AMENDMENT No - PAMSIMASnew.pamsimas.org/data/kontrak/amendment/ROMS-6 Contract Amend No. 1... ·...

17
AMENDMENT No.1 (Dated November 25, 2013) TO CONTRACT FOR NON-CONSULTING SERVICES TIME BASED REGIONAL OVERSIGHT MANAGEMENT SERVICES (ROMS) 6 Under IBRD Loan No. 8259-ID BETWEEN Directorate of Water Supply Development Directorate General of Human Settlements Ministry of Public Works AND PT. Kogas Driyap Konsultan In Joint Venture with PT. Perentjana Djaja Contract Number :KU.08.08/Kontrak/Pamsimas/175/VIII/ 2013 Dated :August 27, 2013

Transcript of AMENDMENT No - PAMSIMASnew.pamsimas.org/data/kontrak/amendment/ROMS-6 Contract Amend No. 1... ·...

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AMENDMENT No.1 (Dated November 25, 2013)

TO

CONTRACT

FOR

NON-CONSULTING SERVICES TIME BASED

REGIONAL OVERSIGHT MANAGEMENT SERVICES (ROMS) – 6

Under IBRD Loan No. 8259-ID

BETWEEN

Directorate of Water Supply Development

Directorate General of Human Settlements

Ministry of Public Works

AND

PT. Kogas Driyap Konsultan In Joint Venture with

PT. Perentjana Djaja

Contract Number :KU.08.08/Kontrak/Pamsimas/175/VIII/ 2013

Dated :August 27, 2013

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SUMMARY OF CONTRACT

1. Loan No. : IBRD Loan No. 8259-ID (Third Water Supply and

Sanitation for Low Income Communities-WSLIC3/

PAMSIMAS II)

2. Name of Service Providers : PT. Kogas Driyap Konsultan

In Joint Venture with :

PT. Perentjana Djaja

3. Contract Original No. and Date : KU.08.08/Kontrak/Pamsimas/175/VIII/2013

Dated : August 27, 2013

Amendment No. 1 : Dated : November 25, 2013

4. Domicile/Address of : Jl. Jatipadang Raya No. 41 Pasar Minggu,

Service Providers Jakarta Selatan, 12540

5. Value of Contract :

Original Contract : IDR 36,572,500,000 (Net of VAT)

IDR 37,303,950,000 (Include VAT 10% APBN

Portion)

Amendment No. 1 : IDR 35,796,323,500 (Net of VAT)

IDR 36,505,201,500 (Include VAT 10% APBN

Portion)

6. Brief Description of Services : Provision of advisory services for the Provincial

Project Management Unit and District Project

Management Unit in the daily operation,

management and implementation of Community-

Based Water Supply Project (PAMSIMAS II) in the

Provinces of Gorontalo, Central Sulawesi, North

Sulawesi, Maluku and North Maluku.

7. Percentage Eligible for :

IBRD Financing

Original Contract : 80 % Net of VAT

Amendment No. 1 : 80 % Net of VAT

8. Percentage Eligible for :

APBN-RM Financing

Original Contract : 20 % Net of VAT

Amendment No. 1 : 20 % Net of VAT

9. Amount Eligible for :

IBRD Financing

Original Contract : IDR 29,258,000,000 (Net of VAT)

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SECTION I

FORM OF CONTRACT

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AMENDMENT No 1

To

ORIGINAL CONTRACT

KU.08.08/Kontrak/Pamsimas/175/VIII/ 2013

Dated :August 27, 2013

Between

Directorate of Water Supply Development

Directorate General of Human Settlements

Ministry of Public Works

and

PT. Kogas Driyap Konsultan In Joint Venture with

PT. Perentjana Djaja

For

NON CONSULTING SERVICES

For

REGIONAL OVERSIGHT MANAGEMENT SERVICES (ROMS) 6

Under IBRD Loan 8259-ID

This Contract Amendment No. 1 (hereinafter called “Amendment No. 1”) is made on 25 November

2013 to further amend the Original Contract Number KU.08.08/kontrak/pamsimas/175/VIII/2013 date

August 27, 2013 between, on the one hand, Directorate of Water Supply Development, Directorate

General of Human Settlements, Ministry of Public Works, Government of Indonesia, (hereinafter

called the “Employer”) and, on the other hand, a joint venture PT. Kogas Driyap Konsultan

consisting of the following entities, each of which will be jointly and severally liable to theEmployer

for all the Service Provider obligations under this Contract, namely PT. Perentjana Djaja

(hereinafter called the “Service Provider”).

WHEREAS

(a) Decree of the Minister of Public Works of the Republic of Indonesia Number:

79/KPTS/DC/2013 dated 21 August 2013, regarding change the target number of

districts;

(b) Memorandum Of Ageement No. 1 to the Contract has been signed by the parties, on

the replacement and additional of key personnels

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(c) The Employer had officially requested NOL to TOR and Cost Estimate of STBM

Training Pamsimas II Fiscal Year 2013, and NOL has been issued by World Bank Date

18 November 2013;

(d) In response to the Employer letter dated 19th November 2013 requesting the estimation of

costs for the above additional scope of works, the Service Provider in its letter dated 21

November 2013 submitted the cost estimation which was subsequently clarification and

approved by the Employer as per the Minutes of Meeting and Detailed of Breakdown of Cost

Clarification dated 22 November 2013; (e) Pursuant to Clause 2.4 of the General Conditions of Contract, it is deemed necessary to

legally administer the changes in the Form of Contract Amendment.

