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AMENDMENT NO.5 TO CONTRACT FOR NON-CONSULTANTS’ SERVICES Contract Number : 28/PMAC/PKPAM-SB/XII/2009 Dated : December 14, 2009 TIME BASED PROVINCIAL MANAGEMENT ADVISORY CONSULTANT (PMAC) TO THE PROVINCIAL PROJECT MANAGEMENT UNIT (PPMU) PROVINCE OF WEST SUMATRA PACKAGE WEST SUMATRA 1 C-5.1 BETWEEN Satuan Kerja Pengembangan Kinerja Pengelolaan Air Minum Sumatra Barat Provinsi Sumatera Barat AND PT. ARKONIN ENGINEERING MANGGALA PRATAMA In joint venture with PT Gafa Multi Consultants, PT Multikaradiguna Jasa, PT Catur Karsa Gemilang Contract Number: 28/AK.V/PMAC/PKPAM-SB/I/2012 Dated: January 30, 2012

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AMENDMENT NO.5

TO CONTRACT

FOR NON-CONSULTANTS’ SERVICES

Contract Number : 28/PMAC/PKPAM-SB/XII/2009 Dated : December 14, 2009

TIME BASED

PROVINCIAL MANAGEMENT ADVISORY CONSULTANT (PMAC) TO

THE PROVINCIAL PROJECT MANAGEMENT UNIT (PPMU) PROVINCE OF WEST SUMATRA

PACKAGE WEST SUMATRA 1 C-5.1

BETWEEN

Satuan Kerja Pengembangan Kinerja Pengelolaan Air Minum Sumatra Barat

Provinsi Sumatera Barat

AND

PT. ARKONIN ENGINEERING MANGGALA PRATAMA

In joint venture with

PT Gafa Multi Consultants, PT Multikaradiguna Jasa, PT Catur Karsa Gemilang

Contract Number: 28/AK.V/PMAC/PKPAM-SB/I/2012 Dated: January 30, 2012

Summary of Amendment No. 5

SUMMARY OF AMENDMENT NO.5

1. Loan No. : IDA Credit No. 4204 - IND (Third Water Supply and Sanitation for Low Income Communities-WSLIC3/ PAMSIMAS)

2. Name of Consultants : PT.ARKONIN ENGINEERING MANGGALA PRATAMA in joint-venture with PT Gafa Multi Consultants, PT Multi Karadiguna Jasa andPT Catur Karsa Gemilang

3. Contract No. and Date Initial : 28/PMAC/PKPAM-SB/XII/2009 Date: December 14, 2009 Amendment No.1 : 28/AK.I/PMAC/PKPAM-SB/XII/2009 Date: December 23, 2009 Amendment No. 2 : 28/AK.II/PMAC/PKPAM-SB/I/2010 Date: January8, 2010 Amendment No. 3 : 28/AK.III/PMAC/PKPAM-SB/II/2010 Date: February 28, 2010 Amendment No. 4 : 28/AK.IV/PMAC/PKPAM-SB/IV/2011 (Addendum No. 1) Date: .April 8, 2011 Amendment No. 5 : 28/AK.V/PMAC/PKPAM-SB/I/2012 Date: .January 30, 2012

4. Domicile/Address of Consultant : Jl.Bintaro Taman Timur, Bintaro Jaya, Jakarta 12330 Telephone: 021-7350211

5. Value of Contract (excl. Tax) :

Original Contract : IDR 12,063,270,000 (Net of VAT)

Amendment No. 1 : IDR 12,063,270,000 (Net of VAT)

Amendment No. 2 : IDR 12,063,270,000 (Net of VAT)

Amendment No. 3 : IDR 12,063,270,000 (Net of VAT)

Amendment No.4 : IDR 16,995,046,233 (including VAT 10% APBN Portion) (Addendum No. 1) Amendment No.5 : IDR 16,741,452,074 (including 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 the Third Water Supply and Sanitation for Low Income Communities-3 (Pamsimas) at Province of West Sumatera 1.

7. Percentage Eligible for IDAFinancing :

Original Contract : 100 % Net of VAT Amendment No. 1 : 100 % Net of VAT Amendment No. 2 : 100 % Net of VAT Amendment No. 3 : 100 % Net of VAT Amendment No. 4 : 100% up to and including FY 2010 and 15% thereafter (Addendum No. 1) Amendment No. 5 : 100% up to and including FY 2010, 15% in FY 2011 and 50%

thereafter

8. a. Amount Eligible for IDAFinancing :

Original Contract : IDR 12,063,270,000 (Net of VAT)

Amendment No. 1 : IDR 12,063,270,000 (Net of VAT)

Amendment No. 2 : IDR 12,063,270,000 (Net of VAT)

Amendment No. 3 : IDR 12,063,270,000 (Net of VAT)

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IDR 6,431,743

IDR 8,967,685

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Section I: Form of Amendment No 5

SECTION I

FORM OF AMENDMENT NO.5

Section I: Form of Amendment No. 5 2

Form of Amendment No. 5

To The Contract

This Contract Amendment No. 5 to the Contract No. 28/PMAC/PKPAM-SB/XII/2009 dated December 14, 2009 (hereinafter called the “AMENDMENT”) is made on the January 30 (Thirty), two thousand and Twelve, between, on the one hand, Satuan Kerja Pengembangan Kinerja Pengelolaan Air Minum Sumatra Barat - Dinas Prasarana Jalan, Tata Ruang dan Permukiman, Provinsi Sumatera Barat (hereinafter called the “Client”) and, on the other hand, a joint venture consisting of the following entities, each of which will be jointly and severally liable to the Client for all the Service Provider’s obligations under this Contract, namely, PT ARKONIN ENGINEERING MANGGALA PRATAMA in joint venture with PT Gafa Multi Consultants, PT Multikaradiguna Jasa, PT Catur Karsa Gemilang (hereinafter called the “Service Provider”).

