GOVERNMENT OF REPUBLIC OF INDONESIA
MINISTRY OF PUBLIC WORK
Contract No. : KU.08.08/Kontrak/Pamsimas/174/VIII/2013Regional Oversight Management Services (ROMS) - 5
Contract Date : August,27,2013Community Based Water Supply Project (PAMSIMAS 2)
Amendment No. : No. 01, November 25, 2013Advance Payment / Invoice No. : 02
Period Of Invoice : 4 - 5 (December 2013 - January 2014)
Contract ADVANCE PAYMENT Amandement No. 1 Previous Comulative Total Claim Total Comulative Balance
Amount Amount Amount [IDR] Amount Amount Amount Amount
(Rp.) (Rp.) (Rp.) (Rp.) (Rp.) (Rp.) (1) (2) (3) (4) (5) (6)=(4)+(5) (7) = (3)-(6) A REMUNERATION 19,723,500,000 277,000,000 19,723,500,000 1,250,440,000 952,000,000 2,202,440,000 17,521,060,000 1 Regional Team 1,764,000,000 49,000,000 1,764,000,000 175,100,000 98,000,000 273,100,000 1,490,900,000 2 Provincial Team 3,307,500,000 63,000,000 3,307,500,000 281,800,000 167,000,000 448,800,000 2,858,700,000 3 District Team 14,652,000,000 165,000,000 14,652,000,000 793,540,000 687,000,000 1,480,540,000 13,171,460,000 B REIMBURSABLE COST 19,584,375,000 3,653,787,500 20,253,855,000 2,357,557,820 429,686,399 2,787,244,219 17,466,610,781 1 Duty Travel 757,440,000 - 757,440,000 - 10,450,000 10,450,000 746,990,000 2 Mobilization and De-mobilization 295,940,000 195,190,000 295,940,000 41,028,400 1,917,999 42,946,399 252,993,601 3 Office Space 1,484,400,000 1,379,400,000 1,484,400,000 655,800,000 23,600,000 679,400,000 805,000,000 4 Utilities Expenses 752,400,000 29,700,000 752,400,000 73,400,000 49,600,000 123,000,000 629,400,000 5 Office Equipment 371,600,000 371,600,000 371,600,000 371,600,000 - 371,600,000 -6 Vehicle Rental 6,924,000,000 291,000,000 6,924,000,000 585,000,000 343,500,000 928,500,000 5,995,500,000 7 Communication 589,800,000 27,150,000 589,800,000 - - - 589,800,000 8 Training 8,106,560,000 1,282,300,000 8,106,560,000 10,400,000 - 10,400,000 8,096,160,000 9 Reporting 44,850,000 8,715,000 44,850,000 2,500,000 - 2,500,000 42,350,000 10 Sanitasi Total Berbasis Masyarakat (STBM) Training - 637,600,000 585,960,000 - 585,960,000 51,640,000 C TOTAL CONTRACT [A + B] 39,307,875,000 3,930,787,500 39,977,355,000 2,992,739,820 1,381,686,399 4,374,426,219 33,614,288,781
D ADVANCE PAYMENT 4,009,403,250 4,009,403,250
-E ADVANCE PAYMENT [80% of IBRD Portion] 3,207,522,600 3,207,522,600
-F ADVANCE PAYMENT [20% of APBN-RM Portion] 801,880,650 801,880,650
-G IBRD PORTION (80%) X TOTAL CONTRACT 31,446,300,000 3,144,630,000 31,446,300,000 2,394,191,856 1,105,349,119 3,499,540,975 26,891,431,025
H REPAYMENT OF ADVANCE PAYMENT [1/12 of IBRD Portion] - 1,048,210,000 262,052,500 1,310,262,500
I TOTAL CLAIM THIS INVOICE IBRD PORTION [G - H] 31,446,300,000 3,144,630,000 31,446,300,000 1,345,981,856 843,296,619 2,189,278,475 26,112,391,525 J APBN-RM PORTION (20%) X TOTAL CONTRACT 7,861,575,000 786,157,500 7,861,575,000 598,547,964 276,337,280 874,885,244 6,986,689,756
K REPAYMENT OF ADVANCE PAYMENT [1/12 of APBN-RM Portion] - 262,052,500 65,513,125 327,565,625
Amount Eligible for TF Funding - 669,480,000 615,258,000 - - 54,222,000 L PPN (10%) FOR APBN-RM PORTION 10% x (J - K ) 786,157,500 78,615,750 786,157,500 33,649,546 21,082,415 54,731,962
