: IBRD Loan No. (Four PNPM) ID Nama Konsultan. Sumber Pendanaan. : PT Kogas Driyap Konsultan JV PT Artistika Prasetia Alamat konsultan

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Sumber Pendanaan : IBRD Loan No. (Four PNPM) 8213 - ID

Nama Konsultan : PT Kogas Driyap Konsultan JV PT Artistika Prasetia Alamat konsultan : Jl. Sapta Taruna III No.5, Pondok Pinang, Jakarta Selatan Paket Pekerjaan : Oversight Service Provider Regional Management Paket 7

(Bali, West Nusa Tenggara & East Nusa Tenggara Provinces)

Nomor dan tanggal kontrak : HK. 02.03/OSP-7/IBRD/SATKER-PKP/016 2013 - Tanggal 25 Feb 2013 Amandemen Kontrak : Amandemen No.10 tanggal 23 Januari 2017

Periode Kontrak : 25 Februari 2013 s.d 31 Maret 2017

Perihal : - Perpanjangan Masa Penugasan 01 Januari sd 31 Maret 2017 - Perubahan Struktur Organisasi Project Satker PKPBM TA 2017

NO CONTRACT AMENDMENT 10 I 21.536.307.201 1,1 Proffesional Staff 17.017.671.061 1,2 Supporting Staf 2.831.460.000 Fee [[ ...% x [ 1.1+1.2 ]] II 10.913.279.361,0

2,1 Duty Travel Expenses Province Bali [ a + b + c ] *) 459.955.000

a Transport 324.205.000

b Hotel Acomodation 70.800.000

c OSA [ Fixed ] 64.950.000

2,2 Duty Travel Expenses Province West Nusa Tenggara [ a + b + c ] *) 618.252.000

c OSA [ Fixed ] 67.000.000

2,3 Duty Travel Expenses Province East Nusa Tenggara [ a + b + c ] *) 1.171.187.400

c OSA [ Fixed ] 83.760.000

2,4 Office Operational Expenses [ a + b + c ] 1.476.229.000

PROGRAM KOTA TANPA KUMUH (KOTAKU) - TA 2017

PROYEK PENINGKATAN KUALITAS KAWASAN PERMUKIMAN PERKOTAAN (P2KKP) - PKPBM

DIREKTORAT JENDERAL CIPTA KARYA

KEMENTERIAN PEKERJAAN UMUM & PERUMAHAN RAKYAT

TOTAL REMUNERATION [ 1.1 + 1.2 + Fee ]

TOTAL DIRECT REIMBURSABLE EXPENSES [ 2.1 + 2.2 + 2.3 + 2.4 + 2.5 + 2.6 + 2.7 + Fee ] DESCRIPTION

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a Office Running Cost 776.550.000

b Office Supply & Consumable 304.960.000

c Communication Cost 242.475.000 d Internet 73.344.000 e Tim Percepatan 78.900.000 2,5 892.997.587 a Desktop Computer 176.000.000 b Laptop/Notebook 165.000.000

c Printer Laser Jet 105.000.000

d Printer Color A3 9.000.000

e Digital Camera 5.250.000

f GPS tools 9.000.000

g LCD Projector 10.500.000

h Scanner 16.250.000

i Equipment Maintenance (Include existing equipment) 43.997.587

j Rental & Equipment For Tim Percepatan 353.000.000

2,6 Rental Expenses [ a + b + c + d] 5.903.200.000 a Office Space 643.950.000 b Vehicle 5.018.750.000 c Motorcycle 240.500.000 2,7 Reporting Expenses [ a + b ] 101.625.000 a Regular Report 59.625.000 b Special Report 42.000.000 Fee [[ ...% x [ 2.1 + 2.2 + 2.3 + 2.4.a + 2.4.b]] III 1.996.739.932

3,1 Training Activity 2013 [ Fixed ] 91.871.600

3.4 Training Activity 2016 [ Fixed ] 1.132.500.000

Fee [[ ...% x [ 3.1 + 3.2+3.3 +3.4]]

IV 2.891.225.311

Office Equipment Expenses [ Purchases ] [ a + b + c + d + e + f + g + h + i +j]

TOTAL TRAINING ACTIVITY EXPENSES [ 3.1 + 3.2 + Fee ]

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NO DESCRIPTION CONTRACT AMENDMENT 10

4,1 Socilization Activity in Provincial Levels [ Fixed ] 708.496.600

4,2 Socilization Activity in City/Regency Levels [ Fixed ] 1.218.900.000

Fee [[ ...% x [ 4.1 + 4.2 ]]

4.3 Fixed Cost 800.000.000

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Vol Unit Price Amount (IDR) 1,1 17.017.671.061 1.1.1 1.193.200.000 1 Asfan Syufainal 15 14.000.000 210.000.000 1 15.000.000 15.000.000 Nurhadi 18 15.000.000 270.000.000 12 16.100.000 193.200.000 2 I Made Sudana 15 4.900.000 73.500.000 3,5 5.200.000 18.200.000

Bramasto Aditya Nugroho 15,5 5.200.000 80.600.000

Made Murah Redhana 12 5.200.000 62.400.000

3 Bahtiar Krisdian Pamungkas 15 6.500.000 97.500.000

12 7.000.000 84.000.000

1 7.400.000 7.400.000

Bramasto Aditya Nugroho 11 7.400.000 81.400.000

1.1.2 4.334.522.727 1 Purnomo 10 11.500.000 115.000.000 18 11.500.000 207.000.000 Indro Budiono 12 12.300.000 147.600.000 Ivan Chudhory 3 12.300.000 36.900.000 2 Supriati R. 0 8.500.000 0 Ivan Chudhori 12 8.500.000 102.000.000 3 9.100.000 27.300.000 I Made Sudana 15,5 9.100.000 141.050.000 I Wayan Sukarsana 15 9.100.000 136.500.000

3 Tri Data Younatha 0 8.000.000 0

Burhanuddin 7 8.000.000 56.000.000

Dessy Indriasari 14,5 8.000.000 116.000.000

0 8.500.000 0

Darma Setya Wijaya 11 8.500.000 93.500.000

4 Ni Ketut Resmi Sri Nulus 15 8.000.000 120.000.000

12 8.600.000 103.200.000 19 9.100.000 172.900.000 5 Sudarisman 0 8.000.000 0 No N A M E DESCRIPTION MIS Specialist Monev Specialist Sub Spec. Legal & CHU Assisten OC

Program Director OC

Training Specialist Socialization Specialist Provincial Team Leader PROFESSIONAL STAFF

PROVINCE BALI OSP LEVELS

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Vol Unit Price Amount (IDR)

No N A M E DESCRIPTION CONTRACT AMENDMENT 10

Imam Baihaki 14 8.000.000 112.000.000 12 8.600.000 103.200.000 19 9.100.000 172.900.000 6 Yeni Risnawati 15 6.500.000 97.500.000 12 7.000.000 84.000.000 16 7.400.000 118.400.000 7 Tetty Sriwanty 0 8.000.000 0 14 8.000.000 112.000.000 12 8.600.000 103.200.000 Akhmad Thoharuddin 19 9.100.000 172.900.000

I Wayan Yuli Arsana, ST 3 8.000.000 24.000.000

8 Indra Wibawanto 15 8.000.000 120.000.000

12 8.600.000 103.200.000

19 9.100.000 172.900.000

9 Imam Baihaki 0 6.500.000 0

Komang Arie Krisdianta 14 6.500.000 91.000.000

12 7.000.000 84.000.000

19 7.400.000 140.600.000

10 I Gusti Agung Karyawan 15 8.000.000 120.000.000

3 8.600.000 26.972.727

Purnomo 7 8.600.000 60.200.000

I MADE SUDANA 11 8.600.000 94.600.000

11 Sentot Darminto Urban Planner Specialist 0 8.000.000 0

12 Faisol Afandi Sub Proff. Financial 1 (Comm.Grant) 15 5.000.000 75.000.000

12 5.300.000 63.600.000

Sub Proff. Administration Kota 10 5.600.000 56.000.000

13 Nur Edi Winarno 0 5.000.000 0

Nuraeni Ziyad 14 5.000.000 70.000.000

12 5.300.000 63.600.000

10 5.600.000 56.000.000

14 Rahardian Hendy Kuswoyo 15 5.000.000 75.000.000

12 5.300.000 63.600.000 22 5.600.000 123.200.000 1.1.3 5.415.273.333 1 M. Ali Hanapiah 15 11.500.000 172.500.000 12 12.300.000 147.600.000 11,133 13.000.000 144.733.333 Training Specialist

Sub Specialist SME’s

Micro Fin & Fin.Mgmt Spec.