WHEREAS

(a) All parties entered in to the Contract No. 28/PMAC/PKPAM-SB/XII/2009 dated December 14, 2009 (hereinafter called “Original Contract”), Amendment No. 1 to Contract No. 28/AK.I/PMAC/PKPAM-SB/XII/2009dated December 23, 2009, Amendment No. 2 to Contract No. 28/AK.II/PMAC/PKPAM-SB/I/2010dated January 8, 2010, Amendment No. 3 to Contract No. 28/AK.III/PMAC/PKPAM-SB/II/2010dated February 28, 2010, Amendment No. 4 (Addendum No.1) to Contract No. 28/AK.IV/PMAC/PKPAM-SB/IV/2011 dated April 8, 2011.

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

(c) Pursuant to Clause 2.6 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 Addendum:

(a) General Conditions of Contract; [NoChange]

(b) Special Conditions of Contract;

Section I: Form of Amendment No. 5 3

i) Original Contract Clause 6.1 (b) the ceiling of local currency : IDR 12,063,270,000

Amended to:

ii) Contract Amendment No. 1 Clause 6.1 (b) the ceiling of local currency : IDR 12,063,270,000 % Eligible for IDA funding : 100% Net of Tax

iii) Contract Amendment No. 2 Clause 6.1 (b) the ceiling of local currency : IDR 12,063,270,000 % Eligible for IDA funding : 100% Net of Tax

iv) Contract Amendment No. 3 Clause 6.1 (b) the ceiling of local currency : IDR 12,063,270,000 % Eligible for IDA funding : 100% Net of Tax

Further amended to:

v) Contract Amendment No. 4 [Addendum No. 1] Clause 6.1 (b) the ceiling of local currency : IDR 16,995,046,233 to be funded as

follow: % Eligible IDA funding (Net of VAT) : 100% up to and including FY 2010

and 15% thereafter Amount Eligible for IDA funding : IDR 6,431,743,670

Amount Eligible for APBN funding : IDR 10,563,302,563 (Incl. VAT 10%)

Further amended to:

vi) Contract Amendment No. 5 [Addendum No. 1] Clause 6.1 (b) the ceiling of local currency : IDR 16,741,452,074 to be funded as

follow : % Eligible IDA funding (Net of VAT) : 100% up to and including FY 2010

and 15% in FY 2011 and 50% thereafter

Amount Eligible for IDA funding : IDR 8,967,685,260

Amount Eligible for APBN-RM : IDR 7,773,766,814 (Incl. VAT 10%)

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

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

IN WITHNESS WHEREOF, The parties here to have caused the Contract Amandment No. 5 to be signed in their respective names and delivered at the principal office of the Employer as of the day and year first above written.

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Appendix A: Description of Services

APPENDIX A DESCRIPTION OF SERVICES

(No Change)

Appendix B: Reporting Requirements

APPENDIX B REPORTING REQUIREMENTS

(No Change)

Appendix C: Key Personnel and Sub-Consultants-Hours of Work for Key Personnel

APPENDIX C KEY PERSONNEL AND SUB-CONSULTANTS-

HOURS OF WORK FOR KEY PERSONNEL (No Change)

Appendix D: Cost Estimates in Foreign Currency

APPENDIX D COST ESTIMATES IN FOREIGN CURRENCY

[Not Used]

Appendix E: Cost Estimates in Local Currency

APPENDIX E COST ESTIMATES IN LOCAL CURRENCY

(Change to be Amended)

Appendix E: Cost Estimates in Local Currency 1

Appendix E: Cost Estimates in Local Currency 2

SUMMARY OF COST ESTIMATE (Net of VAT)

[IDR] [IDR] [IDR] [IDR] [IDR] [IDR]