M TOTAL CLAIM THIS INVOICE GOI PORTION [J - K + L] 8,647,732,500 864,773,250 8,647,732,500 370,145,010 231,906,570 602,051,581 7,180,907,669 GRAND TOTAL CLAIM THIS INVOICE [I + M+TF Funding] 40,094,032,500 4,009,403,250 40,763,512,500 1,716,126,866 1,075,203,189 2,791,330,056 33,347,521,194
Approved by: Prepared by :
Pejabat Pembuat Komitmen PT. Tata Guna Patri
Wilayah II in JV with:
Satuan Kerja Pembinaan Pamsimas AHT Group Consultants
Diah Suryaningtyas, SIP, MM Ir. Satria Ernata
NIP. 197804252006042001 President Director of PT. Tata Guna Patria
GOVERNMENT OF REPUBLIC OF INDONESIA
MINISTRY OF PUBLIC WORK Contract No. : KU.08.08/Kontrak/Pamsimas/174/VIII/2013
Regional Oversight Management Services (ROMS) - 5 Contract Date : August,27,2013
Community Based Water Supply Project (PAMSIMAS 2) Amendment No. 1 : No. 01, November 25, 2013
Advance Payment / Invoice No. : 03
Period of Invoice : 6 - 7 (February 2014 - March 2014)
A. REMUNERATION
Man Months Billing Rate Amount Man Months Amount Man Months Amount Man Months Amount Man Months Amount
(MM) (Rp.) (Rp.) (MM) (Rp.) (MM) (Rp.) (MM) (Rp.) (MM) (Rp.)
1 Regional Team 180.0 1,764,000,000 17.9 175,100,000 10.0 98,000,000 27.9 273,100,000 126,099,972 1,189,700,000
1.1 KUPANG - NTT Project Manager Bambang Setijono 36.0
1.2 Data Management Johan Felipus Amalo 36.0
1.3 LG Specialist Sonny Pellokila 36.0
1.4 Trainer Coordinator Herman Umbu Zogara 36.0
Supporting Staff:
1.5 Office Manager Aletry Yunita Adu 36.0
2 Provincial Team 315.0 3,307,500,000 26.6 281,800,000 16.0 167,000,000 42.6 448,800,000 272.4 2,380,100,000
2.1Provincial Coordinator -
-1 KUPANG - NTT Provincial Coordinator NTT 1 Petronela Sain 36.0
2 Provincial Coordinator NTT 2 Bastian Bartolens Messah 36.0
3 MATARAM - NTB Provincial Coordinator NTB Edison L Nababan 33.0
2.2Financial Management Specialist
1 KUPANG - NTT Financial Management Specialist NTT 1Muhamad Anas 36.0
2 Financial Management Specialist NTT 2Agustinus Johanes 36.0
3 MATARAM - NTB Financial Management Specialist NTB Pamungkas Wiji 33.0
2.3Quality Assurance Specialist
1 KUPANG - NTT Quality Assurance Specialist NTT 1 Patje J.B Tari 36.0
2 Quality Assurance Specialist NTT 2 Paternus Yandinatus 36.0
3 MATARAM - NTB Quality Assurance Specialist NTB Mulyatno 33.0
3 District Team 2,664.0 7,104,000,000 144.5 1,155,680,000 119.0 687,000,000 240.5 1,923,680,000 2,423.5 5,186,480,000
3.1 District Coordinator 888.0 72.2 577,840,000 48.0 384,000,000 120.2 961,840,000 767.8
1 Timor Tengah Selatan Marihot Sinaga, ST 36.0
2 Manggarai Yohanes B Dapoto, ST 36.0
3 Sumba Barat Rismanto 36.0
4 Timor Tengah Utara Rudi Hananto 36.0
5 Rote Ndao Rolly Royke Haba 36.0
6 Sikka Kalvin Ginting, ST 36.0
7 Manggarai Barat Odhy Bessy 36.0
8 Alor Desi Eka Deliyati 36.0
9 Kupang Riky Octofiato Penlaana 36.0
10 Lembata Yohannes Gaspar Nahak 36.0
11 Sumba Tengah Dani Kadarusman 33.0
12 Sabu Raijua Hendra Malau, ST 33.0
13 Sumba Barat Daya Mulkan 33.0
14 Sumba Timur Ferdi W.M Radja 33.0
Position Location
No. Name
A. REMUNERATION
Man Months Billing Rate Amount Man Months Amount Man Months Amount Man Months Amount Man Months Amount
(MM) (Rp.) (Rp.) (MM) (Rp.) (MM) (Rp.) (MM) (Rp.) (MM) (Rp.)
