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(1)

INTERIM FINANCIAL REPORT

No. 05

(2)

CTC

WINRIP

Current

Year

Cumulative

Current

Year

Cumulative

Current

Year

Cumulative

Quarter

To date

To date

Quarter

To date

To date

Quarter

To date

To date

1 2 3 4 5 6 7 8=2/5 9 =3/6 10 =4/7

Source of Fund

GOI : APBN

0,00 0,00 15.259.847.329,00 21.025.966.800,00 21.025.966.800,00 83.279.545.940,00 0,00% 0,00% 18,32%

The World Bank

33.438.441.110,00 33.438.441.110,00 50.170.473.484,00 16.807.290.000,00 16.807.290.000,00 161.786.464.584,00 198,95% 198,95% 31,01%

Total Sources of Funds

33.438.441.110,00 33.438.441.110,00 65.430.320.813,00 37.833.256.800,00 37.833.256.800,00 245.066.010.524,00 88,38% 88,38% 26,70%

Uses of Fund ( by Category)

Civil W orks under part 1 of the project 33.357.441.110,00 33.357.441.110,00 48.617.288.439,00 36.495.792.456,00 36.495.792.456,00 226.689.041.180,00 0,00% 0,00% 21,45%

Goods, Non Consulting Services, Consulting Services and I ncremental Operating Cost under part 2 of the project

81.000.000,00 81.000.000,00 16.813.032.374,00 1.337.464.344,00 1.337.464.344,00 18.376.969.344,00 0,00% 0,00% 91,49%

Goods, Non Consulting Services, Consulting Services and I ncremental Operating Cost under part 3 of the project

0,00 0,00 0,00 0,00 0,00 0,00 # DI V/ 0! # DI V/ 0! # DI V/ 0!

Goods, Non Consulting Services, Consulting Services and I ncremental Operating Cost under part 4 of the project

0,00 0,00 0,00 0,00 0,00 0,00 # DI V/ 0! # DI V/ 0! # DI V/ 0!

Non Bank Finance ( Rupiah Murni) 0,00 0,00 0,00 0,00 0,00 0,00 0,00% 0,00% 0,00%

Unallocated 0,00 0,00 0,00 0,00 0,00 0,00 0,00% 0,00% 0,00%

Total Uses of Fund

33.438.441.110,00 33.438.441.110,00 65.430.320.813,00 37.833.256.800,00 37.833.256.800,00 245.066.010.524,00 88,38% 88,38% 26,70%

Note :

Western I ndonesia National Roads I mprovement Project

Project Sources and Uses of Funds

Actual

Planned

Variance in %

For the Quarter ending March 31, 2014

I BRD Loan No. 8043 - I D

(3)

CTC

WINRIP

GOI

GOI

GOI

APBN APBN APBN

1 2 3 4 5 6 7 8 9 10

1 Civil W orks under part 1 of the project 0,00 33.357.441.110,00 33.357.441.110,00 0,00 33.357.441.110,00 33.357.441.110,00 15.259.847.329,00 33.357.441.110,00 48.617.288.439,00

01. Krui - Biha 0,00 9.443.644.770,00 9.443.644.770,00 0,00 9.443.644.770,00 9.443.644.770,00 3.102.911.853,00 9.443.644.770,00 12.546.556.623,00

02. Padang Sawah - Sp.Empat/ Inc Air Gadang Brgd 0,00 13.855.568.930,00 13.855.568.930,00 0,00 13.855.568.930,00 13.855.568.930,00 4.552.544.077,00 13.855.568.930,00 18.408.113.007,00

03. Manggopoh - Padang Sawah 0,00 10.058.227.410,00 10.058.227.410,00 0,00 10.058.227.410,00 10.058.227.410,00 3.304.846.149,00 10.058.227.410,00 13.363.073.559,00

