CONTRACT AMENDMENT No. 4 PMAC C-10, …pamsimas.org/data/kontrak/amendment/Amandement 4 PMAC C...CONTRACT AMENDMENT No. 4 PMAC C-10, JATENG-1 DETAIL NOTES ON REVISION OF BUDGET FUNDING

CONTRACT AMENDMENT No. 4 PMAC C-10, JATENG-1 DETAIL NOTES ON REVISION OF BUDGET FUNDING PORTION OF IDA : GOI PROVINSIL MANAGEMENT ADVISORY CONSULTANT (PMAC) TO PROVINCIAL PROJECT MANAGEMENT UNITTHIRD WATER SUPPLY AND SANITATION FOR LOW INCOME COMMUNITIES (PAMSIMAS)

GOI PORTIONIDR USD IDR IDR USD

0 1 2 3 4 5 = 2 + 4 6 = 3Orginal Contract% Physical Contract Portion 100% 100% 0% 100% 100%

1 Physical Contract Value 12.993.556.800 109.718 0 12.993.556.800 109.7182 Value Added Tax (10% of 1)* 0 0 0 0 03 Contract Value (1 + 2)** 12.993.556.800 109.718 0 12.993.556.800 109.7184 Disbursed Physical Contract 0 0 0 0 05 Balance of Physical Contract Budget (1 - 4) 12.993.556.800 109.718 0 12.993.556.800 109.718

Amendment No. 1 to No. 2% Physical Contract Portion 100% 100% 0% 100% 100%

6 Physical Contract Value 14.024.906.000 0 0 14.024.906.000 07 Value Added Tax (10% of 6)* 0 0 0 0 08 Contract Value (6 + 7)** 14.024.906.000 0 0 14.024.906.000 09 Disbursed up to Physical Contract up to FY 2010 5.219.224.000 0 0 5.219.224.000 0

10 Disbursed Value Added Tax up to FY 2010 (10% of 10)*) 0 0 0 0 011 Disbursed up to Contract Value up to FY 2010 (9 + 10)**) 5.219.224.000 0 0 5.219.224.000 012 Balance of Physical Contract Budget (6 - 9) 8.805.682.000 0 0 8.805.682.000 0

Amendment No. 3 [Addendum 1] % Physical Contract Portion 15% 0% 85% 100% 100%

13 New Physical Contract (Addendum 1) 6.931.427.815 0 9.702.488.285 16.633.916.100 014 Value Added Tax (10% of 13)*) 0 0 970.248.829 970.248.829 015 New Contract Value (13 + 14) **) 6.931.427.815 0 10.672.737.114 17.604.164.929 016 New Balance of Physical Contract (13 - 9) 1.712.203.815 0 9.702.488.285 11.414.692.100 017 Disbursed up to Physical Contract FY 2011 691.372.986 0 3.917.780.250 4.609.153.236 018 Value Added Tax FY 2011 *) 0 0 391.778.025 391.778.025 019 Disbursed Contract Value FY 2011 (17 + 18) **) 691.372.986 0 4.309.558.275 5.000.931.261 020 Balance of Physical Contract Budget FY 2011 (16 - 17) 1.020.830.829 0 5.784.708.035 6.805.538.864 0

Amendment No. 4% Physical Contract Portion 50% 0% 50% 100% 100%

21 Physical Contract Balance Budget FY 2012 (% of 20) 3.402.769.432 0 3.402.769.432 6.805.538.864 022 Value Added Tax FY 2012 (10% of 21) *) 0 0 340.276.943 340.276.943 023 Balance Contract Budget FY 2012 (21 + 22) **) 3.402.769.432 0 3.743.046.375 7.145.815.807 0

24 TOTAL PHYSICAL CONTRACT 9.313.366.418 0 7.320.549.682 16.633.916.100 025 Total Value Added Tax 0 0 732.054.968 732.054.968 024 TOTAL CONTRACT VALUE 9.313.366.418 0 8.052.604.650 17.365.971.068 0

% Contract Portion 53,63% 46,37% 100,00%

*) not collected for IDA portion**) included VAT only for GOI portion

No. DESCRIPTION IDA PORTION TOTAL

CONTRACT AMENDMENT No. 4

To Contract

Number : 01/PKK/PMAC-C.10/2009 Dated : August 26, 2009

FOR

CONSULTANTS’ SERVICES

TIME BASED

FOR

PROVINCIAL MANAGEMENT ADVISORY CONSULTANT (PMAC)

TO THE PROVINCIAL PROJECT MANAGEMENT UNIT (PPMU)

PROVINCE OF CENTRAL JAVA

(PACKAGE C - 10)