NOW THEREFORE the parties hereto hereby agree as follows:

1. The following documents shall be deemed to form an integral part of this Amendment

a. The General Conditions of Contract –N o Change

b. The Special Conditions of Contract- Amendment

1) Original Contract

Clause 6.1 the ceiling of local currency : IDR.37.303.950.000,-

[ Include VAT 10% APBN

Portion] to be funded as follow:

% Eligible for IBRD funding : 80% Net of VAT

Amount Eligible for IBRD funding : IDR. 29.258.000.000,-

% Eligible for APBN-RM funding : 20 % Net of VAT

Amount Eligible for APBN-RM : IDR. 8.045.950.000,-

[ Including VAT. 10% ]

2) Amended to Contract Amendment No. 1

Clause 6.1 the ceiling of local currency : IDR. 36.505.201.500,- [

Include VAT 10% APBN

Portion] to be funded as

follow:

% Eligible for IBRD funding : 80% Net of VAT.

Amount Eligible for IBRD funding : IDR. 28.355.120.000,-

% Eligible for APBN-RM funding : 20 % Net of VAT.

Amount Eligible for APBN-RM : IDR. 7.797.658.000,-

[ Including VAT. 10% ]

Amount Eligible for TF funding : IDR. 352.423.500

( Net of VAT ) to be funded a

STBM Training

2. To amend Appendix A – Description of Services change to accommodate Decree of

the Minister of Public Works as above regarding the number of targetted districts

within ROMS has changed, and to accommodate for the implementation of STBM

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APPENDIX. C

SUMMARY OF COST ESTIMATE

(Amended)

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APPENDIX. D

REMUNERATION AND REIMBURSABLE COST

ESTIMATES

(Amended)

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APPENDIX - D

COST ESTIMATE FOR REMUNERATION

REGIONAL OVERSIGHT MANAGEMENT SERVICES (ROMS) - 6

COMMUNITY BASED WATER SUPPLY PROJECT (PAMSIMAS II)

1 2 3 4 6 7 8=[6*7] 9 14 15 16 17 18=[16*17] 18

A REMUNERATION 19,067,400,000 17,938,800,000

1 Regional Team 1,706,400,000 1,706,400,000

1.1 Project Manager Muhammad Danial Syafei 1 36 11,000,000 Muhammad Danial Syafei 1 36

1.2 Data Management Samin 1 36 8,000,000 Samin 1 36

1.3 LG Specialist Sudirman 1 36 8,000,000 Sudirman 1 1

Mulyadi 1 35

1.4 Trainer Coordinator Irhasana 1 36 8,000,000 Irhasana 1 36

Supporting Staff :

1.5 Office Manager Gerry Indra Perdana 1 36 4,500,000 Gerry Indra Perdana 1 3

Iyon Kusdiono 1 33

2 Provincial Team 3,304,800,000 3,304,800,000

2.1 Provincial Coordinator / LG Gorontalo Effendi 1 36 9,000,000 Effendi 1 36

North Sulawesi, Maluku,

North Maluku Fauzan 1 36 9,000,000 Fauzan 1 -

Sudirman 1 36

Central Sulawesi Sukmawati 1 36 9,000,000 Sukmawati 1 36

2.2 Financial Management Specialist Gorontalo Taufiq Hermansyah 1 36 7,500,000 Taufiq Hermansyah 1 36

North Sulawesi, Maluku,

North Maluku Nandang Saparudin 1 36 7,500,000 Nandang Saparudin 1 36

Central Sulawesi Mohsen Abd. Muis 1 36 7,500,000 Mohsen Abd. Muis 1 36

2.3 Quality Assurance Specialist Gorontalo Alwi Yudin 1 36 9,000,000 Alwi Yudin 1 36

North Sulawesi, Maluku,

North Maluku Syukri 1 36 9,000,000 Syukri 1 36

Central Sulawesi Adi Mardjani 1 36 9,000,000 Adi Mardjani 1 36

3 District Team 14,056,200,000 12,927,600,000

3.1 District Coordinator :(old district)

1 Boalemo Boalemo Sofyan Manoarfa 1 36 7,000,000 Sofyan Manoarfa 1 36

2 Gorontalo Gorontalo Kurniawan 1 36 7,000,000 Kurniawan 1 36

3 Donggala Donggala Syamsu Rizal 1 36 7,000,000 Muh. Syafri 1 36

4 Parigi Moutong Parigi Moutong Tahir Delanggo 1 36 7,000,000 Andi Mu'min 1 36

5 Morowali Morowali R. Herawanto Bagiono 1 36 7,000,000 Imannuel Tulak Allo 1 36

6 Buol Buol Andi Mumin 1 36 7,000,000 M. Nur. L Lemba 1 36

7 Banggai Kepualuan Banggai Kepualuan Anwar Roy lapalanti 1 36 7,000,000 Muliardy Banun 1 36

8 Poso Poso Hesti Damayanti 1 36 7,000,000 Hesti Damayanti 1 36

9 Tojo Una Una Tojo Una Una Imannuel Tulak Allo 1 36 7,000,000 Taufiqurrahman 1 36

10 Maluku Tengah Maluku Tengah M. Helmy Yudha 1 36 7,000,000 M. Helmy Yudha 1 36

Remarks

Minumum Take

Home Pay

(IDR)

(THP to be paid

to staff

supported by

actual receips)

5

LOCATIONNO. POSITION

AMENDMENT NO. 1

NAME

ORIGINAL CONTRACT/MOA No. 1

REMUNERATION

RATE [IDR] MM AMOUNT [IDR] NAME VOL MM

REMUNERATION

RATE [IDR] AMOUNT [IDR] VOL

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1 2 3 4 6 7 8=[6*7] 9 14 15 16 17 18=[16*17] 18

Remarks

Minumum Take

Home Pay

(IDR)

(THP to be paid

to staff

supported by

actual receips)

