REKAPITULASI INVOICE PERIODE FEBRUARY 2014 REGIONAL OVERSIGHT MANAGEMENT SERVICES (ROMS) - 2 COMMUNITY BASED WATER SUPPLY PROJECT (PAMSIMAS II)

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1 REKAPITULASI INVOICE PERIODE FEBRUARY 2014 REGIONAL OVERSIGHT MANAGEMENT SERVICES (ROMS) 2 COMMUNITY BASED WATER SUPPLY PROJECT (PAMSIMAS II) NO. DESCRIPTION PERIODE FEBRUARY Amount [IDR] Amount [IDR] Amount [IDR] Amount [IDR] A REMUNERATION 16,946,400, ,625, ,125,000 15,907,650,000 1 Regional Team 1,584,000,000 49,500,000 49,500,000 1,485,000,000 2 Provincial Team 3,060,000,000 95,625,000 95,625,000 2,868,750,000 3 District Team 12,302,400, ,500, ,000,000 11,553,900,000 B REIMBURSABLE 13,140,100, ,195, ,260,594 12,722,644,406 1 Duty Travel 996,840,000 20,650,000 29,500, ,690,000 Management Fee of [ ] 99,684,000 2,065,000 2,950,000 94,669,000 2 Mobilization and Demobilization 142,710, ,710,000 Management Fee of [2.1] 14,271,000 14,271,000 3 Office Space 816,800,000 11,050,000 11,050, ,700,000 4 Utilities Expenses 304,000,000 9,500,000 9,500, ,000,000 5 Office Equipment 14,000,000 14,000,000 6 Vehicle Rental 4,352,000, ,000, ,000,000 4,080,000,000 7 Communication 457,600,000 14,300,000 9,700, ,599,460 Management Fee of [ ] 45,760,000 1,430, ,054 43,359,946 8 Training 5,496,910,000 6,900,000 5,490,010,000 Management Fee of [ ] 281,533, , ,843,000 9 Reporting 117,992,000 1,200, ,792,000 TOTAL 30,086,500, ,820, ,385,594 28,630,294,406 IBRD Financing [80%] 24,069,200, ,256, ,708,475 22,904,235,525 APBNRM Portion [20%] 6,017,300, ,564, ,677,119 5,726,058,881 VAT 10% APBNRM Portion 601,730,000 14,556,400 14,567, ,605,888 TOTAL 30,688,230, ,376, ,953,306 29,202,900,294 PEJABAT PEMBUAT KOMITMEN Pejabat Pembuat Komitmen Kegiatan Wilayah I Satuan Kerja Pembinaan Pamsimas PT. PRISMAITA CIPTA KREASI Novi Rindani, ST. MT NIP Sonny BM.Tamjid SE,MM President Director

2 INVOICE REMBURSABLE REGIONAL OVERSIGHT MANAGEMENT SERVICES (ROMS) 2 COMMUNITY BASED WATER SUPPLY PROJECT (PAMSIMAS II) Nama Peruhaan : PT. PRISMAITA CIPTA KREASI NO. : MONTH : Februari 2014 CURRENCY : RUPIAH NO. DESCRIPTION Unit UNTIL =[4*5] B REIMBURSABLE COST 1 DUTY TRAVEL 996,840,000 20,650,000 29,500,000 50,150, ,690, Spot Checking Provincial Team Province to District to Village Bengkulu & Jambi Inland Transport 3 person 72 village x 10% x years x 2 time rtrip 200,000 25,920, , ,000, ,600,000 (8) 24,320,000 Accomodation 3 person 72 village x 10% x years x 2 time x 2 days rtrip 200,000 51,840, ,200, ,000, ,200,000 (16) 48,640,000 OSA (Fixed) 3 person 72 village x 10% x years x 2 time x 3 days rtrip 200,000 77,760, ,800, ,000, ,800,000 (24) 72,960,000 Bangka Belitung & Lampung Transport Babel Lampung Inland Transport 3 person 32 