100,000 - - 50,000 - - - 2 100,000

7 Kab. Morowali to Village (12 village) 1 person 2 200,000 400,000 - - 200,000 - - - 2 400,000


OSA 1 person 4 50,000 200,000 - - 50,000 - - - 4 200,000

8 Kab. Banggai to Village (8 village) 1 person 1 300,000 300,000 - - 300,000 - - - 1 300,000


OSA 1 person 2 50,000 100,000 - - 50,000 - - - 2 100,000

9 Kab. Banggai Kepulauan to Village (8 village 1 person 1 300,000 300,000 - - 300,000 - - - 1 300,000


OSA 1 person 2 50,000 100,000 - - 50,000 - - - 2 100,000

10 Kab. Parigi Mountong to Village (14 village) 1 person 1 300,000 300,000 - - 300,000 - - - 1 300,000


OSA 1 person 2 50,000 100,000 - - 50,000 - - - 2 100,000




Vol. Amount [IDR]

TOTAL CLAIM


TOTAL COMULATIVE

Vol. Amount [IDR]

BALANCE

Vol. Amount [IDR]


OSA 1 person 1 50,000 50,000 - - 50,000 - - - 1 50,000


OSA 1 person 1 50,000 50,000 - - 50,000 - - - 1 50,000


OSA 1 person 1 50,000 50,000 - - 50,000 - - - 1 50,000


OSA 1 person 1 50,000 50,000 - - 50,000 - - - 1 50,000



OSA 1 person 1 50,000 50,000 - - 50,000 - - - 1 50,000


OSA 1 person 1 50,000 50,000 - - 50,000 - - - 1 50,000


1 Maluku Tengah to Village (10 village) 1 person 1 400,000 400,000 - - 400,000 - - - 1 400,000


OSA 1 person 2 50,000 100,000 - - 50,000 - - - 2 100,000

2 Maluku Tenggara to Village (9 village) 1 person 1 250,000 250,000 - - 250,000 - - - 1 250,000


OSA 1 person 2 50,000 100,000 - - 50,000 - - - 2 100,000

3 Kab. Buru to Village (10 village) 1 person 1 1,000,000 1,000,000 - - 1,000,000 - - - 1 1,000,000


OSA 1 person 2 50,000 100,000 - - 50,000 - - - 2 100,000

4 Kab. Buru Selatan to Village (10 village) 1 person 1 300,000 300,000 - - 300,000 - - - 1 300,000


OSA 1 person 2 50,000 100,000 - - 50,000 - - - 2 100,000

5 Maluku Barat Daya to Village (9 village) 1 person 1 650,000 650,000 - - 650,000 - - - 1 650,000


OSA 1 person 2 50,000 100,000 - - 50,000 - - - 2 100,000


1 Halmahera Selatan to Village (6 village) 1 person 1 300,000 300,000 - - 300,000 - - - 1 300,000


OSA 1 person 2 50,000 100,000 - - 50,000 - - - 2 100,000



OSA 1 person 1 50,000 50,000 - - 50,000 - - - 1 50,000


OSA 1 person 1 50,000 50,000 - - 50,000 - - - 1 50,000


: April 2015

B REIMBURSABLE COST

1 DUTY TRAVEL

1.1 SPOT CHECKING 501,300,000 - - - 501,300,000 1.1.1 Spot Checking Provincial Team - Province to District to Regular Village



1 Menado to Minahasa Utara & Minahasa Selatan (Uji Petik Tahap 2 & 5)


2 Gorontalo to kab Gorontalo & Gorut (pp) (Uji Petik Tahap 3 & 6)


3 Gorontalo to Boalemo & Bone Bolango (pp) (Uji Petik Tahap 4)

Inland transport Gorontalo to Boalemo & Bone Bolango (pp) 1 person - 200,000 - - - 200,000 - - - - - Accomodation 1 person - 300,000 - - - 300,000 - - - - - OSA (Fixed) 1 person - 200,000 - - - 200,000 - - - - -







Inland transport Gorontalo to Boalemo & Bone Bolango (pp) 1 person - 200,000 - - - 200,000 - - - - - Accomodation 1 person - 300,000 - - - 300,000 - - - - - OSA (Fixed) 1 person - 200,000 - - - 200,000 - - - - -



1 From Palu to Donggala (Uji Petik Tahap 2)

Inland transport Palu to Donggala 1 person - 200,000 - - - 200,000 - - - - - Inland transport 1 person - 500,000 - - - 500,000 - - - - - Accomodation 1 person - 300,000 - - - 300,000 - - - - - OSA (Fixed) 1 person - 200,000 - - - 200,000 - - - - -

2 From Palu to Sigi (Uji Petik Tahap 3)


3 From Palu to Parigi Mountong (Uji Petik Tahap 4)

Inland transport Palu to Parimo 1 person - 200,000 - - - 200,000 - - - - -



Vol. Amount [IDR]

TOTAL CLAIM


TOTAL COMULATIVE

Vol. Amount [IDR]

BALANCE

Vol. Amount [IDR]



Vol. Amount [IDR]

TOTAL CLAIM


TOTAL COMULATIVE

Vol. Amount [IDR]

BALANCE

Vol. Amount [IDR]

Accomodation 1 person - 300,000 - - - 300,000 - - - - - OSA (Fixed) 1 person - 200,000 - - - 200,000 - - - - -


Inlang transport Palu to Morowali, Poso, Toujo Una Una 1 person - 500,000 - - - 500,000 - - - - - Inland transport 1 person - 500,000 - - - 500,000 - - - - - Accomodation 1 person - 300,000 - - - 300,000 - - - - - OSA (Fixed) 1 person - 200,000 - - - 200,000 - - - - -

-


Inlang transport Palu to Buol, Toli Toli 1 person - 600,000 - - - 600,000 - - - - - Inland transport 1 person - 500,000 - - - 500,000 - - - - - Accomodation 1 person - 300,000 - - - 300,000 - - - - - OSA (Fixed) 1 person - 200,000 - - - 200,000 - - - - -


Inlang transport Palu to Banggai, Banggai Kepulauan 1 person - 800,000 - - - 800,000 - - - - - Inland transport 1 person - 1,000,000 - - - 1,000,000 - - - - - Accomodation 1 person - 300,000 - - - 300,000 - - - - - OSA (Fixed) 1 person - 200,000 - - - 200,000 - - - - -



Inland transport Palu to Donggala 1 person - 200,000 - - - 200,000 - - - - - Inland transport 1 person - 500,000 - - - 500,000 - - - - - Accomodation 1 person - 300,000 - - - 300,000 - - - - - OSA (Fixed) 1 person - 200,000 - - - 200,000 - - - - -


Inlang transport Palu to Morowali, Poso, Toujo Una Una 1 person - 500,000 - - - 500,000 - - - - - Inland transport 1 person - 500,000 - - - 500,000 - - - - - Accomodation 1 person - 300,000 - - - 300,000 - - - - - OSA (Fixed) 1 person - 200,000 - - - 200,000 - - - - -


Inlang transport Palu to Buol, Toli Toli 1 person - 600,000 - - - 600,000 - - - - - Inland transport 1 person - 500,000 - - - 500,000 - - - - - Accomodation 1 person - 300,000 - - - 300,000 - - - - - OSA (Fixed) 1 person - 200,000 - - - 200,000 - - - - -


Inlang transport Palu to Banggai, Banggai Kepulauan 1 person - 800,000 - - - 800,000 - - - - - Inland transport 1 person - 1,000,000 - - - 1,000,000 - - - - - Accomodation 1 person - 300,000 - - - 300,000 - - - - - OSA (Fixed) 1 person - 200,000 - - - 200,000 - - - - -




Air transport Ambon to Ternate 1 person - 3,200,000 - - - 3,200,000 - - - - - Inland transport Ternate to Halmahera 1 person - 700,000 - - - 700,000 - - - - - Inland transport to village 1 person - 950,000 - - - 950,000 - - - - - Accomodation 1 person - 300,000 - - - 300,000 - - - - - OSA (Fixed) 1 person - 200,000 - - - 200,000 - - - - -


Sea transport Ambon to MBD 1 person - 2,800,000 - - - 2,800,000 - - - - -



Vol. Amount [IDR]

TOTAL CLAIM


TOTAL COMULATIVE

Vol. Amount [IDR]

BALANCE

Vol. Amount [IDR]

Inland transport MBD to village 1 person - 1,450,000 - - - 1,450,000 - - - - - Accomodation 1 person - 300,000 - - - 300,000 - - - - - OSA (Fixed) 1 person - 200,000 - - - 200,000 - - - - -




Inland transport 1 person - 750,000 - - - 750,000 - - - - - Inland transport Maluku Tengah to Village 1 person - 1,700,000 - - - 1,700,000 - - - - - Accomodation 1 person - 300,000 - - - 300,000 - - - - - OSA (Fixed) 1 person - 200,000 - - - 200,000 - - - - -







Sea transport Ambon to MBD 1 person - 2,800,000 - - - 2,800,000 - - - - - Inland transport MBD to village 1 person - 1,450,000 - - - 1,450,000 - - - - - Accomodation 1 person - 300,000 - - - 300,000 - - - - - OSA (Fixed) 1 person - 200,000 - - - 200,000 - - - - -




Inland transport 1 person - 750,000 - - - 750,000 - - - - - Inland transport Maluku Tengah to Village 1 person - 1,700,000 - - - 1,700,000 - - - - - Accomodation 1 person - 300,000 - - - 300,000 - - - - - OSA (Fixed) 1 person - 200,000 - - - 200,000 - - - - -





Vol. Amount [IDR]

TOTAL CLAIM


TOTAL COMULATIVE

Vol. Amount [IDR]

BALANCE

Vol. Amount [IDR]





Inland transport Gorontalo - Menado pp 1 person 1 600,000 600,000 - - 600,000 - - - 1 600,000 Inland transport Menado to Minahasa Utara & Minahasa Selatan 1 person 1 100,000 100,000 - - 100,000 - - - 1 100,000 Accomodation 1 person 2 300,000 600,000 - - 300,000 - - - 2 600,000 OSA (Fixed) 1 person 3 200,000 600,000 - - 200,000 - - - 3 600,000


Inland transport Gorontalo to kab Gorontalo & Gorut (pp) 1 person 1 200,000 200,000 - - 200,000 - - - 1 200,000 Accomodation 1 person 2 300,000 600,000 - - 300,000 - - - 2 600,000 OSA (Fixed) 1 person 3 200,000 600,000 - - 200,000 - - - 3 600,000





Inland transport Gorontalo - Menado pp 1 person 1 600,000 600,000 - - 600,000 - - - 1 600,000 Inland transport Menado to Minahasa Utara & Minahasa Selatan 1 person 1 100,000 100,000 - - 100,000 - - - 1 100,000 Accomodation 1 person 2 300,000 600,000 - - 300,000 - - - 2 600,000 OSA (Fixed) 1 person 3 200,000 600,000 - - 200,000 - - - 3 600,000


Inland transport Gorontalo to kab Gorontalo & Gorut (pp) 1 person 1 200,000 200,000 - - 200,000 - - - 1 200,000 Accomodation 1 person 2 300,000 600,000 - - 300,000 - - - 2 600,000 OSA (Fixed) 1 person 3 200,000 600,000 - - 200,000 - - - 3 600,000







2 From Palu to Sigi

Inland transport Palu to Sigi 1 person 1 200,000 200,000 - - 200,000 - - - 1 200,000 Inland transport 1 person 1 1,000,000 1,000,000 - - 1,000,000 - - - 1 1,000,000 Accomodation 1 person 2 300,000 600,000 - - 300,000 - - - 2 600,000 OSA (Fixed) 1 person 3 200,000 600,000 - - 200,000 - - - 3 600,000






Vol. Amount [IDR]

TOTAL CLAIM


TOTAL COMULATIVE

Vol. Amount [IDR]

BALANCE

Vol. Amount [IDR]

Inlang transport Palu to Morowali, Poso, Toujo Una Una 1 person 1 500,000 500,000 - - 500,000 - - - 1 500,000 Inland transport 1 person 1 500,000 500,000 - - 500,000 - - - 1 500,000 Accomodation 1 person 2 300,000 600,000 - - 300,000 - - - 2 600,000 OSA (Fixed) 1 person 3 200,000 600,000 - - 200,000 - - - 3 600,000


Inlang transport Palu to Buol, Toli Toli 1 person 1 600,000 600,000 - - 600,000 - - - 1 600,000 Inland transport 1 person 1 500,000 500,000 - - 500,000 - - - 1 500,000 Accomodation 1 person 2 300,000 600,000 - - 300,000 - - - 2 600,000 OSA (Fixed) 1 person 3 200,000 600,000 - - 200,000 - - - 3 600,000


Inlang transport Palu to Banggai, Banggai Kepulauan 1 person 1 800,000 800,000 - - 800,000 - - - 1 800,000 Inland transport 1 person 1 1,000,000 1,000,000 - - 1,000,000 - - - 1 1,000,000 Accomodation 1 person 2 300,000 600,000 - - 300,000 - - - 2 600,000 OSA (Fixed) 1 person 3 200,000 600,000 - - 200,000 - - - 3 600,000




2 From Palu to Sigi

Inland transport Palu to Sigi 1 person 1 200,000 200,000 - - 200,000 - - - 1 200,000 Inland transport 1 person 1 1,000,000 1,000,000 - - 1,000,000 - - - 1 1,000,000 Accomodation 1 person 2 300,000 600,000 - - 300,000 - - - 2 600,000 OSA (Fixed) 1 person 3 200,000 600,000 - - 200,000 - - - 3 600,000




Inlang transport Palu to Morowali, Poso, Toujo Una Una 1 person 1 500,000 500,000 - - 500,000 - - - 1 500,000 Inland transport 1 person 1 500,000 500,000 - - 500,000 - - - 1 500,000 Accomodation 1 person 2 300,000 600,000 - - 300,000 - - - 2 600,000 OSA (Fixed) 1 person 3 200,000 600,000 - - 200,000 - - - 3 600,000


Inlang transport Palu to Buol, Toli Toli 1 person 1 600,000 600,000 - - 600,000 - - - 1 600,000 Inland transport 1 person 1 500,000 500,000 - - 500,000 - - - 1 500,000 Accomodation 1 person 2 300,000 600,000 - - 300,000 - - - 2 600,000 OSA (Fixed) 1 person 3 200,000 600,000 - - 200,000 - - - 3 600,000


Inlang transport Palu to Banggai, Banggai Kepulauan 1 person 1 800,000 800,000 - - 800,000 - - - 1 800,000 Inland transport 1 person 1 1,000,000 1,000,000 - - 1,000,000 - - - 1 1,000,000 Accomodation 1 person 2 300,000 600,000 - - 300,000 - - - 2 600,000 OSA (Fixed) 1 person 3 200,000 600,000 - - 200,000 - - - 3 600,000