Sub Specialist RLF

Local Gov & Public Policy Spec

Sub Proff. Financial 2

Sub Proff. Administration

PROVINCE WEST NUSA TENGGARA

Infrastructure Specialist

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Lalu Martawijaya 8 11.500.000 92.000.000

2 Baiq Fitri Mirwaryuni 15 8.500.000 127.500.000

12 9.100.000 109.200.000

22 9.600.000 211.200.000

3 Sarmin 7 8.000.000 56.000.000

Moh. Rudi Setyawan 17,333 8.000.000 138.666.640

0,8967 8.000.000 7.173.360

20 8.500.000 170.000.000

4 Saharuddin 0 8.000.000 0

Lalu Tatus Fatmi Winata 14 8.000.000 112.000.000

12 8.600.000 103.200.000 19 9.100.000 172.900.000 5 Basuki Raharjo 15 8.000.000 120.000.000 12 8.600.000 103.200.000 22 9.100.000 200.200.000 6 Nasri Adisa 15 6.500.000 97.500.000 12 7.000.000 84.000.000 19 7.400.000 140.600.000

7 Made Ari Diatmika 15 8.000.000 120.000.000

12 8.600.000 103.200.000 22 9.100.000 200.200.000 8 Khaeri Sodikin 14 8.000.000 112.000.000 12 8.600.000 103.200.000 22 9.100.000 200.200.000 9 Faisal Ismail 0 6.500.000 0 Indra Jaya 14 6.500.000 91.000.000 12 7.000.000 84.000.000 19 7.400.000 140.600.000

10 Agung Widya Wardhana 15 8.000.000 120.000.000

12 8.600.000 103.200.000

19 9.100.000 172.900.000

11 M. Yamin 15 8.000.000 120.000.000

12 8.600.000 103.200.000

22 9.100.000 200.200.000

12 Indra Jaya Sub Proff. Financial 1 0 5.000.000 0

14 5.000.000 70.000.000

12 5.300.000 63.600.000

Nurhayatin Nufus Sub. Proff Administration Kota 10 5.600.000 56.000.000

13 M. Irsyad Sub Proff. Financial 2 15 5.000.000 75.000.000

Sub Specialist RLF Monev Specialist

MIS Specialist

Socialization Specialist

Training Specialist

Infrastructure Specialist

Urban Planner Specialist Provincial Team Leader

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12 5.300.000 63.600.000

Sub. Proff Administration Kota 22 5.600.000 123.200.000

14 Rohini Hasmi 15 5.000.000 75.000.000

12 5.300.000 63.600.000

22 5.600.000 123.200.000

15 Anton Wardani, SP Sub TA GIS Specialist 3 6.500.000 19.500.000

16 Baiq Mandri S. Martiana, ST Sub TA Urban Planner Specialist 3 6.500.000 19.500.000

17 Jayadi, ST Sub TA Sipil/Arsitek Speciaslist 3 6.500.000 19.500.000

18 Muhammad Awaluddin Aripin, ST Sub TATeknik Environmental 3 6.500.000 19.500.000

19 M. Husein Cost Estimator (1 Org, 2 bln) 2 6.500.000 13.000.000

20 Suhadi Drafter/Operator CAD 1 3 6.500.000 19.500.000

21 Hari Widodo Drafter/Operator CAD 2 3 6.500.000 19.500.000

22 Azis Saripudin Surveyor 1 1 5.000.000 5.000.000

23 Dimas Prayoga Surveyor 2 1 5.000.000 5.000.000

24 Nasri Ramdhani Surveyor 3 1 5.000.000 5.000.000

25 L. Ahmad Yusuf Irfan Surveyor 4 1 5.000.000 5.000.000

26 Bq. Nunung Supriani Surveyor 5 1 5.000.000 5.000.000

27 Khaerul Surveyor 6 1 5.000.000 5.000.000

28 Sabarullah Surveyor 7 1 5.000.000 5.000.000

29 Erni Yulianti, S.T. Surveyor 8 1 5.000.000 5.000.000

30 Bambang Suharto Tenaga Lokal 1 1 3.000.000 3.000.000

31 Suwandi Tenaga Lokal 2 1 3.000.000 3.000.000

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32 Adi Herlambang Tenaga Lokal 3 1 3.000.000 3.000.000

33 Lalu Amrid Tenaga Lokal 4 1 3.000.000 3.000.000

34 Ramdan Nabaman Tenaga Lokal 5 1 3.000.000 3.000.000

35 Saleh Tenaga Lokal 6 1 3.000.000 3.000.000

36 A. Umarul Paruk Tenaga Lokal 7 1 3.000.000 3.000.000

37 Zunaeddin Tenaga Lokal 8 1 3.000.000 3.000.000

38 Rusdi Tenaga Lokal 9 1 3.000.000 3.000.000

39 Mahmudi Tenaga Lokal 10 1 3.000.000 3.000.000

40 Alvian Tenaga Lokal 11 1 3.000.000 3.000.000

41 Sukiryanto Tenaga Lokal 12 1 3.000.000 3.000.000

42 Hasbuddin Tenaga Lokal 13 1 3.000.000 3.000.000

43 L Asbanto Tenaga Lokal 14 1 3.000.000 3.000.000

44 Kuswoyo Tenaga Lokal 15 1 3.000.000 3.000.000

45 Albert Tenaga Lokal 16 1 3.000.000 3.000.000

1.1.4 6.074.675.000 1 Nurhadi 15 13.250.000 198.750.000 1 14.200.000 14.200.000 18 14.200.000 255.600.000 Ivan Chudhory 12 15.200.000 182.400.000 Nurhadi 3 15.200.000 45.600.000

2 Stely Loure Kos Paulus 15 10.000.000 150.000.000

12 10.700.000 128.400.000

22 11.300.000 248.600.000 PROVINCE EAST NUSA TENGGARA

Monev Specialist Provincial Team Leader

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3 Davidson Arison Penlaana 15 9.750.000 146.250.000

12 10.500.000 126.000.000 19 11.100.000 210.900.000 4 Abdul Salam 0 9.750.000 0 Kuswantoro 14 9.750.000 136.500.000 12 10.500.000 126.000.000 0 11.100.000 0

Fanti Tolle Lege Nenohai 11 11.100.000 122.100.000

5 Jaury Alexander Titus Mamahit 15 9.750.000 146.250.000

12 10.500.000 126.000.000

22 11.100.000 244.200.000

6 Askian Dedy Iskandar Baun 2 7.500.000 15.000.000

Fanti Tolle Lege Nenohai 25 7.500.000 187.500.000

7 8.500.000 59.500.000 Pilipus Kire 12 8.500.000 102.000.000 7 Hilga Sopaheluwakan 15 9.750.000 146.250.000 12 10.500.000 126.000.000 22 11.100.000 244.200.000 8 Bambang Winarno 15 9.750.000 146.250.000 12 10.500.000 126.000.000 22 11.100.000 244.200.000

9 Sherly Rosalin Adoe 15 7.500.000 112.500.000

12 8.000.000 96.000.000

19 8.500.000 161.500.000

10 Hentje Orhem Sina 15 9.750.000 146.250.000

10 10.500.000 105.000.000 0 11.100.000 0 Ratnawati 11 11.100.000 122.100.000 11 Hengki Atmadji 0 9.750.000 0 Saiful Amin 14,5 9.750.000 141.375.000 22 10.300.000 226.600.000

12 Marlen Setiawati S. Sub Proff. Financial 1 15 5.500.000 82.500.000

12 5.900.000 70.800.000

Sub. Proff Administration 22 6.200.000 136.400.000

13 Aprika Mira Sub Proff. Financial 2 15 5.500.000 82.500.000

12 5.900.000 70.800.000

Sub. Proff Administration Kota 22 6.200.000 136.400.000

14 Theresia Jebe Nogo Betan 15 5.500.000 82.500.000

12 5.900.000 70.800.000 Sub Proff. Administration

Sub Specialist RLF

Urban Planner Specialist MIS Specialist

Infrastructure Specialist Socialization Specialist

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10 6.200.000 62.000.000

15 Leonardus K.H. Manggol Sub TA GIS Specialist 3 7.500.000 22.500.000

16 Flavianus Belarminus Pera Sub TA Urban Planner Specialist 3 7.500.000 22.500.000

17 Oktovianus Edvict Semiun Sub TA Sipil/Arsitek Speciaslist 3 7.500.000 22.500.000

18 Ferdinandus Richardo Tagung Sola Sub TATeknik Environmental 3 7.500.000 22.500.000

19 Hamka Djalil, ST Cost Estimator (1 Org, 2 bln) 2 6.500.000 13.000.000

20 Ferdinandus Maleng Mangu, ST Drafter/Operator CAD 1 3 6.500.000 19.500.000

21 Erland, ST Drafter/Operator CAD 1 3 6.500.000 19.500.000

22 Melkianus Yermias Dami, ST Surveyor 1 1 5.000.000 5.000.000

23 Jeni Messakh ST Surveyor 2 1 5.000.000 5.000.000

24 Ledy Vitara Therik Tenaga Lokal 1 1 3.000.000 3.000.000

25 Richard Ben Agusto Aome Tenaga Lokal 2 1 3.000.000 3.000.000

26 Dimas Ari Febrianto Tenaga Lokal 3 1 3.000.000 3.000.000

27 Adrianus Kollo Nailape Tenaga Lokal 4 1 3.000.000 3.000.000

1,2 2.831.460.000

1.2.1 597.620.000

1 Ir. Ni Putu Emmy Martiningrum Office Manager 15 3.500.000 52.500.000

12 3.760.000 45.120.000

Ni Kadek Pony Candiwangi 22 4.000.000 88.000.000

2 Ni Kadek Pony Candiwangi Secretary 15 2.000.000 30.000.000

12 2.150.000 25.800.000

Luh Eka Ariningsih 22 2.280.000 50.160.000

3 Moh. Nawawi/Ketut Purnama/ Computer Operator 1 15 1.250.000 18.750.000 Sub Proff. Administration

PROVINCE BALI SUPPORTING STAFF

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I Putu Gede Prasetya Dewantara 27 1.340.000 36.180.000