Position Location
No. Name
Contract Total Previous Comulative Payment Claim This Invoice 5, 6 Total Comulative Balance
15 Manggarai Timur Betu Anisius 33.0
16 Flores Timur Mas'ul Ikhwan 33.0
17 Belu Wahiduddin 33.0
18 Nagekeo Akhyar Waldi 33.0
19 Ende Robyanto Suryantoro 33.0
20 Tabanan Ida Bagus Cakra Rudiana 33.0
21 Lombok Utara Akhmad Rumnatandi 33.0
22 Lombok Timur Indah ST 33.0
23 Bima Kamaluddin Mastar 33.0
24 Lombok Tengah Anita Maisura Manshur 33.0
25 Sumbawa Muhammad Husen 33.0
26 Dompu Fauzan 33.0
3.2 Financial Management Assistant 888.0 4,884,000,000 32.4 178,200,000 36.0 198,000,000 68.4 376,200,000 819.6 4,200,900,000
1 Timor Tengah Selatan Arnold Jaya Manurung 36.0
2 Manggarai Remigius Sulim 36.0
3 Sumba Barat Sarniati Wolla Wunga 36.0
4 Timor Tengah Utara Mukhlis 36.0
5 Rote Ndao Welmintje Monding, SE 36.0
6 Sikka Rizal Padapotan Butar butar 36.0
7 Manggarai Barat Enos Wenipada, SE 36.0
8 Alor Cyprianus C. Suy, SE 36.0
9 Kupang Johanna Javersina M. Mozes 36.0
10 Lembata Thomas Hadjon, SE 36.0
11 Sumba Tengah Hendra Dami 33.0
12 Sabu Raijua Yan Adi Rohi Jami 33.0
13 Sumba Barat Daya Dorthia F Amtiran 33.0
14 Sumba Timur Dani Rumianto 33.0
15 Manggarai Timur Hermenegildo P Djemarut 33.0
16 Flores Timur Elizabeth nona Ebit 33.0
17 Belu Maria Wendelina Naif 33.0
18 Nagekeo Aloysius Keluang Niron 33.0
19 Ende Maria Intan Dange 33.0
20 Tabanan Ni Kadek Eli Dwipayanti 33.0
21 Lombok Utara Asris Minarni 33.0
22 Lombok Timur Hanan 33.0
23 Bima Muhamad Ikhsan 33.0
24 Lombok Tengah Hasan Basri 33.0
25 Sumbawa Setiyo Widodo Dwi Sedarmo 33.0
26 Dompu Anshori, SE 33.0
A. REMUNERATION
Man Months Billing Rate Amount Man Months Amount Man Months Amount Man Months Amount Man Months Amount
(MM) (Rp.) (Rp.) (MM) (Rp.) (MM) (Rp.) (MM) (Rp.) (MM) (Rp.)
