amendment no. 2 to the contract (dated may 30,...

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AMENDMENT NO. 2 TO THE CONTRACT (Dated May 30, 2014) FOR NON-CONSULTING SERVICES TIME BASED REGIONAL OVERSIGHT MANAGEMENT SERVICES (ROMS) 3 IBRD Loan 8259-ID BETWEEN Directorate of Water Supply Development Directorate General of Human Settlements Ministry of Public Works AND PT. Perentjana Djaja Contract Number : KU.08.08/Kontrak/Pamsimas/172/VIII/ 2013 Dated : August 27, 2013

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

FORNON-CONSULTING SERVICES

TIME BASED

REGIONAL OVERSIGHT MANAGEMENT SERVICES (ROMS) – 3IBRD Loan 8259-ID

BETWEEN

Directorate of Water Supply DevelopmentDirectorate General of Human Settlements

Ministry of Public Works

AND

PT. Perentjana Djaja

Contract Number : KU.08.08/Kontrak/Pamsimas/172/VIII/ 2013Dated : August 27, 2013

SUMMARY OF CONTRACT

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

2. Name of Service Providers : PT. Perentjana Djaja

3. Contract Original No. and Date : KU.08.08/Kontrak/Pamsimas/172/VIII/2013Dated : August 27, 2013

Amendment No. 1 : Dated : November 25, 2013

Amendment No. 2 : Dated : May 30, 2014

4. Domicile/Address of : Wisma PEDE 3rd Floor, Jalan.Let.Jend.MT HaryonoService Providers Kav. 17, Jakarta Selatan

Telephone: 021.8290442,021.8312836,021.8303408

5. Value of Contract :

Original Contract : IDR 52,108,119,840 (Include VAT 10% APBN Portion)

Amendment No. 1 : IDR 57,626,385,100 (Include VAT 10% APBN Portion)

Amendment No. 2 : IDR 62,400,046,850 (Include VAT 10% APBN Portion)

6. Brief Description of Services : Provision of advisory services for the ProvincialProject Management Unit and District ProjectManagement Unit in the daily operation,management and implementation of Community-Based Water Supply Project (PAMSIMAS II) in theProvinces of Banten, West Java, West Kalimantan,Central Kalimantan, South Kalimantan and EastKalimantan

7. Percentage Eligible for :IBRD Financing

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

8. Percentage Eligible for :APBN-RM Financing

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

9. Percentage Eligible for :APBN-RM Financing(Non Sharing)

Original Contract : NilAmendment No. 1 : NilAmendment No. 2 : 100 % Net of VAT

10. Amount Eligible for :IBRD Financing

Original Contract : IDR 40,869,113,600 (Net of VAT)

Amendment No. 1 : IDR 44,716,344,000 (Net of VAT)

Amendment No. 2 : IDR 44,716,344,000 (Net of VAT)

11. Amount Eligible for :APBN-RM Financing

Original Contract : IDR 10,217,278,400 (Net of VAT)IDR 1,021,727,840 (VAT 10%)

Amendment No. 1 : IDR 11,179,086,000 (Net of VAT)IDR 1,117,908,600 (VAT 10%)

Amendment No. 2 : IDR 11,179,086,000 (Net of VAT)IDR 1,117,908,600 (VAT 10%)

11. Amount Eligible for :TF Financing

Original Contract : Nil

Amendment No. 1 : IDR 613,046,500 (Net of VAT)

Amendment No. 2 : IDR 613,046,500 (Net of VAT)

12. Amount Eligible for :IDA Credit 4204-IND

Original Contract : Nil

Amendment No. 1 : Nil

Amendment No. 2 : IDR 427,014,500 (Net of VAT)

13. Amount Eligible for :APBN-RM Financing(Non Sharing)

Original Contract : Nil

Amendment No. 1 : Nil

Amendment No. 2 : IDR 3,951,497,500 (Net of VAT)IDR 395,149,750 (VAT 10%)

AMENDMENT No 2 TO THE CONTRACTDated May 30, 2014

REGIONAL OVERSIGHT MANAGEMENT SERVICES (ROMS) 3

IBRD Loan 8259-ID

Contract Number : KU.08.08/Kontrak/Pamsimas/172/VIII/2013Dated : August 27, 2013

This Contract Amendment No. 2 (hereinafter called “Amendment No. 2”) is made on Friday,Thirty of the month of May 2014 between, on the one hand, Directorate of Water SupplyDevelopment, Directorate General of Human Settlements, Ministry of Public Works,Government of Indonesia, (hereinafter called the “Employer”) and, on the other hand, a jointventure consisting of the following entities, each of which will be jointly and severally liableto the Employer for all the Service Provider obligations under this Contract, namely PT.Perentjana Djaja (hereinafter called the “Service Provider”).

WHEREAS

(a) the Bank had issued the NOL for TOR and Cost Estimate of Provincial Training forDistrict Association, on April 21, 2014.

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

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

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

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

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

NOW THEREFORE the parties hereto hereby agree as follows:

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

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

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

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

Appendix C

Summary Of Cost Estimate(Amended)

COST ESTIMATES IN LOCAL CURRENCY ( IDR )

REGIONAL OVERSIGHT MANAGEMENT SERVICES (ROMS) - 3

COMMUNITY BASED WATER SUPPLY PROJECT (PAMSIMAS II)

SUMMARY OF COST ESTIMATE

IBRD & APBN ( 80:20)

IDA CR.4204 IND APBN RM (100%)

A REMUNERATION 28,994,250,000 31,449,450,000 31,449,450,000

1 Regional Team 1,872,000,000 1,872,000,000 1,872,000,000

2 Provincial Team 4,794,000,000 4,794,000,000 4,794,000,000

3 District Team 22,328,250,000 24,783,450,000 24,783,450,000

B REIMBURSABLE 22,092,142,000 25,059,026,500 29,437,538,500

1 Duty Travel 982,800,000 1,095,120,000 1,095,120,000

Management Fee of [1.1.1 + 1.1.2] 98,280,000 109,512,000 109,512,000

2 Mobilization and Demobilization 179,260,000 199,040,000 199,040,000

Management Fee of [2.1] 17,926,000 19,904,000 19,904,000

3 Office Space 2,484,600,000 2,644,560,000 2,644,560,000

4 Utilities Expenses 744,000,000 846,000,000 846,000,000

5 Office Equipment 804,000,000 868,000,000 868,000,000

6 Vehicle Rental 6,900,000,000 7,785,000,000 7,785,000,000

7 Communication 852,000,000 918,000,000 918,000,000

Management Fee of [7.1 + 7.2] 85,200,000 91,800,000 91,800,000

8 Training

8.1 Pelatihan FM Ass. dan Data Entry Operator 77,140,000 83,540,000 83,540,000

8.2 Expert Group Meeting - Central 86,400,000 86,400,000 86,400,000

8.3 Expert Group Meeting - Regional 1,116,720,000 1,181,520,000 1,181,520,000

8.4 OJT Fasilitator 283,500,000 315,900,000 315,900,000

8.5 Pelatihan Penguatan BPSPAM in District 2,231,600,000 2,486,640,000 2,486,640,000

8.6 Pelatihan Kader AMPL in District 2,231,600,000 2,486,640,000 2,486,640,000

8.7 Workshop RAD AMPL 1,050,000,000 1,170,000,000 1,170,000,000

8.8 Workshop Forum/Asosiasi BPSPAM in Province 264,600,000 294,840,000 294,840,000

8.9 Pelatihan Pengelolaan Program Kabupaten (DPMU+TKK+Satker) in Province 606,900,000 676,260,000 676,260,000

8.10 Printing/ Media: 493,500,000 549,420,000 549,420,000

Management Fee of [8.1 + 8.2 + 8.3.1 + 8.3.2 + 8.5 + 8.6 + 8.7 + 8.8 + 8.9] 373,116,000 408,884,000 408,884,000

9 Reporting 129,000,000 129,000,000 129,000,000

10 Sanitasi Total Berbasis Masyarakat (STBM) Training - 557,315,000 557,315,000

Management Fee of [10] - 55,731,500 55,731,500

11 Provincial Training for District Assosiation ( IDA CR. 4204 IND ) 388,195,000 388,195,000

Management Fee of [11] 38,819,500 38,819,500

12 FACILITATOR FK & FM ( APBN RM 100% ) 3,455,100,000 3,455,100,000

Management Fee of [12] 496,397,500 496,397,500

TOTAL COST OF SERVICES ( Exclude VAT ) 51,086,392,000 56,508,476,500 - 427,014,500 3,951,497,500 60,886,988,500

Amount Eligible for IBRD Funding & APBN RM 51,086,392,000 55,895,430,000 55,895,430,000

Amount Eligible for IBRD Funding 40,869,113,600 44,716,344,000 44,716,344,000

Amount Eligible for APBN RM 10,217,278,400 11,179,086,000 11,179,086,000

Amount Eligible for TF Funding - 613,046,500 613,046,500

Amount Eligible for IDA Funding 427,014,500 427,014,500

Amount Eligible for APBN RM [ 100% ] 3,951,497,500 3,951,497,500

VAT/PPN : 10% on the APBN portion 1,021,727,840 1,117,908,600 395,149,750 1,513,058,350

Value Of Contract ( Including VAT 10% on the APBN portion ) 52,108,119,840 57,626,385,100 427,014,500 4,346,647,250 62,400,046,850

AMENDMENT No.2

AMOUNT ( IDR )

VARIATIONNO

ORIGINAL CONTRACT

AMOUNT ( IDR )

AMENDMENT No.1

AMOUNT ( IDR )DESCRIPTION

Appendix D

Remuneration and Reimbursable Cost Estimate(Amended)

APPENDIX - D

COST ESTIMATE FOR REMUNERATION

REGIONAL OVERSIGHT MANAGEMENT SERVICES (OMS) - 3

COMMUNITY BASED WATER SUPPLY PROJECT (PAMSIMAS II)

VARIATION Minimum THP [IDR]

NAME MMREMUNERATION

RATE [IDR]NAME MM

REMUNERATION

RATE [IDR]

THP to be paid to staff,

supported by actual

receipt

A REMUNERATION Bid Bid

1 Regional Team 1,872,000,000 1,872,000,000 1.1 Project Manager 1 pers x 36 month Ir. Dessi Irdina 36 Ir. Dessi Irdina 36 11,000,000 1.2 Data Management 1 pers x 36 month Hari Hermawan,SS 36 Hari Hermawan,SS 36 8,000,000 1.3 LG Specialist 1 pers x 36 month Trijana Andhajani,SH 36 Trijana Andhajani,SH 36 8,000,000 1.4 Trainer Coordinator 1 pers x 36 month Zulkifli,SE 36 Zulkifli,SE 36 8,000,000