04. Ipuh - Bantal 0,00 0,00 0,00 0,00 0,00 0,00 4.299.545.250,00 0,00 4.299.545.250,00

17. Sp.Gng Kemala - Pugung Tampak 0,00 0,00 0,00 0,00 0,00 0,00 0,00 0,00 0,00

05. Simpang Rampa - Poriaha 0,00 0,00 0,00 0,00 0,00 0,00 0,00 0,00 0,00

11. Bantal - Mukomuko 0,00 0,00 0,00 0,00 0,00 0,00 0,00 0,00 0,00

13. Sp Rukis - Tj Kemuning 0,00 0,00 0,00 0,00 0,00 0,00 0,00 0,00 0,00

06. Ps. Pedati - Kerkap 0,00 0,00 0,00 0,00 0,00 0,00 0,00 0,00 0,00

19. Lais - Bintunan 0,00 0,00 0,00 0,00 0,00 0,00 0,00 0,00 0,00

15. Sibolga - Batas Tapsel 0,00 0,00 0,00 0,00 0,00 0,00 0,00 0,00 0,00

08. Bts.Kota Pariaman - Manggopoh 0,00 0,00 0,00 0,00 0,00 0,00 0,00 0,00 0,00

10. Simpang Empat - Sp.Air Balam 0,00 0,00 0,00 0,00 0,00 0,00 0,00 0,00 0,00

07. Indrapura - Tapan 0,00 0,00 0,00 0,00 0,00 0,00 0,00 0,00 0,00

12. Kambang - Indrapura 0,00 0,00 0,00 0,00 0,00 0,00 0,00 0,00 0,00

14. Painan - Kambang 0,00 0,00 0,00 0,00 0,00 0,00 0,00 0,00 0,00

16. Seblat - Ipuh, Inc Air Lalang/ Guntung Brgd 0,00 0,00 0,00 0,00 0,00 0,00 0,00 0,00 0,00

20. Lubuk Alung - Sicincin 0,00 0,00 0,00 0,00 0,00 0,00 0,00 0,00 0,00

21. Lubuk Alung - Kuraitaji 0,00 0,00 0,00 0,00 0,00 0,00 0,00 0,00 0,00

18. Mukomuko - Batas Sumbar * * 0,00 0,00 0,00 0,00 0,00 0,00 0,00 0,00 0,00

09. Rantau Tijang - Kota Agung * * 0,00 0,00 0,00 0,00 0,00 0,00 0,00 0,00 0,00

2

Goods, Non Consulting Services, Consulting Services and I ncremental Operating Cost under part 2 of the project

0,00 81.000.000,00 81.000.000,00 0,00 81.000.000,00 81.000.000,00 0,00 16.813.032.374,00 16.813.032.374,00

3 Goods, Non Consulting Services, Consulting Services and I ncremental Operating Cost under part 3 of the project

0,00 0,00 0,00 0,00 0,00 0,00 0,00 0,00 0,00

4 Goods, Non Consulting Services, Consulting Services and I ncremental Operating Cost under part 4 of the project

0,00 0,00 0,00 0,00 0,00 0,00 0,00 0,00 0,00

5 Unallocated 0,00 0,00 0,00 0,00 0,00 0,00 0,00 0,00 0,00

T O T A L - 33.438.441.110,00 33.438.441.110,00 - 33.438.441.110,00 33.438.441.110,00 15.259.847.329,00 50.170.473.484,00 65.430.320.813,00

Cummulative To date

Project Activities

WB

TOTAL

I BRD Loan No. 8043 - I D

For the Quarter ending March 31, 2014

I n I DR

WB

Western I ndonesia National Roads I mprovement Project

TOTAL

WB

TOTAL

Cummulative Uses of Funds by Project Activity

Current Quarter

Year to date

Form 1 - B

(4)

CTC

WINRIP

in I DR 000's

(a)

(b)

( c )= (a)+ (b)

(d)

(e)

(f)

Cash Requirement

Cash Requirement

Total Cash

GOI

WB

WB

for

for

Requirement for

Cash Requirement

Quarter ending

Quarter ending

six mos. Ending

for Six mos. Ending

30-Jun-14

30-Sep-14

30-Sep-14

30-Sep-14

30-Sep-14

30-Sep-14

(I DR)

(I DR)

(I DR)

(I DR)

(I DR)

(I USD)