5

LOCATIONNO. POSITION

AMENDMENT NO. 1

NAME

ORIGINAL CONTRACT/MOA No. 1

REMUNERATION

RATE [IDR] MM AMOUNT [IDR] NAME VOL MM

REMUNERATION

RATE [IDR] AMOUNT [IDR] VOL

District Coordinator :(new district)

11 Gorontalo Utara Gorontalo Utara Wendy Davy Constantein Gessal 1 33 7,000,000 Wendy Davy Constantein Gessal 1 33

12 Bone Bolango Bone Bolango Darwin 1 33 7,000,000 Yusep Abdullah 1 33

13 Sigi Sigi Lukman Setiawan 1 33 7,000,000 Lukman Setiawan 1 33

14 Toli Toli Toli Toli M. Syafri 1 33 7,000,000 La Ode Tare 1 33

15 Banggai Banggai Taufiqurrahman 1 33 7,000,000 Muammar Datupalinge 1 33

16 Minahasa Selatan Minahasa Selatan Nur Samad 1 33 7,000,000 Nur Samad 1 33

17 Minahasa Utara Minahasa Utara Edy Wuryanto 1 33 7,000,000 Edy Wuryanto 1 33

18 Buru Selatan Buru Selatan Jenekly Reynheard Silloy 1 33 7,000,000 M. Maaruf Borut 1 33

19 Maluku Barat Daya Maluku Barat Daya M. Fikri Lauconsina 1 33 7,000,000 M. Fikri Lauconsina 1 33

20 Buru Buru Herdy Timothy Muila 1 33 7,000,000 Herdy Timothy Muila 1 33

21 Maluku Tenggara Barat Maluku Tenggara Barat Rudolf F. B. Amallo 1 33 7,000,000 Rudolf F. B. Amallo 1 33

22 Halmahera Timur Halmahera Timur Gavin A. Sani 1 33 7,000,000

23 Kepulauan Sula Kepulauan Sula Yusman A. Djabir 1 33 7,000,000

24 Kota Tidore Kepulauan Kota Tidore Kepulauan Laode Tere 1 33 7,000,000

25 Halmahera Selatan Halmahera Selatan 1 Yusman A. Djabir 1 33

3.2 Financial Management Assistant (old district)

1 Boalemo Boalemo Lukman 1 36 4,500,000 Lukman 1 36

2 Gorontalo Gorontalo Serly Meilete 1 36 4,500,000 Serly Meilete 1 36

3 Donggala Donggala H. Akhyar A. Mahmud 1 36 4,500,000 H. Akhyar A. Mahmud 1 36

4 Parigi Moutong Parigi Moutong Primayanti Erdina 1 36 4,500,000 Primayanti Erdina 1 36

5 Morowali Morowali Yuan Rick Lande 1 36 4,500,000 Yuan Rick Lande 1 36

6 Buol Buol Badria 1 36 4,500,000 Muh. Sakir 1 36

7 Banggai Kepulauan Banggai Kepulauan Syamsul Bahri 1 36 4,500,000 Syamsul Bahri 1 36

8 Poso Poso Ni. Made Sanita Dwi Lestari 1 36 4,500,000 Slamet Riyadi 1 36

9 Tojo Una-Una Tojo Una-Una Chairul Fattah 1 36 4,500,000 Chairul Fattah 1 36

10 Maluku Tengah Maluku Tengah Siti Rabiah 1 36 4,500,000 Siti Rabiah 1 36

Financial Management Assistant (new district)

11 Gorontalo Utara Gorontalo Utara Amriani Amran 1 33 4,500,000 Amriani Amran 1 33

12 Bone Bolango Bone Bolango Alkhairat 1 33 4,500,000 Alkhairat 1 33

13 Sigi Sigi Aminuddin 1 33 4,500,000 Aminuddin 1 33

14 Toli Toli Toli Toli Moh. Zakir Hamid 1 33 4,500,000 Moh. Zakir Hamid 1 33

15 Banggai Banggai Taufiqurrahman 1 33 4,500,000 Rusdianto 1 33

16 Minahasa Selatan Minahasa Selatan Jack F. Wewengkang 1 33 4,500,000 Jack F. Wewengkang 1 33

17 Minahasa Utara Minahasa Utara A. Hary Fahryadi 1 33 4,500,000 A. Hary Fahryadi 1 33

18 Buru Selatan Buru Selatan Basohorop Tuheteru 1 33 4,500,000 Basohorop Tuheteru 1 33

19 Maluku Barat Daya Maluku Barat Daya Mathelca Pesi Reron 1 33 4,500,000 Mathelca Pesi Reron 1 33

20 Buru Selatan Buru Selatan Fachry H. Latuconsina 1 33 4,500,000 Fachry H. Latuconsina 1 33

21 Maluku Tenggara Barat Maluku Tenggara Barat Albert Kakerissa 1 33 4,500,000 Albert Kakerissa 1 33

22 Halmahera Timur Halmahera Timur Achmad Din 1 33 4,500,000

23 Kepulauan Sula Kepulauan Sula Wiji Lestari 1 33 4,500,000

24 Kota Tidore Kepulauan Kota Tidore Kepulauan Ayub H. Kayana 1 33 4,500,000

25 Halmahera Selatan Halmahera Selatan 4,500,000 Ayub H. Kayana 1 33

3.3 Supporting Staff :

Data Entry Operator/ Administration officer

old district 10 36 2,750,000 10 36

new district 14 33 2,750,000 12 33

TOTAL REMUNERATION 19,067,400,000 - 17,938,800,000

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APPENDIX - D

COST ESTIMATE FOR REIMBURSABLE AMENDMENT NO. 1

REGIONAL OVERSIGHT MANAGEMENT SERVICES (OMS) - 6

COMMUNITY BASED WATER SUPPLY PROJECT (PAMSIMAS II)

