CONTRACT AMENDMENT No.1

Transcription

1 NO. DESCRIPTION SUMMARY COST ESTIMATE REGIONAL OVERSIGHT MANAGEMENT SERVICES (OMS) - 7 COMMUNITY BASED WATER SUPPLY PROJECT (PAMSIMAS II) INVOICE 6 (PERIODE: MARET 2014) CONTRACT AMENDMENT No.1 PREVIOUS INVOICE INVOICE THIS PERIOD A REMUNERATION 21,469,200,000 2,825,509, ,800,000 3,398,309,677 18,070,890,323 1 Regional Team 1,854,000, ,500,000 46,000, ,500,000 1,524,500,000 2 Provincial Team 3,672,000, ,500,000 79,500, ,000,000 3,037,000,000 3 District Team 15,943,200,000 1,986,509, ,300,000 2,433,809,677 13,509,390,323 B REIMBURSABLE 17,869,744,700 3,270,808, ,605,647 3,470,413,849 14,399,330,851 1 Duty Travel 786,240, ,240,000 Management Fee 5% of [ ] 39,312,000-39,312,000 2 Mobilization and Demobilization 490,470,000 13,070,300-13,070, ,399,700 Management Fee 5% of [2.1] 24,523, , ,515 23,869,985 3 Office Space 2,250,000,000 1,378,875,000 24,000,000 1,402,875, ,125,000 4 Utilities Expenses 573,000,000 87,750,000 16,750, ,500, ,500,000 5 Office Equipment 596,300, ,300, ,300,000-6 Vehicle Rental 5,388,000, ,000, ,000, ,000,000 4,574,000,000 7 Communication 583,800,000 16,769,492 5,576,807 22,346, ,453,701 Management Fee 5% of [ ] 29,190, , ,840 1,117,315 28,072,685 8 Training 6,249,630,000-6,249,630,000 Management Fee 5% of [ ] 149,083, ,083,000 9 Reporting 92,500,000 4,500,000-4,500,000 88,000, Training STBM Pamsimas 561,542, ,592, ,592,200 96,949, Management Fee 10% of [10] 56,154,200 46,459,220-46,459,220 9,694,980 C TOTAL = [C = A + B] 39,338,944,700 6,096,317, ,405,647 6,868,723,526 32,470,221,174 C.1 - IDA FINANCING, [C.1 = 80% * (C-10-11)] 30,976,998,800 4,468,213, ,924,518 5,086,137,685 25,890,861,115 C.2 - APBN RM FINANCING, [C.2 = 20% * (C-10-11] 7,744,249,700 1,117,053, ,481,129 1,271,534,421 6,472,715,279 C.3 - VAT APBN RM, [C.3 = (10% * C.2)] 774,424, ,705,329 15,448, ,153, ,271,528 C.4 - TF , [C.4 = (10+11)] 617,696, ,051, ,051, ,644,780 D GRAND TOTAL, [D = C.1 + C.2 + C.3 + C.4) 40,113,369,670 6,208,023, ,853,760 6,995,876,968 33,117,492,702 E ADVANCE PAYMENT 4,095,453,250 1,909,820, ,408,200 2,456,228,650 1,639,224,600 E.1 - IDA FINANCING, [E.1 = 80% * E] 3,276,362,600 1,527,856, ,126,560 1,964,982,920 1,311,379,680 E.2 - APBN RM FINANCING, [E.2 = 20% * E] 819,090, ,964, ,281, ,245, ,844,920 E.3 - VAT APBN RM, [E.3 = 10% * E.2] 81,909,065 38,196,409 10,928,164 49,124,573 32,784,492 E.4 - TF F CLAIM THIS PAYMENT [F = C - E] 35,243,491,450 4,186,497, ,997,447 4,412,494,877 30,830,996,573 F.1 - IDA FINANCING, [F.1 = C.1 - E.1] 27,700,636,200 2,940,356, ,797,958 3,121,154,765 24,579,481,435 F.2 - APBN RM FINANCING, [F.2 = C.2 - E.2] 6,925,159, ,089,202 45,199, ,288,691 6,144,870,359 F.3 - VAT APBN RM, [F.3 = C.3 - E.3] 692,515,905 73,508,920 4,519,949 78,028, ,487,036 F.4 - TF ,696, ,051, ,051, ,644,780 G GRAND TOTAL, [G = F.1 + F.2 + F.3 + F.4] 35,936,007,355 4,260,006, ,517,396 4,490,523,746 31,445,483,609 Project Manager/ PPK Kegiatan Wilayah II Satuan Kerja Pembinaan Pamsimas Jakarta, Juni 2014 PT. Surya Abadi Konsultan Diah Suryaningtyas, SIP, MM NIP Ir. Hendro Prasetyo, MT President Director