village x 10% x 3 years x 2 time rtrip ,000 11,520, ,400, ,200, ,600, ,920,000 Accomodation 3 person 32 village x 10% x 3 years x 2 time x 2 days rtrip ,000 23,040, ,000, ,400, ,400, ,640,000 OSA (Fixed) 3 person 32 village x 10% x 3 years x 2 time x 3 days rtrip ,000 34,560, ,400, ,600, ,000, ,560,000 Sumatera Selatan Inland Transport 3 person 180 village x 10% x 3 years x 2 time rtrip ,000 64,800, ,200, ,800, ,000, ,800,000 Accomodation 3 person 180 village x 10% x 3 years x 2 time x 2 days rtrip , ,600, ,400, ,600, ,000, ,600,000 OSA (Fixed) 3 person 180 village x 10% x 3 years x 2 time x 3 days rtrip , ,400, ,600, ,400, ,000, ,400, District Team District to Village District Coordinator Bengkulu 3 district 24 village x 50% x 3 years x 10 time rtrip ,000 18,000, , , ,200, ,800,000 District Coordinator Jambi 6 district 48 village x 50% x 3 years x 10 time rtrip ,000 36,000, , , ,200, ,800,000 District Coordinator Babel 3 district 24 village x 50% x 3 years x 10 time rtrip ,000 18,000, , , , ,350,000 District Coordinator Sumsel 10 district 180 village x 50% x 3 years x 10 time rtrip 2,700 50, ,000, ,450, , ,150,000 2, ,850,000 District Coordinator Lampung 1 district 8 village x 50% x 3 years x 10 time rtrip ,000 6,000, , , , ,400,000 Financial Management Ass. Bengkulu 3 district 24 village x 50% x 3 years x 8 time rtrip ,000 14,400, , , , ,600,000 Financial Management Ass. Jambi 10 district 48 village x 50% x 3 years x 8 time rtrip ,000 28,800, , , , ,000,000 Financial Management Ass. Babel 9 district 24 village x 50% x 3 years x 8 time rtrip ,000 14,400, , , ,250,000 Financial Management Ass. Sumsel 2 district 180 village x 50% x 3 years x 8 time rtrip 2,160 50, ,000, , ,800, ,600,000 2, ,400,000 Financial Management Ass. Lampung 10 district 8 village x 50% x 3 years x 8 time rtrip 96 50,000 4,800, , , , ,400,000 Management Fee... 10% [ ] 10% 99,684,0000 #REF! #REF! 2,065,000 2,950,000 5,015,000 94,669,000

3 UNTIL =[4*5] MOBILIZATION AND DEMOBILIZATION 142,710, ,710, Regional Team Jakarta to Province to Jakarta Project Manager Jakarta Palembang Jakarta 1 pers. x 1 rtrip rtrip,120,000 2,120, ,120, Data Management Jakarta Palembang Jakarta 1 pers. x 1 rtrip rtrip,120,000 2,120, ,120, LG Specialist Jakarta Palembang Jakarta 1 pers. x 1 rtrip rtrip,120,000 2,120, ,120, Trainer Coordinator Jakarta Palembang Jakarta 1 pers. x 1 rtrip rtrip,120,000 2,120, ,120, Local Transport 4 pers. x 1 rtrip rtrip 4 200, , , Provincial Team Jakarta to Province to Jakarta Provincial Coordinator / LG Jakarta Palembang Jakarta 1 pers. x 1 rtrip rtrip,120,000 2,120, ,120,000 Jakarta Pangkal Pinang Jakarta 1 pers. x 1 rtrip rtrip,000,000 2,000, ,000,000 Jakarta Bengkulu Jakarta 1 pers. x 1 rtrip