Supporting Staff :

1.5 Office Manager 1 pers x 36 month Tia Mutiawati,SE 36 Tia Mutiawati,SE 36 4,500,000

2 Provincial Team 4,794,000,000 4,794,000,000 2.1 Jawa Barat/Bandung

2.1.1 Provincial Coordinator/LG 1 pers x 36 month Esfrizal,ST 36 Esfrizal,ST 36 9,000,000 2.1.2 Financial Management Specialist 1 pers x 36 month Toni Syamsul Bahri, SE 36 Toni Syamsul Bahri, SE 36 7,500,000 2.1.3 Quality Assurance Specialist 1 pers x 36 month Tahim Mulyadi,SE 36 Tahim Mulyadi,SE 36 9,000,000

2.2 Banten/Serang; Kalteng/Palangkaraya

2.2.1 Provincial Coordinator/LG 1 pers x 36 month Putra Adhari.S.Sos 36 Putra Adhari.S.Sos 36 9,000,000 2.2.2 Financial Management Specialist 1 pers x 36 month Sony Susanto,SE 36 Sony Susanto,SE 36 7,500,000 2.2.3 Quality Assurance Specialist 1 pers x 36 month Ir. Nurhadi 36 Ir. Nurhadi 36 9,000,000

2.3 Kalbar/Pontianak

2.3.1 Provincial Coordinator/LG 1 pers x 33 month Freida Nirmala,ST 33 Freida Nirmala,ST 33 9,000,000 2.3.2 Financial Management Specialist 1 pers x 33 month Martono,SE 33 Martono,SE 33 7,500,000 2.3.3 Quality Assurance Specialist 1 pers x 33 month Fathurrahim,ST 33 Ahmad Rustendi, SE 33 9,000,000

2.4 Kalsel/Banjarmasin ; Kaltim/Samarinda

2.4.1 Provincial Coordinator/LG 1 pers x 36 month Panca Bagus A,ST 36 Panca Bagus A,ST 36 9,000,000 2.4.2 Financial Management Specialist 1 pers x 36 month Basir Daud,SE 36 Basir Daud,SE 36 7,500,000 2.4.3 Quality Assurance Specialist 1 pers x 36 month Zulkipli,ST 36 Zulkipli,ST 36 9,000,000

3. DISTRICT TEAM 24,783,450,000 24,783,450,000 3.0 District Team - Jawa Barat

3.1 Sukabumi

3.1.1 District Coordinator 1 pers x 33 month Joko Yuwono,ST 33 Joko Yuwono,ST 33 7,000,000 3.1.2 Financial Management Assistant 1 pers x 33 month Hendi Herdiman,SE 33 Hendi Herdiman,SE 33 4,500,000

Supporting Staff :

3.1.3 Data Entry Operator/Administrator Officer 1 pers x 33 month Andri Rifai 33 Andri Rifai 33 2,750,000 3.2 Purwakarta

3.2.1 District Coordinator 1 pers x 33 month Ir. Indri Agustina Suryandari 33 Ir. Indri Agustina Suryandari 33 7,000,000 3.2.2 Financial Management Assistant 1 pers x 33 month Sari Wayuratnawati,SE 33 Hendi Herdiman, SE 33 4,500,000

Supporting Staff :

3.2.3 Data Entry Operator/Administrator Officer 1 pers x 33 month Dendi Setiawan Suryana 33 Dendi Setiawan Suryana 33 2,750,000 3.3 Cirebon

3.3.1 District Coordinator 1 pers x 33 month Hadi Siswanto,ST 33 Hadi Siswanto,ST 33 7,000,000 3.3.2 Financial Management Assistant 1 pers x 33 month Dyah Purwanti,SE 33 Dyah Purwanti,SE 33 4,500,000

Supporting Staff :

3.3.3 Data Entry Operator/Administrator Officer 1 pers x 33 month Deni Iskandar 33 Deni Iskandar 33 2,750,000 3.4 Tasikmalaya

3.4.1 District Coordinator 1 pers x 36 month Ir. Kuswandi 36 Ir. Kuswandi 36 7,000,000 3.4.2 Financial Management Assistant 1 pers x 36 month M Yani Suryani,SE 36 M Yani Suryani,SE 36 4,500,000

Supporting Staff :

3.4.3 Data Entry Operator/Administrator Officer 1 pers x 36 month Iman Firmansyah 36 Iman Firmansyah 36 2,750,000 3.5 Garut

3.5.1 District Coordinator 1 pers x 36 month Dadan Sudrajat,ST 36 Dadan Sudrajat,ST 36 7,000,000 3.5.2 Financial Management Assistant 1 pers x 36 month Kiki Yuda P,SE 36 Kiki Yuda P,SE 36 4,500,000

Supporting Staff :

3.5.3 Data Entry Operator/Administrator Officer 1 pers x 36 month Deni Ramdani 36 Deni Ramdani 36 2,750,000 3.6 Kuningan

3.6.1 District Coordinator 1 pers x 36 month Ratna Suminar,ST 36 Ratna Suminar,ST 36 7,000,000 3.6.2 Financial Management Assistant 1 pers x 36 month Cepi Nugraha, SE 36 Cepi Nugraha, SE 36 4,500,000

Supporting Staff :

3.6.3 Data Entry Operator/Administrator Officer 1 pers x 36 month Gina Agustina 36 Gina Agustina 36 2,750,000

AMENDMENT.No.2

AMOUNT [ IDR ]

AMENDMENT.No.1

NO POSITION

AMOUNT [ IDR ]

APPENDIX - D

COST ESTIMATE FOR REMUNERATION

REGIONAL OVERSIGHT MANAGEMENT SERVICES (OMS) - 3

COMMUNITY BASED WATER SUPPLY PROJECT (PAMSIMAS II)

VARIATION Minimum THP [IDR]

NAME MMREMUNERATION

RATE [IDR]NAME MM

REMUNERATION

RATE [IDR]

THP to be paid to staff,

supported by actual

receipt

AMENDMENT.No.2

AMOUNT [ IDR ]

AMENDMENT.No.1

NO POSITION

AMOUNT [ IDR ]

3.7 Subang

3.7.1 District Coordinator 1 pers x 36 month Ir. Sigid Hardiyanto 36 Nurdin Halekdin,ST 36 7,000,000 3.7.2 Financial Management Assistant 1 pers x 36 month M Hasan Abdilah,SE 36 M Hasan Abdilah,SE 36 4,500,000

Supporting Staff :

3.7.3 Data Entry Operator/Administrator Officer 1 pers x 36 month Andrian Hartanto 36 Andrian Hartanto 36 2,750,000 3.8 Sumedang

3.8.1 District Coordinator 1 pers x 36 month Eris Suhendar,ST 36 Eris Suhendar,ST 36 7,000,000 3.8.2 Financial Management Assistant 1 pers x 36 month Sandi Arisandi,SE 36 Sandi Arisandi,SE 36 4,500,000

Supporting Staff :

3.8.3 Data Entry Operator/Administrator Officer 1 pers x 36 month Vian Juan Okfiansyah 36 Vian Juan Okfiansyah 36 2,750,000 3.9 Bandung

3.9.1 District Coordinator 1 pers x 33 month Fauzi Amrullah,ST 33 Fauzi Amrullah,ST 33 7,000,000 3.9.2 Financial Management Assistant 1 pers x 33 month Dudi Karyanto,SE 33 Dudi Karyanto,SE 33 4,500,000

Supporting Staff :

3.9.3 Data Entry Operator/Administrator Officer 1 pers x 33 month Adji Faudji Yaman 33 Adji Faudji Yaman 33 2,750,000 3.10 Bandung Barat

3.10.1 District Coordinator 1 pers x 33 month Endra Suhendar,ST 33 Endra Suhendar,ST 33 7,000,000 3.10.2 Financial Management Assistant 1 pers x 33 month Indra Gunawan,SE 33 Indra Gunawan,SE 33 4,500,000

Supporting Staff :

3.10.3 Data Entry Operator/Administrator Officer 1 pers x 33 month Serly Fitriana 33 Serly Fitriana 33 2,750,000 3.11 Bekasi

3.11.1 District Coordinator Saefudin, ST 33 Ir. Muliardy Banun 33 7,000,000 3.11.2 Financial Management Assistant Endriyani Soraya, SE 33 Deni Haris, SE 33 4,500,000

Supporting Staff :

3.11.3 Data Entry Operator/Administrator Officer Tia Astriani 33 Dadan Wildan Badrudin 33 2,750,000

4. District Team - Banten, Kalimantan Tengah

4.1 Padeglang

4.1.1 District Coordinator 1 pers x 33 month Hendra Safitri,ST 33 Hendra Safitri,ST 33 7,000,000 4.1.2 Financial Management Assistant 1 pers x 33 month Ana Yuliana,SE 33 Deni Kurniawan, SE 33 4,500,000

Supporting Staff :

4.1.3 Data Entry Operator/Administrator Officer 1 pers x 33 month Rodin 33 Rodin 33 2,750,000 4.2 Serang

4.2.1 District Coordinator 1 pers x 36 month Suprapto,ST 36 Suprapto,ST 36 7,000,000 4.2.2 Financial Management Assistant 1 pers x 36 month Nila Asmawati,SE 36 Nila Asmawati,SE 36 4,500,000

Supporting Staff :

4.2.3 Data Entry Operator/Administrator Officer 1 pers x 36 month Nikmatullah 36 Nikmatullah 36 2,750,000 4.3 Lebak

4.3.1 District Coordinator 1 pers x 36 month Ratnawati Zaleha,ST 36 Ratnawati Zaleha,ST 36 7,000,000 4.3.2 Financial Management Assistant 1 pers x 36 month M Ridwan,SE 36 M Ridwan,SE 36 4,500,000

Supporting Staff :

4.3.3 Data Entry Operator/Administrator Officer 1 pers x 36 month Rahmatul Aliyah 36 Rahmatul Aliyah 36 2,750,000 4.4 Kapuas

4.4.1 District Coordinator 1 pers x 33 month Raden Yusuf ,ST 33 Raden Yusuf ,ST 33 7,000,000 4.4.2 Financial Management Assistant 1 pers x 33 month Maskuri,SE 33 Maskuri,SE 33 4,500,000

Supporting Staff :

4.4.3 Data Entry Operator/Administrator Officer 1 pers x 33 month Tito 33 Tito Hadiwiyanto Niharda 33 2,750,000 4.5 Seruyan

4.5.1 District Coordinator 1 pers x 33 month Fahrul Norabadi,ST 33 Fahrul Norabadi,ST 33 7,000,000 4.5.2 Financial Management Assistant 1 pers x 33 month Tri Darmawati,SE 33 Tri Darmawati,SE 33 4,500,000