2 COST ESTIMATE FOR REIMBURSABLE REGIONAL OVERSIGHT MANAGEMENT SERVICES (OMS) - 7 COMMUNITY BASED WATER SUPPLY PROJECT (PAMSIMAS II) CONTRACT AMENDMENT No.1 PREVIOUS INVOICE INVOICE THIS PERIOD AMOUNT AMOUNT AMOUNT AMOUNT AMOUNT B REIMBURSABLE COST 1 DUTY TRAVEL 786,240, ,240, Spot Checking Provincial Team - Province to District to Village Sulawesi Barat + Tenggara Inland Transport 3 person r-trip ,000 17,280, , , , ,000 17,280,000 ceiling rate Accomodation 3 person r-trip ,000 34,560, , , , ,000 34,560,000 ceiling rate OSA (Fixed) 3 person r-trip ,000 51,840, , , , ,000 51,840,000 ceiling rate Sulawesi Selatan Inland Transport 3 person r-trip ,000 46,080, , , , ,000 46,080,000 ceiling rate Accomodation 3 person r-trip 4600,000 92,160, , , , ,000 92,160,000 ceiling rate OSA (Fixed) 3 person r-trip 6900, ,240, , , , , ,240,000 ceiling rate Papua dan Papua Barat Inland Transport 3 person r-trip ,000 17,280, , , , ,000 17,280,000 ceiling rate Accomodation 3 person r-trip ,000 34,560, , , , ,000 34,560,000 ceiling rate OSA (Fixed) 3 person r-trip ,000 51,840, , , , ,000 51,840,000 ceiling rate District Team - District to Village District Coordinator Sulbar 3 district r-trip ,000 18,000,000-50,000-50,000 50, ,000 18,000,000 ceiling rate District Coordinator Sulsel 16 district r-trip 1,920 50,000 96,000,000-50,000 50,000 50,000-1, ,000 96,000,000 ceiling rate District Coordinator Sulteng 3 district r-trip ,000 18,000,000-50,000-50,000 50, ,000 18,000,000 ceiling rate District Coordinator Papua 2 district r-trip ,000 12,000,000-50,000-50,000 50, ,000 12,000,000 ceiling rate District Coordinator Papua Barat 4 district r-trip ,000 24,000,000-50,000-50,000 50, ,000 24,000,000 ceiling rate Financial Management Ass. Sulbar 3 district r-trip ,000 14,400,000-50,000-50,000 50, ,000 14,400,000 ceiling rate Financial Management Ass. Sulsel 16 district r-trip 1,536 50,000 76,800,000-50,000-50,000 50,000-1, ,000 76,800,000 ceiling rate Financial Management Ass. Sulteng 3 district r-trip ,000 14,400,000-50,000-50,000 50, ,000 14,400,000 ceiling rate Financial Management Ass. Papua 2 district r-trip ,000 9,600,000-50,000-50,000 50, ,000 9,600,000 ceiling rate Financial Management Ass. Papua Barat 4 district r-trip ,000 19,200,000-50,000-50,000 50, ,000 19,200,000 ceiling rate Management Fee...% of [ ] 39,312,000-39,312,000 2 MOBILIZATION AND DEMOBILIZATION 490,470,000 13,070,300 13,070, ,399, Regional Team - Jakarta to Province to Jakarta Project Manager Jakarta - Makassar - Jakarta r-trip 1 3,580,000 3,580, ,580, ,000 3,580, ,580, ,000-3,580,000 2,886,000 ceiling rate Data Management Jakarta - Makassar - Jakarta r-trip 1 3,580,000 3,580, ,580,000 1,267,000 3,580, ,580,000 1,267,000-3,580,000 2,313,000 ceiling rate LG Specialist Jakarta - Makassar - Jakarta r-trip 1 3,580,000 3,580, ,580,000 1,267,000 3,580, ,580,000 1,267,000-3,580,000 2,313,000 ceiling rate Trainer Coordinator Jakarta - Makassar - Jakarta r-trip 1 3,580,000 3,580,000-3,580,000-3,580,000 3,580, ,580,000 3,580,000 ceiling rate Local Transport r-trip 4 200, , , , , , ,000 ceiling rate 2.2 Provincial Team - Jakarta to Province to