Position Location
No. Name
Contract Total Previous Comulative Payment Claim This Invoice 5, 6 Total Comulative Balance
Data Entry Operator/Administation Office - -
-1 Timor Tengah Selatan Cylda Dolfince Pello 36.0
2 Manggarai Edeltrudis A Wutun 36.0
3 Sumba Barat Jennifer Claudya Putrahoto 36.0
4 Timor Tengah Utara Erna Nelcy 36.0
5 Rote Ndao Isak Erwin Nggadas 36.0
6 Sikka Yuniarius Petrus Wellfrid 36.0
7 Manggarai Barat Urbanus Florianus K Tokan 36.0
8 Alor Yustin Delsiana Banik 36.0
9 Kupang Harlenci K Banoet 36.0
10 Lembata Norci Fransina M Babys 36.0
11 Sumba Tengah Erryke Boloe 33.0
12 Sabu Raijua Jeremy Saduk 33.0
13 Sumba Barat Daya Maryance Umbu Wosa 33.0
14 Sumba Timur Swibertus Eben H 33.0
15 Manggarai Timur Dedi Hidayat 33.0
16 Flores Timur Elisabeth Kumanireng 33.0
17 Belu Yusirwan 33.0
18 Nagekeo FX. Lian Koten 33.0
19 Ende Andreas Willyam Floriady W 33.0
20 Tabanan Chairisman Mansyur Torok 33.0
21 Lombok Utara Euis Anggareni 33.0
22 Lombok Timur Baiq Zohreny Pebriani 33.0
23 Bima Agustiawan 33.0
24 Lombok Tengah Kukuh Setia Bhakti 33.0
25 Sumbawa M. Ali 33.0
26 Dompu Jhordy Hartono, S.Kom 33.0
GOVERNMENT OF REPUBLIC OF INDONESIA
MINISTRY OF PUBLIC WORK - Contract No. : KU.08.08/Kontrak/Pamsimas/174/VIII/2013
Regional Oversight Management Services (ROMS) - 5 Contract Date : August,27,2013
Community Based Water Supply Project (PAMSIMAS 2) Amendment No. 1 : No. 01, November 25, 2013
Advance Payment / Invoice No. : 03
B. REIMBURSABLE (AT COST) Period of Invoice : 6 - 7 (February 2014 - March 2014)
Unit Cost Amount Amount Amount Amount Amount
(Rp.) (Rp.) (Rp.) (Rp.) (Rp.) (Rp.)
1 DUTY TRAVEL 757,440,000 - - 209.00 10,450,000 209.00 10,450,000 6,832.60 784,862,000
1.1 Spot Checking
-1.1.1 Provincial Team - Province to District Village (10%) -
-Bali -
-Inland Transport r-trip 14.40 200,000 2,880,000 - - - - - 14.40 2,880,000 Accomodation r-trip 28.80 200,000 5,760,000 - - - - - 28.80 5,760,000 OSA (Fixed) r-trip 43.20 200,000 8,640,000 - - - - - 43.20 8,640,000
Nusa Tenggara Barat - - - -
-Inland Transport r-trip 86.40 200,000 17,280,000 - - - - - 86.40 17,280,000 Accomodation r-trip 172.80 200,000 34,560,000 - - - - - 172.80 34,560,000 OSA (Fixed) r-trip 259.20 200,000 51,840,000 - - - - - 259.20 51,840,000
Nusa Tenggara Timur - - - -
-Inland Transport r-trip 136.80 1,600,000 218,880,000 - - - - - 136.80 218,880,000 Accomodation r-trip 273.60 200,000 54,720,000 - - - - - 273.60 54,720,000 OSA (Fixed) r-trip 410.40 200,000 82,080,000 - - - - - 410.40 82,080,000
1.1.2 District Team - District to Village (50%) - - - -
-District Coordinator r-trip 120.00 50,000 6,000,000 - - 10.00 500,000 10.00 500,000 110.00 5,500,000 District Coordinator r-trip 720.00 50,000 36,000,000 - - 88.00 4,400,000 88.00 4,400,000 632.00 31,600,000 District Coordinator r-trip 2280.00 50,000 114,000,000 - - - - - - 2,280.00 114,000,000 Financial management Ass. r-trip 96.00 50,000 4,800,000 - - - - - - 96.00 4,800,000 Financial management Ass. r-trip 576.00 50,000 28,800,000 - - 111.00 5,550,000 111.00 5,550,000 465.00 23,250,000 Financial management Ass. r-trip 1824.00 50,000 91,200,000 - - - - - - 1,824.00 91,200,000
2 MOBILIZATION AND DEMOBILIZATION 295,940,000 0 39,637,000 - 1,917,999 - 41,554,999 269,182,001
