99,763,297 - pamsimas.orgpamsimas.org/data/kontrak/invoice/romsv/roms 5 - invoice 14 reguler,...

Contract No. : KU.08.08/Kontrak/Pamsimas/174/VIII/2013

Contract Date : August,27,2013

Amendment No. : No. 03, November 27, 2014

Invoice No. : 14 Reguler

Period Of Month Invoice : 19 (February 2015)

Back up : Time Sheet February 2015

TOTAL PREVIOUS

COMMULATIVE

TOTAL CLAIM THIS

INVOICE

TOTAL

COMMULATIVE BALANCE

Amount Amount Amount Amount

(Rp.) (Rp.) (Rp.) (Rp.)1 2 3 9=[5+8]

A REMUNERATION 19,723,500,000 20,034,000,000 7,780,306,667 - 7,780,306,667 12,253,693,333

1 Regional Team 1,764,000,000 1,833,000,000 757,300,000 - 757,300,000 1,075,700,000

2 Provincial Team 3,307,500,000 3,549,000,000 1,286,500,000 - 1,286,500,000 2,262,500,000

3 District Team 14,652,000,000 14,652,000,000 5,736,506,667 - 5,736,506,667 8,915,493,333

B REIMBURSABLE 19,584,375,000 30,156,949,674 9,195,369,671 99,763,297 9,295,132,968 20,861,816,706

1 Duty Travel 1 (APBN RM 80% + IBRD 20%) 757,440,000 - - - -

Total Management Duty Travel 37,872,000 - - - -

1. Spot Checking 2014-2015 and 2016 - 694,438,875 56,435,600 17,555,300 73,990,900 620,447,975

Management Fee 5% - 34,721,944 2,821,780 877,765 3,699,545 31,022,399

2. Monitoring Evaluation 2014-2015 and 2016 - 672,940,094 38,229,150 3,678,500 41,907,650 631,032,444

Management Fee 10% - 67,294,009 3,822,915 367,850 4,190,765 63,103,244

3. Coordination Meeting Reguler and Several Event - 1,798,897,500 62,182,250 26,340,000 88,522,250 1,710,375,250

Management Fee 10% - 179,889,750 6,218,225 2,634,000 8,852,225 171,037,525

4. National Meeting in Jakarta : as request/invitation by Owner - 98,400,000 - - - 98,400,000

Management Fee 10% - 9,840,000 - - - 9,840,000

2 Mobilization and Demobilization 295,940,000 204,700,000 49,790,899 - 49,790,899 154,909,101

Management Fee 5% of [2.1] 14,797,000 10,235,000 2,489,545 - 2,489,545 7,745,455

3 Office Space 1,484,400,000 2,300,400,000 1,388,050,000 - 1,388,050,000 912,350,000

4 Utilities Expenses (Office Supply, Consumable and Office Running Cost) 752,400,000 1,171,600,000 428,550,000 39,100,000 467,650,000 703,950,000

5 Office Equipment 371,600,000 713,580,000 371,600,000 1,095,000 372,695,000 340,885,000

6 Vehicle Rental 6,924,000,000 8,073,200,000 3,058,750,000 - 3,058,750,000 5,014,450,000

7 Communication 589,800,000 589,800,000 5,184,207 1,608,459 6,792,666 583,007,334

Management Fee 5% of [7.1 + 7.2] 29,490,000 29,490,000 259,210 80,423 339,633 29,150,367

8 Training 8,106,560,000 8,875,131,000 118,745,000 6,120,000 124,865,000 8,750,266,000

Management Fee 5% of [8.1 + 8.2 + 8.3.1 + 8.3.2 + 8.5 + 8.6 + 8.7 + 8.8] 175,226,000 231,647,502 5,902,250 306,000 6,208,250 225,439,252

9 Reporting 44,850,000 44,850,000 3,625,000 - 3,625,000 41,225,000

10 Training STBM Pamsimas TF - 094792 Th. 2013 637,600,000 585,960,000 - 585,960,000 51,640,000

Management Fee 5% of [10] 31,880,000 29,298,000 - 29,298,000 2,582,000

11 Provincial Training for District Assosiation ( IDA CR. 4204 IND ) 423,390,000 332,452,400 - 332,452,400 90,937,600

Management Fee 10% of [11.a] 42,339,000 33,245,240 - 33,245,240 9,093,760

12 COST FOR PAMSIMAS FACILITATORS - - - -

1. Sallary Pamsimas Facilitators 2,008,500,000 1,607,000,000 - 1,607,000,000 401,500,000

Management Fee 15% of [11.b1] 301,275,000 241,050,000 - 241,050,000 60,225,000

2. Operational Pamsimas Facilitators 558,100,000 444,280,000 - 444,280,000 113,820,000

Management Fee 10% of [11.b2] 55,810,000 44,428,000 - 44,428,000 11,382,000

13 Cost for District Association [TF 094792] Th. 2014 270,000,000 250,000,000 - 250,000,000 20,000,000

Management Fee 10% of [13] 27,000,000 25,000,000 - 25,000,000 2,000,000

C TOTAL = [C = A + B] 39,307,875,000 50,190,949,674 16,975,676,338 99,763,297 17,075,439,635 33,115,510,039

D.1 - IBRD FINANCING, [D.1 = 80% * (C-B.10 -B.11)] 31,446,300,000 36,668,044,539 10,706,370,158 79,810,638 10,786,180,796 25,881,863,743

D.2 - APBN RM FINANCING, [D.2 = 20% * (C-B.10 -B.11] 7,861,575,000 9,167,011,135 2,676,592,540 19,952,659 2,696,545,199 6,470,465,936

D.3 - VAT APBN RM, [D.3 = (10% * D.2)] 786,157,500 916,701,113 267,659,254 1,995,266 269,654,520 647,046,594

E.1 - IDA FINANCING, [E.1 = B.11] 465,729,000 365,697,640 - 365,697,640 100,031,360

F.1 - TF - 094792, [F.1 = (B.10+B.11.a.b.c)] 966,480,000 890,258,000 - 890,258,000 76,222,000

G.1 - APBN RM , [G.1 = 100%] 2,923,685,000 2,336,758,000 - 2,336,758,000 586,927,000

G.2 - VAT APBN RM, [G.2 = (10% * G.1)] 292,368,500 233,675,800 - 233,675,800 58,692,700

H GRAND TOTAL, [D = D.1 + D.2 + D.3 + D.4) 40,094,032,500 51,400,019,287 17,477,011,392 101,758,563 17,578,769,955 33,821,249,333

Jakarta, February 15, 2015

Prepared by :

Project Manager/ PPK Kegiatan Wilayah II PT. Tata Guna Patria

Satuan Kerja Pembinaan Pamsimas in JV with:

AHT Group Consultants

Diah Suryaningtyas, SIP, MM Ir. Satria Ernata

NIP. 19780425 200604 2 001 President Director of PT. Tata Guna Patria

CONTRACT ORIGINAL

[IDR] DESCRIPTION

CONTRACT

AMENDMENT No. 3

[IDR]

SUMMARY COST ESTIMATE

REGIONAL OVERSIGHT MANAGEMENT SERVICES (ROMS) - 5

COMMUNITY BASED WATER SUPPLY PROJECT (PAMSIMAS II)

AMENDMENT 3

NO.






1 3 13.00 14 15 13.00 15 13.00 15 13.00 15 13.00 15

2 MOBILIZATION AND DEMOBILIZATION - 204,700,000 49,790,899 - 49,790,899 204,700,000

2.1 Contract Regional Team - Jakarta to Province to Jakarta - - - -

2.1.1 Contract Project Manager Jakarta - Mataram - Jakarta r-trip 0.50 3,020,000 1,510,000 - 1,530,000 - - 1,530,000 - 1,510,000

2.1.2 Contract Data Management Jakarta - Mataram - Jakarta r-trip 0.50 3,020,000 1,510,000 - 250,000 - - 250,000 - 1,510,000

2.1.3 Contract LG Specialist Jakarta - Mataram - Jakarta r-trip 0.50 3,020,000 1,510,000 - - - - - - 1,510,000

2.1.4 Contract Trainer Coordinator Jakarta - Mataram - Jakarta r-trip 0.50 3,020,000 1,510,000 - - - - - - 1,510,000

2.1.5 Contract Local Transport r-trip 2.00 200,000 400,000 - - - - - - 400,000

2.2 Contract Provincial Team - Jakarta to Province to Jakarta - - - - - - - - - -

2.2.1 Contract Provincial Coordinator / LG Jakarta - Mataram - Jakarta r-trip 1.00 3,020,000 3,020,000 - 1,391,400 - - 1,391,400 - 3,020,000

Jakarta - Denpasar - Jakarta r-trip 0.50 3,050,000 1,525,000 - 250,000 - - 250,000 - 1,525,000

Jakarta - Kupang - Jakarta r-trip 0.50 4,750,000 2,375,000 - - - - - - 2,375,000

2.2.2 Contract Financial Management Specialist Jakarta - Mataram - Jakarta r-trip 1.00 3,020,000 3,020,000 - 1,664,500 - - 1,664,500 - 3,020,000

Jakarta - Denpasar - Jakarta r-trip 0.50 3,050,000 1,525,000 - 1,799,000 - - 1,799,000 - 1,525,000


2.2.3 Contract Quality Assurance Specialist Jakarta - Mataram - Jakarta r-trip 1.00 3,020,000 3,020,000 - 1,391,400 - - 1,391,400 - 3,020,000

Jakarta - Denpasar - Jakarta r-trip 0.50 3,050,000 1,525,000 - 250,000 - - 250,000 - 1,525,000


2.2.4 Contract Local Transport r-trip 9.00 200,000 1,800,000 - - - - - - 1,800,000

2.3 Contract District Team - Jakarta to Province to Jakarta - - - - - - - -

2.3.1 Contract District Coordinator Jakarta - Mataram - Jakarta r-trip 6.00 4,750,000 28,500,000 - 7,243,600 - - 7,243,600 - 28,500,000

Jakarta - Denpasar - Jakarta r-trip 1.00 4,750,000 4,750,000 - 1,391,400 - - 1,391,400 - 4,750,000

Jakarta - Kupang - Jakarta r-trip 5.00 3,050,000 15,250,000 - 29,989,600 - - 29,989,600 - 15,250,000

2.3.2 Contract Financial Management Assistant Jakarta - Mataram - Jakarta r-trip 6.00 4,750,000 28,500,000 - - - - - - 28,500,000

Jakarta - Denpasar - Jakarta r-trip 1.00 4,750,000 4,750,000 - - - - - - 4,750,000

Jakarta - Kupang - Jakarta r-trip 19.00 3,050,000 57,950,000 - 2,399,999 - - 2,399,999 - 57,950,000

2.3.3 Contract Local Transport (Province to District) r-trip 10.00 400,000 4,000,000 - 240,000 - - 240,000 - 4,000,000

2.3.4 Contract Local Transport (Province to District) r-trip 20.00 1,600,000 32,000,000 - - - - - - 32,000,000

Management Fee 5% of [2.1] - - 10,235,000 - 2,489,545 - - 2,489,545 - -

- - - -




AMENDMENT 3

AMOUNT [IDR]

Amendment Contract No. 3

VOL UNIT PRICE

[IDR]

NO. DESCRIPTIONRemarks

2

UNIT

VOL AMOUNT [IDR] VOL AMOUNT [IDR]

TOTAL PREVIOUS

COMMULATIVE TOTAL CLAIM THIS INVOICE TOTAL COMMULATIVE BALANCE


1 3 13.00 14 15 13.00 15 13.00 15 13.00 15 13.00 15

AMOUNT [IDR]


VOL UNIT PRICE

[IDR]


2

UNIT


TOTAL PREVIOUS



3 OFFICE SPACE (Rental) - 2,300,400,000 1,388,050,000 - - 1,388,050,000 912,350,000

3.1 Contract Regional Team & Prov. Team - - - -

3.1.1 Contract Regional & Provincial Team in Kupang 1 month 33.00 3,000,000 99,000,000 24.00 72,000,000 - 24.00 72,000,000 9.00 27,000,000

3.1.2 Contract Provincial Team in Kupang 2 month 33.00 2,100,000 69,300,000 12.00 25,200,000 - 12.00 25,200,000 21.00 44,100,000

3.1.3 Contract Provincial Team in Mataram month 36.00 2,100,000 75,600,000 24.00 50,400,000 - 24.00 50,400,000 12.00 25,200,000

3.1.4 Contract Office Running Cost month 108.00 1,000,000 108,000,000 24.00 51,000,000 - 24.00 51,000,000 84.00 57,000,000

- - - - - - -

3.2 Contract District Team - - - - - - - -

3.2.1 Contract District Team in Mataram 6 month 33.00 1,700,000 336,600,000 144.00 244,800,000 - 144.00 244,800,000 54.00 91,800,000

3.2.2 Contract District Team in Bali 1 month 33.00 1,700,000 56,100,000 24.00 40,800,000 - 24.00 40,800,000 9.00 15,300,000

3.2.3 Contract District Team in Kupang 9 month 36.00 1,700,000 550,800,000 252.00 428,400,000 - 252.00 428,400,000 72.00 122,400,000

10 month 33.00 1,700,000 561,000,000 204.00 346,800,000 - 204.00 346,800,000 126.00 214,200,000

3.2.4 Contract Office Running Cost month 360.00 500,000 180,000,000 70.00 50,700,000 - 70.00 50,700,000 290.00 129,300,000

month 528.00 500,000 264,000,000 110.00 77,950,000 - 110.00 77,950,000 418.00 186,050,000

- - - -

4 UTILITIES EXPENSES - 1,171,600,000 428,550,000 39,100,000 - 467,650,000 703,950,000

4.1 Contract Regional and Province - - - -

4.1.1 Contract Office Supply and Consumable month 33.00 1,200,000 39,600,000 - - -

Office Supply, Consumable and Office Running Cost 75.00 2,200,000 165,000,000 31.73 71,600,000 3.00 6,600,000 34.73 78,200,000.00 73.27 126,400,000.00

4.2 Contract District - - - - -

4.1.2 Contract Office Supply and Consumable month 110.00 750,000 82,500,000 - - - -

month 176.00 750,000 132,000,000 - - - -

Office Supply, Consumable and Office Running Cost (Old) 250.00 1,250,000 312,500,000 100.00 138,500,000 10.00 12,500,000 110.00 151,000,000 250.00 244,000,000.00

Office Supply, Consumable and Office Running Cost (New) 352.00 1,250,000 440,000,000 158.00 218,450,000 16.00 20,000,000 174.00 238,450,000 354.00 333,550,000.00

5 OFFICE EQUIPMENT - 713,580,000 371,600,000 1,095,000 372,695,000 340,885,000

5.1 Contract Notebook Computer (Regional+Provincial+District) unit 39.00 5,000,000 195,000,000 39.00 195,000,000 39.00 195,000,000 - -

Amd Notebook Computer (District-FMA) unit 26.00 5,000,000 130,000,000 - - - - - 26.00 130,000,000

5.2 Contract Portable Computer for Supporting Regional unit 2.00 3,500,000 7,000,000 2.00 7,000,000 - 2.00 7,000,000 - -

Amd Portable Computer for Supporting Regional and Province unit 4.00 3,500,000 14,000,000 - - - - - 4.00 14,000,000

Computer Desk /Work Table & Chair unit 4.00 500,000 2,000,000 - - - - - 4.00 2,000,000

5.3 Contract Portable Computer + Printer for Supporting District unit 26.00 5,000,000 130,000,000 26.00 130,000,000 - 26.00 130,000,000 - -

5.4 Contract Printer Laserjet unit 3.00 2,500,000 7,500,000 3.00 7,500,000 - 3.00 7,500,000 - -

5.5 Contract Printer Colour A3 unit 3.00 3,000,000 9,000,000 3.00 9,000,000 - 3.00 9,000,000 - -

5.6 Contract Scanner unit 3.00 1,500,000 4,500,000 3.00 4,500,000 - 3.00 4,500,000 - -

Amd Scanner for District unit 26.00 1,500,000 39,000,000 - - - - - 26.00 39,000,000

5.7 Contract Facsimilie unit 3.00 1,000,000 3,000,000 3.00 3,000,000 - 3.00 3,000,000 - -

1 3 13.00 14 15 13.00 15 13.00 15 13.00 15 13.00 15

AMOUNT [IDR]


VOL UNIT PRICE

[IDR]


2

UNIT


TOTAL PREVIOUS



5.8 Contract Digital Camera unit 3.00 1,000,000 3,000,000 3.00 3,000,000 - 3.00 3,000,000 - -

Amd Digital Camera for District unit 26.00 1,000,000 26,000,000 - - - - - 26.00 26,000,000

5.9 Contract GSM Modem + SIM Card unit 3.00 500,000 1,500,000 3.00 1,500,000 - 3.00 1,500,000 - -

GSM Modem + SIM Card for District unit 6.00 500,000 3,000,000 - - - - - 6.00 3,000,000

5.10 Contract Router, LAN Peripheral unit 3.00 700,000 2,100,000 3.00 2,100,000 - 3.00 2,100,000 - -

5.11 Contract GPS unit 6.00 1,500,000 9,000,000 6.00 9,000,000 - 6.00 9,000,000 - -

Amd GPS for District 20.00 3,800,000 76,000,000 - - - - - 20.00 76,000,000

5.12 Amd LCD Projector unit 3.00 6,000,000 18,000,000 - - - - - 3.00 18,000,000

Maintenance Office Equipment (5%) 33,980,000 - - 1,095,000 - 1,095,000 - 32,885,000

- - - -

6 VEHICLE RENTAL - 8,073,200,000 3,058,750,000 - 3,058,750,000 5,014,450,000

6.1 Regional and Province - - - -

6.1.1 Contract Car Rental include Driver & O&M (Regional) 36.00 8,000,000 288,000,000 14.00 112,000,000 - 14.00 112,000,000 22.00 176,000,000

6.1.2 Contract Car Rental include Driver & O&M (Provincial) 108.00 8,000,000 864,000,000 47.00 376,000,000 - 47.00 376,000,000 61.00 488,000,000

6.2 District - - - - - -

6.2.1 Contract Car Rental & O&M (Old District) 130.00 6,500,000 845,000,000 - - - - - -

6.2.2 Contract Car Rental & O&M (New District) 208.00 6,500,000 1,352,000,000 - - - - - -

6.2.1 Amd Car Rental Include Driver & O&M (Old District) 230.00 7,900,000 1,817,000,000 171.00 1,176,500,000 - 171.00 1,176,500,000 189.00 1,485,500,000

6.2.2 Amd Car Rental Include Driver & O&M (New District) 368.00 7,900,000 2,907,200,000 214.50 1,394,250,000 214.50 1,394,250,000 361.50 2,864,950,000

7 COMMUNICATION 589,800,000 5,184,207 1,608,459 6,792,666 583,007,334

7.1 Regional and Province -

7.1.1 Contract Telephone and Postage month 108.00 1,000,000 108,000,000 - 3,400,230 798,459 - 4,198,689 - 103,801,311

7.1.2 Contract Internet Connection for Office month 108.00 350,000 37,800,000 - - - - - 37,800,000

7.2 District - - - - - - -

7.2.1 Contract Telephone and Internet Connection (Old) month 360.00 500,000 180,000,000 - 797,000 - 797,000 - 179,203,000

Contract Telephone and Internet Connection (New) month 528.00 500,000 264,000,000 - 986,977 810,000 - 1,796,977 - 262,203,023

Management Fee 5% of [7.1 + 7.2] 29,490,000 259,210 80,423 - 339,633 - 29,150,367

- - -

8 TRAINING - - 8,875,131,000 - 118,745,000 6,120,000 - 124,865,000 - 8,750,266,000

8.1 Pelatihan FM Ass. dan Data Entry Operator - - - - - - - - -

8.1.1 Peserta - - - - - - - -

a Contract Paket Fullboard days - 250,000 - - - - - - - -

b Contract Transportation time - 200,000 - - - - - - - -

8.1.2 Pelatih - - - - - - - -

a Contract Accomodation days - 400,000 - - - - - - - -

b Contract Training Material + Kit paket - 50,000 - - - - - - - -

Management Fee 5% of [8.1.1b + 8.1.2b] - - - -

1 3 13.00 14 15 13.00 15 13.00 15 13.00 15 13.00 15

AMOUNT [IDR]


VOL UNIT PRICE

[IDR]