4 Bramasto/ Nindy W./ Kadek Puspita/ Computer Operator 2 11 1.250.000 13.750.000

11 1.250.000 13.750.000

Desak Putu Sugiantari 18 1.320.000 23.760.000

5 Sony Prasetyo/ Computer Operator 3 15 1.250.000 18.750.000

12 1.340.000 16.080.000

I Gusti Ayu Dwi Mega Oktaviani 22 1.420.000 31.240.000

6 Ni Luh Negari Office Boy 11 1.000.000 11.000.000

12 1.000.000 12.000.000

22 1.140.000 25.080.000

7 Adi Sugianto Security 1 15 1.000.000 15.000.000

12 1.070.000 12.840.000

22 1.130.000 24.860.000

8 Eko S. / Putu Gede Security 2 9 1.000.000 9.000.000

12 1.000.000 12.000.000

Ari Setyawan 12 1.000.000 12.000.000

1.2.2 PROVINCE WEST NUSA TENGGARA 517.220.000

1 Kusmiati Ass Office Manager 15 2.000.000 30.000.000

12 2.150.000 25.800.000

22 2.280.000 50.160.000

2 Baiq Halimatussa'dyah Secretary 15 1.750.000 26.250.000

12 1.880.000 22.560.000

22 2.000.000 44.000.000

3 Bq. Halimatussa'diyah/ Computer Operator 1 14 1.500.000 21.000.000

12 1.500.000 18.000.000

Wahyu Arpan 19 1.590.000 30.210.000

4 Prasetyadiguna Computer Operator 2 15 1.500.000 22.500.000

12 1.610.000 19.320.000

22 1.710.000 37.620.000

5 Nurhidayati Office Boy 15 1.000.000 15.000.000

12 1.070.000 12.840.000

22 1.130.000 24.860.000

6 L. Juni Harta Security 1 15 1.000.000 15.000.000

12 1.070.000 12.840.000

22 1.130.000 24.860.000

7 Munawardi/L.Khairi J./ Security 2 15 1.000.000 15.000.000

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Sarhan 12 1.070.000 12.840.000

8 Helsha Zania Ass. Office Manager 3 2.280.000 6.840.000

9 Anggit Mulina, S.Pd Secretary/CO Tim Percepatan 3 2.000.000 6.000.000

10 L. Khairil Juliawan Office Boy Tim Percepatan 3 1.130.000 3.390.000

1.2.3 PROVINCE EAST NUSA TENGGARA 610.180.000

1 Jim S. Amtiran Mauwilik Ass Office Manager 15 2.300.000 34.500.000

12 2.470.000 29.640.000

22 2.620.000 57.640.000

2 Krisanti Veronika Hidelilo Secretary 15 2.000.000 30.000.000

12 2.150.000 25.800.000

22 2.280.000 50.160.000

3 Devi Adriana Manafe Computer Operator 1 15 1.750.000 26.250.000

12 1.880.000 22.560.000

22 2.000.000 44.000.000

4 Getreda Nawa Computer Operator 2 15 1.750.000 26.250.000

12 1.880.000 22.560.000

19 2.000.000 38.000.000

5 Jhoni Oktovianus Ludji/Randy Risnawan Office Boy 15 1.200.000 18.000.000

12 1.290.000 15.480.000

7 1.370.000 9.590.000

Dinorianto A. Loe 13 1.370.000 17.810.000

6 Abraham Thao Security 1 15 1.200.000 18.000.000

12 1.290.000 15.480.000

Frengkianus Ranggo 22 1.370.000 30.140.000

7 Frans Nalle Security 2 15 1.200.000 18.000.000

12 1.290.000 15.480.000

19 1.370.000 26.030.000

8 Frederlina Ass. Office Manager 3 2.620.000 7.860.000

9 Servia Mintje A Lopo Sip Secretary/CO Tim Percepatan 3 2.280.000 6.840.000

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1.2.4 CITY COORDINATORS OFFICE 1.106.440.000

1 Ayu Wulan Puspita Sari/ Computer Operator 1 15 1.250.000 18.750.000

Ni Made Putri Prastika Sari 12 1.340.000 16.080.000

22 1.420.000 31.240.000

Anak Agung Rai Semaradewi Computer Operator 2 15 1.250.000 18.750.000

12 1.340.000 16.080.000

22 1.420.000 31.240.000

Baiq Mulyati Computer Operator 3 15 1.250.000 18.750.000

12 1.340.000 16.080.000

22 1.420.000 31.240.000

Zulkipli Computer Operator 4 15 1.250.000 18.750.000

12 1.340.000 16.080.000

22 1.420.000 31.240.000

Ahmad Junaidi/Syamsul R./ Computer Operator 5 14 1.250.000 17.500.000

Khairil A. 12 1.250.000 15.000.000

22 1.320.000 29.040.000

Ono S./Hairunnisyah/Nur Ayu Rahay Computer Operator 6 14 1.250.000 17.500.000

12 1.250.000 15.000.000

21 1.320.000 27.720.000

Debora Adi Ina Computer Operator 7 15 1.250.000 18.750.000

12 1.340.000 16.080.000

22 1.420.000 31.240.000

Maria Agustina Ina Computer Operator 8 15 1.250.000 18.750.000

12 1.340.000 16.080.000

22 1.420.000 31.240.000

Desi N./Selvi M./Yoan S./ Computer Operator 9 15 1.250.000 18.750.000

Maryani K. Nunuhitu 34 1.250.000 42.500.000

Kalsum/Sukmayadi Computer Operator 10 14 1.250.000 17.500.000

22 1.320.000 29.040.000

2 Ayu Wulan/Ni Komang T./Ni Md. Putri/ Office Boy 1 15 1.000.000 15.000.000

Dewa Ayu Damiati 22 1.000.000 22.000.000

I Made Karma Office Boy 2 15 1.000.000 15.000.000

12 1.070.000 12.840.000

21 1.130.000 23.730.000 Sumarjiono/I Gusti Lanang Rai. S./ Office Boy 3 15 1.000.000 15.000.000

Saleh Hawalani 5 1.070.000 5.350.000

20 1.130.000 22.600.000

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12 1.070.000 12.840.000

22 1.130.000 24.860.000

Hendri/Muhammad Syafi'i/ Office Boy 5 15 1.000.000 15.000.000

Deni Yuliadi 12 1.000.000 12.000.000

21 1.060.000 22.260.000

Ahmad Office Boy 6 15 1.000.000 15.000.000

12 1.070.000 12.840.000

22 1.130.000 24.860.000 Nikolas M. Mila/Noprianus Wole Office Boy 7 15 1.000.000 15.000.000

12 1.070.000 12.840.000

22 1.130.000 24.860.000

Marselinus Romeanus Teka/ Office Boy 8 15 1.000.000 15.000.000

Mikhael Tiwu 12 1.070.000 12.840.000

21 1.130.000 23.730.000

Alberth Mana'o Office Boy 9 15 1.000.000 15.000.000

12 1.070.000 12.840.000

22 1.130.000 24.860.000

M. Yasin Office Boy 10 14 1.000.000 14.000.000

22 1.060.000 23.320.000

19.849.131.061 TOTAL

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II. DIRECT REIMBURSABLE EXPENSES

2.1 DUTY TRAVEL EXPENSES PROVINCE BALI

2.1.1 93.575.000

2.1.1.1 10.825.000

time person days a. From Denpasar to Buleleng, Badung (40 kel x 10% = 4

kel)

Local Transport 1 2 16 75.000 1.200.000

Hotel Acomodation 1 2 1 13 200.000 2.600.000

OSA [ Fixed ] 1 2 2 31 50.000 1.550.000

b. From Denpasar to Gianyar & Klungkung (47 kel x 10% = 5 kel)

Local Transport 1 2 17 75.000 1.275.000

Acomodation 1 2 1 9 200.000 1.800.000

OSA [ Fixed ] 1 2 2 29 50.000 1.450.000

c. Denpasar (43 kel x 10% = 5 kel)

OSA [ Fixed ] 1 2 1 19 50.000 950.000

2.1.1.2 SPOOTCHECK KOTA/KAB FOR ASS. CITY COORDINATOR INFRA AND FM 39.000.000

a. For City Coordinator and Assistance City Coordinator

Total 130 Kel x 50% x 4 1 33 139 50.000 6.950.000

Cost / Day Rp. 50.000.- 1 Day cover 2 kel

b. For Ass. City Coordinator Infrastructure and FM in the city

(Total 130 Kel - 57 Kel luar kota) x 50% x 12 1 18 252 50.000 12.600.000 Cost / Day Rp. 50.000.- 1 Day cover 2 kel

c. For City Coordinator Infrastructure and FM out of town

c.1 From Denpasar to Buleleng

Local Transport 1 2 56 75.000 4.200.000

Acomodation 1 2 1 47 200.000 9.400.000

OSA [ Fixed ] 1 2 2 100 50.000 5.000.000

c.2 From Klungkung to Gianyar 1 2 1 17 50.000 850.000

2.1.1.3 6.375.000

a. From Denpasar to Buleleng

Local Transport 3 3 17 75.000 1.275.000

Acomodation 3 3 1 14 200.000 2.800.000

OSA [ Fixed ] 3 3 2 34 50.000 1.700.000

b. Klungkung to Gianyar 3 3 1 12 50.000 600.000

2.1.1.4 7.800.000

a. From Buleleng to Denpasar

Local Transport 2 2 20 75.000 1.500.000

Acomodation 2 2 1 11 200.000 2.200.000

OSA [ Fixed ] 2 2 2 34 50.000 1.700.000

FOR CB ACTIVITY BY ASKOT TO FASKEL

FROM KAB/KOTA TO TL OFFICE FOR COORDINATION MEETING

NO. DESCRIPTION

IN PROVINCE

FOR SPOTCHECK PROVINCE TO KELURAHAN (10% x Number of Kelurahan)

