: IBRD Loan 7504-ID and IDA Cr ID, IBRD Loan 7866-ID. Alamat Konsultan : Komplek Perkantoran Green Ville Blok BG No. 53 Jakarta Barat 11510

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1 PROGRAM NASIONAL PEMBERDAYAAN MASYARAKAT-MANDIRI PERKOTAAN (PNPM-MP) PROYEK PENANGGULANGAN KEMISKINAN DI PERKOTAAN (P2KP) DIREKTORAT JENDERAL CIPTA KARYA KEMENTERIAN PEKERJAAN UMUM mor Loan : IBRD Loan 7504-ID and IDA Cr ID, IBRD Loan 7866-ID Nama Konsultan : PT. Inersia Ampak Engineers Alamat Konsultan : Komplek Perkantoran Green Ville Blok BG. 53 Jakarta Barat Propinsi / KMW : Bali, NTB, NTT / OC-7 mor & Tanggal Kontrak : HK /OC-7/IBRD-IDA/SNVT-PKP/010/2009, Tanggal 25 Maret 2009 Amandemen / Memorandum : Amandement Tanggal 20 pember 2012 Periode Kontrak : 25 Maret 2009 s/d 31 Desember 2012 COST COMPONENT AMENDMENT CONTRACT NO.16 I REMUNERATION I.1 PROFFESIONAL STAFF I.2 SUPPORTING STAFF Total I II III DIRECT REIMBURSABLE COST II.1 MOBILIZATION/ DEMOBILIZATION II.2 HOUSING ALLOWANCE II.3 TRAVEL COST II.4 OFFICE RENTAL II.5 UTILITIES EXPENSES II.6 OFFICE EQUIPMENT II.7 VEHICLES (RENTAL) II.8 COMMUNICATION COST II.9 REPRODUCTION OF REPORT Total II MISCELLANEOUS EXPENSES III.1 TRAINING III.2 SOCIALIZATION Total III TOTAL I + II + III

2 I.1 PROFFESIONAL STAFF Name Position A OFFICCE BALI PROVINCE 1 Ir. Sunaryanto, MSc, MBA Program Director 3,0 Ir. Asfan Suyfainal Program Director 14,5 Ir. Anis Sutrijono Program Director 5,5 Ir. Anis Sutrijono Program Director 21,0 Deni Jauhari, SE Assistant Program Director 7,0 Yudi Anggoro Assistant Program Director 5,0 2 Ir. I Nyoman Artanegara, MS Team Leader Province Bali 3,0 Purnomo, S.Sos, Msi Team Leader Province Bali 13,5 Purnomo, S.Sos, Msi Team Leader Province Bali 20,0 3 Purnomo, S.Sos, Msi Capacity Building Specialist 10,5 Imam Baihaqi, S.Sos Capacity Building Specialist 13,5 I Gusti Agung GK Local Govt & Pub.Policy Spec 18,0 4 Yudhi Anggoro, SE, MM Monev Specialist 24,0 Ivan Choduri Monev Specialist 20,0 Bahtiar Krisdian P, ST Sub Spec. Legal & CHU 12,0 To Be Named Sub Spec. Legal & CHU - 5 Eddy Winarrno, SE Senior Asmandat 24,0 Eddy Winarrno, SE MIS Specialist 20,0 6 Alfi Arif, SE-Acc Financial Management Specialist 4,0 Yoyok Antoni. SE.M.Si Financial Management Specialist 14,0 Yoyok Antoni. SE.M.Si Micro Fin & Fin. Mgmt Spec 1,0 Yoyok Antoni. SE.M.Si Micro Fin & Fin. Mgmt Spec 4,0 Indra Wibawarto, SE Micro Fin & Fin. Mgmt Spec 13,0 7 Ir. Akhmad Toharudin Infrastructure Specialist 24,0 Ir. Akhmad Toharudin Infrastructure Specialist 20,0 Imam Baihaqi, S.Sos Training Specialist 19,0 Yudhi Anggoro, SE, MM Socialization Specialist 4,0 Ni Ketut Resmi Sri Nulus Socialization Specialist 14,0 8 Rajasa Kusuma, SE Sub Proff Administrasi 16,0 Rahdian Hendy Kuswoyo Sub Proff Administrasi 8,0 Rahdian Hendy Kuswoyo Sub Proff Administrasi 20,0 9 Naldi Ari Nusa, SE Sub Proff Financial 1 12,0 Faisol Afandi Sub Proff Financial 1 8,0 Faisol Afandi Sub Proff Financial 1 20,0 10 Abd. Haris Syahrir, SE Sub Proff Financial 2 24,0 Yeni Risnawati, SE Sub Proff Financial 2 19,0 11 Hartatik National Trainer 1 *) 9,0 Ir. Basuki Raharjo 17,0 12 Ir. I Made Suparta Assistant of Training Organizer 3,0 Ir. Anton Sugiarto 3,0 Igusti Agung GK Assistant of Training Organizer 15,0 B OFFICCE NTB PROVINCE 1 Ir. Yoyok Djati Susatyo, MM Team Leader Province NTB 19,0 Indro Budiono Team Leader Province NTB 5,0 Indro Budiono Team Leader Province NTB 20,0 2 L. Tatus Winata, SP Capacity Building Specialist 24,0 Ir. Made Sudana Local Govt & Pub.Policy Spec 5,0 H. Lalu Wirakarma Local Govt & Pub.Policy Spec 13,0 3 Ir. Made Sudana Monev Specialist 24,0 H. Lalu Wirakarma Monev Specialist 4,0 Baiq Fitri Miswaryuni, SE Monev Specialist 15,0 Bramasto A.N,Amd Sub Spec. Monev PNPM 19,0 Ir. Nasri Adisa Sub Spec. Legal & CHU 18,0 4 Tri Yudha Sulistyo, SE Senior Asmandat 9,0 Putu Agus Eka A.S.Kom Senior Asmandat 15,0 Putu Agus Eka A.S.Kom MIS for Specialist 4,0 Sarman, ST, MM MIS for Specialist - To Be Named MIS for Specialist - 5 Suyitno Masdar, SE, MM Financial Management Specialist 19,0 Baiq Fitri Miswaryuni, SE Micro Fin & Fin. Mgmt Spec 7,0 Eko Prihartono, SE, MM Micro Fin & Fin. Mgmt Spec 13,0 Remuneration 2 / 29