rtrip,450,000 2,450, ,450, Financial Management Specialist Jakarta Palembang Jakarta 1 pers. x 1 rtrip rtrip,120,000 2,120, ,120,000 Jakarta Pangkal Pinang Jakarta 1 pers. x 1 rtrip rtrip,000,000 2,000, ,000,000 Jakarta Bengkulu Jakarta 1 pers. x 1 rtrip rtrip,450,000 2,450, ,450, Quality Assurance Specialist Jakarta Palembang Jakarta 1 pers. x 1 rtrip rtrip,120,000 2,120, ,120,000 Jakarta Pangkal Pinang Jakarta 1 pers. x 1 rtrip rtrip,000,000 2,000, ,000,000 Jakarta Bengkulu Jakarta 1 pers. x 1 rtrip rtrip,450,000 2,450, ,450, Local Transport 9 pers. x 1 rtrip rtrip 9 200,000 1,800, ,800, District Team Jakarta to Province to Jakarta District Coordinator Jakarta Bengkulu Jakarta 4 pers. x 1 rtrip rtrip 4 2,450,000 9,800, ,800,000 Jakarta Jambi Jakarta 4 pers. x 1 rtrip rtrip 4 2,300,000 9,200, ,200,000 Jakarta Pangkal Pinang Jakarta 2 pers. x 1 rtrip rtrip 2 2,000,000 4,000, ,000,000 Jakarta Palembang Jakarta 10 pers. x 1 rtrip rtrip 10 2,120,000 21,200, ,200,000 Jakarta Lampung Jakarta 2 pers. x 1 rtrip rtrip 2 1,480,000 2,960, ,960, Financial Management Assistant Jakarta Bengkulu Jakarta 4 pers. x 1 rtrip rtrip 4 2,450,000 9,800, ,800,000 Jakarta Jambi Jakarta 4 pers. x 1 rtrip rtrip 4 2,300,000 9,200, ,200,000 Jakarta Pangkal Pinang Jakarta 2 pers. x 1 rtrip rtrip 2 2,000,000 4,000, ,000,000 Jakarta Palembang Jakarta 10 pers. x 1 rtrip rtrip 10 2,120,000 21,200, ,200,000 Jakarta Lampung Jakarta 2 pers. x 1 rtrip rtrip 2 1,480,000 2,960, ,960, Local Transport (Province to District) 44 pers. x 1 rtrip rtrip ,000 17,600, ,600,000 Management Fee... 10% of [ ] 10% 14,271,000 14,271,000 3 OFFICE SPACE (Rental) 816,800,000 11,050,000 11,050,000 22,100, ,700, Regional Team & Prov. Team Provincial Team Bengkulu 3 pers. x 6 m m2 = 58 m2 month 24 1,500,000 36,000, ,000, Regional Team & Prov. Team Palembang 9 pers. x 6 m m2 = 94 m2 month 24 2,000,000 48,000, ,000, Provincial Team Bangka Belitung 3 pers. x 6 m m2 = 58 m2 month 24 1,500,000 36,000, ,000, Office Running Cost 3 office x 32 month month ,000 72,000, ,250, ,250, ,500, ,500, District Team District Team in Bengkulu 4 office 3 pers. x 6 m m2 = 58 m2 month 24 2,600,000 62,400, ,400, District Team in Jambi 4 office 3 pers. x 6 m m2 = 58 m2 month 24 2,600,000 62,400, ,400, District Team in Bangka Belitung 2 office 3 pers. x 6 m m2 = 58 m2 month 24 1,300,000 31,200, ,200, District Team in Sumatera Selatan 10 office 3 pers. x 6 m m2 = 58 m2 month 24 6,500, ,000, ,000, District Team in Lampung 2 office 3 pers. x 6 m m2 = 58 m2 month 24 1,300,000 31,200, ,200, Office Running Cost old district 8 office x 32 month month , ,400, ,200, ,200, ,400, ,000,000 new district 14 office x 32 month month , ,200, ,600, ,600, ,200, ,000,000 #REF! #REF!

