AMENDMENT No.1 Dated November 25th, 2013 TO

CONTRACT FOR NON-CONSULTING SERVICES TIME BASED

REGIONAL OVERSIGHT MANAGEMENT SERVICES (ROMS) - 1 Under IBRD Loan No. 8259-ID

BETWEEN

Directorate of Water Supply Development Directorate General of Human Settlements Ministry of Public Works AND PT. Arkonin Engineering Manggala Pratama In Joint Venture with : PT. Gafa Multi Consultants PT. Catur Karsa Gemilang

Contract Number: KU.08.08/Kontrak/Pamsimas/171/VIII/2013 Dated: August 27th, 2013

Summary of Contract

SUMMARY OF CONTRACT 1.

Loan No.

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

2.

Name of Service Providers

: PT. Arkonin Engineering Manggala Pratama In Joint Venture with : PT. Gafa Multi Consultants PT. Catur Karsa Gemilang

3.

Contract No. and Date :

: KU.08.08/Kontrak/Pamsimas/171/VIII/2013 Dated : August 27, 2013 : Dated : November 25th, 2013

Amendment No.1 4.

Domicile/Address of Service Providers

: Gedung Arkonin, JL. Bintaro Taman Timur, Bintaro Jaya, Jakarta Selatan Telephone: 021-7350211

5.

Value of Contract Original Contract

: : IDR 46.575.675.000,- (Net of VAT) IDR 47.507.188.500,- (Include VAT 10% APBN Portion) : IDR 47.419.876.050,- (Net of VAT) IDR 48.351.389.550,- (Include VAT 10% APBN Portion)

Amendment No.1

6.

Brief Description of Services : Provision of advisory services for the Provincial Project Management Unit and District Project Management Unit in the daily operation, management and implementation of Community-Based Water Supply Project (PAMSIMAS II) in the Provinces of North Sumatera, Nanggroe Aceh Darussalam, Kepulauan Riau and Riau, West Sumatera.

7.

Percentage Eligible for IBRD Financing

:

Original Contract

: 80 % Net of VAT : 80 % Net of VAT

Amendment No.1

8.

Percentage Eligible for APBN-RM Financing

:

Original Contract

: 20 % Net of VAT : 20 % Net of VAT

Amendment No.1

9.

Amount Eligible for IBRD Financing

:

Original Contract

: IDR 37.260.540.000,- (Net of VAT) : IDR 37.260.540.000,- (Net of VAT)

Amendment No.1

10. Amount Eligible for TF Financing Original Contract Amendment No.1

: : Nil : IDR 844.201.050,- (Net of VAT)

Section I: Form of Contract

SECTION I FORM OF CONTRACT

Section I: Form of Contract

1

AMENDMENT NO.1 To ORIGINAL CONTRACT No. KU.08.08/Kontrak/Pamsimas/171/VIII/2013 Dated: August 27th, 2013 Between Directorate of Water Supply Development Directorate General of Human Settlements Ministry of Public Works And PT. Arkonin Engineering Manggala Pratama In Joint Venture with : PT. Gafa Multi Consultants PT. Catur Karsa Gemilang For REGIONAL OVERSIGHT MANAGEMENT SERVICES (ROMS) - 1 Under IBRD Loan No. 8259-ID

This Contract Amendment No.1 (hereinafter called the “Amendment No.1”) is made on 25th day of the month of November, 2013 to further amend the Original Contract Number. KU.08.08/Kontrak /Pamsimas/171/VIII/2013 dated August 27, 2013 between, on the one hand, Directorate of Water Supply Development, Directorate General of Human Settlements, Ministry of Public Works, Government of Indonesia (hereinafter called the “Employer” ) and, on other hand, a joint venture PT.Arkonin Engineering Manggala Pratama consisting of the following entities, each member of which will be jointly and severally liable to the Employer for all the Service Provider obligations under this Contract, namely PT. Gafa Multi Consultants and PT. Catur Karsa Gemilang (hereinafter called the “Service Provider”). WHEREAS (a)

Decree of the Minister of Public Works of the Republic of Indonesia Number: 79/KPTS/DC/2013 dated 21 August 2013, regarding change the target number of districts;

(b)

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

(c)

The Employer had officially requested NOL to TOR and Cost Estimate of STBM Training Pamsimas II Fiscal Year 2013, and NOL has been issued by World Bank Date 18 November 2013;

(d)

In response to the Employer letter dated 19th November 2013 requesting the estimation of costs for the above additional scope of works, the Service Provider in its letter dated 21 November 2013 submitted the cost estimation which was subsequently clarification and approved by the Employer as per the Minutes of Meeting and Detailed of Breakdown of Cost Clarification dated 22 November 2013;

(e)

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

Section I: Form of Contract

2

NOW THEREFORE the parties hereto hereby agree as follows: 1.

The following documents documents shall be deemed to form an integral part of this Amendment: a. The General Conditions of Contract ; (No Change) b. The Special Conditions of Contract; (Amended) 1) Original Contract Clause 6.1 the ceiling of local currency : IDR.47.507.188.500,[Include VAT 10% APBN Portion] to be funded as follow: % Eligible for IBRD funding : 80% Net of VAT Amount Eligible for IBRD funding : IDR. 37.260.540.000,% Eligible for APBN-RM funding : 20 % Net of VAT Amount Eligible for APBN-RM : IDR. 10.246.648.500,[ Including VAT. 10% ]

2) Amended to Contract Amendment No. 1 Clause 6.1 the ceiling of local currency : IDR. 48.351.389.550,[Include VAT 10% APBN Portion] to be funded as follow: % Eligible for IBRD funding : 80% Net of VAT. Amount Eligible for IBRD funding : IDR. 37.260.540.000,% Eligible for APBN-RM funding : 20 % Net of VAT. Amount Eligible for APBN-RM : IDR. 10.246.648.500,[ Including VAT. 10% ] Amount Eligible for TF funding : IDR. 844.201.050,( Net of VAT ) to be funded a STBM Training

2.

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

3.

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

4.

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

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

Appendix C : Summary of Cost Estimate

APPENDIX C SUMMARY OF COST ESTIMATE (Amended)

Appendix D : Remuneration And Reimbursable Cost Estimates

APPENDIX D REMUNERATION AND REIMBURSABLE COST ESTIMATES (Amended)

APPENDIX - D COST ESTIMATE FOR REMUNERATION REGIONAL OVERSIGHT MANAGEMENT SERVICES (OMS) - 1 COMMUNITY BASED WATER SUPPLY PROJECT (PAMSIMAS II) ORIGINAL CONTRACT NO.