2.1 Regional Team - Jakarta Province to Province to Jakarta
2.1.1 Project Manager Jakarta-Mataram-Jakarta r-trip 1.00 3,020,000 3,020,000 - 1,530,000 - - 1,530,000 1.00 1,490,000 2.1.2 Data Management Jakarta-Mataram-Jakarta r-trip 1.00 3,020,000 3,020,000 - 250,000 - - 250,000 1.00 2,770,000 2.1.3 LG Specialist Jakarta-Mataram-Jakarta r-trip 1.00 3,020,000 3,020,000 - - - - - 1.00 3,020,000 2.1.4 Trainer Coordinator Jakarta-Mataram-Jakarta r-trip 1.00 3,020,000 3,020,000 - - - - - 1.00 3,020,000 2.1.5 Local Transport r-trip 4.00 200,000 800,000 - - - - - 4.00 800,000
2.2 Provincecial Team - Jakarta to Province to Jakarta - - - -
-2.2.1 Provincial Coordinator/LG Jakarta-Mataram-Jakarta r-trip 1.00 3,020,000 3,020,000 - 1,391,400 - - 1,391,400 1.00 1,628,600 Jakarta-Denpasar-Jakarta r-trip 1.00 3,050,000 3,050,000 - 250,000 - - 250,000 1.00 2,800,000 Jakata-Kupang-Jakarta r-trip 1.00 4,750,000 4,750,000 - - - - - 1.00 4,750,000 2.2.2 Financial Management Specialist Jakarta-Mataram-Jakarta r-trip 1.00 3,020,000 3,020,000 - 1,664,500 - - 1,664,500 1.00 1,355,500 Jakarta-Denpasar-Jakarta r-trip 1.00 3,050,000 3,050,000 - 1,799,000 - - 1,799,000 1.00 1,251,000 Jakata-Kupang-Jakarta r-trip 1.00 4,750,000 4,750,000 - - - - - 1.00 4,750,000 2.2.3 Quality Assurance Specialist Jakarta-Mataram-Jakarta r-trip 1.00 3,020,000 3,020,000 - - - - - 1.00 3,020,000 Jakarta-Denpasar-Jakarta r-trip 1.00 3,050,000 3,050,000 - 250,000 - - 250,000 1.00 2,800,000 Jakata-Kupang-Jakarta r-trip 1.00 4,750,000 4,750,000 - - - - - 1.00 4,750,000 2.2.4 Local Transport r-trip 9.00 200,000 1,800,000 - - - - - 9.00 1,800,000
No. Description Unit
Contract Volume
Total Previous Comulative Payment Claim This Invoice 3 Total Comulative Balance
B. REIMBURSABLE (AT COST) Period of Invoice : 6 - 7 (February 2014 - March 2014)
Unit Cost Amount Amount Amount Amount Amount
(Rp.) (Rp.) (Rp.) (Rp.) (Rp.) (Rp.)
No. Description Unit Volume Contract VolumeTotal Previous Comulative VolumePayment Claim This Invoice 3 VolumeTotal Comulative Volume Balance
2.3 District Team - Jakarta to Province to Jakarta - - - -
-2.3.1 District Coordinator Jakarta-Mataram-Jakarta 6.00 4,750,000 28,500,000 - 7,243,600 - - 7,243,600 6.00 21,256,400 Jakarta-Denpasar-Jakarta 1.00 4,750,000 4,750,000 - 1,391,400 - - 1,391,400 1.00 3,358,600 Jakata-Kupang-Jakarta 19.00 3,050,000 57,950,000 - 22,530,100 615,000 - 23,145,100 19.00 34,804,900 2.3.2 Financial Management Assistant Jakarta-Mataram-Jakarta 6.00 4,750,000 28,500,000 - - - - - 6.00 28,500,000 Jakarta-Denpasar-Jakarta 1.00 4,750,000 4,750,000 - - - - - 1.00 4,750,000 Jakata-Kupang-Jakarta 19.00 3,050,000 57,950,000 - 1,337,000 1,062,999 - 2,399,999 19.00 55,550,001 2.3.3 Local Transport (Province to Old District) 14.00 400,000 5,600,000 - - 240,000 - 240,000 14.00 5,360,000 Local Transport (Province to New District) 38.00 1,600,000 60,800,000 - - - - - - 60,800,000
3 OFFICE SPACE 2,300,400,000 348 655,800,000 - 23,600,000 348.00 679,400,000 1,621,000,000
3.1 Regional Team & Prov. Team