Supporting Staff :

4.5.3 Data Entry Operator/Administrator Officer 1 pers x 33 month Agung Lukito 33 Ramadanor 33 2,750,000 4.6 Waringin Barat

4.6.1 District Coordinator Muhamad Nursyamsu,ST 33 Muhamad Nursyamsu,ST 33 7,000,000 4.6.2 Financial Management Assistant M. Isman Berfis,SE 33 M. Isman Berfis,SE 33 4,500,000

Supporting Staff :

4.6.3 Data Entry Operator/Administrator Officer Maprohimsyah 33 Maprohimsyah 33 2,750,000

5. District Team - South Kalimantan & East Kalimantan

5.1 South Kalimantan - Tanah Bumbu

5.1.1 District Coordinator 1 pers x 36 month Arif Mulyadi,ST 36 Arif Mulyadi,ST 36 7,000,000 5.1.2 Financial Management Assistant 1 pers x 36 month Trino Kusumarini,SE 36 Trino Kusumarini,SE 36 4,500,000

Supporting Staff :

5.1.3 Data Entry Operator/Administrator Officer 1 pers x 36 month Rizki Nanda Saputra 36 Rizki Nanda Saputra 36 2,750,000 5.2 South Kalimantan - Kotabaru

5.2.1 District Coordinator 1 pers x 36 month Agus Supriyanto,ST 36 Agus Supriyanto,ST 36 7,000,000 5.2.2 Financial Management Assistant 1 pers x 36 month Rindawati,SE 36 Rindawati,SE 36 4,500,000

Supporting Staff :

5.2.3 Data Entry Operator/Administrator Officer 1 pers x 36 month Andi Adnan, Skom 36 Andi Adnan, Skom 36 2,750,000

APPENDIX - D

COST ESTIMATE FOR REMUNERATION

REGIONAL OVERSIGHT MANAGEMENT SERVICES (OMS) - 3

COMMUNITY BASED WATER SUPPLY PROJECT (PAMSIMAS II)

VARIATION Minimum THP [IDR]

NAME MMREMUNERATION

RATE [IDR]NAME MM

REMUNERATION

RATE [IDR]

THP to be paid to staff,

supported by actual

receipt

AMENDMENT.No.2

AMOUNT [ IDR ]

AMENDMENT.No.1

NO POSITION

AMOUNT [ IDR ]

5.3 South Kalimantan - Barito Kuala

5.3.1 District Coordinator 1 pers x 36 month Noor Aida,ST 36 Noor Aida,ST 36 7,000,000 5.3.2 Financial Management Assistant 1 pers x 36 month Roliansyah,SE 36 Roliansyah,SE 36 4,500,000

Supporting Staff :

5.3.3 Data Entry Operator/Administrator Officer 1 pers x 36 month Irma Taufiyanni, Skom 36 Irma Taufiyanni, Skom 36 2,750,000 5.4 South Kalimantan - Tabalong

5.4.1 District Coordinator 1 pers x 33 month Zainor Rakhman,ST 33 Zainor Rakhman,ST 33 7,000,000 5.4.2 Financial Management Assistant 1 pers x 33 month Tamrin, SE 33 Tamrin, SE 33 4,500,000

Supporting Staff :

5.4.3 Data Entry Operator/Administrator Officer 1 pers x 33 month Basri, Skom 33 Basri, Skom 33 2,750,000 5.5 South Kalimantan - Tanah Laut

5.5.1 District Coordinator 1 pers x 36 month Nurminda Widiasari,ST 36 Nurminda Widiasari,ST 36 7,000,000 5.5.2 Financial Management Assistant 1 pers x 36 month Noor Hanasari,SE 36 Noor Hanasari,SE 36 4,500,000

Supporting Staff :

5.5.3 Data Entry Operator/Administrator Officer 1 pers x 36 month Alfian Rifani, Skom 36 Alfian Rifani, Skom 36 2,750,000 5.6 South Kalimantan - Banjar

5.6.1 District Coordinator 1 pers x 36 month Herlina,ST 36 Herlina,ST 36 7,000,000 5.6.2 Financial Management Assistant 1 pers x 36 month Maida Mayangsary,SE 36 Maida Mayangsary,SE 36 4,500,000

Supporting Staff :

5.6.3 Data Entry Operator/Administrator Officer 1 pers x 36 month Ina Rahmawati, Skom 36 Rizeko Adhi Ramadhan,S.Kom 36 2,750,000 5.7 South Kalimantan - Tapin

5.7.1 District Coordinator 1 pers x 33 month M Ali Riza,ST 33 M Ali Riza,ST 33 7,000,000 5.7.2 Financial Management Assistant 1 pers x 33 month Ahmad Fariada,SE 33 Ahmad Fariada,SE 33 4,500,000

Supporting Staff :

5.7.3 Data Entry Operator/Administrator Officer 1 pers x 33 month Yusuf Indrakertajaya, Skom 33 Yusuf Indrakertajaya, Skom 33 2,750,000 5.8 South Kalimantan - Hulu Sungai Utara

5.8.1 District Coordinator 1 pers x 36 month Muhamad Zakkir,ST 36 Muhamad Zakkir,ST 36 7,000,000 5.8.2 Financial Management Assistant 1 pers x 36 month Agus Setiawan,SE 36 Agus Setiawan,SE 36 4,500,000

Supporting Staff :

5.8.3 Data Entry Operator/Administrator Officer 1 pers x 36 month Nurul Wardani, Skom 36 Nurul Wardani, Skom 36 2,750,000 5.9 South Kalimantan - Hulu Sungai Selatan

5.9.1 District Coordinator 1 pers x 36 month Herri Agustiyanto,ST 36 Herri Agustiyanto,ST 36 7,000,000 5.9.2 Financial Management Assistant 1 pers x 36 month Dwi Ardi W, SE 36 Dwi Ardi W, SE 36 4,500,000

Supporting Staff :

5.9.3 Data Entry Operator/Administrator Officer 1 pers x 36 month Muhammad Maulana, Skom 36 Muhammad Maulana, Skom 36 2,750,000 5.10 South Kalimantan - Balangan

5.10.1 District Coordinator 1 pers x 36 month M Rusdi Effendi,ST 36 M Rusdi Effendi,ST 36 7,000,000 5.10.2 Financial Management Assistant 1 pers x 36 month Sidomo,SE 36 Sidomo,SE 36 4,500,000

Supporting Staff :

5.10.3 Data Entry Operator/Administrator Officer 1 pers x 36 month Haris Fadilah, Skom 36 Haris Fadilah, Skom 36 2,750,000 5.11 East Kalimantan - Kutai Barat

5.11.1 District Coordinator 1 pers x 33 month Abdi Jasa,ST 33 Abdi Jasa,ST 33 7,000,000 5.11.2 Financial Management Assistant 1 pers x 33 month Murliansyah U,SE 33 Ely Yosanti, SE 33 4,500,000

Supporting Staff :

5.11.3 Data Entry Operator/Administrator Officer 1 pers x 33 month Syahruddin, Skom 33 Surya Atmaja, S.Kom 33 2,750,000

6 District Team - West Kalimantan

6.1 West Kalimantan - Sintang

6.1.1 District Coordinator 1 pers x 33 month Taryono,ST 33 Taryono,ST 33 7,000,000 6.1.2 Financial Management Assistant 1 pers x 33 month Sugino,SE 33 Sugino,SE 33 4,500,000

Supporting Staff :

6.1.3 Data Entry Operator/Administrator Officer 1 pers x 33 month Sigit Prihasti Widyanto, Skom 33 Sigit Prihasti Widyanto, Skom 33 2,750,000 6.2 West Kalimantan - Landak

6.2.1 District Coordinator 1 pers x 33 month Gusti Dedi Mulyadi,ST 33 Gusti Dedi Mulyadi,ST 33 7,000,000 6.2.2 Financial Management Assistant 1 pers x 33 month Mira Julianti,SE 33 Mira Julianti,SE 33 4,500,000

Supporting Staff :

6.2.3 Data Entry Operator/Administrator Officer 1 pers x 33 month Ferry Kurniawan, ST 33 Bayu Saktiarsy,S.Kom 33 2,750,000 6.3 West Kalimantan - Melawi

6.3.1 District Coordinator 1 pers x 33 month Sutarsih,ST 33 Sutarsih,ST 33 7,000,000 6.3.2 Financial Management Assistant 1 pers x 33 month Fathan Farhan,SE 33 Fathan Farhan,SE 33 4,500,000

Supporting Staff :

6.3.3 Data Entry Operator/Administrator Officer 1 pers x 33 month Nuraini Rahma, 33 Nuraini Rahma, 33 2,750,000 6.4 West Kalimantan - Sanggau

6.4.1 District Coordinator 1 pers x 33 month Tetra Deviner,ST 33 Tetra Deviner,ST 33 7,000,000 6.4.2 Financial Management Assistant 1 pers x 33 month M. Fatris Babara,SE 33 M. Fatris Babara,SE 33 4,500,000

Supporting Staff :

6.4.3 Data Entry Operator/Administrator Officer 1 pers x 33 month Rizki Kurniati 33 Rizki Kurniati 33 2,750,000 6.5 West Kalimantan - Ketapang

6.5.1 District Coordinator 1 pers x 33 month Eko Bari Hartono,ST 33 Edi Rubiyanto, ST 33 7,000,000 6.5.2 Financial Management Assistant 1 pers x 33 month Sofiansyah,SE 33 Sofiansyah,SE 33 4,500,000

Supporting Staff :

6.5.3 Data Entry Operator/Administrator Officer 1 pers x 33 month Rini Utami 33 Rini Utami 33 2,750,000

APPENDIX - D

COST ESTIMATE FOR REMUNERATION

REGIONAL OVERSIGHT MANAGEMENT SERVICES (OMS) - 3

COMMUNITY BASED WATER SUPPLY PROJECT (PAMSIMAS II)

VARIATION Minimum THP [IDR]

NAME MMREMUNERATION

RATE [IDR]NAME MM

REMUNERATION

RATE [IDR]

THP to be paid to staff,

supported by actual

receipt

AMENDMENT.No.2

AMOUNT [ IDR ]

AMENDMENT.No.1

NO POSITION

AMOUNT [ IDR ]

6.6 West Kalimantan - Bengkayang

6.6.1 District Coordinator 1 pers x 33 month Meizeren Zain,ST 33 Meizeren Zain,ST 33 7,000,000 6.6.2 Financial Management Assistant 1 pers x 33 month Romansius,SE 33 Romansius,SE 33 4,500,000