3 Name Position 6 Ir. Nuraeni Ziyad, MM Infrastructure Specialist 24,0 Ir. Nuraeni Ziyad, MM Infrastructure Specialist 20,0 Made Ari Diatmika,ST Sub Spec. Infras. For Advanced 15,3 Ir.Basuki Raharjo Training Specialist 19,0 Lalu Tatus F Winata,SP Socialization Specialist 18,0 Syaiful Amin,ST Urban Planer Specialist 19,0 7 Leni Mia Primayati, SE Sub Proff Administrasi 24,0 Rohini Hasmi, SE Sub Proff Administrasi 20,0 8 Muhammad Sulaiman, SE Sub Proff Financial 1 24,0 Drs. Indrajaya Sub Proff Financial 1 19,2 9 Rohini Hasmi, SE Sub Proff Financial 2 24,0 Khairi Sodikin, SE Sub Proff Financial 2 19,0 10 Ir. Nasri Adisa Assistant of Training Organizer 24,0 C OFFICCE NTT PROVINCE 1 Ir. Anis Sutrijono Team Leader Province NTT 18,5 Nur Hadi, SH Team Leader Province NTT 5,5 Nur Hadi, SH Team Leader Province NTT 20,0 2 M. Yasak, SPd Capacity Building Specialist 18,5 Jaury Alexander Titus M, SH 5,5 Hentje Orhem Sina Local Govt & Pub.Policy Spec 18,0 3 Nur Hadi, SH Monev Specialist 18,5 M. Yasak, SPd Monev Specialist 5,5 Stely Loure Kos Paulus, ST Monev Specialist 20,0 Askian Dedy Iskandar Baun.SE Sub Spec. Legal & CHU 15,0 4 Seprilyani Trikastuti K E, S.Kom Senior Asmandat 4,0 Davidson A.Penlaana,S.Kom Senior Asmandat 20,0 Davidson A.Penlaana,S.Kom MIS for Specialist 20,0 5 Ariwan Joko Nurbantoro, SE Financial Management Specialist 22,0 Bambang Winarno, SE Micro Fin & Fin. Mgmt Spec 20,0 6 Lisu Munakson Masa,ST Infrastructure Specialist 24,0 Lisu Munakson Masa,ST / Hilga Sopaheluwakan, ST Infrastructure Specialist 20,0 M. Yasak / Lisu Munakson M, ST Training Specialist 19,0 Jaury Alexander Titus M, SH Socialization Specialist 18,0 Hamdiyani/Heny Indrawati OT,S.Pt Sub Proff Administrasi 11,0 Henny Indrawati O Tandi,S.Pt Sub Proff Administrasi 2,0 Henny Indrawati O Tandi,S.Pt / Theresia Jebe go Betan, SE Sub Proff Administrasi 20,0 8 Nurul Hasanah, SE Sub Proff Financial 1 10,0 Henny Indrawati O Tandi,S.Pt Sub Proff Financial 1 12,0 Mety Ledyana Manu Sub Proff Financial 1 22,0 9 Arif Wicaksono, SE Sub Proff Financial 2 10,0 Askian Dedy Iskandar Baun Sub Proff Financial 2 14,0 Merlin Setiawati S / Aprika Mira Sub Proff Financial 2 19,0 10 Jaury Alexander Titus M, SH Assistant of Training Organizer 18,5 Hentje Orehm Sina Assistant of Training Organizer 5,5 Sub Total I , Remuneration 3 / 29

4 I.2 SUPPORTING STAFF Name Position A. Central Province Office 1 Endang Sukarmani Office Manager in OC Level 4,0 Ni Nyoman Arnita Office Manager in OC Level 20,0 Ni Nyoman Arnita Office Manager in OC Level 20,0 2 Dodik Yohardono Ass Office Manager in Province Bali 6,0 Anton Sugiarto Ass Office Manager in Province Bali 18,0 Anton Sugiarto Ass Office Manager in Province Bali 20,0 3 Arista Tjahja Secretary 6,0 Eva Taurusita Secretary 18,0 Ni Kadek Pony Candiwangi Secretary 19,5 4 I Gede Wiradana Computer Operator 24,0 M. Nawawi Computer Operator 20,0 5 Satrya Brahmantya Computer Operator 24,0 Satrya Brahmantya Computer Operator 16,0 6 Wayan Ariana/M. Nawawi Office Boy 24,0 Esti Adiani Kartika Office Boy 20,0 7 Pandu Security 24,0 Pandu Security 20,0 Jeane Pasali Computer Operator for PD 2,0 Jeane Pasali Computer Operator for