3.1.1 Provincial Team Kupang 1 33.00 3,000,000 99,000,000 12 36,000,000 - - 12 36,000,000 21.00 63,000,000 3.1.2 Regional Team & Prov. Team Kupang 2 33.00 2,100,000 69,300,000 12 25,200,000 - - 12 25,200,000 21.00 44,100,000 3.1.3 Provincial Team in Mataram 36.00 2,100,000 75,600,000 12 25,200,000 - - 12 25,200,000 24.00 50,400,000 3.1.4 Office Running Cost 108.00 1,000,000 108,000,000 - 15,000,000 8,000,000 - 23,000,000 108.00 85,000,000
3.2 District Team - - - -
-3.2.1 District Team in Mataram 33.00 1,700,000 336,600,000 84 142,800,000 - - 84 142,800,000 (51.00) 193,800,000 District Team in Bali 33.00 1,700,000 56,100,000 12 20,400,000 - - 12 20,400,000 21.00 35,700,000 District Team in Kupang Old 36.00 1,700,000 550,800,000 120 204,000,000 - - 120 204,000,000 (84.00) 346,800,000 District Team in Kupang New 33.00 1,700,000 561,000,000 96 163,200,000 - - 96 163,200,000 (63.00) 397,800,000 3.2.6 Office Running Cost old district 360.00 500,000 180,000,000 - 10,200,000 6,000,000 - 16,200,000 360.00 163,800,000 Office Running Cost new district 528.00 500,000 264,000,000 - 13,800,000 9,600,000 - 23,400,000 528.00 240,600,000
4 UTILITIES EXPENSES 752,400,000 - 49,600,000 960.00 752,400,000
4.1 Regional and Province
4.1.1 Office Supply and Consumable old district 72.00 1,200,000 86,400,000 - - 8,000,000 72.00 86,400,000
Office Supply and Consumable new district - - - -
-4.2 District - - - -
-4.2.1 Office Supply and Consumable old district 360.00 750,000 270,000,000 - - 16,000,000 360.00 270,000,000 Office Supply and Consumable new district 528.00 750,000 396,000,000 - - 25,600,000 528.00 396,000,000
5 OFFICE EQUIPMENT 371,600,000 94 371,600,000 - - 94 371,600,000 -
-5.1 Notebook Computer (Regional+Provincial+District) 39.00 5,000,000 195,000,000 39 195,000,000 - 39 195,000,000 - -5.2 Portable Computer for Supporting Regional 2.00 3,500,000 7,000,000 2 7,000,000 - 2 7,000,000 - -5.3 Portable Computer + Printer for Supporting District 26.00 5,000,000 130,000,000 26 130,000,000 - 26 130,000,000 - -5.4 Printer Laserjet 3.00 2,500,000 7,500,000 3 7,500,000 - 3 7,500,000 - -5.5 Printer Colour A3 3.00 3,000,000 9,000,000 3 9,000,000 - 3 9,000,000 - -5.6 scanner 3.00 1,500,000 4,500,000 3 4,500,000 - 3 4,500,000 - -5.7 Facsimile 3.00 1,000,000 3,000,000 3 3,000,000 - 3 3,000,000 - -5.8 Digital Camera 3.00 1,000,000 3,000,000 3 3,000,000 - 3 3,000,000 - -5.9 GSM Modem + SIM CARD 3.00 500,000 1,500,000 3 1,500,000 - 3 1,500,000 - -5.10 Router, LAN Peripheral 3.00 700,000 2,100,000 3 2,100,000 - 3 2,100,000 -
-5.11 GPS 6.00 1,500,000 9,000,000 6 9,000,000 - 6 9,000,000 -
-6 VEHICLE RENTAL 6,924,000,000 39 585,000,000 51.00 343,500,000 90 928,500,000 5,995,500,000
6.1 Car including O&M and Driver (Regional Team) 36.00 8,000,000 288,000,000 5 40,000,000 2.00 16,000,000 7 56,000,000 29.00 232,000,000 6.2 Car including O&M and Driver (Provincial Team) 108.00 8,000,000 864,000,000 8 64,000,000 6.00 48,000,000 14 112,000,000 94.00 752,000,000 6.3 Car including O&M (District Team) old district 360.00 6,500,000 2,340,000,000 26 351,000,000 15.00 97,500,000 41 448,500,000 319.00 1,891,500,000 Car including O&M (District Team) new district 528.00 6,500,000 3,432,000,000 130,000,000 28.00 182,000,000 28 312,000,000 500.00 3,120,000,000
B. REIMBURSABLE (AT COST) Period of Invoice : 6 - 7 (February 2014 - March 2014)
Unit Cost Amount Amount Amount Amount Amount
(Rp.) (Rp.) (Rp.) (Rp.) (Rp.) (Rp.)