Vol. Amount [IDR]

TOTAL CLAIM


TOTAL COMULATIVE

Vol. Amount [IDR]

BALANCE

Vol. Amount [IDR]

Inland transport Ternate to Halmahera Selatan 1 person 1 700,000 700,000 - - 700,000 - - - 1 700,000 Inland transport to village 1 person 1 950,000 950,000 - - 950,000 - - - 1 950,000 Accomodation 1 person 2 300,000 600,000 - - 300,000 - - - 2 600,000 OSA (Fixed) 1 person 3 200,000 600,000 - - 200,000 - - - 3 600,000


Sea transport Ambon to MBD 1 person 1 2,800,000 2,800,000 - - 2,800,000 - - - 1 2,800,000 Inland transport MBD to village 1 person 1 1,450,000 1,450,000 - - 1,450,000 - - - 1 1,450,000 Accomodation 1 person 5 300,000 1,500,000 - - 300,000 - - - 5 1,500,000 OSA (Fixed) 1 person 6 200,000 1,200,000 - - 200,000 - - - 6 1,200,000


Air transport 1 person 1 2,650,000 2,650,000 - - 2,650,000 - - - 1 2,650,000 Inland transport 1 person 1 200,000 200,000 - - 200,000 - - - 1 200,000 Inland transport Maluku Tenggara to Village 1 person 1 1,200,000 1,200,000 - - 1,200,000 - - - 1 1,200,000 Accomodation 1 person 2 300,000 600,000 - - 300,000 - - - 2 600,000 OSA (Fixed) 1 person 3 200,000 600,000 - - 200,000 - - - 3 600,000




Inland transport 1 person 1 900,000 900,000 - - 900,000 - - - 1 900,000 Inland transport Buru to Village 1 person 1 1,000,000 1,000,000 - - 1,000,000 - - - 1 1,000,000 Inland transport Buru Selatan to Village 1 person 1 800,000 800,000 - - 800,000 - - - 1 800,000 Accomodation 1 person 2 300,000 600,000 - - 300,000 - - - 2 600,000 OSA (Fixed) 1 person 3 200,000 600,000 - - 200,000 - - - 3 600,000



Air transport Ambon to Ternate 1 person 1 3,200,000 3,200,000 - - 3,200,000 - - - 1 3,200,000 Inland transport Ternate to Halmahera Selatan 1 person 1 700,000 700,000 - - 700,000 - - - 1 700,000 Inland transport to village 1 person 1 950,000 950,000 - - 950,000 - - - 1 950,000 Accomodation 1 person 2 300,000 600,000 - - 300,000 - - - 2 600,000 OSA (Fixed) 1 person 3 200,000 600,000 - - 200,000 - - - 3 600,000


Sea transport Ambon to MBD 1 person 1 2,800,000 2,800,000 - - 2,800,000 - - - 1 2,800,000 Inland transport MBD to village 1 person 1 1,450,000 1,450,000 - - 1,450,000 - - - 1 1,450,000 Accomodation 1 person 5 300,000 1,500,000 - - 300,000 - - - 5 1,500,000 OSA (Fixed) 1 person 6 200,000 1,200,000 - - 200,000 - - - 6 1,200,000


Air transport 1 person 1 2,650,000 2,650,000 - - 2,650,000 - - - 1 2,650,000 Inland transport 1 person 1 200,000 200,000 - - 200,000 - - - 1 200,000 Inland transport Maluku Tenggara to Village 1 person 1 1,200,000 1,200,000 - - 1,200,000 - - - 1 1,200,000 Accomodation 1 person 2 300,000 600,000 - - 300,000 - - - 2 600,000 OSA (Fixed) 1 person 3 200,000 600,000 - - 200,000 - - - 3 600,000





Vol. Amount [IDR]

TOTAL CLAIM


TOTAL COMULATIVE

Vol. Amount [IDR]

BALANCE

Vol. Amount [IDR]


Inland transport 1 person 1 900,000 900,000 - - 900,000 - - - 1 900,000 Inland transport Buru to Village 1 person 1 1,000,000 1,000,000 - - 1,000,000 - - - 1 1,000,000 Inland transport Buru Selatan to Village 1 person 1 800,000 800,000 - - 800,000 - - - 1 800,000 Accomodation 1 person 2 300,000 600,000 - - 300,000 - - - 2 600,000 OSA (Fixed) 1 person 3 200,000 600,000 - - 200,000 - - - 3 600,000



1 Kab. Sigi to Village (10 village) 2 person 12 200,000 2,400,000 - - 200,000 - - - 12 2,400,000 Kab. Sigi to Village 2 person 12 300,000 3,600,000 - - 300,000 - - - 12 3,600,000 Kab. Sigi to Village (remote) 2 person 12 800,000 9,600,000 - - 800,000 - - - 12 9,600,000 Accomodation 2 person 24 200,000 4,800,000 - - 200,000 - - - 24 4,800,000 OSA 2 person 36 50,000 1,800,000 - - 50,000 - - - 36 1,800,000

2 Kab. Toli-toli to Village (5 village) 2 person 12 50,000 600,000 - - 50,000 - - - 12 600,000 Kab. Toli-toli to Village 2 person 12 100,000 1,200,000 - - 100,000 - - - 12 1,200,000 Accomodation 2 person 24 200,000 4,800,000 - - 200,000 - - - 24 4,800,000 OSA 2 person 36 50,000 1,800,000 - - 50,000 - - - 36 1,800,000

3 Kab. Donggala to Village (10 village) 2 person 12 100,000 1,200,000 - - 100,000 - - - 12 1,200,000 Kab. Donggala to Village 2 person 12 200,000 2,400,000 - - 200,000 - - - 12 2,400,000 Kab. Donggala to Village 2 person 12 300,000 3,600,000 - - 300,000 - - - 12 3,600,000 Accomodation 2 person 24 200,000 4,800,000 - - 200,000 - - - 24 4,800,000 OSA 2 person 36 50,000 1,800,000 - - 50,000 - - - 36 1,800,000

4 Kab. Poso to Village (10 village) 2 person 12 100,000 1,200,000 - - 100,000 - - - 12 1,200,000 Kab. Poso to Village 2 person 12 200,000 2,400,000 - - 200,000 - - - 12 2,400,000 Kab. Poso to Village 2 person 12 300,000 3,600,000 - - 300,000 - - - 12 3,600,000 Accomodation 2 person 24 200,000 4,800,000 - - 200,000 - - - 24 4,800,000 OSA 2 person 36 50,000 1,800,000 - - 50,000 - - - 36 1,800,000

5 Kab. Tojo Una-una to Village (8 villlage) 2 person 12 50,000 600,000 - - 50,000 - - - 12 600,000 Kab. Tojo Una-una to Village 2 person 12 200,000 2,400,000 - - 200,000 - - - 12 2,400,000 Kab. Tojo Una-una to Village 2 person 12 300,000 3,600,000 - - 300,000 - - - 12 3,600,000 Accomodation 2 person 24 200,000 4,800,000 - - 200,000 - - - 24 4,800,000 OSA 2 person 36 50,000 1,800,000 - - 50,000 - - - 36 1,800,000

6 Kab. Buol to Village (10 village) 2 person 12 100,000 1,200,000 - - 100,000 - - - 12 1,200,000 Kab. Buol to Village 2 person 12 200,000 2,400,000 - - 200,000 - - - 12 2,400,000 Kab. Buol to Village 2 person 12 300,000 3,600,000 - - 300,000 - - - 12 3,600,000 Accomodation 2 person 24 200,000 4,800,000 - - 200,000 - - - 24 4,800,000 OSA 2 person 36 50,000 1,800,000 - - 50,000 - - - 36 1,800,000

7 Kab. Morowali to Village (12 village) 2 person 12 200,000 2,400,000 - - 200,000 - - - 12 2,400,000 Kab. Morowali to Village 2 person 12 350,000 4,200,000 - - 350,000 - - - 12 4,200,000 Accomodation 2 person 24 200,000 4,800,000 - - 200,000 - - - 24 4,800,000 OSA 2 person 36 50,000 1,800,000 - - 50,000 - - - 36 1,800,000

8 Kab. Banggai to Village (8 village) 2 person 12 300,000 3,600,000 - - 300,000 - - - 12 3,600,000 Kab. Banggai to Village 2 person 12 400,000 4,800,000 - - 400,000 - - - 12 4,800,000 Accomodation 2 person 24 200,000 4,800,000 - - 200,000 - - - 24 4,800,000 OSA 2 person 36 50,000 1,800,000 - - 50,000 - - - 36 1,800,000

9 Kab. Banggai Kepulauan to Village (8 village 2 person 12 300,000 3,600,000 - - 300,000 - - - 12 3,600,000 Kab. Banggai Kepulauan to Village 2 person 12 400,000 4,800,000 - - 400,000 - - - 12 4,800,000



Vol. Amount [IDR]

TOTAL CLAIM


TOTAL COMULATIVE

Vol. Amount [IDR]

BALANCE

Vol. Amount [IDR]

Kab. Banggai Kepulauan to Village 2 person 12 700,000 8,400,000 - - 700,000 - - - 12 8,400,000 Accomodation 2 person 24 200,000 4,800,000 - - 200,000 - - - 24 4,800,000 OSA 2 person 36 50,000 1,800,000 - - 50,000 - - - 36 1,800,000

10 Kab. Parigi Mountong to Village (14 village) 2 person 12 300,000 3,600,000 - - 300,000 - - - 12 3,600,000 Kab. Banggai Kepulauan to Village 2 person 12 400,000 4,800,000 - - 400,000 - - - 12 4,800,000 Kab. Banggai Kepulauan to Village 2 person 12 700,000 8,400,000 - - 700,000 - - - 12 8,400,000 Accomodation 2 person 24 200,000 4,800,000 - - 200,000 - - - 24 4,800,000 OSA 2 person 36 50,000 1,800,000 - - 50,000 - - - 36 1,800,000


1 Gorontalo to Village (10 village) 2 person 12 50,000 600,000 - - 50,000 - - - 12 600,000 OSA 2 person 36 50,000 1,800,000 - - 50,000 - - - 36 1,800,000

2 Boalemo to Village (5 village) 2 person 12 50,000 600,000 - - 50,000 - - - 12 600,000 OSA 2 person 36 50,000 1,800,000 - - 50,000 - - - 36 1,800,000

3 Gorontalo Utara to Village (10 village) 2 person 12 50,000 600,000 - - 50,000 - - - 12 600,000 OSA 2 person 36 50,000 1,800,000 - - 50,000 - - - 36 1,800,000

4 Bone Bolango to Village (10 village) 2 person 12 50,000 600,000 - - 50,000 - - - 12 600,000 OSA 2 person 36 50,000 1,800,000 - - 50,000 - - - 36 1,800,000


1 Minahasa Selatan to Village (10 village) 2 person 12 50,000 600,000 - - 50,000 - - - 12 600,000 OSA 2 person 36 50,000 1,800,000 - - 50,000 - - - 36 1,800,000

2 Minahasa Utara to Village (8 village) 2 person 12 50,000 600,000 - - 50,000 - - - 12 600,000 OSA 2 person 36 50,000 1,800,000 - - 50,000 - - - 36 1,800,000


1 Maluku Tengah to Village (10 village) 2 person 12 400,000 4,800,000 - - 400,000 - - - 12 4,800,000 Maluku Tengah to Village 2 person 12 700,000 8,400,000 - - 700,000 - - - 12 8,400,000 Maluku Tengah to Village 2 person 12 1,300,000 15,600,000 - - 1,300,000 - - - 12 15,600,000 Accomodation 2 person 24 200,000 4,800,000 - - 200,000 - - - 24 4,800,000 OSA 2 person 36 50,000 1,800,000 - - 50,000 - - - 36 1,800,000

2 Maluku Tenggara to Village (9 village) 2 person 12 250,000 3,000,000 - - 250,000 - - - 12 3,000,000 Maluku Tenggara to Village 2 person 12 400,000 4,800,000 - - 400,000 - - - 12 4,800,000 Maluku Tenggara to Village 2 person 12 800,000 9,600,000 - - 800,000 - - - 12 9,600,000 Accomodation 2 person 24 200,000 4,800,000 - - 200,000 - - - 24 4,800,000 OSA 2 person 36 50,000 1,800,000 - - 50,000 - - - 36 1,800,000

3 Kab. Buru to Village (10 village) 2 person 12 1,000,000 12,000,000 - - 1,000,000 - - - 12 12,000,000 Kab. Buru to Village 2 person 12 1,500,000 18,000,000 - - 1,500,000 - - - 12 18,000,000 Accomodation 2 person 24 200,000 4,800,000 - - 200,000 - - - 24 4,800,000 OSA 2 person 36 50,000 1,800,000 - - 50,000 - - - 36 1,800,000

4 Kab. Buru Selatan to Village (10 village) 2 person 12 300,000 3,600,000 - - 300,000 - - - 12 3,600,000 Kab. Buru Selatan to Village 2 person 12 800,000 9,600,000 - - 800,000 - - - 12 9,600,000 Kab. Buru Selatan to Village 2 person 12 1,200,000 14,400,000 - - 1,200,000 - - - 12 14,400,000 Accomodation 2 person 24 200,000 4,800,000 - - 200,000 - - - 24 4,800,000 OSA 2 person 36 50,000 1,800,000 - - 50,000 - - - 36 1,800,000

5 Maluku Barat Daya to Village (9 village) 2 person 12 650,000 7,800,000 - - 650,000 - - - 12 7,800,000 Maluku Barat Daya to Village 2 person 12 1,000,000 12,000,000 - - 1,000,000 - - - 12 12,000,000 Maluku Barat Daya to Village 2 person 12 3,500,000 42,000,000 - - 3,500,000 - - - 12 42,000,000



Vol. Amount [IDR]

TOTAL CLAIM


TOTAL COMULATIVE

Vol. Amount [IDR]

BALANCE

Vol. Amount [IDR]

Accomodation 2 person 24 200,000 4,800,000 - - 200,000 - - - 24 4,800,000 OSA 2 person 36 50,000 1,800,000 - - 50,000 - - - 36 1,800,000


1 Halmahera Selatan to Village (6 village) 2 person 12 300,000 3,600,000 - - 300,000 - - - 12 3,600,000 Halmahera Selatan to Village 2 person 12 500,000 6,000,000 - - 500,000 - - - 12 6,000,000 Halmahera Selatan to Village 2 person 12 650,000 7,800,000 - - 650,000 - - - 12 7,800,000 Accomodation 2 person 24 200,000 4,800,000 - - 200,000 - - - 24 4,800,000 OSA 2 person 36 50,000 1,800,000 - - 50,000 - - - 36 1,800,000


1 Minahasa Selatan to Village (10 village) 2 person 12 50,000 600,000 - - 50,000 - - - 12 600,000 OSA 2 person 36 50,000 1,800,000 - - 50,000 - - - 36 1,800,000