PRSON / MONTH

POSITION

1 A

3

2 REMUNERATION

1 1.1 1.2 1.3 1.4 1.5 2 2.1 1 2 3 2.2 1 2 3 2.3 1 2 3

3 3.1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

Regional Team Project Manager Data Management LG Specialist LG Specialist Trainer Coordinator Supporting Staff: Office Manager Provincial Team Provincial Coordinator / LG West Sumatera Riau & Kepulauan Riau North Sumatera & Aceh North Sumatera & Aceh Financial Management Specialist West Sumatera Riau & Kepulauan Riau North Sumatera & Aceh Quality Assurance Specialist West Sumatera West Sumatera Riau & Kepulauan Riau Riau & Kepulauan Riau North Sumatera & Aceh North Sumatera & Aceh District Team District Coordinator Sijunjung Pasaman Barat Pasaman Barat Padang Pariaman Pesisir Selatan Pesisir Selatan Lima Puluh Kota Lima Puluh Kota Dharmasraya Solok Selatan Tanah Datar Kota Padang Solok Pasaman Agam Kota Sawah Lunto Kota Sawah Lunto Indragiri Hulu Kuantan Singingi Kuantan Singingi

NAME

Remuneration Rate [IDR]

Amount [IDR]

MM

Remuneration Rate [IDR]

Amount [IDR]

5

6

7=[5*6]

8

9

10=(8*9)

1,735,200,000 1 pers. x 36 month 1 pers. x 36 month 1 pers. x 36 month

REMARKS

INPUT

4

Minimum Take Home Pay [IDR]

AMENDMENT CONTRACT NO.1

(THp to be paid to staff, supported by actual receipt)

11

1,735,200,000

36 36 36

Month Month Month

1 pers. x 36 month

Bambang Sigit Purnomo, ST. Dafwen Toresa,S.Kom, M.Kom Achmad Budiman,SE. Handri Nafison, SE., MM. Ir. Raudhati Ruslan, M.Pd.

36

Month

11,000,000 8,000,000 8,000,000 8,000,000 8,000,000

1 pers. x 36 month

Nella Tri Wahyuni, SE.

36

Month

4,500,000 3,281,250,000

3,281,250,000

1 pers. x 36 month 1 pers. x 36 month 1 pers. x 33 month

Ir. Misdar Putra, MT. Ir. Herman Bahtiar, MT. Ali Imran, SPd. Petrizal, ST., MT.

36 36 33

Month Month Month

9,000,000 9,000,000 9,000,000 9,000,000

1 pers. x 36 month 1 pers. x 36 month 1 pers. x 33 month

Edi Yogiantoro, SE. Yedi Mulyadi Jaya, SE. Deddi Eka Putra, SE.

36 36 33

Month Month Month

7,500,000 7,500,000 7,500,000

1 pers. x 36 month

Ir. Bera Saltano Ali Imran, SPd. Ir. Yanuardi Sahab Erwalis,S.Sos., M.Si. Petrizal, ST., MT. Erri Solehudin, S.ST.

36

Month

36

Month

33

Month

9,000,000 9,000,000 9,000,000 9,000,000 9,000,000 9,000,000

1 pers. x 36 month 1 pers. x 33 month

20,420,280,000 1 pers. x 36 month 1 pers. x 36 month 1 pers. x 36 month 1 pers. x 36 month 1 pers. x 36 month 1 1 1 1 1 1 1 1

pers. pers. pers. pers. pers. pers. pers. pers.

x x x x x x x x

36 36 36 36 36 36 36 36

month month month month month month month month

1 pers. x 36 month 1 pers. x 36 month

Iwan Desrianto, ST. Mohammad Miftah, S.Sos. Ir. Bera Saltano Eva yanti, ST. Ir. Syafriadi, MT. Ir. Yanuardi Sahab Redison, SH. Rediston, ST. Ir. Darfis Rahmad Jasmiyanto, ST. Rose Yenti, ST. Yuliharman, ST. Eniwarti, ST. Syafridal Agus, ST. Raines Junaiko, ST. Ir. Muliardy Banun Rosnimar, ST. Meilia Yetni, ST. Tommy F. Hasugian, ST. Jhoni Naldi, ST.

36 36

Month Month

36 36

Month Month

36

Month

36 36 36 36 36 36 36 36

Month Month Month Month Month Month Month Month

36 36

Month Month

20,420,280,000 7,000,000 7,000,000 7,000,000 7,000,000 7,000,000 7,000,000 7,000,000 7,000,000 7,000,000 7,000,000 7,000,000 7,000,000 7,000,000 7,000,000 7,000,000 7,000,000 7,000,000 7,000,000 7,000,000

Page 1

Remuneration

ORIGINAL CONTRACT NO.

PRSON / MONTH

POSITION

1

2 16

Kampar

3 1 pers. x 36 month

Kampar 17

Rokan Hulu Rokan Hulu Bengkalis Bengkalis Indragiri Hilir Indragiri Hilir

1 pers. x 36 month

20 21

Aceh Besar Bireuen

1 pers. x 33 month 1 pers. x 33 month

22

Pidie

18 19

1 pers. x 36 month 1 pers. x 36 month

Bireuen

23 24 25 26 27 28 29 30 31 32 33 34

3.2 1 2 3 4 5 6 7 8 9 10 11 12

Pidie Kepulauan Mentawai Padang Lawas Utara Padang Lawas Utara Nias Nias Dairi Dairi Pakpak Bharat Pakpak Bharat Batu Bara Batu Bara Natuna Natuna Karimun Karimun Pelalawan Pelalawan Kota Dumai Kota Dumai Siak Siak Kepulauan Meranti Kepulauan Meranti Financial Management Assistant Sijunjung Sijunjung Pasaman Barat Pasaman Barat Padang Pariaman Pesisir Selatan Lima Puluh Kota Lima Puluh Kota Dharmasraya Solok Selatan Solok Selatan Tanah Datar Kota Padang Solok Pasaman Pasaman Agam Agam

1 pers. x 33 month 1 pers. x 33 month 1 pers. x 33 month 1 pers. x 33 month 1 pers. x 33 month 1 pers. x 33 month 1 pers. x 33 month 1 pers. x 33 month 1 pers. x 33 month 1 pers. x 33 month 1 pers. x 33 month 1 pers. x 33 month 1 pers. x 33 month

1 pers. x 36 month 1 pers. x 36 month 1 pers. x 36 month 1 pers. x 36 month 1 pers. x 36 month 1 pers. x 36 month 1 pers. x 36 month 1 1 1 1

pers. pers. pers. pers.

x x x x

36 36 36 36

month month month month

1 pers. x 36 month

NAME

4 Jhoni Naldi, ST. Ir. Efayanti Eri Solihudin, ST. Ir. Meldalisnadi Johni Rasyid, ST. Bambang Suprihartono, ST. Jolli Hendra, ST. Detia Delimas, ST.

REMARKS

INPUT

Remuneration Rate [IDR]

Amount [IDR]

MM

Remuneration Rate [IDR]

Amount [IDR]

5

6

7=[5*6]

8

9

10=(8*9)

36

Month

36

Month

36

Month

36

Month

Effendi, ST. Jon Feri Yohanes Azmi Nuiskan,ST. Elwan, ST. Muhammad Zacky Ardhyan, ST. Didit Rinaldi, ST. Syahril, ST. Muhammad Aris, ST. Asram Hariq, ST. Ristoni Hutagalung, ST., M.Si. Muhammad Zacky Ardhyan, ST. Elwan, ST. Andi Putra, ST. Tommy F. Hasugian, ST. Muhammad Umar, ST. Budi Saleh Perkasa, ST. Yandri Ardi, ST. Johni Rasyid, ST. Hendra Dhani, ST. Yandri Ardi, ST. Peri Yuliyadi, SE. Putri Dwi Riana Effendi, ST. Bambang Suprihartono, ST. Asram Hariq, ST. Meldalisnadi, ST. Antoni Kiki, ST. Yudhi Candra, ST. Suprianto, ST.

33 33

Month Month

33

Month

33 33

Month Month

33

Month

33

Month

33

Month

33

Month

33

Month

33

Month

33

Month

33

Month

33

Month

33

Month

Agus Sugiarto, SE. Rina Djamalus, SE Ferida Irawati, SE. Feny Eka Putra, SE. Latifah Hanum, SE. Hendri Irawan, SE. Nofira Zona, SE. Nofdi Suhanda, SE. Resmi Loliyanti, SE. Hendriyanto, SE. Minda Erwina, SE. Sri Wahyuni, SE. Mizul Arfiza, SE. Esa Maria Lisa, SE. Yessi Fitri, SE. Ferida Irawati, SE. Yoga Herawan, SE. Hendriyanto, SE.