BETWEEN

Satuan Kerja Pengembangan Kinerja Pengelolaan Air Minum

Provinsi Jawa Tengah

Dinas Cipta Karya dan Tata Ruang Provinsi Jawa Tengah

AND

PT. INDOMAS MULIA

Contract Amendment 4TH: 04 /PMAC-C.10/2011

Dated : January 30, 2012

SUMMARY OF CONTRACT

AMENDMENT 4th

1. Source of Fund : - IDA Credit No. 4204 – IND (Third Water Supply and

Sanitation for Low IncomeComunities/Pamsimas) and

- Government of Indonesia (Starting FY 2012-2013)

2. Name of Consultants : PT. INDOMAS MULIA

3. Contract No. and Date : - No. 01/PKK/PMAC-C.10/2009

- Date : August 26, 2009

- Amandement 1st : - No.01/PMAC-C.10/2009

- Date : November 06, 2009

- Amandement 2nd : - No.02/PMAC-C.10/2010

- Date : December 01, 2010

- Amandement 3rd : - No.03/PMAC-C.10/2011

(Addendum 1) - Date : August 09, 2011

Amandement 4th : - Date: January 30.2012

No.04/PMAC-C.10/2012

4. Domicile/Address : Jln. Kalibata Tengah No.6 Jakarta Selatan

5. Contract Amount : IDR 12.993.556.800 + USD 109,718

- Amandement 1st : IDR 14.024.906.000

- Amandement 2nd : IDR 14.024.906.000

- Amandement 3rd : IDR 17.604.164.929 (Incl.VAT 10% APBN Portion)

(Addendum 1)

Amandement 4th : IDR17.365.971.068 (Incl.VAT 10% APBN Portion)

6. Total eligible for financing

a) Total Contract Amendement 3rd : IDR 16.633.916.100 (Not Include 10% VAT of GOI Portion)

b) Total Disbursement Up to 2011 : IDR 5.910.596.986 (IDA Financing 100% Fy2010 +15% Fy2011)

c) Total Disbursement Up to 2011 :IDR 3.917.780.250 (APBN-RMP/GOI 85 %)

d) Outstanding Disbursement : IDR 6.805.538.864 (IDA : GOI=50%:50%)

1. Eligible IDA Financing (50%) : IDR 3.402.769.432

2. Eligible GOI Financing (50%) : IDR 3.402.769.432

7. Final Amount of eligible

financing of Amendement 4th

- IDA Portion (6b + d1) : IDR 9.313.366.418

- GOI Portion (6c+d2) : IDR 7.320.549.682

- VAT 10% of GOI Portion : IDR 732.054.968

- Total IDR 17.365.971.068 (Including of VAT 10% of GOI Portion)

8. Term of Payment : Advance Payment 10% and monthly payment

9. Brief Description of Service : Provision of Advisory service for the Provincial Management

Unit and District Project Management Unit in daily operation,

management and implementation of the Third Water Supply

and Sanitation for Low Income Communities – 3 (PAMSIMAS)

at the Province of Central Java

10. Date of Contract Completion : September 30, 2012

Semarang, January 30, 2012

Head of Satuan Kerja Pengembangan Kinerja

Pengelolaan Air Minum Jawa Tengah

Dinas Cipta Karya dan Tata Ruang

Provinsi Jawa Tengah

Ir. PURWANDI SP, MM

NIP. 1957125 198803 1 003

AMENDMENT 4th CONTRACT AGREEMENT

FOR CONSULTANT’S SERVICES

Number : 04/PMAC-C.10/2012 Dated : January 30, 2012

FOR PROVINCIAL MANAGEMENT ADVISORY CONSULTANT (PMAC)

TO THE PROVINCIAL PROJECT MANAGEMENT UNIT (PPMU) PROVINCE OF CENTRAL JAVA

(PACKAGE C-10)

NO : 01/PKK/PMAC-C.10/2009 DATED : AUGUST 26, 2009

This Contract Amendment for Contract No : 01/PKK/PMAC-C10/2009 date August 26, 2009 for Provincial Management Advisory Consultant (PMAC) to the Provincial Project Management Unit (PPMU) Province of Central Java (Package C-10) was made in Semarang on the day of Wednesday, dated Thirty in the month of January, in the year of Two Thousand and Twelve (30-01-2012)

Between

SATUAN KERJA PENGEMBANGAN KINERJA PENGELOLAAN AIR MINUM

PROVINSI JAWA TENGAH Dinas Cipta Karya dan Tata Ruang Provinsi Jawa Tengah

and

PT. INDOMAS MULIA

for

CONSULTING SERVICES

for

PROVINCIAL MANAGEMENT ADVISORY CONSULTANT (PMAC) TO THE PROVINCIAL PROJECT MANAGEMENT UNIT (PPMU)

PROVINCE OF CENTRAL JAVA (PACKAGE C-10)

With

Name : IR. ROHMAT RUSMA Position : DIRECTOR Address : Jln. Kalibata Tengah No.6 Jakarta Selatan On behalf of PT. INDOMAS MULIA, called as : SECOND PARTY.