2

UNIT


TOTAL PREVIOUS



- - - -

8.1 Amd Pelatihan FM Ass. dan Data Entry Operator - - - -

8.1.1 Amd Kupang - Nusa Tenggara Timur - - - -

8.1.1.1 Amd Peserta - - - -

a Amd Paket Fullboard days 114.00 200,000 22,800,000 - - - - - 114.00 22,800,000

b Amd Transportation include Inland Transport - - - - - - - - -

Amd 1. District Timor Tengah Selatan r.trip 2.00 90,000 180,000 - - - - - 2.00 180,000

Amd 2. District Manggarai r.trip 2.00 2,925,000 5,850,000 - - - - - 2.00 5,850,000

Amd 3. District Sumba Barat r.trip 2.00 2,940,000 5,880,000 - - - - - 2.00 5,880,000

Amd 4. District Timor Tengah Utara r.trip 2.00 150,000 300,000 - - - - - 2.00 300,000

Amd 5. District Rote Ndao r.trip 2.00 600,000 1,200,000 - - - - - 2.00 1,200,000

Amd 6. District Sikka r.trip 2.00 1,440,000 2,880,000 - - - - - 2.00 2,880,000

Amd 7. District Manggarai Barat r.trip 2.00 2,925,000 5,850,000 - - - - - 2.00 5,850,000

Amd 8. District Alor r.trip 2.00 2,840,000 5,680,000 - - - - - 2.00 5,680,000

Amd 9. District Kupang r.trip 2.00 100,000 200,000 - - - - - 2.00 200,000

Amd 10. District Lembata r.trip 2.00 1,940,000 3,880,000 - - - - - 2.00 3,880,000

Amd 11. District Sumba Tengah r.trip 2.00 2,840,000 5,680,000 - - - - - 2.00 5,680,000

Amd 12. District Sabu Raijua r.trip 2.00 2,840,000 5,680,000 - - - - - 2.00 5,680,000

Amd 13. District Sumba Barat Daya r.trip 2.00 2,640,000 5,280,000 - - - - - 2.00 5,280,000

Amd 14. District Sumba Timur r.trip 2.00 2,640,000 5,280,000 - - - - - 2.00 5,280,000

Amd 15. District Manggarai Timur r.trip 2.00 2,640,000 5,280,000 - - - - - 2.00 5,280,000

Amd 16. District Flores Timur r.trip 2.00 1,940,000 3,880,000 - - - - - 2.00 3,880,000

Amd 17. District Belu r.trip 2.00 250,000 500,000 - - - - - 2.00 500,000

Amd 18. District Nagekeo r.trip 2.00 2,840,000 5,680,000 - - - - - 2.00 5,680,000

Amd 19. District Ende r.trip 2.00 1,840,000 3,680,000 - - - - - 2.00 3,680,000

c Amd OSA (Fixed) days 152.00 130,000 19,760,000 - - - - - 152.00 19,760,000

d Amd Training Material + Kit paket 38.00 250,000 9,500,000 - - - - - 38.00 9,500,000

- - - - - - -

8.1.2 Amd Mataram - Nusa Tenggara Barat - - - - - - -

8.1.2.1 Amd Peserta - - - - - - -


b Amd Transportation - - - - - - - -

Amd 1. District Tabanan r.trip 2.00 2,919,000 5,838,000 - - - - - 2.00 5,838,000

Amd 2. District Lombok Utara r.trip 2.00 420,000 840,000 - - - - - 2.00 840,000

Amd 3. District Lombok Timur r.trip 2.00 577,500 1,155,000 - - - - - 2.00 1,155,000

Amd 4. District Bima r.trip 2.00 2,730,000 5,460,000 - - - - - 2.00 5,460,000

Amd 5. District Lombok Tengah r.trip 2.00 300,000 600,000 - - - - - 2.00 600,000

Amd 6. District Sumbawa r.trip 2.00 3,097,500 6,195,000 - - - - - 2.00 6,195,000

Amd 7. District Dompu r.trip 2.00 3,097,500 6,195,000 - - - - - 2.00 6,195,000


d Amd Training Material + Kit paket 14.00 250,000 3,500,000 - - - - - 14.00 3,500,000

1 3 13.00 14 15 13.00 15 13.00 15 13.00 15 13.00 15

AMOUNT [IDR]


VOL UNIT PRICE

[IDR]


2

UNIT


TOTAL PREVIOUS



8.1.2.2 Amd Pelatih - - - - - - -


b Amd Transport for DMS and TC r-trip 2.00 3,446,000 6,892,000 - - - - - 2.00 6,892,000


Management Fee 5% of [8.1.1.1b, c, d + 8.1.2.1b, c, d + 8.1.2.2b, c] 8,108,952 - - - - - 8,108,952

- - - - -

8.2 Expert Group Meeting - Central - - 42,120,000 - 13,200,000 6,120,000 - 19,320,000 - 22,800,000

8.2.1 Contract Regional Team - Air Fare Province to Jakarta days - - - - - - - - - -

8.2.2 Contract Provincial Team - Air Fare Province to Jakarta days - - - - - - - - - -

8.2.3 Contract Inland Transport - Regional and Provincial Team - - - - - - - - - -

8.2.4 Contract OSA (Fixed) - Regional Team days - 300,000 - - - - - - - -

8.2.5 Contract OSA (Fixed) - Provincial Team days - 300,000 - - - - -

Amd OSA (Fixed) - Regional Team days 72.00 180,000 12,960,000 - - 7.00 1,260,000 7.00 1,260,000 65.00 11,700,000

Amd OSA (Fixed) - Provincial Team days 162.00 180,000 29,160,000 22.00 13,200,000 27.00 4,860,000 49.00 18,060,000 113.00 11,100,000

Management Fee 5% of [8.2.4 + 8.2.5] - - 2,106,000 - 660,000 306,000 - 966,000 - 1,140,000

- - - -

8.3 Expert Group Meeting - Regional - 1,289,070,000 - - - - - - 1,289,070,000

Contract Fullboard package for district team days - 150,000 - - - - - - - -

Contract Fullboard package for provincial team days - 250,000 - - - - - - - -

Contract Fullboard package for regional team days - 360,000 - - - - - - - -

8.3.1 Air Transport [Economy Class] - - - - - - - - -

a Contract Regional Team/ Mataram r-trip - 1,300,000 - - - - - - - -

b Contract Regional Team/ Mataram r-trip - 7,700,000 - - - - - - - -

8.3.2 Inland Transport - - - - - - - - -

a Contract District Team/ Denpasar r-trip - 200,000 - - - - - - - -

b Contract District Team/ Mataram r-trip - 200,000 - - - - - - - -

c Contract District Team/ Kupang r-trip - 1,600,000 - - - - - - - -

8.3.3 Contract OSA (Fixed) days - 200,000 - - - - - - - -

Expert Group Meeting - Regional - - - - - - -

Amd Fullboard package for district team days 720.00 150,000 108,000,000 - - - - - 720.00 108,000,000

Amd Fullboard package for provincial team days 108.00 250,000 27,000,000 - - - - - 108.00 27,000,000

1 3 13.00 14 15 13.00 15 13.00 15 13.00 15 13.00 15

AMOUNT [IDR]


VOL UNIT PRICE

[IDR]


2

UNIT


TOTAL PREVIOUS



Amd Fullboard package for regional team days 48.00 360,000 17,280,000 - - - - - 48.00 17,280,000

Transport - - - - - - - - - -

District Team/ Denpasar - - - - - - - - - -

1. District Tabanan - Kupang r-trip 18.00 3,060,000 55,080,000 - - - - - 18.00 55,080,000

District Team/ Mataram - - - - - - - - - -

1. District Lombok Utara - Kupang r-trip 18.00 1,950,000 35,100,000 - - - - - 18.00 35,100,000

2. District Lombok Timur - Kupang r-trip 18.00 2,050,000 36,900,000 - - - - - 18.00 36,900,000

3. District Bima - Kupang r-trip 18.00 1,750,000 31,500,000 - - - - - 18.00 31,500,000

4. District Lombok Tengah - Kupang r-trip 18.00 1,550,000 27,900,000 - - - - - 18.00 27,900,000

5. District Sumbawa - Kupang r-trip 18.00 2,660,000 47,880,000 - - - - - 18.00 47,880,000

6. District Dompu - Kupang r-trip 18.00 2,535,000 45,630,000 - - - - - 18.00 45,630,000

District Team/ Kupang - - - - - - - - - -

1. District Timor Tengah Selatan - Kupang r-trip 18.00 90,000 1,620,000 - - - - - 18.00 1,620,000

2. District Manggarai - Kupang r-trip 18.00 2,925,000 52,650,000 - - - - - 18.00 52,650,000

3. District Sumba Barat - Kupang r-trip 18.00 2,940,000 52,920,000 - - - - - 18.00 52,920,000

4. District Timor Tengah Utara - Kupang r-trip 18.00 150,000 2,700,000 - - - - - 18.00 2,700,000

5. District Rote Ndao - Kupang r-trip 18.00 600,000 10,800,000 - - - - - 18.00 10,800,000

6. District Sikka - Kupang r-trip 18.00 1,440,000 25,920,000 - - - - - 18.00 25,920,000

7. District Manggarai Barat - Kupang r-trip 18.00 2,925,000 52,650,000 - - - - - 18.00 52,650,000

8. District Alor - Kupang r-trip 18.00 2,840,000 51,120,000 - - - - - 18.00 51,120,000

9. District Kupang - Kupang r-trip 18.00 100,000 1,800,000 - - - - - 18.00 1,800,000

10. District Lembata - Kupang r-trip 18.00 1,940,000 34,920,000 - - - - - 18.00 34,920,000

11. District Sumba Tengah - Kupang r-trip 18.00 2,840,000 51,120,000 - - - - - 18.00 51,120,000

12. District Sabu Raijua - Kupang r-trip 18.00 2,840,000 51,120,000 - - - - - 18.00 51,120,000

13. District Sumba Barat Daya - Kupang r-trip 18.00 2,640,000 47,520,000 - - - - - 18.00 47,520,000

14. District Sumba Timur - Kupang r-trip 18.00 2,640,000 47,520,000 - - - - - 18.00 47,520,000

15. District Manggarai Timur - Kupang r-trip 18.00 2,640,000 47,520,000 - - - - - 18.00 47,520,000

16. District Flores Timur - Kupang r-trip 18.00 1,940,000 34,920,000 - - - - - 18.00 34,920,000

17. District Belu - Kupang r-trip 18.00 250,000 4,500,000 - - - - - 18.00 4,500,000

18. District Nagekeo - Kupang r-trip 18.00 2,840,000 51,120,000 - - - - - 18.00 51,120,000

19. District Ende - Kupang r-trip 18.00 1,840,000 33,120,000 - - - - - 18.00 33,120,000

OSA (Fixed) days 1,548.00 130,000 201,240,000 - - - - - 1,548.00 201,240,000

Management Fee 5% of [8.3.1 + 8.3.2 + 8.3.3] 64,453,500 - - - - - 64,453,500

- - - -

1 3 13.00 14 15 13.00 15 13.00 15 13.00 15 13.00 15

AMOUNT [IDR]


VOL UNIT PRICE

[IDR]


2

UNIT


TOTAL PREVIOUS



8.4 Contract OJT Fasilitator - 351,000,000 - - - - 351,000,000

8.4.1 Contract Training Material + Kit days 2,808.00 50,000 140,400,000 - - - - - 2,808.00 140,400,000

8.4.2 Contract Meals, Snack paket 2,808.00 75,000 210,600,000 - - - - 2,808.00 210,600,000

8.5 Contract Pelatihan Penguatan BPSPAM in District - 2,110,160,000 - - - - - - 2,110,160,000

8.5.1 Contract Paket Fullboard Participant days 5,200.00 250,000 1,300,000,000 - - - - 5,200.00 1,300,000,000

8.5.2 Contract Paket Fullday for DPMU + TKK days 416.00 350,000 145,600,000 - - - - 416.00 145,600,000

8.5.3 Contract Uang Saku Participant days 5,200.00 50,000 260,000,000 - - - - 5,200.00 260,000,000

8.5.4 Contract Uang Transport Participant time 1,300.00 200,000 260,000,000 - - - - 1,300.00 260,000,000

8.5.5 Contract Spanduk unit 104.00 140,000 14,560,000 - - - - 104.00 14,560,000

8.5.6 Contract Training Material + Kit paket 1,300.00 100,000 130,000,000 - - - - 1,300.00 130,000,000

Management Fee 5% of [8.5.3 + 8.5.4 + 8.5.5 + 8.5.6] - 33,228,000 - - - - - - 33,228,000

- - - -

8.6 Pelatihan Kader AMPL in District - 2,110,160,000 - - - - - - 2,110,160,000

8.6.1 Contract Paket Fullboard Participant days 5,200.00 250,000 1,300,000,000 - - - - - 5,200.00 1,300,000,000

8.6.2 Contract Paket Fullday for DPMU + TKK days 416.00 350,000 145,600,000 - - - - - 416.00 145,600,000

8.6.3 Contract Uang Saku Participant days 5,200.00 50,000 260,000,000 - - - - - 5,200.00 260,000,000

8.6.4 Contract Uang Transport Participant time 1,300.00 200,000 260,000,000 - - - - - 1,300.00 260,000,000

8.6.5 Contract Spanduk unit 104.00 140,000 14,560,000 - - - - - 104.00 14,560,000

8.6.6 Contract Training Material + Kit paket 1,300.00 100,000 130,000,000 - - - - - 1,300.00 130,000,000

Management Fee 5% of [8.6.1 + 8.6.2 + 8.6.3 + 8.6.4] - 33,228,000 - - - - - - 33,228,000

- - -

8.7 Workshop RAD AMPL 780,000,000 - 104,845,000 - 104,845,000 - 675,155,000

1. Contract Workshop RAD AMPL (in district) paket 156.00 5,000,000 780,000,000 20.00 104,845,000 - 20.00 104,845,000 136.00 675,155,000

Management Fee 5% of [8.7] - 39,000,000 - 5,242,250 - 5,242,250 - 33,757,750

- - - -

8.8 Workshop Forum/Asosiasi BPSPAM in Province - 724,950,000 - - - - - 724,950,000

8.8.1 Contract Paket Fullboard Participant + DPMU + TKK days 520.00 360,000 187,200,000 - - - - - 520.00 187,200,000

1 3 13.00 14 15 13.00 15 13.00 15 13.00 15 13.00 15

AMOUNT [IDR]


VOL UNIT PRICE

[IDR]


2

UNIT


TOTAL PREVIOUS



8.8.2 Contract Uang Transport Participant time - 200,000 - - - - - - - -

Contract Uang Transport Participant time - 200,000 - - - - - - - -

Amd Uang Transport Participant - Nusa Tenggara Barat - - - - - - - - - -

Amd 1. District Tabanan 10.00 2,919,000 29,190,000 - - - - - 10.00 29,190,000

Amd 2. District Lombok Utara 10.00 577,500 5,775,000 - - - - - 10.00 5,775,000

Amd 3. District Lombok Timur 10.00 577,500 5,775,000 - - - - - 10.00 5,775,000

Amd 4. District Bima 10.00 2,730,000 27,300,000 - - - - - 10.00 27,300,000

Amd 5. District Lombok Tengah 10.00 300,000 3,000,000 - - - - - 10.00 3,000,000

Amd 6. District Sumbawa 10.00 3,097,500 30,975,000 - - - - - 10.00 30,975,000

Amd 7. District Dompu 10.00 3,097,500 30,975,000 - - - - - 10.00 30,975,000

Amd Uang Transport Participant - Nusa Tenggara Timur - - - - - - - - - -

Amd 1. District Timor Tengah Selatan 10.00 90,000 900,000 - - - - - 10.00 900,000

Amd 2. District Manggarai 10.00 2,925,000 29,250,000 - - - - - 10.00 29,250,000

Amd 3. District Sumba Barat 10.00 2,940,000 29,400,000 - - - - - 10.00 29,400,000

Amd 4. District Timor Tengah Utara 10.00 150,000 1,500,000 - - - - - 10.00 1,500,000

Amd 5. District Rote Ndao 10.00 600,000 6,000,000 - - - - - 10.00 6,000,000

Amd 6. District Sikka 10.00 1,440,000 14,400,000 - - - - - 10.00 14,400,000

Amd 7. District Manggarai Barat 10.00 2,925,000 29,250,000 - - - - - 10.00 29,250,000

Amd 8. District Alor 10.00 2,840,000 28,400,000 - - - - - 10.00 28,400,000

Amd 9. District Kupang 10.00 100,000 1,000,000 - - - - - 10.00 1,000,000

Amd 10. District Lembata 10.00 1,940,000 19,400,000 - - - - - 10.00 19,400,000

Amd 11. District Sumba Tengah 10.00 2,840,000 28,400,000 - - - - - 10.00 28,400,000

Amd 12. District Sabu Raijua 10.00 2,840,000 28,400,000 - - - - - 10.00 28,400,000

Amd 13. District Sumba Barat Daya 10.00 2,640,000 26,400,000 - - - - - 10.00 26,400,000

Amd 14. District Sumba Timur 10.00 2,640,000 26,400,000 - - - - - 10.00 26,400,000

Amd 15. District Manggarai Timur 10.00 2,640,000 26,400,000 - - - - - 10.00 26,400,000

Amd 16. District Flores Timur 10.00 1,940,000 19,400,000 - - - - - 10.00 19,400,000

Amd 17. District Belu 10.00 250,000 2,500,000 - - - - - 10.00 2,500,000

Amd 18. District Nagekeo 10.00 2,840,000 28,400,000 - - - - - 10.00 28,400,000

Amd 19. District Ende 10.00 1,840,000 18,400,000 - - - - - 10.00 18,400,000

8.8.3 Contract Training Material + Kit paket 260.00 100,000 26,000,000 - - - - - 260.00 26,000,000


Management Fee 5% of [8.8.2 + 8.8.3 + 8.8.4] - 26,887,500 - - - - - - 26,887,500

- - -

1 3 13.00 14 15 13.00 15 13.00 15 13.00 15 13.00 15

AMOUNT [IDR]


VOL UNIT PRICE

[IDR]


2

UNIT


TOTAL PREVIOUS



8.9 Pelatihan Pengelola Program Kabupaten (DPMU+TKK+Satker) in Province - 829,671,000 - - - - - - 829,671,000

8.9.1 Paket Fullboard Participant + DPMU + TKK days 936.00 360,000 336,960,000 - - - - - 936.00 336,960,000

8.9.2 Uang Transport Participant NTB District days - 200,000 - - - - - - - -

Uang Transport Participant NTT District time - - - - - - - - - -

Amd Uang Transport Participant - Nusa Tenggara Barat - - - - - - - - - -

Amd 1. District Tabanan 9.00 2,919,000 26,271,000 - - - - - 9.00 26,271,000

Amd 2. District Lombok Utara 9.00 577,500 5,197,500 - - - - - 9.00 5,197,500

Amd 3. District Lombok Timur 9.00 577,500 5,197,500 - - - - - 9.00 5,197,500

Amd 4. District Bima 9.00 2,730,000 24,570,000 - - - - - 9.00 24,570,000

Amd 5. District Lombok Tengah 9.00 300,000 2,700,000 - - - - - 9.00 2,700,000

Amd 6. District Sumbawa 9.00 3,097,500 27,877,500 - - - - - 9.00 27,877,500

Amd 7. District Dompu 9.00 3,097,500 27,877,500 - - - - - 9.00 27,877,500

Amd Uang Transport Participant - Nusa Tenggara Timur - - - - - - - - - -

Amd 1. District Timor Tengah Selatan 9.00 90,000 810,000 - - - - - 9.00 810,000

Amd 2. District Manggarai 9.00 2,925,000 26,325,000 - - - - - 9.00 26,325,000

Amd 3. District Sumba Barat 9.00 2,940,000 26,460,000 - - - - - 9.00 26,460,000

Amd 4. District Timor Tengah Utara 9.00 150,000 1,350,000 - - - - - 9.00 1,350,000

Amd 5. District Rote Ndao 9.00 600,000 5,400,000 - - - - - 9.00 5,400,000

Amd 6. District Sikka 9.00 1,440,000 12,960,000 - - - - - 9.00 12,960,000

Amd 7. District Manggarai Barat 9.00 2,925,000 26,325,000 - - - - - 9.00 26,325,000

Amd 8. District Alor 9.00 2,840,000 25,560,000 - - - - - 9.00 25,560,000

Amd 9. District Kupang 9.00 100,000 900,000 - - - - - 9.00 900,000

Amd 10. District Lembata 9.00 1,940,000 17,460,000 - - - - - 9.00 17,460,000

Amd 11. District Sumba Tengah 9.00 2,840,000 25,560,000 - - - - - 9.00 25,560,000