1 2 3 9 8 9

A REMUNERATION a) 6,650,910,000 7,897,095,000 5,470,515,000 2,426,580,000 - 7,897,095,000

1 Professional Staff 3,015,000,000 3,308,000,000 2,394,000,000 914,000,000 - 3,308,000,000

2 Provincial Trainers 732,000,000 869,500,000 626,000,000 243,500,000 - 869,500,000

3 Supporting Staff 600,000,000 984,000,000 555,500,000 428,500,000 - 984,000,000

4 Management Fee 2,303,910,000 2,735,595,000 1,895,015,000 840,580,000 - 2,735,595,000

B REIMBURSABLE b) 4,394,000,000 8,137,651,000 3,157,840,000 4,979,811,000 - 8,137,651,000

5 Transportation 287,200,000 835,200,000 64,345,000 770,855,000 - 835,200,000

6 Out of Station Allowance 1,125,600,000 2,340,500,000 440,350,000 1,900,150,000 - 2,340,500,000

7 Local Transportation 1,680,000,000 1,680,000,000 1,288,000,000 392,000,000 - 1,680,000,000

8 Mobilization and De-mobilization 39,000,000 46,800,000 23,400,000 23,400,000 - 46,800,000

9 Housing Allowance 179,400,000 223,400,000 156,500,000 66,900,000 - 223,400,000

10 Communication 150,000,000 250,000,000 151,000,000 99,000,000 - 250,000,000

11 Tools and Equipment 141,450,000 446,130,000 222,235,000 223,895,000 - 446,130,000

12 Office Rent 375,000,000 375,000,000 225,000,000 150,000,000 - 375,000,000

13 Office Running Cost 388,000,000 262,000,000 174,300,000 87,700,000 - 262,000,000

14 Reporting 26,250,000 41,250,000 14,125,000 27,125,000 - 41,250,000

15 Training 1,278,380,000 336,385,000 941,995,000 - 1,278,380,000

16 Coordination Meeting bi-monthly 13,175,000 - 13,175,000 - 13,175,000

17 Printing Socialization Media 181,816,000 - 181,816,000 - 181,816,000

18 Coordination Meeting (monthly) 164,000,000 62,200,000 101,800,000 - 164,000,000

19 Rounding off 2,100,000 - - - - -

C CONTINGENCIESb) - allow 1,018,360,000 - - -

TOTAL COST (excluding VAT) 12,063,270,000 16,034,746,000 8,628,355,000 7,406,391,000 - 16,034,746,000 ADVANCE PAYMENT

REFUND 160,843,600            (160,843,600)             ‐                               

10% VAT on APBN Portion 960,300,233              344,428,704            362,277,370              (253,594,159)      706,706,074             

TOTAL COST (Incl. 10% VAT) 16,995,046,233         9,133,627,304         7,607,824,770           (253,594,159)      16,741,452,074        

TOTAL INVOICE TO NOVEMBER 2011

Note : IDA Eligible Financing : 100% up to and including FY 2010, 15% FY 2011 and 50% thereafter - IDA Portion IDR 8,967,685,260 and APBN Po

ORIGINAL CONTRACT VARIATIONS CONTRACT AMENDMENT NO.5

CONTRACT AMENDMENT NO.4 (ADDENDUM NO. 1)

ESTIMATE INVOICE FY 2012

APPENDIX E - COST ESTIMATES IN LOCAL CURRENCY

CONTRACT AMENDMENT No. 5PROVINCIAL MANAGEMENT ADVISORY CONSULTANT WEST SUMATERA (PMAC)TO THE PROVINCIAL PROJECT MANAGEMENT UNIT (PPMU)WEST SUMATERA PROVINCE I (PACKAGE C-5.1)

NO. DESCRIPTION

Appendix E: Cost Estimates in Local Currency 5

APPENDIX E - COST ESTIMATES IN LOCAL CURRENCY

CONTRACT AMENDMENT No. 5PROVINCIAL MANAGEMENT ADVISORY CONSULTANT WEST SUMATERA (PMAC)TO THE PROVINCIAL PROJECT MANAGEMENT UNIT (PPMU)WEST SUMATERA PROVINCE I (PACKAGE C-5.1)

VOL. AMOUNT (IDR) VOL. UNIT RATE AMOUNT (IDR)1 2 19 21 22 23 24 25 26 27 28B REIMBURSABLE COST (AT COST)

5 TRANSPORTATION [Garuda Economy Class] 835,200,000 64,345,000 770,855,000 - 835,200,000 Province to Jakarta

5.1 Team Leader 14 2,000,000 28,000,000 3.67 7,339,850 10.33 2,000,000 20,660,150 - 2,000,000 - 14.00 2,000,000 28,000,000 5.2 Provincial Trainers 40 2,000,000 80,000,000 9.04 18,073,900 30.96 2,000,000 61,926,100 - 2,000,000 - 40.00 2,000,000 80,000,000 5.3 Financial Management Specialist 5 2,000,000 10,000,000 1.20 2,407,250 3.80 2,000,000 7,592,750 - 2,000,000 - 5.00 2,000,000 10,000,000 5.4 Database Management Assistant 5 2,000,000 10,000,000 1.86 3,724,000 3.14 2,000,000 6,276,000 - 2,000,000 - 5.00 2,000,000 10,000,000

District to Jakarta5.5 WSE and CSC 21 2,400,000 50,400,000 - 21.00 2,400,000 50,400,000 - 2,400,000 - 21.00 2,400,000 50,400,000 5.6 HH Specialist 21 2,400,000 50,400,000 - 21.00 2,400,000 50,400,000 - 2,400,000 - 21.00 2,400,000 50,400,000 5.7 Local Government Specialist 4 2,400,000 9,600,000 - 4.00 2,400,000 9,600,000 - 2,400,000 - 4.00 2,400,000 9,600,000

Province to District - - - - - 5.8 Team Leader - - - - - - 400,000 - - - - 5.8a Team Leader 35 - 35.00 - - - - - 35.00 - - 5.9 Trainers 525 400,000 210,000,000 82.00 32,800,000 443.00 400,000 177,200,000 - 400,000 - 525.00 400,000 210,000,000 5.10 Financial Management Specialist 40 400,000 16,000,000 - - 40.00 400,000 16,000,000 - 400,000 - 40.00 400,000 16,000,000 5.11 Database Management Assistant 40 400,000 16,000,000 - 40.00 400,000 16,000,000 - 400,000 - 40.00 400,000 16,000,000 5.11a Financial Management Assistant 112 400,000 44,800,000 - - 112.00 400,000 44,800,000 - 400,000 - 112.00 400,000 44,800,000 5.11b Local Government Specialist 16 400,000 6,400,000 - 16.00 400,000 6,400,000 - 400,000 - 16.00 400,000 6,400,000

Province to Village - - - - - 5.12 Trainers - 100,000 - - 100,000 - - 100,000 - - 100,000 - 5.13 Financial Management Specialist 112 100,000 11,200,000 112.00 100,000 11,200,000 - 100,000 - 112.00 100,000 11,200,000