(16)

b. From Gianyar to Denpasar

Local Transport 2 2 16 75.000 1.200.000

c. From Klungkung to Denpasar

Local Transport 2 2 16 75.000 1.200.000

2.1.1.5 FOR SEVERAL TRAINING & SPECIAL EVENT FROM KABUPATEN TO DENPASAR 29.575.000

a. Training for City Coordinators Assistants (Infrastructure, Economic, Community Dev, MIS, Urban Planner)

Buleleng to Denpasar

Local Transport 3 2 11 75.000 825.000

Gianyar & Klungkung to Denpasar

Tranport 3 5 25 75.000 1.875.000

b. For Training/Consolidation

Local Transport for Korkot/Askot Buleleng on OSP Consolidation 2 2 9 75.000 675.000 Local Transport for Korkot/Askot Gianyar & Klungkung on OSP Consolidation2 5 22 75.000 1.650.000 Local Transport for SF, FK, FE, FS Badung & Denpasar 2 34 131 50.000 6.550.000 Local Transport for SF, FK, FE, FS Gianyar & Klungkung 2 29 115 75.000 8.625.000 Local Transport for SF, FK, FE, FS Buleleng 2 17 85 75.000 6.375.000

c. Special Event (by request)

Buleleng to Denpasar

Local Transport 2 2 4 75.000 300.000

Acomodation 2 2 1 4 200.000 800.000

OSA [ Fixed ] 2 2 2 8 50.000 400.000

Gianyar & Klungkung to Denpasar

Tranport 2 2 4 75.000 300.000

Acomodation 2 2 1 4 200.000 800.000

OSA [ Fixed ] 2 2 2 8 50.000 400.000

2.1.2 TO JAKARTA 366.380.000

2.1.2.1 FOR SEVERAL TRAINING TO JAKARTA BY REQUEST 37.490.000

Air Transport 2 3 13 2.130.000 27.690.000

In land Transport in Jakarta 2 3 13 200.000 2.600.000

OSA [ Fixed ] 2 3 4 72 100.000 7.200.000

2.1.2.2 FOR EGM TO JAKARTA etc 120.340.000

Air Transport

Coordination Meeting for PD & TL 1 2 5 2.130.000 10.650.000 EGM Spec [TA]/Sub Spec [Sub TA] Training 1 2 5 2.130.000 10.650.000

EGM Socilization Specialist 1 1 3 2.130.000 6.390.000

EGM Spec [TA]/Sub Spec MK/Sub Spec RLF 1 2 5 2.130.000 10.650.000 EGM Spec [TA]/Sub Spec INFRA/Sub Spec Safeguard 1 1 5 2.130.000 10.650.000 EGM Spec [TA]/Sub Spec Monev /Sub Spec Legal HCU 1 2 8 2.130.000 17.040.000

EGM Spec [TA]/Sub Spec SIM 1 1 4 2.130.000 8.520.000

(17)

NO. DESCRIPTION CONTRACT AMENDMENT 10

EGM Spec [TA] Urban Planner 0 2.130.000 0

Hotel Accommodation 1 12 3 44 300.000 13.200.000

OSA [ Fixed ] 1 12 4 188 100.000 18.800.000

2.1.2.3 91.970.000

FOR COORDINATION MEETING TO JAKARTA AND OTHER (by request)

Air Transport 2 2 9 2.130.000 19.170.000

Air Transport to Jakarta and other 1 2 11 4.800.000 52.800.000

In land Transport 6 2 28 200.000 5.600.000

OSA [ Fixed ] 6 2 4 108 100.000 10.800.000

2.1.2.4 From level OSP to Province 93.600.000

Air Transport to NTT 3 1 12 3.300.000 39.600.000

Air Transport to NTB 3 1 12 800.000 9.600.000

Acomodation 6 1 4 92 300.000 27.600.000

OSA 6 1 5 120 100.000 12.000.000

2.1.2.5 Korkot to Jakarta (by Request) 22.980.000

Air Transport 2 2 6 2.130.000 12.780.000

OSA 2 2 5 30 100.000 3.000.000

459.955.000 TOTAL

(18)

2.2.1 333.425.000

2.2.1.1 24.300.000

timeperson a. From Mataram to Lombok Timur (44 kel x 10% = 5 kel)

Local Tranport 1 2 26 100.000 2.600.000

b. Mataram (50 kel x 10% = 5 kel)

OSA 1 2 24 50.000 1.200.000

c. From Mataram to Lombok Barat (18 kel x 10% = 2 kel)

Local Tranport 1 2 11 100.000 1.100.000

d. From Mataram to Lombok Tengah (23 kel x 10% = 3 kel)

Local Tranport 1 2 18 100.000 1.800.000 e. Various Transport 1 2 16 600.000 9.600.000 Hotel Acomodation 1 2 32 175.000 5.600.000 OSA [ Fixed ] 1 2 48 50.000 2.400.000 2.2.1.2 14.500.000

Total 215 Kel x 50% x 4 1 54 51 50.000 2.550.000

c. For Ass. City Coordinator Infrastructure and FM in the city

(Total 215 Kel - 60 Kel luar kota) x 50% x 12 1 39 54 50.000 2.700.000

Lombok Timur to Sumbawa

Various Transport 1 2 10 600.000 6.000.000

Hotel Acomodation 1 2 10 175.000 1.750.000

OSA [ Fixed ] 1 2 24 50.000 1.200.000

Kota Bima to Kab Bima

Local Transport 1 2 6 50.000 300.000

2.2.1.3 FOR CB ACTIVITY BY ASKOT TO FASKEL 13.875.000

a. Lombok Timur to Sumbawa

OSA [ Fixed ] 3 3 30 50.000 1.500.000

b. Kota Bima to Kab Bima

Local Transport 3 3 15 50.000 750.000

2.2.1.4 FROM KAB/KOTA TO TL OFFICE FOR COORDINATION MEETING 70.300.000

a From Lombok Timur to Mataram

Local Tranport 2 2 26 100.000 2.600.000

OSA [ Fixed ] 2 2 52 50.000 2.600.000

From Mataram to Sumbawa, Kab. Bima, Kota Bima (80 kel x 10% = 8 kel) FOR SPOTCHECK PROVINCE TO KELURAHAN (10% x Number of Kelurahan)

SPOOTCHECK KOTA/KAB FOR ASS. CITY COORDINATOR INFRA AND FM IN PROVINCE

(19)

b From Lombok Tengah to Mataram

Local Tranport 2 2 26 100.000 2.600.000

OSA [ Fixed ] 2 2 52 50.000 2.600.000

c From Sumbawa, Kab. Bima, Kota Bima to Mataram

OSA [ Fixed ] 2 7 110 50.000 5.500.000

2.2.1.5 FROM PROVINCE TO REGIONAL FOR WORKSHOP & COORDINATION MEETING AT OSP 16.750.000

Workshop OC / Coordination Meeting at OC From Mataram to Denpasar

Air Tranport 2 5 19 750.000 14.250.000

OSA [ Fixed ] 2 5 50 50.000 2.500.000

2.2.1.6 FOR SEVERAL TRAINING & SPECIAL EVENT FROM KABUPATEN TO MATARAM 193.700.000

Local Tranport for Askot Lombok Timur & Lombok Tengah to Mataram 3 10 42 100.000 4.200.000

Various Transport for Askot Sumbawa, Bima , Kota Bima to Mataram 3 8 39 600.000 23.400.000

b. Advance Training for PLPBK

Local Tranport for Askot-UP Lombok Timur & Lombok Tengah toMataram1 2 0 100.000 0

Transport for Askot-UP Sumbawa, Bima , Kota Bima to Mataram 1 2 0 600.000 0

c. For Training/Consolidation

Local Tranport for Korkor & Askot Lombok Timur & Lombok Tengah on OSP Consolidation2 12 70 100.000 7.000.000

Local Tranport for SF, FK, FE, FS Lombar & Mataram 2 43 146 50.000 7.300.000

Local Tranport for SF, FK, FE, FS Lotim, Loteng 2 38 169 100.000 16.900.000

Various Transport for SF, FK, FE, FS Sumbawa, Bima , Kota Bima 2 48 122 600.000 73.200.000

Various Transport for Korkor & Askot Sumbawa, Bima , Kota Bima onOSP Consolidation2 9 48 600.000 28.800.000

