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: IBRD Loan 7504-ID and IDA Cr ID, IBRD Loan 7866-ID. Alamat Konsultan : Komplek Perkantoran Green Ville Blok BG No. 53 Jakarta Barat 11510

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Nomor Loan

: IBRD Loan 7504-ID and IDA Cr. 4384-ID, IBRD Loan 7866-ID

Nama Konsultan

: PT. Inersia Ampak Engineers

Alamat Konsultan

: Komplek Perkantoran Green Ville Blok BG No. 53 Jakarta Barat 11510

Propinsi / KMW

: Bali, NTB, NTT / OC-7

Nomor & Tanggal Kontrak

: HK. 08.08/OC-7/IBRD-IDA/SNVT-PKP/010/2009, Tanggal 25 Maret 2009

Amandemen / Memorandum

: Amandement No. 16 - Tanggal 20 Nopember 2012

Periode Kontrak

: 25 Maret 2009 s/d 31 Desember 2012

No

I

REMUNERATION

I.1

PROFFESIONAL STAFF

14.668.974.400

I.2

SUPPORTING STAFF

2.790.755.000

Total I

17.459.729.400

II

DIRECT REIMBURSABLE COST

II.1

MOBILIZATION/ DEMOBILIZATION

52.000.000

II.2

HOUSING ALLOWANCE

259.125.000

II.3

TRAVEL COST

964.815.100

II.4

OFFICE RENTAL

828.875.500

II.5

UTILITIES EXPENSES

1.006.782.000

II.6

OFFICE EQUIPMENT

1.167.335.000

II.7

VEHICLES (RENTAL)

3.215.000.000

II.8

COMMUNICATION COST

653.401.000

II.9

REPRODUCTION OF REPORT

57.315.000

Total II

8.204.648.600

III

MISCELLANEOUS EXPENSES

III.1

TRAINING

638.365.000

III.2

SOCIALIZATION

726.500.000

Total III

1.364.865.000

TOTAL I + II + III

27.029.243.000

AMENDMENT CONTRACT NO.16

COST COMPONENT

PROGRAM NASIONAL PEMBERDAYAAN MASYARAKAT-MANDIRI PERKOTAAN (PNPM-MP)

PROYEK PENANGGULANGAN KEMISKINAN DI PERKOTAAN (P2KP)

DIREKTORAT JENDERAL CIPTA KARYA

KEMENTERIAN PEKERJAAN UMUM

(2)

I.1

PROFFESIONAL STAFF

AMENDMENT CONTRACT NO. 16 Amount

IDR

A

OFFICCE BALI PROVINCE

1

Ir. Sunaryanto, MSc, MBA

Program Director

3,0

Ir. Asfan Suyfainal

Program Director

14,5

Ir. Anis Sutrijono

Program Director

5,5

Ir. Anis Sutrijono

Program Director

21,0

Deni Jauhari, SE

Assistant Program Director

7,0

Yudi Anggoro

Assistant Program Director

5,0

2

Ir. I Nyoman Artanegara, MS

Team Leader Province Bali

3,0

Purnomo, S.Sos, Msi

Team Leader Province Bali

13,5

Purnomo, S.Sos, Msi

Team Leader Province Bali

20,0

3

Purnomo, S.Sos, Msi

Capacity Building Specialist

10,5

Imam Baihaqi, S.Sos

Capacity Building Specialist

13,5

I Gusti Agung GK

Local Govt & Pub.Policy Spec

18,0

4

Yudhi Anggoro, SE, MM

Monev Specialist

24,0

Ivan Choduri

Monev Specialist

20,0

Bahtiar Krisdian P, ST

Sub Spec. Legal & CHU

12,0

To Be Named

Sub Spec. Legal & CHU

-5

Eddy Winarrno, SE

Senior Asmandat

24,0

Eddy Winarrno, SE

MIS Specialist

20,0

6

Alfi Arif, SE-Acc

Financial Management Specialist

4,0

Yoyok Antoni. SE.M.Si

Financial Management Specialist

14,0

Yoyok Antoni. SE.M.Si

Micro Fin & Fin. Mgmt Spec

1,0

Yoyok Antoni. SE.M.Si

Micro Fin & Fin. Mgmt Spec

4,0

Indra Wibawarto, SE

Micro Fin & Fin. Mgmt Spec

13,0

7

Ir. Akhmad Toharudin

Infrastructure Specialist

24,0

Ir. Akhmad Toharudin

Infrastructure Specialist

20,0

Imam Baihaqi, S.Sos

Training Specialist

19,0

Yudhi Anggoro, SE, MM

Socialization Specialist

4,0

Ni Ketut Resmi Sri Nulus

Socialization Specialist

14,0

8

Rajasa Kusuma, SE

Sub Proff Administrasi

16,0

Rahdian Hendy Kuswoyo

Sub Proff Administrasi

8,0

Rahdian Hendy Kuswoyo

Sub Proff Administrasi

20,0

9

Naldi Ari Nusa, SE

Sub Proff Financial 1

12,0

Faisol Afandi

Sub Proff Financial 1

8,0

Faisol Afandi

Sub Proff Financial 1

20,0

10

Abd. Haris Syahrir, SE

Sub Proff Financial 2

24,0

Yeni Risnawati, SE

Sub Proff Financial 2

19,0

11

Hartatik

National Trainer 1 *)

9,0

Ir. Basuki Raharjo

17,0

12

Ir. I Made Suparta

Assistant of Training Organizer

3,0

Ir. Anton Sugiarto

3,0

Igusti Agung GK

Assistant of Training Organizer

15,0

B

OFFICCE NTB PROVINCE

1

Ir. Yoyok Djati Susatyo, MM

Team Leader Province NTB

19,0

Indro Budiono

Team Leader Province NTB

5,0

Indro Budiono

Team Leader Province NTB

20,0

2

L. Tatus Winata, SP

Capacity Building Specialist

24,0

Ir. Made Sudana

Local Govt & Pub.Policy Spec

5,0

H. Lalu Wirakarma

Local Govt & Pub.Policy Spec

13,0

3

Ir. Made Sudana

Monev Specialist

24,0

H. Lalu Wirakarma

Monev Specialist

4,0

Baiq Fitri Miswaryuni, SE

Monev Specialist

15,0

Bramasto A.N,Amd

Sub Spec. Monev PNPM

19,0

Ir. Nasri Adisa

Sub Spec. Legal & CHU

18,0

4

Tri Yudha Sulistyo, SE

Senior Asmandat

9,0

Putu Agus Eka A.S.Kom

Senior Asmandat

15,0

Putu Agus Eka A.S.Kom

MIS for Specialist

4,0

Sarman, ST, MM

MIS for Specialist

-To Be Named

MIS for Specialist

-5

Suyitno Masdar, SE, MM

Financial Management Specialist

19,0

Baiq Fitri Miswaryuni, SE

Micro Fin & Fin. Mgmt Spec

7,0

Eko Prihartono, SE, MM

Micro Fin & Fin. Mgmt Spec

13,0

Unit Cost

No Name Position

Quantity

(3)