Supporting Staff :

6.6.3 Data Entry Operator/Administrator Officer 1 pers x 33 month Destaria Wiwit Kusmanto,Skom 33 Destaria Wiwit Kusmanto,Skom 33 2,750,000 6.7 West Kalimantan - Kayong Utara

6.7.1 District Coordinator 1 pers x 33 month Edy Rubianto,ST 33 Eko Bari Wartono, ST 33 7,000,000 6.7.2 Financial Management Assistant 1 pers x 33 month Ahmad Moelyono,SE 33 Ahmad Moelyono,SE 33 4,500,000

Supporting Staff :

6.7.3 Data Entry Operator/Administrator Officer 1 pers x 33 month Darmadi, SKom 33 Darmadi, SKom 33 2,750,000 6.8 West Kalimantan - Pontianak

6.8.1 District Coordinator 1 pers x 33 month Muhammad Rodi,ST 33 Muhammad Rodi,ST 33 7,000,000 6.8.2 Financial Management Assistant 1 pers x 33 month Posman Saragih,SE 33 Posman Saragih,SE 33 4,500,000

Supporting Staff :

6.8.3 Data Entry Operator/Administrator Officer 1 pers x 33 month M Rudiyansyah 33 Fransisca Natalia, SE 33 2,750,000 6.9 West Kalimantan - Sambas

6.9.1 District Coordinator 1 pers x 33 month Seno Budi Hartono,ST 33 Seno Budi Hartono,ST 33 7,000,000 6.9.2 Financial Management Assistant 1 pers x 33 month Novian Sufriani, SE 33 Novian Sufriani, SE 33 4,500,000

Supporting Staff :

6.9.3 Data Entry Operator/Administrator Officer 1 pers x 33 month Fitri Wulandari 33 Erin Revina 33 2,750,000 6.10 West Kalimantan - Sekadau

6.10.1 District Coordinator Saseso Sasmita,ST 33 Saseso Sasmita,ST 33 7,000,000 6.10.2 Financial Management Assistant Hamid,SE 33 Hamid,SE 33 4,500,000

Supporting Staff :

6.10.3 Data Entry Operator/Administrator Officer Eko Yakop 33 Eko Yakop 33 2,750,000 6.11 West Kalimantan - Kubu Raya

6.11.1 District Coordinator Kustaman,ST 33 Kustaman,ST 33 7,000,000 6.11.2 Financial Management Assistant Tesia Halim, SE 33 Tesia Halim, SE 33 4,500,000

Supporting Staff :

6.11.3 Data Entry Operator/Administrator Officer Rita Andriyanti 33 Rita Andriyanti 33 2,750,000

TOTAL REMUNERATION 4599 31,449,450,000 4599 31,449,450,000

APPENDIX - D `

COST ESTIMATE FOR REIMBURSABLE COST

REGIONAL OVERSIGHT MANAGEMENT SERVICES (OMS) - 3

VOL UNIT RATE

[ IDR ] AMOUNT [ IDR ] VOL

UNIT RATE

[ IDR ] AMOUNT [ IDR ]

B REIMBURSABLE COST

1 DUTY TRAVEL 1,095,120,000 1,095,120,000

1.1 Spot Checking

1.1.1 Provincial Team : Province to Distric to Village

Banten - Central Kalimantan

Inland Transport 3 person 48 Village 10% 3 years 2 time 86 200,000 17,280,000 3 person 48 Village 10% 3 years 2 time 86 200,000 17,280,000 ceiling rate

Accomodation 3 person 48 Village 10% 3 years 2 time 2 day 173 200,000 34,560,000 3 person 48 Village 10% 3 years 2 time 2 day 173 200,000 34,560,000 ceiling rate

OSA ( fixed ) 3 person 48 Village 10% 3 years 2 time 3 day 259 200,000 51,840,000 3 person 48 Village 10% 3 years 2 time 3 day 259 200,000 51,840,000 ceiling rate

- -

West Java - -

Inland Transport 3 person 88 Village 10% 3 years 2 time 158 200,000 31,680,000 3 person 88 Village 10% 3 years 2 time 158 200,000 31,680,000 ceiling rate

Accomodation 3 person 88 Village 10% 3 years 2 time 2 day 317 200,000 63,360,000 3 person 88 Village 10% 3 years 2 time 2 day 317 200,000 63,360,000 ceiling rate

OSA ( fixed ) 3 person 88 Village 10% 3 years 2 time 3 day 475 200,000 95,040,000 3 person 88 Village 10% 3 years 2 time 3 day 475 200,000 95,040,000 ceiling rate

- -

West Kalimantan - -

Inland Transport 3 person 88 Village 10% 3 years 2 time 158 200,000 31,680,000 3 person 88 Village 10% 3 years 2 time 158 200,000 31,680,000 ceiling rate

Accomodation 3 person 88 Village 10% 3 years 2 time 2 day 317 200,000 63,360,000 3 person 88 Village 10% 3 years 2 time 2 day 317 200,000 63,360,000 ceiling rate

OSA ( fixed ) 3 person 88 Village 10% 3 years 2 time 3 day 475 200,000 95,040,000 3 person 88 Village 10% 3 years 2 time 3 day 475 200,000 95,040,000 ceiling rate

- -

South Kalimantan & East Kalimantan - -

Inland Transport 3 person 88 Village 10% 3 years 2 time 158 200,000 31,680,000 3 person 88 Village 10% 3 years 2 time 158 200,000 31,680,000 ceiling rate

Accomodation 3 person 88 Village 10% 3 years 2 time 2 day 317 200,000 63,360,000 3 person 88 Village 10% 3 years 2 time 2 day 317 200,000 63,360,000 ceiling rate

OSA ( fixed ) 3 person 88 Village 10% 3 years 2 time 3 day 475 200,000 95,040,000 3 person 88 Village 10% 3 years 2 time 3 day 475 200,000 95,040,000 ceiling rate

- -

1.1.2 District Team : District to Village - -

District Coordinator Banten 3 district 24 Village 50% 3 years 10 time 360 50,000 18,000,000 3 district 24 Village 50% 3 years 10 time 360 50,000 18,000,000 ceiling rate

District Coordinator West Java 11 district 88 Village 50% 3 years 10 time 1,320 50,000 66,000,000 11 district 88 Village 50% 3 years 10 time 1,320 50,000 66,000,000 ceiling rate

District Coordinator West Kalimantan 11 district 88 Village 50% 3 years 10 time 1,320 50,000 66,000,000 11 district 88 Village 50% 3 years 10 time 1,320 50,000 66,000,000 ceiling rate

District Coordinator Central Kalimantan 3 district 24 Village 50% 3 years 10 time 360 50,000 18,000,000 3 district 24 Village 50% 3 years 10 time 360 50,000 18,000,000 ceiling rate

District Coordinator South Kalimantan 10 district 80 Village 50% 3 years 10 time 1,200 50,000 60,000,000 10 district 80 Village 50% 3 years 10 time 1,200 50,000 60,000,000 ceiling rate

District Coordinator East Kalimantan 1 district 8 Village 50% 3 years 10 time 120 50,000 6,000,000 1 district 8 Village 50% 3 years 10 time 120 50,000 6,000,000 ceiling rate

- -

Financial Management Ass Banten 3 district 24 Village 50% 3 years 8 time 288 50,000 14,400,000 3 district 24 Village 50% 3 years 8 time 288 50,000 14,400,000 ceiling rate

Financial Management Ass West Java 11 district 88 Village 50% 3 years 8 time 1,056 50,000 52,800,000 11 district 88 Village 50% 3 years 8 time 1,056 50,000 52,800,000 ceiling rate

Financial Management Ass West Kalimantan 11 district 88 Village 50% 3 years 8 time 1,056 50,000 52,800,000 11 district 88 Village 50% 3 years 8 time 1,056 50,000 52,800,000 ceiling rate

Financial Management Ass Central Kalimantan 3 district 24 Village 50% 3 years 8 time 288 50,000 14,400,000 3 district 24 Village 50% 3 years 8 time 288 50,000 14,400,000 ceiling rate

Financial Management Ass South Kalimantan 10 district 80 Village 50% 3 years 8 time 960 50,000 48,000,000 10 district 80 Village 50% 3 years 8 time 960 50,000 48,000,000 ceiling rate

Financial Management Ass East Kalimantan 1 district 8 Village 50% 3 years 8 time 96 50,000 4,800,000 1 district 8 Village 50% 3 years 8 time 96 50,000 4,800,000 ceiling rate- -

2 MOBILIZATION AND DEMOBILIZATION - 199,040,000 - 199,040,000

- -

2.1 Regional Team : Jakarta to Province to Jakarta - -

1 Project Manager Jkt - Bdg - Jkt 1 person 1 r-trip 1 300,000 300,000 1 person 1 r-trip 1 300,000 300,000 ceiling rate

2 Data management Jkt - Bdg - Jkt 1 person 1 r-trip 1 300,000 300,000 1 person 1 r-trip 1 300,000 300,000 ceiling rate

3 LG Specialist Jkt - Bdg - Jkt 1 person 1 r-trip 1 300,000 300,000 1 person 1 r-trip 1 300,000 300,000 ceiling rate

4 Trainer Coordinator Jkt - Bdg - Jkt 1 person 1 r-trip 1 300,000 300,000 1 person 1 r-trip 1 300,000 300,000 ceiling rate

5 Local Transport Jkt - Bdg - Jkt 1 person 1 r-trip 4 200,000 800,000 4 person 1 r-trip 4 200,000 800,000 ceiling rate- -

2.2 Provincial Team : Jakarta to Province to Jakarta - -

1 Provincial Coordinator Jkt - Bdg - Jkt 1 person 1 r-trip 1 300,000 300,000 1 person 1 r-trip 1 300,000 300,000 ceiling rate

Provincial Coordinator Jkt - Pontianak - Jkt 1 person 1 r-trip 1 2,600,000 2,600,000 1 person 1 r-trip 1 2,600,000 2,600,000 ceiling rate

Provincial Coordinator Jkt - Serang - Jkt 1 person 1 r-trip 1 300,000 300,000 1 person 1 r-trip 1 300,000 300,000 ceiling rate

Provincial Coordinator Jkt - Bmasin - Jkt 1 person 1 r-trip 1 2,800,000 2,800,000 1 person 1 r-trip 1 2,800,000 2,800,000 ceiling rate

- - - - - -

2 Financial Management Specialist Jkt - Bdg - Jkt 1 person 1 r-trip 1 300,000 300,000 1 person 1 r-trip 1 300,000 300,000 ceiling rate

Financial Management Specialist Jkt - Pontianak - Jkt 1 person 1 r-trip 1 2,600,000 2,600,000 1 person 1 r-trip 1 2,600,000 2,600,000 ceiling rate