Jakarta Provincial Coordinator Jakarta - Makassar - Jakarta r-trip 1 3,580,000 3,580, ,580,000 1,465,000 3,580, ,580,000 1,465,000-3,580,000 2,115,000 ceiling rate Jakarta - Mamuju - Jakarta r-trip 1 4,550,000 4,550, ,550,000 1,465,000 4,550, ,550,000 1,465,000-4,550,000 3,085,000 ceiling rate Jakarta - Jayapura - Jakarta r-trip 1 7,660,000 7,660, ,660,000 1,421,000 7,660, ,660,000 1,421,000-7,660,000 6,239,000 ceiling rate Financial Management Specialist Jakarta - Makassar - Jakarta r-trip 1 3,580,000 3,580, ,580,000 1,200,000 3,580, ,580,000 1,200,000-3,580,000 2,380,000 ceiling rate Jakarta - Mamuju - Jakarta r-trip 1 4,550,000 4,550, ,550, ,900 4,550, ,550, ,900-4,550,000 3,654,100 ceiling rate Jakarta - Jayapura - Jakarta r-trip 1 7,660,000 7,660, ,660, ,000 7,660, ,660, ,000-7,660,000 6,889,000 ceiling rate Quality Assurance Specialist Jakarta - Makassar - Jakarta r-trip 1 3,580,000 3,580,000-3,580,000-3,580,000 3,580, ,580,000 3,580,000 ceiling rate Jakarta - Mamuju - Jakarta r-trip 1 4,550,000 4,550,000-4,550,000-4,550,000 4,550, ,550,000 4,550,000 ceiling rate Jakarta - Jayapura - Jakarta r-trip 1 7,660,000 7,660,000-7,660,000-7,660,000 7,660, ,660,000 7,660,000 ceiling rate Local Transport r-trip 9 200,000 1,800, , , , ,000 1,800,000 ceiling rate Reim-oms7 // 6 dari 11

3 AMOUNT AMOUNT AMOUNT AMOUNT AMOUNT 2.3 District Team - Jakarta to Province to Jakarta District Coordinator Jakarta - Makassar - Jakarta r-trip 16 3,580,000 57,280,000-3,580,000-3,580,000 3,580, ,580,000 57,280,000 ceiling rate Jakarta - Mamuju - Jakarta r-trip 3 4,550,000 13,650,000-4,550,000-4,550,000 4,550, ,550,000 13,650,000 ceiling rate Jakarta - Kendari - Jakarta r-trip 3 2,670,000 8,010,000-2,670,000-2,670,000 2,670, ,670,000 8,010,000 ceiling rate Jakarta - Jayapura - Jakarta r-trip 2 7,660,000 15,320,000-7,660,000-7,660,000 7,660, ,660,000 15,320,000 ceiling rate Jakarta - Manokwari - Jakarta r-trip 4 10,120,000 40,480,000-10,120,000-10,120,000 10,120, ,120,000 40,480,000 ceiling rate Financial Management Assistant Jakarta - Makassar - Jakarta r-trip 16 3,580,000 57,280, ,580,000 2,624,400 3,580, ,580,000 2,624, ,580,000 54,655,600 ceiling rate Jakarta - Mamuju - Jakarta r-trip 3 4,550,000 13,650,000-4,550,000-4,550,000 4,550, ,550,000 13,650,000 ceiling rate Jakarta - Kendari - Jakarta r-trip 3 2,670,000 8,010,000-2,670,000-2,670,000 2,670, ,670,000 8,010,000 ceiling rate Jakarta - Jayapura - Jakarta r-trip 3 7,660,000 22,980,000-7,660,000-7,660,000 7,660, ,660,000 22,980,000 ceiling rate Jakarta - Manokwari - Jakarta r-trip 16 10,120, ,920,000-10,120,000-10,120,000 10,120, ,120, ,920,000 ceiling rate Local Transport r-trip ,000 27,600, , , , ,000 27,600,000 ceiling rate Management Fee...