No. Description Unit Volume Contract VolumeTotal Previous Comulative VolumePayment Claim This Invoice 3 VolumeTotal Comulative Volume Balance
7 COMMUNICATION 145,800,000 - - 145,800,000
7.1 Regional and Province - -
-7.1.1 Telephone and Postage 108.00 1,000,000 108,000,000 - - - - - 108.00 108,000,000 7.1.2 Internet Connection fo Office 108.00 350,000 37,800,000 - - - - - 108.00 37,800,000
7.2 District - -
-7.2.1 - Telephone and Internet Connection old district 360.00 500,000 180,000,000 - - - - - 360.00 180,000,000 - Telephone and Internet Connection new district 528.00 500,000 264,000,000 - - - - - 528.00 264,000,000
8 TRAINING
-8.1 Pelatihan FM Ass. Dan Data Entry Operator
8.1.1 Peserta - -
-a Paket Full Board days 156.00 250,000 39,000,000 - - - - 156.00 39,000,000 b Transportation Participant time 52.00 200,000 10,400,000 - - - - 52.00 10,400,000
8.1.2 Pelatih (air transport economy class) - - -
-a Acomodation days 9.00 400,000 3,600,000 - - - - 9.00 3,600,000 b Training Material + Kit paket 52.00 50,000 2,600,000 - - - - 52.00 2,600,000
8.2 Expert Group Meeting - Central -
-8.2.1 Regional Team - Air Fare Province to akarta - -
-8.2.2 Provincial team - Air Fare Province to Jakarta - -
-8.2.3 Inland Transport - Regional and Provincial Team - -
-8.2.4 OSA (fixed) - Regional Team days 72.00 300,000 21,600,000 - - - - - 72.00 21,600,000 8.2.5 OSA (fixed) - Provincial Team days 162.00 300,000 48,600,000 - 5,400,000 - - 5,400,000 162.00 43,200,000
8.3 Expert Group Meeting - Regional -
-a Fullboard Pacakage for District Team days 936.00 150,000 140,400,000 - - - - 936.00 140,400,000 b Fullboard Pacakage for Provincial Team days 108.00 250,000 27,000,000 - - - - 108.00 27,000,000 c Fullboard Pacakage for Regional Team days 48.00 360,000 17,280,000 - - - - 48.00 17,280,000
8.3.1 Air Transpoet (Economy Class) - - -
-a Regional Team Mataram-Denpasar r-trip 24.00 1,300,000 31,200,000 - - - - 24.00 31,200,000 b Regional Team Mataram-Kupang r-trip 24.00 7,700,000 184,800,000 - - - - 24.00 184,800,000
8.3.2 Inland Transport -
-a District Team Denpasar r-trip 18.00 200,000 3,600,000 - - - - 18.00 3,600,000 District Team Mataram r-trip 108.00 200,000 21,600,000 - - - - 108.00 21,600,000 District Team Kupang r-trip 342.00 1,600,000 547,200,000 - - - - 342.00 547,200,000 b OSA (Fixed) days 1,548.00 200,000 309,600,000 - - - - 1,548.00 309,600,000
8.4 OJT Fasilitator -
-8.4.1 Training Material + Kit days 2,808.00 50,000 140,400,000 - - - - 2,808.00 140,400,000 8.4.2 Meals, Snack days 2,808.00 75,000 210,600,000 - - - - 2,808.00 210,600,000
8.5 Pelatihan Penguatan BPSPAM - - -
-8.5.1 Paket Fullboard Participant days 5,200.00 250,000 1,300,000,000 - - - - 5,200.00 1,300,000,000 8.5.2 Paket Fullday for DPMU + TKK days 416.00 350,000 145,600,000 - - - - 416.00 145,600,000 8.5.3 Uang Saku Participant days 5,200.00 50,000 260,000,000 - - - - 5,200.00 260,000,000 8.5.4 Uang Transport Participant time 1,300.00 200,000 260,000,000 - - - - 1,300.00 260,000,000 8.5.5 Training Material + Kit unit 104.00 140,000 14,560,000 - - - - 104.00 14,560,000 8.5.6 Spanduk paket 1,300.00 100,000 130,000,000 - - - - 1,300.00 130,000,000