Financial Management Specialist Jkt - Serang - Jkt 1 person 1 r-trip 1 300,000 300,000 1 person 1 r-trip 1 300,000 300,000 ceiling rate

Financial Management Specialist Jkt - Bmasin - Jkt 1 person 1 r-trip 1 2,800,000 2,800,000 1 person 1 r-trip 1 2,800,000 2,800,000 ceiling rate

- - - - - -

3 Quality Assurance Specialist Jkt - Bdg - Jkt 1 person 1 r-trip 1 300,000 300,000 1 person 1 r-trip 1 300,000 300,000 ceiling rate

Quality Assurance Specialist Jkt - Pontianak - Jkt 1 person 1 r-trip 1 2,600,000 2,600,000 1 person 1 r-trip 1 2,600,000 2,600,000 ceiling rate

Quality Assurance Specialist Jkt - Serang - Jkt 1 person 1 r-trip 1 300,000 300,000 1 person 1 r-trip 1 300,000 300,000 ceiling rate

Quality Assurance Specialist Jkt - Bmasin - Jkt 1 person 1 r-trip 1 2,800,000 2,800,000 1 person 1 r-trip 1 2,800,000 2,800,000 ceiling rate

- - - - - -

4 Local Transport 12 person 1 r-trip 12 200,000 2,400,000 12 person 1 r-trip 12 200,000 2,400,000 ceiling rate

- - - - - -

NO DESCRIPTION REMARK

AMENDMENT No.1

DESCRIPTION DESCRIPTION

AMENDMENT No.2

VARIATION

APPENDIX - D `

COST ESTIMATE FOR REIMBURSABLE COST

REGIONAL OVERSIGHT MANAGEMENT SERVICES (OMS) - 3

VOL UNIT RATE

[ IDR ] AMOUNT [ IDR ] VOL

UNIT RATE

[ IDR ] AMOUNT [ IDR ]

B REIMBURSABLE COST

NO DESCRIPTION REMARK

AMENDMENT No.1

DESCRIPTION DESCRIPTION

AMENDMENT No.2

VARIATION

2.3 District Team : Jakarta to Province to Jakarta - - - - - -

2.3.1 District Coordinator Jkt - Serang - Jkt 3 person 1 r-trip 3 300,000 900,000 3 person 1 r-trip 3 300,000 900,000 ceiling rate

District Coordinator Jkt - Bdg - Jkt 11 person 1 r-trip 11 300,000 3,300,000 11 person 1 r-trip 11 300,000 3,300,000 ceiling rate

District Coordinator Jkt - Pontianak - Jkt 11 person 1 r-trip 11 2,600,000 28,600,000 11 person 1 r-trip 11 2,600,000 28,600,000 ceiling rate

District Coordinator Jkt - Praya - Jkt 3 person 1 r-trip 3 2,790,000 8,370,000 3 person 1 r-trip 3 2,790,000 8,370,000 ceiling rate

District Coordinator Jkt - Bmasin - Jkt 10 person 1 r-trip 10 2,800,000 28,000,000 10 person 1 r-trip 10 2,800,000 28,000,000 ceiling rate

District Coordinator Jkt - Smrd - Jkt 1 person 1 r-trip 1 3,550,000 3,550,000 1 person 1 r-trip 1 3,550,000 3,550,000 ceiling rate

- - - - - -

2.3.2 Financial Management Assistant Jkt - Serang - Jkt 3 person 1 r-trip 3 300,000 900,000 3 person 1 r-trip 3 300,000 900,000 ceiling rate

Financial Management Assistant Jkt - Bdg - Jkt 11 person 1 r-trip 11 300,000 3,300,000 11 person 1 r-trip 11 300,000 3,300,000 ceiling rate

Financial Management Assistant Jkt - Pontianak - Jkt 11 person 1 r-trip 11 2,600,000 28,600,000 11 person 1 r-trip 11 2,600,000 28,600,000 ceiling rate

Financial Management Assistant Jkt - Praya - Jkt 3 person 1 r-trip 3 2,790,000 8,370,000 3 person 1 r-trip 3 2,790,000 8,370,000 ceiling rate

Financial Management Assistant Jkt - Bmasin - Jkt 10 person 1 r-trip 10 2,800,000 28,000,000 10 person 1 r-trip 10 2,800,000 28,000,000 ceiling rate

Financial Management Assistant Jkt - Smrd - Jkt 1 person 1 r-trip 1 3,550,000 3,550,000 1 person 1 r-trip 1 3,550,000 3,550,000 ceiling rate

- - - - - -

2.3.3 Local Transport ( Province to District ) 78 person 1 r-trip 78 400,000 31,200,000 78 person 1 r-trip 78 400,000 31,200,000 ceiling rate

- -

3 OFFICE SPACE ( Rental ) - 2,644,560,000 - 2,644,560,000

3.1 Regional Team & Provincial Team - -

3.2 District Team - -

- -

4 UTILITIES EXPENSES - 846,000,000 - 846,000,000

5 OFFICE EQUIPMENT - 868,000,000 - 868,000,000

1 Notebook Computer ( Regional + Provincial+District ) Purchase 55 pers 1 unit 55 7,500,000 412,500,000 Purchase 55 pers 1 unit 55 7,500,000 412,500,000 bid, fixed rate

2 Portable Computer for supporting Regional Purchase 2 pers 1 unit 2 6,500,000 13,000,000 Purchase 2 pers 1 unit 2 6,500,000 13,000,000 bid, fixed rate

3 Portable Computer and Printer for supporting District Purchase 39 pers 1 unit 39 8,500,000 331,500,000 Purchase 39 pers 1 unit 39 8,500,000 331,500,000 bid, fixed rate

4 Printer Laserjet Purchase 4 Office 1 unit 4 3,500,000 14,000,000 Purchase 4 Office 1 unit 4 3,500,000 14,000,000 bid, fixed rate

5 Printer Colour A3 Purchase 4 Office 1 unit 4 4,000,000 16,000,000 Purchase 4 Office 1 unit 4 4,000,000 16,000,000 bid, fixed rate

6 Scanner Purchase 4 Office 1 unit 4 4,000,000 16,000,000 Purchase 4 Office 1 unit 4 4,000,000 16,000,000 bid, fixed rate

7 Facsimile Purchase 4 Office 1 unit 4 2,500,000 10,000,000 Purchase 4 Office 1 unit 4 2,500,000 10,000,000 bid, fixed rate

8 Digital Camera Purchase 4 Office 1 unit 4 3,500,000 14,000,000 Purchase 4 Office 1 unit 4 3,500,000 14,000,000 bid, fixed rate

9 GSM Modem + SIM Card Purchase 4 Office 1 unit 4 750,000 3,000,000 Purchase 4 Office 1 unit 4 750,000 3,000,000 bid, fixed rate

10 Roter LAN Peripheral Purchase 4 Office 1 unit 4 1,500,000 6,000,000 Purchase 4 Office 1 unit 4 1,500,000 6,000,000 bid, fixed rate

11 GPS Purchase 4 Office 2 unit 8 4,000,000 32,000,000 Purchase 4 Office 2 unit 8 4,000,000 32,000,000 bid, fixed rate

-

APPENDIX - D `

COST ESTIMATE FOR REIMBURSABLE COST

REGIONAL OVERSIGHT MANAGEMENT SERVICES (OMS) - 3

VOL UNIT RATE

[ IDR ] AMOUNT [ IDR ] VOL

UNIT RATE

[ IDR ] AMOUNT [ IDR ]

B REIMBURSABLE COST

NO DESCRIPTION REMARK

AMENDMENT No.1

DESCRIPTION DESCRIPTION

AMENDMENT No.2

VARIATION

6 VEHICLE RENTAL 7,785,000,000 - 7,785,000,000

7 COMMUNICATION 918,000,000 - 918,000,000

Regional and Province -

Telephone and Postage 4 Office 1 line 36 month 144 750,000 108,000,000 4 Office 1 line 36 month 144 750,000 108,000,000 ceiling rate

Internet Connection for Office 4 Office 1 line 36 month 144 1,000,000 144,000,000 4 Office 1 line 36 month 144 1,000,000 144,000,000 ceiling rate

District - -

Internet Connection for Office Old District 15 Office 1 line 36 month 540 500,000 270,000,000 Old District 15 Office 1 line 36 month 540 500,000 270,000,000 ceiling rate

New District 24 Office 1 line 33 month 792 500,000 396,000,000 New District 24 Office 1 line 33 month 792 500,000 396,000,000 ceiling rate

-

8 TRAINING -

8.1 Pelatihan FM Ass. dan Data Entry Operator 83,540,000 - 83,540,000

8.1.1 Peserta -

a Fullboard package 39 district 2 person 3 days 234 200,000 46,800,000 39 district 2 person 3 days 234 200,000 46,800,000 bid, fixed rate

b Local Transport 39 district 2 person 1 time 78 200,000 15,600,000 39 district 2 person 1 time 78 200,000 15,600,000 ceiling rate

8.1.2 Pelatih -

a Financial Management Spec. serang - palangkaraya 1 person 1 r-trip 1 2,790,000 2,790,000 1 person 1 r-trip 1 2,790,000 2,790,000 ceiling rate

b Financial Management Spec. banjarmasin - samarinda 1 person 1 r-trip 1 6,350,000 6,350,000 1 person 1 r-trip 1 6,350,000 6,350,000 ceiling rate

c Local Transport 2 trip 2 200,000 400,000 2 trip 2 200,000 400,000 ceiling rate

d Accomodation 2 person 3 days 6 500,000 3,000,000 2 person 3 days 6 500,000 3,000,000 bid, fixed rate

e OSA (Fixed) 2 trip 4 days 8 200,000 1,600,000 2 trip 4 days 8 200,000 1,600,000 ceiling rate

8.1.3 Training Material + Kit 35 district 2 person 1 package 70 100,000 7,000,000 35 district 2 person 1 package 70 100,000 7,000,000 ceiling rate

-

8.2 Expert Group Meeting - Central 86,400,000 - 86,400,000

1 Regional Team - Air Fare Province to Jakarta covered by CMAC -

2 Provincial Team - Air Fare Province to Jakarta covered by CMAC -

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

4 OSA (Fixed) - Regional Team 1 reg 4 person 3 days 6 time 72 300,000 21,600,000 1 reg 4 person 3 days 6 time 72 300,000 21,600,000 ceiling rate

5 OSA (Fixed) - Provincial Team 4 Prov 3 person 3 days 6 time 216 300,000 64,800,000 4 Prov 3 person 3 days 6 time 216 300,000 64,800,000 ceiling rate