PD 18,0 8 Slamet Gusti Purwanto Ass Office Manager in Province NTB 6,0 Uswatun Hasanah Ass Office Manager in Province NTB 18,0 Uswatun Hasanah Ass Office Manager in Province NTB 20,0 9 Erlita Nathalia Lerrick Secretary 9,0 Netty Hidayati Secretary 15,0 Baik Erika Swastaria, ST Secretary 20,0 10 Nanang Kurniawan, ST Computer Operator 9,0 Widiastuti,A,Md Computer Operator 15,0 Prasetyadiguna, ST Computer Operator 19,4 11 Lalu Suparjan, ST Computer Operator 40,2 12 M. Muizzu Office Boy 24,0 Sumarjiono Office Boy 20,0 13 Suratman Security 24,0 Sahdan Security 20,0 14 Andi Ass Office Manager in Province NTT 24,0 Andi Ass Office Manager in Province NTT 20,0 15 Selfiana Talan Secretary 24,0 Selfiana Talan Secretary 20,0 16 Krissanti Veromka Hideulo Computer Operator 24,0 Krissanti Veromka Hideulo Computer Operator 20,0 17 Albers Gaslin Ratu Computer Operator 24,0 Aprika Mira Computer Operator 20,0 18 Jhon Ludji Office Boy 24,0 Jhon Ludji Office Boy 20,0 19 Yulus Wula Security 24,0 Yulus Wula Security 20,0 B Office Town Coordinator Office Town Coordinator Bali 1 Denpasar 1 Ni Luh Suryani Secretary 24,0 Ari Kumara Dewi Secretary 20,0 2 Komang Adi Ariastuti Computer Operator (1 orang) 24,0 Evi Devianti Computer Operator (1 orang) 20,0 3 Sukatno Office Boy 24,0 Sukatno Office Boy 20,0 Office Town Coordinator Bali 2 Klungkung 1 A.A Istri Sri Apriari Secretary 24,0 A.A Istri Sri Apriari Secretary 20,0 2 A.A Rai Semaradewi Computer Operator (1 orang) 24,0 A.A Rai Semaradewi Computer Operator (1 orang) 20,0 3 Yohanes Dila Office Boy 24,0 Yohanes Dila Office Boy 20,0 Remuneration 4 / 29

5 Name Position Unit Cost Quantity Office Town Coordinator NTB 1 1 Baiq. Mulyati, A.md Secretary 24,0 Baiq. Mulyati, A.md Secretary 20,0 2 Zulkipli Computer Operator (1 orang) 24,0 Lalu Ruli Andriansyah P.U Computer Operator (1 orang) 20,0 3 Gusti Lanang Rai Sentana Office Boy 24,0 Gusti Lanang Rai Sentana Office Boy 20,0 Office Town Coordinator NTB 2 1 Hariatun Secretary 24,0 M. Hambali Secretary 20,0 2 M. Yozar Marthadi Computer Operator (1 orang) 24,0 Fitriadi Susanto Computer Operator (1 orang) 20,0 3 Badarudin Office Boy 24,0 Badarudin Office Boy 20,0 Office Town Coordinator NTB 3 1 Wenny Putriliana Secretary 24,0 Wenny Putriliana Secretary 20,0 2 Edy Saifuddin, S.Pt Computer Operator (1 orang) 24,0 Edy Saifuddin, S.Pt Computer Operator (1 orang) 20,0 3 Hariun Office Boy 24,0 Ahmad Office Boy 20,0 Office Town Coordinator NTB 4 1 Nety Hidayati Secretary 20,0 2 Zulkipli Computer Operator (1 orang) 20,0 3 Tris Suriatman Office Boy 20,0 Office Town Coordinator NTT 1 1 Eny M. Lado Lay Secretary 24,0 Delly Wairata Secretary 20,0 2 Hilda R. Troy Computer Operator (1 orang) 24,0 Desy Falo Computer Operator (1 orang) 20,0 3 Orris Tamonob Office Boy 24,0 Orris Tamonob Office Boy 20,0 Office Town Coordinator NTT 2 1 Elisabeth Yulianti Pelt Secretary 24,0 Agustina Loko Secretary 20,0 2 Elisabeth go Computer Operator (1 orang) 24,0 Elisabeth Yulianti Pelt Computer Operator (1 orang) 20,0 3 Siprianus Aselmus Office Boy 24,0 Marselinus Romianus Teka Office Boy 20,0 Office Town Coordinator NTT 3 1 Fitri Edy. S Secretary 24,0 Debora Adi Ina Secretary 20,0 2 Dwi Hari Widodo Computer Operator (1 orang) 24,0 Debora Computer Operator (1 orang) 20,0 3 Gabriel Kaledipa Office Boy 24,0 Daniel Office Boy 20,0 Sub Total I.2 TOTAL I Remuneration 5 / 29