36

Month

36

Month

36 36 36

Month Month Month

36 36

Month Month

36 36 36 36

Month Month Month Month

36

Month

Minimum Take Home Pay [IDR]

AMENDMENT CONTRACT NO.1

(THp to be paid to staff, supported by actual receipt)

11 7,000,000 7,000,000 7,000,000 7,000,000 7,000,000 7,000,000 7,000,000 7,000,000 7,000,000 7,000,000 7,000,000 7,000,000 7,000,000 7,000,000 7,000,000 7,000,000 7,000,000 7,000,000 7,000,000 7,000,000 7,000,000 7,000,000 7,000,000 7,000,000 7,000,000 7,000,000 7,000,000 7,000,000 7,000,000 7,000,000 7,000,000 7,000,000 7,000,000 7,000,000 7,000,000 7,000,000

4,500,000 4,500,000 4,500,000 4,500,000 4,500,000 4,500,000 4,500,000 4,500,000 4,500,000 4,500,000 4,500,000 4,500,000 4,500,000 4,500,000 4,500,000 4,500,000 4,500,000 4,500,000 Page 2

Remuneration

ORIGINAL CONTRACT NO.

1 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34

3.3

PRSON / MONTH

POSITION

2 Kota Sawah Lunto Indragiri Hulu Kuantan Singingi Kampar Kampar Rokan Hulu Rokan Hulu Bengkalis Bengkalis Indragiri Hilir Indragiri Hilir Aceh Besar Bireuen Pidie Kepulauan Mentawai Kepulauan Mentawai Padang Lawas Utara Nias Dairi Dairi Pakpak Bharat Pakpak Bharat Batu Bara Natuna Natuna Karimun Karimun Pelalawan Pelalawan Kota Dumai Kota Dumai Siak Kepulauan Meranti Kepulauan Meranti Supporting Staff: Data Entry Operator/ Administration Officer

1 1 1 1

pers. pers. pers. pers.

3 x x x x

36 36 36 36

month month month month

1 pers. x 36 month 1 pers. x 36 month 1 pers. x 36 month 1 1 1 1

pers. pers. pers. pers.

x x x x

33 33 33 33

month month month month

1 pers. x 33 month 1 pers. x 33 month 1 pers. x 33 month 1 pers. x 33 month 1 pers. x 33 month 1 pers. x 33 month 1 pers. x 33 month 1 pers. x 33 month 1 pers. x 33 month 1 pers. x 33 month 1 pers. x 33 month

19 pers. x 36 month 15 pers. x 33 month

NAME

4 Nasrial, SE. Andi Irawan, SE. Evawaty Simbolon, SE. Fitriyani, SE. Budi Kurniawan, SE. Boby Satria Aman Telaumbanua, SE. Afni Yusnida, SE. Rohnie Dear Sinaga, SE. Hidayatullah, SE Suryeni, SE. Maihendra Zulastr,SE.

REMARKS

INPUT

Remuneration Rate [IDR]

Amount [IDR]

MM

Remuneration Rate [IDR]

Amount [IDR]

5

6

7=[5*6]

8

9

10=(8*9)

36 36 36 36

Month Month Month Month

36

Month

36

Month

36

Month

Ricky Ariansyah, ST. Ebiet Hamid, SE. Mahyuda, SE. Sada Arih Gurusinga, SE. Deddi Wahyudi, SE. Venny Abdul Rahman, SE. Selamat Telaumbanua, SE. Yuni Sulastri, SE. Ali Yendra, SE. Feny Eka Putra, SE. Yarudi Zebua Mesra B., SE. Herry Sutrisno, SE. M. Sauqi, SE. Susilo Hanindito, SE. Royke Iqbal, SE Rahmad Fajri, SE. Karina Lydiastra Cahyandari, SE. Ariman Niswari Waruwu, SE. M. Yunus, SE. Novriyo Della Akhyar, SE. Riki Bernama, SE. Herdayani, SE.

33 33 33 33

Month Month Month Month

33 33 33

Month Month Month

33

Month

33 33

Month Month

33

Month

33

Month

33

Month

33 33

Month Month

To Be Name To Be Name

684 495

Month Month

Minimum Take Home Pay [IDR]

AMENDMENT CONTRACT NO.1

(THp to be paid to staff, supported by actual receipt)

11 4,500,000 4,500,000 4,500,000 4,500,000 4,500,000 4,500,000 4,500,000 4,500,000 4,500,000 4,500,000 4,500,000 4,500,000 4,500,000 4,500,000 4,500,000 4,500,000 4,500,000 4,500,000 4,500,000 4,500,000 4,500,000 4,500,000 4,500,000 4,500,000 4,500,000 4,500,000 4,500,000 4,500,000 4,500,000 4,500,000 4,500,000 4,500,000 4,500,000 4,500,000

2,750,000 2,750,000

TOTAL REMUNERATION [1+2+3]

25,436,730,000

Page 3

25,436,730,000

Remuneration

APPENDIX - D COST ESTIMATE FOR REIMBURSABLE REGIONAL OVERSIGHT MANAGEMENT SERVICES (OMS) - 1 COMMUNITY BASED WATER SUPPLY PROJECT (PAMSIMAS II) ORIGINAL CONTRACT NO

DESCRIPTION 2

1 B 1 1.1 1.1.1

1.1.2

2

3

Vol.

Unit Rate (IDR)

Amaount (IDR)

Remarks

4

5

6=(4*5)

7

REIMBURSABLE COST DUTY TRAVEL Spot Checking Provincial Team - Province to District Village (10%) NAD & SunWera Utara Inland Transport Accomodation OSA (Fixed) Riau & Kepulauen Riau Inland Transport Accomodation OSA (Fixed) Sumatera Barat Inland Transport Accomodation OSA (Fixed) District Team - District to Village (50%) District Coordinator NAD District Coordinator Sumbar District Coordinator Sumut District Coordinator Kepd District Coordinator Riau Financial NAD Financial management Ass. Sumbar Financial management Ass. Sumut Financial management Ass. Kepri Financial management Ass. Riau

VARIATION

Unit Vol.

Unit Rate (IDR)

Amaount (IDR)

AMENDMENT CONTRACT NO.1 Remarks

Vol.