Amd 12. District Sabu Raijua 9.00 2,840,000 25,560,000 - - - - - 9.00 25,560,000

Amd 13. District Sumba Barat Daya 9.00 2,640,000 23,760,000 - - - - - 9.00 23,760,000

Amd 14. District Sumba Timur 9.00 2,640,000 23,760,000 - - - - - 9.00 23,760,000

Amd 15. District Manggarai Timur 9.00 2,640,000 23,760,000 - - - - - 9.00 23,760,000

Amd 16. District Flores Timur 9.00 1,940,000 17,460,000 - - - - - 9.00 17,460,000

Amd 17. District Belu 9.00 250,000 2,250,000 - - - - - 9.00 2,250,000

Amd 18. District Nagekeo 9.00 2,840,000 25,560,000 - - - - - 9.00 25,560,000

Amd 19. District Ende 9.00 1,840,000 16,560,000 - - - - - 9.00 16,560,000

Training Material + Kit paket 234.00 100,000 23,400,000 - - - - - 234.00 23,400,000

Spanduk unit 156.00 140,000 21,840,000 - - - - - 156.00 21,840,000

Management Fee 5% of [8.9.2 + 8.9.3 + 8.9.4] - 24,635,550 - - - - - - 24,635,550

- - -

1 3 13.00 14 15 13.00 15 13.00 15 13.00 15 13.00 15

AMOUNT [IDR]


VOL UNIT PRICE

[IDR]


2

UNIT


TOTAL PREVIOUS



8.10 Printing/ Media: - 638,000,000 - 700,000 - 700,000 637,300,000


8.9.2 Contract Poster unit 23,700.00 9,000 213,300,000 - - - - - 23,700.00 213,300,000

8.9.3 Contract Leaflet unit 42,760.00 7,500 320,700,000 93.33 700,000 - 93.33 700,000 42,666.67 320,000,000

- - - - - -

Total Management Fee Training Activity [8.1 + 8.2 + 8.3.1 + 8.3.2 + 8.5 + 8.6 + 8.7 + 8.8 + 8.9]- - 231,647,502 - 5,902,250 306,000 - 6,208,250 - 225,439,252

- - - - -

9 REPORTING - 44,850,000 3,625,000 - 3,625,000 - 41,225,000

9.1 Contract Inception Report exp. 25.00 100,000 2,500,000 25.00 2,500,000 - 25.00 2,500,000 - -

9.2 Contract Monthly Report exp. 540.00 25,000 13,500,000 45.00 1,125,000 - 45.00 1,125,000 495.00 12,375,000

9.3 Contract Quarterly Report exp. 180.00 35,000 6,300,000 - - - - - 180.00 6,300,000

9.4 Contract Special Report exp. 60.00 30,000 1,800,000 - - - - - 60.00 1,800,000

9.5 Contract Annual Report exp. 60.00 75,000 4,500,000 - - - - - 60.00 4,500,000

9.6 Contract Financial Management Report (FMR) exp. 60.00 25,000 1,500,000 - - - - - 60.00 1,500,000

9.7 Contract Draft Final Report exp. 20.00 75,000 1,500,000 - - - - - 20.00 1,500,000

9.8 Contract Final Report exp. 20.00 100,000 2,000,000 - - - - - 20.00 2,000,000

9.9 Contract Training Program Report exp. 225.00 50,000 11,250,000 - - - - - 225.00 11,250,000

10 STBM TRAINING PAMSIMAS II Klaster 9 - Nusa Tenggara Timur 637,600,000 585,960,000 - 585,960,000 51,640,000

10.9 -

Management Fee 5 % 31,880,000 29,298,000 - 29,298,000 - 2,582,000

-

11 Cost for District Association [TF 094792] Th. 2014 270,000,000 250,000,000 - 250,000,000 20,000,000

11.1 Cost of "Basic Program" - -

- East Nusa Tenggara 220,000,000 220,000,000 - 220,000,000 - -

11.2 Cost of "Basic Program" and "Pilot Program" - - - -

- Rote Ndau 50,000,000 30,000,000 - 30,000,000 - 20,000,000

- - -

Management fee 10 % 27,000,000 25,000,000 - 25,000,000 - 2,000,000

COST ESTIMATE FOR REIMBURSABLE Contract No. : KU.08.08/Kontrak/Pamsimas/174/VIII/2013

REGIONAL OVERSIGHT MANAGEMENT SERVICES (OMS) - 5 Contract Date : August,27,2013

COMMUNITY BASED WATER SUPPLY PROJECT (PAMSIMAS II) Amendment No. : No. 03, November 27, 2014



1 3 13 14 15 16 13.00 15 13.00 15 13.00 15 13.00 15

B REIMBURSABLE COST

1 DUTY TRAVEL 1 (APBN RM 80% + IBRD 20%)

1.1 SPOT CHECKING 648,484,125 2,912,500 17,555,300 20,467,800 628,016,325

1.1.1 Provincial Team - Province to District to Village - - - - - - - -

Bali - - - - - - -

Inland Transport 3 person r-trip - - - ceiling rate - - - - - - -

Accomodation 3 person r-trip - - - ceiling rate - - - - - - -

OSA (Fixed) 3 person r-trip - - - ceiling rate - - - - - - -

- - - - - - -

Nusa Tenggara Barat - - - - - - - -




- - - - - - -

Nusa Tenggara Timur - - - - - - - - - -




- - - - -

1.1.2 District Team - District to Village - - - - - - - - -

District Coordinator Bali 1 district r-trip - - ceiling rate - - - - - -

District Coordinator NTB 6 district r-trip - - ceiling rate - - - - - - -

District Coordinator NTT 19 district r-trip - - ceiling rate - - - - - - -

Financial Management Ass. Bali 1 district r-trip - - ceiling rate - - - - - - -

Financial Management Ass. NTB 6 district r-trip - - ceiling rate - - - - - - -

Financial Management Ass. NTT 19 district r-trip - - ceiling rate - - - - - - -

- - -

NO. DESCRIPTION UNIT

AMOUNT [IDR]

CONTRACT AMANDEMENT 3

REMARKS

2

VOL UNIT PRICE

[IDR] VOL AMOUNT [IDR] VOL AMOUNT [IDR]

TOTAL PREVIOUS



1 3 13 14 15 16 13.00 15 13.00 15 13.00 15 13.00 15


AMOUNT [IDR]


REMARKS

2

VOL UNIT PRICE


TOTAL PREVIOUS



1.1.1 Provincial Team (PC/QAC) to District to Village 117,425,500 - - 11,124,300 - 11,124,300 - 106,301,200

1 NUSA TENGGARA BARAT, Jumlah desa 2014 = 55 desa dan desa 2015 = 55 desa - - -

Tabanan, Lombok Utara, Lombok Timur, Lombok Tengah, 2014 = 46 Villages x 10% = 5, 2015 = 46 Villages x 10% = 5 - - - - - - - -

a From Mataram to Tabanan - - - - - - -

Tahun 2014, 3 siklus tersisa - - - - - - -

Air Transport r-trip 1 2,604,000 2,604,000 ceiling rate - - - - - 1.00 2,604,000

Sea Transport r-trip 1 - - ceiling rate - - - - - 1.00 -

Inland Transport r-trip 1 420,000 420,000 fixed rate - - - - - 1.00 420,000

Accomodation r-trip 2 300,000 600,000 ceiling rate - - - - - 2.00 600,000

OSA (Fixed) r-trip 3 200,000 600,000 fixed rate - - - - - 3.00 600,000

- - - - - - -

Tahun 2015, 6 siklus - - - - - - -




Accomodation r-trip 6 300,000 1,800,000 ceiling rate - - - - - 6.00 1,800,000

OSA (Fixed) r-trip 7 200,000 1,400,000 fixed rate - - - - - 7.00 1,400,000

b From Mataram to Lombok Utara, Lombok Timur, Lombok Tengah - - - - - - -


Air Transport r-trip 1 - - ceiling rate - - - - - 1.00 -


Inland Transport r-trip 1 1,470,000 1,470,000 fixed rate - - - - - 1.00 1,470,000



- - - - - - -

Tahun 2015, 6 siklus - - - - - - -






- - - - - - -

1 3 13 14 15 16 13.00 15 13.00 15 13.00 15 13.00 15


AMOUNT [IDR]


REMARKS

2

VOL UNIT PRICE


TOTAL PREVIOUS



c From Mataram to Sumbawa, Dompu dan Bima, tahun 2014 = 46 Villages dan tahun 2015 = 22 Villages- - - - - - - - -


Air Transport r-trip 1 2,730,000 2,730,000 ceiling rate - - 1.00 1,418,800 1.00 1,418,800 - 1,311,200

Sea Transport r-trip 1 262,500 262,500 ceiling rate - - - - - 1.00 262,500

Inland Transport r-trip 1 892,500 892,500 fixed rate - - 2.00 1,152,500 2.00 1,152,500 (1.00) (260,000)

Accomodation r-trip 4 300,000 1,200,000 ceiling rate - - 4.00 1,200,000 4.00 1,200,000 - -

OSA (Fixed) r-trip 5 200,000 1,000,000 fixed rate - - 6.00 1,200,000 6.00 1,200,000 (1.00) (200,000)

- - - - - - -

Tahun 2015, 6 siklus - - - - - - -

Air Transport r-trip 1 2,730,000 2,730,000 ceiling rate - - - - 1.00 2,730,000


Inland Transport r-trip 1 892,500 892,500 fixed rate - - - - 1.00 892,500

Accomodation r-trip 6 300,000 1,800,000 ceiling rate - - - - 6.00 1,800,000

OSA (Fixed) r-trip 7 200,000 1,400,000 fixed rate - - - - 7.00 1,400,000

- - - - - - -

2 Nusa Tenggara Timur 1 Jumlah Villages = 77, 10% = 8 Villages - - - - - - - -

a From Kupang to Manggarai, Manggarai Barat dan Ende - - - - - - -

Tahun 2014, sisa 3 siklus - - - - - - -


Sea Transport r-trip 1 - - ceiling rate - - - - 1.00 -

Inland Transport r-trip 1 1,050,000 1,050,000 fixed rate - - - - 1.00 1,050,000



- - - - - - -

Tahun 2015, 6 siklus - - - - - - -






- - - - - - -

1 3 13 14 15 16 13.00 15 13.00 15 13.00 15 13.00 15


AMOUNT [IDR]


REMARKS

2

VOL UNIT PRICE


TOTAL PREVIOUS



b From Kupang to Sikka dan Lembata - - - - - - -







- - - - - - -

Tahun 2015, 6 siklus - - - - - - -






- - - - - - -

c From Kupang to Alor - - - - - - -


Air Transport r-trip - 2,100,000 - ceiling rate - - - - - - -

Sea Transport r-trip - - - ceiling rate - - - - - - -

Inland Transport r-trip - 577,500 - fixed rate - - - - - - -

Accomodation r-trip - 300,000 - ceiling rate - - - - - - -

OSA (Fixed) r-trip - 200,000 - fixed rate - - - - - - -

- - - - - - -

Tahun 2015, 6 siklus - - - - - - -






- - - - - - -

1 3 13 14 15 16 13.00 15 13.00 15 13.00 15 13.00 15


AMOUNT [IDR]


REMARKS

2

VOL UNIT PRICE


TOTAL PREVIOUS



d From Kupang to Manggarai Timur dan Flores Timur - - - - - - -







- - - - - - -

Tahun 2015, 6 siklus - - - - - - -






- - - - - - -

e From Kupang to Nagekeo - - - - - - -







- - - - - - -

Tahun 2015, 6 siklus - - - - - - -

Air Transport r-trip 1 2,310,000 2,310,000 ceiling rate - - 1.00 768,000 1.00 768,000 - 1,542,000


Inland Transport r-trip 1 420,000 420,000 fixed rate - - 1.00 420,000 1.00 420,000 - -

Accomodation r-trip 4 300,000 1,200,000 ceiling rate - - 2.00 600,000 2.00 600,000 2.00 600,000

OSA (Fixed) r-trip 5 200,000 1,000,000 fixed rate - - 3.00 600,000 3.00 600,000 2.00 400,000

- - - - - - -

1 3 13 14 15 16 13.00 15 13.00 15 13.00 15 13.00 15


AMOUNT [IDR]


REMARKS

2

VOL UNIT PRICE


TOTAL PREVIOUS



3 Nusa Tenggara Timur 2, Tahun 2014 = 94 Villages dan Tahun 2015 = 89 Villages - - - - - - - -

a From Kupang to Timor Tengah Selatan , TTU dan Belu - - - - - - -

Tahun 2014 [sisa 3 siklus], - - - - - - -






- - - - - - -

Tahun 2015, 6 siklus - - - - - - -






- - - - - - -

b From Kupang to Sumba Barat, Sumba Tengah dan Sumba Barat Daya - - - - - - -


Air Transport r-trip 1 2,240,000 2,240,000 ceiling rate - - 1.00 1,763,600 1.00 1,763,600 - 476,400


Inland Transport r-trip 1 1,102,500 1,102,500 fixed rate - - 801,400 - 801,400 1.00 301,100



- - - - - - -

Tahun 2015, 6 siklus - - - - - - -






- - - - - - - - -

1 3 13 14 15 16 13.00 15 13.00 15 13.00 15 13.00 15


AMOUNT [IDR]


REMARKS

2

VOL UNIT PRICE


TOTAL PREVIOUS



c From Kupang to Sumba Timur - - - - - - -







- - - - - - -

Tahun 2015, 6 siklus - - - - - - -






- - - - - - -

d From Kupang to Rote Ndao - - - - - - -







- - - - - - -

Tahun 2015, 6 siklus - - - - - - -

Air Transport r-trip - - - ceiling rate - - - - - - -

Sea Transport r-trip - 315,000 - ceiling rate - - - - - - -




- - - - - - -

1 3 13 14 15 16 13.00 15 13.00 15 13.00 15 13.00 15


AMOUNT [IDR]


REMARKS

2

VOL UNIT PRICE


TOTAL PREVIOUS



e From Kupang to Kabupaten Kupang, Sabu Raijua - - - - - - -







- - - - - - -

Tahun 2015, 6 siklus - - - - - - -






- - -

1.1.2 Provincial Team to District to Village (Keberlanjutan) - - 39,487,500 - - - - - - 39,487,500

1 Nusa Tenggara Timur, 10 District x 2 Villages = 20 Villages - - - -

a From Kupang to Manggarai, dan Manggarai Barat - - - - - -

Tahun 2014, - - - - - -






- - - - - - -

Tahun 2015, - - - - - - -






- - - - - - -

1 3 13 14 15 16 13.00 15 13.00 15 13.00 15 13.00 15


AMOUNT [IDR]


REMARKS

2

VOL UNIT PRICE


TOTAL PREVIOUS




Tahun 2014, - - - - - - -






- - - - - - -

Tahun 2015, - - - - - - -






- - - - - - -


Tahun 2014, - - - - - - -






- - - - - - -

Tahun 2015, siklus 3 - - - - - - -






- - - - - - -

1 3 13 14 15 16 13.00 15 13.00 15 13.00 15 13.00 15


AMOUNT [IDR]


REMARKS

2

VOL UNIT PRICE


TOTAL PREVIOUS



d From Kupang to Timor Tengah Selatan dan TTU - - - - - - -

Tahun 2014, - - - - - - -






- - - - - - -

Tahun 2015, - - - - - - -






- - - - - - -

e From Kupang to Sumba Barat - - - - - - -

Tahun 2014, - - - - - - -






- - - - - - -

Tahun 2015, - - - - - - -






- - - - - - -

1 3 13 14 15 16 13.00 15 13.00 15 13.00 15 13.00 15


AMOUNT [IDR]


REMARKS

2

VOL UNIT PRICE


TOTAL PREVIOUS



f From Kupang to Rote Ndao - - - - - - -

Tahun 2014, - - - - - - -






- - - - - - -

Tahun 2015, siklus 4 - - - - - - -






- - - - - - -

g From Kupang to Kabupaten Kupang - - - - - - -

Tahun 2014, - - - - - - -






- - - - - - -

Tahun 2015, siklus 6 - - - - - - -






- - -

1 3 13 14 15 16 13.00 15 13.00 15 13.00 15 13.00 15


AMOUNT [IDR]


REMARKS

2

VOL UNIT PRICE


TOTAL PREVIOUS



1.1.3 FMS to District to Village (Reguler) 113,016,500 - 6,431,000 - 6,431,000 - 106,585,500

1 NUSA TENGGARA BARAT, Jumlah desa 2014 = 55 desa dan desa 2015 = 55 desa - - -

Tabanan, Lombok Utara, Lombok Timur, Lombok Tengah, 2014 = 46 Villages, 2015 = 46 Villages - - - - - - - -

a From Mataram to Tabanan - - - - - - -







- - - - - - -

Tahun 2015, 6 siklus - - - - - - -






- - - - - - -

b From Mataram to Lombok Utara, Lombok Timur, Lombok Tengah - - - - - - -







- - - - - - -

Tahun 2015, 6 siklus - - - - - - -






- - - - - - -

1 3 13 14 15 16 13.00 15 13.00 15 13.00 15 13.00 15


AMOUNT [IDR]


REMARKS

2

VOL UNIT PRICE


TOTAL PREVIOUS



c From Mataram to Sumbawa, Dompu dan Bima, tahun 2014 = 46 Villages dan tahun 2015 = 22 Villages- - - - - - - - -







- - - - - - -

Tahun 2015, 6 siklus - - - - - - -






- - - - - - -

2 Nusa Tenggara Timur 1 Jumlah Villages = 77, 10% = 8 Villages - - - - - - - -

a From Kupang to Manggarai, Manggarai Barat dan Ende - - - - - - -







- - - - - - -

Tahun 2015, 6 siklus - - - - - - -






- - - - - - -

1 3 13 14 15 16 13.00 15 13.00 15 13.00 15 13.00 15


AMOUNT [IDR]


REMARKS

2

VOL UNIT PRICE


TOTAL PREVIOUS










- - - - - - -

Tahun 2015, 6 siklus - - - - - - -






- - - - - - -








- - - - - - -

Tahun 2015, 6 siklus - - - - - - -






- - - - - - -

1 3 13 14 15 16 13.00 15 13.00 15 13.00 15 13.00 15


AMOUNT [IDR]


REMARKS

2

VOL UNIT PRICE


TOTAL PREVIOUS



d From Kupang to Manggarai Timur dan Flores Timur - - - - - - -


Air Transport r-trip 1 1,942,500 1,942,500 ceiling rate - - 1.00 908,000 1.00 908,000 - 1,034,500


Inland Transport r-trip 1 892,500 892,500 fixed rate - - 892,000 - 892,000 1.00 500



- - - - - - -

Tahun 2015, 6 siklus - - - - - - -






- - - - - - -

e From Kupang to Nagekeo - - - - - - -







- - - - - - -

Tahun 2015, 6 siklus - - - - - - -






- - - - - - -

1 3 13 14 15 16 13.00 15 13.00 15 13.00 15 13.00 15


AMOUNT [IDR]


REMARKS

2

VOL UNIT PRICE


TOTAL PREVIOUS



2 Nusa Tenggara Timur 2, Tahun 2014 = 94 Villages dan Tahun 2015 = 89 Villages - - - - - - -

a From Kupang to Timor Tengah Selatan , TTU dan Belu - - - - - - -







- - - - - - -

Tahun 2015, 6 siklus - - - - - - -






- - - - - - -

b From Kupang to Sumba Barat, Sumba Tengah dan Sumba Barat Daya - - - - - - -


Air Transport r-trip 1 2,240,000 2,240,000 ceiling rate - - 1.00 1,475,400 1.00 1,475,400 - 764,600


Inland Transport r-trip 1 1,102,500 1,102,500 fixed rate - - 1.00 755,600 1.00 755,600 - 346,900



- - - - - - -

Tahun 2015, 6 siklus - - - - - - -






- - - - - - - - -

1 3 13 14 15 16 13.00 15 13.00 15 13.00 15 13.00 15


AMOUNT [IDR]


REMARKS

2

VOL UNIT PRICE


TOTAL PREVIOUS



c From Kupang to Sumba Timur - - - - - - -







- - - - - - -

Tahun 2015, 6 siklus - - - - - - -






- - - - - - -

d From Kupang to Rote Ndao - - - - - - -







- - - - - - -

Tahun 2015, 6 siklus - - - - - - -






- - - - - - -

1 3 13 14 15 16 13.00 15 13.00 15 13.00 15 13.00 15


AMOUNT [IDR]