AMENDMENT CONTRACT NO. 16 Amount

IDR

6

Ir. Nuraeni Ziyad, MM

Infrastructure Specialist

24,0

Ir. Nuraeni Ziyad, MM

Infrastructure Specialist

20,0

Made Ari Diatmika,ST

Sub Spec. Infras. For Advanced

15,3

Ir.Basuki Raharjo

Training Specialist

19,0

Lalu Tatus F Winata,SP

Socialization Specialist

18,0

Syaiful Amin,ST

Urban Planer Specialist

19,0

7

Leni Mia Primayati, SE

Sub Proff Administrasi

24,0

Rohini Hasmi, SE

Sub Proff Administrasi

20,0

8

Muhammad Sulaiman, SE

Sub Proff Financial 1

24,0

Drs. Indrajaya

Sub Proff Financial 1

19,2

9

Rohini Hasmi, SE

Sub Proff Financial 2

24,0

Khairi Sodikin, SE

Sub Proff Financial 2

19,0

10

Ir. Nasri Adisa

Assistant of Training Organizer

24,0

C

OFFICCE NTT PROVINCE

1

Ir. Anis Sutrijono

Team Leader Province NTT

18,5

Nur Hadi, SH

Team Leader Province NTT

5,5

Nur Hadi, SH

Team Leader Province NTT

20,0

2

M. Yasak, SPd

Capacity Building Specialist

18,5

Jaury Alexander Titus M, SH

5,5

Hentje Orhem Sina

Local Govt & Pub.Policy Spec

18,0

3

Nur Hadi, SH

Monev Specialist

18,5

M. Yasak, SPd

Monev Specialist

5,5

Stely Loure Kos Paulus, ST

Monev Specialist

20,0

Askian Dedy Iskandar Baun.SE

Sub Spec. Legal & CHU

15,0

4

Seprilyani Trikastuti K E, S.Kom

Senior Asmandat

4,0

Davidson A.Penlaana,S.Kom

Senior Asmandat

20,0

Davidson A.Penlaana,S.Kom

MIS for Specialist

20,0

5

Ariwan Joko Nurbantoro, SE

Financial Management Specialist

22,0

Bambang Winarno, SE

Micro Fin & Fin. Mgmt Spec

20,0

6

Lisu Munakson Masa,ST

Infrastructure Specialist

24,0

Lisu Munakson Masa,ST / Hilga

Sopaheluwakan, ST

Infrastructure Specialist

20,0

M. Yasak / Lisu Munakson M, ST

Training Specialist

19,0

Jaury Alexander Titus M, SH

Socialization Specialist

18,0

Hamdiyani/Heny Indrawati OT,S.Pt

Sub Proff Administrasi

11,0

Henny Indrawati O Tandi,S.Pt

Sub Proff Administrasi

2,0

Henny Indrawati O Tandi,S.Pt /

Theresia Jebe Nogo Betan, SE

Sub Proff Administrasi

20,0

8

Nurul Hasanah, SE

Sub Proff Financial 1

10,0

Henny Indrawati O Tandi,S.Pt

Sub Proff Financial 1

12,0

Mety Ledyana Manu

Sub Proff Financial 1

22,0

9

Arif Wicaksono, SE

Sub Proff Financial 2

10,0

Askian Dedy Iskandar Baun

Sub Proff Financial 2

14,0

Merlin Setiawati S / Aprika Mira

Sub Proff Financial 2

19,0

10

Jaury Alexander Titus M, SH

Assistant of Training Organizer

18,5

Hentje Orehm Sina

Assistant of Training Organizer

5,5

1.484,0

14.668.974.400

Unit Cost Quantity

Sub Total I.1

No Name Position

(4)

I.2

SUPPORTING STAFF

AMENDMENT CONTRACT NO. 16 Amount

IDR A. Central Province Office

1

Endang Sukarmani

Office Manager in OC Level

4,0

Ni Nyoman Arnita

Office Manager in OC Level

20,0

Ni Nyoman Arnita

Office Manager in OC Level

20,0

2

Dodik Yohardono

Ass Office Manager in Province Bali

6,0

Anton Sugiarto

Ass Office Manager in Province Bali

18,0

Anton Sugiarto

Ass Office Manager in Province Bali

20,0

3

Arista Tjahja

Secretary

6,0

Eva Taurusita

Secretary

18,0

Ni Kadek Pony Candiwangi

Secretary

19,5

4

I Gede Wiradana

Computer Operator

24,0

M. Nawawi

Computer Operator

20,0

5

Satrya Brahmantya

Computer Operator

24,0

Satrya Brahmantya

Computer Operator

16,0

6

Wayan Ariana/M. Nawawi

Office Boy

24,0

Esti Adiani Kartika

Office Boy

20,0

7

Pandu

Security

24,0

Pandu

Security

20,0

Jeane Pasali

Computer Operator for PD

2,0

Jeane Pasali

Computer Operator for PD

18,0

8

Slamet Gusti Purwanto

Ass Office Manager in Province NTB

6,0

Uswatun Hasanah

Ass Office Manager in Province NTB

18,0

Uswatun Hasanah

Ass Office Manager in Province NTB

20,0

9

Erlita Nathalia Lerrick

Secretary

9,0

Netty Hidayati

Secretary

15,0

Baik Erika Swastaria, ST

Secretary

20,0

10

Nanang Kurniawan, ST

Computer Operator

9,0

Widiastuti,A,Md

Computer Operator

15,0

Prasetyadiguna, ST

Computer Operator

19,4

11

Lalu Suparjan, ST

Computer Operator

40,2

12

M. Muizzu

Office Boy

24,0

Sumarjiono

Office Boy

20,0

13

Suratman

Security

24,0

Sahdan

Security

20,0

14

Andi

Ass Office Manager in Province NTT

24,0

Andi

Ass Office Manager in Province NTT

20,0

15

Selfiana Talan

Secretary

24,0

Selfiana Talan

Secretary

20,0

16

Krissanti Veromka Hideulo

Computer Operator

24,0

Krissanti Veromka Hideulo

Computer Operator

20,0

17

Albers Gaslin Ratu

Computer Operator

24,0

Aprika Mira

Computer Operator

20,0

18

Jhon Ludji

Office Boy

24,0

Jhon Ludji

Office Boy

20,0

19

Yulus Wula

Security

24,0

Yulus Wula

Security

20,0

B Office Town Coordinator

Office Town Coordinator Bali 1 Denpasar

1

Ni Luh Suryani

Secretary

24,0

Ari Kumara Dewi

Secretary

20,0

2

Komang Adi Ariastuti

Computer Operator (1 orang)

24,0

Evi Devianti

Computer Operator (1 orang)

20,0

3

Sukatno

Office Boy

24,0

Sukatno

Office Boy

20,0

Office Town Coordinator Bali 2 Klungkung

1

A.A Istri Sri Apriari

Secretary

24,0

A.A Istri Sri Apriari

Secretary

20,0

2

A.A Rai Semaradewi

Computer Operator (1 orang)

24,0

A.A Rai Semaradewi

Computer Operator (1 orang)

20,0

3

Yohanes Dila

Office Boy

24,0

Yohanes Dila

Office Boy

20,0

No Name Position

Quantity Unit Cost

(5)

Amount IDR Office Town Coordinator NTB 1

1

Baiq. Mulyati, A.md

Secretary

24,0

Baiq. Mulyati, A.md

Secretary

20,0

2

Zulkipli

Computer Operator (1 orang)

24,0

Lalu Ruli Andriansyah P.U

Computer Operator (1 orang)

20,0

3

Gusti Lanang Rai Sentana

Office Boy

24,0

Gusti Lanang Rai Sentana

Office Boy

20,0

Office Town Coordinator NTB 2

1

Hariatun

Secretary

24,0

M. Hambali

Secretary

20,0

2

M. Yozar Marthadi

Computer Operator (1 orang)

24,0

Fitriadi Susanto

Computer Operator (1 orang)

20,0

3

Badarudin

Office Boy

24,0

Badarudin

Office Boy

20,0

Office Town Coordinator NTB 3

1

Wenny Putriliana

Secretary

24,0

Wenny Putriliana

Secretary

20,0

2

Edy Saifuddin, S.Pt

Computer Operator (1 orang)

24,0

Edy Saifuddin, S.Pt

Computer Operator (1 orang)

20,0

3

Hariun

Office Boy

24,0

Ahmad

Office Boy

20,0

Office Town Coordinator NTB 4

1

Nety Hidayati

Secretary

20,0

2

Zulkipli

Computer Operator (1 orang)