Witnesses Both parties have agreed to make the Contract Amendment which bound either party and forming an integral part of the Contract Agreement No : 01/PKK/PMAC-C.10/2009 date August 26, 2009 Contract

Amendement 1st No. 01/PMAC-C10/2009 dated November 06, 2009, Contract Amandement 2nd No.2/PMAC-C10/2010 dated December 01, 2010 and Contract Amandement 3rd No.03/PMAC-C.10/2011 Date August 09, 2011 for Provincial Management Advisory Consultant (PMAC) to the Provincial Project Management Unit (PPMU) Province of Central Java (Package C-10) with the term and conditions as stipulated in the following articles WHEREAS

(a) Letter from the World Bank to the Directorate General of Debt Management No. CD/469/ PAMSIMAS/WSSLIC3/X/2011 dated October 19, 2011 regarding Amendment of Financing Agreement where the percentage of IDA eligible financing for consultants’ services was revised to 100% of expeditures incurred in FY 2008, FY 2009 and FY 2010 and 15% in FY 2011, and 50% thereafter;

(b) Letter from the Director of Water Supply Development to Satker PK-PAM No.: PR.01.03-Ca/04 regarding Contract Amendment PMAC Pamsimas dated January 09, 2012

(c) Letter from Satker PK-PAM to Consultant Management regarding Contract Amendment PMAC Pamsimas 1, 2 and 3 dated January 11, 2012

(d) Fiscal Year 2012 DIP allocation of sharing portion for the provincial Management Advisory Consultant (PMAC) Province of Central java from GOI Portion (50%) No. 0818/033-05.1.01/13/2012 Tanggal 09 Desember 2011.

(e) Peraturan Direktur Jenderal Perbendaharaan Nomor Per – 35/PB/2008 tanggal 23 juli 2008 tentang Petunjuk Pelaksanaan Penyaluran dan Pencairan Dana Pinjaman IDA Credit Number 4204-IND (Third Water Supply and Sanitation For Low-Income Communities Project-Pamsimas)

NOW THEREFORE the parties hereto hereby agree as follows: 1. The following documents shall be deemed to form an integral part of this addendum.

a. General Conditions of Contract – no change b. Special Conditions of Contract

Before (Contract amendement 3rd) - Clause 6.1 (b) – the ceiling of local currency is IDR 16.633.916.100 ( not include local taxes) - Amount Eligible for IDA Financing is IDR 6.931.427.815 - APBN Portion IDR 9.702.488.285 After (Contract amendement 3rd) - Clause 6.1 (b) – the ceiling of local currency is IDR 17.365.971.068 ( including 10% VAT of GOI Portion) - Amount Eligible for Financing is:

a) Eligible IDA Financing IDR 9.313.366.418 b) Eligible GOI Financing IDR 7.320.549.682 c) 10% VAT of GOI Portion IDR 732.054.968

2. To amend Appendix E – Cost Estimate in Local Currency to accommodate the changes in the contract period and additional personnel reffered to in 2) above and the associated cost and expenses.

3. All terms and conditions in the Contract other than those specifically revised by this Amendment shall remain in full force and effect.

IN WITNESS WHEREOF, the parties here to have caused the Contract Amendment 4th to be signed in their respective names and delivered at the principal office of the Employer as of the day and year first above written

For and be half For and be half

Pejabat Pembuat Komitmen Satuan Kerja Pengembangan Kinerja PT. INDOMAS MULIA Pengelolaan Air Minum Jawa Tengah Dinas Cipta Karya dan Tata Ruang Provinsi Jawa Tengah

Ir. ROHMAT RUSMA Ir. PURWANDI SP, MM

Director NIP. 1957125 198803 1 003

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C.10/2009: August 26, 2009

: PT. Indomas Mulia

Amend to

I 8.922.250.000

II 7.529.791.100

III 109.875.000

III 72.000.000

IV - -

- 16.633.916.100

732.054.968

17.365.971.068

a) Total Contract Amendement 3rd Addendum 1

b) Total Disbursement Up to 2011

c) Total Disbursement Up to 2011 d) Outstanding Disbursement FY 2012 - 2013 1. Eligible IDA Financing (50%) 2. Eligible GOI Financing (50%)10% VAT on APBN Portion : IDR 732.054.968Total Contract Amandement - 4

PT. INDOMAS MULIA

Ir. ROHMAT RUSMA

: IDR 3.402.769.432

: IDR 17.365.971.068 (Including of VAT 10% of GOI Portion)

Pengelolaan Air Minum Jawa Tengah

Contract Amandement - 3 (Addendum - 1)

: IDR 5.910.596.986 (IDA Financing 100% FY 2010 +15% FY 2011)

: IDR 3.917.780.250 (APBN-RMP/GOI 85%)

: IDR 3.402.769.432

REMUNERATION 8.922.250.000

Note : Ida eligible financing ; 100% up to including FY 2010 and 15% 2011

therefore 50%, and GOI Portion 85% FY 2011 Therefore 50%

Total Cost

Ten (10%) Management Fee for Trainer Salary 109.875.000

REIMBURSABLE 7.529.791.100

Contingency -

PROVINCIAL MANAGEMENT ADVISORY CONSULTANT TO THE PROJECT MANAGEMENT UNIT (PMAC)

PROVINCE CENTRAL JAVA - 1 PACKAGE C.10

IDA CREDIT NO. 4204-IND (THIRD WATER SUPPLY AND SANITATION FOR LOW INCOME COMMUNITIES/PAMSIMAS)

Contract No.