-

8.3 Expert Group Meeting - Regional 1,181,520,000 - 1,181,520,000

Fullboard package for district team 3 years 2 time 39 district 3 person 2 days 1,404 200,000 280,800,000 3 years 2 time 39 district 3 person 2 days 1,404 200,000 280,800,000 bid, fixed rate

Fullboard package for provincial team 3 years 2 time 6 Prov 3 person 2 days 216 200,000 43,200,000 3 years 2 time 6 Prov 3 person 2 days 216 200,000 43,200,000 bid, fixed rate

Fullboard package for regional team 3 years 2 time 1 region 4 person 2 days 48 200,000 9,600,000 3 years 2 time 1 region 4 person 2 days 48 200,000 9,600,000 bid, fixed rate

-

8.3.1 Air Transport [Economy Class] 457,320,000 - 457,320,000

Regional Team/ Bandung bandung - pontianak 4 person 3 years 2 time 24 3,060,000 73,440,000 4 person 3 years 2 time 24 3,060,000 73,440,000 ceiling rate

Regional Team/ Bandung bandung - palangkaraya 4 person 3 years 2 time 24 2,790,000 66,960,000 4 person 3 years 2 time 24 2,790,000 66,960,000 ceiling rate

Regional Team/ Bandung bandung - banjarmasin 4 person 3 years 2 time 24 2,800,000 67,200,000 4 person 3 years 2 time 24 2,800,000 67,200,000 ceiling rate

Regional Team/ Bandung bandung - samarinda 4 person 3 years 2 time 24 3,550,000 85,200,000 4 person 3 years 2 time 24 3,550,000 85,200,000 ceiling rate

Provincial Team/ Palangkaraya serang - palangkaraya 3 person 3 years 2 time 18 2,790,000 50,220,000 3 person 3 years 2 time 18 2,790,000 50,220,000 ceiling rate

Provincial Team/ Samarinda banjarmasin - samarinda 3 person 3 years 2 time 18 6,350,000 114,300,000 3 person 3 years 2 time 18 6,350,000 114,300,000 ceiling rate

-

8.3.2 Inland Transport (district to province) 140,400,000 - 140,400,000

District Team/ Serang 9 person 3 years 2 time 54 200,000 10,800,000 9 person 3 years 2 time 54 200,000 10,800,000 ceiling rate

District Team/ Bandung 33 person 3 years 2 time 198 200,000 39,600,000 33 person 3 years 2 time 198 200,000 39,600,000 ceiling rate

District Team/ Pontianak 33 person 3 years 2 time 198 200,000 39,600,000 33 person 3 years 2 time 198 200,000 39,600,000 ceiling rate

District Team/ Palangkaraya 9 person 3 years 2 time 54 200,000 10,800,000 9 person 3 years 2 time 54 200,000 10,800,000 ceiling rate

District Team/ Banjarmasin 30 person 3 years 2 time 180 200,000 36,000,000 30 person 3 years 2 time 180 200,000 36,000,000 ceiling rate

District Team/ Samarinda 3 person 3 years 2 time 18 200,000 3,600,000 3 person 3 years 2 time 18 200,000 3,600,000 ceiling rate

-

APPENDIX - D `

COST ESTIMATE FOR REIMBURSABLE COST

REGIONAL OVERSIGHT MANAGEMENT SERVICES (OMS) - 3

VOL UNIT RATE

[ IDR ] AMOUNT [ IDR ] VOL

UNIT RATE

[ IDR ] AMOUNT [ IDR ]

B REIMBURSABLE COST

NO DESCRIPTION REMARK

AMENDMENT No.1

DESCRIPTION DESCRIPTION

AMENDMENT No.2

VARIATION

8.3.3 OSA (fixed) 834 trip 3 days 2,502 100,000 250,200,000 834 trip 3 days 2,502 100,000 250,200,000 ceiling rate-

8.4 OJT Fasilitator 315,900,000 - 315,900,000

Training Material + Kit 3 years 6 time 39 district 6 person 1 day 4,212 50,000 210,600,000 3 years 6 time 39 district 6 person 1 day 4,212 50,000 210,600,000 bid, fixed rate

Meals, Snack 3 years 6 time 39 district 6 person 1 day 4,212 25,000 105,300,000 3 years 6 time 39 district 6 person 1 day 4,212 25,000 105,300,000 bid, fixed rate

-

8.5 Pelatihan Penguatan BPSPAM in District 2,486,640,000 - 2,486,640,000

Paket Fullboard Participant 2 time 39 district 25 person 4 days 7,800 200,000 1,560,000,000 2 time 39 district 25 person 4 days 7,800 200,000 1,560,000,000 bid, fixed rate

Paket Fullday for DPMU + TKK 2 time 39 district 2 person 4 days 624 200,000 124,800,000 2 time 39 district 2 person 4 days 624 200,000 124,800,000 bid, fixed rate

Uang Saku Participant 2 time 39 district 25 person 4 days 7,800 50,000 390,000,000 2 time 39 district 25 person 4 days 7,800 50,000 390,000,000 ceiling rate

Uang Transport Participant 2 time 39 district 25 person 1,950 100,000 195,000,000 2 time 39 district 25 person 1,950 100,000 195,000,000 ceiling rate

Spanduk 2 time 39 district 2 unit 156 140,000 21,840,000 2 time 39 district 2 unit 156 140,000 21,840,000 ceiling rate

Training Material + Kit 2 time 39 district 25 person 1,950 100,000 195,000,000 2 time 39 district 25 person 1,950 100,000 195,000,000 ceiling rate-

8.6 Pelatihan Kader AMPL in District 2,486,640,000 - 2,486,640,000

Paket Fullboard Participant 2 time 39 district 25 person 4 days 7,800 200,000 1,560,000,000 2 time 39 district 25 person 4 days 7,800 200,000 1,560,000,000 bid, fixed rate

Paket Fullday for DPMU + TKK 2 time 39 district 2 person 4 days 624 200,000 124,800,000 2 time 39 district 2 person 4 days 624 200,000 124,800,000 bid, fixed rate

Uang Saku Participant 2 time 39 district 25 person 4 days 7,800 50,000 390,000,000 2 time 39 district 25 person 4 days 7,800 50,000 390,000,000 ceiling rate

Uang Transport Participant 2 time 39 district 25 person 1,950 100,000 195,000,000 2 time 39 district 25 person 1,950 100,000 195,000,000 ceiling rate

Spanduk 2 time 39 district 2 unit 156 140,000 21,840,000 2 time 39 district 2 unit 156 140,000 21,840,000 ceiling rate

Training Material + Kit 2 time 39 district 25 person 1,950 100,000 195,000,000 2 time 39 district 25 person 1,950 100,000 195,000,000 ceiling rate

-

8.7 Workshop RAD AMPL 50 person 2 time 39 district 3 years 234 5,000,000 1,170,000,000 50 person 2 time 39 district 3 years 234 5,000,000 1,170,000,000 ceiling rate

-

8.8 Workshop Forum/Asosiasi BPSPAM in Province 294,840,000 - 294,840,000

Paket Fullboard Participant + DPMU + TKK 2 time 39 district 5 person 2 days 780 200,000 156,000,000 2 time 39 district 5 person 2 days 780 200,000 156,000,000 bid, fixed rate

Uang Transport Participant 2 time 39 district 5 person 390 200,000 78,000,000 2 time 39 district 5 person 390 200,000 78,000,000 ceiling rate

Training Material + Kit 2 time 39 district 5 person 390 100,000 39,000,000 2 time 39 district 5 person 390 100,000 39,000,000 ceiling rate

Spanduk 2 time 39 district 2 unit 156 140,000 21,840,000 2 time 39 district 2 unit 156 140,000 21,840,000 ceiling rate

-

8.9 Pelatihan Pengelola Program Kabupaten (DPMU+TKK+Satker) in Province 676,260,000 - 676,260,000

Paket Fullboard Participant 3 time 39 district 5 person 4 days 2,340 200,000 468,000,000 3 time 39 district 5 person 4 days 2,340 200,000 468,000,000 bid, fixed rate

Uang Transport Participant 3 time 39 district 5 person 585 200,000 117,000,000 3 time 39 district 5 person 585 200,000 117,000,000 ceiling rate

Training Material + Kit 3 time 39 district 5 person 585 100,000 58,500,000 3 time 39 district 5 person 585 100,000 58,500,000 ceiling rate

Spanduk 3 time 39 district 2 unit 234 140,000 32,760,000 3 time 39 district 2 unit 234 140,000 32,760,000 ceiling rate

Management Fee 10% of 20,826,000 - 20,826,000 bid

-

8.10 Printing/ Media: Village district province 549,420,000 Village district province - 549,420,000

Spanduk 2 theme 2 theme 312 2 1,248 140,000 174,720,000 2 theme 312 2 1,248 140,000 174,720,000 bid, fixed rate

Poster 10 theme 10 theme 312 5 39 5 6 5 2 35,700 6,000 214,200,000 10 theme 312 5 39 5 6 5 2 35,700 6,000 214,200,000 bid, fixed rate

Leaflet 4 theme 4 theme 312 25 39 5 6 5 2 64,200 2,500 160,500,000 4 theme 312 25 39 5 6 5 2 64,200 2,500 160,500,000 bid, fixed rate

-

9 REPORTING 129,000,000 - 129,000,000

Inception Report 1 time 25 copies 25 150,000 3,750,000 1 time 25 copies 25 150,000 3,750,000 bid, fixed rate

Monthly Report 9 time 3 years 20 copies 540 75,000 40,500,000 9 time 3 years 20 copies 540 75,000 40,500,000 bid, fixed rate

Quarterly Report 3 time 3 years 20 copies 180 100,000 18,000,000 3 time 3 years 20 copies 180 100,000 18,000,000 bid, fixed rate

Special Report 3 time 20 copies 60 150,000 9,000,000 3 time 20 copies 60 150,000 9,000,000 bid, fixed rate

Annual Report 3 time 20 copies 60 200,000 12,000,000 3 time 20 copies 60 200,000 12,000,000 bid, fixed rate

Financial Management Report 3 time 20 copies 60 50,000 3,000,000 3 time 20 copies 60 50,000 3,000,000 bid, fixed rate

Draft Final Report 1 time 20 copies 20 200,000 4,000,000 1 time 20 copies 20 200,000 4,000,000 bid, fixed rate

Final Report 1 time 20 copies 20 250,000 5,000,000 1 time 20 copies 20 250,000 5,000,000 bid, fixed rate

Training Program Report 5 time 3 years 15 copies 225 150,000 33,750,000 5 time 3 years 15 copies 225 150,000 33,750,000 bid, fixed rate