20,0

3

Tris Suriatman

Office Boy

20,0

Office Town Coordinator NTT 1

1

Eny M. Lado Lay

Secretary

24,0

Delly Wairata

Secretary

20,0

2

Hilda R. Troy

Computer Operator (1 orang)

24,0

Desy Falo

Computer Operator (1 orang)

20,0

3

Orris Tamonob

Office Boy

24,0

Orris Tamonob

Office Boy

20,0

Office Town Coordinator NTT 2

1

Elisabeth Yulianti Pelt

Secretary

24,0

Agustina Loko

Secretary

20,0

2

Elisabeth Nogo

Computer Operator (1 orang)

24,0

Elisabeth Yulianti Pelt

Computer Operator (1 orang)

20,0

3

Siprianus Aselmus

Office Boy

24,0

Marselinus Romianus Teka

Office Boy

20,0

Office Town Coordinator NTT 3

1

Fitri Edy. S

Secretary

24,0

Debora Adi Ina

Secretary

20,0

2

Dwi Hari Widodo

Computer Operator (1 orang)

24,0

Debora

Computer Operator (1 orang)

20,0

3

Gabriel Kaledipa

Office Boy

24,0

Daniel

Office Boy

20,0

1.963

2.790.755.000

17.459.729.400

TOTAL I

Sub Total I.2

No Name Position

AMENDMENT CONTRACT NO. 16 Unit Cost Quantity

(6)

II. 1 MOBILIZATION/ DEMOBILIZATION

AMENDMENT CONTRACT NO. 16 Amount

IDR

1 Professional Staff (mobilization and demobilization) 1 x 22 prs prs 1.500.000 11 16.500.000 Professional Staff (mobilization and demobilization) 1 x 9 prs prs 1.500.000 2 3.000.000 Professional Staff (mobilization and demobilization) 1 x 22 prs prs 1.500.000 22 32.500.000

TOTAL II.1 35 52.000.000

II. 2 HOUSING ALLOWANCE

AMENDMENT CONTRACT NO. 16 Amount

IDR

1 Program Director 1 1 prs x 22 mth Month 300.000 22 6.600.000 2 Team Leader Province 2 prs x 22 mth Month 300.000 44 13.200.000 Team Leader Province 1 prs x 11,5 mth Month 300.000 12,0 3.600.000 3 Capacity Building Specialist 2 prs x 22 mth Month 300.000 43 12.900.000 4 Monev Specialist 2 prs x 22 mth Month 300.000 45 13.500.000 5 Senior Asmandat 2 prs x 22 mth Month 300.000 45 13.500.000 6 Financial Management Specialist 2 prs x 22 mth Month 300.000 45 13.500.000 Financial Management Specialist 1 prs x 13,5 mth Month 300.000 13,0 3.900.000 7 Infrastructure Specialist 2 prs x 22 mth Month 300.000 45 13.500.000 8 Sub Proff For Administration 2 prs x 22 mth Month 300.000 37 11.100.000 9 National Trainer 2 *) 2 prs x 22 mth Month 300.000 35 10.500.000 10 Assistant of Training Organizer 2 prs x 22 mth Month 300.000 28 8.400.000 11 Sub Proff For Financial 3 prs x 22 mth Month 300.000 69 20.700.000

Housing Alowance 2011

1 Program Director 1 1 prs x 4 mth Month 300.000 22,0 6.600.000

2 Assistant Program Director 1 prs x 4 mth Month 300.000 13,0 3.900.000

3 Team Leader Province Prov Bali, NTB & NTT) 3 prs x 4 mth Month 300.000 63,0 18.900.000

4 Monev Specialist (Prov. Bali ) 1 prs x 4 mth Month 300.000 28,0 8.400.000

5 Sub Monev Specialist (Prov. NTB) 1 prs x 1 mth Month 300.000 23,0 6.900.000

6 Sub Legal & HCU (Prov. Bali) 1 prs x 4 mth Month 300.000 12,0 3.600.000 7 Senior Asmandat (Prov. Bali & NTB) 2 prs x 4 mth Month 300.000 30,0 9.000.000 8 Financial Management Specialist (Prov. Bali & NTT) 2 prs x 4 mth Month 300.000 36,0 10.800.000 9 Infrastructure Specialist (Prov. Bali & NTB) 2 prs x 4 mth Month 300.000 40,0 12.000.000 10 Sub TA Infra (Prov. NTB) - prs x 4 mth Month 300.000 - -11 Training Specialist (Prov. Bali & NTT) 2 prs x 4 mth Month 300.000 37,0 11.100.000 12 Socialization Specialist (Prov. NTT) 1 prs x 4 mth Month 300.000 24,8 7.425.000 13 Urban Planer Specialist (Prov. NTB) - prs x 4 mth Month 300.000 - -14 Local Govt & Pub.Policy Spec (Prov. Bali) - prs x 4 mth Month 300.000 - -15 Sub Proff For Administration 1 prs x 4 mth Month 300.000 14,0 4.200.000 16 Sub Proff For Financial (exsisting) 2 prs x 4 mth Month 300.000 38,0 11.400.000

TOTAL II.2 1 864 259.125.000

II. 3 DUTY TRAVEL COST

AMENDMENT CONTRACT NO. 16 Amount

IDR

II.3.1 Monitoring, Supervision, Coordination By Province Office (Bali) 3% per siklus 581 134.011.151

a. To Kelurahan in Kota Denpasar (43 kelurahan)

- Lumpsum dy1 x 5 trip x 3 prs day/prs 50.000 38 1.900.000 - Inland trans to Denpasar - trip x 3 prs trip/prs - -- Accommodation dy- x - trip x 3 prs day/prs - -b. To Kelurahan in Kabupaten Badung (11 kelurahan)

- Lumpsum dy1 x 2 trip x 3 prs day/prs 50.000 10 500.000 - Inland trans to Badung 2 trip x 3 prs trip/prs 50.000 8 400.000 - Accommodation dy- x 2 trip x 3 prs day/prs - -c. To Kelurahan in Kabupaten Gianyar (17 kelurahan)

- Lumpsum dy3 x 3 trip x 3 prs day/prs 50.000 37 1.850.000 - Inland trans to Gianyar 3 trip x 3 prs trip/prs 50.000 18 900.000 - Accommodation dy2 x 3 trip x 3 prs day/prs - - -d. To Kelurahan in Kabupaten Klungkung (30 kelurahan)

- Lumpsum dy3 x 4 trip x 3 prs day/prs 50.000 59 2.950.000 - Inland trans to Klungkung 4 trip x 3 prs trip/prs 50.000 26 1.300.000 - Accommodation dy2 x 4 trip x 3 prs day/prs 100.000 - -e. To Kelurahan in Kabupaten Buleleng (29 kelurahan)

- Lumpsum dy3 x 4 trip x 3 prs day/prs 50.000 65 3.250.000 - Inland trans to Buleleng 4 trip x 3 prs trip/prs 100.000 28 2.800.000 - Accommodation dy2 x 4 trip x 3 prs day/prs 100.000 25 2.500.000 e. To Kelurahan in Kabupaten Jembrana (8 kelurahan)

- Lumpsum dy1 x 2 trip x 3 prs day/prs 50.000 - -- Inland trans to Jembrana 2 trip x 3 prs trip/prs 100.000 - -f. Meeting with NMC etc. (Denpasar-Jakarta)

- Inland Transport 1 4 tm x 7 prs prs/tm 100.000 33 3.631.500 - Tiket Denpasar - Jakarta 1 4 tm x 7 prs prs/tm 1.500.000 35 46.809.700 - Accommodation dy3 x 4 tm x 7 prs prs/dy 260.000 85 18.705.000 Meeting with (Jakarta - Batam)