No. Cost Component Cost Variations Contract Amandement - 4

Dated

Consultant

TOTAL COST (Incl.10% VAT)

Ten (10%) Management Fee for LG & others 72.000.000

Kementerian Pekerjaan Umum

10% VAT on APBN Portion

thereafter IDA portion IDR 9.313.366.418 and APBN portion IDR 7.320.549.682

16.633.916.100

: IDR 16.633.916.100 (Not Include 10% VAT of GOI Portion)

Direktorat Jenderal Cipta Karya

Ir. PURWANDI SP, MM

Director NIP. 1957125 198803 1 003

REIMBURSABLE

Unit Cost Amount Unit Cost Amount Unit Cost Amount

A. Mobilization & Demobilization 8,373,600 2,347,200 10,720,800

Team Leader Man.Trip 1,173,600 1 x 1 = 1 1,173,600 - 1,173,600 1 x 1 = 1 1,173,600

WSE-CSS Man.Trip 400,000 9 x 1 = 9 3,600,000 - 400,000 9 x 1 = 9 3,600,000

HHS Man.Trip 400,000 9 x 1 = 9 3,600,000 - 400,000 9 x 1 = 9 3,600,000

LG Specialist 1,173,600 2 2,347,200 1,173,600 2 x 1 2 2,347,200

B. Office Operational 3,636,300,000 117,250,000 3,753,550,000

1 Office Space Rent

- Provincial Office m2.Month 40,000 120 x 36 = 4,320 172,800,000 - 40,000 120 x 36 = 4,320 172,800,000

- District Office m2.Month 25,000 75 x 36 x 9 = 24,300 607,500,000 - 25,000 75 x 36 x 9 = 24,300 607,500,000

2 Communication

- Provincial Office Unit.Month 700,000 1 x 36 = 36 25,200,000 - 700,000 1 x 36 = 36 25,200,000

- District Office Unit.Month 500,000 1 x 36 x 9 = 324 162,000,000 - 500,000 1 x 36 x 9 = 324 162,000,000

3 Ofiice Running Cost

- Provincial Office Unit.Month 550,000 1 x 36 = 36 19,800,000 - 550,000 1 x 36 = 36 19,800,000


4 Ofiice Comsumable

- Provincial Office Unit.Month 750,000 1 x 36 = 12 9,000,000 750,000 = 12 9,000,000

- Provincial Office Unit.Month 1,250,000 24 30,000,000 1,250,000 = 24 30,000,000


5 Desktop

a. Provincial Office :

- Computer Unit.Month 500,000 2 x 36 = 72 36,000,000 - 500,000 2 x 36 = 72 36,000,000

- Printer Unit.Month 300,000 1 x 36 = 36 10,800,000 - 300,000 1 x 36 = 36 10,800,000

b. District Based :

- Computer Unit.Month 500,000 2 x 36 x 9 = 648 324,000,000 - 500,000 2 x 36 x 9 = 648 324,000,000

- Printer A3 Unit.Month 300,000 1 x 36 x 9 = 324 97,200,000 - 300,000 1 x 36 x 9 = 324 97,200,000

LG Laptop Rental Computer (2 unit/month) Unit.Month 500,000 36 18,000,000 500,000 36 18,000,000

6 Survey Equipment

- District Office Set.Month 6,300,000 1 x 9 = 9 56,700,000 - 6,300,000 1 x 9 = 9 56,700,000

7 Reproduction

- Office Base Semarang Set 12,000,000 1 x 3 = - - 12,000,000 1 x 3 = -

- Office Base Demak Set 6,500,000 1 x 3 = - - 6,500,000 1 x 3 = -

- Office Base Rembang Set 6,500,000 1 x 3 = - - 6,500,000 1 x 3 = -

8 Rent Car

- Provincial Office Unit.Month 4,600,000 1 x 36 = 36 165,600,000 - 4,600,000 1 x 36 = 36 165,600,000

- District Office Unit.Month 4,500,000 1 x 36 x 9 = 324 1,458,000,000 - 4,500,000 1 x 36 x 9 = 324 1,458,000,000

9 Office Equipment

a. Provincial Office

- Furniture Set.Month 100,000 4 x 36 = 144 14,400,000 - 100,000 4 x 36 = 144 14,400,000

- Meeting Table Set.Month 100,000 1 x 36 = 36 3,600,000 - 100,000 1 x 36 = 36 3,600,000