APPENDIX - D `

COST ESTIMATE FOR REIMBURSABLE COST

REGIONAL OVERSIGHT MANAGEMENT SERVICES (OMS) - 3

VOL UNIT RATE

[ IDR ] AMOUNT [ IDR ] VOL

UNIT RATE

[ IDR ] AMOUNT [ IDR ]

B REIMBURSABLE COST

NO DESCRIPTION REMARK

AMENDMENT No.1

DESCRIPTION DESCRIPTION

AMENDMENT No.2

VARIATION

10 STBM Training 557,315,000 557,315,000

Klaster 4 - Jawa Barat - Banten 282,035,000 282,035,000 10.1 Honorarium Trainer/Fasilitator/Instruktur khusus

10.2 Perdiem 45,360,000 45,360,000 - Central Government 2 3 p-day 6 105,000 630,000 2 3 p-day 6 105,000 630,000 ceiling rate

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

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

- Panitia Lokal 3 5 p-day 15 105,000 1,575,000 3 5 p-day 15 105,000 1,575,000 ceiling rate

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

- Participants (Sanitarian/Kader/Natural leader/Bidan) 73 5 p-day 365 105,000 38,325,000 73 5 p-day 365 105,000 38,325,000 ceiling rate

10.3 Transportation 19,505,000 - 19,505,000 a. Tickets - - Central Government 2 1 trip 2 2 1 trip 2 - ceiling rate

- Advisor 1 1 trip 1 1 1 trip 1 - ceiling rate

b.'Inland/Local Transport - - Taxi (pp) for Central Personnels 3 1 trip 3 300,000 900,000 3 1 trip 3 300,000 900,000 ceiling rate

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

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

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

- Participants (Sanitarian/Kader/Natural leader/Bidan) ( See detail Attached ) 73 1 p-trip 73 - 16,475,000 ( See detail Attached ) 73 1 p-trip 73 - 16,475,000 ceiling rate

10.4 Fullboard Package 130,500,000 - 130,500,000 a. Central - - Central Government 2 2 p-day 4 375,000 1,500,000 2 2 p-day 4 375,000 1,500,000 ceiling rate

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

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

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

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

- Participants (Sanitarian/Kader/Natural leader/Bidan) 73 4 p-day 292 375,000 109,500,000 73 4 p-day 292 375,000 109,500,000 ceiling rate

c. Panitia Lokal 3 4 p-day 12 375,000 4,500,000 3 4 p-day 12 375,000 4,500,000 ceiling rate

10.5 Training Kit (Tas Punggung, Kaos, Topi) 80 1 set 80 250,000 20,000,000 80 1 set 80 250,000 20,000,000 ceiling rate

10.6 Training Material 80 1 set 80 275,000 22,000,000 80 1 set 80 275,000 22,000,000 ceiling rate

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

10.8 Equipment 40,170,000 - 40,170,000 a. Video Camera Rental 1 5 unit-day 5 260,000 1,300,000 1 5 unit-day 5 260,000 1,300,000 ceiling rate

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

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

d. Additional Classroom 2 4 unit-day 8 1,500,000 12,000,000 2 4 unit-day 8 1,500,000 12,000,000 ceiling rate

e. Additional Infocus Rental 2 4 unit-day 8 350,000 2,800,000 2 4 unit-day 8 350,000 2,800,000 ceiling rate

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

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

h. Computer/Laptop Rental 3 5 unit-day 15 300,000 4,500,000 3 5 unit-day 15 300,000 4,500,000 ceiling rate

i. Printer Rental 2 5 unit-day 10 300,000 3,000,000 2 5 unit-day 10 300,000 3,000,000 ceiling rate

j. Bus Rental (Field Visit) 5 1 unit-day 5 2,000,000 10,000,000 5 1 unit-day 5 2,000,000 10,000,000 ceiling rate

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

Klaster 6 - Kalimantan Selatan 275,280,000 275,280,000

10.1 Honorarium Trainer/Fasilitator/Instruktur khusus

10.2 Perdiem 41,685,000 41,685,000

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

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

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

- Panitia Lokal 3 5 p-day 15 105,000 1,575,000 3 5 p-day 15 105,000 1,575,000 ceiling rate

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

- Participants (Sanitarian/Kader/Natural leader/Bidan) 66 5 p-day 330 105,000 34,650,000 66 5 p-day 330 105,000 34,650,000 ceiling rate

10.3 Transportation 32,600,000 32,600,000

a. Tickets -

- Central Government 2 1 trip 2 2,800,000 5,600,000 2 1 trip 2 2,800,000 5,600,000 ceiling rate

- Advisor 1 1 trip 1 2,800,000 2,800,000 1 1 trip 1 2,800,000 2,800,000 ceiling rate

b.Inland/Local Transport - -

- Taxi (pp) for Central Personnels 3 1 trip 3 520,000 1,560,000 3 1 trip 3 520,000 1,560,000 ceiling rate

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

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

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

- Participants (Sanitarian/Kader/Natural leader/Bidan) ( See detail Attached ) 66 1 p-trip 66 20,510,000 ( See detail Attached ) 66 1 p-trip 66 20,510,000 ceiling rate

APPENDIX - D `

COST ESTIMATE FOR REIMBURSABLE COST

REGIONAL OVERSIGHT MANAGEMENT SERVICES (OMS) - 3

VOL UNIT RATE

[ IDR ] AMOUNT [ IDR ] VOL

UNIT RATE

[ IDR ] AMOUNT [ IDR ]

B REIMBURSABLE COST

NO DESCRIPTION REMARK

AMENDMENT No.1

DESCRIPTION DESCRIPTION

AMENDMENT No.2

VARIATION

10.4 Fullboard Package 120,000,000 120,000,000

a. Central - -

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

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

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

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

b. Local Participants - -

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

- Participants (Sanitarian/Kader/Natural leader/Bidan) 66 4 p-day 264 375,000 99,000,000 66 4 p-day 264 375,000 99,000,000 ceiling rate

c. Panitia Lokal 3 4 p-day 12 375,000 4,500,000 3 4 p-day 12 375,000 4,500,000 ceiling rate

10.5 Training Kit (Tas Punggung, Kaos, Topi) 73 1 set 73 250,000 18,250,000 73 1 set 73 250,000 18,250,000 ceiling rate

10.6 Training Material 73 1 set 73 275,000 20,075,000 73 1 set 73 275,000 20,075,000 ceiling rate

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

10.8 Equipment 38,170,000 38,170,000

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

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

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

d. Additional Classroom 2 4 unit-day 8 1,500,000 12,000,000 2 4 unit-day 8 1,500,000 12,000,000 ceiling rate

e. Additional Infocus Rental 2 4 unit-day 8 350,000 2,800,000 2 4 unit-day 8 350,000 2,800,000 ceiling rate

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

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

h. Computer/Laptop Rental 3 5 unit-day 15 300,000 4,500,000 3 5 unit-day 15 300,000 4,500,000 ceiling rate

i. Printer Rental 2 5 unit-day 10 300,000 3,000,000 2 5 unit-day 10 300,000 3,000,000 ceiling rate

j. Bus Rental (Field Visit) 4 1 unit-day 4 2,000,000 8,000,000 4 1 unit-day 4 2,000,000 8,000,000 ceiling rate

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

11 Provincial Training for District Assosiation ( IDA CR. 4204 IND ) 388,195,000 388,195,000

11.A West Java & Banten Provinces 183,385,000 11.A.1 Perdiem 38,325,000

- Central Government 1 person 5 days 5 105,000 525,000 fix rate

- Advisor 1 person 5 days 5 105,000 525,000 fix rate

- Provincial Government 5 person 5 days 25 105,000 2,625,000 fix rate

- Panitia Lokal 1 person 5 days 5 105,000 525,000 fix rate

- Pemandu (LGS, TC & DCs) 4 person 5 days 20 105,000 2,100,000 fix rate

- Participants (Asosiasi, FK, PemKab) 56 person 5 days 280 105,000 29,400,000 fix rate

- Participants (District Coordinator) 5 person 5 days 25 105,000 2,625,000 fix rate

11.A.2 Transportation 27,260,000 a. Tickets

- Central Government 0 person 0 trip - 2,800,000 - ceiling rate

- Advisor 0 person 0 trip - 2,800,000 - ceiling rate

b.Inland/Local Transport

- Taxi (pp) for Central Personnels 1 person 1 trip 1 300,000 300,000 fix rate

- Taxi (pp) for Advisor 1 person 1 trip 1 300,000 300,000 fix rate

- Provincial Government (West Java) 5 person 1 trip 5 110,000 550,000 fix rate

- Pemandu (TC) 1 person 1 trip 1 110,000 110,000 fix rate

- Pemandu (Districts /West Java) 2 person 1 trip 2 300,000 600,000 fix rate

- Pemandu (Districts /Banten) 1 person 1 trip 1 400,000 400,000 fix rate

- Participants (District Government/West Java) 5 person 1 trip 5 300,000 1,500,000 fix rate

- Participants (District Government/Banten) 2 person 1 trip 2 400,000 800,000 fix rate

- Participants (FK/West Java) 10 person 1 trip 10 300,000 3,000,000 fix rate

- Participants (FK/Banten) 4 person 1 trip 4 400,000 1,600,000 fix rate

- Participants (Asosiasi/West Java) ( See detail Attached ) 25 person 1 trip 25 11,500,000 fix rate

- Participants (Asosiasi/Banten) ( See detail Attached ) 10 person 1 trip 10 5,000,000 fix rate

- Participants (District Coordinator/West Java) 4 person 1 trip 4 300,000 1,200,000 fix rate

- Participants (District Coordinator/Banten) 1 person 1 trip 1 400,000 400,000 fix rate

11.A.3 Fullboard Package 88,400,000 - Central Government 1 person 4 days 4 325,000 1,300,000 ceiling rate

- Advisor 1 person 4 days 4 325,000 1,300,000 ceiling rate

- Pemandu 4 person 4 days 16 325,000 5,200,000 ceiling rate

- Participants (Asosiasi, FK, PemKab, District Coordinator) 61 person 4 days 244 325,000 79,300,000 ceiling rate

- Panitia Lokal 1 person 4 days 4 325,000 1,300,000 ceiling rate

11.A.4 Fullday Package 4,000,000 - Provincial Government 5 person 4 days 20 200,000 4,000,000 ceiling rate

11.A.5 Training Kit & Training Material 66 person 1 set 66 200,000 13,200,000 ceiling rate

APPENDIX - D `

COST ESTIMATE FOR REIMBURSABLE COST

REGIONAL OVERSIGHT MANAGEMENT SERVICES (OMS) - 3

VOL UNIT RATE

[ IDR ] AMOUNT [ IDR ] VOL

UNIT RATE

[ IDR ] AMOUNT [ IDR ]