6 II. 1 MOBILIZATION/ DEMOBILIZATION Unit 1 Professional Staff (mobilization and demobilization) 1 x 22 prs prs Professional Staff (mobilization and demobilization) 1 x 9 prs prs Professional Staff (mobilization and demobilization) 1 x 22 prs prs TOTAL II II. 2 HOUSING ALLOWANCE Unit 1 Program Director 1 1 prs x 22 mth Month Team Leader Province 2 prs x 22 mth Month Team Leader Province 1 prs x 11,5 mth Month , Capacity Building Specialist 2 prs x 22 mth Month Monev Specialist 2 prs x 22 mth Month Senior Asmandat 2 prs x 22 mth Month Financial Management Specialist 2 prs x 22 mth Month Financial Management Specialist 1 prs x 13,5 mth Month , Infrastructure Specialist 2 prs x 22 mth Month Sub Proff For Administration 2 prs x 22 mth Month National Trainer 2 *) 2 prs x 22 mth Month Assistant of Training Organizer 2 prs x 22 mth Month Sub Proff For Financial 3 prs x 22 mth Month Housing Alowance Program Director 1 1 prs x 4 mth Month , Assistant Program Director 1 prs x 4 mth Month , Team Leader Province Prov Bali, NTB & NTT) 3 prs x 4 mth Month , Monev Specialist (Prov. Bali ) 1 prs x 4 mth Month , Sub Monev Specialist (Prov. NTB) 1 prs x 1 mth Month , Sub Legal & HCU (Prov. Bali) 1 prs x 4 mth Month , Senior Asmandat (Prov. Bali & NTB) 2 prs x 4 mth Month , Financial Management Specialist (Prov. Bali & NTT) 2 prs x 4 mth Month , Infrastructure Specialist (Prov. Bali & NTB) 2 prs x 4 mth Month , Sub TA Infra (Prov. NTB) - prs x 4 mth Month Training Specialist (Prov. Bali & NTT) 2 prs x 4 mth Month , Socialization Specialist (Prov. NTT) 1 prs x 4 mth Month , Urban Planer Specialist (Prov. NTB) - prs x 4 mth Month Local Govt & Pub.Policy Spec (Prov. Bali) - prs x 4 mth Month Sub Proff For Administration 1 prs x 4 mth Month , Sub Proff For Financial (exsisting) 2 prs x 4 mth Month , TOTAL II II. 3 DUTY TRAVEL COST Unit II.3.1 Monitoring, Supervision, Coordination By Province Office (Bali) 3% per siklus a. To Kelurahan in Kota Denpasar (43 kelurahan) - Lumpsum 1 dy x 5 trip x 3 prs day/prs Inland trans to Denpasar - trip x 3 prs trip/prs Accommodation - dy x - trip x 3 prs day/prs - - b. To Kelurahan in Kabupaten Badung (11 kelurahan) - Lumpsum 1 dy x 2 trip x 3 prs day/prs Inland trans to Badung 2 trip x 3 prs trip/prs Accommodation - dy x 2 trip x 3 prs day/prs - - c. To Kelurahan in Kabupaten Gianyar (17 kelurahan) - Lumpsum 3 dy x 3 trip x 3 prs day/prs Inland trans to Gianyar 3 trip x 3 prs trip/prs Accommodation 2 dy x 3 trip x 3 prs day/prs d. To Kelurahan in Kabupaten Klungkung (30 kelurahan) - Lumpsum 3 dy x 4 trip x 3 prs day/prs Inland trans to Klungkung 4 trip x 3 prs trip/prs Accommodation 2 dy x 4 trip x 3 prs day/prs e. To Kelurahan in Kabupaten Buleleng (29 kelurahan) - Lumpsum 3 dy x 4 trip x 3 prs day/prs Inland trans to Buleleng 4 trip x 3 prs trip/prs Accommodation 2 dy x 4 trip x 3 prs day/prs e. To Kelurahan in Kabupaten Jembrana (8 kelurahan) - Lumpsum 1 dy x 2 trip x 3 prs day/prs Inland trans to Jembrana 2 trip x 3 prs trip/prs f. Meeting with NMC etc. (Denpasar-Jakarta) - Inland Transport 1 4 tm x 7 prs prs/tm Tiket Denpasar - Jakarta 1 4 tm x 7 prs prs/tm Accommodation 3 dy x 4 tm x 7 prs prs/dy Meeting with (Jakarta - Batam) - Tiket Jakarta - Batam 1 1 tm x 3 prs prs/tm g. Monitoring & Supervision by PD + Nas. Trainer. (Denpasar-Mataram) Reimbushable 6 / 29

7 - Inland Transport 1 7 tm x 3 prs prs/tm Tiket Denpasar - Mataram 1 7 tm x 3 prs prs/tm Accommodation 3 dy x 7 tm x 3 prs prs/dy h. Monitoring & Supervision by PD + Nas. Trainer. (Denpasar-Kupang) - Inland Transport 1 7 tm x 3 prs prs/tm Tiket Denpasar - Kupang 1 7 tm x 3 prs prs/tm Accommodation 3 dy x 7 tm x 3 prs prs/dy II.3.2 Monitoring, Supervision, Coordination By Korkot and Askot 50% per siklus a. To Kelurahan in Kota Denpasar (43 kelurahan) - Lumpsum 1 dy x 64 trip x 3 prs day/prs Inland trans to Denpasar - trip x 3 prs trip/prs Accommodation - dy x - trip x 3 prs day/prs - - b. To Kelurahan in Kabupaten Badung (11 kelurahan) - Lumpsum 1 dy x 16 trip x 4 prs day/prs Inland trans to Badung 16 trip x 3 prs trip/prs Accommodation - dy x - trip x 3 prs day/prs - - c. To Kelurahan in Kabupaten Gianyar (17 kelurahan) - Lumpsum 1 dy x 25 trip x 4 prs day/prs Inland trans to Gianyar 25 trip x 3 prs trip/prs Accommodation - dy x - trip x 3 prs day/prs - - d. To Kelurahan in Kabupaten Klungkung (30 kelurahan) - Lumpsum 1 dy x 45 trip x 3 prs day/prs Inland trans to Klungkung - trip x 3 prs trip/prs Accommodation - dy x - trip x 3 prs day/prs - - e. To Kelurahan in Kabupaten Buleleng (29 kelurahan) - Lumpsum 2 dy x 43 trip x 4 prs day/prs Inland trans to Buleleng 22 trip x 3 prs trip/prs Accommodation 1 dy x - trip x 3 prs day/prs - - f. Coordination Meeting to Province (Denpasar) - Inland Transport from Kabupaten Badung 1 8 tm x 1 prs prs/tm Accommodation 1 dy x 8 tm x 1 prs prs/dy Inland Transport from Kabupaten Gianyar 1 8 tm x 1 prs prs/tm Accommodation 1 dy x 8 tm x 1 prs prs/dy Inland Transport from Kabupaten Klungkung 1 8 tm x 3 prs prs/tm Accommodation 1 dy x 8 tm x 3 prs prs/dy Inland Transport for Kabupaten Buleleng 1 8 tm x 1 prs prs/tm Accommodation 1 dy x 8 tm x 1 prs prs/dy II.3.3 Monitoring, Supervision, Coordination By Province Office (NTB) 3% per siklus a. To Kelurahan in Kota Mataram (23 kelurahan) - Lumpsum 1 dy x 4 trip x 3 prs day/prs Inland trans to Kota Mataram - trip x 3 prs trip/prs Accommodation - dy x - trip x 3 prs day/prs - - To New Kelurahan in Kota Mataram (27 kelurahan) - Lumpsum 1 dy x 4 trip x 3 prs day/prs b. To Kelurahan in Kabupaten Lombok Barat (18 kelurahan) - Lumpsum 3 dy x 3 trip x 3 prs day/prs Inland trans to Kabupaten Lombok Barat 3 trip x 3 prs trip/prs Accommodation 2 dy x 3 trip x 3 prs day/prs c. To Kelurahan in Kabupaten Lombok Tengah (23 kelurahan) - Lumpsum 3 dy x 4 trip x 3 prs day/prs Inland trans to Kabupaten Lombok Tengah 4 trip x 3 prs trip/prs Accommodation 2 dy x 4 trip x 3 prs day/prs d. To Kelurahan in Kabupaten Lombok Timur (44 kelurahan) - Lumpsum 3 dy x 5 trip x 3 prs day/prs Inland trans to Kabupaten Lombok Timur 5 trip x 3 prs trip/prs Accommodation 2 dy x 5 trip x 3 prs day/prs e. To Kelurahan in Kabupaten Sumbawa (16 kelurahan) - Lumpsum 3 dy x 3 trip x 3 prs day/prs Inland trans to Kabupaten Sumbawa 3 trip x 3 prs trip/prs Accommodation 2 dy x 3 trip x 3 prs day/prs f. To Kelurahan in Kota Bima (25 kelurahan) - Lumpsum 3 dy x 4 trip x 3 prs day/prs Inland trans to Kota Bima 4 trip x 3 prs trip/prs Accommodation 2 dy x 4 trip x 3 prs day/prs To New Kelurahan in Kota Bima (12 kelurahan) - Lumpsum 3 dy x 3 trip x 3 prs day/prs Inland trans to Kota Bima 3 trip x 3 prs trip/prs Accommodation 2 dy x 3 trip x 3 prs day/prs g. Meeting with NMC etc. (Mataram-Jakarta) - Inland Transport 1 4 tm x 5 prs prs/tm Tiket Mataram - Jakarta 1 4 tm x 5 prs prs/dy Accommodation 3 dy x 4 tm x 5 prs prs/dy Reimbushable 7 / 29

8 II.3.4 Monitoring, Supervision, Coordination By Korkot and Askot 50% per siklus a. To Kelurahan in Kota Mataram (23 kelurahan) - Lumpsum 1 dy x 34 trip x 3 prs day/prs Inland trans to Kota Mataram 34 trip x 3 prs trip/prs Accommodation - dy x 34 trip x 3 prs day/prs - - To New Kelurahan in Kota Mataram (27 kelurahan) - Lumpsum 1 dy x 40 trip x 3 prs day/prs Inland trans to Kota Mataram 40 trip x 3 prs trip/prs b. To Kelurahan in Kabupaten Lombok Barat (18 kelurahan) - Lumpsum 3 dy x 27 trip x 4 prs day/prs Inland trans to Kabupaten Lombok Barat 27 trip x 3 prs trip/prs Accommodation 2 dy x 27 trip x 3 prs day/prs - - c. To Kelurahan in Kabupaten Lombok Tengah (14 kelurahan) - Lumpsum 3 dy x 21 trip x 4 prs day/prs Inland trans to Kabupaten Lombok