4 UNTIL =[4*5] UTILITIES EXPENSES 304,000,000 9,500,000 9,500,000 19,000, ,000, Regional and Province Office Supply and Consumable 3 office x 32 month month ,000 57,600, ,800, ,800, ,600, ,000, District Office Supply and Consumable old district 8 office x 32 month month ,000 89,600, ,800, ,800, ,600, ,000,000 new district 14 office x 32 month month , ,800, ,900, ,900, ,800, ,000,000 5 OFFICE EQUIPMENT 14,000,000 #REF! #REF! 14,000,000 14,000, Notebook Computer (Regional+Provincial+District) (Purchase) pers. x 1 unit Purchase by bridging team unit 2 7,000,000 14,000, ,000, ,000, Portable Computer for Supporting Regional (Purchase) 2 pers. x 1 unit Purchase by bridging team unit 5.3 Portable Computer + Printer for Supporting District (Purchase) 22 pers. x 1 unit Purchase by bridging team unit 5.4 Printer Laserjet (Purchase) 3 office x 1 unit Purchase by bridging team unit 5.5 Printer Colour A3 (Purchase) 3 office x 1 unit Purchase by bridging team unit 5.6 Scanner (Purchase) 3 office x 1 unit Purchase by bridging team unit 5.7 Facsimilie (Purchase) 3 office x 1 unit Purchase by bridging team unit 5.8 Digital Camera (Purchase) 3 office x 1 unit Purchase by bridging team unit 5.9 GSM Modem + SIM Card (Purchase) 3 office x 1 unit Purchase by bridging team unit 5.10 Router, LAN Peripheral (Purchase) 3 office x 1 unit Purchase by bridging team unit 5.11 GPS (Purchase) 3 office x 2 unit Purchase by bridging team unit 6 VEHICLE RENTAL 4,352,000, ,000, ,000, ,000,000 4,080,000, Car including O&M and Driver (Regional Team) (Rental) 1 office x 1 unit x 32 month month 32 6,500, ,000, ,500, ,500, ,000, ,000, Car including O&M and Driver (Provincial Team) (Rental) 3 office x 1 unit x 32 month month 96 6,500, ,000, ,500, ,500, ,000, ,000, Car including O&M (District Team) old district (Rental) 8 office x 1 unit x 32 month month 256 5,000,000 1,280,000, ,000, ,000, ,000, ,200,000,000 new district (Rental) 14 office x 1 unit x 32 month month 448 5,000,000 2,240,000, ,000, ,000, ,000, ,100,000,000 7 COMMUNICATION 457,600,000 14,300,000 9,700,540 24,000, ,599, Regional and Province Telephone and Postage 3 office x 1 line x 32 month month ,000 72,000, ,250, ,826, ,076, ,923, Internet Connection for Office 3 office x 1 line x 32 month month ,000 33,600, ,050, ,018, ,068, ,531, District Telephone and Internet Connection old district 8 district x 1 line x 32 month month , ,000, ,000, ,224, ,224, ,775,804 new district 14 district x 1 line x 32 month month , ,000, ,000, ,631, ,631, ,368,713 Management Fee... 10% of [ ] 10% 45,760,000 #REF! 1,430, ,054 2,400,054 43,359,946

5 UNTIL =[4*5] TRAINING 5,496,910,000 7,590,000 7,590,000 5,489,320, Pelatihan FM Ass. dan Data Entry Operator Peserta a Paket Fullboard 22 district x 2 pers. x 3 days days ,000 26,400, ,400,000 b Transportation Participant 22 district x 2 pers. x 1 time time ,000 8,800, ,800, Pelatih (air transport economy class) a Financial Management Spec. bengkulu jambi 1 pers. x 1 rtrip rtrip 1 4,750,000 4,750, ,750,000 b Financial Management Spec. pkl pinang lampung 1 pers. x 1 rtrip rtrip 1 3,480,000 3,480, ,480,000 c Inland Transport 2 trip rtrip 2 200, , ,000 d Accomodation 2 pers. x 3 days