- Tiket Jakarta - Batam 1 1 tm x 3 prs prs/tm 2.000.000 4 8.000.000 g. Monitoring & Supervision by PD + Nas. Trainer. (Denpasar-Mataram)

Unit Cost Quantity Unit Cost Quantity

Unit Cost Quantity

No Description Unit No Description No Description Unit Unit Reimbushable 6 / 29

(7)

- Inland Transport 1 7 tm x 3 prs prs/tm 100.000 11 1.034.000 - Tiket Denpasar - Mataram 1 7 tm x 3 prs prs/tm 800.000 12 8.046.000 - Accommodation dy3 x 7 tm x 3 prs prs/dy 260.000 42 8.859.000 h. Monitoring & Supervision by PD + Nas. Trainer. (Denpasar-Kupang)

- Inland Transport 1 7 tm x 3 prs prs/tm 100.000 6 600.000 - Tiket Denpasar - Kupang 1 7 tm x 3 prs prs/tm 1.500.000 9 12.678.100 - Accommodation dy3 x 7 tm x 3 prs prs/dy 260.000 30 7.297.851

AMENDMENT CONTRACT NO. 16 Amount

IDR

II.3.2 Monitoring, Supervision, Coordination By Korkot and Askot 50% per siklus 617 33.294.000

a. To Kelurahan in Kota Denpasar (43 kelurahan)

- Lumpsum dy1 x 64 trip x 3 prs day/prs 50.000 53 2.599.000 - Inland trans to Denpasar - trip x 3 prs trip/prs - -- Accommodation dy- x - trip x 3 prs day/prs - -b. To Kelurahan in Kabupaten Badung (11 kelurahan)

- Lumpsum dy1 x 16 trip x 4 prs day/prs 50.000 36 1.800.000 - Inland trans to Badung 16 trip x 3 prs trip/prs 50.000 29 1.355.000 - Accommodation dy- x - trip x 3 prs day/prs - -c. To Kelurahan in Kabupaten Gianyar (17 kelurahan)

- Lumpsum dy1 x 25 trip x 4 prs day/prs 50.000 57 2.850.000 - Inland trans to Gianyar 25 trip x 3 prs trip/prs 50.000 46 2.300.000 - Accommodation dy- x - trip x 3 prs day/prs - -d. To Kelurahan in Kabupaten Klungkung (30 kelurahan)

- Lumpsum dy1 x 45 trip x 3 prs day/prs 50.000 46 2.300.000 - Inland trans to Klungkung - trip x 3 prs trip/prs 50.000 1 50.000 - Accommodation dy- x - trip x 3 prs day/prs - -e. To Kelurahan in Kabupaten Buleleng (29 kelurahan)

- Lumpsum dy2 x 43 trip x 4 prs day/prs 50.000 161 8.050.000 - Inland trans to Buleleng 22 trip x 3 prs trip/prs 100.000 36 3.600.000 - Accommodation dy1 x - trip x 3 prs day/prs - -f. Coordination Meeting to Province (Denpasar)

- Inland Transport from Kabupaten Badung 1 8 tm x 1 prs prs/tm 50.000 7 350.000 - Accommodation dy1 x 8 tm x 1 prs prs/dy 50.000 5 250.000 - Inland Transport from Kabupaten Gianyar 1 8 tm x 1 prs prs/tm 50.000 14 700.000 - Accommodation dy1 x 8 tm x 1 prs prs/dy 50.000 12 600.000 - Inland Transport from Kabupaten Klungkung 1 8 tm x 3 prs prs/tm 50.000 40 2.000.000 - Accommodation dy1 x 8 tm x 3 prs prs/dy 50.000 38 1.890.000 - Inland Transport for Kabupaten Buleleng 1 8 tm x 1 prs prs/tm 100.000 19 1.750.000 - Accommodation dy1 x 8 tm x 1 prs prs/dy 50.000 17 850.000

II.3.3 Monitoring, Supervision, Coordination By Province Office (NTB) 3% per siklus 649 117.121.000

a. To Kelurahan in Kota Mataram (23 kelurahan)

- Lumpsum dy1 x 4 trip x 3 prs day/prs 50.000 19 950.000 - Inland trans to Kota Mataram - trip x 3 prs trip/prs - -- Accommodation dy- x - trip x 3 prs day/prs - -To New Kelurahan in Kota Mataram (27 kelurahan)

- Lumpsum dy1 x 4 trip x 3 prs day/prs 50.000 16 800.000 b. To Kelurahan in Kabupaten Lombok Barat (18 kelurahan)

- Lumpsum dy3 x 3 trip x 3 prs day/prs 50.000 34 1.700.000 - Inland trans to Kabupaten Lombok Barat 3 trip x 3 prs trip/prs 50.000 19 925.000 - Accommodation dy2 x 3 trip x 3 prs day/prs 100.000 5 500.000 c. To Kelurahan in Kabupaten Lombok Tengah (23 kelurahan)

- Lumpsum dy3 x 4 trip x 3 prs day/prs 50.000 53 2.650.000 - Inland trans to Kabupaten Lombok Tengah 4 trip x 3 prs trip/prs 50.000 22 1.100.000 - Accommodation dy2 x 4 trip x 3 prs day/prs 100.000 10 1.000.000 d. To Kelurahan in Kabupaten Lombok Timur (44 kelurahan)

- Lumpsum dy3 x 5 trip x 3 prs day/prs 50.000 54 2.700.000 - Inland trans to Kabupaten Lombok Timur 5 trip x 3 prs trip/prs 100.000 28 2.750.000 - Accommodation dy2 x 5 trip x 3 prs day/prs 100.000 10 1.025.000 e. To Kelurahan in Kabupaten Sumbawa (16 kelurahan)

- Lumpsum dy3 x 3 trip x 3 prs day/prs 50.000 35 1.750.000 - Inland trans to Kabupaten Sumbawa 3 trip x 3 prs trip/prs 400.000 13 5.040.000 - Accommodation dy2 x 3 trip x 3 prs day/prs 220.000 24 5.280.000 f. To Kelurahan in Kota Bima (25 kelurahan)

- Lumpsum dy3 x 4 trip x 3 prs day/prs 50.000 64 3.160.000 - Inland trans to Kota Bima 4 trip x 3 prs trip/prs 400.000 19 9.402.000 - Accommodation dy2 x 4 trip x 3 prs day/prs 220.000 44 9.320.000 To New Kelurahan in Kota Bima (12 kelurahan)

- Lumpsum dy3 x 3 trip x 3 prs day/prs 50.000 33 1.650.000 - Inland trans to Kota Bima 3 trip x 3 prs trip/prs 400.000 9 3.294.000 - Accommodation dy2 x 3 trip x 3 prs day/prs 220.000 22 4.840.000 g. Meeting with NMC etc. (Mataram-Jakarta)

- Inland Transport 1 4 tm x 5 prs prs/tm 100.000 26 2.600.000 - Tiket Mataram - Jakarta 1 4 tm x 5 prs prs/dy 2.000.000 25 39.620.500 - Accommodation dy3 x 4 tm x 5 prs prs/dy 260.000 65 15.064.500 Quantity Unit Cost No Description Unit Reimbushable 7 / 29

(8)

AMENDMENT CONTRACT NO. 16 Amount

IDR

II.3.4 Monitoring, Supervision, Coordination By Korkot and Askot 50% per siklus 949 69.310.500

a. To Kelurahan in Kota Mataram (23 kelurahan)

- Lumpsum dy1 x 34 trip x 3 prs day/prs 50.000 83 4.150.000 - Inland trans to Kota Mataram 34 trip x 3 prs trip/prs 100.000 30 2.350.000 - Accommodation dy- x 34 trip x 3 prs day/prs - -To New Kelurahan in Kota Mataram (27 kelurahan)