Unit Rate (IDR)

Amaount (IDR)

Remarks

8

9

10=(8*9)

11

954,720,000

954,720,000

3 3 3

person person person

64 64 64

village village village

x x x

10% 10% 10%

x x x

3 3 3

years years years

x x x

2 2 2

time time time

x x

2 3

Roundtrip day(s) Roundtrip day(s) Roundtrip

115 230 346

200,000 200,000 200,000

23,040,000 ceiling rate 46,080,000 ceiling rate 69,120,000 ceiling rate

115 230 346

200,000 200,000 200,000

23,040,000 ceiling rate 46,080,000 ceiling rate 69,120,000 ceiling rate

3 3 3

person person person

96 96 96

village village village

x x x

10% 10% 10%

x x x

3 3 3

years years years

x x x

2 2 2

time time time

x x x

2 3

Roundtrip day(s) Roundtrip day(s) Roundtrip

173 346 518

200,000 200,000 200,000

34,560,000 ceiling rate 69,120,000 ceiling rate 103,680,000 ceiling rate

173 346 518

200,000 200,000 200,000

34,560,000 ceiling rate 69,120,000 ceiling rate 103,680,000 ceiling rate

3 3 3

person person person

112 112 112

village village village

x x x

10% 10% 10%

x x x

3 3 3

years years years

x x x

2 2 2

time time time

x x

2 3

Roundtrip day(s) Roundtrip day(s) Roundtrip

202 403 605

200,000 200,000 200,000

40,320,000 ceiling rate 80,640,000 ceiling rate 120,960,000 ceiling rate

202 403 605

200,000 200,000 200,000

40,320,000 ceiling rate 80,640,000 ceiling rate 120,960,000 ceiling rate

3 14 5 2 10 3 14 5 2 10

district district district district district district district district district district

24 112 40 16 80 24 112 40 16 80

village village village village village village village village village village

x x x x x x x x x x

50% 50% 50% 50% 50% 50% 50% 50% 50% 50%

x x x x x x x x x x

3 3 3 3 3 3 3 3 3 3

years years years years years years years years years years

x x x x x x x x x x

10 10 10 10 10 8 8 8 8 8

time time time time time time time time time time

Roundtrip Roundtrip Roundtrip Roundtrip Roundtrip Roundtrip Roundtrip Roundtrip Roundtrip Roundtrip

360 1,680 600 240 1,200 288 1,344 480 192 960

50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000

360 1,680 600 240 1,200 288 1,344 480 192 960

50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000

MOBILIZATION AND DEMOBILIZATION

18,000,000 84,000,000 30,000,000 12,000,000 60,000,000 14,400,000 67,200,000 24,000,000 9,600,000 48,000,000

ceiling rate ceiling rate ceiling rate ceiling rate ceiling rate ceiling rate ceiling rate ceiling rate ceiling rate ceiling rate

271,460,000

18,000,000 84,000,000 30,000,000 12,000,000 60,000,000 14,400,000 67,200,000 24,000,000 9,600,000 48,000,000

ceiling rate ceiling rate ceiling rate ceiling rate ceiling rate ceiling rate ceiling rate ceiling rate ceiling rate ceiling rate

271,460,000

2.1 2.1.1 2.1.2 2.1.3 2.1.4 2.1.5

Regional Team - Jakarta Province to Province to Jakarta Project Manager Jakarta - Pekanbaru - Jakarta Data Management Jakarta - Pekanbaru - Jakarta LG Specialist Jakarta - Pekanbaru - Jakarta Trainer Coordinator Jakarta - Pekanbaru - Jakarta Local Transport

1 1 1 1 4

pers pers pers pers pers

x x x x x

1 1 1 1 1

r-trip r-trip r-trip r-trip r-trip

Roundtrip Roundtrip Roundtrip Roundtrip Roundtrip

1 1 1 1 4

2,820,000 2,820,000 2,820,000 2,820,000 200,000

2,820,000 2,820,000 2,820,000 2,820,000 800,000

fixed rate fixed rate fixed rate fixed rate fixed rate

1 1 1 1 4

2,820,000 2,820,000 2,820,000 2,820,000 200,000

2,820,000 2,820,000 2,820,000 2,820,000 800,000

fixed rate fixed rate fixed rate fixed rate fixed rate

2.2 2.2.1

Provincecial Team - Jakarta to Province to Jakarta Provincial Coordinator/LG Jakarta - Pekanbaru - Jakarta Jakarta - Padang - Jakarta Jakarta - Medan - Jakarta Financial Management Specialist Jakarta - Pekanbaru - Jakarta Jakarta - Padang - Jakarta Jakarta - Medan - Jakarta Quality Assurance Specialist Jakarta - Pekanbaru - Jakarta Jakarta - Padang - Jakarta Jakarta - Medan - Jakarta Local Transport

1 1 1 1 1 1 1 1 1 9

pers pers pers pers pers pers pers pers pers pers

x x x x x x x x x x

1 1 1 1 1 1 1 1 1 1

r-trip r-trip r-trip r-trip r-trip r-trip r-trip r-trip r-trip r-trip

Roundtrip Roundtrip Roundtrip Roundtrip Roundtrip Roundtrip Roundtrip Roundtrip Roundtrip Roundtrip

1 1 1 1 1 1 1 1 1 9

2,820,000 2,760,000 3,560,000 2,820,000 2,760,000 3,560,000 2,820,000 2,760,000 3,560,000 200,000

2,820,000 2,760,000 3,560,000 2,820,000 2,760,000 3,560,000 2,820,000 2,760,000 3,560,000 1,800,000

fixed rate fixed rate fixed rate fixed rate fixed rate fixed rate fixed rate fixed rate fixed rate fixed rate

1 1 1 1 1 1 1 1 1 9

2,820,000 2,760,000 3,560,000 2,820,000 2,760,000 3,560,000 2,820,000 2,760,000 3,560,000 200,000

2,820,000 2,760,000 3,560,000 2,820,000 2,760,000 3,560,000 2,820,000 2,760,000 3,560,000 1,800,000

fixed rate fixed rate fixed rate fixed rate fixed rate fixed rate fixed rate fixed rate fixed rate fixed rate

District Team - Jakarta to Province to Jakarta District Coordinator Jakarta - Banda Aceh - Jakarta Jakarta - Padang - Jakarta Jakarta - Medan - Jakarta Jakarta - Tanjung Pinang - Jakarta Jakarta - Pekanbaru - Jakarta Financial Management Assistant Jakarta - Banda Aceh - Jakarta Jakarta - Padang - Jakarta Jakarta - Medan - Jakarta Jakarta - Tanjung Pinang - Jakarta Jakarta - Pekanbaru - Jakarta Local Transport (Province to District)

3 14 5 2 10 3 14 5 2 10 68

pers pers pers pers pers pers pers pers pers pers pers

x x x x x x x x x x x

1 1 1 1 1 1 1 1 1 1 1

r-trip r-trip r-trip r-trip r-trip r-trip r-trip r-trip r-trip r-trip r-trip

Roundtrip Roundtrip Roundtrip Roundtrip Roundtrip Roundtrip Roundtrip Roundtrip Roundtrip Roundtrip Roundtrip

3 14 5 2 10 3 14 5 2 10 68

4,200,000 2,760,000 3,560,000 2,120,000 2,820,000 4,200,000 2,760,000 3,560,000 2,120,000 2,820,000 400,000

12,600,000 38,640,000 17,800,000 4,240,000 28,200,000 12,600,000 38,640,000 17,800,000 4,240,000 28,200,000 27,200,000

fixed rate fixed rate fixed rate fixed rate fixed rate fixed rate fixed rate fixed rate fixed rate fixed rate fixed rate

3 14 5 2 10 3 14 5 2 10 68

4,200,000 2,760,000 3,560,000 2,120,000 2,820,000 4,200,000 2,760,000 3,560,000 2,120,000 2,820,000 400,000

12,600,000 38,640,000 17,800,000 4,240,000 28,200,000 12,600,000 38,640,000 17,800,000 4,240,000 28,200,000 27,200,000

fixed rate fixed rate fixed rate fixed rate fixed rate fixed rate fixed rate fixed rate fixed rate fixed rate fixed rate

2.2.2

2.2.3

2.2.4 2.3 2.3.1

2.3.2

2.3.3

Page 4

Reimbursable

ORIGINAL CONTRACT NO

DESCRIPTION 2

1 3

OFFICE SPACE

4

UTILITIES EXPENSES

5

OFFICE EQUIPMENT

5.1 5.2 5.3 5.4 5.5 5.6 5.7 5.8 5.9 5.10 5.11

VARIATION

Unit 3

Vol.