Local Transport for TAPP 1 12 12 50.000 600.000

d. Special Event (by request)

From Lombok Timur to Mataram

Local Tranport 2 4 16 100.000 1.600.000

OSA [ Fixed ] 2 4 36 50.000 1.800.000

From Lombok Tengah

Local Tranport 2 4 16 100.000 1.600.000

OSA [ Fixed ] 2 4 36 50.000 1.800.000

From Sumbawa, Kab. Bima, Kota Bima

Various Tranport 2 4 21 600.000 12.600.000

OSA [ Fixed ] 2 4 46 50.000 2.300.000

2.2.2 TO JAKARTA 273.427.000

(20)

Air Transport 2 3 16 2.283.000 36.528.000

In land Travel in Jakarta 2 3 16 200.000 3.200.000

OSA [ Fixed ] 2 3 83 100.000 8.300.000

2.2.2.2 FOR EGM TO JAKARTA 125.988.000

Air Transport

Coordination Meeting for PD & TL 1 1 5 2.283.000 11.415.000

EGM Spec [TA]/Sub Spec [Sub TA] Training 1 2 3 2.283.000 6.849.000

EGM Spec [TA]/Sub Spec MK/Sub Spec RLF 1 2 4 2.283.000 9.132.000

EGM Spec [TA]/Sub Spec INFRA/Sub Spec Safeguard 1 1 5 2.283.000 11.415.000

EGM Spec [TA]/Sub Spec Monev /Sub Spec Legal HCU 1 1 3 2.283.000 6.849.000

EGM Spec [TA] Local Government 1 1 4 2.283.000 9.132.000

EGM Spec [TA] Urban Planner 1 1 4 2.283.000 9.132.000

OSA [ Fixed ] 1 11 190 100.000 19.000.000

2.2.2.3 FOR COORDINATION MEETING TO JAKARTA (by request) 71.230.000

Air Transport 2 2 10 2.283.000 22.830.000

Hotel Accommodation 6 2 30 300.000 9.000.000

OSA [ Fixed ] 6 2 74 100.000 7.400.000

2.1.2.5 Korkot to Jakarta (by Request) 28.181.000

Air Transport 2 5 7 2.283.000 15.981.000

Hotel Accommodation 2 5 25 300.000 7.500.000

OSA 2 5 33 100.000 3.300.000

2.3.3 TIM PERCEPATAN 11.400.000

2.3.3.1 For Coordination (2 times, 4 sub TA, 3 month) 2 4 24 300.000 7.200.000

2.3.3.2 For Pelatihan Perencanaan bagi TAPP 1 12 12 50.000 600.000

OSA 1 12 72 50.000 3.600.000

618.252.000 TOTAL

(21)

2.3 DUTY TRAVEL EXPENSES PROVINCE EAST NUSA TENGGARA

2.3.1 805.579.400

2.3.1.1 112.180.000

time person days a. From Kupang To Sumba Barat & Sumbawa Timur (18 kel x 10% = 2 kel)

Various Tranport 2 1.150.000 2.300.000

1 2 15 1.760.000 26.400.000

Hotel Acomodation 6 150.000 900.000

1 2 2 30 250.000 7.500.000

OSA [ Fixed ] 1 2 3 52 50.000 2.600.000

b. From Kupang To Ende, Ngada & Manggarai (33 kel x 10% = 4 kel)

Various Tranport 4 1.150.000 4.600.000

1 3 15 1.760.000 26.400.000

Hotel Acomodation 8 150.000 1.200.000

1 3 2 32 250.000 8.000.000

OSA [ Fixed ] 1 3 3 60 50.000 3.000.000

c. From Kupang To TTS & Belu (17 kel x 10% = 2 kel)

Local Tranport 1 2 16 200.000 3.200.000

1 2 1 12 250.000 3.000.000

OSA [ Fixed ] 1 2 2 32 50.000 1.600.000

d. From Kupang To Sikka (7 kel x 10% = 2 kel)

Local Tranport 0 200.000 0

1 2 8 1.760.000 14.080.000

Hotel Acomodation 0 150.000 0

1 2 2 17 250.000 4.250.000

OSA [ Fixed ] 1 2 3 25 50.000 1.250.000

e. Kupang (49 kel x 10% = 5 kel)

OSA [ Fixed ] 1 1 2 26 50.000 1.300.000

2.3.1.2 SPOOTCHECK KOTA/KAB FOR ASS. CITY COORDINATOR INFRA AND FM 43.925.000

Total 124 Kel x 50% x 4 1 31 2 166 50.000 8.300.000

b. For Ass. City Coordinator Infrastructure and FM in the city

(Total 124 Kel - 60 Kel luar kota) x 50% x 12 1 16 2 90 50.000 4.500.000

From Sumba Timur to Sumba Barat

Local Tranport 6 75.000 450.000

1 2 13 150.000 1.950.000

1 2 1 13 150.000 1.950.000

OSA [ Fixed ] 1 2 2 38 50.000 1.900.000

From Ende to Sikka

Local Tranport 0 75.000 0 1 2 10 240.000 2.400.000 Hotel Acomodation 0 100.000 0 1 2 1 11 150.000 1.650.000 OSA [ Fixed ] 1 2 2 22 50.000 1.100.000 IN PROVINCE NO. DESCRIPTION

FOR SPOTCHECK PROVINCE TO KELURAHAN (10% x Number of Kelurahan)

(22)

From Ende to Ngada Local Tranport 2 75.000 150.000 1 2 10 150.000 1.500.000 Hotel Acomodation 2 100.000 200.000 1 2 1 10 150.000 1.500.000 OSA [ Fixed ] 1 2 2 24 50.000 1.200.000

From Ende to Manggarai

Local Tranport 3 75.000 225.000

1 2 11 150.000 1.650.000

1 2 1 10 150.000 1.500.000

OSA [ Fixed ] 1 2 2 30 50.000 1.500.000

From Kupang To TTS & Belu

Local Tranport 1 2 20 200.000 4.000.000

1 2 1 15 150.000 2.250.000

OSA [ Fixed ] 1 2 2 41 50.000 2.050.000

2.3.1.3 37.180.000

a. From Sumba Timur to Sumba Barat

3 3 17 150.000 2.550.000

3 3 1 17 150.000 2.550.000

OSA [ Fixed ] 3 3 2 34 50.000 1.700.000

b. From Ende to Sikka

3 3 17 240.000 4.080.000

3 3 1 17 150.000 2.550.000

OSA [ Fixed ] 3 3 2 34 50.000 1.700.000

c. From Ende to Ngada

3 3 17 150.000 2.550.000

3 3 1 17 150.000 2.550.000

OSA [ Fixed ] 3 3 2 34 50.000 1.700.000

d. From Ende to Manggarai

3 3 17 150.000 2.550.000

3 3 1 17 150.000 2.550.000

OSA [ Fixed ] 3 3 2 34 50.000 1.700.000

e. From Kupang To TTS & Belu

Local Tranport 3 3 19 200.000 3.800.000

OSA [ Fixed ] 3 3 2 36 50.000 1.800.000

2.3.1.4 65.912.000

a. From Sumba Barat & Sumbawa Timur to Kupang

Various Tranport 0 1.150.000 0

2 2 14 1.760.000 24.640.000

FOR CB ACTIVITY BY ASKOT TO FASKEL

(23)

OSA [ Fixed ] 2 2 2 28 50.000 1.400.000

b. From Ende, Ngada & Manggarai to Kupang

2 2 14 1.848.000 25.872.000

OSA [ Fixed ] 2 2 2 28 50.000 1.400.000

c. From TTS & Belu to Kupang

Local Tranport 2 2 14 200.000 2.800.000

OSA [ Fixed ] 2 2 2 28 50.000 1.400.000

2.3.1.5 FROM PROVINCE TO REGIONAL FOR WORKSHOP & COORDINATION MEETING AT OC 66.000.000

Workshop OC / Coordination Meeting at OC From Kupang to Denpasar

Air Tranport 2 5 22 2.750.000 60.500.000

OSA [ Fixed ] 2 5 3 55 100.000 5.500.000

2.3.1.6 480.382.400

Various Transport for Askot Sumba Timur & Sumba Barat to Kupang 0 1.150.000 0

3 4 14 1.760.000 24.640.000

Various Transport for Askot Sikka Ende Ngada & Manggarai to Kupang 0 1.150.000 0

3 3 20 1.848.000 36.960.000

b. For Training/Consolidation

Various Transport for Korkot and Askot Sumba Timur, Barat on OSP Consolidation 0 1.150.000 0

2 6 32 1.760.000 56.320.000

Various Transport for Korkot and Askot Sikka Ende Ngada & Manggarai onOSP Consolidation 0 1.150.000 0

2 8 40 1.760.000 70.400.000

Local Transport for Korkot and Askot Belu & TTS on OSP Consolidation 2 2 22 200.000 4.400.000

Various Transport for SF, FK, FE, FS Askot Sumba Timur, Barat 0 1.150.000 0

2 8 40 1.760.000 70.400.000

Various Transport for SF, FK, FE, FS Sikka Ende Ngada & Manggarai 0 1.150.000 0

2 8 75 1.848.000 138.600.000

Local Transport for SF, FK, FE, FS Belu & TTS 2 20 40 200.000 8.000.000

Local Transport for TAPP 1 4 4 200.000 800.000

c. Special Event (by request)