Spot Checking - - - - - 5.14 Provincial Level (110 spot check villages) 110 400,000 44,000,000 - 110.00 400,000 44,000,000 - 400,000 - 110.00 400,000 44,000,000

Training Activities - - - - - 5.15 Training And Coaching for Facilitator - - - - -

a. Regular Phase (Training of Trainer (TOT)/trip to Jakarta) 8 2,000,000 16,000,000 - 8.00 2,000,000 16,000,000 - 2,000,000 - 8.00 2,000,000 16,000,000 b. Sustainability Phase (Training of Trainer (TOT)/trip to Jakarta) 8 2,000,000 16,000,000 - 8.00 2,000,000 16,000,000 - 2,000,000 - 8.00 2,000,000 16,000,000 c. Village Incentive Grant (Training for VIG Facilitator) 2 2,000,000 4,000,000 - 2.00 2,000,000 4,000,000 - 2,000,000 - 2.00 2,000,000 4,000,000

5.16 Training And Coaching for Local Government Specialist - - - - - a. Training for LG Specialist/Consultant - Trip to Jakarta 4 2,400,000 9,600,000 - 4.00 2,400,000 9,600,000 - 2,400,000 - 4.00 2,400,000 9,600,000 b. Facilitation and Advocacy District to District Government 72 400,000 28,800,000 - 72.00 400,000 28,800,000 - 400,000 - 72.00 400,000 28,800,000 Expert Meeting - - - - -

5.17 Expert Meeting in Central Level (3 trip/year - 7 No) 42 2,000,000 84,000,000 - 42.00 2,000,000 84,000,000 - 2,000,000 - 42.00 2,000,000 84,000,000 5.18 Expert Meeting in Central Level (3 trip/year - 1 No LGS) 6 2,400,000 14,400,000 - 6.00 2,400,000 14,400,000 - 2,400,000 - 6.00 2,400,000 14,400,000 5.19 Expert Meeting in Provincial Level (Bi-Monthly, ) 189 400,000 75,600,000 - 189.00 400,000 75,600,000 - 400,000 - 189.00 400,000 75,600,000

6 OUT OF STATION ALLOWANCE [OSA] 2,340,500,000 440,350,000 1,900,150,000 - 2,340,500,000 Province to Jakarta

6.1 Team Leader 28 600,000 16,800,000 22.00 13,200,000 6.00 600,000 3,600,000 - 600,000 - 28.00 600,000 16,800,000 6.2 Provincial Trainers 160 600,000 96,000,000 52.00 31,200,000 108.00 600,000 64,800,000 - 600,000 - 160.00 600,000 96,000,000 6.3 Financial Management Specialist 15 600,000 9,000,000 3.50 2,100,000 11.50 600,000 6,900,000 - 600,000 - 15.00 600,000 9,000,000 6.4 Database Management Assistant 15 600,000 9,000,000 7.50 4,500,000 7.50 600,000 4,500,000 - 600,000 - 15.00 600,000 9,000,000

Province to Districts6.5 Team Leader 165 400,000 66,000,000 17.00 6,800,000 148.00 400,000 59,200,000 - 400,000 - 165.00 400,000 66,000,000 6.6 Provincial Trainers 2,100 400,000 840,000,000 201.00 80,400,000 1,899.00 400,000 759,600,000 - 400,000 - 2,100.00 400,000 840,000,000 6.7 Financial Management Specialist 135 400,000 54,000,000 26.00 10,400,000 109.00 400,000 43,600,000 - 400,000 - 135.00 400,000 54,000,000 6.8 Database Management Assistant 135 400,000 54,000,000 22.00 8,800,000 113.00 400,000 45,200,000 - 400,000 - 135.00 400,000 54,000,000

District to Jakarta6.9 WS Eng. & Communal Sanitation Constr. 42 600,000 25,200,000 14.00 8,400,000 28.00 600,000 16,800,000 - 600,000 - 42.00 600,000 25,200,000 6.10 Health & Hygene Specialist 42 600,000 25,200,000 14.00 8,400,000 28.00 600,000 16,800,000 - 600,000 - 42.00 600,000 25,200,000 6.11 Local Government Specialist 12 600,000 7,200,000 - 12.00 600,000 7,200,000 - 600,000 - 12.00 600,000 7,200,000

CONTRACT AMENDMENT NO.4 (ADDENDUM NO. 1)

VOL. UNIT RATE [IDR]

AMOUNT [IDR]

DESCRIPTIONNO.UNIT RATE

[IDR]AMOUNT

[IDR]

TOTAL INVOICE TO NOVEMBER 2011 ESTIMATE INVOICE FY 2012

VARIATIONS CONTRACT AMENDMENT NO.5

VOLUME UNIT RATE [IDR]

AMOUNT [IDR] VOLUME

Appendix E: Cost Estimates in Local Currency 6

VOL. AMOUNT (IDR) VOL. UNIT RATE AMOUNT (IDR)1 2 19 21 22 23 24 25 26 27 28

District to Reg Prov/Prov6.12 WS Eng. & Communal Sanitation Constr. 216 400,000 86,400,000 108.00 43,200,000 108.00 400,000 43,200,000 - 400,000 - 216.00 400,000 86,400,000 6.13 Health & Hygene Specialist 156 400,000 62,400,000 106.00 42,400,000 50.00 400,000 20,000,000 - 400,000 - 156.00 400,000 62,400,000 6.14 Financial Management Assistant 392 400,000 156,800,000 12.00 4,800,000 380.00 400,000 152,000,000 - 400,000 - 392.00 400,000 156,800,000 6.14a Local Government Specialist 48 400,000 19,200,000 - 48.00 400,000 19,200,000 - 400,000 - 48.00 400,000 19,200,000