- Lumpsum dy1 x 40 trip x 3 prs day/prs 50.000 54 2.700.000 - Inland trans to Kota Mataram 40 trip x 3 prs trip/prs 100.000 14 1.400.000 b. To Kelurahan in Kabupaten Lombok Barat (18 kelurahan)

- Lumpsum dy3 x 27 trip x 4 prs day/prs 50.000 36 1.800.000 - Inland trans to Kabupaten Lombok Barat 27 trip x 3 prs trip/prs 100.000 17 1.600.000 - Accommodation dy2 x 27 trip x 3 prs day/prs - -c. To Kelurahan in Kabupaten Lombok Tengah (14 kelurahan)

- Lumpsum dy3 x 21 trip x 4 prs day/prs 50.000 39 1.950.000 - Inland trans to Kabupaten Lombok Tengah 21 trip x 3 prs trip/prs 50.000 17 850.000 - Accommodation dy2 x 21 trip x 3 prs day/prs 100.000 18 1.800.000 d. To Kelurahan in Kabupaten Lombok Timur (32 kelurahan)

- Lumpsum dy1 x 48 trip x 3 prs day/prs 50.000 91 4.550.000 - Inland trans to Kabupaten Lombok Timur 48 trip x 3 prs trip/prs - -- Accommodation dy- x 48 trip x 3 prs day/prs - -e. To Kelurahan in Kabupaten Sumbawa (16 kelurahan)

- Lumpsum dy3 x 24 trip x 4 prs day/prs 50.000 64 3.200.000 - Inland trans to Kabupaten Sumbawa 24 trip x 3 prs trip/prs 50.000 30 1.577.500 - Accommodation dy2 x 24 trip x 3 prs day/prs 100.000 38 3.800.000 f. To Kelurahan in Kota Bima (25 kelurahan)

- Lumpsum dy1 x 37 trip x 3 prs day/prs 50.000 74 3.700.000 - Inland trans to Kota Bima 37 trip x 3 prs trip/prs - -- Accommodation dy- x 37 trip x 3 prs day/prs - -To New Kelurahan in Kota Bima (12 kelurahan)

- Lumpsum dy1 x 18 trip x 3 prs day/prs 50.000 36 1.800.000 g. To Kelurahan in Kabupaten Lombok Tengah (9 kelurahan) New Location

- Lumpsum dy3 x 13 trip x 4 prs day/prs 50.000 44 2.200.000 - Inland trans to Kabupaten Lombok Tengah 13 trip x 3 prs trip/prs 50.000 22 1.100.000 - Accommodation dy2 x 13 trip x 3 prs day/prs 100.000 3 300.000 h. To Kelurahan in Kabupaten Lombok Timur (12 kelurahan) New Location

- Lumpsum dy1 x 18 trip x 3 prs day/prs 50.000 20 1.000.000 - Inland trans to Kabupaten Lombok Timur 18 trip x prs- trip/prs - -- Accommodation dy- x 18 trip x prs- day/prs - -i. Meeting with Province etc. (Mataram)

- Inland trans from Kabupaten Lombok Barat 8 trip x 1 prs trip/prs 50.000 19 950.000 - Accommodation dy1 x 8 trip x 1 prs day/prs 50.000 12 600.000 - Inland trans from Kabupaten Lombok Tengah 8 trip x 1 prs trip/prs 50.000 18 900.000 - Accommodation dy1 x 8 trip x 1 prs day/prs 50.000 14 700.000 - Inland trans for Kabupaten Lombok Timur 8 trip x 3 prs trip/prs 100.000 39 3.900.000 - Accommodation dy1 x 8 trip x 3 prs day/prs 50.000 31 1.550.000 - Inland trans from Kabupaten Sumbawa 8 trip x 1 prs trip/prs 400.000 15 6.000.000 - Accommodation dy2 x 8 trip x 1 prs day/prs 110.000 24 2.585.000 - Inland trans from Kota Bima 8 trip x 1 prs trip/prs 400.000 18 6.588.000 - Accommodation dy2 x 8 trip x 1 prs day/prs 110.000 25 2.690.000 - Inland trans from Kab Bima 5 trip x 1 prs trip/prs 400.000 2 800.000 - Accommodation dy2 x 5 trip x 1 prs day/prs 110.000 2 220.000

AMENDMENT CONTRACT NO. 5 Amount

IDR

II.3.5 Monitoring, Supervision, Coordination By Each Province Office (NTT) 3% per siklus 147 63.070.400

a. To Kelurahan in Kota Kupang (45 kelurahan)

- Lumpsum dy1 x 6 trip x 3 prs day/prs 50.000 24 1.200.000 - Inland trans to Kota Kupang - trip x 3 prs trip/prs - -- Accommodation dy- x - trip x 3 prs day/prs - -b. To Kelurahan in Kabupaten Timor Tengah Selatan (12 kelurahan)

- Lumpsum dy3 x 3 trip x 3 prs day/prs 50.000 6 320.000 - Inland trans to Kabupaten Timor Tengah Selatan 3 trip x 3 prs trip/prs 100.000 3 300.000 - Accommodation dy2 x 3 trip x 3 prs day/prs 110.000 5 550.000 c. To Kelurahan in Kabupaten Belu (12 kelurahan)

- Lumpsum dy3 x 3 trip x 3 prs day/prs 50.000 11 550.000 - Inland trans to Kabupaten Belu 3 trip x 3 prs trip/prs 500.000 5 2.500.000 - Accommodation dy2 x 3 trip x 3 prs day/prs 110.000 9 990.000 d. To Kelurahan in Kabupaten Sumba Barat (11 kelurahan)

- Lumpsum dy3 x 2 trip x 3 prs day/prs 50.000 6 300.000 - Inland trans to Kabupaten Sumba Barat 2 trip x 3 prs trip/prs 1.500.000 3 4.500.000 - Accommodation dy2 x 2 trip x 3 prs day/prs 220.000 3 660.000 e. To Kelurahan in Kabupaten Sumba Timur (11 kelurahan)

- Lumpsum dy3 x 2 trip x 3 prs day/prs 50.000 7 350.000

Unit Cost Quantity Unit Cost Quantity

No Description

Unit

No Description

Unit

(9)

- Inland trans to Kabupaten Sumba Timur 2 trip x 3 prs trip/prs 1.500.000 2 3.000.000 - Accommodation dy2 x 2 trip x 3 prs day/prs 220.000 4 880.000 f. To Kelurahan in Kabupaten Sikka (13 kelurahan)

- Lumpsum dy3 x 3 trip x 3 prs day/prs 50.000 9 450.000 - Inland trans to Kabupaten Sikka 3 trip x 3 prs trip/prs 1.200.000 3 3.392.400 - Accommodation dy2 x 3 trip x 3 prs day/prs 220.000 4 880.000 g. To Kelurahan in Kabupaten Ende (13 kelurahan)

- Lumpsum dy3 x 3 trip x 3 prs day/prs 50.000 6 300.000 - Inland trans to Kabupaten Ende 3 trip x 3 prs trip/prs 1.200.000 1 1.200.000 - Accommodation dy2 x 3 trip x 3 prs day/prs 220.000 2 440.000 h. To Kelurahan in Kabupaten Ngada (9 kelurahan)

- Lumpsum dy3 x 2 trip x 3 prs day/prs 50.000 10 500.000 - Inland trans to Kabupaten Ngada 2 trip x 3 prs trip/prs 1.150.000 4 4.600.000 - Accommodation dy2 x 2 trip x 3 prs day/prs 220.000 6 1.320.000 i. To Kelurahan in Kabupaten Manggarai (11 kelurahan)

- Lumpsum dy3 x 2 trip x 3 prs day/prs 50.000 7 350.000 - Inland trans to Kabupaten Manggarai 2 trip x 3 prs trip/prs 1.400.000 3 4.200.000 - Accommodation dy2 x 2 trip x 3 prs day/prs 220.000 4 880.000 J. Meeting with NMC etc. Jakarta