% of [ ] 24,523, , ,515-23,869,985 3 OFFICE SPACE (Rental) 2,250,000,000 1,378,875,000 24,000,000-1,402,875, ,125, Regional Team and Province Team Provincial Team Kendari 1 office month 36 2,000,000 72,000, ,000,000 24,000,000 2,000, ,000,000 24,000, ,000,000 48,000,000 fixed rate Regional & Provincial Team Makassar 1 office month 36 3,000, ,000, ,000,000 72,000,000 3,000, ,000,000 72,000, ,000,000 36,000,000 fixed rate Provincial Team Jayapura 1 office month 36 3,000, ,000, ,000, ,000,000 3,000, ,000, ,000,000-3,000,000 - fixed rate Office Running Cost month 105 1,500, ,500, ,500,000 27,000, ,500,000 4,500, ,500,000 31,500, ,500, ,000,000 fixed rate 3.2 District Team District Team in Sulawesi Selatan 15 office month 540 1,250, ,000, ,250, ,000,000 1,250, ,250, ,000,000-1,250,000 - fixed rate District Team in Sulawesi Barat 2 office month 72 1,250,000 90,000, ,250,000 90,000,000 1,250, ,250,000 90,000,000-1,250,000 - fixed rate District Team in Sulawesi Tenggara 4 office month 132 1,250, ,000, ,250, ,000,000 1,250, ,250, ,000,000-1,250,000 - fixed rate District Team in Papua 2 office month 66 1,250,000 82,500, ,250,000 60,000,000 1,250, ,250,000 60,000, ,250,000 22,500,000 fixed rate District Team in Papua Barat 3 office month 108 1,250, ,000, ,250,000 60,000,000 1,250, ,250,000 60,000, ,250,000 75,000,000 fixed rate Office Running Cost old District month , ,000, ,000 27,000, ,000 4,500, ,000 31,500, , ,500,000 fixed rate new district month , ,000, ,000 70,875, ,000 15,000, ,000 85,875, , ,125,000 fixed rate 4 UTILITIES EXPENSES 573,000,000 87,750,000 16,750, ,500, ,500, Regional and Province Office Supply and Consumable (Regional+Province) month 36 1,750,000 63,000, ,750,000 10,500, ,750,000 1,750, ,750,000 12,250, ,750,000 50,750,000 fixed rate Office Supply and Consumable (Province) month 72 1,000,000 72,000, ,000,000 12,000, ,000,000 2,000, ,000,000 14,000, ,000,000 58,000,000 fixed rate 4.2 District Office Supply and Consumable old District month , ,000, ,000 18,000, ,000 3,000, ,000 21,000, ,000 87,000,000 fixed rate new district month , ,000, ,000 47,250, ,000 10,000, ,000 57,250, , ,750,000 fixed rate 5 OFFICE EQUIPMENT 596,300, ,300, ,300, Notebook Computer (Regional+Provincial+District) unit 39 7,500, ,500, ,500, ,500,000 7,500, ,500, ,500,000-7,500,000 - fixed rate 5.2 Portable Computer for Supporting Regional unit 2 6,500,000 13,000, ,500,000 13,000,000 6,500, ,500,000 13,000,000-6,500,000 - fixed rate 5.3 Portable Computer + Printer for Supporting District unit 26 8,000, ,000, ,000, ,000,000 8,000, ,000, ,000,000-8,000,000 - fixed rate 5.4 Printer Laserjet unit 3 3,500,000 10,500, ,500,000 10,500,000 3,500, ,500,000 10,500,000-3,500,000 - fixed rate 5.5 Printer Colour A3 unit 3 4,000,000 12,000, ,000,000 12,000,000 4,000, ,000,000 12,000,000-4,000,000 - fixed rate 5.6 Scanner unit 3 3,500,000 10,500, ,500,000 10,500,000 3,500, ,500,000 10,500,000-3,500,000 - fixed rate 5.7 Facsimilie unit 3 2,500,000 7,500, ,500,000 7,500,000 2,500, ,500,000 7,500,000-2,500,000 - fixed rate 5.8 Digital Camera unit 3 3,500,000 10,500, ,500,000 10,500,000 3,500, ,500,000 10,500,000-3,500,000 - fixed rate 5.9 GSM Modem + SIM Card unit 3 600,000 1,800, ,000 1,800, , ,000 1,800, ,000 - fixed rate 5.10 Router, LAN Peripheral unit 3 1,000,000 3,000, ,000,000 3,000,000 1,000, ,000,000 3,000,000-1,000,000 - fixed rate 5.11 GPS unit 6 4,500,000 27,000, ,500,000 27,000,000 4,500, ,500,000 27,000,000-4,500,000 - fixed rate Reim-oms7 // 7 dari 11