Unit Rate (IDR)

4

5

Amaount (IDR) 6=(4*5) 2,595,270,000

Remarks 7

Vol.

Unit Rate (IDR)

Amaount (IDR)

AMENDMENT CONTRACT NO.1 Remarks

Vol.

Unit Rate (IDR)

8

9

568,800,000 666,850,000

Notebook Computer (Regional+Provincial+District) Portable Computer for Supporting Regional Portable Computer + Printer for Supporting District Printer Laserjet Printer Colour A3 scanner Facsimile Digital Camera GSM Modem + SIM CARD Router, LAN Peripheral GPS

(Purchase) (Purchase) (Purchase) (Purchase) (Purchase) (Purchase) (Purchase) (Purchase) (Purchase) (Purchase) (Purchase)

13

+

34 1 34 3 3 3 3 3 3 3 3

pers. pers. pers. office office office office office office office office

x x x x x x x x x x x

1 1 1 1 1 1 1 1 1 1 2

unit unit unit unit unit unit unit unit unit unit unit

Unit Unit Unit Unit Unit Unit Unit Unit Unit Unit Unit

47 1 34 3 3 3 3 3 3 3 6

7,000,000 6,500,000 7,500,000 3,500,000 4,000,000 2,350,000 2,350,000 3,350,000 500,000 700,000 4,350,000

329,000,000 6,500,000 255,000,000 10,500,000 12,000,000 7,050,000 7,050,000 10,050,000 1,500,000 2,100,000 26,100,000

Amaount (IDR) 10=(8*9) 2,595,270,000 568,800,000

47 1 34 3 3 3 3 3 3 3 6

7,000,000 6,500,000 7,500,000 3,500,000 4,000,000 2,350,000 2,350,000 3,350,000 500,000 700,000 4,350,000

329,000,000 6,500,000 255,000,000 10,500,000 12,000,000 7,050,000 7,050,000 10,050,000 1,500,000 2,100,000 26,100,000

VEHICLE RENTAL

6,759,000,000

6,759,000,000

7

COMMUNICATION

708,300,000

708,300,000

8 8.1 8.1.1 a b 8.1.2 a b c d e 8.1.3

Regional and Province Tekephone and Postage Internet Connection fo Office District Tekephone and Internet Connection

old district new district

office office

x x

1 1

line line

x x

36 36

month month

month month

108 108

750,000 350,000

81,000,000 ceiling rate 37,800,000 ceiling rate

108 108

750,000 350,000

81,000,000 ceiling rate 37,800,000 ceiling rate

19 15

district district

x x

1 1

line line

x x

36 33

month month

month month

684 495

500,000 500,000

342,000,000 ceiling rate 247,500,000 ceiling rate

684 495

500,000 500,000

342,000,000 ceiling rate 247,500,000 ceiling rate

8,206,170,000

34 34

34

district district

district

fixed rate fixed rate fixed rate fixed rate fixed rate fixed rate fixed rate fixed rate fixed rate fixed rate fixed rate

3 3

TRAINING Pelatihan FM Ass. Dan Data Entry Operator Peserta Paket Full Board Transportation Participant Pelatih (air transport economy class) Financial Management Spec. medan - banda aceh Financial Management Spec. pekanbaru - tj. pinang Inland Transport Accomodation OSA (Fixed) Training Material + Kit

11

666,850,000 fixed rate fixed rate fixed rate fixed rate fixed rate fixed rate fixed rate fixed rate fixed rate fixed rate fixed rate

6

7.1 7.1.1 7.1.2 7.2 7.2.1

Remarks

x x

2 2

pers pers

x x

3 1

day(s) time

days time

204 68

200,000 200,000

pers pers trip pers trip pers

x x

1 1

r-trip r-trip

x

1 1 2 2 2 2

x x x

3 4 1

day(s) day(s) package

r-trip r-trip r-trip days days paket

1 1 2 6 8 68

2,820,000 5,380,000 200,000 200,000 200,000 100,000

Page 5

8,206,170,000

40,800,000 fixed rate 13,600,000 ceiling rate 2,820,000 5,380,000 400,000 1,200,000 1,600,000 6,800,000

ceiling rate ceiling rate ceiling rate fixed rate ceiling rate ceiling rate

204 68

200,000 200,000

1 1 2 6 8 68

2,820,000 5,380,000 200,000 200,000 200,000 100,000

40,800,000 fixed rate 13,600,000 ceiling rate 2,820,000 5,380,000 400,000 1,200,000 1,600,000 6,800,000

Reimbursable

ceiling rate ceiling rate ceiling rate fixed rate ceiling rate ceiling rate

ORIGINAL CONTRACT NO

DESCRIPTION 2

1 8.2 8.2.1 8.2.2 8.2.3 8.2.4 8.2.5

Expert Group Meeting - Central Regional Team - Air Fare Province to akarta Provincial team - Air Fare Province to Jakarta Inland Transport - Regional and Provincial Team OSA (fixed) - Regional Team OSA (fixed) - Provincial Team

8.3 a b c 8.3.1 a b c d e f

Expert Group Meeting - Regional Fullboard Pacakage for District Team Fullboard Pacakage for Provincial Team Fullboard Pacakage for Regional Team Air Transpoet (Economy Class) Regional Team Pekanbaru pekanbaru - banda aceh Regional Team Pekanbaru pekanbaru - padang Regional Team Pekanbaru pekanbaru - medan Regional Team Pekanbaru pekanbaru - tj. pinang Regional Team Medan pekanbaru - banda aceh Regional Team Pekanbaru pekanbaru - tj. pinang

8.3.2 a b c d e f

Inland Transport District Team Banda Aceh District Team Padang District Team Medan District Team Tj. Piang District Team Pekanbaru OSA (Fixed)

8.4 8.4.1 8.4.2

OJT Fasilitator Training Material + Kit Meals, Snack

8.5 8.5.1 8.5.2 8.5.3 8.5.4 8.5.5 8.5.6 8.6 8.6.1 8.6.2 8.6.3 8.6.4 8.6.5 8.6.6 8.7

VARIATION

Unit 3

Vol.

Unit Rate (IDR)

Amaount (IDR)

Remarks

4

5

6=(4*5)

7

Vol.

Unit Rate (IDR)

Amaount (IDR)

AMENDMENT CONTRACT NO.1 Remarks

Vol.