1

2

3

5

6

7

8

1 Civil W orks under part 1 of the proj ect

35.891.729,70

107.675.189,10

143.566.918,80

43.070.075,64

100.496.843,16

9.571.127,92

01. Krui - Biha

3.735.750,00

11.207.250,00

14.943.000,00

4.482.900,00

10.460.100,00

996.200,00

02. Padang Sawah - Sp.Empat/ I nc Air Gadang Brgd

6.031.484,40

18.094.453,20

24.125.937,60

7.237.781,28

16.888.156,32

1.608.395,84

03. Manggopoh - Padang Sawah

3.179.574,60

9.538.723,80

12.718.298,40

3.815.489,52

8.902.808,88

847.886,56

04. I puh - Bantal

4.458.838,80

13.376.516,40

17.835.355,20

5.350.606,56

12.484.748,64

1.189.023,68

17. Sp.Gng Kemala - Pugung Tampak

1.650.000,00

4.950.000,00

6.600.000,00

1.980.000,00

4.620.000,00

440.000,00

05. Simpang Rampa - Poriaha

1.787.398,50

5.362.195,50

7.149.594,00

2.144.878,20

5.004.715,80

476.639,60

11. Bantal - Mukomuko

2.058.166,50

6.174.499,50

8.232.666,00

2.469.799,80

5.762.866,20

548.844,40

13. Sp Rukis - Tj Kemuning

2.727.662,10

8.182.986,30

10.910.648,40

3.273.194,52

7.637.453,88

727.376,56

06. Ps. Pedati - Kerkap

1.640.578,80

4.921.736,40

6.562.315,20

1.968.694,56

4.593.620,64

437.487,68

19. Lais - Bintunan

900.000,00

2.700.000,00

3.600.000,00

1.080.000,00

2.520.000,00

240.000,00

15. Sibolga - Batas Tapsel

2.273.208,75

6.819.626,25

9.092.835,00

2.727.850,50

6.364.984,50

606.189,00

08. Bts.Kota Pariaman - Manggopoh

1.772.986,35

5.318.959,05

7.091.945,40

2.127.583,62

4.964.361,78

472.796,36

10. Simpang Empat - Sp.Air Balam

1.767.358,35

5.302.075,05

7.069.433,40

2.120.830,02

4.948.603,38

471.295,56

07. I ndrapura - Tapan

540.097,95

1.620.293,85

2.160.391,80

648.117,54

1.512.274,26

144.026,12

12. Kambang - I ndrapura

1.368.624,60

4.105.873,80

5.474.498,40

1.642.349,52

3.832.148,88

364.966,56

14. Painan - Kambang

0,00

0,00

0,00

0,00

0,00

0,00

16. Seblat - I puh, I nc Air Lalang/ Guntung Brgd

0,00

0,00

0,00

0,00

0,00

0,00

20. Lubuk Alung - Sicincin

0,00

0,00

0,00

0,00

0,00

0,00

21. Lubuk Alung - Kuraitaji

0,00

0,00

0,00

0,00

0,00

0,00

18. Mukomuko - Batas Sumbar * *

0,00

0,00

0,00

0,00

0,00

0,00

09. Rantau Tijang - Kota Agung * *

0,00

0,00

0,00

0,00

0,00

0,00

2 Goods, Non Consulting Services, Consulting Services and I ncremental Operating Cost under part 2 of the proj ect

1.498,61

4.495,83

5.994,44

0,00

5.994,44

570,90

3 Goods, Non Consulting Services, Consulting Services and I ncremental Operating Cost under part 3 of the project

0,00

0,00

0,00

0,00

0,00

0,00

4 Goods, Non Consulting Services, Consulting Services and I ncremental Operating Cost under part 4 of the proj ect

0,00

0,00

0,00

0,00

0,00

0,00

5 Unallocated

Total

35.891.729,70

107.675.189,10

143.566.918,80

43.070.075,64

100.496.843,16

9.571.127,92

Disbursement Category

Western I ndonesia National Roads I mprovement Project

Project Cash Forecash

For the Quarter ending March 31, 2014

IBRD Loan No. 8043 - ID

Cash Requirement for Six mos. Ending

(5)