1 3 4 5 6=[4*5] 7 8 9 10=(8*9) 11 12 13=[11*12] 14

B REIMBURSABLE COST

1 DUTY TRAVEL 673,920,000 - 673,920,000

1.1 Spot Checking

1.1.1 Provincial Team - Province to District to Village

Gorontalo

Inland Transport 3 person 32 village x 10% x 3 years x 2 time r-trip 58 200,000 11,520,000 58 200,000 11,520,000 ceiling rate

Accomodation 3 person 32 village x 10% x 3 years x 2 time x 2 days r-trip 115 200,000 23,040,000 115 200,000 23,040,000 ceiling rate

OSA (Fixed) 3 person 32 village x 10% x 3 years x 2 time x 3 days r-trip 173 200,000 34,560,000 173 200,000 34,560,000 ceiling rate

Sulawesi Tengah

Inland Transport 3 person 80 village x 10% x 3 years x 2 time r-trip 144 200,000 28,800,000 144 200,000 28,800,000 ceiling rate

Accomodation 3 person 80 village x 10% x 3 years x 2 time x 2 days r-trip 288 200,000 57,600,000 288 200,000 57,600,000 ceiling rate

OSA (Fixed) 3 person 80 village x 10% x 3 years x 2 time x 3 days r-trip 432 200,000 86,400,000 432 200,000 86,400,000 ceiling rate

Sulawesi Utara, Maluku, Malut

Inland Transport 3 person 80 village x 10% x 3 years x 2 time r-trip 144 200,000 28,800,000 144 200,000 28,800,000 ceiling rate

Accomodation 3 person 80 village x 10% x 3 years x 2 time x 2 days r-trip 288 200,000 57,600,000 288 200,000 57,600,000 ceiling rate

OSA (Fixed) 3 person 80 village x 10% x 3 years x 2 time x 3 days r-trip 432 200,000 86,400,000 432 200,000 86,400,000 ceiling rate

1.1.2 District Team - District to Village

District Coordinator Gorontalo 4 district 32 village x 50% x 3 years x 10 time r-trip 480 50,000 24,000,000 480 50,000 24,000,000 ceiling rate

District Coordinator Sulteng 10 district 80 village x 50% x 3 years x 10 time r-trip 1,200 50,000 60,000,000 1,200 50,000 60,000,000 ceiling rate

District Coordinator Sulut 2 district 16 village x 50% x 3 years x 10 time r-trip 240 50,000 12,000,000 240 50,000 12,000,000 ceiling rate

District Coordinator Maluku 5 district 40 village x 50% x 3 years x 10 time r-trip 600 50,000 30,000,000 600 50,000 30,000,000 ceiling rate

District Coordinator Malut 3 district 24 village x 50% x 3 years x 10 time r-trip 360 50,000 18,000,000 360 50,000 18,000,000 ceiling rate

Financial Management Ass. Gorontalo 4 district 32 village x 50% x 3 years x 8 time r-trip 384 50,000 19,200,000 384 50,000 19,200,000 ceiling rate

Financial Management Ass. Sulteng 10 district 80 village x 50% x 3 years x 8 time r-trip 960 50,000 48,000,000 960 50,000 48,000,000 ceiling rate

Financial Management Ass. Sulut 2 district 16 village x 50% x 3 years x 8 time r-trip 192 50,000 9,600,000 192 50,000 9,600,000 ceiling rate

Financial Management Ass. Maluku 5 district 40 village x 50% x 3 years x 8 time r-trip 480 50,000 24,000,000 480 50,000 24,000,000 ceiling rate

Financial Management Ass. Malut 3 district 24 village x 50% x 3 years x 8 time r-trip 288 50,000 14,400,000 288 50,000 14,400,000 ceiling rate

2 MOBILIZATION AND DEMOBILIZATION 256,100,000 - 256,100,000

2.1 Regional Team - Jakarta to Province to Jakarta

2.1.1 Project Manager Jakarta - Manado - Jakarta 1 pers. x 1 r-trip r-trip 1 4,770,000 4,770,000 1 4,770,000 4,770,000 ceiling rate

2.1.2 Data Management Jakarta - Manado - Jakarta 1 pers. x 1 r-trip r-trip 1 4,770,000 4,770,000 1 4,770,000 4,770,000 ceiling rate

2.1.3 LG Specialist Jakarta - Manado - Jakarta 1 pers. x 1 r-trip r-trip 1 4,770,000 4,770,000 1 4,770,000 4,770,000 ceiling rate

2.1.4 Trainer Coordinator Jakarta - Manado - Jakarta 1 pers. x 1 r-trip r-trip 1 4,770,000 4,770,000 1 4,770,000 4,770,000 ceiling rate

2.1.5 Local Transport 4 pers. x 1 r-trip r-trip 4 200,000 800,000 4 200,000 800,000 ceiling rate

2.2 Provincial Team - Jakarta to Province to Jakarta

2.2.1 Provincial Coordinator / LG Jakarta - Manado - Jakarta 1 pers. x 1 r-trip r-trip 1 4,770,000 4,770,000 1 4,770,000 4,770,000 ceiling rate

Jakarta - Gorontalo - Jakarta 1 pers. x 1 r-trip r-trip 1 4,510,000 4,510,000 1 4,510,000 4,510,000 ceiling rate

Jakarta - Palu - Jakarta 1 pers. x 1 r-trip r-trip 1 3,280,000 3,280,000 1 3,280,000 3,280,000 ceiling rate

2.2.2 Financial Management Specialist Jakarta - Manado - Jakarta 1 pers. x 1 r-trip r-trip 1 4,770,000 4,770,000 1 4,770,000 4,770,000 ceiling rate

Jakarta - Gorontalo - Jakarta 1 pers. x 1 r-trip r-trip 1 4,510,000 4,510,000 1 4,510,000 4,510,000 ceiling rate