REMARKS

2

VOL UNIT PRICE


TOTAL PREVIOUS



e From Kupang to Kabupaten Kupang, Sabu Raijua - - - - - - -







- - - - - - -

Tahun 2015, 6 siklus - - - - - - -





OSA (Fixed) r-trip 7 200,000 1,400,000 fixed rate - - - - - 7.00 1,400,000 - -

1.1.4 FMS to District to Village (Keberlanjutan) 39,187,500 - - - - - 39,187,500

1 Nusa Tenggara Timur, 10 District x 2 Villages = 20 Villages - -

a From Kupang to Manggarai, dan Manggarai Barat - - - - - -

Tahun 2014, - - - - - -






- - - - - - -

Tahun 2015, - - - - - - -






- - - - - - -

1 3 13 14 15 16 13.00 15 13.00 15 13.00 15 13.00 15


AMOUNT [IDR]


REMARKS

2

VOL UNIT PRICE


TOTAL PREVIOUS










- - - - - - -

Tahun 2015, - - - - - - -






- - - - - - -








- - - - - - -

Tahun 2015, 6 siklus - - - - - - -






- - - - - - -

1 3 13 14 15 16 13.00 15 13.00 15 13.00 15 13.00 15


AMOUNT [IDR]


REMARKS

2

VOL UNIT PRICE


TOTAL PREVIOUS



d From Kupang to Timor Tengah Selatan dan TTU - - - - - - -







- - - - - - -

Tahun 2015, 6 siklus - - - - - - -






- - - - - - -

e From Kupang to Sumba Barat - - - - - - -

Tahun 2014, - - - - - - -






- - - - - - -

Tahun 2015, - - - - - - -






- - - - - - -

1 3 13 14 15 16 13.00 15 13.00 15 13.00 15 13.00 15


AMOUNT [IDR]


REMARKS

2

VOL UNIT PRICE


TOTAL PREVIOUS



f From Kupang to Rote Ndao - - - - - - -

Tahun 2014, - - - - - - -






- - - - - - -

Tahun 2015, - - - - - - -






- - - - - - -

g From Kupang to Kabupaten Kupang - - - - - - -

Tahun 2014, - - - - - - -






- - - - - - -

Tahun 2015, siklus 6 - - - - - - -





OSA (Fixed) r-trip 7 200,000 1,400,000 fixed rate - - - - - 7.00 1,400,000 - -

1 3 13 14 15 16 13.00 15 13.00 15 13.00 15 13.00 15


AMOUNT [IDR]


REMARKS

2

VOL UNIT PRICE


TOTAL PREVIOUS



1.1.5 District Team - District to Village 50% 331,364,775 2,912,500 - - 2,912,500 - 328,452,275

1 District Coordinator and District Financial Managemen Assisstant (Reguler) - - -

a Bali - - - - - - -

Tabanan - - - - - - -

Tahun 2014 - - - - - - -

Cluster village 2 person r-trip 6 105,000 630,000 fixed rate 1.00 105,000 - 1.00 105,000 5.00 525,000

Remote village (several transport) 2 person r-trip 6 215,250 1,291,500 fixed rate - - - - - 6.00 1,291,500

OSA 2 person r-trip 45 50,000 2,250,000 fixed rate 6.00 300,000 - 6.00 300,000 39.00 1,950,000

Tahun 2015 - - - - - - -

Cluster village 2 person r-trip 12 105,000 1,260,000 fixed rate - - - - - 12.00 1,260,000


OSA 2 person r-trip 58 50,000 2,880,000 fixed rate - - - - - 57.60 2,880,000

- - - - - - -

b Nusa Tenggara Barat - - - - - - -

Lombok Utara - - - - - - -

Tahun 2014 - - - - - - -



OSA 2 person r-trip 30 50,000 1,500,000 - - - - - 30.00 1,500,000

Tahun 2015 - - - - - - -



OSA 2 person r-trip 60 50,000 3,000,000 - - - - - 60.00 3,000,000

Lombok Timur - - - - - - -

Tahun 2014 - - - - - - -

Cluster village 2 person r-trip 6 157,500 945,000 fixed rate - - - - - 6.00 945,000


OSA 2 person r-trip 30 50,000 1,500,000 - - - - - 30.00 1,500,000

Tahun 2015 - - - - - - -



OSA 2 person r-trip 60 50,000 3,000,000 - - - - - 60.00 3,000,000

1 3 13 14 15 16 13.00 15 13.00 15 13.00 15 13.00 15


AMOUNT [IDR]


REMARKS

2

VOL UNIT PRICE


TOTAL PREVIOUS



Lombok Tengah - - - - - - -

Tahun 2014 - - - - - - -

Cluster village 2 person r-trip 6 105,000 630,000 fixed rate 8.50 892,500 - 8.50 892,500 (2.50) (262,500)


OSA 2 person r-trip 12 50,000 600,000 17.00 850,000 - 17.00 850,000 (5.00) (250,000)

Tahun 2015 - - - - - - -



OSA 2 person r-trip 24 50,000 1,200,000 - - - - - 24.00 1,200,000

Bima - - - - - - -

Tahun 2014 - - - - - - -



OSA 2 person r-trip 30 50,000 1,500,000 2.00 100,000 - 2.00 100,000 28.00 1,400,000

Tahun 2015 - - - - - - -



OSA 2 person r-trip 60 50,000 3,000,000 - - - - - 60.00 3,000,000

Sumbawa - - - - - - -

Tahun 2014 - - - - - - -



OSA 2 person r-trip 18 50,000 900,000 - - - - - 18.00 900,000

Tahun 2015 - - - - - - -



OSA 2 person r-trip 36 50,000 1,800,000 - - - - - 36.00 1,800,000

Dompu - - - - - - -

Tahun 2014 - - - - - - -



OSA 2 person r-trip 12 50,000 600,000 - - - - - 12.00 600,000

Tahun 2015 - - - - - - -



OSA 2 person r-trip 24 50,000 1,200,000 - - - - - 24.00 1,200,000

1 3 13 14 15 16 13.00 15 13.00 15 13.00 15 13.00 15


AMOUNT [IDR]


REMARKS

2

VOL UNIT PRICE


TOTAL PREVIOUS



- - - - - - -

c Nusa Tenggara Timur 1 - - - - - - - -

Manggarai - - - - - - -

Tahun 2014 - - - - - - -



OSA 2 person r-trip 30 50,000 1,500,000 - - - - - 30.00 1,500,000

Tahun 2015 - - - - - - -



OSA 2 person r-trip 60 50,000 3,000,000 - - - - - 60.00 3,000,000

Manggarai Barat - - - - - - -

Tahun 2014 - - - - - - -



OSA 2 person r-trip 30 50,000 1,500,000 - - - - - 30.00 1,500,000

Tahun 2015 - - - - - - -



OSA 2 person r-trip 60 50,000 3,000,000 - - - - - 60.00 3,000,000

Ende - - - - - - -

Tahun 2014 - - - - - - -



OSA 2 person r-trip 18 50,000 900,000 - - - - - 18.00 900,000

Tahun 2015 - - - - - - -



OSA 2 person r-trip 24 50,000 1,200,000 - - - - - 24.00 1,200,000

1 3 13 14 15 16 13.00 15 13.00 15 13.00 15 13.00 15


AMOUNT [IDR]


REMARKS

2

VOL UNIT PRICE


TOTAL PREVIOUS



Manggarai Timur - - - - - - -

Tahun 2014 - - - - - - -



OSA 2 person r-trip 30 50,000 1,500,000 - - - - - 30.00 1,500,000

Tahun 2015 - - - - - - -



OSA 2 person r-trip 60 50,000 3,000,000 - - - - - 60.00 3,000,000

Flores Timur - - - - - - -

Tahun 2014 - - - - - - -



OSA 2 person r-trip 30 50,000 1,500,000 - - - - - 30.00 1,500,000

Tahun 2015 - - - - - - -



OSA 2 person r-trip 60 50,000 3,000,000 - - - - - 60.00 3,000,000

Sikka - - - - - - -

Tahun 2014 - - - - - - -



OSA 2 person r-trip 30 50,000 1,500,000 - - - - - 30.00 1,500,000

Tahun 2015 - - - - - - -



OSA 2 person r-trip 60 50,000 3,000,000 - - - - - 60.00 3,000,000

1 3 13 14 15 16 13.00 15 13.00 15 13.00 15 13.00 15


AMOUNT [IDR]


REMARKS

2

VOL UNIT PRICE


TOTAL PREVIOUS



Lembata - - - - - - -

Tahun 2014 - - - - - - -



OSA 2 person r-trip 12 50,000 600,000 - - - - - 12.00 600,000

Tahun 2015 - - - - - - -



OSA 2 person r-trip 24 50,000 1,200,000 - - - - - 24.00 1,200,000

Nagekeo - - - - - - -

Tahun 2014 - - - - - - -



OSA 2 person r-trip 18 50,000 900,000 - - - - - 18.00 900,000

Tahun 2015 - - - - - - -



OSA 2 person r-trip 36 50,000 1,800,000 - - - - - 36.00 1,800,000

Alor - - - - - - -

Tahun 2014 - - - - - - -



OSA 2 person r-trip 30 50,000 1,500,000 - - - - - 30.00 1,500,000

Tahun 2015 - - - - - - -



OSA 2 person r-trip 60 50,000 3,000,000 - - - - - 60.00 3,000,000

- - - - - - -

1 3 13 14 15 16 13.00 15 13.00 15 13.00 15 13.00 15


AMOUNT [IDR]


REMARKS

2

VOL UNIT PRICE


TOTAL PREVIOUS



d Nusa Tenggara Timur 2 - - - - - - - -

Timor Tengah Selatan - - - - - - -

Tahun 2014 - - - - - - -



OSA 2 person r-trip 30 50,000 1,500,000 - - - - - 30.00 1,500,000

Tahun 2015 - - - - - - -



OSA 2 person r-trip 60 50,000 3,000,000 - - - - - 60.00 3,000,000

Timor Tengah Utara - - - - - - -

Tahun 2014 - - - - - - -



OSA 2 person r-trip 30 50,000 1,500,000 - - - - - 30.00 1,500,000

Tahun 2015 - - - - - - -



OSA 2 person r-trip 60 50,000 3,000,000 - - - - - 60.00 3,000,000

Belu - - - - - - -

Tahun 2014 - - - - - - -



OSA 2 person r-trip 30 50,000 1,500,000 - - - - - 30.00 1,500,000

Tahun 2015 - - - - - - -



OSA 2 person r-trip 60 50,000 3,000,000 - - - - - 60.00 3,000,000

1 3 13 14 15 16 13.00 15 13.00 15 13.00 15 13.00 15


AMOUNT [IDR]


REMARKS

2

VOL UNIT PRICE


TOTAL PREVIOUS



Sumba Barat - - - - - - -

Tahun 2014 - - - - - - -



OSA 2 person r-trip 30 50,000 1,500,000 - - - - - 30.00 1,500,000

Tahun 2015 - - - - - - -



OSA 2 person r-trip 60 50,000 3,000,000 - - - - - 60.00 3,000,000

Sumba Tengah - - - - - - -

Tahun 2014 - - - - - - -



OSA 2 person r-trip 30 50,000 1,500,000 - - - - - 30.00 1,500,000

Tahun 2015 - - - - - - -



OSA 2 person r-trip 60 50,000 3,000,000 - - - - - 60.00 3,000,000

Sumba Barat Daya - - - - - - -

Tahun 2014 - - - - - - -



OSA 2 person r-trip 30 50,000 1,500,000 - - - - - 30.00 1,500,000

Tahun 2015 - - - - - - -



OSA 2 person r-trip 60 50,000 3,000,000 - - - - - 60.00 3,000,000

1 3 13 14 15 16 13.00 15 13.00 15 13.00 15 13.00 15


AMOUNT [IDR]


REMARKS

2

VOL UNIT PRICE


TOTAL PREVIOUS



Sumba Timur - - - - - - -

Tahun 2014 - - - - - - -



OSA 2 person r-trip 30 50,000 1,500,000 - - - - - 30.00 1,500,000

Tahun 2015 - - - - - - -



OSA 2 person r-trip 60 50,000 3,000,000 - - - - - 60.00 3,000,000

Rote Ndao - - - - - - -

Tahun 2014 - - - - - - -



OSA 2 person r-trip 6 50,000 300,000 - - - - - 6.00 300,000

Tahun 2015 - - - - - - -



OSA 2 person r-trip 30 50,000 1,500,000 - - - - - 30.00 1,500,000

Kupang - - - - - - -

Tahun 2014 - - - - - - -



OSA 2 person r-trip 18 50,000 900,000 3.85 192,500 - 3.85 192,500 14.15 707,500

Tahun 2015 - - - - - - -



OSA 2 person r-trip 36 50,000 1,800,000 - - - - - 36.00 1,800,000

Sabu Raijua - - - - - - -

Tahun 2014 - - - - - - -



OSA 2 person r-trip 30 50,000 1,500,000 - - - - - 30.00 1,500,000

Tahun 2015 - - - - - - -



OSA 2 person r-trip 24 50,000 1,200,000 - - - - - 24.00 1,200,000

1 3 13 14 15 16 13.00 15 13.00 15 13.00 15 13.00 15


AMOUNT [IDR]


REMARKS

2

VOL UNIT PRICE


TOTAL PREVIOUS



- - -

2 District Coordinator (Keberlanjutan) 8,002,350 - - - - - 8,002,350

a Tahun 2014 - - -

Nusa Tenggara Timur - - - - - -

Timor Tengah Selatan - - - - - -

Cluster village r-trip 1 105,000 105,000 fixed rate - - - - - 1.00 105,000

OSA r-trip 1 50,000 50,000 - - - - - 1.00 50,000

Timor Tengah Utara - - - - - - - - - -


OSA r-trip 1 50,000 50,000 - - - - - 1.00 50,000

Manggarai - - - - - - - - - -


OSA r-trip 1 50,000 50,000 - - - - - 1.00 50,000

Manggarai Barat - - - - - - - - - -


OSA r-trip 1 50,000 50,000 - - - - - 1.00 50,000

Sumba Barat - - - - - - - - - -


OSA r-trip 1 50,000 50,000 - - - - - 1.00 50,000

Rote Ndao - - - - - - - - - -


OSA r-trip 1 50,000 50,000 - - - - - 1.00 50,000

Sikka - - - - - - - - - -


OSA r-trip 1 50,000 50,000 - - - - - 1.00 50,000

Alor - - - - - - - - - -


OSA r-trip 1 50,000 50,000 - - - - - 1.00 50,000

Lembata - - - - - - - - - -


OSA r-trip 1 50,000 50,000 - - - - - 1.00 50,000

Kupang (Kota) - - - - - - - - - -


OSA r-trip 1 50,000 50,000 - - - - - 1.00 50,000

- - - - - - -

1 3 13 14 15 16 13.00 15 13.00 15 13.00 15 13.00 15


AMOUNT [IDR]


REMARKS

2

VOL UNIT PRICE


TOTAL PREVIOUS



b Tahun 2015 - - - - - - -

Bali - - - - - - -

Tabanan - - - - - - -


OSA r-trip 1 50,000 50,000 fixed rate - - - - - 1.00 50,000

- - - - - - -

Nusa Tenggara Barat - - - - - - -

Lombok Utara - - - - - - -


OSA r-trip 1 50,000 50,000 - - - - - 1.00 50,000

Lombok timur - - - - - - -


OSA r-trip 1 50,000 50,000 - - - - - 1.00 50,000

Lombok Tengah - - - - - - -


OSA r-trip 1 50,000 50,000 - - - - - 1.00 50,000

Bima - - - - - - -


OSA r-trip 1 50,000 50,000 - - - - - 1.00 50,000

Sumbawa - - - - - - -


OSA r-trip 1 50,000 50,000 - - - - - 1.00 50,000

Dompu - - - - - - -


OSA r-trip 1 50,000 50,000 - - - - - 1.00 50,000

- - - - - - -

1 3 13 14 15 16 13.00 15 13.00 15 13.00 15 13.00 15


AMOUNT [IDR]


REMARKS

2

VOL UNIT PRICE


TOTAL PREVIOUS



Nusa Tenggara Timur 1 - - - - - - - -

Manggarai - - - - - - -


OSA r-trip 1 50,000 50,000 - - - - - 1.00 50,000

Manggarai Barat - - - - - - -


OSA r-trip 1 50,000 50,000 - - - - - 1.00 50,000

Ende - - - - - - -


OSA r-trip 1 50,000 50,000 - - - - - 1.00 50,000

Manggarai Timur - - - - - - -


OSA r-trip 1 50,000 50,000 - - - - - 1.00 50,000

Flores Timur - - - - - - -


OSA r-trip 1 50,000 50,000 - - - - - 1.00 50,000

Sikka - - - - - - -


OSA r-trip 1 50,000 50,000 - - - - - 1.00 50,000

Lembata - - - - - - -


OSA r-trip 1 50,000 50,000 - - - - - 1.00 50,000

Nagekeo - - - - - - -


OSA r-trip 1 50,000 50,000 - - - - - 1.00 50,000

Alor - - - - - - -


OSA r-trip 1 50,000 50,000 - - - - - 1.00 50,000

- - - - - - -

1 3 13 14 15 16 13.00 15 13.00 15 13.00 15 13.00 15


AMOUNT [IDR]


REMARKS

2

VOL UNIT PRICE


TOTAL PREVIOUS



Nusa Tenggara Timur 2 - - - - - - - -

Timor Tengah Selatan - - - - - - -


OSA r-trip 1 50,000 50,000 - - - - - 1.00 50,000

Timor Tengah Utara - - - - - - -


OSA r-trip 1 50,000 50,000 - - - - - 1.00 50,000

Belu - - - - - - -


OSA r-trip 1 50,000 50,000 - - - - - 1.00 50,000

Sumba Barat - - - - - - -


OSA r-trip 1 50,000 50,000 - - - - - 1.00 50,000

Sumba Tengah - - - - - - -


OSA r-trip 1 50,000 50,000 - - - - - 1.00 50,000

Sumba Barat Daya - - - - - - -


OSA r-trip 1 50,000 50,000 - - - - - 1.00 50,000

Sumba Timur - - - - - - -


OSA r-trip 1 50,000 50,000 - - - - - 1.00 50,000

Rote Ndao - - - - - - -


OSA r-trip 1 50,000 50,000 - - - - - 1.00 50,000

Kupang - - - - - - -


OSA r-trip 1 50,000 50,000 - - - - - 1.00 50,000

Sabu raijua - - - - - - -


OSA r-trip 1 50,000 50,000 - - - - - 1.00 50,000

- - - - - -

Management Fee 5% - - 32,424,206 145,625 877,765 - 1,023,390 - 31,400,816

COST ESTIMATE FOR REIMBURSABLE

REGIONAL OVERSIGHT MANAGEMENT SERVICES (OMS) - 5


1 3 13 14 15 16

B REIMBURSABLE COST

1.1 SPOT CHECKING 2016 45,954,750

1.1.2 Provincial Team to District to Village (Keberlanjutan) - - 20,151,250 -

1 Nusa Tenggara Timur, 10 District x 2 Villages = 20 Villages -

a From Kupang to Manggarai, dan Manggarai Barat

Tahun 2016, 20 20

Air Transport 4 village x 1 years x 1 time x 1 r-trip 1 2,625,000 2,625,000 ceiling rate

Sea Transport 4 village x 1 years x 1 time x 1 r-trip 1 - - ceiling rate

Inland Transport 4 village x 1 years x 1 time x 1 r-trip 1 892,500 892,500 fixed rate

Accomodation 4 village x 1 years x 1 time x 2 days r-trip 2 300,000 600,000 ceiling rate

OSA (Fixed) 4 village x 1 years x 1 time x 3 days r-trip 3 200,000 600,000 fixed rate

b From Kupang to Sikka dan Lembata

Tahun 2016,






c From Kupang to Alor

Tahun 2016, siklus 3

Air Transport - village x 1 years x 1 time x 1 r-trip - 2,100,000 - ceiling rate

Sea Transport - village x 1 years x 1 time x 1 r-trip - - - ceiling rate

Inland Transport - village x 1 years x 1 time x 1 r-trip - 577,500 - fixed rate

Accomodation - village x 1 years x 1 time x 2 days r-trip - 300,000 - ceiling rate

OSA (Fixed) - village x 1 years x 1 time x 3 days r-trip - 200,000 - fixed rate

d From Kupang to Timor Tengah Selatan dan TTU

Tahun 2016,

Air Transport 4 village x 1 years x 1 time x 1 r-trip 1 - - ceiling rate





e From Kupang to Sumba Barat

Tahun 2016,






f From Kupang to Rote Ndao



Sea Transport 2 village x 1 years x 1 time x 1 r-trip 1 315,000 315,000 ceiling rate