Unit Rate (IDR)

Amaount (IDR)

Remarks

8

9

10=(8*9)

11

72 162

300,000 300,000

1,224 72 48

200,000 200,000 200,000

covered by CMAC covered by CMAC covered by CMAC

3 3 3

3 3

years years years

years years

x x x

x x

2 2 2

time time time

x x x

1 3

reg prov.

x x

4 3

pers pers

x x

3 3

day(s) day(s)

34 3 1

district prov. reg

x x x

3 2 4

pers pers pers

x x x

2 2 2

4 4 4 4 3 3

pers pers pers pers pers pers

x x x x x x

3 3 3 3 3 3

years years years years years years

x x x x x x

9 42 15 6 30 744

pers pers pers pers pers trip

x x x x x x

3 3 3 3 3 3

years years years years years days

x x

6 6

time time

days days

72 162

300,000 300,000

21,600,000 ceiling rate 48,600,000 ceiling rate

day(s) day(s) day(s)

days days days

1,224 72 48

200,000 200,000 200,000

2 2 2 2 2 2

time time time time time time

Roundtrip Roundtrip Roundtrip Roundtrip Roundtrip Roundtrip

24 24 24 24 18 18

5,380,000 5,380,000 6,380,000 5,380,000 2,820,000 5,380,000

129,120,000 129,120,000 153,120,000 129,120,000 50,760,000 96,840,000

ceiling rate ceiling rate ceiling rate ceiling rate ceiling rate ceiling rate

24 24 24 24 18 18

5,380,000 5,380,000 6,380,000 5,380,000 2,820,000 5,380,000

129,120,000 129,120,000 153,120,000 129,120,000 50,760,000 96,840,000

ceiling rate ceiling rate ceiling rate ceiling rate ceiling rate ceiling rate

x x x x x

2 2 2 2 2

time time time time time

Roundtrip Roundtrip Roundtrip Roundtrip Roundtrip days

54 252 90 36 180 2,232

200,000 200,000 200,000 200,000 200,000 200,000

10,800,000 50,400,000 18,000,000 7,200,000 36,000,000 446,400,000

ceiling rate ceiling rate ceiling rate ceiling rate ceiling rate ceiling rate

54 252 90 36 180 2,232

200,000 200,000 200,000 200,000 200,000 200,000

10,800,000 50,400,000 18,000,000 7,200,000 36,000,000 446,400,000

ceiling rate ceiling rate ceiling rate ceiling rate ceiling rate ceiling rate

3,672 3,672

25,000 25,000

244,800,000 fixed rate 14,400,000 fixed rate 9,600,000 fixed rate

91,800,000 fixed rate 91,800,000 fixed rate

21,600,000 ceiling rate 48,600,000 ceiling rate 244,800,000 fixed rate 14,400,000 fixed rate 9,600,000 fixed rate

6 6

time time

x x

34 34

district district

x x

6 6

pers pers

x x

1 1

day(s) day(s)

days days

3,672 3,672

25,000 25,000

91,800,000 fixed rate 91,800,000 fixed rate

Pelatihan Penguatan BPSPAM Paket Fullboard Participant Paket Fullday for DPMU + TKK Uang Saku Participant Uang Transport Participant Training Material + Kit Spanduk

2 2 2 2 2 2

time time time time time time

x x x x x x

34 34 34 34 34 34

district district district district district district

x x x x x x

25 2 25 25 25 2

pers pers pers pers pers unit

x x x

4 4 4

day(s) day(s) day(s)

days days days time paket unit

6,800 544 6,800 1,700 1,700 136

200,000 200,000 50,000 100,000 100,000 140,000

1,360,000,000 108,800,000 340,000,000 170,000,000 170,000,000 19,040,000

fixed rate fixed rate ceiling rate ceiling rate ceiling rate ceiling rate

6,800 544 6,800 1,700 1,700 136

200,000 200,000 50,000 100,000 100,000 140,000

1,360,000,000 108,800,000 340,000,000 170,000,000 170,000,000 19,040,000

fixed rate fixed rate ceiling rate ceiling rate ceiling rate ceiling rate

Pelatihan Kader AMPL Paket Fullboard Participant Paket Fullday for DPMU + TKK Uang Saku Participant Uang Transport Participant Training Material + Kit Spanduk

2 2 2 2 2 2

time time time time time time

x x x x x x

34 34 34 34 34 34

district district district district district district

x x x x x x

25 2 25 25 25 2

pers pers pers pers pers pers

x x x

4 4 4

day(s) day(s) day(s)

days days days time paket unit

6,800 544 6,800 1,700 1,700 136

200,000 200,000 50,000 100,000 100,000 140,000

1,360,000,000 108,800,000 340,000,000 170,000,000 170,000,000 19,040,000

fixed rate fixed rate ceiling rate ceiling rate ceiling rate ceiling rate

6,800 544 6,800 1,700 1,700 136

200,000 200,000 50,000 100,000 100,000 140,000

1,360,000,000 108,800,000 340,000,000 170,000,000 170,000,000 19,040,000

fixed rate fixed rate ceiling rate ceiling rate ceiling rate ceiling rate

1,020,000,000 ceiling rate

204

5,000,000

Workshop RAD AMPL

2

time

x

34

district

x

50

pers

x

3

years

days

204

5,000,000

8.8 8.8.1 8.8.2 8.8.3 8.8.4

Workshop Forum/Assosiasi BPSPAM in Province Paket Fullboard Participant Uang Transport Participant Training Material + Kit Spanduk

2 2 2 2

time time time time

x x x x

34 34 34 34

district district district district

x x x x

5 5 5 2

pers pers pers unit

x

2

day(s)

days time paket unit

680 340 340 136

200,000 200,000 100,000 140,000

136,000,000 68,000,000 34,000,000 19,040,000

fixed rate ceiling rate ceiling rate ceiling rate

680 340 340 136

200,000 200,000 100,000 140,000

136,000,000 68,000,000 34,000,000 19,040,000

fixed rate ceiling rate ceiling rate ceiling rate

8.9 8.9.1 8.9.2 8.9.3 8.9.4

Pelatihan Pengelola Program Kabupaten (DPMU+TKK+Satker) in Province Paket Fullboard Participant Uang Transport Participant Training Material + Kit Spanduk

3 3 3 3

time time time time

x x x x

34 34 34 34

district district district district

x x x x

3 3 3 2

pers pers pers unit

x

4

day(s)

days time paket unit

1,224 306 306 204

200,000 200,000 100,000 140,000

244,800,000 61,200,000 30,600,000 28,560,000

fixed rate ceiling rate ceiling rate ceiling rate

1,224 306 306 204

200,000 200,000 100,000 140,000

244,800,000 61,200,000 30,600,000 28,560,000

fixed rate ceiling rate ceiling rate ceiling rate

Page 6

1,020,000,000 ceiling rate

Reimbursable

ORIGINAL CONTRACT NO

DESCRIPTION 2

1 8.10

9

Printing/Media Spanduk Poster Leaflet

2 10 4

theme theme theme

village x 272 x 272 x 272

VARIATION

Unit

district x x x

2 5 25

34 34

Vol.

Unit Rate (IDR)

Amaount (IDR)

Remarks

3

4

5

6=(4*5)

7

unit unit unit

1,088 31,100 55,960

140,000 4,500 1,500

152,320,000 fixed rate 139,950,000 fixed rate 83,940,000 fixed rate

exp exp exp exp exp exp exp exp exp

25 540 180 60 60 60 20 20 225

80,000 40,000 70,000 100,000 80,000 80,000 180,000 240,000 100,000

Unit Rate (IDR)

Vol.

Amaount (IDR)

AMENDMENT CONTRACT NO.1 Remarks

Vol.