- Faximile Set.Month 75,000 1 x 36 = 36 2,700,000 - 75,000 1 x 36 = 36 2,700,000

- UPS Set.Month 100,000 1 x 36 = 36 3,600,000 - 100,000 1 x 36 = 36 3,600,000

Altimeter rent/district 500,000 27 13,500,000 500,000.00 27 13,500,000

Theodolite rent 1,500,000 27 40,500,000 1,500,000.00 27 40,500,000

GPS Rent 750,000 27 20,250,000 750,000.00 27 20,250,000

Water test Kit/2 district - Purchase 5,000,000 5 25,000,000 5,000,000.00 5 25,000,000

b. District Office

- Furniture Set.Month 100,000 3 x 36 x 9 = 972 97,200,000 - 100,000 3 x 36 x 9 = 972 97,200,000

- Meeting Table Set.Month 100,000 1 x 36 x 9 = 324 32,400,000 - 100,000 1 x 36 x 9 = 324 32,400,000

- Faximile Set.Month 75,000 1 x 36 x 9 = - 75,000 1 x 36 x 9 = -

- UPS Set.Month 100,000 1 x 36 x 9 = - 100,000 1 x 36 x 9 = -

- Camera Digital Set.Month 100,000 1 x 36 x 9 = 324 32,400,000 - 100,000 1 x 36 x 9 = 324 32,400,000

No. Description UnitQuantityQuantity

Contract Amandement - 2 Cost Variations

Quantity


Unit Cost Amount Unit Cost Amount Unit Cost AmountNo. Description Unit

QuantityQuantity


Quantity


C. Housing Allowance

1 Housing Allowance 212,400,000 21,600,000 234,000,000

- Provincial Office Man.Month 500,000 1 x 36 = 36 18,000,000 - 500,000 1 x 36 = 36 18,000,000

- District Office Man.Month 300,000 2 x 36 x 9 = 648 194,400,000 - 300,000 2 x 36 x 9 = 648 194,400,000

LG Specialist 300,000 72 21,600,000 300,000 2 x 36 = 72 21,600,000

D. Miscellaneous Travel Expenses 1,317,998,400 686,510,400 2,004,508,800

1 Provincial Team Leader

a. Duty Travel to Jakarta

- Transportation Trip 1,173,600 1 x 19 = 19 22,298,400 - 1,173,600 1 x 19 = 19 22,298,400

- OSA Man.Day 500,000 1 x 3 x 19 = 57 28,500,000 - 500,000 1 x 3 x 19 = 57 28,500,000

b. Duty Travel to Kabupaten

- Transportation Trip 250,000 24 x 8 = 192 48,000,000 - 250,000 24 x 8 192 48,000,000

- OSA Man.Day 150,000 288 x 1 x 1 = 288 43,200,000 - 150,000 288 x 1 x 1 = 288 43,200,000

2 WSE-CSS + HSS Kabupaten

b. Duty Travel to Propincial

- Transportation Trip 250,000 24 x 8 = 384 96,000,000 - 250,000 24 x 8 384 96,000,000

- OSA Man.Day 150,000 16 x 2 x 36 = 1152 172,800,000 - 150,000 16 x 2 x 36 = 1152 172,800,000

c. Duty Travel to Village (each months)

- OSA Man.Day 100,000 18 x 14 x 36 = 9072 907,200,000 - 100,000 18 x 14 x 36 = 9072 907,200,000

d. Duty Travel to Jakarta

- Transportation (9 kab x 2 x 2 trip) Trip 1,173,600 36 42,249,600 1,173,600 9 x 2 x 2 = 36 42,249,600

- OSA Man.Day 500,000 144 72,000,000 500,000 9 x 2 x 2 x 4 = 144 72,000,000

Spot Cheking Provincial Level (TL, Trainer, Asmandat) Person-Day 250,000 70.00 17,500,000 250,000 70.00 17,500,000

Training and Coaching for Fasilitator

A.Regular Phase

a.Training of Trainers (TOT) / trips to Jakarta Trip 1,173,600 3 3,520,800 1,173,600 3 3,520,800

B.Sustainabiltiy Phase

a..Training of Trainers (TOT) / trips to Jakarta Trip 1,173,600 3 3,520,800 1,173,600 3 3,520,800

Training and Coaching for Fasilitator

A.Regular Phase

a. Training of Trainers (TOT) man.days 500,000 54 27,000,000 500,000 54 27,000,000

B.Sustainabiltiy Phase

a. Training of Trainers (TOT) man.days 500,000 54 27,000,000 500,000 54 27,000,000

C.Village Incentive grant (2 trip) to central 1,173,600 2 2,347,200 1,173,600 2 2,347,200

Village Incentive grant (2 trip x 10 days) to Central 500,000 20 10,000,000 500,000 20 10,000,000