2 Minahasa Utara to Village (8 village) 2 person 12 50,000 600,000 - - 50,000 - - - 12 600,000 OSA 2 person 36 50,000 1,800,000 - - 50,000 - - - 36 1,800,000



1 Kab. Sigi to Village (10 village) 1 person 1 200,000 200,000 - - 200,000 - - - 1 200,000 Kab. Sigi to Village 1 person 1 300,000 300,000 - - 300,000 - - - 1 300,000 Kab. Sigi to Village (remote) 1 person 1 800,000 800,000 - - 800,000 - - - 1 800,000 Accomodation 1 person 1 200,000 200,000 - - 200,000 - - - 1 200,000 OSA 1 person 2 50,000 100,000 - - 50,000 - - - 2 100,000

2 Kab. Toli-toli to Village (5 village) 1 person 1 50,000 50,000 - - 50,000 - - - 1 50,000 Kab. Toli-toli to Village 1 person 1 100,000 100,000 - - 100,000 - - - 1 100,000 Accomodation 1 person 1 200,000 200,000 - - 200,000 - - - 1 200,000 OSA 1 person 2 50,000 100,000 - - 50,000 - - - 2 100,000

3 Kab. Donggala to Village (10 village) 1 person 1 100,000 100,000 - - 100,000 - - - 1 100,000 Accomodation 1 person 1 200,000 200,000 - - 200,000 - - - 1 200,000 OSA 1 person 2 50,000 100,000 - - 50,000 - - - 2 100,000

4 Kab. Poso to Village (10 village) 1 person 1 100,000 100,000 - - 100,000 - - - 1 100,000 Accomodation 1 person 1 200,000 200,000 - - 200,000 - - - 1 200,000 OSA 1 person 2 50,000 100,000 - - 50,000 - - - 2 100,000

5 Kab. Tojo Una-una to Village (8 villlage) 1 person 1 50,000 50,000 - - 50,000 - - - 1 50,000 Accomodation 1 person 1 200,000 200,000 - - 200,000 - - - 1 200,000 OSA 1 person 2 50,000 100,000 - - 50,000 - - - 2 100,000

6 Kab. Buol to Village (10 village) 1 person 1 100,000 100,000 - - 100,000 - - - 1 100,000 Accomodation 1 person 1 200,000 200,000 - - 200,000 - - - 1 200,000 OSA 1 person 2 50,000 100,000 - - 50,000 - - - 2 100,000

7 Kab. Morowali to Village (12 village) 1 person 2 200,000 400,000 - - 200,000 - - - 2 400,000 Accomodation 1 person 2 200,000 400,000 - - 200,000 - - - 2 400,000 OSA 1 person 4 50,000 200,000 - - 50,000 - - - 4 200,000

8 Kab. Banggai to Village (8 village) 1 person 1 300,000 300,000 - - 300,000 - - - 1 300,000 Accomodation 1 person 1 200,000 200,000 - - 200,000 - - - 1 200,000 OSA 1 person 2 50,000 100,000 - - 50,000 - - - 2 100,000

9 Kab. Banggai Kepulauan to Village (8 village 1 person 1 300,000 300,000 - - 300,000 - - - 1 300,000 Accomodation 1 person 1 200,000 200,000 - - 200,000 - - - 1 200,000 OSA 1 person 2 50,000 100,000 - - 50,000 - - - 2 100,000



Vol. Amount [IDR]

TOTAL CLAIM


TOTAL COMULATIVE

Vol. Amount [IDR]

BALANCE

Vol. Amount [IDR]

10 Kab. Parigi Mountong to Village (14 village) 1 person 1 300,000 300,000 - - 300,000 - - - 1 300,000 Accomodation 1 person 1 200,000 200,000 - - 200,000 - - - 1 200,000 OSA 1 person 2 50,000 100,000 - - 50,000 - - - 2 100,000


1 Gorontalo to Village (10 village) 1 person 1 50,000 50,000 - - 50,000 - - - 1 50,000 OSA 1 person 1 50,000 50,000 - - 50,000 - - - 1 50,000


3 Gorontalo Utara to Village (10 village) 1 person 1 50,000 50,000 - - 50,000 - - - 1 50,000 OSA 1 person 1 50,000 50,000 - - 50,000 - - - 1 50,000

4 Bone Bolango to Village (10 village) 1 person 1 50,000 50,000 - - 50,000 - - - 1 50,000 OSA 1 person 1 50,000 50,000 - - 50,000 - - - 1 50,000





1 Maluku Tengah to Village (10 village) 1 person 1 400,000 400,000 - - 400,000 - - - 1 400,000 Accomodation 1 person 1 200,000 200,000 - - 200,000 - - - 1 200,000 OSA 1 person 2 50,000 100,000 - - 50,000 - - - 2 100,000

2 Maluku Tenggara to Village (9 village) 1 person 1 250,000 250,000 - - 250,000 - - - 1 250,000 Accomodation 1 person 1 200,000 200,000 - - 200,000 - - - 1 200,000 OSA 1 person 2 50,000 100,000 - - 50,000 - - - 2 100,000

3 Kab. Buru to Village (10 village) 1 person 1 1,000,000 1,000,000 - - 1,000,000 - - - 1 1,000,000 Accomodation 1 person 1 200,000 200,000 - - 200,000 - - - 1 200,000 OSA 1 person 2 50,000 100,000 - - 50,000 - - - 2 100,000

4 Kab. Buru Selatan to Village (10 village) 1 person 1 300,000 300,000 - - 300,000 - - - 1 300,000 Accomodation 1 person 1 200,000 200,000 - - 200,000 - - - 1 200,000 OSA 1 person 2 50,000 100,000 - - 50,000 - - - 2 100,000

5 Maluku Barat Daya to Village (9 village) 1 person 1 650,000 650,000 - - 650,000 - - - 1 650,000 Accomodation 1 person 1 200,000 200,000 - - 200,000 - - - 1 200,000 OSA 1 person 2 50,000 100,000 - - 50,000 - - - 2 100,000


1 Halmahera Selatan to Village (6 village) 1 person 1 300,000 300,000 - - 300,000 - - - 1 300,000 Accomodation 1 person 1 200,000 200,000 - - 200,000 - - - 1 200,000 OSA 1 person 2 50,000 100,000 - - 50,000 - - - 2 100,000





: April 2015

B REIMBURSABLE COST

1.2 MONITORING AND EVALUATION 1,501,436,400 97,371,867 22,614,526 119,986,393 1,381,450,007

1.2.1 MONITORING AND STRENGHTENING TEAM REGIONAL

1 Project Manager (PM)

Air Transport Palu - Menado 1 person 4 3,389,600 13,558,400 2 4,370,700 3,389,600 - 2 4,370,700 2 9,187,700

transport Menado - District - Village 1 person 4 200,000 800,000 1 200,000 200,000 - 1 200,000 3 600,000

Air transport Palu - Gorontalo (PP) 1 person 4 3,382,000 13,528,000 2 4,955,200 1 3,382,000 2,276,000 3 7,231,200 1 6,296,800

transport Gorontalo - District - Village 1 person 4 200,000 800,000 - - 1 200,000 200,000 1 200,000 3 600,000

Air transport Palu - Ambon (PP) 1 person 4 3,508,000 14,032,000 2 5,058,300 3,508,000 - 2 5,058,300 2 8,973,700

transport Ambon - District - village 1 person 4 1,000,000 4,000,000 - - 1,000,000 - - - 4 4,000,000

Air trasport Palu - Ternate (PP) 1 person 4 3,982,000 15,928,000 - - 3,982,000 - - - 4 15,928,000

sea transport Ternate - Halmahera selatan - village 1 person 4 1,000,000 4,000,000 - - 1,000,000 - - - 4 4,000,000

Inland transport 4 unit 16 200,000 3,200,000 3 600,000 1 200,000 200,000 4 800,000 12 2,400,000

Accomodation 4 unit 64 300,000 19,200,000 15 3,328,000 4 300,000 520,000 19 3,848,000 45 15,352,000

OSA (Fixed) 4 unit 80 200,000 16,000,000 25 5,000,000 5 200,000 1,000,000 30 6,000,000 50 10,000,000

2 LGs dan TC


transport Menado - District 3 person 12 200,000 2,400,000 1 200,000 200,000 - 1 200,000 11 2,200,000

Air transport Palu - Gorontalo (PP) 3 person 12 3,382,000 40,584,000 - - 3,382,000 - - - 12 40,584,000

transport Gorontalo - District 3 person 12 200,000 2,400,000 - - 200,000 - - - 12 2,400,000

Air transport Palu - Ambon (PP) 3 person 12 3,508,000 42,096,000 - - 3,508,000 - - - 12 42,096,000

transport Ambon - District 3 person 12 1,000,000 12,000,000 - - 1,000,000 - - - 12 12,000,000


sea transport Ternate - Halmahera selatan 3 person 12 750,000 9,000,000 - - 750,000 - - - 12 9,000,000

Inland transport 8 unit 48 200,000 9,600,000 1 200,000 200,000 - 1 200,000 47 9,400,000

Accomodation 8 unit 144 300,000 43,200,000 3 900,000 300,000 - 3 900,000 141 42,300,000

OSA (Fixed) 8 unit 192 200,000 38,400,000 4 800,000 200,000 - 4 800,000 188 37,600,000

3 TC

22 kabupaten x 20% = 5 time

Air Transport Palu - Menado 1 person 5 3,389,600 16,948,000 - - 3,389,600 - - - 5 16,948,000

transport Menado - District 1 person 5 200,000 1,000,000 - - 200,000 - - - 5 1,000,000







Inland transport 4 unit 20 200,000 4,000,000 - - 200,000 - - - 20 4,000,000

Accomodation 4 unit 60 300,000 18,000,000 - - 300,000 - - - 60 18,000,000

OSA (Fixed) 4 unit 80 200,000 16,000,000 - - 200,000 - - - 80 16,000,000

4 DMS


transport Menado - District 1 person 3 200,000 600,000 1 200,000 200,000 - 1 200,000 2 400,000


transport Gorontalo - District 1 person 3 200,000 600,000 - - 200,000 - - - 3 600,000




Unit Rate [IDR] Amount [IDR]Vol.

AMENDMENT NO. 3

NO. DESCRIPTION

PREVIOUS COMULATIVE

Vol. Amount [IDR]

TOTAL CLAIM


TOTAL COMULATIVE

Vol. Amount [IDR]

BALANCE

Vol. Amount [IDR]


AMENDMENT NO. 3

NO. DESCRIPTION

PREVIOUS COMULATIVE

Vol. Amount [IDR]

TOTAL CLAIM


TOTAL COMULATIVE

Vol. Amount [IDR]

BALANCE

Vol. Amount [IDR]


Inland transport 4 unit 12 200,000 2,400,000 1 200,000 200,000 - 1 200,000 11 2,200,000

Accomodation 4 unit 36 300,000 10,800,000 3 900,000 300,000 - 3 900,000 33 9,900,000

OSA (Fixed) 4 unit 48 200,000 9,600,000 4 800,000 200,000 - 4 800,000 44 8,800,000

5 DMS

22 kabupaten x 20% = 5 time


transport Menado - District 1 person 5 200,000 1,000,000 - - 200,000 - - - 5 1,000,000









OSA (Fixed) 4 unit 80 200,000 16,000,000 - - 200,000 - - - 80 16,000,000

1.2.2 MONITORING AND STRENGHTENING TEAM PROVINCE (PC/QAS)

A Cluster Province Sulut - Maluku

Air transport Menado - Ambon 2 person 6 2,600,000 15,600,000 3 6,107,000 2,600,000 - 3 6,107,000 3 9,493,000

Inland transport 2 person 6 200,000 1,200,000 3 600,000 200,000 - 3 600,000 3 600,000


OSA (Fixed) 2 person 18 200,000 3,600,000 12 2,400,000 200,000 - 12 2,400,000 6 1,200,000

Cluster Province Gorontalo - Sulut

transport Gorontalo - Menado 1 person 6 600,000 3,600,000 2 1,200,000 600,000 - 2 1,200,000 4 2,400,000

transport to Minahasa Utara & Minahasa Selatan 1 person 6 100,000 600,000 1 100,000 100,000 - 1 100,000 5 500,000

Accomodation 1 person 12 300,000 3,600,000 12 3,408,600 300,000 - 12 3,408,600 - 191,400

OSA (Fixed) 1 person 18 200,000 3,600,000 14 2,800,000 200,000 - 14 2,800,000 4 800,000

transport Gorontalo to kab Gorontalo & Gorut (pp) 1 person 6 200,000 1,200,000 1 200,000 200,000 - 1 200,000 5 1,000,000

OSA (Fixed) 1 person 6 200,000 1,200,000 2 400,000 200,000 - 2 400,000 4 800,000

transport Gorontalo to Boalemo, Bone Bolango (pp) 1 person 8 200,000 1,600,000 6 1,200,000 2 200,000 400,000 8 1,600,000 - -

Accomodation 1 person 16 300,000 4,800,000 5 900,000 300,000 - 5 900,000 11 3,900,000

OSA (Fixed) 1 person 24 200,000 4,800,000 14 2,800,000 10 200,000 2,000,000 24 4,800,000 - -

B Cluster Province Central Sulawesi

transport Palu - Donggala, Sigi, Parimo dan Tojo Una-Una 1 person 6 600,000 3,600,000 6 1,278,000 600,000 - 6 1,278,000 - 2,322,000

transport Palu - Morowali, Poso 1 person 6 500,000 3,000,000 1 407,845 1 500,000 500,000 2 907,845 4 2,092,155

transport Palu - Buol, Toli toli 1 person 6 550,000 3,300,000 4 1,930,000 1 550,000 550,000 5 2,480,000 1 820,000

transport Palu - Banggai, Banggai kepulauan 1 person 6 800,000 4,800,000 4 2,143,022 800,000 - 4 2,143,022 2 2,656,978

Accomodation 1 person 72 300,000 21,600,000 42 8,560,000 8 300,000 2,225,000 50 10,785,000 22 10,815,000

OSA (Fixed) 1 person 96 200,000 19,200,000 64 12,800,000 12 200,000 2,400,000 76 15,200,000 20 4,000,000

C Cluster Province Maluku - Maluku Utara

Air transport Ambon - Ternate 1 person 4 3,200,000 12,800,000 1 1,841,000 1 3,200,000 2,169,800 2 4,010,800 2 8,789,200

Inland Transport 1 person 4 200,000 800,000 1 200,000 1 200,000 200,000 2 400,000 2 400,000

transport to Halmahera Selatan 1 person 4 700,000 2,800,000 1 640,000 1 700,000 275,000 2 915,000 2 1,885,000

Accomodation 1 person 36 300,000 10,800,000 3 600,000 4 300,000 1,040,000 7 1,640,000 29 9,160,000

