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Bank lndonesia Account No: 601.906.4i1.980

Wes,t€m Indonesia National Roaals Improvement prcJect

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Sp€cial Account Activity Sbtement

forthe R€porting period of October - De€ember 2015

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5 . Aoo/substract:Cummulawe adjustments (if any)

6,

Advances ftom the World Bank during reporUng period

7. add 5 and 6

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

9. Closing SA balance at end ofcunent reporting (as of December 31, 2015)

10, Add/sub6tua.d; cummulative adjusment (lf

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11.

Expenditures _br cunent reDorting period

12. Add 10+11

13. Add 9+12

14. Dlflbrence (if any) 8-13

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15, Total Forecasted amount to be paid by World Bank

15. Less: Closing SA balance after adjustfl€nt 17.

- . . Cwmulative adjustment (if

any)

xx**)

18. Add 16+17

19. Cash rcquirement from WB br next sk rnonurs (fS_lS) Rounding

1,08r,652.96

| 151 t?q aa

69,s42.70

1,081.652.96 1,151.235.66

69,582-70 59,582.70

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1 1-13

Tanggal 25 November 2013

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16-Nov-2015

World

Bank Payment Advice

Country:

Indonesia

Project

:

P090990

-western

rndonesia

National

Roads

rmprovement

project

To;

Directorate General of Debt Manasement

Ministry of Finance

BORROWER OF RECORD

Ernail Aildress: wdjrrk@yahoo.com

--re.-',w-.e

Applirafion

Amount

Initonesian

Rupiah

_{6,191,380,606} Documented

Amoutrt

_Indonesian

Rupiah

_{6,1g1,3$0,6t)6}

Category

Applistioa

C\nency

Amourt

_Commitment

Ccy

_Commit

Ccy Amt

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IDR

6191,380,616 usD

_4s8JE3.tl

45E3E3.11

Loan:

_{IBRD Loan g0430ID}

Borrower

Reference:

_{013/01-'t[IhlR]p}

7

_Application

{rye:

_{Dir€ct payment} WB Ttansaction

Nnmber: 0063

_{Trarsaction Value Date; l6_Nov_2015}

Application Amount:

Paid Amount;

Beneficiary:

PTJAYA KONSTRUKSIMANGGALA

Cost Currency Details

Cost

Currcncy

Amount in Cost

Ccy

Exchange

Rate

_{Commitment Ccy}

usD

4s8,383.11 1.00000000

_usD

TOTAL

Total USD Eouivalent of Cmt Currencv Amosnh 45EJ83-I1

Indonesian

Rupiah

_{6,191"3E0,606} Indonesian Rupiah

AmoEnt

in

Commituent Ccy

458"383.11 45E

3$.1r

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 nec€ssary to contact us}

if

_the above information is correct.

Email

Fax

phone

Abbreviations Uscd

USD IDR

hrdonesia

Unired States Dollars

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Enaileil:

15-Dec-2015

World

Bank Payment Advice

Country:

lndonesia

Project

:

P090990

-Western

Indonesia

National

Roads

Improvement

project

To;

Dirc.ctorate Geteml of Debt Manapement

Ministry of Finance

BORROWER OF RECORD

Enail Address: wdjnrk@yahoo.cc,u

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Abbreviations Used

ID

USD IDR

Indonesia

United States Dottars Indonesian Rupiah

Loan:

Borrower Rderencel WB Transaction Number:

IBRD Loan 80430 ID

014/01-WI\RIP/I?

0072

Application

tlpe:

Direct Payment

Transacdon ValueDate; 15-Dec.2015

Applicatlon AmoEnt: Paid Amount:

Benefrciary:

Cost Cunency

usD

PT JAYA KONSTRT]KSI MANGGALA

Cost Currency Details

Amount

ir

Cost

Cqr

Exchange

Rate

Commitnent Ccy

291,69rJ,76 1.0m00000

usD

TOTAL

ApplicadonAmount

IndonesianRupiah

Documfit€dAmoutrt

IndonesianRupiah

Application Currency

IDR

4,0449E6J12 4,n44p86J12

Amount

Commihent Ccy

+t&9

,7r2

USD

TOTAL

Category

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Commit _291,698.76Ccy Amt

297-69A.76

If

the _{beneficiary name or currency is not consistent with your application, or}

if

_{the amount is greater fhan the}

amount specified in your application, please contact us inmediately.