Jakarta - Palu - Jakarta 1 pers. x 1 r-trip r-trip 1 3,280,000 3,280,000 1 3,280,000 3,280,000 ceiling rate

2.2.3 Quality Assurance Specialist Jakarta - Manado - Jakarta 1 pers. x 1 r-trip r-trip 1 4,770,000 4,770,000 1 4,770,000 4,770,000 ceiling rate

Jakarta - Gorontalo - Jakarta 1 pers. x 1 r-trip r-trip 1 4,510,000 4,510,000 1 4,510,000 4,510,000 ceiling rate

Jakarta - Palu - Jakarta 1 pers. x 1 r-trip r-trip 1 3,280,000 3,280,000 1 3,280,000 3,280,000 ceiling rate

2.2.4 Local Transport 9 pers. x 1 r-trip r-trip 9 200,000 1,800,000 9 200,000 1,800,000 ceiling rate

2.3 District Team - Jakarta to Province to Jakarta

2.3.1 District Coordinator Jakarta - Gorontalo - Jakarta 4 pers. x 1 r-trip r-trip 4 4,510,000 18,040,000 4 4,510,000 18,040,000 ceiling rate

Jakarta - Palu - Jakarta 10 pers. x 1 r-trip r-trip 10 3,280,000 32,800,000 10 3,280,000 32,800,000 ceiling rate

Jakarta - Manado - Jakarta 2 pers. x 1 r-trip r-trip 2 4,770,000 9,540,000 2 4,770,000 9,540,000 ceiling rate

Jakarta - Ambon - Jakarta 5 pers. x 1 r-trip r-trip 5 6,620,000 33,100,000 5 6,620,000 33,100,000 ceiling rate

2.3.2 Financial Management Assistant Jakarta - Manado - Jakarta 4 pers. x 1 r-trip r-trip 4 4,510,000 18,040,000 4 4,510,000 18,040,000 ceiling rate

Jakarta - Gorontalo - Jakarta 10 pers. x 1 r-trip r-trip 10 3,280,000 32,800,000 10 3,280,000 32,800,000 ceiling rate

Jakarta - Palu - Jakarta 2 pers. x 1 r-trip r-trip 2 4,770,000 9,540,000 2 4,770,000 9,540,000 ceiling rate

Jakarta - Ambon - Jakarta 4 pers. x 1 r-trip r-trip 4 6,620,000 26,480,000 4 6,620,000 26,480,000 ceiling rate

2.3.3 Local Transport (Province to District) 41 pers. x 1 r-trip r-trip 41 400,000 16,400,000 41 400,000 16,400,000 ceiling rate

Remarks

ORIGINAL CONTRACT

Unit

AMENDMENT NO. 1

Vol.Unit Rate

[IDR]Amount [IDR]Vol.

Unit Rate

[IDR]Amount [IDR]

2

NO. DESCRIPTION

VARIATIONS

Unit Vol.Unit Rate

[IDR]Amount [IDR]

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1 3 4 5 6=[4*5] 7 8 9 10=(8*9) 11 12 13=[11*12] 14

Remarks

ORIGINAL CONTRACT

Unit

AMENDMENT NO. 1

Vol.Unit Rate

[IDR]Amount [IDR]Vol.

Unit Rate

[IDR]Amount [IDR]

2

NO. DESCRIPTION

VARIATIONS

Unit Vol.Unit Rate

[IDR]Amount [IDR]

3 OFFICE SPACE (Rental) 2,254,590,000 - 2,254,590,000

3.1 Regional Team & Prov. Team

3.2 District Team

4 UTILITIES EXPENSES 774,390,000 - 774,390,000

4.1 Regional and Province

4.2 District

5 OFFICE EQUIPMENT 437,000,000 - 437,000,000

5.1 Notebook Computer (Regional+Provincial+District) (Purchase) ## # + 24 pers. x 1 unit unit 37 7,000,000 259,000,000 37 7,000,000 259,000,000 fixed rate

5.2 Portable Computer for Supporting Regional (Purchase) 2 pers. x 1 unit unit 2 5,000,000 10,000,000 2 5,000,000 10,000,000 fixed rate

5.3 Portable Computer + Printer for Supporting District (Purchase) 24 pers. x 1 unit unit 24 5,000,000 120,000,000 24 5,000,000 120,000,000 fixed rate

5.4 Printer Laserjet (Purchase) 3 office x 1 unit unit 3 2,500,000 7,500,000 3 2,500,000 7,500,000 fixed rate

5.5 Printer Colour A3 (Purchase) 3 office x 1 unit unit 3 2,500,000 7,500,000 3 2,500,000 7,500,000 fixed rate

5.6 Scanner (Purchase) 3 office x 1 unit unit 3 1,250,000 3,750,000 3 1,250,000 3,750,000 fixed rate

5.7 Facsimilie (Purchase) 3 office x 1 unit unit 3 1,500,000 4,500,000 3 1,500,000 4,500,000 fixed rate

5.8 Digital Camera (Purchase) 3 office x 1 unit unit 3 1,250,000 3,750,000 3 1,250,000 3,750,000 fixed rate

5.9 GSM Modem + SIM Card (Purchase) 3 office x 1 unit unit 3 500,000 1,500,000 3 500,000 1,500,000 fixed rate

5.10 Router, LAN Peripheral (Purchase) 3 office x 1 unit unit 3 1,500,000 4,500,000 3 1,500,000 4,500,000 fixed rate

5.11 GPS (Purchase) 3 office x 2 unit unit 6 2,500,000 15,000,000 6 2,500,000 15,000,000 fixed rate

6 VEHICLE RENTAL 5,829,030,000 - 5,829,030,000

7 COMMUNICATION 556,800,000 - 556,800,000

7.1 Regional and Province

7.1.1 Telephone and Postage 3 office x 1 line x 36 month month 108 1,000,000 108,000,000 108 1,000,000 108,000,000 ceiling rate