Unit Rate (IDR)

Amaount (IDR)

Remarks

8

9

10=(8*9)

11

1,088 31,100 55,960

140,000 4,500 1,500

152,320,000 fixed rate 139,950,000 fixed rate 83,940,000 fixed rate

25 540 180 60 60 60 20 20 225

80,000 40,000 70,000 100,000 80,000 80,000 180,000 240,000 100,000

province x x

5 5

5 5

x x

5 5

x x

2 2

time time

REPORTING

82,700,000

Inception Report Monthly Report Quarterly Report Special Report Annual Report Financial Management Report (FMR) Draft Final Report Final Report Training Program Report

10

TRAINING STBM PAMSIMAS II (TF - 094792)

804,001,000

804,001,000

Training STBM Pamsimas II (Province of West Sumatra)

467,521,000

467,521,000

10.1 10.1.1 a b c d e f

Perdiem Central Government Provincial Government Advisor Panitia Lokal Pemandu STBM (Province & Districts) Participants (Sanitarian/Kader/Natural leader/Bidan)

10.1.2

Transportation

a

b

10.1.3 a

1 time 9 time 3 time 3 time 3 time 3 time 1 time 1 time 5 theme

2 2 1 4 11 121

x x

3 3

years years

x

3

years

x x x x x x x x

20 20 20 20 20 20 20 15

copies copies copies copies copies copies copies copies

3 3 5 5 5 5

p-day p-day p-day p-day p-day p-day

2,000,000 21,600,000 12,600,000 6,000,000 4,800,000 4,800,000 3,600,000 4,800,000 22,500,000

82,700,000

9.1 9.2 9.3 9.4 9.5 9.6 9.7 9.8 9.9

fixed rate fixed rate fixed rate fixed rate fixed rate fixed rate fixed rate fixed rate fixed rate

6 6 5 20 55 605

105,000 105,000 105,000 105,000 105,000 105,000

6 6 5 20 55 605

105,000 105,000 105,000 105,000 105,000 105,000

50,066,000

73,185,000 630,000 630,000 525,000 2,100,000 5,775,000 63,525,000

fix rate fix rate fix rate fix rate fix rate fix rate

50,066,000

- Central Government

2

1

trip

2

2,952,000

5,904,000 ceiling rate

2

2,952,000

5,904,000 ceiling rate

- Advisor Inland/Local Transport - Taxi (pp) for Central Personnels - Provincial Government - Pemandu STBM (Province) - Pemandu STBM (Districts) - Participants (Sanitarian/Kader/Natural leader/Bidan)

1

1

trip

1

2,952,000

2,952,000 ceiling rate

1

2,952,000

2,952,000 ceiling rate

3 2 2 9 121

1 1 1 1 1

trip p-trip p-trip p-trip p-trip

3 2 2 9 121

590,000 110,000 110,000 300,000 300,000

3 2 2 9 121

590,000 110,000 110,000 300,000 300,000

2 2 1 1

2 2 4 4

p-day p-day p-day p-day

4 4 4 4

375,000 375,000 375,000 375,000

11 121 4

4 4 4

p-day p-day p-day

44 484 16

10.1.4

Training Kit (Tas Punggung, Kaos, Topi)

132

1

set

10.1.5

Training Material

132

1

set

10.1.6

Stationery

LS

10.1.7 a b c d e f g h i j

Equipment Video Camera Rental Banner Backdrop Additional Classroom Additional Infocus Rental Preparation Meeting (Snack & Lunch) Car Rental Computer/Laptop Rental Printer Rental Bus Rental (Field Visit)

c

fix rate fix rate fix rate fix rate fix rate fix rate

fixed rate fixed rate fixed rate fixed rate fixed rate fixed rate fixed rate fixed rate fixed rate

Tickets

Fullboard Package Central - Central Government - Provincial Government - TDS / CMAC - Advisor Local Participants - Pemandu STBM (Province & Districts) - Participants (Sanitarian/Kader/Natural leader/Bidan) Panitia Lokal

b

73,185,000 630,000 630,000 525,000 2,100,000 5,775,000 63,525,000

2,000,000 21,600,000 12,600,000 6,000,000 4,800,000 4,800,000 3,600,000 4,800,000 22,500,000

1,770,000 220,000 220,000 2,700,000 36,300,000

fix rate fix rate fix rate fix rate fix rate

210,000,000

1 1 1 4 4 20 1 4 2 7

5 1 1 4 4 2 5 5 5 1

unit-day set set unit-day unit-day set unit-day unit-day unit-day unit-day

Page 7

fix rate fix rate fix rate fix rate fix rate

210,000,000 ceiling rate ceiling rate ceiling rate ceiling rate

4 4 4 4

375,000 375,000 375,000 375,000

375,000 375,000 375,000

16,500,000 ceiling rate 181,500,000 ceiling rate 6,000,000 ceiling rate

44 484 16

375,000 375,000 375,000

16,500,000 ceiling rate 181,500,000 ceiling rate 6,000,000 ceiling rate

132

250,000

33,000,000 ceiling rate

132

250,000

33,000,000 ceiling rate

132

275,000

36,300,000 ceiling rate

132

275,000

36,300,000 ceiling rate

2

2,000,000

4,000,000 ceiling rate

2

2,000,000

5 1 1 16 16 40 5 20 10 7

260,000 500,000 1,250,000 1,500,000 350,000 48,000 580,000 300,000 300,000 2,000,000

1,500,000 1,500,000 1,500,000 1,500,000

1,770,000 220,000 220,000 2,700,000 36,300,000

60,470,000 1,300,000 500,000 1,250,000 24,000,000 5,600,000 1,920,000 2,900,000 6,000,000 3,000,000 14,000,000

ceiling rate ceiling rate ceiling rate ceiling rate ceiling rate ceiling rate ceiling rate ceiling rate ceiling rate ceiling rate

5 1 1 16 16 40 5 20 10 7

260,000 500,000 1,250,000 1,500,000 350,000 48,000 580,000 300,000 300,000 2,000,000

1,500,000 1,500,000 1,500,000 1,500,000

ceiling rate ceiling rate ceiling rate ceiling rate

4,000,000 ceiling rate 60,470,000 1,300,000 500,000 1,250,000 24,000,000 5,600,000 1,920,000 2,900,000 6,000,000 3,000,000 14,000,000

Reimbursable

ceiling rate ceiling rate ceiling rate ceiling rate ceiling rate ceiling rate ceiling rate ceiling rate ceiling rate ceiling rate

ORIGINAL CONTRACT NO

DESCRIPTION 2

1 10.1.8 10.2

Training Report

Perdiem Central Government Provincial Government Advisor Panitia Lokal Pemandu STBM (Province & Districts) Participants (Sanitarian/Kader/Natural leader/Bidan)

10.2.2 a

Transportation Tickets - Central Government - Advisor Inland/Local Transport - Taxi (pp) for Central Personnels - Provincial Government - Pemandu STBM (Province) - Pemandu STBM (Districts) - Participants (Sanitarian/Kader/Natural leader/Bidan) > Participants 1 > Participants 2 > Participants 3 > Participants 4 > Participants 5 > Participants 6 > Participants 7 > Participants 8 > Participants 9 > Participants 10 > Participants 11 > Participants 12 > Participants 13 > Participants 14 > Participants 15 > Participants 16 > Participants 17 > Participants 18 > Participants 19 > Participants 20 > Participants 21 > Participants 22 > Participants 23 > Participants 24 > Participants 25 > Participants 26 > Participants 27 > Participants 28 > Participants 29 > Participants 30

10.2.3 a

3 5

set

Vol.

Unit Rate (IDR)

Amaount (IDR)

Remarks

4

5

6=(4*5)

7

Unit Rate (IDR)

Vol.

5

100,000

Training STBM Pamsimas II (Province of Riau)

10.2.1 a b c d e f

b

VARIATION

Unit

2 2 1 3 7 83

3 3 5 5 5 5

p-day p-day p-day p-day p-day p-day

6 6 5 15 35 415

105,000 105,000 105,000 105,000 105,000 105,000

500,000 ceiling rate

Vol.