It

is not necessary to contact us

if

the

above information is

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Emailedl

22-Dec-2015

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World

Bank

Payment

Advice

Country:

Indonesia

Project

;

P090990

-western

rndonesia

National

Roads

rmprovement

Froject

To;

Directorate General of Debt Manasement

Ministry of Filance

BORROWER OF RECORD

Email Addr€ss: wdjruk@yahoo.com

Loin:

IBRDLoan 804S0ID

Borrower

Refer€nce:

O15/01-WINRIP/U

_Appucation

tylre!

_{Dir€ct payment} WB Transacdon

Numb€r: (X181

_{llanraction Value Date:}

22"Dec-2015

Applltation

Anount:

Indonesiar

Rupiah

_{1S,900,1t0O,000}

Paid

Amount

Indonesiar

Rupiah

_{15,900,000,000}

Beneficiary:

PT JAYA _{KONSTRUKSI MANGiCALA} Cost Currency Defuils

Cost

Currency

Amountin Cmt

Ccy

Excharge

Rate

Commihnent Ccy

usD

rJ38,E05.33 1.00000000

_usD

TOTAL

Total USD Equivfllent of Co6t Currency Amo|rnh I.13EJ0S.33

Amotrnt

in

Commihnent Ccy

1,138,805.33 1,138,E05.33

-%

Appllcation

Anount

tndonesian

Ruplah

_{15,900,1X10,000}

Docmentud

AmotrEt

_{lrdon€siffr}

Rupiah

_{1S,g00,00O,000}

Application

Currency

Amount

_Commitment

Ccy

_Commit

Ccy Amt

rIlR

1s,900,0{10,000 usD

_r,13&605.33

1J38.E05.33 Cat€gory

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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

Abbreyiations Used

ID

USD

IDR

Indonesia

United States Dollars

Padang

Sawah

-

Sp.Empat

-

Inc

Air

Gadang

Bridge

39-06/02-wrNRrp

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K€b€n 'an.p€rbt/ng6n _{ddn N yang tertuAng datam SpM ini}

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168 567

05-

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Emailed:

30-Oct-A)ls

World

Bank

payment

Advice

Country:

Indonesia

Project

: P090990 -Western Indonesia

National

Roads

rmprovement

project

To

;

_{Directorate General of Debt Management}

MiBistry of Finarce BORROWER OFRECORD

Emait Adilress: wtljnrk@yahoo.com

Loan:

_{IBRD Loan E0430ID}

Borrower Referene

z

Ol2t02_WINRIp/06

Application

typs

_{Direct payment}

*I:::::T":_*-y",

-

Tuo

riaruaction varue Dare; j0_oct-2015

Application Amount:

Paid Amount: Beneficiary:

Cost Currency

USD

Indonislan

Rupiah

_{tZ,626,At4g0O}

Indonesian

Rupiah

_{12,626,S14p00} PT JAYA KONSTRT'KSI _MANGGALA

Cost Curr€ncy Details

Amount in Cost

Ccy

Exchange

Rate

_{Commitment Ccy}

937,043.72 1.00000000

_usD

Appttcadon

Amourt

_tnrlonesian

Ruptah

--lffiu,mo

Documert€d

Amoutrt

_Indonesiar

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D,6Z;,814g00

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Amoud

Coumitoaent

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_{commtt ccy Amt}

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_931,043.72

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the beneficiary

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United Srates Dollars

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498579 KP

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PEI-AKSANAAN _{JAIAi] i]ASIONAI WIIAYAH I MOVINSI}

SUMBAR

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TANffiAL 14.11-2014 REV.4

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20-Nov-2015

World

Bank

Payment

Advice

Country: Inilonesia

Project

:

P090990

-western

rndonesia

National

Roads

rrnprovement

project

To:

Directorate G€n€ral of DebtMmagement

Minisfiy of Finance

BORROWER OF RECORD

Email Address: wdjnrk@yahoo.com

Loan:

IBRD Loan 80430ID

Borrover

Referenc€:

013/02-WINRIP/06

_Applicstion

tylr€:

_{Direct payment}

WB Transaction

Number: 0{16?