7.1.2 Internet Connection for Office 3 office x 1 line x 36 month month 108 350,000 37,800,000 108 350,000 37,800,000 ceiling rate

7.2 District

7.2.1 Telephone and Internet Connection old district 10 district x 1 line x 36 month month 360 500,000 180,000,000 360 500,000 180,000,000 ceiling rate

new district 14 district x 1 line x 33 month month 462 500,000 231,000,000 462 500,000 231,000,000 ceiling rate

8 TRAINING 6,209,060,000 - 6,209,060,000

8.1 Pelatihan FM Ass. dan Data Entry Operator

8.1.1 Peserta

a Paket Fullboard 24 district x 2 pers. x 3 days days 144 250,000 36,000,000 144 250,000 36,000,000 fixed rate

b Transportation 24 district x 2 pers. x 1 time time 48 200,000 9,600,000 48 200,000 9,600,000 ceiling rate

8.1.2 Pelatih

a Financial Management Spec. manado - ambon 1 pers. x 1 r-trip r-trip 1 11,390,000 11,390,000 1 11,390,000 11,390,000 ceiling rate

b Inland Transport 1 trip r-trip 1 200,000 200,000 1 200,000 200,000 ceiling rate

c Accomodation 1 pers. x 3 days days 3 250,000 750,000 3 250,000 750,000 fixed rate

d OSA (Fixed) 1 trip x 4 days days 4 200,000 800,000 4 200,000 800,000 ceiling rate

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Remarks

ORIGINAL CONTRACT

Unit

AMENDMENT NO. 1

Vol.Unit Rate

[IDR]Amount [IDR]Vol.

Unit Rate

[IDR]Amount [IDR]

2

NO. DESCRIPTION

VARIATIONS

Unit Vol.Unit Rate

[IDR]Amount [IDR]

8.1.3 Training Material + Kit 24 district x 2 pers. x 1 package paket 48 100,000 4,800,000 48 100,000 4,800,000 ceiling rate

8.2 Expert Group Meeting - Central

8.2.1 Regional Team - Air Fare Province to Jakarta covered by CMAC

8.2.2 Provincial Team - Air Fare Province to Jakarta covered by CMAC

8.2.3 Inland Transport - Regional and Provincial Team covered by CMAC

8.2.4 OSA (Fixed) - Regional Team 1 reg. x 4 pers x 3 day x 6 time days 72 300,000 21,600,000 72 300,000 21,600,000 fixed rate

8.2.5 OSA (Fixed) - Provincial Team 3 prov. x 3 pers x 3 day x 6 time days 162 300,000 48,600,000 162 300,000 48,600,000 fixed rate

8.3 Expert Group Meeting - Regional

Fullboard package for district team 3 year x 2 time x 24 district x 3 pers. x 2 days days 864 200,000 172,800,000 864 200,000 172,800,000 fixed rate

Fullboard package for provincial team 3 year x 2 time x 5 prov x 3 pers. x 2 days days 180 250,000 45,000,000 180 250,000 45,000,000 fixed rate

Fullboard package for regional team 3 year x 2 time x 1 region x 4 pers. x 2 days days 48 200,000 9,600,000 48 200,000 9,600,000 fixed rate

8.3.1 Air Transport [Economy Class]

a Regional Team/ Manado manado - gorontalo 4 pers. x 3 years x 2 time r-trip 24 8,920,000 214,080,000 24 8,920,000 214,080,000 ceiling rate

b Regional Team/ Manado manado - palu 4 pers. x 3 years x 2 time r-trip 24 9,550,000 229,200,000 24 9,550,000 229,200,000 ceiling rate

d Regional Team/ Manado manado - ambon 4 pers. x 3 years x 2 time r-trip 24 11,390,000 273,360,000 24 11,390,000 273,360,000 ceiling rate

h Provincial Team/ Ambon manado - ambon 3 pers. x 3 years x 2 time r-trip 18 11,390,000 205,020,000 18 11,390,000 205,020,000 ceiling rate

8.3.2 Inland Transport

a District Team/ Gorontalo 12 pers. x 3 years x 2 time r-trip 72 200,000 14,400,000 72 200,000 14,400,000 ceiling rate

b District Team/ Palu 30 pers. x 3 years x 2 time r-trip 180 200,000 36,000,000 180 200,000 36,000,000 ceiling rate

c District Team/ Manado 6 pers. x 3 years x 2 time r-trip 36 200,000 7,200,000 36 200,000 7,200,000 ceiling rate

d District Team/ Ambon 15 pers. x 3 years x 2 time days 90 200,000 18,000,000 90 200,000 18,000,000 ceiling rate

8.3.3 OSA (Fixed) 468 trip x 3 days days 1,404 200,000 280,800,000 1,404 200,000 280,800,000 ceiling rate

8.4 OJT Fasilitator

8.4.1 Training Material + Kit 3 years x 6 time x 24 district x 6 pers. x 1 days days 2,592 25,000 64,800,000 2,592 25,000 64,800,000 fixed rate

8.4.2 Meals, Snack 3 years x 6 time x 24 district x 6 pers. x 1 days paket 2,592 17,500 45,360,000 2,592 17,500 45,360,000 fixed rate

8.5 Pelatihan Penguatan BPSPAM

8.5.1 Paket Fullboard Participant 2 time x 24 district x 25 pers. x 4 days days 4,800 200,000 960,000,000 4,800 200,000 960,000,000 fixed rate