CTC

WINRIP

Bank Indonesia Account No: 601.306.411.980

in USD

Part I

1. Cummulative advances to end of current reporting period

2.234.335,00

2. Cummulative expenditures to end of last reporting period

1.568.287,79

3. Outstanding advances to be accounted (1-2)

666.047,21

Part I I

4. Opening SA balance at beginning of reporting period (as of January 01, 2014)

639.627,21

5. Add/ Substract:Cummulative adjustments (if any) * )

-6. Advances from the World Bank during reporting period

26.420,00

7. add 5 and 6

26.420,00

8. Outstanding advances to be accounted for (4+ 7)

666.047,21

9. Closing SA balance at end of current reporting (as of March 31, 2013)

659.358,52

10. Add/ substract; cummulative adjusment (if any) * * )

-11. Expenditures for current reporting period

6.688,69

12. Add 10+ 11

6.688,69

13. Add 9+ 12

666.047,21

Western I ndonesia National Roads I mprovement Project

Loan I BRD No. 8043-I D

Special Account Activity Statement

for the Reporting Period of January - March 2014

Form 1 - D

14. Difference (if any) 8-13 * * * )

-Part I I I

15. Total Forecasted amount to be paid by World Bank

659.358,52

16. Less: Closing SA balance after adjustment

659.358,52

17. Cummulative adjustment (if any) * * * * )

18. Add 16+ 17

659.358,52

19. Cash requirement from WB for next six months (15-18)

Rounding

= = = = = = = = = = = = = = = = = = =

* Explanation for item 5 (if not zero):

Amount (+ / -)

Remarks

* * Explanation for item 10 (if not Zero):

Amount (+ / -)

Remarks

* * * Explanation for item 14 (if not Zero):

Amount (+ / -)

Remarks

* * * * Explanation for item 17 (if not Zero):

Amount (+ / -)

Remarks

(6)

CTC

WINRIP

in USD

Detail of

Loan

Expenditures

Remaining

Category

Allocation

Disbursement

Current

Cumulative

Loan

Quarter

to date

Allocation

1

2

3

4

5

6

7

8

9= 3-( 4+ 6-7+ 8)

1

Civil W orks under part 1 of the project

220.400.000,00

2.732.200,92

2.732.200,92

2.732.200,92

55.089.351,03

217.667.799,08

01. Krui - Biha

773.498,63

773.498,63

10.983.839,11

7.688.687,38

02. Padang Sawah - Sp.Empat/ I nc Air Gadang Brgd

1.134.865,17

1.134.865,17

16.115.318,15

11.280.722,71

03. Manggopoh - Padang Sawah

823.837,12

823.837,12

11.698.656,01

8.189.059,21

04. I puh - Bantal

0,00

0,00

16.291.537,76

11.404.076,43

17. Sp.Gng Kemala - Pugung Tampak 05. Simpang Rampa - Poriaha 11. Bantal - Mukomuko 13. Sp Rukis - Tj Kemuning 06. Ps. Pedati - Kerkap 19. Lais - Bintunan 15. Sibolga - Batas Tapsel 08. Bts.Kota Pariaman - Manggopoh 10. Simpang Empat - Sp.Air Balam 07. I ndrapura - Tapan 12. Kambang - I ndrapura 14. Painan - Kambang

16. Seblat - I puh, I nc Air Lalang/ Guntung Brgd 20. Lubuk Alung - Sicincin

21. Lubuk Alung - Kuraitaji 18. Mukomuko - Batas Sumbar * * 09. Rantau Tijang - Kota Agung * *

2

Goods, Non Consult ing Services, Consult ing

Services and I ncremental Operating Cost under

part 2 of t he project

16.000.000,00

1.574.976,48

6.688,69

1.574.976,48

14.425.023,52

14.425.023,52

3

Goods, Non Consulting Services, Consulting

Services and I ncremental Operating Cost under

part 3 of the project

1.000.000,00

0,00

0,00

0,00

0,00

1.000.000,00

4

Goods, Non Consult ing Services, Consult ing

Services and I ncremental Operating Cost under

part 4 of t he project

0,00

0,00

0,00

0,00

0,00

0,00

5

Unallocat ed

12.600.000,00

0,00

0,00

0,00

0,00

12.600.000,00

250.000.000,00

4.307.177,40

2.738.889,61

4.307.177,40

69.514.374,55

245.692.822,60

Note :

For the Quarter ending March 31, 2014

Disbursement and Expenditures Status

Western I ndonesia National Roads I mprovement Project

Loan

Cat

Expenditures not yet

replenish

Remaining Amount of

Contract

I BRD Loan No. 8043 - I D

(7)

CTC

WINRIP

Disbursement Category : 1. CI VI L W ORKS

SP2D GOI Bor.Ref WB ( PLN) Charge t o WB Tot al I nvoice

No. Comp APBN SPM - $ SPM- RP

Number/ Amount Number/ Amount Number/ Amount Bor.Ref No/ Amount Amount

Dat e Rp. Dat e Rp. Dat e Rp. Value Dat e Rp. US $

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

1 Krui - Biha 134.909.211.000,00 PT. JAYA KONSTRUKSI 001/ 01-WINRIP/ 17 9.443.644.770,00 773.498,63 9.443.644.770,00

01-26/ 04-WI NRI P-WP1/ CE/ A/ 8043/ 11-13 Original Contract MANGGALA PRATAMA 2-Jan-14