District to Village6.15 WS Eng. & Communal Sanitation Constr. 2,940 50,000 147,000,000 1,674.00 83,700,000 1,266.00 50,000 63,300,000 - 50,000 - 2,940.00 50,000 147,000,000 6.16 Health & Hygene Specialist 2,940 50,000 147,000,000 1,565.00 78,250,000 1,375.00 50,000 68,750,000 - 50,000 - 2,940.00 50,000 147,000,000 6.17 Provincial Trainers 672 50,000 33,600,000 672.00 50,000 33,600,000 - 50,000 - 672.00 50,000 33,600,000 6.18 Financial Management Specialist 224 50,000 11,200,000 - 224.00 50,000 11,200,000 - 50,000 - 224.00 50,000 11,200,000 6.19 Financial Management Assistant 1,764 50,000 88,200,000 276.00 13,800,000 1,488.00 50,000 74,400,000 - 50,000 - 1,764.00 50,000 88,200,000

Spot Checking6.20 Provincial Level (110 spot check villages) 55 400,000 22,000,000 - 55.00 400,000 22,000,000 - 400,000 - 55.00 400,000 22,000,000 6.21 District Level (412 spot check villages) 206 50,000 10,300,000 - 206.00 50,000 10,300,000 - 50,000 - 206.00 50,000 10,300,000

Training Activities6.22 Training And Coaching for Facilitator

a. Regular Phase -. Training of Trainer (TOT) -Trip to Jakarta 48 300,000 14,400,000 - 48.00 300,000 14,400,000 - 300,000 - 48.00 300,000 14,400,000 b. Sustainability Phase (Training of Trainer (TOT)/trip to Jakarta) -. Training of Trainer (TOT) -Trip to Jakarta 48 300,000 14,400,000 - 48.00 300,000 14,400,000 - 300,000 - 48.00 300,000 14,400,000 c. Village Incentive Grant -. Training for VIG Facilitator -Trip to Jakarta 12 300,000 3,600,000 - 12.00 300,000 3,600,000 - 300,000 - 12.00 300,000 3,600,000

6.23 Training And Coaching for Local Government Specialista. Training for LG Specialist/Consultant - Trip to Jakarta 28 300,000 8,400,000 - 28.00 300,000 8,400,000 - 300,000 - 28.00 300,000 8,400,000 b. Facilitation and Advocacy to District Government - 400,000 - - 400,000 - 400,000 - - 400,000 - Expert Meeting

6.24 Expert Meeting in Central Level (3 trip/year - 8 No) 144 600,000 86,400,000 - 144.00 600,000 86,400,000 - 600,000 - 144.00 600,000 86,400,000 6.25 Expert Meeting in Provincial Level (Bi-Monthly, 21 No) 567 400,000 226,800,000 - 567.00 400,000 226,800,000 - 400,000 - 567.00 400,000 226,800,000

7 LOCAL TRANSPORT [Car Rental] 1,680,000,000 1,288,000,000 392,000,000 - 1,680,000,000 7.1 Provincial - incl. driver, O/M, MPV min 1500cc, min. 2006 30 7,000,000 210,000,000 23.00 161,000,000 7.00 7,000,000 49,000,000 - 7,000,000 - 30.00 7,000,000 210,000,000 7.2 District - incl. driver, O/M, MPV min 1500cc, min. 2006 210 7,000,000 1,470,000,000 161.00 1,127,000,000 49.00 7,000,000 343,000,000 - 7,000,000 - 210.00 7,000,000 1,470,000,000

8 MOBILIZATION AND DE-MOBILIZATION 46,800,000 23,400,000 23,400,000 - 46,800,000 Mobilization - Jakarta to Provincial Office

8.1 Team Leader 1 1,300,000 1,300,000 1.00 1,300,000 - 1,300,000 - - 1,300,000 - 1.00 1,300,000 1,300,000 8.2 WS Engineering and Communal Sanitation Construction 7 1,300,000 9,100,000 7.00 9,100,000 - 1,300,000 - - 1,300,000 - 7.00 1,300,000 9,100,000 8.3 Health & Hygene Specialist 7 1,300,000 9,100,000 7.00 9,100,000 - 1,300,000 - - 1,300,000 - 7.00 1,300,000 9,100,000 8.4 Financial Management Specialist 1 1,300,000 1,300,000 1.00 1,300,000 - 1,300,000 - - 1,300,000 - 1.00 1,300,000 1,300,000 8.5 Database Management Assistant 1 1,300,000 1,300,000 1.00 1,300,000 - 1,300,000 - - 1,300,000 - 1.00 1,300,000 1,300,000 8.6 Local Government Specialist 1 1,300,000 1,300,000 1.00 1,300,000 - 1,300,000 - - 1,300,000 - 1.00 1,300,000 1,300,000

Demobilization -Provincial Office to Jakarta \8.7 Team Leader 1 1,300,000 1,300,000 - 1.00 1,300,000 1,300,000 - 1,300,000 - 1.00 1,300,000 1,300,000 8.8 WS Engineering and Communal Sanitation Construction 7 1,300,000 9,100,000 - 7.00 1,300,000 9,100,000 - 1,300,000 - 7.00 1,300,000 9,100,000 8.9 Health & Hygene Specialist 7 1,300,000 9,100,000 - 7.00 1,300,000 9,100,000 - 1,300,000 - 7.00 1,300,000 9,100,000 8.10 Financial Management Specialist 1 1,300,000 1,300,000 - 1.00 1,300,000 1,300,000 - 1,300,000 - 1.00 1,300,000 1,300,000 8.11 Database Management Assistant 1 1,300,000 1,300,000 - 1.00 1,300,000 1,300,000 - 1,300,000 - 1.00 1,300,000 1,300,000 8.12 Local Government Specialist 1 1,300,000 1,300,000 - 1.00 1,300,000 1,300,000 - 1,300,000 - 1.00 1,300,000 1,300,000