From Sumba Barat & Sumba Timur to Kupang

2 2 4 1.760.000 22.528.000

OSA [ Fixed ] 2 2 3 30 50.000 1.920.000

From Ende, Ngada & Manggarai to Kupang

2 2 4 1.848.000 23.654.400

OSA [ Fixed ] 2 2 3 30 50.000 1.920.000

From TS & Belu to Kupang

Tranport 2 2 4 200.000 2.560.000

(24)

OSA [ Fixed ] 2 2 3 30 50.000 1.920.000

2.3.2 356.408.000

2.3.2.1 35.636.000

Air Transport 2 3 8 3.392.000 27.136.000

In land Travel in Jakarta 2 3 11 200.000 2.200.000

OSA [ Fixed ] 2 3 4 63 100.000 6.300.000

2.3.2.2 193.188.000

Air Transport

Coordination Meeting for PD & TL 1 1 5 3.392.000 16.960.000

EGM Spec [TA]/Sub Spec [Sub TA] Training 1 2 5 3.392.000 16.960.000

EGM Spec [TA]/Sub Spec MK/Sub Spec RLF 1 2 4 3.392.000 13.568.000

EGM Spec [TA]/Sub Spec INFRA/Sub Spec Safeguard 1 1 5 3.392.000 16.960.000

EGM Spec [TA]/Sub Spec Monev /Sub Spec Legal HCU 1 1 4 3.392.000 13.568.000

EGM Spec [TA] Local Government 1 1 3 3.392.000 10.176.000

EGM Spec [TA] Urban Planner 1 1 3 3.392.000 10.176.000

OSA [ Fixed ] 1 11 4 221 100.000 22.100.000

2.3.2.3 FOR COORDINATION MEETING TO JAKARTA (by request) 73.864.000

Air Transport 2 2 11 3.392.000 37.312.000

OSA [ Fixed ] 6 2 4 68 100.000 6.800.000

2.3.2.4 53.720.000

Air Transport 2 3 10 3.392.000 33.920.000

OSA 2 3 5 58 100.000 5.800.000

2.3.3 TIM PERCEPATAN 9.200.000

2.3.3.1 For Coordination (2 times, 4 sub TA, 3 month) 2 4 3 24 300.000 7.200.000

2.3.3.2 For Pelatihan Perencanaan bagi TAPP 1 4 4 200.000 800.000

OSA 1 4 6 24 50.000 1.200.000

1.171.187.400 TOTAL

Korkot to Jakarta (by Request) FOR EGM TO JAKARTA

FOR SEVERAL TRAINING TO JAKARTA BY REQUEST TO JAKARTA

(25)

2.4 OFFICE OPERATIONAL EXPENSES

2.4.1 OFFICE RUNNING COST 776.550.000

2.4.1.1 OSP Office 232.750.000

Province Bali (Denpasar) 14 2.000.000 28.000.000

35 2.150.000 75.250.000 Province West Tenggara Barat (Mataram) 14 1.000.000 14.000.000 35 1.080.000 37.800.000 Province East Tenggara Timur (Kupang) 14 1.500.000 21.000.000 35 1.620.000 56.700.000

2.4.1.2 City Coordinator Office 418.350.000

Province Bali (Denpasar) 83.650.000

Klungkung (48 kelurahan) 16 500.000 8.000.000

33 950.000 31.350.000

Kota Denpasar (83 Kelurahan) 16 500.000 8.000.000

33 1.100.000 36.300.000

Province West Tenggara Barat (Mataram) 199.700.000

Mataram (72 Kelurahan) 16 500.000 8.000.000

33 1.100.000 36.300.000

Lombok Tengah (26 Kelurahan) 16 500.000 8.000.000

33 950.000 31.350.000

Lombok Timur (67 Kelurahan) 16 500.000 8.000.000

33 1.100.000 36.300.000

Bima (38 Kelurahan) 15 500.000 7.500.000

33 950.000 31.350.000

Sumbawa (16 Kelurahan) 5 500.000 2.500.000

32 950.000 30.400.000

Province East Tenggara Timur (Kupang) 135.000.000

Sumba Timur (19 Kelurahan) 16 750.000 12.000.000

33 950.000 31.350.000

Ende (43 Kelurahan) 16 750.000 12.000.000

33 950.000 31.350.000

Kota Kupang (68 Kelurahan) 16 750.000 12.000.000

33 1.100.000 36.300.000

2.4.1.3 Assitant CD City Coordinator Office 125.450.000

(26)

Badung 49 250.000 12.250.000

Gianyar 49 250.000 12.250.000

Buleleng 49 250.000 12.250.000

Lombok Barat 49 200.000 9.800.000

Sumbawa 27 200.000 5.400.000

Kabupaten Bima 0 200.000 0

Sumba Barat 49 250.000 12.250.000

Timur Tengah Selatan 49 250.000 12.250.000

Belu 49 250.000 12.250.000

Sikka 49 250.000 12.250.000

Ngada 49 250.000 12.250.000

Manggarai 49 250.000 12.250.000

2.4.2 OFFICE SUPPLY & CONSUMABLE 304.960.000

2.4.2.1 OSP Office 103.760.000

Province Bali (Denpasar) 13 750.000 9.750.000

36 810.000 29.160.000

Province West Tenggara Barat (Mataram) 13 500.000 6.500.000

36 540.000 19.440.000

Province East Tenggara Timur (Kupang) 13 750.000 9.750.000

36 810.000 29.160.000

33 300.000 9.900.000

(27)

NO.

DESCRIPTION

CONTRACT AMENDMENT 10

33 250.000 8.250.000

33 300.000 9.900.000

Bima (38 Kelurahan) 15 250.000 3.750.000

33 250.000 8.250.000

32 250.000 8.000.000

33 300.000 9.900.000

Ende (43 Kelurahan) 16 300.000 4.800.000

33 300.000 9.900.000

Badung 49 100.000 4.900.000

Gianyar 49 100.000 4.900.000

Buleleng 49 100.000 4.900.000

Lombok Barat 49 100.000 4.900.000

Sumbawa 27 100.000 2.700.000

Kabupaten Bima 0 100.000 0

Sumba Barat 49 150.000 7.350.000

Belu 49 150.000 7.350.000 Sikka 49 150.000 7.350.000 Ngada 49 150.000 7.350.000 Manggarai 49 150.000 7.350.000 2.4.3 COMMUNICATION COST 242.475.000 2.4.3.1 OSP Office 68.500.000

(28)

Province West Tenggara Barat (Mataram) 49 500.000 24.500.000

Province East Tenggara Timur (Kupang) 49 500.000 24.500.000

Lombok Tengah (26 Kelurahan) 49 200.000 9.800.000

Bima (38 Kelurahan) 49 200.000 9.800.000

Ende (43 Kelurahan) 49 200.000 9.800.000

Badung 49 150.000 7.350.000

Gianyar 49 150.000 7.350.000

Buleleng 49 150.000 7.350.000

(29)

NO.

DESCRIPTION

CONTRACT AMENDMENT 10

Sumbawa 27 150.000 4.050.000

Kabupaten Bima 6 150.000 825.000

Sumba Barat 49 150.000 7.350.000

Belu 49 150.000 7.350.000 Sikka 49 150.000 7.350.000 Ngada 49 150.000 7.350.000 Manggarai 49 150.000 7.350.000

2.4.4 INTERNET

73.344.000

2.4.4.1 OSP Office

73.344.000

Province Bali (Denpasar) 32 764.000 24.448.000

Province West Tenggara Barat (Mataram) 32 764.000 24.448.000 Province East Tenggara Timur (Kupang) 32 764.000 24.448.000

2.4.5 TIM PERCEPATAN

78.900.000

BOP Tim Percepatan Kota (2 kota, 3 bln) 6 3.000.000 18.000.000

Vehicle Rental (2 kota, 3 bln) 6 6.250.000 37.500.000 Office/Studio (2 kota, 3 bln, 78m2) 468 50.000 23.400.000

1.476.229.000 TOTAL

(30)

2.5.1 OSP OFFICE Vol Unit Remark 284.997.587

2.5.1.1 Bali (Denpasar) _104.994.386

Desktop Computer _Piece ₅ _5.500.000 _27.500.000

Laptop/Notebook _Piece ₇ _5.500.000 _38.500.000

Printer Laser Jet _Piece ₃ _3.750.000 _11.250.000

Printer Color A3 _Piece ₁ _3.000.000 _3.000.000

Digital Camera _Piece ₁ _1.750.000 _1.750.000

GPS tools _Piece ₁ _3.000.000 _3.000.000

LCD Projector _Piece ₁ _3.500.000 _3.500.000

Scanner _Piece ₂ _1.250.000 _2.500.000

Equipment Maintenance (Include existing equipment)