_{Transacdon Value}

Date:

20_Nov_2015

Applicafion Amounh

Paid Amount;

Beneliciary:

Cost Curreuc5r

USD

P,T JAYA KONSTRUKST MANGGALA Cost Currency Details

Amourt in Cosa

Ccy

Exchange

Rate

_{Commitment Ccy}

5np75.49

1.00000000

usD

TOTAI

ApplicidonAmount

InrtonesiarRuplah

Docum€nt€dAmount

IndonesianRupiah

Category

Application Currency

IDR

8,179,090500

&179,0q)500

Amount

Commirrhent Ccy

&179,{X)0,s00

usD

If

the beneficiary name or curency is not consistent with your application, or

if

the amount is greater than lhe

amount specifted

in

your application, please contad us immediately.

It

is not necessary to contact us

if

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above information is correct.

Abbreviations Used IT\

USD

IDR

Indonesia

United States Dotlms

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15-Dec-2015

World

Bank

Payment

Advice

Country:

Indonesia

Project

:

P090990

-western

Indonesia National

Roads

rmprovement

project

To:

Dir€rtorat€ General of Debt Manasement

Midstry of Financ€

BORROWER OFRECORD

Email Address; wdjnrk@yahoo.com

Applicafion

Amonnt

Indonesian

Ruplah

_{251501,133,000} Documented

Amount

ladonesian

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25.50I,133,000

Category

Applic€don

Curr€ncy

Amount

_Commitnent

Ccy

_{Commit Ccy Amt}

r

IDR

25,501,133,m0 usD

_1,S38p79.S1

TOTAL

1.E38.979.S1

Loan:

IBRD Loar gll430 _ID

Borrow€r

Rderencl:

O14I02-WINRIP/16

_Application

type:

Dir€ct pal.ment

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Number; 00?0

_{Ttansaction Value}

Date:

_15-Dec-2015 Appllcation Amount:

Paid Amountr Beneficiary:

Cost Currercy

USD

rT

JAYA KONSTRUKSI MANGGALA

If

the beneficiary name or _{currency is not consistent with} your application, or

if tle

amount is greater than the amount specified in your application, please contact us immediately.

It

is trot necessary to contact us

if

the

above information is

correct-Email

Fax

phoae

Alrbreviations Used

ID

USD

IDR

Indonesia

Manggopoh

-

padang Sawah

40-06/03-v\/INRrp-Wp1/CE/A/80

43-rD |

_{12_ 73}

Tanggal

06

December 2013

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16-Oct-2015

World

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Country:

Indonesia

Project

:

P090990

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rndonesia

National

Roads

rmprovement

project

To:

Directorate General of Debt Manasement

Ministry of Finance

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Email Addre.ss; wdjmk@yahoo.com

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ID

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Indonesia

Utrited States Dollars

Indonesian Rupiah

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IBRD Loan E&30II)

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Amounh

Indonesian

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Amount:

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Rupiafr

_11,609p01f00

Beneficiary:

PT JAYA KONSTRUKSI MANGGALA

Cost Currency

lletails

cost

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ccy

_Exchange

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ccy

Amount

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a78,D2r.62 1.00000000

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AppllcationAmount

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ftrdonesianRuoiah

11,609,201,800

11,609101,800

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If

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20-Nov-2015

World

Bank

Payment

Advice

Country:

Indonesia

Project

:

P090990

-western

rndonesia

National

Roads

rmprovement

project

To:

Direciorate General ofDebt Maaasement

Ministry of Fi.aanr:e

BORROWER OF RECORD

Ernail Ad(tressr wdjnrk@yahoo.com

Applicatlon

Amount

Indonesian

Rupiah

_{6i509,SS9)300}

DmumentedAmoutra Indonesiar

Rupiah

6,S09,E59,300

Category

Application

Currency

Amount

_Commihent

Ccy

_Commit

Ccy Amt

I

rDR

6509,859,300 usD

_475,3E0.41

Abbreviations Used

ID USD IDR

Iadonesia

UBited Srates Dolla$

hdonesiaa Rupiah

I

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Loan:

IBRD Loar g0,t30ID

Borrcwer

Reference:

O14/03-WINRIP/06

_Application

type:

_{Direca pryment}

\m

Transaction

Nnmber; 0{65

_{llansaction Value Date; 20_Nov_2015}

Application Amount: Indonesian Ruplah 6,509,859,300

Paid

Amoun*

trdonesian

Rupiah

_6509,859,300

Beneficiary:

PT JAYA KONSTRIIKSI MANGGALA

Cost Currency Detqils

Cost

Curreocy

_{Amount in Cost}

Ccy

_Excharge

Rate

_{Commihnent Ccy}

475JE0.41 1.0m00o00

usD

TOTAL Iotal USD Equivalent of Cmt Currensy Amount: 4?5Jg0.41

Amount

in

Committnent Ccy

47s,380.41

475J80.41

If

the beneficiary natne or curency is not consistent

witl

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 fuformation is correct.

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15-Dec-2015

World

Bank

Payment

Advice

Country:

Indonesia

Project

:

P090990

-western

rndonesia

National

Roads

rmprovement

project

To:

Directorate General ofDebt Manasemenr

Minisfy of Finance

BORROWER OF RECORD

Email Aildrcss: wdjnrk@yahoo.com

Application

Amount

I_ndonesian

Ruplah

_{LS,4Sg,66gAn0}

Documented

Amount

Indonesian

Rupiah

_15A59,669400

Cat€gory

Application

Currency

Amount

_Commitment

Ccy

_{Comnrit Ccy Amt}

I

DR

8,459,669,4Q0 usD

_r,rr4,as3,21

TOTAL

1,114.853.21

Abbreviations Used

ID USD IDR

Indonesia

United States Dollars

Indonesian Rupiah

Loaru

IBRD Loar go43o _ID

Borrower

Reference:

OIS/03-WINRIP/06

_Apptication

type:

Dir€ct payment \{B Transaction

Number: 0071

_{Transactlon Value Date:}

15_Dec_2015

Applicafion

Amount:

fndonesian

Rupiah

_{t5,4Sg,66gA0O} Paid

Arnount:

_fndonesian

Rupiah

_{15,459,669,400}

BeneliciaTy:

PT JAYA KoNSTR{JKSI MANGGALA Cost Currency Details

cost

currenqr

Amountil Cost

ccy

Exchange

Rate

commitment

ccy

_{Amount in}

Commitment Ccy

usD

1,174,853.21 1.00000000

usD

_r,1t4,853.21

If

the _{beneficiary name or currdncy 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

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20-Nov-2015

World

Bank

Payment

Advice

Country:

Indonesia

Project

:

P090990

-western

Indonesia National

Roads

rmprovement

project

To:

Directorate General of Debt Manasemeut

Ministy of Firance

BORROWER OF RECORD

Etlall Address; wdjnrt@yahoo.com

Applicatlon

A,mount

lnrlonesian

Rupiah

9,939,28t,g4g Documented

Amount

Indon€siar

Rupiah

_9,939rS&g4S

category

Application

currency

Amount

_comndhent

ccy

_{commit ccy Amt}

r

rDR

9,939,2ES,S48 usD

_725,8n.40

TOTAL

725.813.40

If

the beneficiary ftrme 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.ors^

2O2-522-1645

_2.A245E-1778

Abbreviations Used

ID

USD IDR

Indonesia

Unir€d Srates Dollars

Indonesiau Rupiah

Loan:

Borrower Reference: WB llansaction Number:

IBRD Loan t0430ID

010/04.wrNRrP/26

0066

Application

typer

Direct Payment

TransactionValueDate: 20-Nov-2015

Appllc&tion Amount:

Paid Amount:

Beneficiar5r:

Cmt Currency

USD

WASKTTA.PT.DAYA MULIA TURANGGA JO

Cost Currency Details

Amouut in Cost

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Exchange

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Emailed:

1E-Dec-2015

World

Bank Payment Advice

Country:

lndonesia

Projeet

:

P090990 -Western

Indolesia

National

Roads

Improvement

Project

To

:

Directorate General of Debt Management

Mnistry of Finanoe

BORROWER OF RECORD

Email Addressr wdjnrk@yahoo.con

If

the beneficiary name or curency is not consistent with your applicarion, 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

ioaeao6worldbank.ors 2A-522-1645

2A7458-1778 Abbreviations Used

ID

USD IDR

Indqnesia

United Srates Dollars Indonesial Rupiah

Loan;

Borrower Reference:

WB Transaction Number;

IBRD Loan 80430 ID

01UO4-WINRIPi26

00?6

Application

type:

Direct Payment Transaction Value

Date:

1E-Dec-2015

Appllcation Amounh

Paid Amount; Beneficiary:

CGst Currency

USD

WASKITA - PT.DAYA MULIA TURANGGA

IO

ApplicationAmount

IndonesianRupiah

DocumentedAmount

IndonesianRupiah

Applicdion Currency

IDR

r7,230,209,100

t7,230).O9,10t

Amount

Commitment Ccy

17,23OJs,,r09

USD

TOTAL

Category

I

Commit Ccy Amt

7J,324E9'93

Punggung

Tampak

-

Sp,Gunung

Kemala

07-

1z17-WINRrp-AWp2/CE/80 43-rD

|

1L-L4

Tanggal 17 November 2014

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Emailed: 18-Dec-2015

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World

Bank Payment Advice

Country:

Indonesia

Project

r

P090990

-western

rndonesia

National

Roads

rmprovement

project

To:

Directorate General of Debt Manasement

Ministy of Finance

BORROWER OF RECORD

Email Addrcss: wdjnrk@yahoo.com

Inilqnesia

United States Dollals Indonesial Rupiah

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 infonnation is

corect.

Email

Fax

phone

loaeap@worldbatu.ers

202-522-7645

_202458-tl.l8

Abbreviations Used

ID

USD

IDR

Loan:

Borrower Reference:

WB llansactlon Nurntrer:

IBRD Loau 80430 ID

o02l17-WINRIP/U

{0{77

Application

type:

Direct Payment

TransactionValueDate: 18-Dec-2015

Application

Amount:

Indonesian

Rupiah

_1,4tIS01,057 Paid

Amountr

Indonesian

Rupirh

_{1,4g1,501,052}

Beneficiary;

PT JAYA KONSTRTTKSI MANGGALA Cost Cunency Details

Cost

Currency

Amountin

CmtCcy

Exchatge

Rate

Commitment

Ccy

Amount in Commitment Ccy

usD

105,972.59 1.00000000

usD

rtJ5,s72.8g

TOTAL

1D5,972.89

Applicatlon

Amount

Indonesian

Rupiah

_{1,4S1,S01,0S?} Docum€nted

Amount

Indon€sian

Rupioh

1,4g1,S01,0S7

category

Application

currency

Amount

_commitment

ccy

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Emaileil: I2-Nov-2015

World

Bank

Payment Advice

Country:

Indonesia

Project

: P090990 -Western

Indonesia

National

Roads

Improvement

project

To:

Dfuectonte Genenl of Debt Maqaeement

Ministry of Fi-oance

BORROWER OF RECORD

Email Adilress: wdjnrk@yahoo.com

Loan:

Dorrower Reference:

WB Tlansaction Number:

IBRD Loan 80430 ID

005i11-wINRrP/26

0062

Application

type:

Direct Payment Transaction Value

Date:

12-Nov-2015

Application

Amount:

Indonesian

Ruplah

3,t69,659p66

Paid

Amount:

fndonesian

Rupiah

3,869,659,266

Beneliciary:

PT. HUTAMA KARYA (PERSERO) - pT

Cost Currency Details

Uost Uurrency

lreta

s

cost

currency

Amount in cost

ccy

Exchange

Rate

commitmert

ccy

Amount in Commitment Ccy

usD

28s,562.63 1.00000000

usD

285,562.63

TOTAL

2A5.562.63

ApplicationAmount

IndonesianRupiah

DocumentedAmoutrt

hdonesianRupiah

r,869,659,266 3,869,6s9266

Category

I

Applietion Currency

IDR

Amount

3,W9,6s9,266

CommitErent Cey

USD

TOTAL

Commit Ccy Amt

285,562.63

285562.63

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 contacr us immediately. It is not necessary to eontact us

if

the

Abbreviations Used

ID

USD

lDR

Indonesia

United Stares Dollars

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Emailed:

15_Dec_2015

World

Bank

Payment Advice

Country:

Indonesia

Project

:

P090990 -Western

Indonesia National

Roads

Improvement

project

To:

Directorate General of Debt Manasement

Ministry of Finance

BORROWER OF PiECORD

Email Address: wdjnrk@yahoo.coru

If

the _{beneficiary name or currency is not consistent with your application, or}

if

_{the amount is greater than the}

amount specified

il

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

202-522-1@5

2@458-177S

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Abtrreviations Used

ID

USD

IDR

Iadonesia

United States Dollars

Indonesian Rupiai

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Loan:

IBRD Loal 80430ID

Borrower

Reference

{x}641-wrNRrP/26

_Applicatior

brpe:

_{Direct payment} WB Ttansaction

Numberi 0074

_{Transaction Value Dater 1S.Dec-2015}

Application

Amount:

Indonesian

Rupiah

_{tlJgZ,6jZ,IEs}

PaidAmount:

Indonesian

Rupiah

l',Zg2,672,Ogs

Beneficiary:

EUTAMA - _DMT {JO)

Cost Currency Details

Cost

Currency

Amountin Cost

Ccy

Exchange

Rate

Commitment

Ccy

Amount in

Commitment Ccy

usD

8l4,3ss.El

1.00000000

usD

8143ss.E1

TOTAL

814355.81

ApplicatlonAmomt

InrlonesianRupiah

DocumentedAmount

lndon€sianRupiah

Category

Apptcatiotr Currency

1

IDR

r1,292,{t2,085 ru.92,672,085 Amotrnt

1r,29L672,ABs

Conmitment Ccy USD

TOTAL

Commii Ccy Amt

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Emailed

:

18-Dec-201S

World

Bank

Payment Advice

Country:

Indonesia

Project

: P090990

-western

Indonesia

National

Roads

rmprovement

project

To:

Direotomte General of Debt Manaeemeut

Ministry of Finance

BORROWER OF RECORD

Email Address: wdj nrk _@y ah oo.com

Loan:

Botrower Reference:

WB Transaction Number:

IBRD Loan E{1430 ID

o07l11-WINRIP/26

0075

Applicstion

g4re;

Direct Payment

TransactionValueDate; 18-Dec-2015

Application Amount:

Paid Amounti

Beneficiary:

Cost Currency

usD

Indonesian

Rupiah

_Bp67,669Als PT. EUTAMA KARYA (PERSERO) - P'r

Cost Currency Details

Amount in Cost

Ccy

Exchange

Rate

Comrnihnent Ccy

ApplicationAmount

trdonesianRupiah

Docum€ntedAmolnt

IndonesiarRupiat

Applic€tion Cur€n€y IDR

8,267 _,669,415

8,267,669A7s

Amount

Coumitment Ccy

E,267,669,475

usD

TOTAL

Category

I

Commit _59'.,392.66Ccy Amt

591392-66

If

the _{beneficiary name or cllrrency is not consistent with your application, or}

if

_{the amount is greater than the}

amount specified in your