9 HOUSING ALLOWANCE 223,400,000 156,500,000 66,900,000 - 223,400,000 9.1 Team Leader 30 500,000 15,000,000 23.00 11,500,000 7.00 500,000 3,500,000 - 500,000 - 30.00 500,000 15,000,000 9.2 WS Enginers & Communal Sanitation Constr. 420 300,000 126,000,000 298.00 89,400,000 122.00 300,000 36,600,000 - 300,000 - 420.00 300,000 126,000,000 9.3 Provincial Trainers 114 400,000 45,600,000 81.00 32,400,000 33.00 400,000 13,200,000 - 400,000 - 114.00 400,000 45,600,000 9.4 Financial Management Specialist 30 400,000 12,000,000 23.00 9,200,000 7.00 400,000 2,800,000 - 400,000 - 30.00 400,000 12,000,000 9.5 Database Management Assistant 30 400,000 12,000,000 23.00 9,200,000 7.00 400,000 2,800,000 - 400,000 - 30.00 400,000 12,000,000 9.6 Local Government Specialist 32 400,000 12,800,000 12.00 4,800,000 20.00 400,000 8,000,000 - 400,000 - 32.00 400,000 12,800,000

CONTRACT AMENDMENT NO.4 (ADDENDUM NO. 1)

VOL. UNIT RATE [IDR]

AMOUNT [IDR]

DESCRIPTIONNO.UNIT RATE

[IDR]AMOUNT

[IDR]

TOTAL INVOICE TO NOVEMBER 2011 ESTIMATE INVOICE FY 2012

VARIATIONS CONTRACT AMENDMENT NO.5

VOLUME UNIT RATE [IDR]

AMOUNT [IDR] VOLUME

Appendix E: Cost Estimates in Local Currency 7

VOL. AMOUNT (IDR) VOL. UNIT RATE AMOUNT (IDR)1 2 19 21 22 23 24 25 26 27 2810 COMMUNICATION [telp, fax, e-mail] 250,000,000 151,000,000 99,000,000 - 250,000,000

10.1 Provincial Office (No. of person - 1) 10 1,500,000 15,000,000 10.00 15,000,000 - 1,500,000 - - 1,500,000 - 10.00 1,500,000 15,000,000 10.1a Provincial Office (No. of person - 1) including Internet connection 20 2,000,000 40,000,000 12.00 24,000,000 8.00 2,000,000 16,000,000 - 2,000,000 - 20.00 2,000,000 40,000,000 10.2 District Office (No. of person - 7) 70 500,000 35,000,000 70.00 35,000,000 - 500,000 - - 500,000 - 70.00 500,000 35,000,000 10.2a District Office (No. of person - 7)including Internet connection 160 1,000,000 160,000,000 77.00 77,000,000 83.00 1,000,000 83,000,000 - 1,000,000 - 160.00 1,000,000 160,000,000

11 TOOLS AND EQUIPMENT 446,130,000 222,235,000 223,895,000 - 446,130,000 Provincial Office

11.1 Rent Computer [Pentium Core Duo, with license] 174 600,000 104,400,000 69.00 41,400,000 105.00 600,000 63,000,000 - 600,000 - 174.00 600,000 104,400,000 11.2 Rent Printer [Laserjet printer A4] 30 250,000 7,500,000 23.00 5,750,000 7.00 250,000 1,750,000 - 250,000 - 30.00 250,000 7,500,000 11.3 Scanner 30 75,000 2,250,000 23.00 1,725,000 7.00 75,000 525,000 - 75,000 - 30.00 75,000 2,250,000 11.4 Digital Camera 30 75,000 2,250,000 23.00 1,725,000 7.00 75,000 525,000 - 75,000 - 30.00 75,000 2,250,000

District Office - 11.5 Rent Computer [Pentium Core Duo, with license] 168 60,000 10,080,000 168.00 10,080,000 - 60,000 - - 60,000 - 168.00 60,000 10,080,000 11.5a Rent Computer [Pentium Core Duo, with license]-New Price 252 600,000 151,200,000 128.80 77,280,000 123.20 600,000 73,920,000 - 600,000 - 252.00 600,000 151,200,000 11.5b Rent Computer [Pentium Core Duo, with license]-for FM Assistant 112 600,000 67,200,000 42.00 25,200,000 70.00 600,000 42,000,000 - 600,000 - 112.00 600,000 67,200,000 11.5c Rent Computer [Pentium Core Duo, with license]-for LG Specialist 16 600,000 9,600,000 6.00 3,600,000 10.00 600,000 6,000,000 - 600,000 - 16.00 600,000 9,600,000 11.6 Rent Printer [Laserjet printer A4] 210 250,000 52,500,000 161.00 40,250,000 49.00 250,000 12,250,000 - 250,000 - 210.00 250,000 52,500,000 11.7 Digital Camera 210 75,000 15,750,000 161.00 12,075,000 49.00 75,000 3,675,000 - 75,000 - 210.00 75,000 15,750,000 11.8 Scanner 112 75,000 8,400,000 42.00 3,150,000 70.00 75,000 5,250,000 - 75,000 - 112.00 75,000 8,400,000 11.9 Water Test Kit 3 5,000,000 15,000,000 - 3.00 5,000,000 15,000,000 - 5,000,000 - 3.00 5,000,000 15,000,000