OSA (Fixed) 1 person 48 200,000 9,600,000 4 800,000 4 200,000 800,000 8 1,600,000 40 8,000,000


AMENDMENT NO. 3

NO. DESCRIPTION

PREVIOUS COMULATIVE

Vol. Amount [IDR]

TOTAL CLAIM


TOTAL COMULATIVE

Vol. Amount [IDR]

BALANCE

Vol. Amount [IDR]

Transport Ambon - MBD 1 person 4 4,000,000 16,000,000 - - 4,000,000 - - - 4 16,000,000


OSA (Fixed) 1 person 24 200,000 4,800,000 - - 200,000 - - - 24 4,800,000

Air transport Ambon - Maluku Tenggara 1 person 4 2,650,000 10,600,000 - - 2,650,000 - - - 4 10,600,000

Inland Transport 1 person 4 200,000 800,000 - - 200,000 - - - 4 800,000

transport to Maluku Tenggara 1 person 4 300,000 1,200,000 - - 300,000 - - - 4 1,200,000


OSA (Fixed) 1 person 48 200,000 9,600,000 - - 200,000 - - - 48 9,600,000

transport Ambon - Maluku Tengah 1 person 4 750,000 3,000,000 2 800,000 750,000 - 2 800,000 2 2,200,000


OSA (Fixed) 1 person 12 200,000 2,400,000 - - 200,000 - - - 12 2,400,000

transport Ambon - Buru & Buru Selatan 1 person 4 900,000 3,600,000 - - 900,000 - - - 4 3,600,000


OSA (Fixed) 1 person 16 200,000 3,200,000 - - 200,000 - - - 16 3,200,000

1.2.2.1 MONITORING AND STRENGHTENING FMS TO OTHER PROVINCE

Air Transport Gorontalo - Menado (pp) 1 person 6 2,400,000 14,400,000 1 500,000 2,400,000 - 1 500,000 5 13,900,000

Air Transport Ambon -Ternate (pp) 1 person 6 3,200,000 19,200,000 1 1,495,000 1 3,200,000 1,908,000 2 3,403,000 4 15,797,000

transport Ternate to Halmahera Selatan 1 person 6 700,000 4,200,000 - - 700,000 - - - 6 4,200,000

Inland Transport 1 person 12 200,000 2,400,000 1 200,000 1 200,000 200,000 2 400,000 10 2,000,000

Accomodation 1 person 36 300,000 10,800,000 5 1,203,400 4 300,000 1,100,000 9 2,303,400 27 8,496,600

OSA (Fixed) 1 person 48 200,000 9,600,000 7 1,400,000 5 200,000 1,000,000 12 2,400,000 36 7,200,000

1.2.2.2 MONITORING AND STRENGHTENING PC TO OTHER PROVINCE

Air Transport Gorontalo - Menado (pp) 1 person 6 2,400,000 14,400,000 - - 2,400,000 - - - 6 14,400,000

Air Transport Ambon -Ternate (pp) 1 person 6 3,200,000 19,200,000 - - 3,200,000 - - - 6 19,200,000

transport Ternate to Halmahera Selatan 1 person 6 700,000 4,200,000 - - 700,000 - - - 6 4,200,000

Inland Transport 1 person 12 200,000 2,400,000 - - 200,000 - - - 12 2,400,000


OSA (Fixed) 1 person 48 200,000 9,600,000 - - 200,000 - - - 48 9,600,000

1.2.3 MONITORING AND STRENGHTENING TEAM DISTRICT (DC)



OSA 1 person 42 50,000 2,100,000 - - 50,000 - - - 42 2,100,000


OSA 1 person 42 50,000 2,100,000 - - 50,000 - - - 42 2,100,000


OSA 1 person 42 50,000 2,100,000 - - 50,000 - - - 42 2,100,000


OSA 1 person 42 50,000 2,100,000 - - 50,000 - - - 42 2,100,000

District Coordinator Sulteng

1 Kab. Sigi to Village (10 village x 50%) 1 person 14 200,000 2,800,000 1 200,000 200,000 - 1 200,000 13 2,600,000


AMENDMENT NO. 3

NO. DESCRIPTION

PREVIOUS COMULATIVE

Vol. Amount [IDR]

TOTAL CLAIM


TOTAL COMULATIVE

Vol. Amount [IDR]

BALANCE

Vol. Amount [IDR]

Kab. Sigi to Village 1 person 14 300,000 4,200,000 - - 300,000 - - - 14 4,200,000

Kab. Sigi to Village (remote) 1 person 14 800,000 11,200,000 - - 800,000 - - - 14 11,200,000


OSA 1 person 42 50,000 2,100,000 4 200,000 50,000 - 4 200,000 38 1,900,000

2 Kab. Toli-toli to Village (5 village x 50%) 1 person 14 50,000 700,000 - - 50,000 - - - 14 700,000

Kab. Toli-toli to Village 1 person 14 100,000 1,400,000 - - 100,000 - - - 14 1,400,000


OSA 1 person 42 50,000 2,100,000 - - 50,000 - - - 42 2,100,000

3 Kab. Donggala to Village (10 village x 50%) 1 person 14 100,000 1,400,000 - - 100,000 - - - 14 1,400,000

Kab. Donggala to Village 1 person 14 200,000 2,800,000 - - 1 200,000 200,000 1 200,000 13 2,600,000



OSA 1 person 42 50,000 2,100,000 - - 5 50,000 250,000 5 250,000 37 1,850,000

4 Kab. Poso to Village (10 village x 50%) 1 person 14 100,000 1,400,000 - - 100,000 - - - 14 1,400,000

Kab. Poso to Village 1 person 14 200,000 2,800,000 - - 1 200,000 150,000 1 150,000 13 2,650,000



OSA 1 person 42 50,000 2,100,000 - - 2 50,000 100,000 2 100,000 40 2,000,000

5 Kab. Tojo Una-una to Village (8 villlage x 50%) 1 person 14 50,000 700,000 - - 50,000 - - - 14 700,000




OSA 1 person 42 50,000 2,100,000 - - 50,000 - - - 42 2,100,000

6 Kab. Buol to Village (10 village x 50%) 1 person 14 100,000 1,400,000 - - 100,000 - - - 14 1,400,000




OSA 1 person 42 50,000 2,100,000 - - 50,000 - - - 42 2,100,000

7 Kab. Morowali to Village (12 village x 50%) 1 person 14 200,000 2,800,000 - - 200,000 - - - 14 2,800,000

Kab. Morowali to Village 1 person 14 350,000 4,900,000 - - 350,000 - - - 14 4,900,000


OSA 1 person 42 50,000 2,100,000 - - 50,000 - - - 42 2,100,000

8 Kab. Banggai to Village (8 village x 50%) 1 person 14 300,000 4,200,000 - - 1 300,000 250,726 1 250,726 13 3,949,274

Kab. Banggai to Village 1 person 14 400,000 5,600,000 - - 400,000 - - - 14 5,600,000

Accomodation 1 person 28 200,000 5,600,000 - - 2 200,000 400,000 2 400,000 26 5,200,000

OSA 1 person 42 50,000 2,100,000 - - 6 50,000 300,000 6 300,000 36 1,800,000

9 Kab. Banggai Kepulauan to Village (9 village x 50%)1 person 14 300,000 4,200,000 - - 300,000 - - - 14 4,200,000




OSA 1 person 42 50,000 2,100,000 - - 50,000 - - - 42 2,100,000

10 Kab. Parigi Mountong to Village (14 village) 1 person 14 300,000 4,200,000 - - 300,000 - - - 14 4,200,000




AMENDMENT NO. 3

NO. DESCRIPTION

PREVIOUS COMULATIVE

Vol. Amount [IDR]

TOTAL CLAIM


TOTAL COMULATIVE

Vol. Amount [IDR]

BALANCE

Vol. Amount [IDR]


OSA 1 person 42 50,000 2,100,000 - - 50,000 - - - 42 2,100,000

District Coordinator Sulut


OSA 1 person 36 50,000 1,800,000 - - 50,000 - - - 36 1,800,000


OSA 1 person 36 50,000 1,800,000 - - 50,000 - - - 36 1,800,000


-Remote area

1 Maluku Tengah to Village (10 village x 50%) 1 person 14 400,000 5,600,000 - - 400,000 - - - 14 5,600,000

Maluku Tengah to Village 1 person 14 700,000 9,800,000 2 1,400,000 700,000 - 2 1,400,000 12 8,400,000

Maluku Tengah to Village 1 person 14 1,300,000 18,200,000 - - 1,300,000 - - - 14 18,200,000


OSA 1 person 42 50,000 2,100,000 17 850,000 50,000 - 17 850,000 25 1,250,000

2 Maluku Tenggara to Village (9 village x 50%) 1 person 14 250,000 3,500,000 - - 250,000 - - - 14 3,500,000




OSA 1 person 42 50,000 2,100,000 - - 50,000 - - - 42 2,100,000

3 Kab. Buru to Village (10 village x 50%) 1 person 14 1,000,000 14,000,000 - - 1,000,000 - - - 14 14,000,000

Kab. Buru to Village 1 person 14 1,500,000 21,000,000 - - 1,500,000 - - - 14 21,000,000


OSA 1 person 42 50,000 2,100,000 - - 50,000 - - - 42 2,100,000

4 Kab. Buru Selatan to Village (10 village x50%) 1 person 14 300,000 4,200,000 - - 300,000 - - - 14 4,200,000

Kab. Buru Selatan to Village 1 person 14 800,000 11,200,000 - - 800,000 - - - 14 11,200,000

Kab. Buru Selatan to Village 1 person 14 1,200,000 16,800,000 - - 1,200,000 - - - 14 16,800,000


OSA 1 person 42 50,000 2,100,000 - - 50,000 - - - 42 2,100,000

5 Maluku Barat Daya to Village (9 village x 50%) 1 person 14 650,000 9,100,000 - - 650,000 - - - 14 9,100,000




OSA 1 person 42 50,000 2,100,000 - - 50,000 - - - 42 2,100,000

District Coordinator Malut

-Remote area

1 Halmahera Selatan to Village ( 6 village x 50%)1 person 14 300,000 4,200,000 - - 300,000 - - - 14 4,200,000




OSA 1 person 42 50,000 2,100,000 - - 50,000 - - - 42 2,100,000



AMENDMENT NO. 3

NO. DESCRIPTION

PREVIOUS COMULATIVE

Vol. Amount [IDR]

TOTAL CLAIM


TOTAL COMULATIVE

Vol. Amount [IDR]

BALANCE

Vol. Amount [IDR]

1.3 COORDINATION MEETING 1,376,356,800 262,756,412 - 262,756,412 1,113,600,388

1.3.1 Coordination Meeting in Province, District/Village 764,800,000 172,752,065 - - 172,752,065 592,047,935

From Kab/Kota to Korprov Office

Cluster Province Gorontalo - Menado (6 district x 2 = 12 person)

transport Minahasa Utara, Minahasa Selatan - Gorontalo pp 4 Person 32 600,000 19,200,000 3 1,500,000 600,000 - 3 1,500,000 29 17,700,000

transport Boalemo, Bone Bolango, Gorut - Gorontalo (pp) 8 Person 64 100,000 6,400,000 - - 100,000 - - - 64 6,400,000

Accomodation 12 Person 192 300,000 57,600,000 8 1,600,000 300,000 - 8 1,600,000 184 56,000,000

OSA (Fixed) 12 Person 288 200,000 57,600,000 30 6,000,000 200,000 - 30 6,000,000 258 51,600,000

Cluster Sulawesi Tengah (10 district x 2 = 20 person)

Sigi, Donggala, Parimo Mountong-Palu (PP) 8 person 64 200,000 12,800,000 18 2,260,000 200,000 - 18 2,260,000 46 10,540,000

Morowali, Poso, Tojo Una Una - Palu (PP) 4 person 32 500,000 16,000,000 18 5,560,000 500,000 - 18 5,560,000 14 10,440,000

Buol, Toli-toli - Palu (PP) 4 person 32 600,000 19,200,000 12 6,700,000 600,000 - 12 6,700,000 20 12,500,000

Banggai, Banggai kepulauan - Palu (PP) 4 person 32 800,000 25,600,000 12 7,065,165 800,000 - 12 7,065,165 20 18,534,835


OSA (Fixed) 20 person 480 200,000 96,000,000 181 36,200,000 200,000 - 181 36,200,000 299 59,800,000

Cluster Province Maluku - Maluku Utara (6 distric x 2 = 12 person)

Maluku Tengah - Ambon pp 2 person 16 750,000 12,000,000 6 1,150,000 750,000 - 6 1,150,000 10 10,850,000

Maluku Tenggara - Ambon (air transport) pp 2 person 16 2,650,000 42,400,000 6 11,572,800 2,650,000 - 6 11,572,800 10 30,827,200

Buru - Ambon pp 2 person 16 600,000 9,600,000 6 3,300,000 600,000 - 6 3,300,000 10 6,300,000

Buru Selatan - Ambon pp 2 person 16 300,000 4,800,000 6 1,530,000 300,000 - 6 1,530,000 10 3,270,000

Maluku Barat Daya - Ambon (transport) pp 2 person 16 4,000,000 64,000,000 5 9,736,900 4,000,000 - 5 9,736,900 11 54,263,100

Ternate - Ambon (air transport) pp 2 person 16 3,200,000 51,200,000 6 12,337,200 3,200,000 - 6 12,337,200 10 38,862,800

transport to Halmahera Selatan - Ternate 2 person 16 700,000 11,200,000 6 3,140,000 700,000 - 6 3,140,000 10 8,060,000


OSA (Fixed) 12 person 384 200,000 76,800,000 119 23,800,000 200,000 - 119 23,800,000 265 53,000,000

1.3.2 Coordination meeting in Regional (Palu) 611,556,800 90,004,347 - 90,004,347 521,552,453

From province to Regional Office

Air transport Gorontalo - Palu (PP) 2 person 16 3,382,000 54,112,000 - - 3,382,000 - - - 16 54,112,000

Air transport Ambon - Palu (PP) 2 person 16 3,508,000 56,128,000 1 2,452,000 3,508,000 - 1 2,452,000 15 53,676,000

Inland transport 4 person 32 200,000 6,400,000 1 200,000 200,000 - 1 200,000 31 6,200,000


OSA (Fixed) 4 person 128 200,000 25,600,000 6 1,200,000 200,000 - 6 1,200,000 122 24,400,000

EGM in Regional office for DBO (Palu)

From Kab/Kota to Regional Office

Cluster Province Gorontalo - Menado

transport Minahasa Utara, Minahasa Selatan - Gorontalo pp 2 Person 8 600,000 4,800,000 2 600,000 600,000 - 2 600,000 6 4,200,000

transport Boalemo, Bone Bolango, Gorut - Gorontalo (pp) 4 Person 16 100,000 1,600,000 4 400,000 100,000 - 4 400,000 12 1,200,000