Financial Assistant

a. FM Assistant to Province man.days 150,000 810.00 121,500,000 150,000 810.00 121,500,000

b. FM Assistant to Villages man.days 100,000 2268.00 226,800,000 100,000 2268.00 226,800,000

LG Specialist

duty travel to Jakarta 2 x 3 trip x 2 year 1,173,600 12 14,083,200 1,173,600 12 14,083,200

OSA to Jakarta 2 x 6 trip x 5 hari 500,000 60.00 30,000,000 500,000 60 30,000,000

TOT to Jakarta

duty travel to Jakarta 2 person x 2 trip x 2 year 1,173,600 8 9,388,800 1,173,600 8 9,388,800

OSA to Jakarta 2 x 2 trip x 7 hari x 2 year 500,000 56.00 28,000,000 500,000 56 28,000,000

Antar Kab/Kota (Inter districts)

LG Specialist (2 prs x 3 trip x 18 bln) 250,000 108 27,000,000 250,000 108 27,000,000

OSA to district to province (coordination meeting) (2 prs x 3 days x 18 bln) 150,000 108 16,200,000 150,000 108 16,200,000

Regional Workshop Bangda (Province)

LG Specialist (2 prs x 3 trip x 2 years) 250,000 12 3,000,000 250,000 12 3,000,000

OSA to district to province (2 prs x 3 trips x 3 days x 2 years) 150,000 36 5,400,000 150,000 36 5,400,000


QuantityQuantity


Quantity


E. Reporting 31,500,000 - 31,500,000

1 Inception Report Copies 50,000 15 = 15 750,000 - 50,000 15 = 15 750,000

2 The Monthly Reports Copies 25,000 15 x 36 = 540 13,500,000 - 25,000 15 x 36 = 540 13,500,000

3 The Quarterly Reports Copies 25,000 15 x 9 = 135 3,375,000 - 25,000 15 x 9 = 135 3,375,000

4 Performance Evaluation Reports Copies 50,000 15 x 6 = 90 4,500,000 - 50,000 15 x 6 = 90 4,500,000

5 The Annual Reports Copies 75,000 15 x 3 = 45 3,375,000 - 75,000 15 x 3 = 45 3,375,000

6 MIS Input Copies 75,000 15 x 1 = 15 1,125,000 - 75,000 15 x 1 = 15 1,125,000

7 Special Report Copies 75,000 15 x 1 = 15 1,125,000 - 75,000 15 x 1 = 15 1,125,000

8 Draft Final Report Copies 100,000 15 x 1 = 15 1,500,000 - 100,000 15 x 1 = 15 1,500,000

9 Final Report Copies 150,000 15 x 1 = 15 2,250,000 - 150,000 15 x 1 = 15 2,250,000

F. Duty Travel 156,541,200 - 156,541,200

Financial Management Specialist

Transportation Province to Jakarta Trip 1,173,600 1 x 8 = 8 9,388,800 1,173,600 1 x 8 = 8 9,388,800

Transportation Province to Kab/Kota Trip 250,000 1 x 9 x 9 = 81 20,250,000 250,000 1 x 9 x 9 = 81 20,250,000

Provincial Trainers

Transportation Province to Jakarta Trip 1,173,600 4 x 8 x 1 = 32 37,555,200 1,173,600 4 x 8 x 1 = 32 37,555,200

Transportation Province to Kab/Kota Trip 250,000 4 x 9 x 9 = 324 81,000,000 250,000 4 x 9 x 9 = 324 81,000,000

Asisten Management Data

Transportation Province to Jakarta Trip 1,173,600 2 x 1 x 1 = 2 2,347,200 1,173,600 2 x 1 x 1 = 2 2,347,200

Transportation Province to Kab/Kota Trip 250,000 = 24 6,000,000 250,000 = 24 6,000,000

G. Perdiem 177,750,000 - 177,750,000

Financial Management Specialist

Province to Jakarta Person Day 500,000 3 x 8 = 24 12,000,000 500,000 3 x 8 = 24 12,000,000

Province to Kab/Kota Person Day 150,000 1 x 9 x 9 = 81 12,150,000 150,000 1 x 9 x 9 = 81 12,150,000

Provincial Trainers

Province to Jakarta Person Day 500,000 3 x 4 x 8 = 96 48,000,000 500,000 3 x 4 x 8 = 96 48,000,000

Province to Kab/Kota Person Day 300,000 9 x 1 x 9 x 4 = 324 97,200,000 300,000 9 x 1 x 9 x 4 = 324 97,200,000

Asisten Management Data

Province to Jakarta Person Day 500,000 1 x 2 x 3 = 6 3,000,000 500,000 1 x 3 x 2 = 6 3,000,000

Province to Kab/Kota Person Day 150,000 4 x 1 x 9 = 36 5,400,000 150,000 4 x 1 x 9 = 36 5,400,000