12 OFFICE RENT 375,000,000 225,000,000 150,000,000 - 375,000,000 12.1 Rent Office - provincial [Min. 100m2 incl. furniture, equipment, utilities] 30 2,000,000 60,000,000 18.00 36,000,000 12.00 2,000,000 24,000,000 - 2,000,000 - 30.00 2,000,000 60,000,000 12.2 Rent Office - district [Min. 100m2 incl. furniture, equipment, utilities] 210 1,500,000 315,000,000 126.00 189,000,000 84.00 1,500,000 126,000,000 - 1,500,000 - 210.00 1,500,000 315,000,000

13 OFFICE RUNNING COST 262,000,000 174,300,000 87,700,000 - 262,000,000 13.1 Provincial Office [1 No.] 30 800,000 24,000,000 21.00 16,800,000 9.00 800,000 7,200,000 - 800,000 - 30.00 800,000 24,000,000

District Office [7 No.] - 600,000 - - - 600,000 - - 600,000 - 600,000 13.2 Office Supply 210 500,000 105,000,000 147.00 73,500,000 63.00 500,000 31,500,000 - 500,000 - 210.00 500,000 105,000,000 13.3 Documentation 7 1,000,000 7,000,000 - 7.00 1,000,000 7,000,000 - 1,000,000 - 7.00 1,000,000 7,000,000 13.4 Survey equipment 84 750,000 63,000,000 56.00 42,000,000 28.00 750,000 21,000,000 - 750,000 - 84.00 750,000 63,000,000 13.5 Reproduction 84 750,000 63,000,000 56.00 42,000,000 28.00 750,000 21,000,000 - 750,000 - 84.00 750,000 63,000,000

14 REPORTING 41,250,000 14,125,000 27,125,000 - 41,250,000 14.1 Inception Report 15 50,000 750,000 - 15.00 50,000 750,000 - - 15.00 50,000 750,000 14.2 Monthly Report 300 25,000 7,500,000 230.00 5,750,000 70.00 25,000 1,750,000 - 25,000 - 300.00 25,000 7,500,000 14.3 Quarterly Report 150 50,000 7,500,000 70.00 3,500,000 80.00 50,000 4,000,000 - 50,000 - 150.00 50,000 7,500,000 14.4 Special Report 45 25,000 1,125,000 15.00 375,000 30.00 25,000 750,000 - - 45.00 25,000 1,125,000 14.5 Annual Report 45 75,000 3,375,000 15.00 1,125,000 30.00 75,000 2,250,000 - - 45.00 75,000 3,375,000 14.6 Draft Final Report 15 75,000 1,125,000 - 15.00 75,000 1,125,000 - - 15.00 75,000 1,125,000 14.7 Financial Management Report (FMR) 50 150,000 7,500,000 15.00 2,250,000 35.00 150,000 5,250,000 - - 50.00 150,000 7,500,000 14.8 Prov ' Gov ICR report 45 75,000 3,375,000 15.00 1,125,000 30.00 75,000 2,250,000 - - 45.00 75,000 3,375,000 14.9 Final Report 15 100,000 1,500,000 - 15.00 100,000 1,500,000 - - 15.00 100,000 1,500,000

14.10 Training Reports (60 copies) 60 75,000 4,500,000 - 60.00 75,000 4,500,000 - - 60.00 75,000 4,500,000 14.11 Rencana Aksi – AMPL Report (5 copies/district/year) 20 150,000 3,000,000 - 20.00 150,000 3,000,000 - 150,000 - 20.00 150,000 3,000,000

15 TRAINING 1,278,380,000 336,385,000 941,995,000 - 1,278,380,000 15.1 Refresher for old Community Facilitators

a. Materials Training & Seminar Kit 189 170,000 32,130,000 71.00 12,070,000 118.00 170,000 20,060,000 - 170,000 - 189.00 170,000 32,130,000 b. Accommodation & Hotel (Full Board) 945 300,000 283,500,000 349.08 104,725,000 595.92 300,000 178,775,000 - 300,000 - 945.00 300,000 283,500,000 c. Transportation 189 150,000 28,350,000 71.00 10,650,000 118.00 150,000 17,700,000 - 150,000 - 189.00 150,000 28,350,000

15.2 Training for new and replication facilitatorsFirst Regular Traininga. Materials Training & Seminar Kit 84 170,000 14,280,000 32.00 5,440,000 52.00 170,000 8,840,000 - 170,000 - 84.00 170,000 14,280,000 b. Accommodation & Hotel (Full Board) 1,512 300,000 453,600,000 634.67 190,400,000 877.33 300,000 263,200,000 - 300,000 - 1,512.00 300,000 453,600,000 c. Transportation 84 150,000 12,600,000 64.00 9,600,000 20.00 150,000 3,000,000 - 150,000 - 84.00 150,000 12,600,000 d. Bus Rental for Field CLTS Training Activity 2 4,500,000 9,000,000 0.78 3,500,000 1.22 4,500,000 5,500,000 - 4,500,000 - 2.00 4,500,000 9,000,000 Second Regular Traininga. Materials Training & Seminar Kit 84 170,000 14,280,000 - 84.00 170,000 14,280,000 - 170,000 - 84.00 170,000 14,280,000 b. Accommodation & Hotel (Full Board) 420 300,000 126,000,000 - 420.00 300,000 126,000,000 - 300,000 - 420.00 300,000 126,000,000 c. Transportation 84 150,000 12,600,000 - 84.00 150,000 12,600,000 - 150,000 - 84.00 150,000 12,600,000