OSA (Fixed) 2 village x 1 years x 1 time x 3 days r-trip 6 200,000 1,200,000 fixed rate

NO. DESCRIPTION UNITAMOUNT [IDR]


REMARKS

2

VOL

UNIT

PRICE

[IDR]

1 3 13 14 15 16



REMARKS

2

VOL

UNIT

PRICE

[IDR]

g From Kupang to Kabupaten Kupang





Accomodation 4 village x 1 years x 1 time x 6 days r-trip 6 300,000 1,800,000 ceiling rate


1.1.4 FMS to District to Village (Keberlanjutan) 20,151,250

1 Nusa Tenggara Timur, 10 District x 2 Villages = 20 Villages

a From Kupang to Manggarai, dan Manggarai Barat

Tahun 2016, 20 20






b From Kupang to Sikka dan Lembata

Tahun 2016,






c From Kupang to Alor

Tahun 2016, 6 siklus

Air Transport - village x 1 years x 1 time x 1 r-trip - 2,100,000 - ceiling rate

Sea Transport - village x 1 years x 1 time x 1 r-trip - - - ceiling rate

Inland Transport - village x 1 years x 1 time x 1 r-trip - 577,500 - fixed rate

Accomodation - village x 1 years x 1 time x 2 days r-trip - 300,000 - ceiling rate

OSA (Fixed) - village x 1 years x 1 time x 3 days r-trip - 200,000 - fixed rate

d From Kupang to Timor Tengah Selatan dan TTU

Tahun 2016, 6 siklus






e From Kupang to Sumba Barat

Tahun 2016,






1 3 13 14 15 16



REMARKS

2

VOL

UNIT

PRICE

[IDR]

f From Kupang to Rote Ndao

Tahun 2016,


Sea Transport 2 village x 1 years x 1 time x 1 r-trip 1 315,000 315,000 ceiling rate




g From Kupang to Kabupaten Kupang





Accomodation 4 village x 1 years x 1 time x 6 days r-trip 6 300,000 1,800,000 ceiling rate


2 District Coordinator (Keberlanjutan) 5,652,250

b Tahun 2016

Bali

Tabanan

Cluster village 1 village x 6 years x 1 time r-trip 1 105,000 105,000 fixed rate

OSA 1 village x 6 years x 1 time x 1 days r-trip 1 50,000 50,000 fixed rate

Nusa Tenggara Barat

Lombok Utara


OSA 4 village x 6 years x 1 time x 1 days r-trip 1 50,000 50,000

Lombok timur



Lombok Tengah



Bima



Sumbawa



Dompu



Nusa Tenggara Timur 1 -

Manggarai

Cluster village 1 village x 6 years x 1 time 1 r-trip 1 157,500 157,500 fixed rate


Manggarai Barat



Ende



1 3 13 14 15 16



REMARKS

2

VOL

UNIT

PRICE

[IDR]

Manggarai Timur



Flores Timur



Sikka



Lembata



Nagekeo



Alor



Nusa Tenggara Timur 2 -

Timor Tengah Selatan



Timor Tengah Utara



Belu



Sumba Barat



Sumba Tengah



Sumba Barat Daya



Sumba Timur



Rote Ndao



Kupang



Sabu raijua



Management Fee 5% - - 2,297,738






1 13.00 14 15 16 13.00 15 13.00 15 13.00 15 13.00 15

B REIMBURSABLE COST

1.2 MONITORING AND EVALUATION 388,963,856 38,229,150 3,678,500 41,907,650 347,056,206

1.2.1 PM to Province and District /Village (4 times) 35,253,938 - 10,208,175 - 10,208,175 25,045,763

a From Kupang to Other District in Bali - - - -

Air Transport 1 person 1.5 years x 1 time x 1 1.50 2,604,000 3,906,000 ceiling rate - - - - - 1.50 3,906,000

Sea Transport 1 person 1.5 years x 1 time x 1 1.50 - - ceiling rate - - - - - 1.50 -

Inland Transport 1 person 1.5 years x 1 time x 1 1.50 840,000 1,260,000 fixed rate - - - - - 1.50 1,260,000

Accomodation 1 person 1.5 years x 1 time x 4 days 6.00 300,000 1,800,000 ceiling rate - - - - - 6.00 1,800,000

OSA (Fixed) 1 person 1.5 years x 1 time x 5 days 7.50 200,000 1,500,000 fixed rate - - - - - 7.50 1,500,000

b From Kupang to Other District in Nusa Tenggara Barat - - - - - -

Air Transport 1 person 1.5 years x 1 time x 1 1.50 2,730,000 4,095,000 ceiling rate - 3,117,800 - - 3,117,800 1.50 977,200

Sea Transport 1 person 1.5 years x 1 time x 1 1.50 262,500 393,750 ceiling rate - - - - - 1.50 393,750

Inland Transport 1 person 1.5 years x 1 time x 1 1.50 690,375 1,035,563 fixed rate 1.00 690,375 - 1.00 690,375 0.50 345,188

Accomodation 1 person 1.5 years x 1 time x 4 days 6.00 300,000 1,800,000 ceiling rate 4.00 1,200,000 - 4.00 1,200,000 2.00 600,000

OSA (Fixed) 1 person 1.5 years x 1 time x 5 days 7.50 200,000 1,500,000 fixed rate 5.00 1,000,000 - 5.00 1,000,000 2.50 500,000

c From Kupang to Other District in Nusa Tenggara Timur - - - - - -

Air Transport 1 person 1.5 years x 2 time x 1 3.00 2,625,000 7,875,000 ceiling rate - 2,492,600 - - 2,492,600 3.00 5,382,400


Inland Transport 1 person 1.5 years x 2 time x 1 3.00 847,875 2,543,625 fixed rate 1.00 507,400 1.00 507,400 2.00 2,036,225

Accomodation 1 person 1.5 years x 2 time x 4 days 12.00 300,000 3,600,000 ceiling rate 2.00 600,000 - 2.00 600,000 10.00 3,000,000

OSA (Fixed) 1 person 1.5 years x 2 time x 5 days 15.00 200,000 3,000,000 fixed rate 3.00 600,000 - 3.00 600,000 12.00 2,400,000

1.2.2 LG to Province Bali, NTB dan NTT 13,018,500 - - - - 13,018,500

a To Bali - - - - -

` Air Transport 1 person x 1.5 years x 1 time x 1 1.50 2,604,000 3,906,000 ceiling rate - - - - - 1.50 3,906,000

Sea Transport 1 person x 1.5 years x 1 time x 1 1.50 - - ceiling rate - - - - - 1.50 -

Inland Transport 1 person x 1.5 years x 1 time x 1 1.50 315,000 472,500 fixed rate - - - - - 1.50 472,500

Accomodation 1 person x 1.5 years x 1 time x 2 days 3.00 300,000 900,000 ceiling rate - - - - - 3.00 900,000

OSA (Fixed) 1 person x 1.5 years x 1 time x 3 days 4.50 200,000 900,000 fixed rate - - - - - 4.50 900,000

- - - - - - -

b To NTB - - - - - - - -


Sea Transport 1 person x 1.5 years x 1 time x 1 1.50 262,500 393,750 ceiling rate - - - - - 1.50 393,750




- - - - -

1.2.3 TC - to Province Bali, NTB dan NTT 13,018,500 - 4,628,000 - 4,628,000 8,390,500

a To Bali - - - - -


Sea Transport 1 person x 1.5 years x 1 time x 1 1.50 - - ceiling rate - - - - - 1.50 -




- - - - - - -




AMENDMENT 3

NO. DESCRIPTION REMARKSUNIT PRICE

[IDR]AMOUNT [IDR]


2

VOL VOL AMOUNT [IDR] VOL AMOUNT [IDR]

TOTAL PREVIOUS



1 13.00 14 15 16 13.00 15 13.00 15 13.00 15 13.00 15


[IDR]AMOUNT [IDR]


2


TOTAL PREVIOUS



b To NTB - - - - - - - -

` Air Transport 1 person x 1.5 years x 1 time 1 1.50 2,730,000 4,095,000 ceiling rate - 3,060,500 - - 3,060,500 1.50 1,034,500

Sea Transport 1 person x 1.5 years x 1 time 1 1.50 262,500 393,750 ceiling rate - - - - - 1.50 393,750

Inland Transport 1 person x 1.5 years x 1 time 1 1.50 367,500 551,250 fixed rate 1.00 367,500 - 1.00 367,500 0.50 183,750

Accomodation 1 person x 1.5 years x 1 time x 2 days 3.00 300,000 900,000 ceiling rate 2.00 600,000 - 2.00 600,000 1.00 300,000

OSA (Fixed) 1 person x 1.5 years x 1 time x 3 days 4.50 200,000 900,000 fixed rate 3.00 600,000 - 3.00 600,000 1.50 300,000

- - - - -

1.2.4 TC - to District 20% x 26 district = 5 District in Bali, NTT1, NTT2 and NTB 33,255,000 - - - - 33,255,000

` Air Transport 1 person x 5 District x 1.5 years x 1 time 1 7.50 2,604,000 19,530,000 ceiling rate - - - - - 7.50 19,530,000

Sea Transport 1 person x 5 District x 1.5 years x 1 time 1 7.50 262,500 1,968,750 ceiling rate - - - - - 7.50 1,968,750

Inland Transport 1 person x 5 District x 1.5 years x 1 time 1 7.50 367,500 2,756,250 fixed rate - - - - - 7.50 2,756,250

Accomodation 1 person x 5 District x 1.5 years x 1 time x 2 days 15.00 300,000 4,500,000 ceiling rate - - - - - 15.00 4,500,000

OSA (Fixed) 1 person x 5 District x 1.5 years x 1 time x 3 days 22.50 200,000 4,500,000 fixed rate - - - - - 22.50 4,500,000

- - - - - - -

1.2.5 DMS to Propinsi 23,037,000 - - - - 23,037,000

a From Kupang to Bali - - - - - - - -


Sea Transport 2 person 1.5 years x 1 time x 1 3.00 - - ceiling rate - - - - - 3.00 -

Inland Transport 2 person 1.5 years x 1 time x 1 3.00 315,000 945,000 fixed rate - - - - - 3.00 945,000

Accomodation 2 person 1.5 years x 1 time x 1 days 3.00 300,000 900,000 ceiling rate - - - - - 3.00 900,000


b From Kupang to Nusa Tenggara Barat - - - - - -



Inland Transport 2 person 1.5 years x 1 time x 1 3.00 367,500 1,102,500 fixed rate - - - - - 3.00 1,102,500

Accomodation 2 person 1.5 years x 1 time x 1 days 3.00 300,000 900,000 ceiling rate - - - - - 3.00 900,000


- - - - - - -

1.2.6 DMS to District Bali, NTB dan NTT and District 20% x 26 district = 5 District 8,923,500 - - - - 8,923,500

a To Bali - - - - - - - -

Air Transport 1 person x 1 District x 1.5 years x 1 time 1 1.50 2,604,000 3,906,000 ceiling rate - - - - - 1.50 3,906,000

Sea Transport 1 person x 1 District x 1.5 years x 1 time 1 1.50 - - ceiling rate - - - - - 1.50 -

Inland Transport 1 person x 1 District x 1.5 years x 1 time 1 1.50 315,000 472,500 fixed rate - - - - - 1.50 472,500

Accomodation 1 person x 1 District x 1.5 years x 1 time x 2 days 3.00 300,000 900,000 ceiling rate - - - - - 3.00 900,000

OSA (Fixed) 1 person x 1 District x 1.5 years x 1 time x 3 days 4.50 200,000 900,000 fixed rate - - - - - 4.50 900,000

- - - - - - -

b To NTB - - - - - - - -

` Air Transport 1 person x 1 District x 1.5 years x 1 - 2,730,000 - ceiling rate - - - - - - -

Sea Transport 1 person x 1 District x 1.5 years x 1 1.50 262,500 393,750 ceiling rate - - - - - 1.50 393,750

Inland Transport 1 person x 1 District x 1.5 years x 1 1.50 367,500 551,250 fixed rate - - - - - 1.50 551,250

Accomodation 1 person x 1 District x 1.5 years x x 2 days 3.00 300,000 900,000 ceiling rate - - - - - 3.00 900,000

OSA (Fixed) 1 person x 1 District x 1.5 years x x 3 days 4.50 200,000 900,000 fixed rate - - - - - 4.50 900,000

- - - - - - -

c To NTT 1 - - - - - - - -

` Air Transport 1 person x 2 District x 1.5 years x 1 - - - ceiling rate - - - - - - -

Sea Transport 1 person x 2 District x 1.5 years x 1 1.50 - - ceiling rate - - - - - 1.50 -

Inland Transport 1 person x 2 District x 1.5 years x 1 1.50 - - fixed rate - - - - - 1.50 -

Accomodation 1 person x 2 District x 1.5 years x x - days - 300,000 - ceiling rate - - - - - - -

OSA (Fixed) 1 person x 2 District x 1.5 years x x - days - 200,000 - fixed rate - - - - - - -

- - - - - - -

1 13.00 14 15 16 13.00 15 13.00 15 13.00 15 13.00 15


[IDR]AMOUNT [IDR]


2


TOTAL PREVIOUS



d To NTT 2 - - - - - - - -

` Air Transport 1 person x 1 District x 1.5 years x 1 - - - ceiling rate - - - - - - -

Sea Transport 1 person x 1 District x 1.5 years x 1 1.50 - - ceiling rate - - - - - 1.50 -

Inland Transport 1 person x 1 District x 1.5 years x 1 1.50 - - fixed rate - - - - - 1.50 -

Accomodation 1 person x 1 District x 1.5 years x x - days - 300,000 - ceiling rate - - - - - - -

OSA (Fixed) 1 person x 1 District x 1.5 years x x - days - 200,000 - fixed rate - - - - - - -

- - - - - - -

1.2.7 Monitoring Evaluation Province to District /Village 10 times to All District 10 times 142,062,000 - 22,743,600 3,678,500 26,422,100 115,639,900

Bali & Nusa Tenggarra Barat - - - - -

a From Mataram to Tabanan - - - - - - - -

Air Transport 1 person x 1.5 years x 1 time 1 1.50 2,604,000 3,906,000 ceiling rate - - - - - 1.50 3,906,000

Sea Transport 1 person x 1.5 years x 1 time 1 2.00 - - - - - - - 2.00 -

Inland Transport 1 person x 1.5 years x 1 time 1 2.00 315,000 630,000 fixed rate - - - - - 2.00 630,000



Nusa Tenggara Barat - - - - - - - -

b From Mataram to Lombok Utara - - - - - - - - - -

Air Transport 1 person x 1.5 years x 3 time 1 4.50 - - ceiling rate - - - - - 4.50 -


Inland Transport 1 person x 1.5 years x 3 time 1 6.00 420,000 2,520,000 fixed rate 1.00 420,000 - 1.00 420,000 5.00 2,100,000

Accomodation 1 person x 1.5 years x 3 time x 1 days 6.00 300,000 1,800,000 ceiling rate 1.00 300,000 - 1.00 300,000 5.00 1,500,000

OSA (Fixed) 1 person x 1.5 years x 3 time x 2 days 12.00 200,000 2,400,000 fixed rate 2.00 400,000 - 2.00 400,000 10.00 2,000,000

- - - - - - - - - -

c From Mataram to Lombok Timur, Lombok Tengah - - - - - - - - - -



Inland Transport 1 person x 1.5 years x 3 time 1 6.00 577,500 3,465,000 fixed rate 1.00 577,500 - 1.00 577,500 5.00 2,887,500

Accomodation 1 person x 1.5 years x 3 time x 1 days 6.00 300,000 1,800,000 ceiling rate 1.00 300,000 - 1.00 300,000 5.00 1,500,000


- - - - - - - - - -

d From Mataram to Sumbawa, Dompu dan Bima - - - - - - - - - -


Sea Transport 1 person x 1.5 years x 3 time 1 6.00 262,500 1,575,000 - - - - - 6.00 1,575,000

Inland Transport 1 person x 1.5 years x 3 time 1 6.00 367,500 2,205,000 fixed rate - - - - - 6.00 2,205,000

Accomodation 1 person x 1.5 years x 3 time x 1 days 6.00 300,000 1,800,000 ceiling rate - - - - - 6.00 1,800,000

OSA (Fixed) 1 person x 1.5 years x 3 time x 2 days 12.00 200,000 2,400,000 fixed rate - - - - - 12.00 2,400,000

2 Nusa Tenggara Timur 1 10 times - - - - - - - -

a From Kupang to Manggarai, Manggarai Barat dan Ende - - - - - - - - - -

Tahun 2014 - - - - - - - - - -

Air Transport 1 person x 1.5 years x 2 time 1 3.00 2,625,000 7,875,000 ceiling rate - 4,703,600 - - 4,703,600 3.00 3,171,400

Sea Transport 1 person x 1.5 years x 2 time 1 4.00 - - ceiling rate - - - - - 4.00 -

Inland Transport 1 person x 1.5 years x 2 time 1 4.00 525,000 2,100,000 fixed rate - 400,000 - - 400,000 4.00 1,700,000

Accomodation 1 person x 1.5 years x 2 time x 1 days 4.00 300,000 1,200,000 ceiling rate 4.00 1,200,000 - 4.00 1,200,000 - -

OSA (Fixed) 1 person x 1.5 years x 2 time x 2 days 8.00 200,000 1,600,000 fixed rate 6.00 1,200,000 - 6.00 1,200,000 2.00 400,000

- - - - - - - - -

b From Kupang to Sikka dan Lembata - - - - - - - - -

Tahun 2014 - - - - - - - - - -


Sea Transport 1 person x 1.5 years x 2 time 1 4.00 540,000 2,160,000 ceiling rate - - - - - 4.00 2,160,000


Accomodation 1 person x 1.5 years x 2 time x 1 days 4.00 300,000 1,200,000 ceiling rate 2.00 600,000 - 2.00 600,000 2.00 600,000


- - - - - - - - -

1 13.00 14 15 16 13.00 15 13.00 15 13.00 15 13.00 15


[IDR]AMOUNT [IDR]


2


TOTAL PREVIOUS



c From Kupang to Alor - - - - - - - - -

Tahun 2014 - - - - - - - - - -






- - - - - - - - -

d From Kupang to Manggarai Timur dan Flores Timur - - - - - - - - -

Tahun 2014 - - - - - - - - - -

Air Transport 1 person x 1.5 years x 2 time 1 3.00 1,942,500 5,827,500 ceiling rate 2.00 4,085,000 - 2.00 4,085,000 1.00 1,742,500



Accomodation 1 person x 1.5 years x 2 time x 1 days 4.00 300,000 1,200,000 ceiling rate 4.00 1,200,000 - 4.00 1,200,000 - -

OSA (Fixed) 1 person x 1.5 years x 2 time x 2 days 8.00 200,000 1,600,000 fixed rate 6.00 1,200,000 - 6.00 1,200,000 2.00 400,000

- - - - - - - - -

e From Kupang to Nagekeo - - - - - - - - -

Tahun 2014 - - - - - - - - - -

Air Transport 1 person x 1.5 years x 2 time 1 3.00 2,310,000 6,930,000 ceiling rate - - - - 3.00 6,930,000

Sea Transport 1 person x 1.5 years x 2 time 1 4.00 - - ceiling rate - - - - 4.00 -

Inland Transport 1 person x 1.5 years x 2 time 1 4.00 315,000 1,260,000 fixed rate - - - - 4.00 1,260,000

Accomodation 1 person x 1.5 years x 2 time x 1 days 4.00 300,000 1,200,000 ceiling rate - - - - 4.00 1,200,000

OSA (Fixed) 1 person x 1.5 years x 2 time x 2 days 8.00 200,000 1,600,000 fixed rate - - - - 8.00 1,600,000

- - - - - - - - -

3 Nusa Tenggara Timur 2 10 times - - - - - - - -

a From Kupang to Timor Tengah Selatan , TTU dan Belu - - - - - - - - -

Tahun 2014 - - - - - - - - - -






- - - - - - - - -

b From Kupang to Sumba Barat, Sumba Tengah dan Sumba Barat Daya - - - - - - - - -

Tahun 2014 - - - - - - - - - -




Accomodation 1 person x 1.5 years x 2 time x 1 days 4.00 300,000 1,200,000 ceiling rate 2.00 600,000 - 2.00 600,000 2.00 600,000


- - - - - - - - -

c From Kupang to Sumba Timur - - - - - - - - -

Tahun 2014 - - - - - - - - - -






- - - - - - - - -

1 13.00 14 15 16 13.00 15 13.00 15 13.00 15 13.00 15


[IDR]AMOUNT [IDR]