4 AMOUNT AMOUNT AMOUNT AMOUNT AMOUNT 6 VEHICLE RENTAL 5,388,000, ,000, ,000, ,000,000-4,574,000, Regional and Province Car Rental include Driver & O&M (Regional) 36 7,000, ,000, ,000,000 42,000, ,000,000 7,000, ,000,000 49,000, ,000, ,000,000 fixed rate Car Rental include Driver & O&M (Provincial) 108 7,000, ,000, ,000,000 84,000, ,000,000 21,000, ,000, ,000, ,000, ,000,000 fixed rate 6.2 District Car Rental & O&M (District) old District 216 5,000,000 1,080,000, ,000, ,000, ,000,000 30,000, ,000, ,000, ,000, ,000,000 fixed rate new district 660 5,000,000 3,300,000, ,000, ,000, ,000,000 95,000, ,000, ,000, ,000,000 2,830,000,000 fixed rate 7 COMMUNICATION 583,800,000 16,769,492 5,576,807-22,346, ,453, Regional and Province Telephone and Postage month 108 1,000, ,000, ,000,000 3,988, ,000, , ,000,000 4,883, ,000, ,116,577 ceiling rate Internet Connection for Office month ,000 37,800, , , , ,000 37,800,000 ceiling rate 7.2 District Telephone and Internet Connection old District month , ,000, ,000 4,338, ,000 1,703, ,000 6,041, , ,958,497 ceiling rate new district month , ,000, ,000 8,442, ,000 2,979, ,000 11,421, , ,578,627 ceiling rate Management Fee...% of [ ] 29,190, , ,840-1,117,315-28,072,685 8 TRAINING 6,249,630,000-6,249,630, Pelatihan FM Ass. dan Data Entry Operator Peserta a Paket Fullboard days ,000 31,200, , , , ,000 31,200,000 fixed rate b Transportation time ,000 10,400, , , , ,000 10,400,000 ceiling rate Pelatih a Financial Management Spec. mamuju - kendari r-trip,000,000 2,000,000-2,000,000-2,000,000 2,000, ,000,000 2,000,000 ceiling rate b Financial Management Spec. jayapura - manokwari r-trip,140,000 2,140,000-2,140,000-2,140,000 2,140, ,140,000 2,140,000 ceiling rate c Inland Transport r-trip 2 200, , , , , , ,000 ceiling rate d Accomodation days 6 200,000 1,200, , , , ,000 1,200,000 fixed rate e OSA (Fixed) days 8 200,000 1,600, , , , ,000 1,600,000 ceiling rate f Training Material + Kit paket ,000 5,200, , , , ,000 5,200,000 ceiling rate Management Fee...% of [8.1.1b a,b,c,e,f] 1,087,000-1,087, Expert Group Meeting - Central Regional Team - Air Fare Province to Jakarta days Provincial Team - Air Fare Province to Jakarta days Inland Transport - Regional and Provincial Team OSA (Fixed) - Regional Team days ,000 21,600, , , , ,000 21,600,000 fixed rate OSA (Fixed) - Provincial Team days ,000 48,600, , , , ,000 48,600,000 fixed rate Management Fee...% of [ ] 3,510,000-3,510, Expert Group Meeting - Regional Fullboard package for district team 3 days , ,200, , , , , ,200,000 fixed rate Fullboard package for provincial team 3 days ,000 36,000, , , , ,000 36,000,000 fixed rate Fullboard package for regional team 3 days ,000 9,600, , , , ,000 9,600,000 fixed rate Air Transport [Economy Class] c Regional Team/ Makassar makassar - ke r-trip 24 1,670,000 40,080,000-1,670,000-1,670,000 1,670, ,670,000 40,080,000 ceiling rate d Regional Team/ Makassar makassar - ja r-trip 24 5,410, ,840,000-5,410,000-5,410,000 5,410, ,410, ,840,000 ceiling rate e Regional Team/ Makassar makassar - m r-trip 24 5,410, ,840,000-5,410,000-5,410,000 5,410, ,410, ,840,000 ceiling rate h Provincial Team/ Kendari mamuju - ken r-trip 18 2,000,000 36,000,000-2,000,000-2,000,000 2,000, ,000,000 36,000,000 ceiling rate j Provincial Team/ Manokwari jayapura - ma r-trip 18 2,140,000 38,520,000-2,140,000-2,140,000 2,140, ,140,000 38,520,000 ceiling rate Reim-oms7 // 8 dari 11