Tanggal 14 Novem ber 2013 Value

0,00 9.443.644.770,00 773.498,63 9.443.644.770,00

2 Padang Saw ah - Sp.Empat 197.936.699.000,00 PT. JAYA KONSTRUKSI 002/ 02-WINRIP/ 06 13.855.568.930,00 1.134.865,17 13.855.568.930,00

I ncluding Air Gadang Bridge Original Contract MANGGALA PRATAMA 2-Jan-14

39-06/ 02-WI NRI P-WP1/ CE/ A/ 8043-I D/ 12-13 Value

Tanggal 06 Decem ber 2013

0,00 13.855.568.930,00 1.134.865,17 13.855.568.930,00

3 Manggopoh - Padang Saw ah 143.688.963.000,00 PT. JAYA KONSTRUKSI 003/ 03-WINRIP/ 06 10.058.227.410,00 823.837,12 10.058.227.410,00

40-06/ 03-WI NRI P-WP1/ CE/ A/ 8043-I D/ 12-13 Original Contract MANGGALA PRATAMA 02-Jan-14

Tanggal 06 Decem ber 2013 Value

0,00 10.058.227.410,00 823.837,12 10.058.227.410,00

4 I puh - Bantal 186.936.750.000,00 PT. WASKI TA KARYA - DAYA 01-26/ 04-WI NRI P-WP1/ CE/ A/ 8043/ 11-13 Original Contract MULI A TURANGGA JO

Tanggal 14 Novem ber 2013 Value SARI , Jo

0,00 0,00 0,00 0,00

TOTAL 0,00 33.357.441.110,00 2.732.200,92 33.357.441.110,00

Summary Statement

Rp US $

Reference Cont ract

Name

I BRD Loan No. 8043 - I D

Western I ndonesia National Roads I mprovement Project

For the Quarter ending March 31, 2014

Dat e/ Page/ No.

Expenditures for Contracts Subject to Prior Review

Form 1 - F

(8)

CTC

WI NRI P

Disbursement Category :

2. Goods, Non Consulting Services, Consulting Services and I ncremental Operating Cost under part 2 of the project

SP2D GOI SP2D WB (PLN) Reference SA (RKBI) Total Invoice

No. Comp APBN SPM - $ SPM-RP

Number/ Amount Number/ Amount Number/ Amount Number/ Amount Amount

Date Rp./ USD Date Rp. Date Rp. Date Rp. US $

1 2 3 4 5 6 7 8 9 10 11 12 13,00 14= 7+ 11 15

1 0,00

2 0,00

3 0,00

0,00 0,00 0,00

Western I ndonesia National Roads I mprovement Project

Summary Statement

Expenditures for Contracts Subject to Prior Review ( SOE)

For the Quarter ending March 31 2014

I BRD Loan No. 8043 - I D

Reference Contract

Date/ Page/ No. Rp USD

Name

(9)

CTC

WINRIP

Disbursement Category :

2. Goods, Non Consulting Services, Consulting Services and I ncremental Operating Cost under part 2 of the project

SP2D GOI SP2D WB (PLN) Reference SA (RKBI) Total Invoice

No. Comp APBN SPM - $ SPM-RP

Number/ Amount Number/ Amount Number/ Amount Number/ Amount Amount

Date Rp./ USD Date Rp. Date Rp. Date Rp. US $

1 2 3 4 5 6 7 8 9 10 11 12 13,00 14= 7+ 11 15

1 IOC

Bendahara Pengeluaran SNVT Pembinaan Admin dan P2

326371H 81.000.000,00 6.688,69 81.000.000,00

31-Des-13

81.000.000,00 6.688,69 81.000.000,00

Western I ndonesia National Roads I mprovement Project

For the Quarter ending December 31 2013

Expenditures for Contracts Not Subject to Prior Review ( SOE)

Summary Statement

Reference Contract

Date/ Page/ No. Rp USD

Name

I BRD Loan No. 8043 - I D

Form G - IOC

(10)