2


TOTAL PREVIOUS



d From Kupang to Rote Ndao - - - - - - - - -

Tahun 2014 - - - - - - - - - -


Sea Transport 1 person x 1.5 years x 2 time 1 4.00 315,000 1,260,000 ceiling rate - - - - - 4.00 1,260,000




- - - - - - - - -

e From Kupang to Kabupaten Kupang, Sabu Raijua - - - - - - - - -

Tahun 2014 - - - - - - - - - -

Air Transport 1 person x 1.5 years x 2 time 1 3.00 2,520,000 7,560,000 ceiling rate - - 1.00 2,111,000 1.00 2,111,000 2.00 5,449,000


Inland Transport 1 person x 1.5 years x 2 time 1 4.00 367,500 1,470,000 fixed rate - - 1.00 367,500 1.00 367,500 3.00 1,102,500

Accomodation 1 person x 1.5 years x 2 time x 1 days 4.00 300,000 1,200,000 ceiling rate - - 2.00 600,000 2.00 600,000 2.00 600,000

OSA (Fixed) 1 person x 1.5 years x 2 time x 2 days 8.00 200,000 1,600,000 fixed rate - - 3.00 600,000 3.00 600,000 5.00 1,000,000

- - - - -

1.2.8 Monitoring Evaluation District to Village [ Tahun 2014 dan 2015] 64,253,419 649,375 - 649,375 63,604,044

1 Bali dan Nusa Tenggara Barat - - - - - -

Tabanan 10 village x 50% 5 village - - - - - - -

Cluster village 1 person 4 village x 1.5 years x 6 time 9.00 105,000 945,000 fixed rate 1.00 105,000 - 1.00 105,000 8.00 840,000

Remote village (several transport) 1 person 1 village x 1.5 years x 6 time 9.00 215,250 1,937,250 fixed rate - - - - - 9.00 1,937,250

OSA 1 person 5 village x 1.5 years x 6 time x 1 days 9.00 50,000 450,000 2.00 100,000 - 2.00 100,000 7.00 350,000

- - - - - - - - -

Nusa Tenggara Barat - - - - - - - - -

Lombok Utara 10 village x 50% 5 village - - - - - - - - -

Cluster village 1 person 4 village x 1.5 years x 6 time 9.00 210,000 1,890,000 fixed rate - - - - - 9.00 1,890,000

Remote village (several transport) 1 person 1 village x 1.5 years x 6 time 1.50 430,500 645,750 fixed rate - - - - - 1.50 645,750

OSA 1 person 5 village x 1.5 years x 6 time x 1 days 9.00 50,000 450,000 - - - - - 9.00 450,000

Lombok timur 10 village x 50% 5 village - - - - - - - - - -




Lombok Tengah 5 village x 50% 2 village - - - - - - - - - -

Cluster village 1 person 2 village x 1.5 years x 6 time 9.00 105,000 945,000 fixed rate - - - - - 9.00 945,000

Remote village (several transport) 1 person 0 village x 1.5 years x 6 time - 215,250 - fixed rate - - - - - - -


Bima 10 village x 50% 5 village - - - - - - - - - -

Cluster village 1 person 4 village x 1.5 years x 6 time 9.00 157,500 1,417,500 fixed rate 2.25 354,375 - 2.25 354,375 6.75 1,063,125


OSA 1 person 5 village x 1.5 years x 6 time x 1 days 9.00 50,000 450,000 1.80 90,000 - 1.80 90,000 7.20 360,000

Sumbawa 7 village x 50% 4 village - - - - - - - - - -




Dompu 5 village x 50% 2 village - - - - - - - - - -




- - - - - - - - -

1 13.00 14 15 16 13.00 15 13.00 15 13.00 15 13.00 15


[IDR]AMOUNT [IDR]


2


TOTAL PREVIOUS



2 Nusa Tenggara Timur - - - - - - - -

Timor Tengah Selatan 10 village x 50% 5 village - - - - - - - - -




Timor Tengah Utara 10 village x 50% 5 village - - - - - - - - - -




Manggarai 10 village x 50% 5 village - - - - - - - - - -




Manggarai Barat 10 village x 50% 5 village - - - - - - - - - -

Cluster village 1 person 4 village x 1.5 years x 6 time 9.00 210,000 1,890,000 ceiling rate - - - - - 9.00 1,890,000

Remote village (several transport) 1 person 1 village x 1.5 years x 6 time 1.50 430,500 645,750 ceiling rate - - - - - 1.50 645,750


Manggarai Timur 10 village x 50% 5 village - - - - - - - - - -




Sumba Barat 10 village x 50% 5 village - - - - - - - - - -




Sumba Tengah 10 village x 50% 5 village - - - - - - - - - -




Sumba Barat Daya 10 village x 50% 5 village - - - - - - - - - -




Sumba Timur 10 village x 50% 5 village - - - - - - - - - -




Rote Ndao 10 village x 50% 5 village - - - - - - - - - -




Sikka 10 village x 50% 5 village - - - - - - - - - -




Alor 10 village x 50% 5 village - - - - - - - - - -




1 13.00 14 15 16 13.00 15 13.00 15 13.00 15 13.00 15


[IDR]AMOUNT [IDR]


2


TOTAL PREVIOUS



Kupang 7 village x 50% 4 village - - - - - - - - - -




Lembata 5 village x 50% 2 village - - - - - - - - - -




Sabu raijua 10 village x 50% 5 village - - - - - - - - - -




Flores Timur 10 village x 50% 5 village - - - - - - - - - -




Belu 10 village x 50% 5 village - - - - - - - - - -




Nagekeo 7 village x 50% 4 village - - - - - - - - - -




Ende 7 village x 50% 4 village - - - - - - - - - -




- - - - -

1.2.9 FMS to Provincial [2014 dan 2015] - - 56,142,000 - - - - 56,142,000

From Mataram to Bali - - -

Air Transport 1 person x 1.5 years x 12 time 18.00 2,604,000 46,872,000 ceiling rate - - - - - 18.00 46,872,000

Sea Transport 1 person x 1.5 years x 12 time 18.00 - - ceiling rate - - - - - 18.00 -

Inland Transport 1 person x 1.5 years x 12 time 18.00 315,000 5,670,000 fixed rate - - - - - 18.00 5,670,000

Accomodation 1 person x 1.5 years x 12 time x - days - 300,000 - ceiling rate - - - - - - -


- - - - - - -

Management Fee (10%) 38,896,385.63 - 3,822,915 367,850.00 4,190,765 34,705,621




1 3 13 14 15 16

B REIMBURSABLE COST

1.2 MONITORING AND EVALUATION 283,976,238

1.2.1 PM to Province and District /Village (4 times) 23,502,625 -

a From Kupang to Other District in Bali -

Air Transport 1 person 1 years x 1 time x 1 r-trip 1 2,604,000 2,604,000 ceiling rate

Sea Transport 1 person 1 years x 1 time x 1 r-trip 1 - - ceiling rate

Inland Transport 1 person 1 years x 1 time x 1 r-trip 1 840,000 840,000 fixed rate

Accomodation 1 person 1 years x 1 time x 4 days r-trip 4 300,000 1,200,000 ceiling rate

OSA (Fixed) 1 person 1 years x 1 time x 5 days r-trip 5 200,000 1,000,000 fixed rate

b From Kupang to Other District in Nusa Tenggara Barat -


Sea Transport 1 person 1 years x 1 time x 1 r-trip 1 262,500 262,500 ceiling rate




c From Kupang to Other District in Nusa Tenggara Timur -



Inland Transport 1 person 1 years x 2 time x 1 r-trip 2 847,875 1,695,750 fixed rate



1.2.2 LG to Province Bali, NTB dan NTT 8,679,000 -

a To Bali

` Air Transport 1 person x 1 years x 1 time x 1 r-trip 1 2,604,000 2,604,000 ceiling rate

Sea Transport 1 person x 1 years x 1 time x 1 r-trip 1 - - ceiling rate

Inland Transport 1 person x 1 years x 1 time x 1 r-trip 1 315,000 315,000 fixed rate

Accomodation 1 person x 1 years x 1 time x 2 days r-trip 2 300,000 600,000 ceiling rate

OSA (Fixed) 1 person x 1 years x 1 time x 3 days r-trip 3 200,000 600,000 fixed rate

b To NTB -


Sea Transport 1 person x 1 years x 1 time x 1 r-trip 1 262,500 262,500 ceiling rate




1.2.3 TC - to Province Bali, NTB dan NTT 8,679,000 -

a To Bali


Sea Transport 1 person x 1 years x 1 time x 1 r-trip 1 - - ceiling rate






REMARKS

2

VOL

UNIT

PRICE

[IDR]

1 3 13 14 15 16



REMARKS

2

VOL

UNIT

PRICE

[IDR]

b To NTB -

` Air Transport 1 person x 1 years x 1 time 1 r-trip 1 2,730,000 2,730,000 ceiling rate

Sea Transport 1 person x 1 years x 1 time 1 r-trip 1 262,500 262,500 ceiling rate

Inland Transport 1 person x 1 years x 1 time 1 r-trip 1 367,500 367,500 fixed rate



1.2.4 TC - to District 20% x 26 district = 5 District in Bali, NTT1, NTT2 and NTB 22,170,000 -

` Air Transport 1 person x 5 District x 1 years x 1 time 1 r-trip 5 2,604,000 13,020,000 ceiling rate

Sea Transport 1 person x 5 District x 1 years x 1 time 1 r-trip 5 262,500 1,312,500 ceiling rate

Inland Transport 1 person x 5 District x 1 years x 1 time 1 r-trip 5 367,500 1,837,500 fixed rate

Accomodation 1 person x 5 District x 1 years x 1 time x 2 days r-trip 10 300,000 3,000,000 ceiling rate

OSA (Fixed) 1 person x 5 District x 1 years x 1 time x 3 days r-trip 15 200,000 3,000,000 fixed rate

1.2.5 DMS to Propinsi 15,358,000 -

a From Kupang to Bali -


Sea Transport 2 person 1 years x 1 time x 1 r-trip 2 - - ceiling rate


Accomodation 2 person 1 years x 1 time x 1 days r-trip 2 300,000 600,000 ceiling rate

OSA (Fixed) 2 person 1 years x 1 time x 2 days r-trip 4 200,000 800,000 fixed rate

b From Kupang to Nusa Tenggara Barat -




Accomodation 2 person 1 years x 1 time x 1 days r-trip 2 300,000 600,000 ceiling rate

OSA (Fixed) 2 person 1 years x 1 time x 2 days r-trip 4 200,000 800,000 fixed rate

1.2.6 DMS to District Bali, NTB dan NTT and District 20% x 26 district = 5 District 5,949,000 -

a To Bali -

Air Transport 1 person x 1 District x 1 years x 1 time 1 r-trip 1 2,604,000 2,604,000 ceiling rate

Sea Transport 1 person x 1 District x 1 years x 1 time 1 r-trip 1 - - ceiling rate

Inland Transport 1 person x 1 District x 1 years x 1 time 1 r-trip 1 315,000 315,000 fixed rate

Accomodation 1 person x 1 District x 1 years x 1 time x 2 days r-trip 2 300,000 600,000 ceiling rate

OSA (Fixed) 1 person x 1 District x 1 years x 1 time x 3 days r-trip 3 200,000 600,000 fixed rate

b To NTB -

` Air Transport 1 person x 1 District x 1 years x 1 r-trip - 2,730,000 - ceiling rate

Sea Transport 1 person x 1 District x 1 years x 1 r-trip 1 262,500 262,500 ceiling rate

Inland Transport 1 person x 1 District x 1 years x 1 r-trip 1 367,500 367,500 fixed rate

Accomodation 1 person x 1 District x 1 years x x 2 days r-trip 2 300,000 600,000 ceiling rate

OSA (Fixed) 1 person x 1 District x 1 years x x 3 days r-trip 3 200,000 600,000 fixed rate

c To NTT 1 -

` Air Transport 1 person x 2 District x 1 years x 1 r-trip - - - ceiling rate

Sea Transport 1 person x 2 District x 1 years x 1 r-trip 1 - - ceiling rate

Inland Transport 1 person x 2 District x 1 years x 1 r-trip 1 - - fixed rate

Accomodation 1 person x 2 District x 1 years x x - days r-trip - 300,000 - ceiling rate

OSA (Fixed) 1 person x 2 District x 1 years x x - days r-trip - 200,000 - fixed rate

1 3 13 14 15 16



REMARKS

2

VOL

UNIT

PRICE

[IDR]

d To NTT 2 -

` Air Transport 1 person x 1 District x 1 years x 1 r-trip - - - ceiling rate

Sea Transport 1 person x 1 District x 1 years x 1 r-trip 1 - - ceiling rate

Inland Transport 1 person x 1 District x 1 years x 1 r-trip 1 - - fixed rate

Accomodation 1 person x 1 District x 1 years x x - days r-trip - 300,000 - ceiling rate

OSA (Fixed) 1 person x 1 District x 1 years x x - days r-trip - 200,000 - fixed rate

1.2.7 Monitoring Evaluation Province to District /Village 10 times to All District ## # times 119,375,000 -

Bali & Nusa Tenggarra Barat -

a From Mataram to Tabanan -

Air Transport 1 person x 1 years x 1 time 1 r-trip 1 2,604,000 2,604,000 ceiling rate

Sea Transport 1 person x 1 years x 1 time 1 r-trip 2 - -

Inland Transport 1 person x 1 years x 1 time 1 r-trip 2 315,000 630,000 fixed rate



- - -

Nusa Tenggara Barat - - -

b From Mataram to Lombok Utara - - -

Air Transport 1 person x 1 years x 3 time 1 r-trip 3 - - ceiling rate


Inland Transport 1 person x 1 years x 3 time 1 r-trip 6 420,000 2,520,000 fixed rate

Accomodation 1 person x 1 years x 3 time x 1 days r-trip 6 300,000 1,800,000 ceiling rate

OSA (Fixed) 1 person x 1 years x 3 time x 2 days r-trip 12 200,000 2,400,000 fixed rate

- - -

c From Mataram to Lombok Timur, Lombok Tengah - - -






- - -

d From Mataram to Sumbawa, Dompu dan Bima - - -


Sea Transport 1 person x 1 years x 3 time 1 r-trip 6 262,500 1,575,000




- -

2 Nusa Tenggara Timur 1 ## # times - - -

a From Kupang to Manggarai, Manggarai Barat dan Ende - - -

Tahun 2014 - - -


Sea Transport 1 person x 1 years x 2 time 1 r-trip 4 - - ceiling rate




- -

1 3 13 14 15 16



REMARKS

2

VOL

UNIT

PRICE

[IDR]

b From Kupang to Sikka dan Lembata - -

Tahun 2014 - - -


Sea Transport 1 person x 1 years x 2 time 1 r-trip 4 540,000 2,160,000 ceiling rate




- -

c From Kupang to Alor - -

Tahun 2014 - - -






- -

d From Kupang to Manggarai Timur dan Flores Timur - -

Tahun 2014 - - -






- -

e From Kupang to Nagekeo - -

Tahun 2014 - - -






- -

3 Nusa Tenggara Timur 2 ## # times - - -

a From Kupang to Timor Tengah Selatan , TTU dan Belu - -

Tahun 2014 - - -






- -

b From Kupang to Sumba Barat, Sumba Tengah dan Sumba Barat Daya - -

Tahun 2014 - - -






- -

1 3 13 14 15 16



REMARKS

2

VOL

UNIT

PRICE

[IDR]

c From Kupang to Sumba Timur - -

Tahun 2014 - - -






- -

d From Kupang to Rote Ndao - -

Tahun 2014 - - -


Sea Transport 1 person x 1 years x 2 time 1 r-trip 4 315,000 1,260,000 ceiling rate




- -

e From Kupang to Kabupaten Kupang, Sabu Raijua - -

Tahun 2014 - - -






1.2.8 Monitoring Evaluation District to Village [ Tahun 2014 dan 2015] 42,835,613

1 Bali dan Nusa Tenggara Barat -

Tabanan 10 village x 50% 5 village

Cluster village 1 person 4 village x 1.0 years x 6 time r-trip 6 105,000 630,000 fixed rate

Remote village (several transport) 1 person 1 village x 1.0 years x 6 time r-trip 6 215,250 1,291,500 fixed rate

OSA 1 person 5 village x 1.0 years x 6 time x 1 days r-trip 6 50,000 300,000

- -

Nusa Tenggara Barat - -

Lombok Utara 10 village x 50% 5 village - -

Cluster village 1 person 4 village x 1.0 years x 6 time r-trip 6 210,000 1,260,000 fixed rate

Remote village (several transport) 1 person 1 village x 1.0 years x 6 time r-trip 1 430,500 430,500 fixed rate


Lombok timur 10 village x 50% 5 village - - -




Lombok Tengah 5 village x 50% 2 village - - -


Remote village (several transport) 1 person 0 village x 1.0 years x 6 time r-trip - 215,250 - fixed rate


Bima 10 village x 50% 5 village - - -




1 3 13 14 15 16



REMARKS

2

VOL

UNIT

PRICE

[IDR]

Sumbawa 7 village x 50% 4 village - - -




Dompu 5 village x 50% 2 village - - -




- -

2 Nusa Tenggara Timur - -

Timor Tengah Selatan 10 village x 50% 5 village - -




Timor Tengah Utara 10 village x 50% 5 village - - -




Manggarai 10 village x 50% 5 village - - -




Manggarai Barat 10 village x 50% 5 village - - -

Cluster village 1 person 4 village x 1.0 years x 6 time r-trip 6 210,000 1,260,000 ceiling rate

Remote village (several transport) 1 person 1 village x 1.0 years x 6 time r-trip 1 430,500 430,500 ceiling rate


Manggarai Timur 10 village x 50% 5 village - - -




Sumba Barat 10 village x 50% 5 village - - -




Sumba Tengah 10 village x 50% 5 village - - -




Sumba Barat Daya 10 village x 50% 5 village - - -




Sumba Timur 10 village x 50% 5 village - - -




Rote Ndao 10 village x 50% 5 village - - -




1 3 13 14 15 16



REMARKS

2

VOL

UNIT

PRICE

[IDR]

Sikka 10 village x 50% 5 village - - -




Alor 10 village x 50% 5 village - - -




Kupang 7 village x 50% 4 village - - -




Lembata 5 village x 50% 2 village - - -




Sabu raijua 10 village x 50% 5 village - - -




Flores Timur 10 village x 50% 5 village - - -




Belu 10 village x 50% 5 village - - -




Nagekeo 7 village x 50% 4 village - - -




Ende 7 village x 50% 4 village - - -




1.2.9 FMS to Provincial [2014 dan 2015] - - 37,428,000 -

From Mataram to Bali

Air Transport 1 person x 1.0 years x 12 time r-trip 12 2,604,000 31,248,000 ceiling rate

Sea Transport 1 person x 1.0 years x 12 time r-trip 12 - - ceiling rate

Inland Transport 1 person x 1.0 years x 12 time r-trip 12 315,000 3,780,000 fixed rate

Accomodation 1 person x 1.0 years x 12 time x - days r-trip - 300,000 - ceiling rate

OSA (Fixed) 1 person x 1.0 years x 12 time x 1 days r-trip 12 200,000 2,400,000 fixed rate

Management Fee (10%) 28,397,623.75

Contract No. : KU.08.08/Kontrak/Pamsimas/174/VIII/2013 Contract No. : KU.08.08/Kontrak/Pamsimas/174/VIII/2013

Contract Date : August,27,2013 Contract Date : August,27,2013

Amendment No. : No. 03, November 27, 2014 Amendment No. : No. 03, November 27, 2014

Invoice No. : 13 Reguler Invoice No. : 14 Reguler

Period Of Month Invoice : 18 (January 2015) Period Of Month Invoice : 19 (February 2015)

1 3 13 14 15 16 13.00 15 13.00 15 13.00 15 13.00 15 13.00 15 13.00 15 13.00 15 13.00 15

B REIMBURSABLE COST - 54,640,000

1.3.1 COORDINATION MEETING REGULER 1,295,188,500 - - - 156 54,640,000 156 54,640,000 3,723 1,240,548,500 156 54,640,000 - - 156 54,640,000 3,723 1,240,548,500

1 District to Province 987,091,200 - - - 156 54,640,000 156 54,640,000 2,976 932,451,200 156 54,640,000 - - 156 54,640,000 2,976 932,451,200

a Bali dan Nusa Tenggara Barat - - - - - - - - - - - - - - -

From Tabanan to Mataram - - - - - - - - - - - - - - -

Air Transport 2 person x 1.5 years x 4 time 1 r-trip 12 2,604,000 31,248,000 ceiling rate - - - - - - 12 31,248,000 - - - - - 12 31,248,000