AMENDMENT NO. 3

NO. DESCRIPTION

PREVIOUS COMULATIVE

Vol. Amount [IDR]

TOTAL CLAIM


TOTAL COMULATIVE

Vol. Amount [IDR]

BALANCE

Vol. Amount [IDR]

Sulawesi Tengah

Sigi, Donggala, Parimo Mountong, Tojo Una-una - Palu (PP) 4 person 16 200,000 3,200,000 4 610,000 200,000 - 4 610,000 12 2,590,000

Morowali, Poso - Palu (PP) 2 person 8 500,000 4,000,000 2 690,000 500,000 - 2 690,000 6 3,310,000

Buol, Toli-toli - Palu (PP) 2 person 8 600,000 4,800,000 2 1,160,000 600,000 - 2 1,160,000 6 3,640,000

Banggai, Banggai kepulauan - Palu (PP) 2 person 8 800,000 6,400,000 2 1,335,000 800,000 - 2 1,335,000 6 5,065,000

Cluster Province Maluku - Maluku Utara

Maluku Tengah - Ambon pp 1 person 4 750,000 3,000,000 1 240,000 750,000 - 1 240,000 3 2,760,000

Maluku Tenggara - Ambon (air transport) pp 1 person 4 2,650,000 10,600,000 1 1,246,800 2,650,000 - 1 1,246,800 3 9,353,200

Buru, Buru Selatan - Ambon pp 2 person 8 600,000 4,800,000 2 1,050,000 600,000 - 2 1,050,000 6 3,750,000

Maluku Barat Daya - Ambon (transport) pp 1 person 4 4,000,000 16,000,000 1 190,000 4,000,000 - 1 190,000 3 15,810,000

Halmahera Selatan - Ternate 1 person 4 700,000 2,800,000 1 590,000 700,000 - 1 590,000 3 2,210,000

Air transport Menado - Palu (PP) 2 person 8 3,389,600 27,116,800 2 4,206,800 3,389,600 - 2 4,206,800 6 22,910,000

Air transport Gorontalo - Palu (PP) 4 person 16 3,382,000 54,112,000 4 9,021,100 3,382,000 - 4 9,021,100 12 45,090,900

Air transport Ambon - Palu (PP) 5 person 20 3,508,000 70,160,000 5 10,797,000 3,508,000 - 5 10,797,000 15 59,363,000

Air trasport Ternate - Palu (PP) 1 person 4 3,982,000 15,928,000 1 2,615,647 3,982,000 - 1 2,615,647 3 13,312,353

Inland transport 22 person 88 200,000 17,600,000 12 2,400,000 200,000 - 12 2,400,000 76 15,200,000


OSA (Fixed) 22 person 440 200,000 88,000,000 109 21,800,000 200,000 - 109 21,800,000 331 66,200,000


1.4 COORDINATION FOR SEVERAL EVENT BY REQUEST 105,046,400 - - - 105,046,400

Regional Team to Province to District/Village


transport Menado - District - Village 2 person 4 200,000 800,000 - - 200,000 - - - 4 800,000


transport Gorontalo - District - Village 2 person 4 200,000 800,000 - - 200,000 - - - 4 800,000


transport Ambon - District - village 2 person 4 1,000,000 4,000,000 - - 1,000,000 - - - 4 4,000,000


sea transport Ternate - Halmahera selatan - village 2 person 4 1,000,000 4,000,000 - - 1,000,000 - - - 4 4,000,000



OSA (Fixed) 8 unit 80 200,000 16,000,000 - - 200,000 - - - 80 16,000,000


1.5 NATIONAL MEETING IN JAKARTA : as request/invitation by Owner 245,160,000 45,135,700 3,570,300 48,706,000 196,454,000

Palu - Jakarta (PP) 2 person 24 3,280,000 78,720,000 11 26,768,300 1 3,280,000 1,970,300 12 28,738,600 12 49,981,400

Ambon - Jakarta (PP) 1 person 12 4,510,000 54,120,000 1 917,500 4,510,000 - 1 917,500 11 53,202,500

Gorontalo - Jakarta (PP) 1 person 12 3,280,000 39,360,000 5 8,059,900 3,280,000 - 5 8,059,900 7 31,300,100

Inland Transport 4 person 48 200,000 9,600,000 2 400,000 1 200,000 200,000 3 600,000 45 9,000,000

Accomodation 4 person 96 360,000 34,560,000 7 1,990,000 2 360,000 600,000 9 2,590,000 87 31,970,000

OSA (Fixed) 4 person 144 200,000 28,800,000 43 7,000,000 4 200,000 800,000 47 7,800,000 97 21,000,000


: April 2015

B REIMBURSABLE COST

2 MOBILIZATION AND DEMOBILIZATION 106,854,000 25,590,200 - 25,590,200 81,263,800

2.1 Regional Team - Jakarta to Province to Jakarta

2.1.1 Project Manager Jakarta - Manado - Jakarta 0.5 4,770,000 2,385,000 0.2 771,000 4,770,000 - 0.2 771,000 0.3 1,614,000

2.1.2 Data Management Jakarta - Manado - Jakarta 0.5 4,770,000 2,385,000 0.3 1,256,000 4,770,000 - 0.3 1,256,000 0.2 1,129,000

2.1.3 LG Specialist Jakarta - Manado - Jakarta 0.7 4,770,000 3,339,000 0.7 3,308,000 4,770,000 - 0.7 3,308,000 0.0 31,000

2.1.4 Trainer Coordinator Jakarta - Manado - Jakarta 0.5 4,770,000 2,385,000 0.2 1,178,000 4,770,000 - 0.2 1,178,000 0.3 1,207,000

2.1.5 Local Transport 4.0 200,000 800,000 4.0 800,000 200,000 - 4.0 800,000 - -

2.2 Provincial Team - Jakarta to Province to Jakarta

2.2.1 Provincial Coordinator / LG Jakarta - Manado - Jakarta 0.5 4,770,000 2,385,000 - - 4,770,000 - - - 0.5 2,385,000

Jakarta - Gorontalo - Jakarta 0.5 4,510,000 2,255,000 0.3 1,255,000 4,510,000 - 0.3 1,255,000 0.2 1,000,000

Jakarta - Palu - Jakarta 0.5 3,280,000 1,640,000 0.4 1,178,000 3,280,000 - 0.4 1,178,000 0.1 462,000

2.2.2 Financial Management SpecialistJakarta - Manado - Jakarta 0.5 4,770,000 2,385,000 0.3 1,522,000 4,770,000 - 0.3 1,522,000 0.2 863,000

Jakarta - Gorontalo - Jakarta 0.5 4,510,000 2,255,000 0.3 1,255,000 4,510,000 - 0.3 1,255,000 0.2 1,000,000


2.2.3 Quality Assurance Specialist Jakarta - Manado - Jakarta 0.5 4,770,000 2,385,000 0.1 672,000 4,770,000 - 0.1 672,000 0.4 1,713,000

Jakarta - Gorontalo - Jakarta 0.5 4,510,000 2,255,000 - - 4,510,000 - - - 0.5 2,255,000


2.2.4 Local Transport 8.0 200,000 1,600,000 8.0 1,600,000 200,000 - 8.0 1,600,000 - -

2.3 District Team - Jakarta to Province to Jakarta

2.3.1 District Coordinator Jakarta - Gorontalo - Jakarta 2.0 4,510,000 9,020,000 0.5 2,062,200 4,510,000 - 0.5 2,062,200 1.5 6,957,800

Jakarta - Palu - Jakarta 3.0 3,280,000 9,840,000 - - 3,280,000 - - - 3.0 9,840,000

Jakarta - Manado - Jakarta 1.0 4,770,000 4,770,000 - - 4,770,000 - - - 1.0 4,770,000

Jakarta - Ambon - Jakarta 2.0 6,620,000 13,240,000 0.1 950,000 6,620,000 - 0.1 950,000 1.9 12,290,000

2.3.2 Financial Management AssistantJakarta - Manado - Jakarta 2.0 4,510,000 9,020,000 - - 4,510,000 - - - 2.0 9,020,000

Jakarta - Gorontalo - Jakarta 3.0 3,280,000 9,840,000 0.1 474,000 3,280,000 - 0.1 474,000 2.9 9,366,000

Jakarta - Palu - Jakarta 1.0 4,770,000 4,770,000 - - 4,770,000 - - - 1.0 4,770,000

Jakarta - Ambon - Jakarta 1.0 6,620,000 6,620,000 0.2 1,453,000 6,620,000 - 0.2 1,453,000 0.8 5,167,000

2.3.3 Local Transport (Province to District) 20.0 400,000 8,000,000 8.8 3,500,000 400,000 - 8.8 3,500,000 11.3 4,500,000

Management Fee 10% of [2.1 + 2.2 + 2.3] 10,685,400 2,559,020 - 2,559,020 8,126,380

3 OFFICE SPACE (Rental) 2,115,770,000 1,270,390,000 22,500,000 1,292,890,000 822,880,000

3.1 Regional Team & Prov. Team

3.1.1 Provincial Team Gorontalo 36 2,320,000 83,520,000 24.0 55,680,000 2,320,000 - 24.0 55,680,000 12.0 27,840,000

Provincial Team Maluku 26 2,320,000 60,320,000 12.0 27,840,000 2,320,000 - 12.0 27,840,000 14.0 32,480,000

3.1.2 Regional & Provincial Team Manado 12 3,760,000 45,120,000 12.0 45,120,000 3,760,000 - 12.0 45,120,000 - -

3.1.3 Provincial Team Palu 12 2,320,000 27,840,000 12.0 27,840,000 2,320,000 - 12.0 27,840,000 - -

Regional & Provincial Team Palu 24 3,760,000 90,240,000 12.0 45,120,000 3,760,000 - 12.0 45,120,000 12.0 45,120,000

3.1.4 Office Running Cost 108 2,000,000 216,000,000 56.0 112,000,000 3 2,000,000 6,000,000 59.0 118,000,000 49.0 98,000,000

3.2 District Team

3.2.1 District Team in Gorontalo 4 office 144 1,305,000 187,920,000 96.0 125,280,000 1,305,000 - 96.0 125,280,000 48.0 62,640,000

3.2.2 District Team in Sulawesi Tengah 10 office 360 1,305,000 469,800,000 240.0 313,200,000 1,305,000 - 240.0 313,200,000 120.0 156,600,000

3.2.3 District Team in Sulawesi Utara 2 office 66 1,305,000 86,130,000 48.0 62,640,000 1,305,000 - 48.0 62,640,000 18.0 23,490,000

3.2.4 District Team in Maluku 5 office 180 1,305,000 234,900,000 120.0 156,600,000 1,305,000 - 120.0 156,600,000 60.0 78,300,000

3.2.5 District Team in Maluku Utara 3 office 36 1,305,000 46,980,000 24.0 31,320,000 1,305,000 - 24.0 31,320,000 12.0 15,660,000

3.2.6 Office Running Cost old district 360 750,000 270,000,000 168.0 126,000,000 10 750,000 7,500,000 178.0 133,500,000 182.0 136,500,000

new district 396 750,000 297,000,000 189.0 141,750,000 12 750,000 9,000,000 201.0 150,750,000 195.0 146,250,000

4 UTILITIES EXPENSES 722,240,000 349,965,000 20,890,000 370,855,000 351,385,000

4.1 Regional and Province

4.1.1 Office Supply and Consumable 108 1,500,000 162,000,000 56.0 84,000,000 3 1,500,000 4,500,000 59.0 88,500,000 49.0 73,500,000

4.2 District

4.1.2 Office Supply and Consumable old district 360 745,000 268,200,000 168.0 125,160,000 10 745,000 7,450,000 178.0 132,610,000 182.0 135,590,000

new district 392 745,000 292,040,000 189.0 140,805,000 12 745,000 8,940,000 201.0 149,745,000 191.0 142,295,000

AMENDMENT NO. 3

Vol. Unit Rate [IDR] Amount [IDR]NO. DESCRIPTION

PREVIOUS COMULATIVE

Vol. Amount [IDR]

TOTAL CLAIM


TOTAL COMULATIVE

Vol. Amount [IDR]

BALANCE

Vol. Amount [IDR]

AMENDMENT NO. 3


PREVIOUS COMULATIVE

Vol. Amount [IDR]

TOTAL CLAIM


TOTAL COMULATIVE

Vol. Amount [IDR]

BALANCE

Vol. Amount [IDR]

5 OFFICE EQUIPMENT 849,125,000 675,460,000 6,500,000 681,960,000 167,165,000

5.1 Notebook Computer (Regional+Provincial+District) 59 7,000,000 413,000,000 59.0 413,000,000 7,000,000 - 59.0 413,000,000 - -

5.2 Portable Computer for Supporting Regional 5 5,000,000 25,000,000 4.0 20,000,000 5,000,000 - 4.0 20,000,000 1.0 5,000,000

5.3 Portable Computer + Printer for Supporting District 24 5,000,000 120,000,000 22.0 110,000,000 5,000,000 - 22.0 110,000,000 2.0 10,000,000

5.4 Printer Laserjet 3 2,500,000 7,500,000 3.0 7,500,000 2,500,000 - 3.0 7,500,000 - -

5.5 Printer Colour A3 3 2,500,000 7,500,000 3.0 7,500,000 2,500,000 - 3.0 7,500,000 - -

5.6 Scanner 25 1,250,000 31,250,000 25.0 31,250,000 1,250,000 - 25.0 31,250,000 - -

5.7 Facsimilie 3 1,500,000 4,500,000 - - 1,500,000 - - - 3.0 4,500,000

5.8 Digital Camera 25 1,250,000 31,250,000 - - 1,250,000 - - - 25.0 31,250,000

5.9 GSM Modem + SIM Card 3 500,000 1,500,000 - - 500,000 - - - 3.0 1,500,000

5.10 Router, LAN Peripheral 3 1,500,000 4,500,000 - - 1,500,000 - - - 3.0 4,500,000

5.11 GPS 28 2,500,000 70,000,000 22.0 55,000,000 2,500,000 - 22.0 55,000,000 6.0 15,000,000

-

5.12 Projector LCD for Province 3 6,000,000 18,000,000 3.0 18,000,000 6,000,000 - 3.0 18,000,000 - -

5.13 Handy Talky 4 2,000,000 8,000,000 - - 2,000,000 - - - 4.0 8,000,000

5.14 Radio Rig 1 3,000,000 3,000,000 - - 3,000,000 - - - 1.0 3,000,000

5.15 Computer desk/Work table and chairs 25 500,000 12,500,000 14.0 7,000,000 7 500,000 3,500,000 21.0 10,500,000 4.0 2,000,000