Unit Rate (IDR)

Amaount (IDR)

Remarks

8

9

10=(8*9)

11

5

100,000

50,610,000 630,000 630,000 525,000 1,575,000 3,675,000 43,575,000

fix rate fix rate fix rate fix rate fix rate fix rate

6 6 5 15 35 415

105,000 105,000 105,000 105,000 105,000 105,000

1 1

trip trip

2 1

2,820,000 2,820,000

3 2 1 6 83 2 2 2 7 1 3 1 20 1 1 2 6 2 2 1 4 1 6 3 1 1 1 1 1 4 3 1 1 1 1

1 1 1 1

trip p-trip p-trip p-trip

480,000 110,000 110,000 300,000

1,440,000 220,000 110,000 1,800,000

fix rate fix rate fix rate fix rate

1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1

p-trip p-trip p-trip p-trip p-trip p-trip p-trip p-trip p-trip p-trip p-trip p-trip p-trip p-trip p-trip p-trip p-trip p-trip p-trip p-trip p-trip p-trip p-trip p-trip p-trip p-trip p-trip p-trip p-trip p-trip

3 2 1 6 83 2 2 2 7 1 3 1 20 1 1 2 6 2 2 1 4 1 6 3 1 1 1 1 1 4 3 1 1 1 1

150,000 160,000 170,000 200,000 210,000 250,000 280,000 300,000 330,000 340,000 370,000 400,000 410,000 420,000 450,000 470,000 480,000 500,000 600,000 620,000 670,000 740,000 750,000 760,000 800,000 900,000 920,000 980,000 1,100,000 1,300,000

300,000 320,000 340,000 1,400,000 210,000 750,000 280,000 6,000,000 330,000 340,000 740,000 2,400,000 820,000 840,000 450,000 1,880,000 480,000 3,000,000 1,800,000 620,000 670,000 740,000 750,000 760,000 3,200,000 2,700,000 920,000 980,000 1,100,000 1,300,000

fix rate fix rate fix rate fix rate fix rate fix rate fix rate fix rate fix rate fix rate fix rate fix rate fix rate fix rate fix rate fix rate fix rate fix rate fix rate fix rate fix rate fix rate fix rate fix rate fix rate fix rate fix rate fix rate fix rate fix rate

p-day p-day p-day p-day

4 4 4 4

375,000 375,000 375,000 375,000

7 83 3

4 4 4

p-day p-day p-day

28 332 12

10.2.4

Training Kit (Tas Punggung, Kaos, Topi)

90

1

set

10.2.5

Training Material

90

1

set

10.2.6

Stationery

LS

5,640,000 ceiling rate 2,820,000 ceiling rate

Page 8

fix rate fix rate fix rate fix rate fix rate fix rate

2 1

2,820,000 2,820,000

3 2 1 6 83 2 2 2 7 1 3 1 20 1 1 2 6 2 2 1 4 1 6 3 1 1 1 1 1 4 3 1 1 1 1

480,000 110,000 110,000 300,000

1,440,000 220,000 110,000 1,800,000

fix rate fix rate fix rate fix rate

150,000 160,000 170,000 200,000 210,000 250,000 280,000 300,000 330,000 340,000 370,000 400,000 410,000 420,000 450,000 470,000 480,000 500,000 600,000 620,000 670,000 740,000 750,000 760,000 800,000 900,000 920,000 980,000 1,100,000 1,300,000

300,000 320,000 340,000 1,400,000 210,000 750,000 280,000 6,000,000 330,000 340,000 740,000 2,400,000 820,000 840,000 450,000 1,880,000 480,000 3,000,000 1,800,000 620,000 670,000 740,000 750,000 760,000 3,200,000 2,700,000 920,000 980,000 1,100,000 1,300,000

fix rate fix rate fix rate fix rate fix rate fix rate fix rate fix rate fix rate fix rate fix rate fix rate fix rate fix rate fix rate fix rate fix rate fix rate fix rate fix rate fix rate fix rate fix rate fix rate fix rate fix rate fix rate fix rate fix rate fix rate

145,500,000 1,500,000 1,500,000 1,500,000 1,500,000

50,610,000 630,000 630,000 525,000 1,575,000 3,675,000 43,575,000 48,450,000

2 1

2 2 4 4

500,000 ceiling rate 336,480,000

48,450,000

2 2 1 1

c

Remarks

336,480,000

Fullboard Package Central - Central Government - Provincial Government - TDS / CMAC - Advisor Local Participants - Pemandu STBM (Province & Districts) - Participants (Sanitarian/Kader/Natural leader/Bidan) Panitia Lokal

b

Amaount (IDR)

AMENDMENT CONTRACT NO.1

5,640,000 ceiling rate 2,820,000 ceiling rate

145,500,000 ceiling rate ceiling rate ceiling rate ceiling rate

4 4 4 4

375,000 375,000 375,000 375,000

1,500,000 1,500,000 1,500,000 1,500,000

375,000 375,000 375,000

10,500,000 ceiling rate 124,500,000 ceiling rate 4,500,000 ceiling rate

28 332 12

375,000 375,000 375,000

10,500,000 ceiling rate 124,500,000 ceiling rate 4,500,000 ceiling rate

90

250,000

22,500,000 ceiling rate

90

250,000

22,500,000 ceiling rate

90

275,000

24,750,000 ceiling rate

90

275,000

24,750,000 ceiling rate

2

2,000,000

4,000,000 ceiling rate

2

2,000,000

4,000,000 ceiling rate

Reimbursable

ceiling rate ceiling rate ceiling rate ceiling rate

ORIGINAL CONTRACT NO

DESCRIPTION 2

1 10.2.7 a b c d e f g h i j

Equipment Video Camera Rental Banner Backdrop Additional Classroom Additional Infocus Rental Preparation Meeting (Snack & Lunch) Car Rental Computer/Laptop Rental Printer Rental Bus Rental (Field Visit)

10.2.8

Training Report

1 1 1 2 2 20 1 3 2 5

VARIATION

Unit 3

Vol.

Unit Rate (IDR)

Amaount (IDR)

Remarks

4

5

6=(4*5)

7

Unit Rate (IDR)

Vol.

5 1 1 4 4 2 5 5 5 1

unit-day set set unit-day unit-day set unit-day unit-day unit-day unit-day

5 1 1 8 8 40 5 15 10 5

260,000 500,000 1,250,000 1,500,000 350,000 48,000 580,000 300,000 300,000 2,000,000

5

set

5

100,000

Page 9

Amaount (IDR)

40,170,000 1,300,000 500,000 1,250,000 12,000,000 2,800,000 1,920,000 2,900,000 4,500,000 3,000,000 10,000,000

AMENDMENT CONTRACT NO.1 Remarks

Vol.

Unit Rate (IDR)

8

9

ceiling rate ceiling rate ceiling rate ceiling rate ceiling rate ceiling rate ceiling rate ceiling rate ceiling rate ceiling rate

5 1 1 8 8 40 5 15 10 5

260,000 500,000 1,250,000 1,500,000 350,000 48,000 580,000 300,000 300,000 2,000,000

500,000 ceiling rate

5

100,000

Amaount (IDR) 10=(8*9) 40,170,000 1,300,000 500,000 1,250,000 12,000,000 2,800,000 1,920,000 2,900,000 4,500,000 3,000,000 10,000,000

Remarks 11 ceiling rate ceiling rate ceiling rate ceiling rate ceiling rate ceiling rate ceiling rate ceiling rate ceiling rate ceiling rate

500,000 ceiling rate

Reimbursable