8.5.2 Paket Fullday for DPMU + TKK 2 time x 24 district x 2 pers. x 4 days days 384 100,000 38,400,000 384 100,000 38,400,000 fixed rate

8.5.3 Uang Saku Participant 2 time x 24 district x 25 pers. x 4 days days 4,800 50,000 240,000,000 4,800 50,000 240,000,000 ceiling rate

8.5.4 Uang Transport Participant 2 time x 24 district x 25 pers. time 1,200 100,000 120,000,000 1,200 100,000 120,000,000 ceiling rate

8.5.5 Spanduk 2 time x 24 district x 2 unit unit 96 140,000 13,440,000 96 140,000 13,440,000 ceiling rate

8.5.6 Training Material + Kit 2 time x 24 district x 25 pers. paket 1,200 100,000 120,000,000 1,200 100,000 120,000,000 ceiling rate

8.6 Pelatihan Kader AMPL

8.6.1 Paket Fullboard Participant 2 time x 24 district x 25 pers. x 4 days days 4,800 200,000 960,000,000 4,800 200,000 960,000,000 fixed rate

8.6.2 Paket Fullday for DPMU + TKK 2 time x 24 district x 2 pers. x 4 days days 384 100,000 38,400,000 384 100,000 38,400,000 fixed rate

8.6.3 Uang Saku Participant 2 time x 24 district x 25 pers. x 4 days days 4,800 50,000 240,000,000 4,800 50,000 240,000,000 ceiling rate

8.6.4 Uang Transport Participant 2 time x 24 district x 25 pers. time 1,200 100,000 120,000,000 1,200 100,000 120,000,000 ceiling rate

8.6.5 Spanduk 2 time x 24 district x 2 unit unit 96 140,000 13,440,000 96 140,000 13,440,000 ceiling rate

8.6.6 Training Material + Kit 2 time x 24 district x 25 pers. paket 1,200 100,000 120,000,000 1,200 100,000 120,000,000 ceiling rate

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Remarks

ORIGINAL CONTRACT

Unit

AMENDMENT NO. 1

Vol.Unit Rate

[IDR]Amount [IDR]Vol.

Unit Rate

[IDR]Amount [IDR]

2

NO. DESCRIPTION

VARIATIONS

Unit Vol.Unit Rate

[IDR]Amount [IDR]

8.7 Workshop RAD AMPL 2 time x 24 district 50 pers. x 3 years paket 144 5,000,000 720,000,000 144 5,000,000 720,000,000 ceiling rate

8.8 Workshop Forum/Asosiasi BPSPAM in Province

8.8.1 Paket Fullboard Participant + DPMU + TKK 2 time x 24 district x 5 pers. x 2 days days 480 200,000 96,000,000 480 200,000 96,000,000 fixed rate

8.8.2 Uang Transport Participant 2 time x 24 district x 5 pers. time 240 200,000 48,000,000 240 200,000 48,000,000 ceiling rate

8.8.3 Training Material + Kit 2 time x 24 district x 5 pers. paket 240 100,000 24,000,000 240 100,000 24,000,000 ceiling rate

8.8.4 Spanduk 2 time x 24 district 2 unit unit 96 140,000 13,440,000 96 140,000 13,440,000 ceiling rate

8.9 Pelatihan Pengelola Program Kabupaten (DPMU+TKK+Satker) in Province

8.9.1 Paket Fullboard Participant 3 time x 24 district x 3 pers. x 4 days days 864 200,000 172,800,000 864 200,000 172,800,000 fixed rate

8.9.2 Uang Transport Participant 3 time x 24 district x 3 pers. time 216 200,000 43,200,000 216 200,000 43,200,000 ceiling rate

8.9.3 Training Material + Kit 3 time x 24 district x 3 pers. paket 216 100,000 21,600,000 216 100,000 21,600,000 ceiling rate

8.9.4 Spanduk 3 time x 24 district 2 unit unit 144 140,000 20,160,000 144 140,000 20,160,000 ceiling rate

8.10 Printing/ Media: village district province

8.10.1 Spanduk 2 theme x 192 x 2 unit 768 140,000 107,520,000 768 140,000 107,520,000 fixed rate

8.10.2 Poster 10 theme x 192 x 5 24 x 5 5 x 5 x 2 unit 22,100 5,890 130,180,000 22,100 5,890 130,180,000 fixed rate

8.10.3 Leaflet 4 theme x 192 x 25 24 x 5 5 x 5 x 2 unit 39,560 2,000 79,120,000 39,560 2,000 79,120,000 fixed rate

9 REPORTING 40,375,000 - 40,375,000

9.1 Inception Report 1 time exp. 25 50,000 1,250,000 25 50,000 1,250,000 fixed rate

9.2 Monthly Report 9 time x 3 years x 20 copies exp. 540 25,000 13,500,000 540 25,000 13,500,000 fixed rate

9.3 Quarterly Report 3 time x 3 years x 20 copies exp. 180 50,000 9,000,000 180 50,000 9,000,000 fixed rate

9.4 Special Report 3 time x 20 copies exp. 60 25,000 1,500,000 60 25,000 1,500,000 fixed rate

9.5 Annual Report 3 time x 20 copies exp. 60 75,000 4,500,000 60 75,000 4,500,000 fixed rate

9.6 Financial Management Report (FMR) 3 time x 20 copies exp. 60 25,000 1,500,000 60 25,000 1,500,000 fixed rate

9.7 Draft Final Report 1 time x 20 copies exp. 20 75,000 1,500,000 20 75,000 1,500,000 fixed rate

9.8 Final Report 1 time x 20 copies exp. 20 100,000 2,000,000 20 100,000 2,000,000 fixed rate

9.9 Training Program Report 5 theme x 3 years x 15 copies exp. 225 25,000 5,625,000 225 25,000 5,625,000 fixed rate

10 PELATIHAN STBM PAMSIMAS II 320,385,000 320,385,000

1 Honorarium Trainer/Fasilitator/Instruktur khusus

2 Perdiem

- Central Government 2 x 3 p-day 6 105,000 630,000 6 105,000 630,000 fix rate

- Provincial Government 2 x 3 p-day 6 105,000 630,000 6 105,000 630,000 fix rate

- Advisor 1 x 5 p-day 5 105,000 525,000 5 105,000 525,000 fix rate

- Panitia Lokal 3 x 5 p-day 15 105,000 1,575,000 15 105,000 1,575,000 fix rate

- Pemandu STBM (Province & Districts) 7 x 5 p-day 35 105,000 3,675,000 35 105,000 3,675,000 fix rate