5.16 Genset 144 500,000 72,000,000 12.0 6,000,000 6 500,000 3,000,000 18.0 9,000,000 126.0 63,000,000

5.17 Equipment Maintenance 1 19,625,000 19,625,000 0.0 210,000 19,625,000 - 0.01 210,000 0.99 19,415,000

6 VEHICLE RENTAL 6,255,450,000 2,497,055,000 136,585,000 2,633,640,000 3,621,810,000

6.1 Car including O&M and Driver (Regional Team) 36 7,000,000 252,000,000 19.0 133,000,000 1 7,000,000 7,000,000 20.0 140,000,000 16.0 112,000,000

6.2 Car including O&M and Driver (Provincial Team) 108 7,000,000 756,000,000 54.0 378,000,000 3 7,000,000 21,000,000 57.0 399,000,000 51.0 357,000,000

6.3 Car including O&M (District Team) old district 150 5,865,000 879,750,000 150.0 879,750,000 5,865,000 - 150.0 879,750,000 - -

new district 120 5,865,000 703,800,000 120.0 703,800,000 5,865,000 - 120.0 703,800,000 - -

Car including O&M and Driver (District Team) old district 230 6,900,000 1,587,000,000 38.0 223,905,000 9 6,900,000 55,890,000 47.0 279,795,000 183.0 1,307,205,000

new district 276 6,900,000 1,904,400,000 22.0 131,100,000 7 6,900,000 45,195,000 29.0 176,295,000 247.0 1,728,105,000

6.4 Motorcycle including Insurance, O&M 69 2,500,000 172,500,000 19.0 47,500,000 3 2,500,000 7,500,000 22.0 55,000,000 47.0 117,500,000

7 COMMUNICATION 550,800,000 79,666,991 9,487,501 89,154,492 461,645,508

7.1 Regional and Province

7.1.1 Telephone and Postage 42 1,000,000 42,000,000 16.2 14,604,894 1,000,000 - 16.2 14,604,894 25.8 27,395,106

7.1.2 Internet Connection for Office 42 350,000 14,700,000 2.0 700,000 350,000 - 2.0 700,000 40.0 14,000,000

Telephone, Postage dan internet connection for Office 66 1,350,000 89,100,000 15.0 13,610,181 3 1,350,000 3,165,516 18.0 16,775,697 48.0 72,324,303

7.2 District

7.2.1 Telephone and Internet Connection old district 360 500,000 180,000,000 54.4 20,405,968 9 500,000 3,313,336 63.4 23,719,304 296.6 156,280,696

new district 396 500,000 198,000,000 60.7 22,995,948 3 500,000 1,208,649 63.7 24,204,597 332.3 173,795,403

7.3 Installasi dan biaya pemasagan 15 1,800,000 27,000,000 9.0 7,350,000 1 1,800,000 1,800,000 10.0 9,150,000 5.0 17,850,000

Management Fee 10% of [7.1 + 7.2] 55,080,000 7,966,699 948,750 8,915,449 46,164,551

8 TRAINING 5,068,388,000 203,434,200 10,637,500 214,071,700 4,854,316,300

8.1 Pelatihan FM Ass. dan Data Entry Operator

8.1.1 Peserta

a Paket Fullboard 132 250,000 33,000,000 132.0 33,000,000 250,000 - 132.0 33,000,000 - -

b Transportation 8 200,000 1,600,000 8.0 800,000 200,000 - 8.0 800,000 - 800,000

Sulawesi Tengah

To Sigi, Donggala, Parimo Mountong - Palu (PP) 6 200,000 1,200,000 6.0 700,000 200,000 - 6.0 700,000 - 500,000

To Morowali, Poso, Tojo Una Una - Palu (PP) 6 500,000 3,000,000 6.0 1,680,000 500,000 - 6.0 1,680,000 - 1,320,000

To Buol, Toli-toli - Palu (PP) 4 600,000 2,400,000 4.0 1,840,000 600,000 - 4.0 1,840,000 - 560,000

To Banggai, Banggai kepulauan - Palu (PP) 4 800,000 3,200,000 4.0 2,200,000 800,000 - 4.0 2,200,000 - 1,000,000

AMENDMENT NO. 3


PREVIOUS COMULATIVE

Vol. Amount [IDR]

TOTAL CLAIM


TOTAL COMULATIVE

Vol. Amount [IDR]

BALANCE

Vol. Amount [IDR]

Sulawesi Utara, Maluku, Malut

To Minahasa Utara, Minahasa Selatan - Menado (PP) 4 200,000 800,000 4.0 500,000 200,000 - 4.0 500,000 - 300,000

To Halmahera Selatan - Ternate (PP) 2 700,000 1,400,000 2.0 1,370,000 700,000 - 2.0 1,370,000 - 30,000

To Ternate- Menado (PP) 2 1,000,000 2,000,000 2.0 929,600 1,000,000 - 2.0 929,600 - 1,070,400

To Maluku Tengah - Ambon (PP) 2 750,000 1,500,000 2.0 800,000 750,000 - 2.0 800,000 - 700,000

To Maluku Tenggara - Ambon (PP) 2 2,650,000 5,300,000 2.0 3,028,000 2,650,000 - 2.0 3,028,000 - 2,272,000

To Buru - Ambon (PP) 2 600,000 1,200,000 2.0 1,000,000 600,000 - 2.0 1,000,000 - 200,000

To Buru Selatan - Ambon (PP) 2 300,000 600,000 2.0 600,000 300,000 - 2.0 600,000 - -

To Maluku Barat Daya - Ambon (PP) 2 4,000,000 8,000,000 2.0 6,518,000 4,000,000 - 2.0 6,518,000 - 1,482,000

8.1.2 Pelatih

a Financial Management Spec. manado - ambon 1 11,390,000 3,400,000 0.3 2,898,800 11,390,000 - 0.3 2,898,800 0.7 501,200

b Inland Transport 1 200,000 200,000 1.0 200,000 200,000 - 1.0 200,000 - -

c Accomodation 3 250,000 750,000 3.0 750,000 250,000 - 3.0 750,000 - -

d OSA (Fixed) 4 200,000 800,000 4.0 800,000 200,000 - 4.0 800,000 - -

Data Management manado - ambon 1 3,400,000 3,400,000 1.0 2,848,800 3,400,000 - 1.0 2,848,800 - 551,200

manado - gorontalo 1 2,200,000 2,200,000 1.0 1,090,600 2,200,000 - 1.0 1,090,600 - 1,109,400

manado - palu 1 3,000,000 3,000,000 1.0 2,503,800 3,000,000 - 1.0 2,503,800 - 496,200

Inland Transport 3 200,000 600,000 3.0 600,000 200,000 - 3.0 600,000 - -

Accomodation 12 300,000 3,600,000 12.0 2,400,000 300,000 - 12.0 2,400,000 - 1,200,000

OSA (Fixed) 15 200,000 3,000,000 15.0 3,000,000 200,000 - 15.0 3,000,000 - -

8.1.3 Training Material + Kit 48 100,000 4,800,000 44.0 4,004,100 100,000 - 44.0 4,004,100 4.0 795,900

Management Fee 10% of [8.1.1b + 8.1.2a + 8.1.2b + 8.1.2d + 8.1.3] 5,720,000 4,231,170 - 4,231,170 1,488,830

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 22 300,000 6,600,000 17.0 4,080,000 300,000 - 17.0 4,080,000 5.0 2,520,000

50 180,000 9,000,000 - - 180,000 - - - 50.0 9,000,000

8.2.5 OSA (Fixed) - Provincial Team 62 300,000 18,600,000 62.0 15,260,000 300,000 - 62.0 15,260,000 - 3,340,000

100 180,000 18,000,000 7.0 1,120,000 180,000 - 7.0 1,120,000 93.0 16,880,000

Management Fee 10% of [8.2.4 + 8.2.5] 5,220,000 9 2,046,000 - 2,046,000 3,174,000

8.3 Expert Group Meeting - Regional

Fullboard package for district team 3 - 200,000 - - - 200,000 - - - - -

Fullboard package for provincial team 3 - 250,000 - - - 250,000 - - - - -

Fullboard package for regional team 3 - 200,000 - - - 200,000 - - - - -

8.3.1 Air Transport [Economy Class]

a Regional Team/ Manado manado - gorontalo - 8,920,000 - - - 8,920,000 - - - - -

b Regional Team/ Manado manado - palu - 9,550,000 - - - 9,550,000 - - - - -

d Regional Team/ Manado manado - ambon - 11,390,000 - - - 11,390,000 - - - - -

h Provincial Team/ Ambon manado - ambon 3 11,390,000 34,170,000 - - 11,390,000 - - - 3.0 34,170,000

8.3.2 Inland Transport

a District Team/ Gorontalo - 200,000 - - - 200,000 - - - - -

b District Team/ Palu - 200,000 - - - 200,000 - - - - -

c District Team/ Manado - 200,000 - - - 200,000 - - - - -

d District Team/ Ambon - 200,000 - - - 200,000 - - - - -

8.3.3 OSA (Fixed) 104 200,000 20,800,000 - - 200,000 - - - 104.0 20,800,000

Management Fee 10% of [8.3.1 + 8.3.2 + 8.3.3] 5,497,000 - - - 5,497,000

8.4 OJT Fasilitator

8.4.1 Training Material + Kit 3 years x 2,592 25,000 64,800,000 45.0 1,125,000 15 25,000 375,000 60.0 1,500,000 2,532.0 63,300,000

8.4.2 Meals, Snack 3 years x 2,592 17,500 45,360,000 45.0 787,500 15 17,500 262,500 60.0 1,050,000 2,532.0 44,310,000

AMENDMENT NO. 3


PREVIOUS COMULATIVE

Vol. Amount [IDR]

TOTAL CLAIM


TOTAL COMULATIVE

Vol. Amount [IDR]

BALANCE

Vol. Amount [IDR]

8.5 Pelatihan Penguatan BPSPAM (in district)

8.5.1 Paket Fullboard Participant 4,730 200,000 946,000,000 - - 200,000 - - - 4,730.0 946,000,000

8.5.2 Paket Fullday for DPMU + TKK 384 100,000 38,400,000 - - 100,000 - - - 384.0 38,400,000

8.5.3 Uang Saku Participant 4,800 50,000 240,000,000 - - 50,000 - - - 4,800.0 240,000,000

8.5.4 Uang Transport Participant 1,200 100,000 120,000,000 - - 100,000 - - - 1,200.0 120,000,000

8.5.5 Spanduk 96 140,000 13,440,000 - - 140,000 - - - 96.0 13,440,000

8.5.6 Training Material + Kit 1,200 100,000 120,000,000 - - 100,000 - - - 1,200.0 120,000,000

Management Fee 10% of [8.5.3 + 8.5.4 + 8.5.5 + 8.5.6] 49,344,000 - - - 49,344,000

8.6 Pelatihan Kader AMPL (in district)

8.6.1 Paket Fullboard Participant 4,730 200,000 946,000,000 - - 200,000 - - - 4,730.0 946,000,000

8.6.2 Paket Fullday for DPMU + TKK 384 100,000 38,400,000 - - 100,000 - - - 384.0 38,400,000

8.6.3 Uang Saku Participant 4,800 50,000 240,000,000 - - 50,000 - - - 4,800.0 240,000,000

8.6.4 Uang Transport Participant 1,200 100,000 120,000,000 - - 100,000 - - - 1,200.0 120,000,000

8.6.5 Spanduk 96 140,000 13,440,000 - - 140,000 - - - 96.0 13,440,000

8.6.6 Training Material + Kit 1,200 100,000 120,000,000 - - 100,000 - - - 1,200.0 120,000,000

Management Fee 10% of [8.6.3 + 8.6.4 + 8.6.5 + 8.6.6] 49,344,000 - - - 49,344,000

8.7 Workshop RAD AMPL 144 5,000,000 720,000,000 21.0 105,000,000 2 5,000,000 10,000,000 23.0 115,000,000 121.0 605,000,000


8.8 Workshop Forum/Asosiasi BPSPAM in Province

8.8.1 Paket Fullboard Participant + DPMU + TKK 480 200,000 96,000,000 - - 200,000 - - - 480.0 96,000,000

8.8.2 Uang Transport Participant - 200,000 - - - 200,000 - - - - -

Cluster Gorontalo & Sulawesi Utara

To District Gorontalo, Gorut, Bone bolango - Province (PP) 30 200,000 6,000,000 - - 200,000 - - - 30.0 6,000,000

To Boalemo - Gorontalo (PP) 10 400,000 4,000,000 - - 400,000 - - - 10.0 4,000,000

To Minahasa Utara, Minahasa Selatan - Gorontalo (PP) 20 600,000 12,000,000 - - 600,000 - - - 20.0 12,000,000

Sulawesi Tengah

To Sigi, Donggala, Parimo Mountong - Palu (PP) 30 200,000 6,000,000 - - 200,000 - - - 30.0 6,000,000

To Morowali, Poso, Tojo Una Una - Palu (PP) 30 500,000 15,000,000 - - 500,000 - - - 30.0 15,000,000

To Buol, Toli- toli - Palu (PP) 20 600,000 12,000,000 - - 600,000 - - - 20.0 12,000,000

To Banggai, Banggai kepulauan - Palu (PP) 20 800,000 16,000,000 - - 800,000 - - - 20.0 16,000,000

Cluster Maluku & Malut

To Ternate - Ambon (PP) 10 3,200,000 32,000,000 - - 3,200,000 - - - 10.0 32,000,000

To Halmahera Selatan - Ternate (PP) 10 700,000 7,000,000 - - 700,000 - - - 10.0 7,000,000

To Maluku Tengah - Ambon (PP) 10 750,000 7,500,000 - - 750,000 - - - 10.0 7,500,000

To Maluku Tenggara - Ambon (PP) 10 2,650,000 26,500,000 - - 2,650,000 - - - 10.0 26,500,000

To Buru, Buru Selatan - Ambon (PP) 20 600,000 12,000,000 - - 600,000 - - - 20.0 12,000,000

To Maluku Barat Daya - Ambon (PP) 10 4,000,000 40,000,000 - - 4,000,000 - - - 10.0 40,000,000

8.8.3 Training Material + Kit 240 100,000 24,000,000 - - 100,000 - - - 240.0 24,000,000

8.8.4 Spanduk 96 140,000 13,440,000 - - 140,000 - - - 96.0 13,440,000


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

8.9.1 Paket Fullboard Participant 864 200,000 172,800,000 - - 200,000 - - - 864.0 172,800,000

8.9.2 Uang Transport Participant - 200,000 - - - 200,000 - - - - -

Cluster Gorontalo & Sulawesi Utara

To District Gorontalo, Gorut, Bone bolango - Province (PP) 27 200,000 5,400,000 - - 200,000 - - - 27.0 5,400,000

To Boalemo - Gorontalo (PP) 9 400,000 3,600,000 - - 400,000 - - - 9.0 3,600,000

To Minahasa Utara, Minahasa Selatan - Gorontalo (PP) 18 600,000 10,800,000 - - 600,000 - - - 18.0 10,800,000