H. Vehicle Rental 147,200,000 13,800,000 161,000,000

Provincial Office

Car (Rental) Unit Month 4,600,000 1 x 32 = 32 147,200,000 4,600,000 3 13,800,000 4,600,000 1 x 35 = 35 161,000,000

I. Office Equipment 25,642,800 - 25,642,800

Provincial Office (as ordered by Satker)

Office Equipment Completed (Office Renovation, PC, & Printer, ect) Ls 150,000,000 25,642,800 - 25,642,800

J. Office Operational Cost 24,000,000 2,250,000 26,250,000

Provincial Office

Office Supply Unit Month 500,000 1 x 15 = - - 1 x 15 = 15 -

Computer Consumables Unit Month 750,000 1 x 32 = 32 24,000,000 750,000 3 2,250,000 750,000 1 x 35 = 35 26,250,000

K. Reports 1,500,000 5,000,000 6,500,000

Financial Management Specialist Unit Month 50,000 15 x 1 = 15 750,000 50,000 30 1,500,000 50,000 15 x 3 = 45 2,250,000

Training Report Unit Month 50,000 15 x 1 = 15 750,000 50,000 30 1,500,000 50,000 15 x 3 = 45 2,250,000

LG Specialist Report Unit Month 50,000 50,000 40 2,000,000 50,000 5 x 8 = 40 2,000,000

L. Ten (10%) Management Fee for Trainer Salary 100,200,000 9,675,000 109,875,000

Ten (10%) Management Fee for LG & others 72,000,000 72,000,000

M. Contingency - -


QuantityQuantity


Quantity


N. Training 759,802,500 759,802,500

Trainning Refresher for Old Facilitators

a. Training materials & Kit package 400,000.00 65 26,000,000 400,000.00 65 26,000,000

b. Fullboard accomodation for participants (incl. meeting room & training kits) Person day 275,000.00 324 89,100,000 275,000.00 324 89,100,000

c. Transportation Cost round trip 250,000.00 65 16,200,000 250,000.00 65 16,200,000

1. Training for New and Replication Fasilitator

First Regular Training (18 days) - -

a. Training materials & Kit package 400,000.00 57.00 22,800,000 400,000.00 57 22,800,000



d. Bus rental for Field CLTS training activity round trip 3,000,000.00 2 6,000,000 3,000,000.00 2 6,000,000

Second Regular Training (5 days)




2. Sustainability Training (8 days)



c. Transportation Cost round trip 250,000.00 27.00 6,750,000 250,000.00 27 6,750,000

Training for district Govt (LG) at Provincial

a. Training materials & Kit package 400,000.00 72 28,800,000 400,000.00 72 28,800,000



Workshop Penyusunan Renstra AMPL

a. Meeting room and logistics package 1,500,000.00 8.00 12,000,000 1,500,000.00 8 12,000,000

b. Materials for Workshop activities package 150,000.00 80.00 12,000,000 150,000.00 80 12,000,000

c. Lunch, snacks and drinks package 125,000.00 80.00 10,000,000 125,000.00 80 10,000,000

O Coordination Meeting bi-monthly 27,720,000 27,720,000

Coordination Meeting with Dinkes 1 (Provincial) 6 prs PMAC + 2 (PU+Dinkes+PMD+Bappeda) 40,000 126.00 5,040,000 126 5,040,000

Coordination Meeting with Dinkes 2 - (District) 3 prs DMAC + PU+Dinkes+PMD+Bappeda x 9 District 40,000 567.00 22,680,000 567 22,680,000

P Printing Socialization Media 154,305,000 154,305,000

Printing

a. Poster 7 x 15 eks/Village 7 x 15 x 120 5,500 12600 69,300,000 5,500 12,600 69,300,000

b. Banner 2 eks/Village 2 x 120 150,000 240 36,000,000 150,000 240 36,000,000

c. Leaflet 30 eks/Village 30 x 120 2,500 3600 9,000,000 2,500 3,600 9,000,000

Delivery 15% 15% 17,145,000 17,145,000

Provisional Sum 20% 20% 22,860,000 22,860,000

Total Reimbursable Expenses 5,739,206,000 1,790,585,100 7,529,791,100

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KEMENTERIAN PEKERJAAN UMUMDIREKTORAT JENDERAL CIPTA KARYASATKER PTI{GIMBAIGA}{ KINERIA FEhrcU-OIAAI'{ AIR MIIII.JM JAWA TSGAFIJatan Gajah Mungkur Selatan No. 14 - 16 Telpon.024-8442050, Fax. 024-8411870 Semarang

Nomor :oolftL/PAMSIMAS -iTl0Ll20L2 Semarang, ll Januari 20t2Lampiran :

Kepada Yth:1. Direktur PT Widha2. Direktur PT Indomas Mulia3. PJS Kepala Cabang Utama Semarang PT Yodya Karya (Pesero)Di