- Inland Transport 1 4 tm x 5 prs prs/tm 100.000 8 468.000 - Tiket Kupang - Jakarta 1 4 tm x 5 prs prs/tm 1.750.000 12 21.490.000 - Accommodation dy3 x 4 tm x 5 prs prs/dy 260.000 25 6.500.000

AMENDMENT CONTRACT NO. 5 Amount

IDR

II.3.6 Monitoring, Supervision, Coordination By Korkot and Askot 50% per siklus 635 190.015.549

a. To Kelurahan in Kota Kupang (45 kelurahan)

- Lumpsum dy1 x 67 trip x 3 prs day/prs 50.000 80 4.000.000 - Inland trans to Kota Kupang 67 trip x 3 prs trip/prs - -- Accommodation dy1 x 67 trip x 3 prs day/prs - -b. To Kelurahan in Kabupaten Timor Tengah Selatan (12 kelurahan)

- Lumpsum dy1 x 18 trip x 4 prs day/prs 50.000 23 1.150.000 - Inland trans to Kabupaten Timor Tengah Selatan 18 trip x 3 prs trip/prs 400.000 8 3.200.000 - Accommodation dy1 x 18 trip x 3 prs day/prs 220.000 13 2.203.000 c. To Kelurahan in Kabupaten Belu (12 kelurahan)

- Lumpsum dy3 x 18 trip x 4 prs day/prs 50.000 24 1.200.000 - Inland trans to Kabupaten Belu 18 trip x 3 prs trip/prs 400.000 10 4.500.000 - Accommodation dy2 x 18 trip x 3 prs day/prs 220.000 14 3.080.000 d. To Kelurahan in Kabupaten Sumba Barat (11 kelurahan)

- Lumpsum dy3 x 16 trip x 4 prs day/prs 50.000 22 1.100.000 - Inland trans to Kabupaten Sumba Barat 16 trip x 3 prs trip/prs 400.000 10 4.000.000 - Accommodation dy2 x 16 trip x 3 prs day/prs 220.000 12 2.479.750 e. To Kelurahan in Kabupaten Sumba Timur (11 kelurahan)

- Lumpsum dy3 x 16 trip x 3 prs day/prs 50.000 13 650.000 - Inland trans to Kabupaten Sumba Timur 16 trip x 3 prs trip/prs 400.000 8 3.200.000 - Accommodation dy- x 16 trip x 3 prs day/prs - -f. To Kelurahan in Kabupaten Sikka (13 kelurahan)

- Lumpsum dy3 x 19 trip x 4 prs day/prs 50.000 22 1.100.000 - Inland trans to Kabupaten Sikka 19 trip x 3 prs trip/prs 400.000 11 4.400.000 - Accommodation dy2 x 19 trip x 3 prs day/prs 220.000 16 3.520.000 g. To Kelurahan in Kabupaten Ende (14 kelurahan)

- Lumpsum dy3 x 21 trip x 3 prs day/prs 50.000 22 1.100.000 - Inland trans to Kabupaten Ende 21 trip x 3 prs trip/prs 400.000 13 5.000.000 - Accommodation dy- x 21 trip x 3 prs day/prs - -h. To Kelurahan in Kabupaten Ngada (9 kelurahan)

- Lumpsum dy3 x 13 trip x 4 prs day/prs 50.000 30 1.500.000 - Inland trans to Kabupaten Ngada 13 trip x 3 prs trip/prs 400.000 15 5.650.000 - Accommodation dy2 x 13 trip x 3 prs day/prs 220.000 22 4.840.000 i. To Kelurahan in Kabupaten Manggarai (11 kelurahan)

- Lumpsum dy3 x 16 trip x 4 prs day/prs 50.000 33 1.650.000 - Inland trans to Kabupaten Manggarai 16 trip x 3 prs trip/prs 400.000 13 5.200.000 - Accommodation dy2 x 16 trip x 3 prs day/prs 220.000 22 4.840.000 j. Meeting with Province etc. (Kupang)

- Inland trans from Kabupaten Sumba Barat 1 8 trip x 1 prs trip/prs 1.500.000 8 11.511.600 - Accommodation dy1 x 8 trip x 1 prs day/prs 220.000 7 1.572.500 - Inland trans from Kabupaten Sumba Timur 1 8 trip x 3 prs trip/prs 1.500.000 20 29.410.100 - Accommodation dy1 x 8 trip x 3 prs day/prs 220.000 19 4.260.000 - Inland trans from Kabupaten Timor Tengah Selatan 1 8 trip x 1 prs trip/prs 100.000 9 1.050.000 - Accommodation dy1 x 8 trip x 1 prs day/prs 220.000 9 1.797.500 - Inland trans from Kabupaten Belu 1 8 trip x 1 prs trip/prs 500.000 8 4.000.000 - Accommodation dy1 x 8 trip x 1 prs day/prs 220.000 8 1.577.500 - Inland trans from Kabupaten Sikka 1 8 trip x 1 prs trip/prs 1.200.000 8 9.269.600 - Accommodation dy1 x 8 trip x 1 prs day/prs 220.000 8 1.577.500 - Inland trans from Kabupaten Ende 1 8 trip x 3 prs trip/prs 1.200.000 20 24.534.999 - Accommodation dy1 x 8 trip x 3 prs day/prs 220.000 23 4.260.000

No Description

Unit Unit Cost Quantity

(10)

- Inland trans from Kabupaten Ngada 1 8 trip x 1 prs trip/prs 1.150.000 7 9.271.000 - Accommodation dy1 x 8 trip x 1 prs day/prs 220.000 7 1.325.000 - Inland trans from Kabupaten Manggarai 1 8 trip x 1 prs trip/prs 1.400.000 9 13.210.500 - Accommodation dy1 x 8 trip x 1 prs day/prs 220.000 9 1.825.000

AMENDMENT CONTRACT NO. 16 Amount

IDR

II.3.7 Duty Travel Pemandu National 58 41.619.400

a Penguatan Pemandu Nasional 1 Provinsi Bali

- Inlad Travel 1 trip x 5 prs trip/prs 200.000 5 480.000 - Tiket Bali - Jakarta (PP) 1 trip x 5 prs trip/prs 2.000.000 5 4.941.000 2 Provinsi Nusa Tenggara Barat

- Inlad Travel 1 trip x 5 prs trip/prs 200.000 5 500.000 - Tiket Mataram - Jakarta (PP) 1 trip x 5 prs trip/prs 2.500.000 5 7.997.000 3 Provinsi Nusa Tenggara Timur

- Inlad Travel 1 trip x 4 prs trip/prs 200.000 4 400.000 - Tiket Kupang - Jakarta (PP) 1 trip x 4 prs trip/prs 3.000.000 4 6.459.200 b TOT Pemandu Infra

1 Provinsi Bali

- Inlad Travel 1 trip x 1 prs trip/prs 200.000 1 100.000 - Tiket Bali - Jakarta (PP) 1 trip x 1 prs trip/prs 2.000.000 1 892.900 2 Provinsi Nusa Tenggara Barat

- Inlad Travel 1 trip x 1 prs trip/prs 200.000 1 100.000 - Tiket Mataram - Jakarta (PP) 1 trip x 1 prs trip/prs 2.500.000 1 1.651.800 3 Provinsi Nusa Tenggara Timur

- Inlad Travel 1 trip x 1 prs trip/prs 200.000 1 70.000 - Tiket Kupang - Jakarta (PP) 1 trip x 1 prs trip/prs 3.000.000 1 1.464.000

c TOT Pemandu MK

1 Provinsi Bali

- Inlad Travel 1 trip x 1 prs trip/prs 200.000 1 100.000 - Tiket Bali - Jakarta (PP) 1 trip x 1 prs trip/prs 2.000.000 1 892.900 2 Provinsi Nusa Tenggara Barat