5 AMOUNT AMOUNT AMOUNT AMOUNT AMOUNT Inland Transport a District Team/ Mamuju r-trip ,000 10,800, , , , ,000 10,800,000 ceiling rate b District Team/ Makassar r-trip ,000 57,600, , , , ,000 57,600,000 ceiling rate c District Team/ Kendari r-trip ,000 10,800, , , , ,000 10,800,000 ceiling rate d District Team/ Jayapura r-trip ,000 7,200, , , , ,000 7,200,000 ceiling rate e District Team/ Manokwari r-trip ,000 14,400, , , , ,000 14,400,000 ceiling rate OSA (Fixed) days 1, , ,200, , , ,000-1, , ,200,000 ceiling rate Management Fee...% of [ ] 42,114,000-42,114, OJT Fasilitator Training Material + Kit 3 years x days ,000 23,400,000-25,000-25,000 25, ,000 23,400,000 fixed rate Meals, Snack 3 years x paket ,000 46,800,000-50,000-50,000 50, ,000 46,800,000 fixed rate 8.5 Pelatihan Penguatan BPSPAM in District Paket Fullboard Participant days 5, ,000 1,040,000, , , ,000-5, ,000 1,040,000,000 fixed rate Paket Fullday for DPMU + TKK days ,000 62,400, , , , ,000 62,400,000 fixed rate Uang Saku Participant days 5,200 50, ,000,000-50,000-50,000 50,000-5, , ,000,000 ceiling rate Uang Transport Participant time 1, , ,000, , , ,000-1, , ,000,000 ceiling rate Spanduk unit ,000 14,560, , , , ,000 14,560,000 ceiling rate Training Material + Kit paket 1, , ,000, , , ,000-1, , ,000,000 ceiling rate Management Fee...% of [ ] 26,728,000-26,728, Pelatihan Kader AMPL in District Paket Fullboard Participant days 5, ,000 1,040,000, , , ,000-5, ,000 1,040,000,000 fixed rate Paket Fullday for DPMU + TKK days ,000 62,400, , , , ,000 62,400,000 fixed rate Uang Saku Participant days 5,200 50, ,000,000-50,000-50,000 50,000-5, , ,000,000 ceiling rate Uang Transport Participant time 1, , ,000, , , ,000-1, , ,000,000 ceiling rate Spanduk unit ,000 14,560, , , , ,000 14,560,000 ceiling rate Training Material + Kit paket 1, , ,000, , , ,000-1, , ,000,000 ceiling rate Management Fee...% of [ ] 26,728,000-26,728, Workshop RAD AMPL paket 168 5,000, ,000,000-5,000,000-5,000,000 5,000, ,000, ,000,000 ceiling rate Management Fee...% of [8.7] 42,000,000-42,000, Workshop Forum/Asosiasi BPSPAM in District Paket Fullboard Participant + DPMU + TKK days ,000 52,000, , , , ,000 52,000,000 fixed rate Uang Transport Participant time ,000 26,000, , , , ,000 26,000,000 ceiling rate Training Material + Kit paket ,000 13,000, , , , ,000 13,000,000 ceiling rate Spanduk unit ,000 7,280, , , , ,000 7,280,000 ceiling rate Management Fee...% of [ ] 2,314,000 2,314, Pelatihan Pengelola Program Kabupaten (DPMU+TKK+Satker) in Province Paket Fullboard Participant days , ,200, , , , , ,200,000 fixed rate Uang Transport Participant time ,000 46,800, , , , ,000 46,800,000 ceiling rate Training Material + Kit paket ,000 23,400, , , , ,000 23,400,000 ceiling rate Spanduk unit ,000 21,840, , , , ,000 21,840,000 ceiling rate Management Fee...% of [ ] 4,602,000-4,602, Printing/ Media: Spanduk 2 unit , ,400, , , , , ,400,000 fixed rate Poster 10 unit 25,700 7, ,750,000-7,500-7,500 7,500-25, , ,750,000 fixed rate Leaflet 4 unit 46,120 3, ,420,000-3,500-3,500 3,500-46, , ,420,000 fixed rate Total Management Fee Training Activity [ ] 149,083, ,083,000 Reim-oms7 // 9 dari 11