Sulawesi Tengah

To Sigi, Donggala, Parimo Mountong - Palu (PP) 27 200,000 5,400,000 - - 200,000 - - - 27.0 5,400,000

To Morowali, Poso, Tojo Una Una - Palu (PP) 27 500,000 13,500,000 - - 500,000 - - - 27.0 13,500,000

To Buol, Toli- toli - Palu (PP) 18 600,000 10,800,000 - - 600,000 - - - 18.0 10,800,000

To Banggai, Banggai kepulauan - Palu (PP) 18 800,000 14,400,000 - - 800,000 - - - 18.0 14,400,000

AMENDMENT NO. 3


PREVIOUS COMULATIVE

Vol. Amount [IDR]

TOTAL CLAIM


TOTAL COMULATIVE

Vol. Amount [IDR]

BALANCE

Vol. Amount [IDR]

Cluster Maluku & Malut

To Ternate - Ambon (PP) 9 3,200,000 28,800,000 - - 3,200,000 - - - 9.0 28,800,000

To Halmahera Selatan - Ternate (PP) 9 700,000 6,300,000 - - 700,000 - - - 9.0 6,300,000

To Maluku Tengah - Ambon (PP) 9 750,000 6,750,000 - - 750,000 - - - 9.0 6,750,000

To Maluku Tenggara - Ambon (PP) 9 2,650,000 23,850,000 - - 2,650,000 - - - 9.0 23,850,000

To Buru, Buru Selatan - Ambon (PP) 18 600,000 10,800,000 - - 600,000 - - - 18.0 10,800,000

To Maluku Barat Daya - Ambon (PP) 9 4,000,000 36,000,000 - - 4,000,000 - - - 9.0 36,000,000

8.9.3 Training Material + Kit 216 100,000 21,600,000 - - 100,000 - - - 216.0 21,600,000

8.9.4 Spanduk 144 140,000 20,160,000 - - 140,000 - - - 144.0 20,160,000


8.10 Printing/ Media:

8.10.1 Spanduk 2 768 140,000 107,520,000 - - 140,000 - - - 768.0 107,520,000

8.10.2 Poster 10 22,100 5,890 130,180,000 - - 5,890 - - - 22,100.0 130,180,000

8.10.3 Leaflet 4 39,560 2,000 79,120,000 - - 2,000 - - - 39,560.0 79,120,000

biaya distribusi 1 47,208,000 47,208,000 - - 47,208,000 - - - 1.0 47,208,000

Total Management Fee Training Activity [8.1 + 8.2 + 8.3.1 + 8.3.2 + 8.5 + 8.6 + 8.7 + 8.8 + 8.9] 232,285,000 16,777,170 1,000,000 17,777,170 214,507,830

9 REPORTING 40,375,000 15,750,000 500,000 16,250,000 24,125,000

9.1 Inception Report 25 50,000 1,250,000 25.0 1,250,000 50,000 - 25.0 1,250,000 - -

9.2 Monthly Report 540 25,000 13,500,000 260.0 6,500,000 20 25,000 500,000 280.0 7,000,000 260.0 6,500,000

9.3 Quarterly Report 180 50,000 9,000,000 100.0 5,000,000 50,000 - 100.0 5,000,000 80.0 4,000,000

9.4 Special Report 60 25,000 1,500,000 - - 25,000 - - - 60.0 1,500,000

9.5 Annual Report 60 75,000 4,500,000 20.0 1,500,000 75,000 - 20.0 1,500,000 40.0 3,000,000

9.6 Financial Management Report (FMR) 60 25,000 1,500,000 - - 25,000 - - - 60.0 1,500,000

9.7 Draft Final Report 20 75,000 1,500,000 - - 75,000 - - - 20.0 1,500,000

9.8 Final Report 20 100,000 2,000,000 - - 100,000 - - - 20.0 2,000,000

9.9 Training Program Report 225 25,000 5,625,000 60.0 1,500,000 25,000 - 60.0 1,500,000 165.0 4,125,000

10 PELATIHAN STBM PAMSIMAS II 320,385,000 275,825,000 - 275,825,000 44,560,000

1 Honorarium Trainer/Fasilitator/Instruktur khusus

2 Perdiem

- Central Government 6 105,000 630,000 - - 105,000 - - - 6.0 630,000

- Provincial Government 6 105,000 630,000 3.0 315,000 105,000 - 3.0 315,000 3.0 315,000

- Advisor 5 105,000 525,000 - - 105,000 - - - 5.0 525,000

- Panitia Lokal 15 105,000 1,575,000 15.0 1,575,000 105,000 - 15.0 1,575,000 - -

- Pemandu STBM (Province & Districts) 35 105,000 3,675,000 35.0 3,675,000 105,000 - 35.0 3,675,000 - -

- Participants (Sanitarian/Kader/Natural leader/Bidan) 380 105,000 39,900,000 380.0 39,900,000 105,000 - 380.0 39,900,000 - -

3 Transportation

a. Tickets

- Central Government 2 4,780,000 9,560,000 - - 4,780,000 - - - 2.0 9,560,000

- Advisor 1 4,780,000 4,780,000 - - 4,780,000 - - - 1.0 4,780,000

b. Inland/Local Transport

- Taxi (pp) for Central Personnels 3 420,000 1,260,000 - - 420,000 - - - 3.0 1,260,000

- Provincial Government 2 110,000 220,000 1.0 110,000 110,000 - 1.0 110,000 1.0 110,000

- Pemandu STBM (Province) 1 110,000 110,000 1.0 110,000 110,000 - 1.0 110,000 - -

- Pemandu STBM (Districts) 6 400,000 1,800,000 6.0 1,800,000 400,000 - 6.0 1,800,000 - -

- Participants (Sanitarian/Kader/Natural leader/Bidan)

- Donggala, Parigi Mountong - Palu (pp) 25 175,000 4,375,000 25.0 4,050,000 175,000 - 25.0 4,050,000 - 325,000

- Buol - Palu (pp) 7 550,000 3,850,000 7.0 3,850,000 550,000 - 7.0 3,850,000 - -

- Poso - Palu (pp) 10 300,000 3,000,000 10.0 3,000,000 300,000 - 10.0 3,000,000 - -

- Morowali, Tojo Una una - Palu (pp) 17 450,000 7,650,000 17.0 7,480,000 450,000 - 17.0 7,480,000 - 170,000

- Banggai Kepulauan - Palu (pp) 17 800,000 13,600,000 17.0 12,830,000 800,000 - 17.0 12,830,000 - 770,000

4 Fullboard Package

a. Central

- Central Government 4 375,000 1,500,000 - - 375,000 - - - 4.0 1,500,000

- Provincial Government 4 375,000 1,500,000 - - 375,000 - - - 4.0 1,500,000

- TDS / CMAC 4 375,000 1,500,000 - - 375,000 - - - 4.0 1,500,000

AMENDMENT NO. 3


PREVIOUS COMULATIVE

Vol. Amount [IDR]

TOTAL CLAIM


TOTAL COMULATIVE

Vol. Amount [IDR]

BALANCE

Vol. Amount [IDR]

- Advisor 4 375,000 1,500,000 - - 375,000 - - - 4.0 1,500,000

b. Local Participants

- Pemandu STBM (Province & Districts) 28 375,000 10,500,000 28.0 10,220,000 375,000 - 28.0 10,220,000 - 280,000

- Participants (Sanitarian/Kader/Natural leader/Bidan) 304 375,000 114,000,000 304.0 110,960,000 375,000 - 304.0 110,960,000 - 3,040,000

c. Panitia Lokal 12 375,000 4,500,000 12.0 4,380,000 375,000 - 12.0 4,380,000 - 120,000

5 Training Kit (Tas Punggung, Kaos, Topi) 83 250,000 20,750,000 83.0 20,750,000 250,000 - 83.0 20,750,000 - -

6 Training Material 83 275,000 22,825,000 83.0 19,500,000 275,000 - 83.0 19,500,000 - 3,325,000

7 Stationery 2 2,000,000 4,000,000 2.0 4,000,000 2,000,000 - 2.0 4,000,000 - -

8 Equipment

a. Video Camera Rental 5 260,000 1,300,000 - - 260,000 - - - 5.0 1,300,000

b. Banner 1 500,000 500,000 1.0 500,000 500,000 - 1.0 500,000 - -

c. Backdrop 1 1,250,000 1,250,000 1.0 1,250,000 1,250,000 - 1.0 1,250,000 - -

d. Additional Classroom 8 1,500,000 12,000,000 6.0 6,000,000 1,500,000 - 6.0 6,000,000 2.0 6,000,000

e. Additional Infocus Rental 8 350,000 2,800,000 - - 350,000 - - - 8.0 2,800,000

f. Preparation Meeting (Snack & Lunch) 40 48,000 1,920,000 40.0 1,920,000 48,000 - 40.0 1,920,000 - -

g. Car Rental 5 580,000 2,900,000 5.0 2,900,000 580,000 - 5.0 2,900,000 - -

h.Computer/Laptop Rental 15 300,000 4,500,000 15.0 3,750,000 300,000 - 15.0 3,750,000 - 750,000

i. Printer Rental 10 300,000 3,000,000 10.0 2,500,000 300,000 - 10.0 2,500,000 - 500,000

g. Bus Rental (Field Visit) 5 2,000,000 10,000,000 4.0 8,000,000 2,000,000 - 4.0 8,000,000 1.0 2,000,000

9 Training Report 5 100,000 500,000 5.0 500,000 100,000 - 5.0 500,000 - -

Management Fee 10% of [ C ] 32,038,500 27,582,500 - 27,582,500 4,456,000

11 PELATIHAN PENGUATAN ASOSIASI SPAM PEDESAAN 389,279,600 368,572,300 - 368,572,300 20,707,300

PELATIHAN PENGUATAN ASOSIASI SPAM PERDESAAN

KABUPATEN/KOTA PAMSIMAS TA 2014 ROMS-6

1. 194,109,600 185,706,300 - 185,706,300 8,403,300

1.1 Perdiem

- Central Government - 110,000 - - - 110,000 - - - - -

- Provincial Government (PU, Bappeda, Dinkes, PMS, Satker) 25 110,000 2,750,000 25.0 2,750,000 110,000 - 25.0 2,750,000 - -

- Advisory CPMU 5 110,000 550,000 2.0 220,000 110,000 - 2.0 220,000 3.0 330,000

- Panitia Lokal 10 110,000 1,100,000 10.0 1,100,000 110,000 - 10.0 1,100,000 - -

- Pemandu (Palu) 10 110,000 1,100,000 10.0 1,100,000 110,000 - 10.0 1,100,000 - -

- Pemandu (Regional, LGs) 10 110,000 1,100,000 10.0 1,100,000 110,000 - 10.0 1,100,000 - -

- Participants Palu (Pengurus Asosiasi/SKPD Asosiasi/FK/DC) 305 110,000 33,550,000 290.0 31,900,000 110,000 - 290.0 31,900,000 15.0 1,650,000

1.2 Transportation

a. Tickets

- Central Government (Jakarta - Palu pp) 1 - - - - - - - - 1.0 -

- Advisor CPMU (Jakarta - Palu pp) 1 4,450,000 4,450,000 1.0 4,450,000 4,450,000 - 1.0 4,450,000 - -

- Pemandu Asosiasi LGs (Menado - Palu pp) 1 3,389,600 3,389,600 1.0 2,311,300 3,389,600 - 1.0 2,311,300 - 1,078,300


- Taxi (pp) for Central Personnels 2 420,000 840,000 1.0 420,000 420,000 - 1.0 420,000 1.0 420,000

- Provincial Government (Palu) 5 110,000 550,000 5.0 550,000 110,000 - 5.0 550,000 - -

- Pemandu Asosiasi (Regional, LGs) 1 110,000 110,000 1.0 110,000 110,000 - 1.0 110,000 - -

- Pemandu Asosiasi (Sulawesi Tengah)

Buol - Palu (pp) 1 550,000 550,000 1.0 550,000 550,000 - 1.0 550,000 - -

Tojo Una una - Palu (pp) 1 450,000 450,000 1.0 450,000 450,000 - 1.0 450,000 - -

- Participants Palu (Pengurus Asosiasi/SKPD Asosiasi/FK/DC)

Donggala, Parigi Mountong - Palu (pp) 18 175,000 3,150,000 17.0 2,975,000 175,000 - 17.0 2,975,000 1.0 175,000

Buol - Palu (pp) 8 550,000 4,400,000 8.0 4,400,000 550,000 - 8.0 4,400,000 - -

Poso - Palu (pp) 9 300,000 2,700,000 9.0 2,700,000 300,000 - 9.0 2,700,000 - -

Morowali, Tojo Una una - Palu (pp) 17 450,000 7,650,000 16.0 7,200,000 450,000 - 16.0 7,200,000 1.0 450,000

Banggai Kepulauan - Palu (pp) 8 800,000 6,400,000 8.0 6,400,000 800,000 - 8.0 6,400,000 - -

c. Panitia Lokal 2 110,000 220,000 2.0 220,000 110,000 - 2.0 220,000 - -

1.3 Fullboard Package

a. Central


ROMS 6 - PALU

AMENDMENT NO. 3


PREVIOUS COMULATIVE

Vol. Amount [IDR]

TOTAL CLAIM


TOTAL COMULATIVE

Vol. Amount [IDR]

BALANCE

Vol. Amount [IDR]

- Advisor CPMU 4 325,000 1,300,000 4.0 1,300,000 325,000 - 4.0 1,300,000 - -


- Pemandu Asosiasi (Regional & Districts) 16 325,000 5,200,000 16.0 5,200,000 325,000 - 16.0 5,200,000 - -

- Participants (Pengurus Asosiasi/SKPD Asosiasi/FK/DC) 244 325,000 79,300,000 244.0 79,300,000 325,000 - 244.0 79,300,000 - -

c. Panitia Lokal 8 325,000 2,600,000 8.0 2,600,000 325,000 - 8.0 2,600,000 - -

1.4 Fullday Package

- Provincial Government 20 200,000 4,000,000 20.0 4,000,000 200,000 - 20.0 4,000,000 - -