Atcost 3 4.550.000 13.994.386

2.5.1.2 Nusa Tenggara Timur (Kupang) _89.941.170

Desktop Computer Piece ₃ _5.500.000 _16.500.000

Laptop/Notebook Piece ₇ _5.500.000 _38.500.000

Printer Laser Jet Piece ₂ _3.750.000 _7.500.000

Printer Color A3 Piece ₁ _3.000.000 _3.000.000

Digital Camera Piece ₁ _1.750.000 _1.750.000

GPS tools Piece ₁ _3.000.000 _3.000.000

LCD Projector Piece ₁ _3.500.000 _3.500.000

Scanner Piece ₁ _1.250.000 _1.250.000

Atcost ₄ _3.750.000 _14.941.170

2.5.1.3 NTB (Mataram) 90.062.031

Laptop/Notebook Piece ₇ _5.500.000 _38.500.000

Printer Color A3 Piece ₁ _3.000.000 _3.000.000

Digital Camera Piece ₁ _1.750.000 _1.750.000

GPS tools Piece ₁ _3.000.000 _3.000.000

LCD Projector Piece ₁ _3.500.000 _3.500.000

Scanner Piece ₁ _1.250.000 _1.250.000

Atcost ₄ _3.750.000 _15.062.031

2.5.2 CITY COORDINATOR OFFICE Vol Unit Remark 144.000.000

Fixed Rate

CONTRACT AMENDMENT 10

(31)

2.5.2.1 Province Bali (For City Coordinator Klungkung & Denpasar) 32.000.000

Laptop/Notebook Piece ₂ _5.500.000 _11.000.000

Desktop Computer Piece ₂ _5.500.000 _11.000.000

Scanner Piece ₂ _1.250.000 _2.500.000

2.5.2.2 Province West Nusa Tenggara (For City Coordinator Mataram, LombokTengah, Lombok Timur & Bima ) 64.000.000

Laptop/Notebook Piece ₄ _5.500.000 _22.000.000

Desktop Computer Piece ₄ _5.500.000 _22.000.000

Printer Laser Jet Piece ₄ _3.750.000 _15.000.000

Scanner Piece ₄ _1.250.000 _5.000.000

2.5.2.3 Province East Nusa Tenggara (For City Coordinator Sumba Timur, Ende & Kota Kupang) 48.000.000

Laptop/Notebook Piece ₃ _5.500.000 _16.500.000

Printer Laser Jet Piece ₃ _3.750.000 _11.250.000

Scanner Piece ₃ _1.250.000 _3.750.000

2.5.3 ASSISTAN CD MANDIRI OFFICE Vol Unit Remark 111.000.000

2.5.3.1 Province BALI (Badung, Gianyar & Buleleng) 27.750.000

2.5.3.2 27.750.000

2.5.3.3 Province East Nusa Tenggara ( Sumba Barat, TTS, Belu, Sikka, Nagada & Manggarai) 55.500.000

Desktop Computer Piece ₆ _5.500.000 _33.000.000

Printer Laser Jet Piece ₆ _3.750.000 _22.500.000

2.5.4 RENTAL & EQUIPMENT FOR TIM PERCEPATAN 353.000.000

2.5.4.1 Peta Citra Satelit (scala 1:5000) Vol month Remark 200.000.000

Kota Mataram 1 Unit 1 100.000.000 100.000.000

Fixed Rate

Province West Nusa Tenggara (Lombok Barat, Sumbawa & Kabupaten Bima)

Fixed Rate

Fixed Rate Fixed Rate Fixed Rate

(32)

Kota Kupang 1 Unit 1 100.000.000 100.000.000

2.5.4.2 Equipment Rental Vol month Remark 153.000.000

Kota Matarm

Laptop 4 2,5 Unit/Month 12,0 1.750.000 21.000.000

PC 5 2,5 Unit/Month 15,0 1.250.000 18.750.000

Printer A3 2 2,5 Unit/Month 6,0 750.000 4.500.000

Sewa Alat Ukur 1 1 LS 1 32.250.000 32.250.000

Kota Kupang

Laptop 4 2,5 Unit/Month 12,0 1.750.000 21.000.000

PC 5 2,5 Unit/Month 15,0 1.250.000 18.750.000

Printer A3 2 2,5 Unit/Month 6,0 750.000 4.500.000

Sewa Alat Ukur 1 1 LS 1 32.250.000 32.250.000

892.997.587 TOTAL

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2.6 RENTAL EXPENSES

2.6.1 OSP OFFICE SPACE (including furniture, AC etc) 643.950.000

space/m2 mth unit remark

2.6.1.1 Bali (Denpasar) 70 3 M2/Months 8.484 30.000 254.520.000

2.6.1.2 Nusa Tenggara Barat (Mataram) 70 3 M2/Months 6.233 30.000 186.990.000

2.6.1.3 Nusa Tenggara Timur (Kupang) 70 3 M2/Months 6.233 30.000 186.990.000

2.6.1.4 For City Coordinators (9 Korkot) 9 3 Months 265 50.000 13.250.000

2.6.1.5 For City Coordinators (Sumbawa) 1 2,5 Months 44 50.000 2.200.000

2.6.2 VEHICLES (Minimun Y 2010 - Included driver, O & M, Insurance etc) for OSP Office 2.068.750.000

qty mth unit remark

2.6.2.1 BALI/Denpasar Office 1 3 Cars/Months 141 6.250.000 881.250.000

2.6.2.2 NTB/Mataram Office 1 3 Cars/Months 95 6.250.000 593.750.000

2.6.2.3 NTT/Kupang Office 1 3 Cars/Months 95 6.250.000 593.750.000

2.6.3 2.950.000.000

2.6.3.1 NTB Province _{1.437.500.000}

Mataram 1 3 Cars/Months ₄₉ _6.250.000 _306.250.000

Lombok Tengah 1 3 Cars/Months ₄₉ _6.250.000 _306.250.000

Lombok Timur 1 3 Cars/Months ₄₈ _6.250.000 _300.000.000

Bima 1 3 Cars/Months ₄₈ _6.250.000 _300.000.000

Sumbawa 1 3 Cars/Months ₃₆ _6.250.000 _225.000.000

2.6.3.2 NTT Province _900.000.000

Sumba Timur 1 3 Cars/Months ₄₈ _6.250.000 _300.000.000

Ende 1 3 Cars/Months ₄₈ _6.250.000 _300.000.000

Kota Kupang 1 3 Cars/Months ₄₈ _6.250.000 _300.000.000

2.6.3.3 BALI Province _612.500.000

Klungkung 1 3 Cars/Months 49 6.250.000 306.250.000

Kota Denpasar 1 3 Cars/Months 49 6.250.000 306.250.000

2.6.4 MOTORCYCLE (Minimun Y 2010 - Included O & M, Insurance etc)For Assistant CD Mnandiri of City Coordinators_240.500.000

2.6.4.1 NTB Province 27.500.000

Lombok Barat 1 3 MCycle/Months 49 500.000 24.500.000

Sumbawa 1 3 MCycle/Months 3 500.000 1.500.000

Kabupaten Bima 1 3 MCycle/Months 3 500.000 1.500.000

2.6.4.2 NTT Province 141.000.000

Fixed Rate

VEHICLES (Minimun Y 2010 - Included driver, O & M, Insurance etc) for City Coordinator Office Fixed Rate

Fixed Rate Fixed Rate Fixed Rate

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Belu 1 3 MCycle/Months 47 500.000 23.500.000 Sikka 1 3 MCycle/Months 48 500.000 24.000.000 Ngada 1 3 MCycle/Months 48 500.000 24.000.000 Manggarai 1 3 MCycle/Months 47 500.000 23.500.000 2.6.4.3 BALI Province 72.000.000 Badung 1 3 MCycle/Months 49 500.000 24.500.000 Buleleng 1 3 MCycle/Months 46 500.000 23.000.000 Gianyar 1 3 MCycle/Months 49 500.000 24.500.000 5.903.200.000 TOTAL Fixed Rate Fixed Rate

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2.7 REPORTING EXPENSES

2.7.1 REGULAR REPORT Time Eks Unit 59.625.000

Inception Report 0 15 Expl 30 50.000 1.500.000 Monthly Report 3 15 Expl 570 25.000 14.250.000 Quarterly Report 0 15 Expl 225 35.000 7.875.000 Annual Report 0 15 Expl 30 75.000 2.250.000 Draft Final Report 0 20 Expl 40 125.000 5.000.000 Final Report (Indonesia & English) 0 40 Expl 80 150.000 12.000.000 Executive Summary (Indonesia & English) 0 40 Expl 80 200.000 16.000.000

Inception Report II 15 50.000 750.000

2.7.2 SPECIAL REPORT Time Eks Unit 42.000.000

Performance Evaluation of OSP 0 15 Expl 135 75.000 10.125.000 Training Activity Report 0 50 Expl 150 75.000 11.250.000 Complaint Resolution Follow-up Report 3 5 Expl 215 75.000 16.125.000 Workshop Findings and Results 0 20 Expl 60 75.000 4.500.000

101.625.000 No.

TOTAL

DESCRIPTION

CONTRACT AMENDMENT 10

(36)