CONTRACT AMENDMENT NO.4 (ADDENDUM NO. 1)

VOL. UNIT RATE [IDR]

AMOUNT [IDR]

DESCRIPTIONNO.UNIT RATE

[IDR]AMOUNT

[IDR]

TOTAL INVOICE TO NOVEMBER 2011 ESTIMATE INVOICE FY 2012

VARIATIONS CONTRACT AMENDMENT NO.5

VOLUME UNIT RATE [IDR]

AMOUNT [IDR] VOLUME

Appendix E: Cost Estimates in Local Currency 8

VOL. AMOUNT (IDR) VOL. UNIT RATE AMOUNT (IDR)1 2 19 21 22 23 24 25 26 27 28

15.3 Sustainability Phase (Province)a. Materials Training & Seminar Kit 42 170,000 7,140,000 - - 42.00 170,000 7,140,000 - 170,000 - 42.00 170,000 7,140,000 b. Accommodation & Hotel (Full Board) 336 300,000 100,800,000 - - 336.00 300,000 100,800,000 - 300,000 - 336.00 300,000 100,800,000 c. Transportation 42 150,000 6,300,000 - - 42.00 150,000 6,300,000 - 150,000 - 42.00 150,000 6,300,000

15.4 Workshop Penyusunan Renstra AMPL (RAD-AMPL)a. Materials Training & Seminar Kit 80 170,000 13,600,000 - 80.00 170,000 13,600,000 - 170,000 - 80.00 170,000 13,600,000 b. Biaya Workshop (Paket) 80 75,000 6,000,000 - 80.00 75,000 6,000,000 - 75,000 - 80.00 75,000 6,000,000 c. Transportation 80 150,000 12,000,000 - 80.00 150,000 12,000,000 - 150,000 - 80.00 150,000 12,000,000 d. Banners 2 300,000 600,000 - 2.00 300,000 600,000 - 300,000 - 2.00 300,000 600,000

15.5 Training for district Govt (LG) - Provincea. Materials Training & Seminar Kit 80 170,000 13,600,000 - - 80.00 170,000 13,600,000 - 170,000 - 80.00 170,000 13,600,000 b. Accommodation & Hotel (Full Board) 400 300,000 120,000,000 - - 400.00 300,000 120,000,000 - 300,000 - 400.00 300,000 120,000,000 c. Transportation 80 150,000 12,000,000 - - 80.00 150,000 12,000,000 - 150,000 - 80.00 150,000 12,000,000

16 Coordination Meeting bi-monthly 13,175,000 - 13,175,000 - 13,175,000 16.1 Snacks and Drinks

a. Coordination Meeting with Dinkes 1 (Provincial) 135 25,000 3,375,000 - 135.00 25,000 3,375,000 - 25,000 - 135.00 25,000 3,375,000 b. Coordination Meeting with Dinkes 2 - (District) 392 25,000 9,800,000 - 392.00 25,000 9,800,000 - 25,000 - 392.00 25,000 9,800,000

17 Printing Sicialization Media 181,816,000 - 181,816,000 - 181,816,000 17.1 Printing

a. Poster 7 eks/village 5,285 5,000 26,425,000 - 5,285.00 5,000 26,425,000 - 5,000 - 5,285.00 5,000 26,425,000 b. Banner 2 eks/village 302 300,000 90,600,000 - 302.00 300,000 90,600,000 - 300,000 - 302.00 300,000 90,600,000 c. Leaflet 30 eks/village 4,530 3,000 13,590,000 - 4,530.00 3,000 13,590,000 - 3,000 - 4,530.00 3,000 13,590,000

17.2 Distibution - - - a. Delivery of Poster - allow 15% 20,898,400 - - 20,898,400 - - - 20,898,400

17.3 Provisional sum - allow 20% 30,302,600 - - 30,302,600 - - - 30,302,600

18 Coordination Meeting (monthly) 164,000,000 62,200,000 101,800,000 - 164,000,000

18.1 Provincial Meeting 16 1,500,000 24,000,000 6.78 10,175,000 9.22 1,500,000 13,825,000 - 1,500,000 - 16.00 1,500,000 24,000,000 18.2 Districts Meeting 112 1,250,000 140,000,000 41.62 52,025,000 70.38 1,250,000 87,975,000 - 1,250,000 - 112.00 1,250,000 140,000,000

19 Rounding-off - - - 8,137,651,000 3,157,840,000 4,979,811,000 - 8,137,651,000

CONTRACT AMENDMENT NO.4 (ADDENDUM NO. 1)

VOL. UNIT RATE [IDR]

AMOUNT [IDR]

TOTAL B - REIMBURSABLE COST IDR

DESCRIPTIONNO.UNIT RATE

[IDR]AMOUNT

[IDR]

TOTAL INVOICE TO NOVEMBER 2011 ESTIMATE INVOICE FY 2012

VARIATIONS CONTRACT AMENDMENT NO.5

VOLUME UNIT RATE [IDR]

AMOUNT [IDR] VOLUME

Appendix G: Bank Guarantee for Advance Payment

APPENDIX F DUTIES OF THE CLIENT

(No Change)

Appendix G: Bank Guarantee for Advance Payment

APPENDIX G BANK GUARANTEE FOR ADVANCE PAYMENT

(No Change)

Appendix H: Performance Bank Guarantee

APPENDIX H PERFORMANCE BANK GUARANTEE

(No Change)

Appendix H: Performance Bank Guarantee