1.5 Training Kit dan training material 66 200,000 13,200,000 66.0 13,200,000 200,000 - 66.0 13,200,000 - -

1.6 Stationery 2 1,000,000 2,000,000 2.0 2,000,000 1,000,000 - 2.0 2,000,000 - -

1.7 Equipment

a. Horizontal Banner 2 250,000 500,000 2.0 500,000 250,000 - 2.0 500,000 - -

b. Additional Ballroom 2 1,500,000 3,000,000 - - 1,500,000 - - - 2.0 3,000,000

c. Preparation Meeting (Snack & Lunch) 10 50,000 500,000 10.0 500,000 50,000 - 10.0 500,000 - -

d. Car Rental 5 580,000 2,900,000 5.0 2,900,000 580,000 - 5.0 2,900,000 - -

e. Computer/Laptop Rental 5 300,000 1,500,000 5.0 1,500,000 300,000 - 5.0 1,500,000 - -

f. Printer Rental 5 300,000 1,500,000 5.0 1,500,000 300,000 - 5.0 1,500,000 - -

1.8 Training Report 3 100,000 300,000 3.0 300,000 100,000 - 3.0 300,000 - -

2 89,650,000 85,147,900 - 85,147,900 4,502,100

2.1 Perdiem



- Advisory CPMU 5 110,000 550,000 2.0 220,000 110,000 - 2.0 220,000 3.0 330,000

- Panitia Lokal 5 110,000 550,000 5.0 550,000 110,000 - 5.0 550,000 - -

- Pemandu Asosiasi (Regional, LGs) - 110,000 - - - 110,000 - - - - -

- Pemandu Asosiasi (Gorontalo) 10 110,000 1,100,000 10.0 1,100,000 110,000 - 10.0 1,100,000 - -

- Participants Gorontalo (Pengurus Asosiasi/SKPD Asosiasi/FK/DC) 125 110,000 13,750,000 125.0 13,750,000 110,000 - 125.0 13,750,000 - -

2.2 Transportation

a. Tickets

- Central Government (Jakarta - Gorontalo pp)

- Advisor CPMU (Jakarta - Gorontalo pp) 1 4,800,000 4,800,000 1.0 4,777,900 4,800,000 - 1.0 4,777,900 - 22,100

- Pemandu Asosiasi LGs (Menado - Gorontalo pp) - 2,100,000 - - - 2,100,000 - - - - -


- Taxi (pp) for Central Personnels 1 420,000 420,000 1.0 420,000 420,000 - 1.0 420,000 - -

- Provincial Government (PU, Bappeda, Dinkes, PMD, Satker) 5 110,000 550,000 5.0 550,000 110,000 - 5.0 550,000 - -

- Pemandu (Regional Menado) - 200,000 - - - 200,000 - - - - -

- Pemandu (Gorontalo) 2 110,000 220,000 2.0 220,000 110,000 - 2.0 220,000 - -

- Participants Gorontalo (Pengurus Asosiasi/SKPD Asosiasi/FK/DC)

Kab Gorontalo - Province (pp) 8 50,000 400,000 8.0 400,000 50,000 - 8.0 400,000 - -

Boalemo - Gorontalo (pp) 17 200,000 3,400,000 9.0 1,800,000 200,000 - 9.0 1,800,000 8.0 1,600,000

Pohuwato - Gorontalo (pp) 8 300,000 2,400,000 8.0 2,400,000 300,000 - 8.0 2,400,000 - -

c. Panitia Lokal 1 110,000 110,000 1.0 110,000 110,000 - 1.0 110,000 - -


a. Central


- Advisor CPMU 4 325,000 1,300,000 4.0 1,300,000 325,000 - 4.0 1,300,000 - -


- Pemandu (Regional & Districts) 12 325,000 3,900,000 12.0 3,900,000 325,000 - 12.0 3,900,000 - -


c. Panitia Lokal 4 325,000 1,300,000 4.0 1,300,000 325,000 - 4.0 1,300,000 - -

2.4 Fullday Package

- Provincial Government 20 200,000 4,000,000 20.0 3,300,000 200,000 - 20.0 3,300,000 - 700,000


2.6 Stationery 1 1,000,000 1,000,000 1.0 1,000,000 1,000,000 - 1.0 1,000,000 - -

2.7 Equipment


b. Additional Ballroom - 1,500,000 - - - 1,500,000 - - - - -

ROMS 6 - GORONTALO

AMENDMENT NO. 3


PREVIOUS COMULATIVE

Vol. Amount [IDR]

TOTAL CLAIM


TOTAL COMULATIVE

Vol. Amount [IDR]

BALANCE

Vol. Amount [IDR]


d. Car Rental 5 580,000 2,900,000 5.0 2,900,000 580,000 - 5.0 2,900,000 - -


f. Printer Rental 5 300,000 1,500,000 5.0 1,500,000 300,000 - 5.0 1,500,000 - -

2.8 Training Report 3 100,000 300,000 3.0 300,000 100,000 - 3.0 300,000 - -

3 105,520,000 97,718,100 - 97,718,100 7,801,900

3.1 Perdiem



- Advisory CPMU 5 110,000 550,000 2.0 220,000 110,000 - 2.0 220,000 3.0 330,000

- Panitia 5 110,000 550,000 5.0 550,000 110,000 - 5.0 550,000 - -

- Pemandu 5 110,000 550,000 5.0 550,000 110,000 - 5.0 550,000 - -

- Participants Maluku (Pengurus Asosiasi/SKPD Asosiasi/FK/DC) 35 110,000 3,850,000 30.0 3,300,000 110,000 - 30.0 3,300,000 5.0 550,000

- Participants Maluku Utara (Pengurus Asosiasi/SKPD Asosiasi/FK/DC) 70 110,000 7,700,000 65.0 7,150,000 110,000 - 65.0 7,150,000 5.0 550,000

3.2 Transportation

a. Tickets

- Central Government (Jakarta - Ternate pp) 1 - - - - - - - - 1.0 -

- Advisor CPMU (Jakarta - Ternate pp) 1 9,020,000 9,020,000 1.0 7,242,900 9,020,000 - 1.0 7,242,900 - 1,777,100

- Participants Maluku (Ambon - Ternate pp) 7 2,800,000 19,600,000 7.0 18,130,000 2,800,000 - 7.0 18,130,000 - 1,470,000

- Paritia ROMS (Gorontalo - Ternate pp) 1 2,400,000 2,400,000 1.0 2,245,200 2,400,000 - 1.0 2,245,200 - 154,800


- Taxi (pp) for Central Personnels 2 420,000 840,000 1.0 420,000 420,000 - 1.0 420,000 1.0 420,000

- Provincial Government (Maluku Utara) 5 110,000 550,000 5.0 550,000 110,000 - 5.0 550,000 - -

- Pemandu Asosiasi (Maluku Tengah - Ambon) 1 500,000 500,000 1.0 500,000 500,000 - 1.0 500,000 - -

- Participants Maluku (Pengurus Asosiasi/SKPD Asosiasi/FK/DC)

Maluku Tengah - Ambon (pp) 7 400,000 2,800,000 6.0 2,400,000 400,000 - 6.0 2,400,000 1.0 400,000

- Participants Maluku Utara (Pengurus Asosiasi/SKPD Asosiasi/FK)

Kota Tidore Kepulauan - Ternate (pp) 7 300,000 2,100,000 6.0 1,800,000 300,000 - 6.0 1,800,000 1.0 300,000

Halmahera Barat - Ternate (pp) 7 300,000 2,100,000 7.0 2,100,000 300,000 - 7.0 2,100,000 - -

c. Panitia 1 110,000 110,000 1.0 110,000 110,000 - 1.0 110,000 - -


a. Central


- Advisor CPMU 4 325,000 1,300,000 4.0 1,300,000 325,000 - 4.0 1,300,000 - -


- Pemandu (Districts) 4 325,000 1,300,000 4.0 1,300,000 325,000 - 4.0 1,300,000 - -


c. Panitia Lokal 4 325,000 1,300,000 4.0 1,300,000 325,000 - 4.0 1,300,000 - -

3.4 Fullday Package

- Provincial Government 20 200,000 4,000,000 20.0 4,000,000 200,000 - 20.0 4,000,000 - -


3.6 Stationery 1 1,000,000 1,000,000 1.0 1,000,000 1,000,000 - 1.0 1,000,000 - -

3.7 Equipment


b. Additional Ballroom - 1,500,000 - - - 1,500,000 - - - - -


d. Car Rental 5 580,000 2,900,000 5.0 2,900,000 580,000 - 5.0 2,900,000 - -


f. Printer Rental 5 300,000 1,500,000 5.0 1,500,000 300,000 - 5.0 1,500,000 - -

3.7 Training Report 3 100,000 300,000 3.0 300,000 100,000 - 3.0 300,000 - -

38,927,960 36,857,230 - 36,857,230 2,070,730

ROMS 6 - MALUKU UTARA - MALUKU

Management Fee Training Association SPAM 10 % of 11

AMENDMENT NO. 3


PREVIOUS COMULATIVE

Vol. Amount [IDR]

TOTAL CLAIM


TOTAL COMULATIVE

Vol. Amount [IDR]

BALANCE

Vol. Amount [IDR]

12 Facilitator 2,499,600,000 1,584,743,334 - 1,584,743,334 914,856,666

12.1 Gaji Fasilitator 1,955,000,000 1,295,858,334 - 1,295,858,334 659,141,666

Facilitator Keberlanjutan (FK) Sulawesi Tengah 76 6,000,000 456,000,000 57.0 342,000,000 6,000,000 - 57.0 342,000,000 19.0 114,000,000

Facilitator Keberlanjutan (FK) Gorontalo 24 6,000,000 144,000,000 15.3 92,000,000 6,000,000 - 15.3 92,000,000 8.7 52,000,000

Facilitator Keberlanjutan (FK) Maluku 12 6,000,000 72,000,000 6.5 39,200,000 6,000,000 - 6.5 39,200,000 5.5 32,800,000

Facilitator Keberlanjutan (FK) Maluku Utara 8 6,000,000 48,000,000 3.3 19,800,000 6,000,000 - 3.3 19,800,000 4.7 28,200,000

Facilitator Masyarakat (FM) Sulawesi Utara 12 3,250,000 39,000,000 9.0 29,250,000 3,250,000 - 9.0 29,250,000 3.0 9,750,000

Facilitator Masyarakat (FM) Sulawesi Tengah 168 3,250,000 546,000,000 124.0 403,000,000 3,250,000 - 124.0 403,000,000 44.0 143,000,000

Facilitator Masyarakat (FM) Gorontalo 36 3,250,000 117,000,000 20.1 65,216,667 3,250,000 - 20.1 65,216,667 15.9 51,783,333

Facilitator Masyarakat (FM) Maluku 42 3,250,000 136,500,000 42.0 136,500,000 3,250,000 - 42.0 136,500,000 - -

Facilitator Masyarakat (FM) Maluku Utara 6 3,250,000 19,500,000 - - 3,250,000 - - - 6.0 19,500,000

Facilitator Masyarakat (FM) Sulawesi Utara 10 3,250,000 32,500,000 3.0 9,750,000 3,250,000 - 3.0 9,750,000 7.0 22,750,000

Facilitator Masyarakat (FM) Sulawesi Tengah 52 3,250,000 169,000,000 26.0 84,500,000 3,250,000 - 26.0 84,500,000 26.0 84,500,000

Facilitator Masyarakat (FM) Gorontalo 22 3,250,000 71,500,000 9.0 29,141,667 3,250,000 - 9.0 29,141,667 13.0 42,358,333

Facilitator Masyarakat (FM) Maluku 28 3,250,000 91,000,000 14.0 45,500,000 3,250,000 - 14.0 45,500,000 14.0 45,500,000

Facilitator Masyarakat (FM) Maluku Utara 4 3,250,000 13,000,000 - - 3,250,000 - - - 4.0 13,000,000

Management Fee 15 % (12.1) 293,250,000 - 194,378,750 - 194,378,750 98,871,250

Biaya lain-lain Fasilitator 544,600,000 288,885,000 - 288,885,000 255,715,000

12.2 BOP Facilitator Masyarakat (FM) 264 250,000 66,000,000 199.0 49,750,000 250,000 - 199.0 49,750,000 65.0 16,250,000

BOP Facilitator Masyarakat (FM) 116 250,000 29,000,000 52.0 13,000,000 250,000 - 52.0 13,000,000 64.0 16,000,000

Perjalanan Dinas FK Sulawesi Tengah dan Gorontalo 100 500,000 50,000,000 72.0 32,340,000 500,000 - 72.0 32,340,000 28.0 17,660,000

Perjalanan Dinas FK Maluku dan Maluku Utara 20 1,000,000 20,000,000 9.0 9,000,000 1,000,000 - 9.0 9,000,000 11.0 11,000,000

Perjalanan Dinas FM Sulawesi Utara 12 500,000 6,000,000 9.0 3,780,000 500,000 - 9.0 3,780,000 3.0 2,220,000

Perjalanan Dinas FM Sulawesi Tengah 168 650,000 109,200,000 124.0 48,850,000 650,000 - 124.0 48,850,000 44.0 60,350,000

Perjalanan Dinas FM Gorontalo 36 700,000 25,200,000 24.0 13,200,000 700,000 - 24.0 13,200,000 12.0 12,000,000

Perjalanan Dinas FM Maluku 42 2,500,000 105,000,000 42.0 77,400,000 2,500,000 - 42.0 77,400,000 - 27,600,000

Perjalanan Dinas FM Maluku Utara 6 1,000,000 6,000,000 - - 1,000,000 - - - 6.0 6,000,000

Perjalanan Dinas FM Sulawesi Utara 10 500,000 5,000,000 3.0 1,260,000 500,000 - 3.0 1,260,000 7.0 3,740,000

Perjalanan Dinas FM Sulawesi Tengah 52 650,000 33,800,000 26.0 9,555,000 650,000 - 26.0 9,555,000 26.0 24,245,000

Perjalanan Dinas FM Gorontalo 22 700,000 15,400,000 9.0 4,950,000 700,000 - 9.0 4,950,000 13.0 10,450,000

Perjalanan Dinas FM Maluku 28 2,500,000 70,000,000 14.0 25,800,000 2,500,000 - 14.0 25,800,000 14.0 44,200,000

Perjalanan Dinas FM Maluku Utara 4 1,000,000 4,000,000 - - 1,000,000 - - - 4.0 4,000,000

Management Fee 10 % (12.2) 54,460,000 28,888,500 - 28,888,500 25,571,500

13 Cost of "Basic Program" to The District Association [TF 094792] 312,500,000 297,500,000 - 297,500,000 15,000,000

- Central Sulawesi Province [7 District] 152,500,000 - 152,500,000 - - - 152,500,000 - -

- Gorontalo Province [3 District] 62,500,000 - 62,500,000 - - - 62,500,000 - -

- Maluku Province [1 District] 22,500,000 - 22,500,000 - - - 22,500,000 - -

- North Province [2 District] 30,000,000 - 30,000,000 - - - 30,000,000 - -

Cost of "Basic Program" and "Pilot Program"

- Tidore kepulauan (north maluku) 45,000,000 - 30,000,000 - - - 30,000,000 - 15,000,000

Management Fee 10 % (13) 31,250,000 29,750,000 - 29,750,000 1,500,000

Documents

PT. KOGAS DRIYAP KONSULTAN in JV with PT. PERENTJANA …new.pamsimas.org/data/kontrak/invoice/romsVI/ROMS-6... · community based water supply project (pamsimas ii) invoice no. 20