Tengah 21 trip x 3 prs trip/prs Accommodation 2 dy x 21 trip x 3 prs day/prs d. To Kelurahan in Kabupaten Lombok Timur (32 kelurahan) - Lumpsum 1 dy x 48 trip x 3 prs day/prs Inland trans to Kabupaten Lombok Timur 48 trip x 3 prs trip/prs Accommodation - dy x 48 trip x 3 prs day/prs - - e. To Kelurahan in Kabupaten Sumbawa (16 kelurahan) - Lumpsum 3 dy x 24 trip x 4 prs day/prs Inland trans to Kabupaten Sumbawa 24 trip x 3 prs trip/prs Accommodation 2 dy x 24 trip x 3 prs day/prs f. To Kelurahan in Kota Bima (25 kelurahan) - Lumpsum 1 dy x 37 trip x 3 prs day/prs Inland trans to Kota Bima 37 trip x 3 prs trip/prs Accommodation - dy x 37 trip x 3 prs day/prs - - To New Kelurahan in Kota Bima (12 kelurahan) - Lumpsum 1 dy x 18 trip x 3 prs day/prs g. To Kelurahan in Kabupaten Lombok Tengah (9 kelurahan) New Location - Lumpsum 3 dy x 13 trip x 4 prs day/prs Inland trans to Kabupaten Lombok Tengah 13 trip x 3 prs trip/prs Accommodation 2 dy x 13 trip x 3 prs day/prs h. To Kelurahan in Kabupaten Lombok Timur (12 kelurahan) New Location - Lumpsum 1 dy x 18 trip x 3 prs day/prs Inland trans to Kabupaten Lombok Timur 18 trip x - prs trip/prs Accommodation - dy x 18 trip x - prs day/prs - - i. Meeting with Province etc. (Mataram) - Inland trans from Kabupaten Lombok Barat 8 trip x 1 prs trip/prs Accommodation 1 dy x 8 trip x 1 prs day/prs Inland trans from Kabupaten Lombok Tengah 8 trip x 1 prs trip/prs Accommodation 1 dy x 8 trip x 1 prs day/prs Inland trans for Kabupaten Lombok Timur 8 trip x 3 prs trip/prs Accommodation 1 dy x 8 trip x 3 prs day/prs Inland trans from Kabupaten Sumbawa 8 trip x 1 prs trip/prs Accommodation 2 dy x 8 trip x 1 prs day/prs Inland trans from Kota Bima 8 trip x 1 prs trip/prs Accommodation 2 dy x 8 trip x 1 prs day/prs Inland trans from Kab Bima 5 trip x 1 prs trip/prs Accommodation 2 dy x 5 trip x 1 prs day/prs AMENDMENT CONTRACT NO. 5 II.3.5 Monitoring, Supervision, Coordination By Each Province Office (NTT) 3% per siklus a. To Kelurahan in Kota Kupang (45 kelurahan) - Lumpsum 1 dy x 6 trip x 3 prs day/prs Inland trans to Kota Kupang - trip x 3 prs trip/prs Accommodation - dy x - trip x 3 prs day/prs - - b. To Kelurahan in Kabupaten Timor Tengah Selatan (12 kelurahan) - Lumpsum 3 dy x 3 trip x 3 prs day/prs Inland trans to Kabupaten Timor Tengah Selatan 3 trip x 3 prs trip/prs Accommodation 2 dy x 3 trip x 3 prs day/prs c. To Kelurahan in Kabupaten Belu (12 kelurahan) - Lumpsum 3 dy x 3 trip x 3 prs day/prs Inland trans to Kabupaten Belu 3 trip x 3 prs trip/prs Accommodation 2 dy x 3 trip x 3 prs day/prs d. To Kelurahan in Kabupaten Sumba Barat (11 kelurahan) - Lumpsum 3 dy x 2 trip x 3 prs day/prs Inland trans to Kabupaten Sumba Barat 2 trip x 3 prs trip/prs Accommodation 2 dy x 2 trip x 3 prs day/prs e. To Kelurahan in Kabupaten Sumba Timur (11 kelurahan) - Lumpsum 3 dy x 2 trip x 3 prs day/prs Reimbushable 7 8 /

9 - Inland trans to Kabupaten Sumba Timur 2 trip x 3 prs trip/prs Accommodation 2 dy x 2 trip x 3 prs day/prs f. To Kelurahan in Kabupaten Sikka (13 kelurahan) - Lumpsum 3 dy x 3 trip x 3 prs day/prs Inland trans to Kabupaten Sikka 3 trip x 3 prs trip/prs Accommodation 2 dy x 3 trip x 3 prs day/prs g. To Kelurahan in Kabupaten Ende (13 kelurahan) - Lumpsum 3 dy x 3 trip x 3 prs day/prs Inland trans to Kabupaten Ende 3 trip x 3 prs trip/prs Accommodation 2 dy x 3 trip x 3 prs day/prs h. To Kelurahan in Kabupaten Ngada (9 kelurahan) - Lumpsum 3 dy x 2 trip x 3 prs day/prs Inland trans to Kabupaten Ngada 2 trip x 3 prs trip/prs Accommodation 2 dy x 2 trip x 3 prs day/prs i. To Kelurahan in Kabupaten Manggarai (11 kelurahan) - Lumpsum 3 dy x 2 trip x 3 prs day/prs Inland