CTC

WINRIP

in I DR

Actual

Planned

Variance

Project Activities

Cumulative

Cumulative

Cumulative

Cumulative

Cumulative

Cumulative

Cat

No

To- Date

To- Date

To- Date

To- Date

To- Date

To- Date

Package

( % )

( % )

( % )

1 2 3 4 5 6 7 8= 6-4 9= 7-5 10

1 Civil W orks under part 1 of the proj ect

48.617.288.439

97.434.931.450,00

1 Krui - Biha

12.546.556.623,00

9,30%

25.943.000.000,00

19,23%

-13.396.443.377,00

-9,93%

134.909.211.000,00

2 Padang Sawah - Sp.Empat/ I nc Air Gadang Brgd

18.408.113.007,00

9,30%

27.160.833.050,00

13,72%

-8.752.720.043,00

-4,42%

197.936.699.000,00

3 Manggopoh - Padang Sawah

13.363.073.559,00

9,30%

18.423.070.250,00

12,82%

-5.059.996.691,00

-3,52%

143.688.963.000,00

4 I puh - Bantal

4.299.545.250,00

2,30%

25.908.028.150,00

13,86%

-21.608.482.900,00

-11,56%

186.936.750.000,00

17 Sp.Gng Kemala - Pugung Tampak

0,00

0,00%

0,00

5 Simpang Rampa - Poriaha

0,00

0,00%

0,00

11 Bantal - Mukomuko

0,00

0,00%

0,00

13 Sp Rukis - Tj Kemuning

0,00

0,00%

0,00

6 Ps. Pedati - Kerkap

0,00

0,00%

0,00

19 Lais - Bintunan

0,00

0,00%

0,00

15 Sibolga - Batas Tapsel

0,00

0,00%

0,00

8 Bts.Kota Pariaman - Manggopoh

0,00

0,00%

0,00

10 Simpang Empat - Sp.Air Balam

0,00

0,00%

0,00

7 I ndrapura - Tapan

0,00

0,00%

0,00

12 Kambang - I ndrapura

0,00

0,00%

0,00

14 Painan - Kambang

0,00

0,00%

0,00

16 Seblat - I puh, I nc Air Lalang/ Guntung Brgd

0,00

0,00%

0,00

20 Lubuk Alung - Sicincin

0,00

0,00%

0,00

21 Lubuk Alung - Kuraitaji

0,00

0,00%

0,00

18 Mukomuko - Batas Sumbar * *

0,00

0,00%

0,00

9 Rantau Tijang - Kota Agung * *

2

Goods, Non Consulting Services, Consulting Services and I ncremental Operating Cost under part 2 of the proj ect

16.813.032.374,00

10,01%

0,00%

16.813.032.374,00

10,01%

168.000.000.000,00

3 Goods, Non Consulting Services, Consulting Services and I ncremental Operating Cost under part 3 of the proj ect

0,00

0,00

4 Goods, Non Consulting Services, Consulting Services and I ncremental Operating Cost under part 4 of the proj ect

0,00

0,00%

0,00

0,00%

0,00

0,00%

0,00

5 Unallocated

0,00

0,00%

0,00

0,00%

0,00

0,00%

0,00

65.430.320.813,00

7,87%

97.434.931.450,00

11,72%

- 32.004.610.637,00

-48,91%

831.471.623.000,00

Western I ndonesia National Roads I mprovement Project

I BRD Loan 8043 - I D

For the Quarter ending March 31, 2014

Unit of Output by Project Activity

Output Monitoring Report

Contract Value

Description

(11)

CTC

WINRIP

Disbursement Contract Procurement Contract Supplier/ Nationality Contract Contract Amount Payment realization Code Cat. Category Description Method / ii Number / iii Contractor Currency Value I nvoiced No. SP2D/ WA Date of SP2D Amount( Rp) Amount ( US$) ( Rp.) ( US$) Comp.