days 6 300,000 1,800, ,800,000 e OSA (Fixed) 2 trip x 4 days days 8 200,000 1,600, ,600, Training Material + Kit 22 district x 2 pers. x 1 package paket ,000 4,400, ,400,000 Management Fee... 10% of [8.1.1b a b c e ] 10% 2,343,000 2,343, Expert Group Meeting Central Regional Team Air Fare Province to Jakarta covered by CMAC Provincial Team Air Fare Province to Jakarta covered by CMAC Inland Transport Regional and Provincial Team covered by CMAC OSA (Fixed) Regional Team 1 reg. x 4 pers x 3 day x 6 time days ,000 21,600, , , ,700, OSA (Fixed) Provincial Team 3 prov. x 3 pers x 3 day x 6 time days ,000 48,600, ,600,000 Management Fee... 10% of [ ] 10% 7,020,000 90,000 90,000 6,930, Expert Group Meeting Regional Fullboard package for district team 3 years x 2 times x 22 district x 2 pers. x 2 days days , ,600, ,600,000 Fullboard package for provincial team 3 years x 2 times x 3 prov x 3 pers. x 2 days days ,000 27,000, ,000,000 Fullboard package for regional team 3 years x 2 times x 1 region x 4 pers. x 2 days days ,000 12,000, ,000, Air Transport [Economy Class] a Regional Team/ Palembang palembang bengkulu 4 pers. x 3 years x 2 time rtrip 24 1,770,000 42,480, ,480,000 b Regional Team/ Palembang palembang jambi 4 pers. x 3 years x 2 time rtrip 24 4,420, ,080, ,080,000 c Regional Team/ Palembang palembang pkl pinang 4 pers. x 3 years x 2 time rtrip 24 3,060,000 73,440, ,440,000 d Regional Team/ Palembang palembang lampung 4 pers. x 3 years x 2 time rtrip 24 2,580,000 61,920, ,920,000 e Provincial Team/ Bengkulu bengkulu jambi 3 pers. x 3 years x 2 time rtrip 18 4,750,000 85,500, ,500,000 f Provincial Team/ Pkl Pinang pkl pinang lampung 3 pers. x 3 years x 2 time rtrip 18 3,480,000 62,640, ,640,000 Management Fee... 10% of [8.3.1] 10% 43,206,000 43,206, Inland Transport a District Team Bengkulu 12 pers. x 3 years x 2 time rtrip ,000 14,400, ,400,000 b District Team Jambi 12 pers. x 3 years x 2 time rtrip ,000 14,400, ,400,000 c District Team Pangkal Pinang 6 pers. x 3 years x 2 time rtrip ,000 7,200, ,200,000 d District Team Lampung 6 pers. x 3 years x 2 time rtrip ,000 7,200, ,200, OSA (Fixed) 348 trips x 3 days days 1, , ,800,000 1, ,800,000 Management Fee... 10% of [ ] 10% 25,200,000 25,200,000

6 UNTIL =[4*5] OJT Fasilitator Training Material + Kit 3 years x 6 time x 22 district x 6 pers. x 1 days days 2,376 40,000 95,040,000 2,376 95,040, Meals, Snack 3 years x 6 time x 22 district x 6 pers. x 1 days days 2,376 35,000 83,160,000 2,376 83,160, Pelatihan Penguatan BPSPAM Paket Fullboard Participant 2 time x 22 district x 25 pers. x 4 days days 4, , ,000,000 4, ,000, Paket Fullday for DPMU + TKK 2 time x 22 district x 2 pers. x 4 days days ,000 35,200, ,200, Uang Saku Participant 2 time x 22 district x 25 pers. x 4 days days 4,400 50, ,000,000 4, ,000, Uang Transport Participant 2 time x 22 district x 25 pers. time 1, , ,000,000 1, ,000, Training Material + Kit 2 time x 22 district x 2 unit paket ,000 12,320, ,320, Spanduk 2 time x 22 district x 25 pers. unit 1, , ,000,000 1, ,000,000 Management Fee... 10% of [ ] 10% 45,232,000 45,232, Pelatihan Kader AMPL Paket Fullboard Participant 2 time x 22 district x 25 pers. x 4 days days 