- Inlad Travel 1 trip x 1 prs trip/prs 200.000 1 100.000 - Tiket Mataram - Jakarta (PP) 1 trip x 1 prs trip/prs 2.500.000 1 1.651.800 3 Provinsi Nusa Tenggara Timur

- Inlad Travel 1 trip x 1 prs trip/prs - - -- Tiket Kupang -- Jakarta (PP) 1 trip x 1 prs trip/prs - -

-d TOT Pemandu SIM

1 Provinsi Bali

- Inlad Travel 1 trip x 1 prs trip/prs 200.000 1 100.000 - Tiket Bali - Jakarta (PP) 1 trip x 1 prs trip/prs 2.000.000 1 892.900 2 Provinsi Nusa Tenggara Barat

- Inlad Travel 1 trip x 1 prs trip/prs 200.000 1 100.000 - Tiket Mataram - Jakarta (PP) 1 trip x 1 prs trip/prs 2.500.000 1 1.651.800 3 Provinsi Nusa Tenggara Timur

- Inlad Travel 1 trip x 1 prs trip/prs 200.000 1 100.000 - Tiket Kupang - Jakarta (PP) 1 trip x 1 prs trip/prs 3.000.000 1 1.100.000 e Konsolidasi National Trainer OC

1 Provinsi Bali

- Inlad Travel 1 trip x 2 prs trip/prs 200.000 1 100.000 - Tiket Bali - Jakarta (PP) 1 trip x 2 prs trip/prs 2.000.000 1 775.200

AMENDMENT CONTRACT NO. 16 Amount

IDR

f EGM/Coaching CB

1 Provinsi Bali

- Inlad Travel 1 trip x 1 prs trip/prs 200.000 1 100.000 - Tiket Bali - Jakarta (PP) 1 trip x 1 prs trip/prs 2.000.000 1 769.600 2 Provinsi Nusa Tenggara Barat

- Inlad Travel 1 trip x 1 prs trip/prs 200.000 1 87.500 - Tiket Mataram - Jakarta (PP) 1 trip x 1 prs trip/prs 2.500.000 1 1.572.600 3 Provinsi Nusa Tenggara Timur

- Inlad Travel 1 trip x 1 prs trip/prs - - -- Tiket Kupang -- Jakarta (PP) 1 trip x 1 prs trip/prs - - -g EGM/Coaching Teknis /TA MK

1 Provinsi Bali

- Inlad Travel 1 trip x 1 prs trip/prs - - -- Tiket Bali -- Jakarta (PP) 1 trip x 1 prs trip/prs - - -2 Provinsi Nusa Tenggara Barat

- Inlad Travel 1 trip x 1 prs trip/prs - - -- Tiket Mataram -- Jakarta (PP) 1 trip x 1 prs trip/prs - - -3 Provinsi Nusa Tenggara Timur

- Inlad Travel 1 trip x 1 prs trip/prs - - -- Tiket Kupang -- Jakarta (PP) 1 trip x 1 prs trip/prs - -

-Quantity

Unit Cost Quantity Description Unit No Description Unit No Unit Cost Reimbushable 10 / 29

(11)

h EGM/Coaching Teknis /TA Infra 1 Provinsi Bali

- Inlad Travel 1 trip x 1 prs trip/prs - - -- Tiket Bali -- Jakarta (PP) 1 trip x 1 prs trip/prs - - -2 Provinsi Nusa Tenggara Barat

- Inlad Travel 1 trip x 1 prs trip/prs - - -- Tiket Mataram -- Jakarta (PP) 1 trip x 1 prs trip/prs - - -3 Provinsi Nusa Tenggara Timur

- Inlad Travel 1 trip x 1 prs trip/prs - - -- Tiket Kupang -- Jakarta (PP) 1 trip x 1 prs trip/prs - - -i EGM/Coaching Teknis /SIM

1 Provinsi Bali

- Inlad Travel 1 trip x 1 prs trip/prs - - -- Tiket Bali -- Jakarta (PP) 1 trip x 1 prs trip/prs - - -2 Provinsi Nusa Tenggara Barat

- Inlad Travel 1 trip x 1 prs trip/prs - - -- Tiket Mataram -- Jakarta (PP) 1 trip x 1 prs trip/prs - - -3 Provinsi Nusa Tenggara Timur

- Inlad Travel 1 trip x 1 prs trip/prs - - -- Tiket Kupang -- Jakarta (PP) 1 trip x 1 prs trip/prs - - -j EGM/Coaching TL dan PD

1 Provinsi Bali

- Inlad Travel 1 trip x 2 prs trip/prs 200.000 2 200.000 - Tiket Bali - Jakarta (PP) 1 trip x 2 prs trip/prs 2.000.000 2 4.000.000 2 Provinsi Nusa Tenggara Barat

- Inlad Travel 1 trip x 1 prs trip/prs - - -- Tiket Mataram -- Jakarta (PP) 1 trip x 1 prs trip/prs - - -3 Provinsi Nusa Tenggara Timur

- Inlad Travel 1 trip x 1 prs trip/prs - - -- Tiket Kupang -- Jakarta (PP) 1 trip x 1 prs trip/prs - -

-k EGM/Coaching Monev

1 Provinsi Bali

- Inlad Travel 1 trip x 1 prs trip/prs 200.000 1 100.000 - Tiket Bali - Jakarta (PP) 1 trip x 1 prs trip/prs 2.000.000 1 905.000 2 Provinsi Nusa Tenggara Barat

- Inlad Travel 1 trip x 1 prs trip/prs - - -- Tiket Mataram -- Jakarta (PP) 1 trip x 1 prs trip/prs - - -3 Provinsi Nusa Tenggara Timur

- Inlad Travel 1 trip x 1 prs trip/prs 200.000 1 100.000 - Tiket Kupang - Jakarta (PP) 1 trip x 1 prs trip/prs 3.000.000 1 1.164.200

AMENDMENT CONTRACT NO. 16 Amount

IDR

II.3.8 Duty Travel Koordinasi By TL,Monev & AOM to PD 10 5.360.000

a Provinsi Nusa Tenggara Barat

- Inlad Travel - trip x 3 prs trip/prs - - -- Tiket Mataram -- Bali (PP) - trip x 3 prs trip/prs - - -- Accommodation day3 x - trip x 3 prs day/prs - - -b Provinsi Nusa Tenggara Timur

- Inlad Travel 1 trip x 3 prs trip/prs 100.000 2 200.000 - Tiket Kupang - Bali (PP) 1 trip x 3 prs trip/prs 1.800.000 2 3.600.000 - Accommodation day3 x 2 trip x 3 prs day/prs 260.000 6 1.560.000

II.3.9 Duty Travel Training Faskel Konsultan 236 48.422.000

a Pelatihan Dasar 1 Provinsi Bali

- Inland Transport from Kabupaten Gianyar 1 trip x 4 prs trip/prs 50.000 4 200.000 - Inland Transport from Kabupaten Klungkung 1 trip x 10 prs trip/prs 50.000 10 500.000 - Inland Transport from Kabupaten Buleleng 1 trip x 3 prs trip/prs 100.000 3 300.000 2 Provinsi Nusa Tenggara Barat

- Inland trans from Kabupaten Lombok Barat 1 trip x 4 prs trip/prs 50.000 4 200.000 - Inland trans from Kabupaten Lombok Tengah 1 trip x 5 prs trip/prs 50.000 5 250.000 - Inland trans for Kabupaten Lombok Timur 1 trip x 7 prs trip/prs 100.000 7 700.000 - Inland trans from Kabupaten Sumbawa 1 trip x 7 prs trip/prs 400.000 7 2.800.000 - Inland trans from Kota Bima 1 trip x 9 prs trip/prs 400.000 9 3.600.000 3 Provinsi Nusa Tenggara Timur