- Participants (Sanitarian/Kader/Natural leader/Bidan) 76 x 5 p-day 380 105,000 39,900,000 380 105,000 39,900,000 fix rate

3 Transportation

a. Tickets

- Central Government 2 x 1 trip 2 4,780,000 9,560,000 2 4,780,000 9,560,000 ceiling rate

- Advisor 1 x 1 trip 1 4,780,000 4,780,000 1 4,780,000 4,780,000 ceiling rate

b. Inland/Local Transport

- Taxi (pp) for Central Personnels 3 x 1 trip 3 420,000 1,260,000 3 420,000 1,260,000 fix rate

- Provincial Government 2 x 1 p-trip 2 110,000 220,000 2 110,000 220,000 fix rate

- Pemandu STBM (Province) 1 x 1 p-trip 1 110,000 110,000 1 110,000 110,000 fix rate

- Pemandu STBM (Districts) 6 x 1 p-trip 6 400,000 1,800,000 6 400,000 1,800,000 fix rate

- Participants (Sanitarian/Kader/Natural leader/Bidan)

- Donggala, Parigi Mountong - Palu (pp) 25 x 1 p-trip 25 175,000 4,375,000 25 175,000 4,375,000 fix rate

- Buol - Palu (pp) 7 x 1 p-trip 7 550,000 3,850,000 7 550,000 3,850,000 fix rate

- Poso - Palu (pp) 10 x 1 p-trip 10 300,000 3,000,000 10 300,000 3,000,000 fix rate

- Morowali, Tojo Una una - Palu (pp) 17 x 1 p-trip 17 450,000 7,650,000 17 450,000 7,650,000 fix rate

- Banggai Kepulauan - Palu (pp) 10 x 1 p-trip 17 800,000 13,600,000 17 800,000 13,600,000 fix rate

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Remarks

ORIGINAL CONTRACT

Unit

AMENDMENT NO. 1

Vol.Unit Rate

[IDR]Amount [IDR]Vol.

Unit Rate

[IDR]Amount [IDR]

2

NO. DESCRIPTION

VARIATIONS

Unit Vol.Unit Rate

[IDR]Amount [IDR]

4 Fullboard Package

a. Central

- Central Government 2 x 2 p-day 4 375,000 1,500,000 4 375,000 1,500,000 ceiling rate

- Provincial Government 2 x 2 p-day 4 375,000 1,500,000 4 375,000 1,500,000 ceiling rate

- TDS / CMAC 1 x 4 p-day 4 375,000 1,500,000 4 375,000 1,500,000 ceiling rate

- Advisor 1 x 4 p-day 4 375,000 1,500,000 4 375,000 1,500,000 ceiling rate

b. Local Participants

- Pemandu STBM (Province & Districts) 7 x 4 p-day 28 375,000 10,500,000 28 375,000 10,500,000 ceiling rate

- Participants (Sanitarian/Kader/Natural leader/Bidan) - x 4 p-day 304 375,000 114,000,000 304 375,000 114,000,000 ceiling rate

c. Panitia Lokal 3 x 4 p-day 12 375,000 4,500,000 12 375,000 4,500,000 ceiling rate

5 Training Kit (Tas Punggung, Kaos, Topi) 7 x 1 set 83 250,000 20,750,000 83 250,000 20,750,000 ceiling rate

6 Training Material 7 x 1 set 83 275,000 22,825,000 83 275,000 22,825,000 ceiling rate

7 Stationery LS 2 2,000,000 4,000,000 2 2,000,000 4,000,000 ceiling rate

8 Equipment

a. Video Camera Rental 1 x 5 unit-day 5 260,000 1,300,000 5 260,000 1,300,000 ceiling rate

b. Banner 1 x 1 set 1 500,000 500,000 1 500,000 500,000 ceiling rate

c. Backdrop 1 x 1 set 1 1,250,000 1,250,000 1 1,250,000 1,250,000 ceiling rate

d. Additional Classroom 2 x 4 unit-day 8 1,500,000 12,000,000 8 1,500,000 12,000,000 ceiling rate

e. Additional Infocus Rental 2 x 4 unit-day 8 350,000 2,800,000 8 350,000 2,800,000 ceiling rate

f. Preparation Meeting (Snack & Lunch) 20 x 2 set 40 48,000 1,920,000 40 48,000 1,920,000 ceiling rate

g. Car Rental 1 x 5 unit-day 5 580,000 2,900,000 5 580,000 2,900,000 ceiling rate

h.Computer/Laptop Rental 3 x 5 unit-day 15 300,000 4,500,000 15 300,000 4,500,000 ceiling rate

i. Printer Rental 2 x 5 unit-day 10 300,000 3,000,000 10 300,000 3,000,000 ceiling rate

g. Bus Rental (Field Visit) 5 x 1 unit-day 5 2,000,000 10,000,000 5 2,000,000 10,000,000 ceiling rate

9 Training Report 5 set 5 100,000 500,000 5 100,000 500,000 ceiling rate