B REIMBURSABLE COST

NO DESCRIPTION REMARK

AMENDMENT No.1

DESCRIPTION DESCRIPTION

AMENDMENT No.2

VARIATION

11.A.6 Stationery LS 2 1,000,000 2,000,000 ceiling rate

11.A.7 Equipment 9,900,000 a. Horizontal Banner 2 unit 1 set 2 250,000 500,000 ceiling rate

b. Additional Ballroom 1 unit 2 days 2 1,500,000 3,000,000 ceiling rate

c. Preparation Meeting (Snack & Lunch) 5 person 2 set 10 50,000 500,000 ceiling rate

d. Car Rental 1 unit 5 days 5 580,000 2,900,000 ceiling rate

e. Computer/Laptop Rental 1 unit 5 days 5 300,000 1,500,000 ceiling rate

f. Printer Rental 1 unit 5 days 5 300,000 1,500,000 ceiling rate

11.A.8 Training Report 3 1 set 3 100,000 300,000 ceiling rate

11.B South Kalimantan Provinces 204,810,000 11.B.1 Perdiem 43,050,000

- Central Government 1 person 5 days 5 105,000 525,000 fix rate

- Advisor 1 person 5 days 5 105,000 525,000 fix rate

- Provincial Government 5 person 5 days 25 105,000 2,625,000 fix rate

- Panitia Lokal 1 person 5 days 5 105,000 525,000 fix rate

- Pemandu (TC, QAS & DCs) 4 person 5 days 20 105,000 2,100,000 fix rate

- Participants (Asosiasi, FK, PemKab) 64 person 5 days 320 105,000 33,600,000 fix rate

- Participants (District Coordinator) 6 person 5 days 30 105,000 3,150,000 fix rate

11.B.2 Transportation 30,460,000 a. Tickets

- Central Government 1 person 1 trip 1 2,800,000 2,800,000 ceiling rate

- Advisor 1 person 1 trip 1 2,800,000 2,800,000 ceiling rate

- Pemandu (TC) 1 person 1 trip 1 2,800,000 2,800,000 ceiling rate

b.Inland/Local Transport

- Taxi (pp) for Central Personnels 1 person 1 trip 1 300,000 300,000 fix rate

- Taxi (pp) for Advisor 1 person 1 trip 1 300,000 300,000 fix rate

- Provincial Government 5 person 1 trip 5 110,000 550,000 fix rate

- Pemandu (TC) 1 person 1 trip 1 300,000 300,000 fix rate

- Pemandu (QAS) 1 person 1 trip 1 110,000 110,000 fix rate

- Pemandu (District Coordinator) ( See detail Attached ) 2 person 1 trip 2 350,000 fix rate

- Participants (District Government) ( See detail Attached ) 8 person 1 trip 8 1,750,000 fix rate

- Participants (FK) ( See detail Attached ) 16 person 1 trip 16 3,500,000 fix rate

- Participants (Asosiasi) ( See detail Attached ) 40 person 1 trip 40 13,500,000 fix rate

- Participants (District Coordinator) ( See detail Attached ) 6 person 1 trip 6 1,400,000 fix rate

11.B.3 Fullboard Package 100,100,000 - Central Government 1 person 4 days 4 325,000 1,300,000 ceiling rate

- Advisor 1 person 4 days 4 325,000 1,300,000 ceiling rate

- Pemandu 4 person 4 days 16 325,000 5,200,000 ceiling rate

- Participants (Asosiasi, FK, PemKab, DC) 70 person 4 days 280 325,000 91,000,000 ceiling rate

- Panitia Lokal 1 person 4 days 4 325,000 1,300,000 ceiling rate

11.B.4 Fullday Package 4,000,000 ceiling rate

- Provincial Government 5 person 4 days 20 200,000 4,000,000 ceiling rate

11.B.5 Training Kit & Training Material 75 person 1 set 75 200,000 15,000,000 ceiling rate

11.B.6 Stationery LS 2 1,000,000 2,000,000 ceiling rate

11.B.7 Equipment 9,900,000 a. Horizontal Banner 2 unit 1 set 2 250,000 500,000 ceiling rate

b. Additional Ballroom 1 unit 2 days 2 1,500,000 3,000,000 ceiling rate

c. Preparation Meeting (Snack & Lunch) 5 person 2 set 10 50,000 500,000 ceiling rate

d. Car Rental 1 unit 5 days 5 580,000 2,900,000 ceiling rate

e. Computer/Laptop Rental 1 unit 5 days 5 300,000 1,500,000 ceiling rate

f. Printer Rental 1 unit 5 days 5 300,000 1,500,000 ceiling rate

11.B.8 Training Report 3 1 set 3 100,000 300,000 ceiling rate

APPENDIX - D `

COST ESTIMATE FOR REIMBURSABLE COST

REGIONAL OVERSIGHT MANAGEMENT SERVICES (OMS) - 3

VOL UNIT RATE

[ IDR ] AMOUNT [ IDR ] VOL

UNIT RATE

[ IDR ] AMOUNT [ IDR ]

B REIMBURSABLE COST

NO DESCRIPTION REMARK

AMENDMENT No.1

DESCRIPTION DESCRIPTION

AMENDMENT No.2

VARIATION

12 FACILITATOR FK & FM ( APBN RM 100% ) 3,455,100,000 3,455,100,000

12.1 FACILITATOR FK 43 people, 4-month budget January till April 2014 ( see detail as attached ) 1,092,800,000

1. SALARY 1,032,000,000 West Java Province 15 person 4 Months 60 6,000,000 360,000,000 Banten Province 6 person 4 Months 24 6,000,000 144,000,000 West Kalimantan Province - Central Kalimantan Province - South Kalimantan Province 22 person 4 Months 88 6,000,000 528,000,000 East Kalimantan Province -

2. LAPTOP Rental - West Java Province 15 person 4 Months - 450,000 - Banten Province 6 person 4 Months - 450,000 - West Kalimantan Province - Central Kalimantan Province - South Kalimantan Province 22 person 4 Months - 450,000 - East Kalimantan Province -

3. DUTY TRIP 60,800,000 West Java Province 15 person 4 Months 60 200,000 12,000,000 Banten Province 6 person 4 Months 24 200,000 4,800,000 West Kalimantan Province - Central Kalimantan Province - South Kalimantan Province 22 person 4 Months 88 500,000 44,000,000 East Kalimantan Province -

12.2 FACILITATOR FM 2,362,300,000

1. SALARY, 137 people, 3-month budget January till March 2014 137 person 1,335,750,000 West Java Province 46 person 3 Months 138 3,250,000 448,500,000 Banten Province 13 person 3 Months 39 3,250,000 126,750,000 West Kalimantan Province 20 person 3 Months 60 3,250,000 195,000,000 Central Kalimantan Province 6 person 3 Months 18 3,250,000 58,500,000 South Kalimantan Province 50 person 3 Months 150 3,250,000 487,500,000 East Kalimantan Province 2 person 3 Months 6 3,250,000 19,500,000

2 SALARY, 200 person, 1-month budget April 2014 200 person 650,000,000 West Java Province 58 person 1 Months 58 3,250,000 188,500,000 Banten Province 18 person 1 Months 18 3,250,000 58,500,000 West Kalimantan Province 56 person 1 Months 56 3,250,000 182,000,000 Central Kalimantan Province 18 person 1 Months 18 3,250,000 58,500,000 South Kalimantan Province 44 person 1 Months 44 3,250,000 143,000,000 East Kalimantan Province 6 person 1 Months 6 3,250,000 19,500,000

3. OPERATIONAL COST 137 person, 3-month budget January till March 2014 137 person 102,750,000 West Java Province 46 person 3 Months 138 250,000 34,500,000 Banten Province 13 person 3 Months 39 250,000 9,750,000 West Kalimantan Province 20 person 3 Months 60 250,000 15,000,000 Central Kalimantan Province 6 person 3 Months 18 250,000 4,500,000 South Kalimantan Province 50 person 3 Months 150 250,000 37,500,000 East Kalimantan Province 2 person 3 Months 6 250,000 1,500,000

APPENDIX - D `

COST ESTIMATE FOR REIMBURSABLE COST

REGIONAL OVERSIGHT MANAGEMENT SERVICES (OMS) - 3

VOL UNIT RATE

[ IDR ] AMOUNT [ IDR ] VOL

UNIT RATE

[ IDR ] AMOUNT [ IDR ]

B REIMBURSABLE COST

NO DESCRIPTION REMARK

AMENDMENT No.1

DESCRIPTION DESCRIPTION

AMENDMENT No.2

VARIATION

4. OPERATIONAL COST, 200 person, 1-month budget April 2014 200 person 50,000,000 West Java Province 58 person 1 Months 58 250,000 14,500,000 Banten Province 18 person 1 Months 18 250,000 4,500,000 West Kalimantan Province 56 person 1 Months 56 250,000 14,000,000 Central Kalimantan Province 18 person 1 Months 18 250,000 4,500,000 South Kalimantan Province 44 person 1 Months 44 250,000 11,000,000 East Kalimantan Province 6 person 1 Months 6 250,000 1,500,000

5. LAPTOP Rental - West Java Province 58 person 4 Months - 450,000 - Banten Province 18 person 4 Months - 450,000 - West Kalimantan Province 56 person 4 Months - 450,000 - Central Kalimantan Province 18 person 4 Months - 450,000 - South Kalimantan Province 44 person 4 Months - 450,000 - East Kalimantan Province 6 person 4 Months - 450,000 -

6. DUTY TRIP, 137 person, 3-month budget January till March 2014 137 person 149,400,000 West Java Province 46 person 3 Months 138 200,000 27,600,000 Banten Province 13 person 3 Months 39 200,000 7,800,000 West Kalimantan Province 20 person 3 Months 60 450,000 27,000,000 Central Kalimantan Province 6 person 3 Months 18 500,000 9,000,000 South Kalimantan Province 50 person 3 Months 150 500,000 75,000,000 East Kalimantan Province 2 person 3 Months 6 500,000 3,000,000

7. DUTY TRIPS, 200 person, 1-month budget April 2014 200 person 74,400,000 West Java Province 58 person 1 Months 58 200,000 11,600,000 Banten Province 18 person 1 Months 18 200,000 3,600,000 West Kalimantan Province 56 person 1 Months 56 450,000 25,200,000 Central Kalimantan Province 18 person 1 Months 18 500,000 9,000,000 South Kalimantan Province 44 person 1 Months 44 500,000 22,000,000 East Kalimantan Province 6 person 1 Months 6 500,000 3,000,000