Sea Transport 2 person x 1.5 years x 4 time 1 r-trip 12 - - ceiling rate - - - - - - 12 - - - - - - 12 -

Inland Transport 2 person x 1.5 years x 4 time 1 r-trip 12 315,000 3,780,000 fixed rate - - - - - - 12 3,780,000 - - - - - 12 3,780,000

Accomodation 2 person x 1.5 years x 4 time x 2 days r-trip 24 300,000 7,200,000 ceiling rate - - - - - - 24 7,200,000 - - - - - 24 7,200,000

OSA (Fixed) 2 person x 1.5 years x 4 time x 3 days r-trip 36 200,000 7,200,000 fixed rate - - - - - - 36 7,200,000 - - - - - 36 7,200,000

- - - - - - - - - - - - - - - - - -

From Lombok Utara to Mataram - - - - - - - - - - - - - - - - - -

Air Transport 2 person x 1.5 years x 4 time 1 r-trip 12 - - ceiling rate - - - - - - 12 - - - - - - 12 -





- - - - - - - - - - - - - - - - - -

From Lombok Timur to Mataram - - - - - - - - - - - - - - - - - -




Accomodation 2 person x 1.5 years x 4 time x - days r-trip - 300,000 - ceiling rate - - - - - - - - - - - - - - -


- - - - - - - - - - - - - - - - - -

From Lombok Tengah to Mataram - - - - - - - - - - - - - - - - - -






- - - - - - - - - - - - - - - - - -

From Bima to Mataram - - - - - - - - - - - - - - - - - -






- - - - - - - - - - - - - - - - - -

From Sumbawa to Mataram - - - - - - - - - - - - - - - - - -






- - - - - - - - - - - - - - - - - -

VOL AMOUNT [IDR]




AMENDMENT 3

TOTAL PREVIOUS


VOL AMOUNT [IDR] VOL AMOUNT [IDR] VOL AMOUNT [IDR]NO. DESCRIPTION UNIT


REMARKS VOL AMOUNT [IDR]

2

VOL

UNIT

PRICE

[IDR]

AMOUNT [IDR] VOL AMOUNT [IDR]

TOTAL PREVIOUS



1 3 13 14 15 16 13.00 15 13.00 15 13.00 15 13.00 15 13.00 15 13.00 15 13.00 15 13.00 15

VOL AMOUNT [IDR]

TOTAL PREVIOUS





2

VOL

UNIT

PRICE

[IDR]


TOTAL PREVIOUS



From Dompu to Mataram - - - - - - - - - - - - - - - - - -






- - - - - - - - - - - - - - - - - -

Comsumsi for Coordination Meeting (Lunch, Snack and Coffee) 20 person x 1.5 years x 4 time x 2 days 240 75,000 18,000,000 fixed rate - - - - - - 240 18,000,000 - - - - - 240 18,000,000

Sewa Ruang Rapat 1.5 years x 4 time x 2 days 12 750,000 9,000,000 fixed rate - - - - - - 12 9,000,000 - - - - - 12 9,000,000

- - - - - - - - - - - - - - - - - -

b Nusa Tenggara Timur 1 - - - - - - - - - - - - - - - -

From Manggarai to Kupang - - - - - - - - - - - - - - - - - -

Air Transport 2 person x 1.5 years x 4 time 1 r-trip 12 2,625,000 31,500,000 ceiling rate - - - 1,405,000 - 1,405,000 12 30,095,000 - 1,405,000 - - 1,405,000 12 30,095,000


Inland Transport 2 person x 1.5 years x 4 time 1 r-trip 12 525,000 6,300,000 fixed rate - - 1.00 525,000 1 525,000 11 5,775,000 1.00 525,000 - 1 525,000 11 5,775,000

Accomodation 2 person x 1.5 years x 4 time x 2 days r-trip 24 300,000 7,200,000 ceiling rate - - 2.00 600,000 2 600,000 22 6,600,000 2.00 600,000 - 2 600,000 22 6,600,000

OSA (Fixed) 2 person x 1.5 years x 4 time x 3 days r-trip 36 200,000 7,200,000 fixed rate - - 3.00 600,000 3 600,000 33 6,600,000 3.00 600,000 - 3 600,000 33 6,600,000

- - - - - - - - - - - - - - - - - -

From Manggarai Barat to Kupang - - - - - - - - - - - - - - - - - -



Inland Transport 2 person x 1.5 years x 4 time 1 r-trip 12 525,000 6,300,000 fixed rate - - 2.00 1,050,000 2 1,050,000 10 5,250,000 2.00 1,050,000 - 2 1,050,000 10 5,250,000

Accomodation 2 person x 1.5 years x 4 time x 2 days r-trip 24 300,000 7,200,000 ceiling rate - - 4.00 1,200,000 4 1,200,000 20 6,000,000 4.00 1,200,000 - 4 1,200,000 20 6,000,000

OSA (Fixed) 2 person x 1.5 years x 4 time x 3 days r-trip 36 200,000 7,200,000 fixed rate - - 6.00 1,200,000 6 1,200,000 30 6,000,000 6.00 1,200,000 - 6 1,200,000 30 6,000,000

- - - - - - - - - - - - - - - - - -

From Ende to Kupang - - - - - - - - - - - - - - - - - -






- - - - - - - - - - - - - - - - - -

From Manggarai Timur to Kupang - - - - - - - - - - - - - - - - - -






- - - - - - - - - - - - - - - - - -

From Flores Timur to Kupang - - - - - - - - - - - - - - - - - -






- - - - - - - - - - - - - - - - - -

From Sikka to Kupang - - - - - - - - - - - - - - - - - -






- - - - - - - - - - - - - - - - - -

From Lembata to Kupang - - - - - - - - - - - - - - - - - -






- - - - - - - - - - - - - - - - - -

From Nagekeo to Kupang 1 - - - - - - - - - - - - - - - - - -



Inland Transport 2 person x 1.5 years x 4 time x 1 r-trip 12 315,000 3,780,000 fixed rate - - 2.00 630,000 2 630,000 10 3,150,000 2.00 630,000 - 2 630,000 10 3,150,000



- - - - - - - - - - - - - - - - - -

1 3 13 14 15 16 13.00 15 13.00 15 13.00 15 13.00 15 13.00 15 13.00 15 13.00 15 13.00 15

VOL AMOUNT [IDR]

TOTAL PREVIOUS





2

VOL

UNIT

PRICE

[IDR]


TOTAL PREVIOUS



From Alor to Kupang - - - - - - - - - - - - - - - - - -






- - - - - - - - - - - - - - - - - -

Comsumsi for Coordination Meeting (Lunch, Snack and Coffee) 26 person x 1.5 years x 4 time x 2 days 312 75,000 23,400,000 fixed rate - - 52.00 3,900,000 52 3,900,000 260 19,500,000 52.00 3,900,000 - 52 3,900,000 260 19,500,000

Sewa Ruang Rapat 1.5 years x 4 time x 2 days 12 750,000 9,000,000 fixed rate - - 2.00 1,500,000 2 1,500,000 10 7,500,000 2.00 1,500,000 - 2 1,500,000 10 7,500,000

- - - - - - - - - - - - - - -

b Nusa Tenggara Timur 2 - - - - - - - - - - - - - - - -

From Kupang to Kupang - - - - - - - - - - - - - - - - - -






- - - - - - - - - - - - - - - - - -

From Timor Tengah Selatan to Kupang - - - - - - - - - - - - - - - - - -






- - - - - - - - - - - - - - - - - -

From Timor Tengah Utara to Kupang - - - - - - - - - - - - - - - - - -






- - - - - - - - - - - - - - - - - -

1 3 13 14 15 16 13.00 15 13.00 15 13.00 15 13.00 15 13.00 15 13.00 15 13.00 15 13.00 15

VOL AMOUNT [IDR]

TOTAL PREVIOUS





2

VOL

UNIT

PRICE

[IDR]


TOTAL PREVIOUS



From Belu to Kupang - - - - - - - - - - - - - - - - - -






- - - - - - - - - - - - - - - - - -

From Sumba Barat to Kupang - - - - - - - - - - - - - - - - - -






- - - - - - - - - - - - - - - - - -

From Sumba Tengah to Kupang - - - - - - - - - - - - - - - - - -






- - - - - - - - - - - - - - - - - -

From Sumba Barat Daya to Kupang - - - - - - - - - - - - - - - - - -






- - - - - - - - - - - - - - - - - -

From Sumba Timur to Kupang - - - - - - - - - - - - - - - - - -






- - - - - - - - - - - - - - - - - -

From Sabu Raijua to Kupang - - - - - - - - - - - - - - - - - -






- - - - - - - - - - - - - - - - - -

From Rote Ndao to Kupang - - - - - - - - - - - - - - - - - -


Sea Transport 2 person x 1.5 years x 4 time 1 r-trip 12 315,000 3,780,000 ceiling rate - - - - - - 12 3,780,000 - - - - - 12 3,780,000




- - - - - - - - - - - - - - -

Comsumsi for Coordination Meeting (Lunch, Snack and Coffee) 28 person x 1.5 years x 4 time x 2 days 336 75,000 25,200,000 fixed rate - - - - - - 336 25,200,000 - - - - - 336 25,200,000

Sewa Ruang Rapat 1.5 years x 4 time x 2 days 12 750,000 9,000,000 fixed rate - - - - - - 12 9,000,000 - - - - - 12 9,000,000

- - - - - - - - - - - - - - -

2 Province to Regional 62,427,000 - - - - - - - 264 62,427,000 - - - - - 264 62,427,000

a From Nusa Tenggara Barat (Mataram) to Kupang - - - - - - - - - - - - - - -

Air Transport 3 person 1.5 years x 4 time r-trip 18 2,289,000 41,202,000 ceiling rate - - - - - - 18 41,202,000 - - - - - 18 41,202,000

Inland Transport 3 person 1.5 years x 4 time r-trip 18 262,500 4,725,000 fixed rate - - - - - - 18 4,725,000 - - - - - 18 4,725,000

Accomodation 3 person 1.5 years x 4 time x 1 days r-trip 18 300,000 5,400,000 ceiling rate - - - - - - 18 5,400,000 - - - - - 18 5,400,000

OSA (Fixed) 3 person 1.5 years x 4 time x 2 days r-trip 36 200,000 7,200,000 fixed rate - - - - - - 36 7,200,000 - - - - - 36 7,200,000

- - - - - - - - - - - - - - - - -

b From Nusa Tenggara Timur (Kupang) to Kupang - - - - - - - - - - - - - - - - -

Accomodation 3 person 1.5 years x 4 time x - days r-trip - - - ceiling rate - - - - - - - - - - - - - - -

OSA (Fixed) 3 person 1.5 years x 4 time x 1 days r-trip 18 - - fixed rate - - - - - - 18 - - - - - - 18 -

- - - - - - - - - - - - - - - - -

Comsumsi for Coordination Meeting 13 person 1.5 years x 4 time x 2 days Person 156 25,000 3,900,000 fixed rate - - - - - - 156 3,900,000 - - - - - 156 3,900,000

(Lunch+Snack) - - - - - - - - - - - - - - - -

1 3 13 14 15 16 13.00 15 13.00 15 13.00 15 13.00 15 13.00 15 13.00 15 13.00 15 13.00 15

VOL AMOUNT [IDR]

TOTAL PREVIOUS





2

VOL

UNIT

PRICE

[IDR]


TOTAL PREVIOUS



3 District to Regional 245,670,300 - - - - - - - 483 245,670,300 - - - - - 483 245,670,300

1 Bali dan Nusa Tenggara Barat - - - - - - - - - - - - - - -

From Tabanan to Kupang - - - - - - - - - - - - - - -


Sea Transport 1 person 1.5 years x 2 time r-trip - - - ceiling rate - - - - - - - - - - - - - - -

Inland Transport 1 person 1.5 years x 2 time r-trip 3 315,000 945,000 fixed rate - - - - - - 3 945,000 - - - - - 3 945,000

Accomodation 1 person 1.5 years x 2 time x 1 days r-trip 3 300,000 900,000 ceiling rate - - - - - - 3 900,000 - - - - - 3 900,000


- - - - - - - - - - - - - - - - -

Nusa Tenggara Barat - - - - - - - - - - - - - - - - -

From Lombok Utara to Kupang - - - - - - - - - - - - - - - - -






- - - - - - - - - - - - - - - - -

From Lombok Timur to Kupang - - - - - - - - - - - - - - - - -






- - - - - - - - - - - - - - - - -

From Lombok Tengah to Kupang - - - - - - - - - - - - - - - - -






- - - - - - - - - - - - - - - - -

From Bima to Kupang - - - - - - - - - - - - - - - - -






- - - - - - - - - - - - - - - - -

1 3 13 14 15 16 13.00 15 13.00 15 13.00 15 13.00 15 13.00 15 13.00 15 13.00 15 13.00 15

VOL AMOUNT [IDR]

TOTAL PREVIOUS





2

VOL

UNIT

PRICE

[IDR]


TOTAL PREVIOUS



From Sumbawa to Kupang - - - - - - - - - - - - - - - - -






- - - - - - - - - - - - - - - - -

From Dompu to Kupang - - - - - - - - - - - - - - - - -






- - - - - - - - - - - - - - - - -

2 Nusa Tenggara Timur - - - - - - - - - - - - - - - - -

From Timor Tengah Selatan to Kupang - - - - - - - - - - - - - - - - -

Air Transport 1 person 1.5 years x 2 time r-trip 3 - - ceiling rate - - - - - - 3 - - - - - - 3 -



Accomodation 1 person 1.5 years x 2 time x - days r-trip - 300,000 - ceiling rate - - - - - - - - - - - - - - -

OSA (Fixed) 1 person 1.5 years x 2 time x 1 days r-trip 3 200,000 600,000 fixed rate - - - - - - 3 600,000 - - - - - 3 600,000

- - - - - - - - - - - - - - - - -

From Timor Tengah Utara to Kupang - - - - - - - - - - - - - - - - -




Accomodation 1 person 1.5 years x 2 time x - days r-trip - 300,000 - ceiling rate - - - - - - - - - - - - - - -

OSA (Fixed) 1 person 1.5 years x 2 time x 1 days r-trip 3 200,000 600,000 fixed rate - - - - - - 3 600,000 - - - - - 3 600,000

- - - - - - - - - - - - - - - - -

From Manggarai to Kupang - - - - - - - - - - - - - - - - -






- - - - - - - - - - - - - - - - -

From Manggarai Barat to Kupang - - - - - - - - - - - - - - - - -






- - - - - - - - - - - - - - - - -

From Manggarai Timur to Kupang - - - - - - - - - - - - - - - - -






- - - - - - - - - - - - - - - - -

1 3 13 14 15 16 13.00 15 13.00 15 13.00 15 13.00 15 13.00 15 13.00 15 13.00 15 13.00 15

VOL AMOUNT [IDR]

TOTAL PREVIOUS





2

VOL

UNIT

PRICE

[IDR]


TOTAL PREVIOUS



From Sumba Barat to Kupang - - - - - - - - - - - - - - - - -






- - - - - - - - - - - - - - - - -

From Sumba Tengah to Kupang - - - - - - - - - - - - - - - - -






- - - - - - - - - - - - - - - - -

From Sumba Barat Daya to Kupang - - - - - - - - - - - - - - - - -






- - - - - - - - - - - - - - - - -

From Sumba Timur to Kupang - - - - - - - - - - - - - - - - -






- - - - - - - - - - - - - - - - -

From Rote Ndao to Kupang - - - - - - - - - - - - - - - - -


Sea Transport 1 person 1.5 years x 2 time r-trip 3 315,000 945,000 ceiling rate - - - - - - 3 945,000 - - - - - 3 945,000




- - - - - - - - - - - - - - - - -

From Sikka to Kupang - - - - - - - - - - - - - - - - -






- - - - - - - - - - - - - - - - -

From Alor to Kupang - - - - - - - - - - - - - - - - -






- - - - - - - - - - - - - - - - -

1 3 13 14 15 16 13.00 15 13.00 15 13.00 15 13.00 15 13.00 15 13.00 15 13.00 15 13.00 15

VOL AMOUNT [IDR]

TOTAL PREVIOUS





2

VOL

UNIT

PRICE

[IDR]


TOTAL PREVIOUS



From Kupang to Kupang - - - - - - - - - - - - - - - - -






- - - - - - - - - - - - - - - - -

From Lembata to Kupang - - - - - - - - - - - - - - - - -






- - - - - - - - - - - - - - - - -

From Sabu Raijua to Kupang - - - - - - - - - - - - - - - - -






- - - - - - - - - - - - - - - - -

From Flores Timur to Kupang - - - - - - - - - - - - - - - - -






- - - - - - - - - - - - - - - - -

From Belu to Kupang - - - - - - - - - - - - - - - - -






- - - - - - - - - - - - - - - - -

From Nagekeo to Kupang - - - - - - - - - - - - - - - - -






- - - - - - - - - - - - - - - - -

From Ende to Kupang - - - - - - - - - - - - - - - - -






- - - - - - - - - - - - - - -

Management Fee 10% of [ 2 ] 129,518,850 - - - 16 5,464,000 16 5,464,000 372 124,054,850 16 5,464,000 - - 16 5,464,000 372 124,054,850






1 3 13.00 14 15 16 13.00 15 13.00 15 13.00 15 13.00 15

B REIMBURSABLE COST 13,384,500 31,701,500 45,086,000 925,162,000

1.3.2 COORDINATION MEETING for SEVERAL EVENT/REQUEST 503,709,000 7,542,250 26,340,000 33,882,250 469,826,750

1 From Regional to Province/District/Village 37,170,000 1,700,000 20,978,500 22,678,500 14,491,500

Air Transport r-trip 24.00 2,625,000 21,960,000 ceiling rate - - 5.00 12,611,000 5.00 12,611,000 19.00 9,349,000

Sea Transport r-trip 24.00 315,000 2,700,000 ceiling rate - - - - - 24.00 2,700,000

Inland Transport r-trip 24.00 500,000 4,500,000 fixed rate 1.00 500,000 5.00 2,367,500 6.00 2,867,500 18.00 1,632,500

Accomodation r-trip 72.00 300,000 4,500,000 ceiling rate 2.00 600,000 10.00 3,000,000 12.00 3,600,000 60.00 900,000

OSA (Fixed) r-trip 96.00 200,000 3,510,000 fixed rate 3.00 600,000 15.00 3,000,000 18.00 3,600,000 78.00 (90,000)

- - -

2 From Province to District/Village - - 37,170,000 2,600,000 5,361,500 7,961,500 - 29,208,500

Air Transport r-trip 72.00 2,625,000 21,960,000 ceiling rate 1.00 900,000 1.00 1,785,000 2.00 2,685,000 70.00 19,275,000

Sea Transport r-trip 72.00 315,000 2,700,000 ceiling rate - - 1.00 1.00 - 71.00 2,700,000

Inland Transport r-trip 72.00 500,000 4,500,000 fixed rate 1.00 500,000 1.00 1,476,500 2.00 1,976,500 70.00 2,523,500

Accomodation r-trip 216.00 300,000 4,500,000 ceiling rate 2.00 600,000 3.00 900,000 5.00 1,500,000 211.00 3,000,000

OSA (Fixed) r-trip 288.00 200,000 3,510,000 fixed rate 3.00 600,000 6.00 1,200,000 9.00 1,800,000 279.00 1,710,000

- - -

3 From District to Province - - 429,369,000 3,242,250 - 3,242,250 - 426,126,750

a Bali and Nusa Tenggara Barat - - 21,714,000 - - - - 21,714,000

1 From Tabanan to Mataram - - - - - - - -

Air Transport r-trip 16.00 2,604,000 15,624,000 ceiling rate - - - - - 16.00 15,624,000

Sea Transport r-trip 16.00 - - ceiling rate - - - - - 16.00 -

Inland Transport r-trip 16.00 315,000 1,890,000 fixed rate - - - - - 16.00 1,890,000

Accomodation r-trip 16.00 300,000 1,800,000 ceiling rate - - - - - 16.00 1,800,000

OSA (Fixed) r-trip 32.00 200,000 2,400,000 fixed rate - - - - - 32.00 2,400,000

- - -




AMENDMENT 3


AMOUNT [IDR]


REMARKS

2

VOL UNIT PRICE


TOTAL PREVIOUS



1 3 13.00 14 15 16 13.00 15 13.00 15 13.00 15 13.00 15


AMOUNT [IDR]