- Inland trans from Kabupaten Sumba Barat 1 trip x 5 prs trip/prs - - -- Inland trans from Kabupaten Sumba Timur 1 trip x 4 prs trip/prs - - -- Inland trans from Kabupaten Timor Tengah Selatan 1 trip x 4 prs trip/prs - - -- Inland trans from Kabupaten Belu 1 trip x 3 prs trip/prs - - -- Inland trans from Kabupaten Sikka 1 trip x 3 prs trip/prs - - -- Inland trans from Kabupaten Ende 1 trip x 2 prs trip/prs - - -- Inland trans from Kabupaten Ngada 1 trip x 7 prs trip/prs - - -- Inland trans from Kabupaten Manggarai 1 trip x 4 prs trip/prs - - -b Pelatihan Penguatan

Unit Cost Quantity Description

Unit No

(12)

1 Provinsi Bali

- Inland Transport from Kabupaten Badung 1 trip x 5 prs trip/prs - - -- Inland Transport from Kabupaten Gianyar 1 trip x 10 prs trip/prs - - -- Inland Transport from Kabupaten Klungkung 1 trip x 16 prs trip/prs - - -- Inland Transport for Kabupaten Buleleng 1 trip x 15 prs trip/prs - - -2 Provinsi Nusa Tenggara Barat

- Inland trans from Kabupaten Lombok Barat 1 trip x 10 prs trip/prs 50.000 10 500.000 - Inland trans from Kabupaten Lombok Tengah 1 trip x 15 prs trip/prs 50.000 15 750.000 - Inland trans for Kabupaten Lombok Timur 1 trip x 28 prs trip/prs 100.000 28 2.800.000 - Inland trans from Kabupaten Sumbawa 1 trip x 10 prs trip/prs 400.000 10 4.000.000 - Inland trans from Kota Bima 1 trip x 24 prs trip/prs 400.000 24 9.600.000 3 Provinsi Nusa Tenggara Timur

- Inland trans from Kabupaten Sumba Barat 1 trip x 6 prs trip/prs - - -- Inland trans from Kabupaten Sumba Timur 1 trip x 4 prs trip/prs - - -- Inland trans from Kabupaten Timor Tengah Selatan 1 trip x 8 prs trip/prs - - -- Inland trans from Kabupaten Belu 1 trip x 3 prs trip/prs - - -- Inland trans from Kabupaten Sikka 1 trip x 6 prs trip/prs - - -- Inland trans from Kabupaten Ende 1 trip x 3 prs trip/prs - - -- Inland trans from Kabupaten Ngada 1 trip x 10 prs trip/prs - - -- Inland trans from Kabupaten Manggarai 1 trip x 6 prs trip/prs - -

-AMENDMENT CONTRACT NO. 16 Amount

IDR

c Pelatihan Teknis Infra 1 Provinsi Bali

- Inland Transport from Kabupaten Badung 1 trip x 2 prs trip/prs 50.000 2 100.000 - Inland Transport from Kabupaten Gianyar 1 trip x 4 prs trip/prs 50.000 4 200.000 - Inland Transport from Kabupaten Klungkung 1 trip x 7 prs trip/prs 50.000 7 350.000 - Inland Transport for Kabupaten Buleleng 1 trip x 6 prs trip/prs 100.000 6 600.000 2 Provinsi Nusa Tenggara Barat

- Inland trans from Kabupaten Lombok Barat 1 trip x 4 prs trip/prs 50.000 4 200.000 - Inland trans from Kabupaten Lombok Tengah 1 trip x 5 prs trip/prs 50.000 5 250.000 - Inland trans for Kabupaten Lombok Timur 1 trip x 11 prs trip/prs 100.000 11 1.100.000 - Inland trans from Kabupaten Sumbawa 1 trip x 4 prs trip/prs 400.000 4 1.600.000 - Inland trans from Kota Bima 1 trip x 8 prs trip/prs 400.000 8 3.200.000 3 Provinsi Nusa Tenggara Timur

- Inland trans from Kabupaten Sumba Barat 1 trip x 2 prs trip/prs - - - - Inland trans from Kabupaten Sumba Timur 1 trip x 2 prs trip/prs - - - - Inland trans from Kabupaten Timor Tengah Selatan 1 trip x 2 prs trip/prs - - - - Inland trans from Kabupaten Belu 1 trip x 1 prs trip/prs - - - - Inland trans from Kabupaten Sikka 1 trip x 1 prs trip/prs - - - - Inland trans from Kabupaten Ende 1 trip x 3 prs trip/prs - - - - Inland trans from Kabupaten Ngada 1 trip x 4 prs trip/prs - - - - Inland trans from Kabupaten Manggarai 1 trip x 2 prs trip/prs - - - d Pelatihan Teknis MK

1 Provinsi Bali

- Inland Transport from Kabupaten Badung 1 trip x 1 prs trip/prs 50.000 1 50.000 - Inland Transport from Kabupaten Gianyar 1 trip x 2 prs trip/prs 50.000 2 100.000 - Inland Transport from Kabupaten Klungkung 1 trip x 5 prs trip/prs 50.000 5 250.000 - Inland Transport for Kabupaten Buleleng 1 trip x 3 prs trip/prs 100.000 3 300.000 2 Provinsi Nusa Tenggara Barat

- Inland trans from Kabupaten Lombok Barat 1 trip x 2 prs trip/prs 50.000 2 100.000 - Inland trans from Kabupaten Lombok Tengah 1 trip x 4 prs trip/prs 50.000 4 200.000 - Inland trans for Kabupaten Lombok Timur 1 trip x 7 prs trip/prs 100.000 7 700.000 - Inland trans from Kabupaten Sumbawa 1 trip x 2 prs trip/prs 400.000 2 800.000 - Inland trans from Kota Bima 1 trip x 6 prs trip/prs 400.000 6 2.400.000 3 Provinsi Nusa Tenggara Timur

- Inland trans from Kabupaten Sumba Barat 1 trip x 2 prs trip/prs - - - - Inland trans from Kabupaten Sumba Timur 1 trip x 2 prs trip/prs - - - - Inland trans from Kabupaten Timor Tengah Selatan 1 trip x 3 prs trip/prs - - - - Inland trans from Kabupaten Belu 1 trip x 1 prs trip/prs - - - - Inland trans from Kabupaten Sikka 1 trip x 1 prs trip/prs - - - - Inland trans from Kabupaten Ende 1 trip x 3 prs trip/prs - - - - Inland trans from Kabupaten Ngada 1 trip x 3 prs trip/prs - - - - Inland trans from Kabupaten Manggarai 1 trip x 2 prs trip/prs - - - e Pelatihan PPM Korkot dan Askot

1 Provinsi Bali

- Inland Transport from Kabupaten Badung 1 trip x 1 prs trip/prs 50.000 1 50.000 - Inland Transport from Kabupaten Gianyar 1 trip x 1 prs trip/prs 50.000 1 50.000 - Inland Transport from Kabupaten Klungkung 1 trip x 1 prs trip/prs 50.000 1 50.000 - Inland Transport for Kabupaten Buleleng 1 trip x 1 prs trip/prs 100.000 1 100.000 2 Provinsi Nusa Tenggara Barat

- Inland trans from Kabupaten Lombok Barat 1 trip x 1 prs trip/prs 50.000 1 50.000 - Inland trans from Kabupaten Lombok Tengah 1 trip x 1 prs trip/prs 50.000 1 50.000 - Inland trans for Kabupaten Lombok Timur 1 trip x 1 prs trip/prs 100.000 1 100.000

Unit Cost Quantity

No Description

Unit

Referensi

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