4, , ,000,000 4, ,000, Paket Fullday for DPMU + TKK 2 time x 22 district x 2 pers. x 4 days days ,000 35,200, ,200, Uang Saku Participant 2 time x 22 district x 25 pers. x 4 days days 4,400 50, ,000,000 4, ,000, Uang Transport Participant 2 time x 22 district x 25 pers. time 1, , ,000,000 1, ,000, Training Material + Kit 2 time x 22 district x 2 unit paket ,000 12,320, ,320, Spanduk 2 time x 22 district x 25 pers. unit 1, , ,000,000 1, ,000,000 Management Fee... 10% of [ ] 10% 45,232,000 45,232, Workshop RAD AMPL 2 time x 22 district 50 pers. x 3 years paket 132 5,000, ,000, ,000,000 Management Fee... 10% of [8.7] 10% 66,000,000 66,000, Workshop Forum/Asosiasi BPSPAM in Province Paket Fullboard Participant + DPMU + TKK 2 time x 22 district x 5 pers. x 2 days days ,000 88,000, ,000, Uang Transport Participant 2 time x 22 district x 5 pers. time ,000 44,000, ,000, Training Material + Kit 2 time x 22 district x 5 pers. paket ,000 22,000, ,000, Spanduk 2 time x 22 district 2 unit unit ,000 12,320, ,320,000 Management Fee... 10% of [ ] 10% 7,832,000 7,832, Pelatihan Pengelola Program Kabupaten (DPMU+TKK+Satker) in Province Paket Fullboard Participant 3 time x 22 district x 3 pers. x 4 days days , ,400, ,400, Uang Transport Participant 3 time x 22 district x 3 pers. time ,000 39,600, ,600, Training Material + Kit 3 time x 22 district x 3 pers. paket ,000 19,800, ,800, Spanduk 3 time x 22 district 2 unit unit ,000 18,480, ,480,000 Management Fee... 10% of [ ] 10% 7,788,000 7,788,000

7 UNTIL =[4*5] District Team District to Province for Coordination Meeting Inland Transport District Team Bengkulu 4 district x 4 times x 3 years rtrip ,000 9,600, , , ,000,000 District Team Jambi 4 district x 4 times x 3 years rtrip ,000 9,600, , , ,200,000 District Team Babel 2 district x 4 times x 3 years rtrip ,000 4,800, ,800,000 District Team Samsel 10 district x 4 times x 3 years rtrip ,000 24,000, ,000,000 District Team Lampung 2 district x 4 times x 3 years rtrip ,000 4,800, ,800, Accomodation 264 trips x 2 days days , ,600, ,000, ,000, ,600, OSA (Fixed) 264 trips x 3 days days , ,400, ,000, ,000, ,400,000 Management Fee... 10% of [ ] 10% 31,680, , ,000 31,080,000 8 Printing/ Media: village district province Spanduk 2 theme x 184 x 2 unit , ,400, ,400, Poster 10 theme x 184 x 5 22 x 5 5 x 5 x 2 unit 21,100 5, ,500,000 21, ,500, Leaflet 4 theme x 184 x x 5 5 x 5 x 2 unit 37,880 1,000 37,880,000 37,880 37,880,000 Total Management Fee Training Activity [ ] 281,533, ,533,000 9 REPORTING 117,992,000 1,200,000 1,200, ,792, Inception Report 1 time exp ,000 1,200, ,200,000 1,200, Monthly Report 9 time x 3 years x 20 copies exp ,000 27,000, ,000, Quarterly Report 3 time x 3 years x 20 copies exp ,000 13,500, ,500, Special Report 3 time x 20 copies exp ,000 6,000, ,000, Annual Report 3 time x 20 copies exp ,000 6,000, ,000, Financial Management Report (FMR) 3 time x 20 copies exp ,700 3,042, ,042, Draft Final Report 1 time x 20 copies exp ,000 2,000, ,000, Final Report 1 time x 20 copies exp ,000 3,000, ,000, Training Program Report 5 theme x 3 years x 15 copies exp ,000 56,250, ,250,000 TOTAL CLAIM REMBUSABLE 13,140,100, ,195, ,340, ,455,594 12,722,644,406