REMARKS

2

VOL UNIT PRICE


TOTAL PREVIOUS



Nusa Tenggara Barat - - 74,535,000 3,242,250 - 3,242,250 - 71,292,750

2 From Lombok Utara to Mataram - - -

Air Transport r-trip 16.00 - - ceiling rate - - - - - 16.00 -


Inland Transport r-trip 16.00 420,000 2,520,000 fixed rate 1.00 420,000 - 1.00 420,000 15.00 2,100,000

Accomodation r-trip 16.00 300,000 - ceiling rate - - - - - 16.00 -

OSA (Fixed) r-trip 32.00 200,000 1,200,000 fixed rate 1.00 200,000 - 1.00 200,000 31.00 1,000,000

- - - - - - - - -

3 From Lombok Timur to Mataram - - - - - - - - -






- - - - - - - - -

4 From Lombok Tengah to Mataram - - - - - - - - -






- - - - - - - - -

5 From Bima to Mataram - - - - - - - - -



Inland Transport r-trip 16.00 367,500 - fixed rate 1.00 367,500 - 1.00 367,500 15.00 (367,500)



- - - - - - - - -

1 3 13.00 14 15 16 13.00 15 13.00 15 13.00 15 13.00 15


AMOUNT [IDR]


REMARKS

2

VOL UNIT PRICE


TOTAL PREVIOUS



6 From Sumbawa to Mataram - - - - - - - - -






- - - - - - - - -

7 From Dompu to Mataram - - - - - - - - -






- - -

b Nusa Tenggara Timur - - 333,120,000 - - - - 333,120,000

1 From Timor Tengah Selatan to Kupang - - - - - - -



Inland Transport r-trip 16.00 88,200 540,000 fixed rate - - - - - 16.00 540,000



- - - - - - - - -

2 From Timor Tengah Utara to Kupang - - - - - - - - -






- - - - - - - - -

1 3 13.00 14 15 16 13.00 15 13.00 15 13.00 15 13.00 15


AMOUNT [IDR]


REMARKS

2

VOL UNIT PRICE


TOTAL PREVIOUS



3 From Manggarai to Kupang - - - - - - - - -






- - - - - - - - -

4 From Manggarai Barat to Kupang - - - - - - - - -






- - - - - - -

5 From Manggarai Timur to Kupang - - - - - - -






- - - - - - - - -

6 From Sumba Barat to Kupang - - - - - - - - -






- - - - - - - - -

1 3 13.00 14 15 16 13.00 15 13.00 15 13.00 15 13.00 15


AMOUNT [IDR]


REMARKS

2

VOL UNIT PRICE


TOTAL PREVIOUS



7 From Sumba Tengah to Kupang - - - - - - - - -






- - - - - - - - -

8 From Sumba Barat Daya to Kupang - - - - - - - - -






- - - - - - - - -

9 From Sumba Timur to Kupang - - - - - - - - -






- - - - - - - - -

10 From Rote Ndao to Kupang - - - - - - - - -


Sea Transport r-trip 16.00 315,000 2,400,000 ceiling rate - - - - - 16.00 2,400,000




- - - - - - - - -

1 3 13.00 14 15 16 13.00 15 13.00 15 13.00 15 13.00 15


AMOUNT [IDR]


REMARKS

2

VOL UNIT PRICE


TOTAL PREVIOUS



11 From Sikka to Kupang - - - - - - - - -






- - - - - - - - -

12 From Alor to Kupang - - - - - - - - -






- - - - - - - - -

13 From Kupang to Kupang - - - - - - - - -






- - - - - - - - -

14 From Lembata to Kupang - - - - - - - - -






- - - - - - - - -

1 3 13.00 14 15 16 13.00 15 13.00 15 13.00 15 13.00 15


AMOUNT [IDR]


REMARKS

2

VOL UNIT PRICE


TOTAL PREVIOUS



15 From Sabu Raijua to Kupang - - - - - - - - -






- - - - - - - - -

16 From Flores Timur to Kupang - - - - - - - - -






- - - - - - - - -

17 From Belu to Kupang - - - - - - - - -






- - - - - - - - -

18 From Nagekeo to Kupang - - - - - - - - -






- - - - - - - - -

19 From Ende to Kupang - - - - - - - - -






- - - - - - -

Management Fee 10% 50,370,900 - 754,225 2,634,000 3,388,225 46,982,675




1 3 13 14 15 16

B REIMBURSABLE COST

1.3.3 NATIONAL MEETING IN JAKARTA : as request/invitation by Owner - - 98,400,000 -

1 For Several Special Event from Region [PM] to Jakarta by Request 49,200,000

Air Transport 1 person x 3 years x 4 time x 1 r-trip 12 2,200,000 26,400,000 ceiling rate

Inland Transport 1 person x 3 years x 4 time x 1 r-trip 12 200,000 2,400,000 fixed rate



2 For Several Special Event from Province [PC] to Jakarta by Request 49,200,000

Air Transport 1 person x 3 years x 4 time x 1 r-trip 12 2,200,000 26,400,000 ceiling rate

Inland Transport 1 person x 3 years x 4 time x 1 r-trip 12 200,000 2,400,000 fixed rate



Management Fee 10% of [ 2 ] 9,840,000

REMARKSUNIT PRICE

[IDR]AMOUNT [IDR]

NO. DESCRIPTION UNIT VOL

2





1 3 4 5 6 10.0 11 12 13.00 14 15 19 13.00 14 15

11 b COST ESTIMATE FOR PELATIHAN PENGUATAN ASOSIASI PENGELOLA SPAMS PERDESAAN 423,390,000 - 423,390,000 332,452,400

1.0 Amd Perdiem 57,750,000 - 57,750,000 - 51,555,000

- CPMU (Ditjen PMD/Ditjen Bangda/Ditjen PP&PL/Ditjen CK) 1 5 p-day 5 105,000 525,000 - - - 5 105,000 525,000 fix rate - 105,000 -

- Advisory CPMU 1 5 p-day 5 105,000 525,000 - - - 5 105,000 525,000 fix rate - 105,000 -

- Pemandu 6 5 p-day 30 105,000 3,150,000 - - - 30 105,000 3,150,000 fix rate 7 105,000 3,675,000

- Government [Bappeda, PU, Dinkes, PMD, Satker] 5 5 p-day 25 105,000 2,625,000 - - - 25 105,000 2,625,000 fix rate 85 105,000 44,205,000

- Participants 95 5 p-day 475 105,000 49,875,000 - - - 475 105,000 49,875,000 fix rate 3 105,000 1,575,000

- Panitia lokal 2 5 p-day 10 105,000 1,050,000 - - - 10 105,000 1,050,000 fix rate 4 105,000 2,100,000

-

2.0 Amd Transportation - 171,740,000 - - - - - 171,740,000 - - 108,901,700

a. Tickets - - 83,451,700

- CPMU (Ditjen PMD/Ditjen Bangda/Ditjen PP&PL/Ditjen CK) 1 1 r-trip 1 4,750,000 4,750,000 - - - 1 4,750,000 4,750,000 ceiling rate - 4,750,000 -

- Advisory CPMU 1 1 r-trip 1 4,750,000 4,750,000 - - - 1 4,750,000 4,750,000 ceiling rate - 4,750,000 -

- Participants - -

1. District Timor Tengah Selatan 8 pers. r-trip 8 - - - - - 8 - - ceiling rate 7 - -

2. District Manggarai 8 pers. r-trip 8 2,240,000 17,920,000 - - - 8 2,240,000 17,920,000 ceiling rate 6 2,240,000 14,844,000

3. District Sumba Barat 8 pers. r-trip 8 2,480,000 19,840,000 - - - 8 2,480,000 19,840,000 ceiling rate 6 2,480,000 11,922,600

4. District Timor Tengah Utara 8 pers. r-trip 8 - - - - - 8 - - ceiling rate 8 - -

5. District Rote Ndao 8 pers. r-trip 8 300,000 2,400,000 - - - 8 300,000 2,400,000 ceiling rate 7 300,000 2,124,000

6. District Sikka 8 pers. r-trip 8 1,640,000 13,120,000 - - - 8 1,640,000 13,120,000 ceiling rate 8 1,640,000 7,764,000

7. District Manggarai Barat 8 pers. r-trip 8 2,440,000 19,520,000 - - - 8 2,440,000 19,520,000 ceiling rate 7 2,440,000 13,188,800

8. District Alor 8 pers. r-trip 8 1,590,000 12,720,000 - - - 8 1,590,000 12,720,000 ceiling rate 8 1,590,000 12,921,000

9. District Kupang 8 pers. r-trip 8 - - - - - 8 - - ceiling rate 8 - -

10. Kota Kupang 8 pers. r-trip 8 - - - - - 8 - - ceiling rate 6 - -

11. District Lembata 8 pers. r-trip 8 1,840,000 14,720,000 - - - 8 1,840,000 14,720,000 ceiling rate 8 1,840,000 12,000,000

- DC Old District - - - - - - - - - -

1. District Timor Tengah Selatan 1 pers. r-trip 1 - - - - - 1 - - ceiling rate 1 - -

2. District Manggarai 1 pers. r-trip 1 2,240,000 2,240,000 - - - 1 2,240,000 2,240,000 ceiling rate 1 2,240,000 -

3. District Sumba Barat - pers. r-trip - 2,480,000 - - - - - 2,480,000 - ceiling rate - 2,480,000 -

4. District Timor Tengah Utara 1 pers. r-trip 1 - - - - - 1 - - ceiling rate 1 - -

5. District Rote Ndao 1 pers. r-trip 1 300,000 300,000 - - - 1 300,000 300,000 ceiling rate 1 300,000 -

6. District Sikka 1 pers. r-trip 1 1,640,000 1,640,000 - - - 1 1,640,000 1,640,000 ceiling rate - 1,640,000 -

7. District Manggarai Barat - pers. r-trip - 2,440,000 - - - - - 2,440,000 - ceiling rate - 2,440,000 -

8. District Alor - pers. r-trip - 1,590,000 - - - - - 1,590,000 - ceiling rate - 1,590,000 -

9. District Kupang 1 pers. r-trip 1 - - - - - 1 - - ceiling rate 1 - -

10. District Lembata 1 pers. r-trip 1 1,840,000 1,840,000 - - - 1 1,840,000 1,840,000 ceiling rate 1 1,840,000 -

- Pemandu (Outside NTT) 5 pers. r-trip 5 2,480,000 12,400,000 - - - 5 2,480,000 12,400,000 ceiling rate 5 2,480,000 8,687,300

b. Inland/Local Transport - - - - - - - - - -

- CPMU (Ditjen PMD/Ditjen Bangda/Ditjen PP&PL/Ditjen CK) 1 1 r-trip 1 480,000 480,000 - - - 1 480,000 480,000 fix rate - 480,000 -

- Advisory CPMU 1 1 r-trip 1 480,000 480,000 - - - 1 480,000 480,000 fix rate - 480,000 -

- SKPD yang menjadi pembina Asosiasi (Provinsi) 2 1 r-trip 2 110,000 220,000 - - - 2 110,000 220,000 fix rate - 110,000 -

- Pemandu 6 1 r-trip 6 300,000 1,800,000 - - - 6 300,000 1,800,000 fix rate 7 300,000 1,850,000

- Participants 95 1 r-trip 95 400,000 38,000,000 - - - 95 400,000 38,000,000 fix rate 85 400,000 22,900,000

- Prov. Government (Bappeda, PU, Dinkes, PMD, Satker) 5 1 r-trip 5 400,000 2,000,000 - - - 5 400,000 2,000,000 3 400,000 300,000

- Panitia lokal 2 1 r-trip 2 300,000 600,000 - - - 2 300,000 600,000 fix rate 4 300,000 400,000

- - - - - - - - - -

3.0 Amd Fullboard Package - 159,900,000 - - - - - 159,900,000 - - 140,800,000

a. Central - - - - - - - - - - -

- CPMU (Ditjen PMD/Ditjen Bangda/Ditjen PP&PL/Ditjen CK) 1 4 p-day 4 325,000 1,300,000 - - - 4 325,000 1,300,000 ceiling rate - 325,000 -

- Advisory CPMU 1 4 p-day 4 325,000 1,300,000 - - - 4 325,000 1,300,000 ceiling rate - 325,000 -

b. Local Participants - - - - - - - - - - -

- Pemandu 6 4 p-day 24 325,000 7,800,000 - - - 24 325,000 7,800,000 ceiling rate - 325,000 -

- Participants 95 4 p-day 380 325,000 123,500,000 - - - 380 325,000 123,500,000 ceiling rate - 325,000 -

- Additional Accomodation (Participants Outside NTT) 72 1 p-day 72 325,000 23,400,000 - - - 72 325,000 23,400,000 ceiling rate - 325,000 -

c. Panitia lokal 2 4 p-day 8 325,000 2,600,000 - - - 8 325,000 2,600,000 ceiling rate - 325,000 -

Amd Fullday Package - - - - - - - - -

- Prov. Government (Bappeda, PU, Dinkes, PMD, Satker) 5 4 p-day 20 200,000 4,000,000 - - - 20 200,000 4,000,000 ceiling rate - 200,000 -

CLAIM PREVIOUS INVOICE

VOL UNIT PRICE

[IDR]AMOUNT [IDR]

REMARKSUNIT PRICE

[IDR]AMOUNT [IDR] VOL

UNIT PRICE

[IDR]

VARIATIONS

NO. Remarks DESCRIPTION UNIT

CONTRACT AMENDMENT No.2 CONTRACT AMANDEMENT 2

VOL

2

UNIT PRICE [IDR] AMOUNT [IDR]AMOUNT [IDR] VOL

1 3 4 5 6 10.0 11 12 13.00 14 15 19 13.00 14 15

CLAIM PREVIOUS INVOICE

VOL UNIT PRICE

[IDR]AMOUNT [IDR]

REMARKSUNIT PRICE

[IDR]AMOUNT [IDR] VOL

UNIT PRICE

[IDR]

VARIATIONS

NO. Remarks DESCRIPTION UNIT

CONTRACT AMENDMENT No.2 CONTRACT AMANDEMENT 2

VOL

2

UNIT PRICE [IDR] AMOUNT [IDR]AMOUNT [IDR] VOL

4.0 Amd Training Kit + Training Material - 20,600,000 - - - - - 20,600,000 ceiling rate - - 20,948,500

Training Kit + Training Material 103 1 set 103 200,000 20,600,000 - - - 103 200,000 20,600,000 ceiling rate - 200,000 20,948,500

5.0 Amd Stationery 3 LS 3 1,000,000 3,000,000 - - - 3 1,000,000 3,000,000 ceiling rate - 1,000,000 3,213,200

6.0 Amd Equipment - 10,100,000 - - - - - 10,100,000 - - 7,034,000

a. Horizontal Banner 2 1 set 2 250,000 500,000 - - - 2 250,000 500,000 ceiling rate 2 250,000 500,000

b. Additional Classroom 1 2 unit-day 2 1,500,000 3,000,000 - - - 2 1,500,000 3,000,000 ceiling rate - 1,500,000 -

c. Preparation Meeting (Snack & Lunch) 7 2 set 14 50,000 700,000 - - - 14 50,000 700,000 ceiling rate 8 50,000 784,000

d. Car Rental 1 5 unit-day 5 580,000 2,900,000 - - - 5 580,000 2,900,000 ceiling rate 1 580,000 2,750,000

e. Computer/Laptop Rental 1 5 unit-day 5 300,000 1,500,000 - - - 5 300,000 1,500,000 ceiling rate 1 300,000 1,500,000

f. Printer Rental 1 5 unit-day 5 300,000 1,500,000 - - - 5 300,000 1,500,000 ceiling rate 1 300,000 1,500,000

7.0 Amd Training Report 3 set 3 100,000 300,000 - - - 3 100,000 300,000 ceiling rate 100,000 -

Management Fee 10% of [11] 42,339,000 - - - 42,339,000 - - 33,245,240

c COST FOR PAMSIMAS FACILITATORS

1. Sallary Pamsimas Facilitators 2,008,500,000 - 2,008,500,000 1,607,000,000

Fasilitator Keberlanjutan (FK) -

Bali - pers. x 4 month - - - - - - - - - - - -

Nusa Tenggara Barat - pers. x 4 month - - - - - - - - - - - -

Nusa Tenggara Timur 26 pers. x 4 month 104 6,000,000 624,000,000 - - - 104 6,000,000 624,000,000 88 6,000,000 528,000,000

-

Fasilitator Masyarakat (FM) Januari - Maret 2014 -

Bali 2 pers. x 3 month 6 3,250,000 19,500,000 - - - 6 3,250,000 19,500,000 8 3,250,000 26,000,000

Nusa Tenggara Barat 12 pers. x 3 month 36 3,250,000 117,000,000 - - - 36 3,250,000 117,000,000 48 3,250,000 156,000,000

Nusa Tenggara Timur 76 pers. x 3 month 228 3,250,000 741,000,000 - - - 228 3,250,000 741,000,000 276 3,250,000 897,000,000

-

Fasilitator Masyarakat (FM) April 2014 - - - - - - - -

Bali 6 pers. x 1 month 6 3,250,000 19,500,000 - - - 6 3,250,000 19,500,000 - 3,250,000 -

Nusa Tenggara Barat 32 pers. x 1 month 32 3,250,000 104,000,000 - - - 32 3,250,000 104,000,000 - 3,250,000 -

Nusa Tenggara Timur 118 pers. x 1 month 118 3,250,000 383,500,000 - - - 118 3,250,000 383,500,000 - 3,250,000 -

- - - -


- - - -

2. UTILITIES EXPENSES-Biaya - Biaya Lain Fasilitator 558,100,000 - - - 558,100,000 - - 444,280,000

Fasilitator Keberlanjutan (FK) - - - -

Bali - - - -

Nusa Tenggara Barat - - - -

Nusa Tenggara Timur Sewa Laptop 0 Unit x 26 Pers x 4 Month - 450,000 - - - - - 450,000 - - 450,000 -

Perjalanan Dinas 1 trip x 26 Pers x 4 Month 104 920,000 95,680,000 - - - 104 920,000 95,680,000 88 920,000 80,960,000

- - -

Fasilitator Masyarakat (FM) - - -

Bali Sewa Laptop Maret 2014 0 Unit x 2 Pers x 3 Month - 450,000 - - - - - 450,000 - - 450,000 -

Sewa Laptop April 2014 0 Unit x 6 Pers x 1 Month - 450,000 - - - - - 450,000 - - 450,000 -

Perjalanan Dinas Jan-Maret 2014 1 trip x 2 Pers x 3 Month 6 300,000 1,800,000 - - - 6 300,000 1,800,000 6 300,000 1,800,000

Perjalanan Dinas April 2014 1 trip x 6 Pers x 1 Month 6 300,000 1,800,000 - - - 6 300,000 1,800,000 2 300,000 600,000

BOP Jan-Maret 2014 1 x 2 Pers x 3 Month 6 250,000 1,500,000 - - - 6 250,000 1,500,000 6 250,000 1,500,000

BOP April 2014 1 x 6 Pers x 1 Month 6 250,000 1,500,000 - - - 6 250,000 1,500,000 2 250,000 500,000

- - -

Nusa Tenggara Barat Sewa Laptop Maret 2014 0 Unit x 12 Pers x 3 Month - 450,000 - - - - - 450,000 - - 450,000 -

Sewa Laptop April 2014 0 Unit x 32 Pers x 1 Month - 450,000 - - - - - 450,000 - - 450,000 -


Perjalanan Dinas April 2014 1 trip x 32 Pers x 1 Month 32 500,000 16,000,000 - - - 32 500,000 16,000,000 12 500,000 6,000,000


BOP April 2014 1 x 32 Pers x 1 Month 32 250,000 8,000,000 - - - 32 250,000 8,000,000 12 250,000 3,000,000

- - -

Nusa Tenggara Timur Sewa Laptop 0 Unit x 76 Pers x 3 Month - 450,000 - - - - - 450,000 - - 450,000 -

Sewa Laptop 0 Unit x 118 Pers x 1 Month - 450,000 - - - - - 450,000 - - 450,000 -


Perjalanan Dinas April 2014 1 trip x 118 Pers x 1 Month 118 920,000 108,560,000 - - - 118 920,000 108,560,000 69 920,000 63,480,000


BOP April 2014 1 x 118 Pers x 1 Month 118 250,000 29,500,000 - - - 118 250,000 29,500,000 69 250,000 17,250,000 - - - -


99,763,297 - pamsimas.orgpamsimas.org/data/kontrak/invoice/romsv/roms 5 - invoice 14 reguler,...

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