No Description to date

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18

1. CI VI L WORKS

1 CI VI L WORKS I CB Krui - Biha PT. JAYA KONSTRUKSI I NDONESI A I DR 134.909.211.000,00 27-Dec-13 3.102.911.853,00 131.806.299.147,00 01-26/ 04-WI NRI P-WP1/ CE/ A/ 8043/ 11-13 MANGGALA PRATAMA 2-Jan-14 9.443.644.770,00 122.362.654.377,00

Tanggal 14 November 2013

12.546.556.623,00

122.362.654.377,00

2 CI VI L WORKS I CB Padang Saw ah - Sp.Empat PT. JAYA KONSTRUKSI I NDONESI A I DR 197.936.699.000,00 30-Dec-13 4.552.544.077,00 193.384.154.923,00

I ncluding Air Gadang Bridge MANGGALA PRATAMA 2-Jan-14 13.855.568.930,00 179.528.585.993,00

39-06/ 02-WI NRI P-WP1/ CE/ A/ 8043-I D/ 12-13 Tanggal 06 December 2013

18.408.113.007,00

179.528.585.993,00

3 CI VI L WORKS I CB Manggopoh - Padang Saw ah PT. JAYA KONSTRUKSI I NDONESI A I DR 143.688.963.000,00 30-Dec-13 3.304.846.149,00 140.384.116.851,00 40-06/ 03-WI NRI P-WP1/ CE/ A/ 8043-I D/ 12-13 MANGGALA PRATAMA 2-Jan-14 10.058.227.410,00 130.325.889.441,00

Tanggal 06 December 2013

13.363.073.559,00

130.325.889.441,00

4 CI VI L WORKS I CB I puh - Bantal PT. WASKI TA KARYA - DAYA I NDONESI A I DR 186.936.750.000,00 16-Dec-13 4.299.545.250,00 182.637.204.750,00 01-26/ 04-WI NRI P-WP1/ CE/ A/ 8043/ 11-13 MULI A TURANGGA JO

Tanggal 14 November 2013 SARI , Jo

4.299.545.250,00

182.637.204.750,00

663 471 623 000 00

003/ 03-WI NRI P/ 06 040667I 002/ 02-WI NRI P/ 06

Western I ndonesia National Roads I mprovement Project

Contract Expenditure Report Goods and Works)

for the quarter ended March 31, 2014

I BRD Loan 8043 - I D

48 617 288 439 00

040668I

614 854 334 561 00

001/ 01-WI NRI P/ 17

Note Remaining amount Of Contr.

590770D

254931Y

T O T A L CIVIL WORKS

Form 3 - A

NOTES:

VAT for Loan portion is not collected

/ i: This Report provides procurement information for the project from inception to the latest reporting date. / ii: Each method in Procurement Guidelines should be shown separately

I CB : I nternational Competitive Bidding

NCB : National Competitive Bidding

NS : National Shoping DC : Direct Contracting

663.471.623.000,00

48.617.288.439,00

614.854.334.561,00

T O T A L CIVIL WORKS

(12)

Lampiran

SPM/ SP2D/ NOD

GOI & Loan WI NRI P I BRD 8043-I D

(13)

Krui - Biha

01-26/ 04-WI NRI P-WP1/ CE/ A/ 8043/ 11-13

(14)

Emailed:

02-Jan-2014

World Bank Payment Advice

Country: Indonesia

Project : P090990 -Western Indonesia National Roads Improvement Project

To:

Directorate General of Debt Management

Email Address:

wdjnrk@yahoo.com

Ministry of Finance

BORROWER OF RECORD

Summary

Loan:

IBRD Loan 80430 ID

Borrower Reference:

001/01-WINRIP/17

Application type:

Direct Payment

WB Transaction Number:

0006

Transaction Value Date: 02-Jan-2014

Undisbursed Loan Balance as of 02-Jan-2014: USD 245,059,884.08

Payment Details

Application Amount:

Indonesian Rupiah

9,443,644,770

Paid Amount:

Indonesian Rupiah

9,443,644,770

Beneficiary:

PT JAYA KONSTRUKSI MANGGALA

Cost Currency Details

Cost Currency

Cost Ccy Amount

Exchange Rate

Commitment Ccy

Commit Ccy Amount

USD

773,498.63

1.00000000

USD

773,498.63

TOTAL

773,498.63

Total USD Equivalent of Cost Currency Amount: 773,498.63

Expenditure Details

Application Amount

Indonesian Rupiah

9,443,644,770

Documented Amount

Indonesian Rupiah

9,443,644,770

Category

Application Currency

Amount

Commitment Ccy

Commit Ccy Amt

1

IDR

9,443,644,770

USD

773,498.63

TOTAL

773,498.63

Contact Information

If the beneficiary name or currency is not consistent with your application, or if the amount is greater than the

amount specified in your application, please contact us immediately. It is not necessary to contact us if the

above information is correct.