trans to Kabupaten Manggarai 2 trip x 3 prs trip/prs Accommodation 2 dy x 2 trip x 3 prs day/prs J. Meeting with NMC etc. Jakarta - Inland Transport 1 4 tm x 5 prs prs/tm Tiket Kupang - Jakarta 1 4 tm x 5 prs prs/tm Accommodation 3 dy x 4 tm x 5 prs prs/dy AMENDMENT CONTRACT NO. 5 II.3.6 Monitoring, Supervision, Coordination By Korkot and Askot 50% per siklus a. To Kelurahan in Kota Kupang (45 kelurahan) - Lumpsum 1 dy x 67 trip x 3 prs day/prs Inland trans to Kota Kupang 67 trip x 3 prs trip/prs Accommodation 1 dy x 67 trip x 3 prs day/prs - - b. To Kelurahan in Kabupaten Timor Tengah Selatan (12 kelurahan) - Lumpsum 1 dy x 18 trip x 4 prs day/prs Inland trans to Kabupaten Timor Tengah Selatan 18 trip x 3 prs trip/prs Accommodation 1 dy x 18 trip x 3 prs day/prs c. To Kelurahan in Kabupaten Belu (12 kelurahan) - Lumpsum 3 dy x 18 trip x 4 prs day/prs Inland trans to Kabupaten Belu 18 trip x 3 prs trip/prs Accommodation 2 dy x 18 trip x 3 prs day/prs d. To Kelurahan in Kabupaten Sumba Barat (11 kelurahan) - Lumpsum 3 dy x 16 trip x 4 prs day/prs Inland trans to Kabupaten Sumba Barat 16 trip x 3 prs trip/prs Accommodation 2 dy x 16 trip x 3 prs day/prs e. To Kelurahan in Kabupaten Sumba Timur (11 kelurahan) - Lumpsum 3 dy x 16 trip x 3 prs day/prs Inland trans to Kabupaten Sumba Timur 16 trip x 3 prs trip/prs Accommodation - dy x 16 trip x 3 prs day/prs - - f. To Kelurahan in Kabupaten Sikka (13 kelurahan) - Lumpsum 3 dy x 19 trip x 4 prs day/prs Inland trans to Kabupaten Sikka 19 trip x 3 prs trip/prs Accommodation 2 dy x 19 trip x 3 prs day/prs g. To Kelurahan in Kabupaten Ende (14 kelurahan) - Lumpsum 3 dy x 21 trip x 3 prs day/prs Inland trans to Kabupaten Ende 21 trip x 3 prs trip/prs Accommodation - dy x 21 trip x 3 prs day/prs - - h. To Kelurahan in Kabupaten Ngada (9 kelurahan) - Lumpsum 3 dy x 13 trip x 4 prs day/prs Inland trans to Kabupaten Ngada 13 trip x 3 prs trip/prs Accommodation 2 dy x 13 trip x 3 prs day/prs i. To Kelurahan in Kabupaten Manggarai (11 kelurahan) - Lumpsum 3 dy x 16 trip x 4 prs day/prs Inland trans to Kabupaten Manggarai 16 trip x 3 prs trip/prs Accommodation 2 dy x 16 trip x 3 prs day/prs j. Meeting with Province etc. (Kupang) - Inland trans from Kabupaten Sumba Barat 1 8 trip x 1 prs trip/prs Accommodation 1 dy x 8 trip x 1 prs day/prs Inland trans from Kabupaten Sumba Timur 1 8 trip x 3 prs trip/prs Accommodation 1 dy x 8 trip x 3 prs day/prs Inland trans from Kabupaten Timor Tengah Selatan 1 8 trip x 1 prs trip/prs Accommodation 1 dy x 8 trip x 1 prs day/prs Inland trans from Kabupaten Belu 1 8 trip x 1 prs trip/prs Accommodation 1 dy x 8 trip x 1 prs day/prs Inland trans from Kabupaten Sikka 1 8 trip x 1 prs trip/prs Accommodation 1 dy x 8 trip x 1 prs day/prs Inland trans from Kabupaten Ende 1 8 trip x 3 prs trip/prs Accommodation 1 dy x 8 trip x 3 prs day/prs Reimbushable 9 / 29

10 - Inland trans from Kabupaten Ngada 1 8 trip x 1 prs trip/prs Accommodation 1 dy x 8 trip x 1 prs day/prs Inland trans from Kabupaten Manggarai 1 8 trip x 1 prs trip/prs Accommodation 1 dy x 8 trip x 1 prs day/prs II.3.7 Duty Travel Pemandu National a Penguatan Pemandu Nasional - Inlad Travel 1 trip x 5 prs trip/prs Tiket Bali - Jakarta (PP) 1 trip x 5 prs trip/prs Inlad Travel 1 trip x 5 prs trip/prs Tiket Mataram - Jakarta (PP) 1 trip x 5 prs trip/prs Inlad Travel 1 trip x 4 prs trip/prs Tiket Kupang - Jakarta (PP) 1 trip x 4 prs trip/prs b TOT Pemandu Infra - Inlad Travel 1 trip x 1 prs trip/prs Tiket Bali - Jakarta (PP) 1 trip x 1 prs trip/prs Inlad Travel 1 trip x 1 prs trip/prs Tiket Mataram - Jakarta (PP) 1 trip x 1 prs trip/prs Inlad Travel 1 trip x 1 prs trip/prs Tiket