Semarang

Perihal : Amandemen Kontrak PMAC 1,2 dan 3

Menunjuk surat Direktur Pengembangan Air Minum DJCK nomor : PR.01.03-Ca/04,

tanggal, 09 Januari 2A11 perihal : Amandemen Kontrak PMAC Pamsimas, dengan

hormat kami sampaikan hal-hal sebagai berikut :

1. Dimohon segera membuat usulan Amandemen kontrak, dengan

memperhatikan,' perubahan porsi pembayaran kontrak konsultan dengan

sumber dana IDA Cr 4204-lND untuk tahun 2012 dan 2013 yaitu 50% RM :

5A o/o lDA. pembiayaan tersebut berlaku untuk Koordinator (DMAC CD),

PMAC danCMAC.2. Usulan Amander"nent mohon sudah dilengkapi dengan semua persyaratan

pendukung untuk perubahan Amandemen.

3. Usulan Amandemen sudah kami terima pada tanggal 13 Januari 2012

sebagai bahan pembahasan dan selanjutnya untuk diteruskan ke pusat

sebelum akhir bulan Januari 2412.

Demifian disampaikan untuk dapat dipenuhi dan terima kasih.

ftf a f1003/

Tembusan kepada Ylh:1. CPMU Pamsimas2. PPMU Pamsimas Jawa Tengah3. Ass Bintek Satker PK-PAM Jateng4, TL PMAC wil1,2 dan 35, Pertinggal

KEM ENTE RIA N trEXfR]AAFJ U Tq iJ i"iDIR.EKTORAT ]ENDERt I CIPTA XA,RYADIREKTO RAT PENGEMBAf-IGAN AIR MIN U i'IlL PAmtv{JRA t{C. 20, KEBAYOR.AII 6TR -;{*'tBi:ril lB,P. O2l-727.96s,!'}, l:ar {P!-72-IJUitil

r,romor , Pft"' 0l'O3 t h/ryLampiran : 1 (satu)set

Kepada Yth.:

Kepaia Satker PKP-AIv1 Frovinsi Felaksana Fan:simas

di - Tempat

Jaka(a, t Janueri?Ql2

Perihal : Amandemen Kontrak PMAC Pamsimas

Menunjuk surat kami terdahulu kepada Saudara No. PR0i 03-Ca/646 ianggal 28 Noveniber 20f i

perihal Optimalisasi PelalGanaan Konlrak PMAC dan Ctr{AC Pamsimas, nraka dengan ini kami

harepkan perhatian Saudara lebih lanjut sebagai berikul :

1. Terclapat perubahan porsi pemlriayaan kcntrak jasa konsultan dengan surnber <lana IDA Cr. 42A4'

IND untuk tahun 2012 dan 2013, dari yang semirla 85o/o RM : 15 o/o IDA pada tahun 2011 menjadi

S09i RM : 50?ir lDA. Pembiayaan ini beriaku unluk Koordinator Fasilitator (Dhl/tC-CD), Pi'4AC Ca:t

Cf,,lAC.

Z. Sehubungan Cengan hal tersebut maka perlu scg€ra dilakukan antan,Jimen k:rilrak rrnltrk PTIAC

agar pembayaran kontrak yang berlaku saat irri dapet direalisasikan sesuai dengan porsi tersebul

yang lerdapat dalam DIPA TA. 2012.

3. Sambil menur,ggu persetujuan Bank DLu',ia uiiiuk perpatijangan wakiu korrtr-ak PMAC sarlri);-ti

clengan akhir bulan Februari 20i3, nraka niasirtg-n:asitrg Kepala Satker agar rrlelakuiiati

Anrandemen Kontrak unruk porsi pembia'yaan beruasarkan total nilai kontraii saai irti derrgatt [cLr;':i.i

lerlampir.

4. Amandemel kontr"ak yang telalr dltancaia.-rgani agar segera dikirimkan kepacla CP[v1U Patnsi;nas

seiarlbat-iambahrya sebelprn akhir buian Januari 2012 untuk diteruskan kepa<la Bank Durtia i;rietl;

ranQka revisi Fonn 384 sebagai dasar pembayaran kcnlrak di KFPN-

Dernikian disanrpaikan, dan aias perhatian Saudara kami ucapl'lan ierima kasih'

Direktur

Tei:lr:in disanPaikan k

i. Kelua CPMU PAlvlSlMAS, DJCK:

2. Ketua PPMU Provinsi Pelaksana PANrSlllA.S;,

3 Task Tearn Leader Pantsimas Bank Dunia:

1. i eant Leacler Cf!4AC Parnsinras,5 fen'1pdia Jasa Pfi4AC Pamsintas'

6. Pertirtggal

Documents

CONTRACT AMENDMENT No. 4 PMAC C-10, …pamsimas.org/data/kontrak/amendment/Amandement 4 PMAC C...CONTRACT AMENDMENT No. 4 PMAC C-10, JATENG-1 DETAIL NOTES ON REVISION OF BUDGET FUNDING