6 AMOUNT AMOUNT AMOUNT AMOUNT AMOUNT 9 REPORTING 92,500,000 4,500,000 4,500,000-88,000, Inception Report exp ,000 2,500, ,000 2,500, , ,000 2,500, ,000 - fixed rate 9.2 Monthly Report exp ,000 27,000, ,000 2,000,000 50, ,000 2,000, ,000 25,000,000 fixed rate 9.3 Quarterly Report exp ,000 13,500,000-75,000-75,000 75, ,000 13,500,000 fixed rate 9.4 Special Report exp ,000 6,000, , , , ,000 6,000,000 fixed rate 9.5 Annual Report exp ,000 6,000, , , , ,000 6,000,000 fixed rate 9.6 Financial Management Report (FMR) exp ,000 6,000, , , , ,000 6,000,000 fixed rate 9.7 Draft Final Report exp ,000 4,000, , , , ,000 4,000,000 fixed rate 9.8 Final Report exp ,000 5,000, , , , ,000 5,000,000 fixed rate 9.9 Training Program Report exp ,000 22,500, , , , ,000 22,500,000 fixed rate 10. Training STBM Pamsimas 561,542, ,592, ,592,200 96,949,800 Gorontalo, Sulsel, Sulbar, Maluku and Papua Barat 10.1 Honorarium Trainer/Fasilitator/Instruktur khusus 10.2 Perdiem 54,285,000 52,500,000-52,500,000 1,785,000 - Central Government days 6 105, , , , , , ,000 fix rate - Provincial Government days 6 105, , , , , , ,000 fix rate - Advisor days 5 105, , , , , , ,000 fix rate - Pantia Lokal days ,000 2,100, ,000 2,100, , ,000 2,100, ,000 - fix rate - Pemandu STBM (Province & Districts) days ,000 3,675, ,000 3,675, , ,000 3,675, ,000 - fix rate - Participants (Sanitarian/Kader/Natural leader/bidan) days ,000 46,725, ,000 46,725, , ,000 46,725, ,000 - fix rate 10.3 Transportation a. Ticket 174,740, ,477, ,477,200 68,262,800 - Central Government trip 2 3,580,000 7,160,000-3,580,000-3,580,000 3,580, ,580,000 7,160,000 ceiling rate - Advisor trip 1 3,580,000 3,580,000-3,580,000-3,580,000 3,580, ,580,000 3,580,000 ceiling rate - Pemandu STBM (Gorontalo) trip,000,000 2,000,000,000,000 1,419,500 2,000, ,000,000 1,419,500-2,000, ,500 ceiling rate - Pemandu STBM (Maluku) trip 1 3,000,000 3,000, ,000,000 1,222,900 3,000, ,000,000 1,222,900-3,000,000 1,777,100 ceiling rate - Participant (Gorontalo) trip 19 2,000,000 38,000, ,000,000 29,694,700 2,000, ,000,000 29,694,700-2,000,000 8,305,300 ceiling rate - Participant (Sulbar) trip 8 2,000,000 16,000,000-2,000,000-2,000,000 2,000, ,000,000 16,000,000 ceiling rate - Participant (Maluku) trip 10 3,000,000 30,000, ,000,000 14,963,600 3,000, ,000,000 14,963,600-3,000,000 15,036,400 ceiling rate - Participant (Papua Barat) trip 15 5,000,000 75,000, ,000,000 59,176,500 5,000, ,000,000 59,176,500-5,000,000 15,823,500 ceiling rate b. Inland / Local Transport (Taxi PP) 67,072,000 65,490,000-65,490,000 1,582,000 - Central Personnels trip 3 364,000 1,092, , , , ,000 1,092,000 fix rate - Provincial Government p-trip 2 110, , , , , , ,000 fix rate - Pemandu STBM (Province Sulsel) p-trip 1 110, , , , , , , ,000 - fix rate - Pemandu STBM (Gorontalo) p-trip 1 470, , , , , , , ,000 - fix rate - Pemandu STBM (Maluku) p-trip 1 582, , , , , , , ,000 - fix rate - Pemandu STBM (Districts) p-trip 4 300,000 1,200, , , , , , , ,000 fix rate - Participants (Sulsel) p-trip 37 14,588, ,588, ,588,000 - fix rate - Participants (Sulbar) p-trip 8 2,270, ,270, ,270,000 - fix rate - Participants (Gorontalo) p-trip 19 8,630, ,630, ,630,000 - fix rate - Participants (Maluku) p-trip 10 12,860, ,860, ,860,000 - fix rate - Participants (Papua Barat) p-trip 15 25,050, ,050, ,050,000 - fix rate c. 'Inland Transport Participants Kabupaten - Province p-trip - 500, , , , ,000 - fix rate 10.4 Fullboard Package a. Central 6,000,000 3,375,000-3,375,000 2,625,000 - Central Government p-day 4 375,000 1,500, , , , , , , ,000 ceiling rate - Provincial Government p-day 4 375,000 1,500, , , , , , , ,000 ceiling rate - TDS / CMAC p-day 4 375,000 1,500, , , , , , ,000 1,125,000 ceiling rate - Advisor p-day 4 375,000 1,500, ,000 1,500, , ,000 1,500, ,000 - ceiling rate Reim-oms7 // 10 dari 11

7 AMOUNT AMOUNT AMOUNT AMOUNT AMOUNT b. Local Participant 159,375, ,375, ,375, Pemandu STBM (Province & Districts) p-day ,000 10,500, ,000 10,500, , ,000 10,500, ,000 - ceiling rate - Participants (Sanitarian/Kader/Natural leader/bidan) p-day , ,500, , ,500, , , ,500, ,000 - ceiling rate - Additional Accomodation (Participants from Maluku, Papbar) p-day ,000 9,375, ,000 9,375, , ,000 9,375, ,000 - ceiling rate b. Pantia Lokal p-day ,000 6,000, ,000 6,000, , ,000 6,000, ,000 - ceiling rate 10.5 Training Kit (Tas Punggung, Kaos, Topi) set ,000 24,000, ,000 21,600, , ,000 21,600, ,000 2,400,000 ceiling rate 10.6 Training Material set ,000 26,400, ,000 19,200, , ,000 19,200, ,000 7,200,000 ceiling rate 10.7 Stationery LS 2 2,000,000 4,000,000-2,000,000-2,000,000 2,000, ,000,000 4,000,000 ceiling rate 10.8 Equipment 45,170,000 36,075,000-36,075,000 9,095,000 a. Video Camera Rental unit-day 5 260,000 1,300, ,000 1,125, , ,000 1,125, , ,000 ceiling rate b. Banner set 1 500, , , , , , , ,000 - ceiling rate c. Backdrop set 1 1,250,000 1,250, ,250,000 1,000,000 1,250, ,250,000 1,000,000-1,250, ,000 ceiling rate d. Additional Classroom unit-day 8 1,500,000 12,000, ,500,000 12,000,000 1,500, ,500,000 12,000,000-1,500,000 - ceiling rate e. Additional Infocus Rental unit-day 8 350,000 2,800, ,000 2,400, , ,000 2,400, , ,000 ceiling rate f. Preparation Meeting (Snack & Lunch) set 40 48,000 1,920, ,000 1,800,000 48, ,000 1,800,000-48, ,000 ceiling rate g. Car Rental unit-day 5 580,000 2,900, ,000 2,750, , ,000 2,750, , ,000 ceiling rate h. Computer/Laptop Rental unit-day ,000 6,000, ,000 4,000, , ,000 4,000, ,000 2,000,000 ceiling rate i. Printer Rental unit-day ,000 4,500, ,000 2,250, , ,000 2,250, ,000 2,250,000 ceiling rate j. Bus Rental (Field Visit) unit-day 6 2,000,000 12,000, ,000,000 8,250,000 2,000, ,000,000 8,250,000-2,000,000 3,750,000 ceiling rate 10.9 Training Report set 5 100, , , , , , , ,000 - ceiling rate Management Fee 10% of [10] 56,154,200 46,459,220-46,459,220 9,694,980 TOTAL REIMBURSABLE 17,869,744,700 3,270,808, ,605,647 3,470,413,849 14,399,330,851 Reim-oms7 // 11 dari 11