8.6 Pelatihan Kader AMPL -
-8.6.1 Paket Fullboard Participant days 5,200.00 250,000 1,300,000,000 - - - - 5,200.00 1,300,000,000 8.6.2 Paket Fullday for DPMU + TKK days 416.00 350,000 145,600,000 - - - - 416.00 145,600,000 8.6.3 Uang Saku Participant days 5,200.00 50,000 260,000,000 - - - - 5,200.00 260,000,000 8.6.4 Uang Transport Participant time 1,300.00 200,000 260,000,000 - - - - 1,300.00 260,000,000 8.6.5 Training Material + Kit unit 104.00 140,000 14,560,000 - - - - 104.00 14,560,000 8.6.6 Spanduk paket 1,300.00 100,000 130,000,000 - - - - 1,300.00 130,000,000
B. REIMBURSABLE (AT COST) Period of Invoice : 6 - 7 (February 2014 - March 2014)
Unit Cost Amount Amount Amount Amount Amount
(Rp.) (Rp.) (Rp.) (Rp.) (Rp.) (Rp.)
No. Description Unit Volume Contract VolumeTotal Previous Comulative VolumePayment Claim This Invoice 3 VolumeTotal Comulative Volume Balance
8.7 Workshop RAD AMPL paket 156.00 5,000,000 780,000,000 1 5,000,000 - - 1 5,000,000 155.00 775,000,000
8.8 Workshop Forum/Assosiasi BPSPAM in Province -
-8.8.1 Paket Fullboard Participant days 520.00 360,000 187,200,000 - - - - 520.00 187,200,000 8.8.2 Paket Fullday for DPMU + TKK days 70.00 200,000 14,000,000 - - - - 70.00 14,000,000 8.8.3 Uang Transport Participant time 190.00 200,000 38,000,000 - - - - 190.00 38,000,000 8.8.4 Training Material + Kit paket 260.00 100,000 26,000,000 - - - - 260.00 26,000,000 8.8.5 Spanduk unit 104.00 140,000 14,560,000 - - - - 104.00 14,560,000
8.9 Pelatihan Pengelola Program Kabupaten (DPMU+TKK+Satker) in Province -
-8.9.1 Paket Fullboard Participant days 936.00 360,000 336,960,000 - - - - 936.00 336,960,000 8.9.2 Uang Transport Participant days 234.00 200,000 46,800,000 - - - - 234.00 46,800,000 8.9.3 Training Material + Kit paket 234.00 100,000 23,400,000 - - - - 234.00 23,400,000 8.9.4 Spanduk unit 156.00 140,000 21,840,000 - - - - 156.00 21,840,000 8.10 Printing/Media - -Spanduk unit 832.00 125,000 104,000,000 - - - - 832.00 104,000,000 Poster unit 23,700.00 9,000 213,300,000 - - - - 23,700.00 213,300,000 Leaflet unit 42,760.00 7,500 320,700,000 - - - - 42,760.00 320,700,000 9 REPORTING 1190 44,850,000 25 2,500,000 - - 25.00 2,500,000 42,350,000
9.1 Inception Report exp. 25 100,000 2,500,000 25 2,500,000 - - 25.00 2,500,000 - -9.2 Monthly Report exp. 540 25,000 13,500,000 - - - - - 540.00 13,500,000 9.3 Quarterly Report exp. 180 35,000 6,300,000 - - - - - 180.00 6,300,000 9.4 Special Report exp. 60 30,000 1,800,000 - - - - - 60.00 1,800,000 9.5 Annual Report exp. 60 75,000 4,500,000 - - - - - 60.00 4,500,000 9.6 Financial Management Report (FMR) exp. 60 25,000 1,500,000 - - - - - 60.00 1,500,000 9.7 Draft Final Report exp. 20 75,000 1,500,000 - - - - - 20.00 1,500,000 9.8 Final Report exp. 20 100,000 2,000,000 - - - - - 20.00 2,000,000 9.9 Training Program Report exp. 225 50,000 11,250,000 - - - - - 225.00 11,250,000