3.1.1 IN REGIONAL LEVELS (Denpasar) Time Days Ptcp Instr Unit 0

OSP Coordination Meeting 1 2 44 4 Man/Days 0 350.000 0

Kits 49 Piece 0 50.000 0

Speaker honorarium 4 Person 0 500.000 0

3.1.2 IN PROVINCIAL LEVELS Time Days Ptcp Instr Unit 57.596.600

a OSP Consolidation Bali 1 1 29 2 Man/Days 31 100.000 3.100.000

b OSP Consolidation NTB 1 1 41 2 Man/Days 43 100.000 4.300.000

c OSP Consolidation NTT 1 1 33 2 Man/Days 0 100.000 0

d Advance Training/Couching PLPBK for City

Coordinator Assistant UP 1 5 6 2 Man/Days 0 100.000 0

e Training for City Coordinators Assistants

(Infrastructure, Economic, Community Dev, MIS, 1 3 62 6 Man/Days 177 200.000 33.596.600

f Special Training for Kelurahan Facilitators (Technic) 1 3 108 10 Man/Days 0 200.000 0

g Special Training for Kelurahan Facilitators (Economic) 1 3 59 6 Man/Days 0 200.000 0

h Special Training for Kelurahan Facilitators (Social) 1 3 89 8 Man/Days 0 200.000 0

i Special Training for Senior Facilitators 1 3 60 6 Man/Days 78 200.000 15.600.000

j Training of AKP & Planning for Local Government 1 5 46 4 Man/Days 0 200.000 0

k Special Training for Technical Team of PLPBK 1 4 36 2 Man/Days 0 200.000 0

l Speaker honorarium 48 Person 2 500.000 1.000.000

3.1.3 IN CITY/REGENCY LEVELS Time Days Ptcp Instr Unit 34.275.000

a Thematic Discussion / Reflection of KBP 1 1 420 2 Man/Days 228 100.000 22.800.000

b Consolidation of Kelurahan Facilitators, City

Coordinators Assistants & City Coordinators 1 1 357 0 Man/Days 153 75.000 11.475.000

c Speaker honorarium 2 Person 0 500.000 0

91.871.600

3.2.1 IN REGIONAL LEVELS (Denpasar) Time Days Ptcp Instr Unit 0

OSP Coordination Meeting 2 2 44 4 Man/Days 0 350.000 0

Kits 49 Piece 0 50.000 0

a OSP Consolidation Bali 3 1 29 2 Man/Days 0 100.000 0

b OSP Consolidation NTB 3 1 41 2 Man/Days 0 100.000 0

c OSP Consolidation NTT 3 1 33 2 Man/Days 0 100.000 0

No. DESCRIPTION

3.2 BREAKDOWN OF TRAINING ACTIVITY 2014 [ FIXED ]

T O T A L

(37)

d AdvanceTraining/Couching PLPBK for City

Coordinator Assistant UP 3 5 6 2 Man/Days 0 100.000 0

e Special Training for Kelurahan Facilitators (Technic) 1 3 108 6 Man/Days 90 200.000 13.483.500

f Special Training for Kelurahan Facilitators (Economic) 1 3 59 4 Man/Days 48 200.000 7.633.150

g Special Training for Kelurahan Facilitators (Social) 1 3 89 6 Man/Days 48 200.000 7.637.050

h Special Training for Senior Facilitators 1 3 60 6 Man/Days 48 200.000 7.719.050

i Pelatihan Dasar Pemda 1 4 46 4 Man/Days 0 200.000 0

j Training of AKP & Planning for Local Government 1 5 46 2 Man/Days 0 200.000 0

k Training of Poverty Budgeting for Local Government 1 4 46 2 Man/Days 0 200.000 0

l Konsolidasi Pemandu Pelatihan Penguatan Pemda

dan Stakeholder 1 2 8 2 Man/Days 0 200.000 0

m Pelatihan Penguatan Pemda dan Stakeholder 1 5 108 8 Man/Days 0 350.000 0

n Konsolidasi Pemandu Pelatihan Penguatan Askot

dan Fasilitator 1 2 26 2 Man/Days 0 200.000 0

o Pelatihan Penguatan Askot dan fasilitator 1 5 383 26 Man/Days 0 200.000 0

Pelatihan Dasar PLPBK (Lokasi baru tahun 2012) 1 6 89 8 Man/Days 0 200.000 0

p Pelatihan Penguatan PLPBK (Lokasi baru 2012) 1 4 89 8 Man/Days 0 200.000 0

q Pelatihan Dasar PLPBK 1 6 125 16 Man/Days 498 200.000 71.038.500

r Pelatihan Penguatan PLPBK 1 4 125 16 Man/Days 0 200.000 0

s Pelatihan Tim Teknis PLPBK 1 4 41 6 Man/Days 0 350.000 0

t Konsolidasi Pemandu Pelatihan PLPBK 2 1 8 4 Man/Days 0 200.000 0

Pelatihan Dasar PLPBK 1 6 141 16 Man/Days 0 200.000 0

Pelatihan Penguatan PLPBK 1 4 141 16 Man/Days 0 200.000 0

Pelatihan Tim Teknis PLPBK 1 4 Man/Days 0 350.000 0

u Konsolidasi Pelatihan khusus Fasilitator 1 1 24 2 Man/Days 0 200.000 0

v Training for City Coordinators Assistants

(Infrastructure, Economic, Community Dev, MIS, 1 3 89 4 Man/Days 36 200.000 5.436.100

w Konsolidasi Pemandu Pelatihan KSB 2 1 6 3 Man/Days 0 200.000 0

Pelatihan Dasar KSB 1 6 52 12 Man/Days 0 200.000 0

Pelatihan Penguatan KSB 1 3 52 12 Man/Days 0 200.000 0

Narasumber 8 Person 2 500.000 1.000.000

3.2.3 IN CITY/REGENCY LEVELS Time Days Ptcp Instr Unit 12.650.000

a Thematic Discussion / Reflection of KBP 3 1 420 2 Man/Days 74 100.000 7.400.000

b Consolidation of Kelurahan Facilitators, City

Coordinators Assistants 6 1 357 0 Man/Days 70 75.000 5.250.000

c Speaker honorarium 2 Person 0 500.000 0

126.597.350

3.2.1 IN REGIONAL LEVELS (Denpasar) Time Days Ptcp Instr Unit 19.435.400

OSP Coordination Meeting 2 2 16 2 Man/Days 54 350.000 17.200.000

Kits 2 1 16 2 Piece 27 50.000 1.235.400

Speaker honorarium 2 Person 2 500.000 1.000.000

3.3 BREAKDOWN OF TRAINING ACTIVITY 2015 [ FIXED ] T O T A L

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a.3 OSP Consolidation NTT 2 1 32 2 Man/Days 34 100.000 3.400.000

b.1 Konsolidasi Pemandu Pelatihan Penguatan Program Lanjutan

1 1 36 8 Man/Days 42 200.000 8.400.000

b.2 Pelatihan Penguatan Program Lanjutan 1 5 362 36 Man/Days 1.785 200.000 356.248.600

c.1 Konsolidasi Pemandu Pelatihan Pemerintah Daerah 1 1 15 4 Man/Days 0 200.000 0

c.2 Pelatihan Pemerintah Daerah 1 3 149 15 Man/Days 0 350.000 0

d Pelatihan SIM 1 3 22 6 Man/Days 61 200.000 9.466.400

e Pelatihan Dasar PLPBK 1 6 50 6 Man/Days 186 200.000 36.715.000

f Pelatihan Penguatan PLPBK 1 3 50 6 Man/Days 93 200.000 18.600.000

g Pelatihan Tim Teknis Pemda 1 4 41 6 Man/Days 0 350.000 0

3.3.3 IN CITY/REGENCY LEVELS Time Days Ptcp Instr Unit 32.678.951

a Thematic Discussion / Reflection of KBP, city changer, FK BKM

2 1 440 40 Man/Days 142 100.000 14.200.000

b Consolidation of Kelurahan Facilitators, City Coordinators Assistants & City Coordinators

3 1 362 24 Man/Days 229 75.000 16.478.951

c Speaker honorarium 18 Person 4 500.000 2.000.000

489.344.351

3.2.1 IN REGIONAL LEVELS (Denpasar) Time Days Ptcp Instr Unit 29.200.000

OSP Coordination Meeting 1 2 16 2 Man/Days 67 350.000 23.450.000

Kits 1 1 16 2 Piece 55 50.000 2.750.000

Speaker honorarium 1 2 Person 6 500.000 3.000.000

a OSP Consolidation Bali 1 2 23 2 Man/Days 150 100.000 15.000.000

b OSP Consolidation NTB 1 2 31 2 Man/Days 198 100.000 19.800.000

c OSP Consolidation NTT 1 2 30 2 Man/Days 192 100.000 19.200.000

d Konsolidasi Pemandu Pelatihan Fasilitator 1 2 36 8 Man/Days 88 200.000 17.600.000

e Pelatihan Fasilitator

e.1 In class training 1 8 362 36 Man/Days 3.040 200.000 608.000.000

e.2 On the Job training (praktek lapangan) 1 2 362 36 760 50.000 38.000.000

e.3 Transport (sewa bus) 1 2 8 Days/Unit 16 3.000.000 48.000.000

e.4 Kits 1 1 380 36 394 50.000 19.700.000

f Konsolidasi Pemandu Pelatihan khusus Utk Fasilitator

1 2 9 4 Man/Days 15 350.000 5.250.000

g Pelatihan Fasilitator (lokasi 40 Kota/Kabupaten) 3.4 BREAKDOWN OF TRAINING ACTIVITY 2016 [ FIXED ]

T O T A L