Email

Fax

Phone

loaeap@worldbank.org

202-522-1645

202-458-1778

Abbreviations Used

(15)

Padang Saw ah - Sp.Empat

I nc Air Gadang Bridge

(16)

Emailed:

02-Jan-2014

World Bank Payment Advice

Country: Indonesia

Project : P090990 -Western Indonesia National Roads Improvement Project

To:

Directorate General of Debt Management

Email Address:

wdjnrk@yahoo.com

Ministry of Finance

BORROWER OF RECORD

Summary

Loan:

IBRD Loan 80430 ID

Borrower Reference:

002/02-WINRIP/06

Application type:

Direct Payment

WB Transaction Number:

0007

Transaction Value Date: 02-Jan-2014

Undisbursed Loan Balance as of 02-Jan-2014: USD 245,059,884.08

Payment Details

Application Amount:

Indonesian Rupiah

13,855,568,930

Paid Amount:

Indonesian Rupiah

13,855,568,930

Beneficiary:

PT JAYA KONSTRUKSI MANGGALA

Cost Currency Details

Cost Currency

Cost Ccy Amount

Exchange Rate

Commitment Ccy

Commit Ccy Amount

USD

1,134,865.17

1.00000000

USD

1,134,865.17

TOTAL

1,134,865.17

Total USD Equivalent of Cost Currency Amount: 1,134,865.17

Expenditure Details

Application Amount

Indonesian Rupiah

13,855,568,930

Documented Amount

Indonesian Rupiah

13,855,568,930

Category

Application Currency

Amount

Commitment Ccy

Commit Ccy Amt

1

IDR

13,855,568,930

USD

1,134,865.17

TOTAL

1,134,865.17

Contact Information

If the beneficiary name or currency is not consistent with your application, or if the amount is greater than the

amount specified in your application, please contact us immediately. It is not necessary to contact us if the

above information is correct.

Email

Fax

Phone

loaeap@worldbank.org

202-522-1645

202-458-1778

Abbreviations Used

(17)

Manggopoh – Padang Saw ah

40-06/ 03-WI NRI P-WP1/ CE/ A/ 8043-I D/ 12-13

(18)

Emailed:

02-Jan-2014

World Bank Payment Advice

Country: Indonesia

Project : P090990 -Western Indonesia National Roads Improvement Project

To:

Directorate General of Debt Management

Email Address:

wdjnrk@yahoo.com

Ministry of Finance

BORROWER OF RECORD

Summary

Loan:

IBRD Loan 80430 ID

Borrower Reference:

003/03-WINRIP/06

Application type:

Direct Payment

WB Transaction Number:

0008

Transaction Value Date: 02-Jan-2014

Undisbursed Loan Balance as of 02-Jan-2014: USD 245,059,884.08

Payment Details

Application Amount:

Indonesian Rupiah

10,058,227,410

Paid Amount:

Indonesian Rupiah

10,058,227,410

Beneficiary:

PT JAYA KONSTRUKSI MANGGALA

Cost Currency Details

Cost Currency

Cost Ccy Amount

Exchange Rate

Commitment Ccy

Commit Ccy Amount

USD

823,837.12

1.00000000

USD

823,837.12

TOTAL

823,837.12

Total USD Equivalent of Cost Currency Amount: 823,837.12

Expenditure Details

Application Amount

Indonesian Rupiah

10,058,227,410

Documented Amount

Indonesian Rupiah

10,058,227,410

Category

Application Currency

Amount

Commitment Ccy

Commit Ccy Amt

1

IDR

10,058,227,410

USD

823,837.12

TOTAL

823,837.12

Contact Information

If the beneficiary name or currency is not consistent with your application, or if the amount is greater than the

amount specified in your application, please contact us immediately. It is not necessary to contact us if the

above information is correct.

Email

Fax

Phone

loaeap@worldbank.org

202-522-1645

202-458-1778

Abbreviations Used

(19)

Lampiran

SPM/ SP2D

I OC

( I ncremental Operating Cost)

Loan WI NRI P I BRD 8043-I D

(20)

Lampiran

SPM/ SP2D/ WA

(21)

Lampiran

BI Statement/ Rekening Khusus

Loan WI NRI P I BRD 8043-I D

(22)
(23)
(24)
(25)
(26)
(27)
(28)
(29)
(30)
(31)
(32)
(33)
(34)
(35)
(36)
(37)
(38)
(39)
(40)
(41)
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(44)
(45)

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