Kupang - Jakarta (PP) 1 trip x 1 prs trip/prs c TOT Pemandu MK - Inlad Travel 1 trip x 1 prs trip/prs Tiket Bali - Jakarta (PP) 1 trip x 1 prs trip/prs Inlad Travel 1 trip x 1 prs trip/prs Tiket Mataram - Jakarta (PP) 1 trip x 1 prs trip/prs d TOT Pemandu SIM - Inlad Travel 1 trip x 1 prs trip/prs Tiket Bali - Jakarta (PP) 1 trip x 1 prs trip/prs Inlad Travel 1 trip x 1 prs trip/prs Tiket Mataram - Jakarta (PP) 1 trip x 1 prs trip/prs Inlad Travel 1 trip x 1 prs trip/prs Tiket Kupang - Jakarta (PP) 1 trip x 1 prs trip/prs e Konsolidasi National Trainer OC - Inlad Travel 1 trip x 2 prs trip/prs Tiket Bali - Jakarta (PP) 1 trip x 2 prs trip/prs f EGM/Coaching CB - Inlad Travel 1 trip x 1 prs trip/prs Tiket Bali - Jakarta (PP) 1 trip x 1 prs trip/prs Inlad Travel 1 trip x 1 prs trip/prs Tiket Mataram - Jakarta (PP) 1 trip x 1 prs trip/prs g EGM/Coaching Teknis /TA MK - Tiket Bali - Jakarta (PP) 1 trip x 1 prs trip/prs Tiket Kupang - Jakarta (PP) 1 trip x 1 prs trip/prs - Reimbushable - 10 / 29 -

11 h i j k EGM/Coaching Teknis /TA Infra - Tiket Bali - Jakarta (PP) 1 trip x 1 prs trip/prs EGM/Coaching Teknis /SIM - Tiket Bali - Jakarta (PP) 1 trip x 1 prs trip/prs EGM/Coaching TL dan PD - Inlad Travel 1 trip x 2 prs trip/prs Tiket Bali - Jakarta (PP) 1 trip x 2 prs trip/prs EGM/Coaching Monev - Inlad Travel 1 trip x 1 prs trip/prs Tiket Bali - Jakarta (PP) 1 trip x 1 prs trip/prs Inlad Travel 1 trip x 1 prs trip/prs Tiket Kupang - Jakarta (PP) 1 trip x 1 prs trip/prs II.3.8 Duty Travel Koordinasi By TL,Monev & AOM to PD a Provinsi Nusa Tenggara Barat - Inlad Travel - trip x 3 prs trip/prs Tiket Mataram - Bali (PP) - trip x 3 prs trip/prs Accommodation 3 day x - trip x 3 prs day/prs b Provinsi Nusa Tenggara Timur - Inlad Travel 1 trip x 3 prs trip/prs Tiket Kupang - Bali (PP) 1 trip x 3 prs trip/prs Accommodation 3 day x 2 trip x 3 prs day/prs II.3.9 Duty Travel Training Faskel Konsultan a Pelatihan Dasar - Inland Transport from Kabupaten Gianyar 1 trip x 4 prs trip/prs Inland Transport from Kabupaten Klungkung 1 trip x 10 prs trip/prs Inland Transport from Kabupaten Buleleng 1 trip x 3 prs trip/prs Inland trans from Kabupaten Lombok Barat 1 trip x 4 prs trip/prs Inland trans from Kabupaten Lombok Tengah 1 trip x 5 prs trip/prs Inland trans for Kabupaten Lombok Timur 1 trip x 7 prs trip/prs Inland trans from Kabupaten Sumbawa 1 trip x 7 prs trip/prs Inland trans from Kota Bima 1 trip x 9 prs trip/prs Inland trans from Kabupaten Sumba Barat 1 trip x 5 prs trip/prs Inland trans from Kabupaten Sumba Timur 1 trip x 4 prs trip/prs Inland trans from Kabupaten Timor Tengah Selatan 1 trip x 4 prs trip/prs Inland trans from Kabupaten Belu 1 trip x 3 prs trip/prs Inland trans from Kabupaten Sikka 1 trip x 3 prs trip/prs Inland trans from Kabupaten Ende 1 trip x 2 prs trip/prs Inland trans from Kabupaten Ngada 1 trip x 7 prs trip/prs Inland trans from Kabupaten Manggarai 1 trip x 4 prs trip/prs b Pelatihan Penguatan Reimbushable 11 / 29

12 - Inland Transport from Kabupaten Badung 1 trip x 5 prs trip/prs Inland Transport from Kabupaten Gianyar 1 trip x 10 prs trip/prs Inland Transport from Kabupaten Klungkung 1 trip x 16 prs trip/prs Inland Transport for Kabupaten Buleleng 1 trip x 15 prs trip/prs Inland trans from Kabupaten Lombok Barat 1 trip x 10 prs trip/prs Inland trans from Kabupaten Lombok Tengah 1 trip x 15 prs trip/prs Inland trans for Kabupaten Lombok Timur 1 trip x 28 prs trip/prs Inland trans from Kabupaten Sumbawa 1 trip x 10 prs trip/prs Inland trans from Kota Bima 1 trip x 24 prs trip/prs Inland trans from Kabupaten Sumba Barat 1 trip x 6 prs trip/prs Inland trans from Kabupaten Sumba Timur 1 trip x 4 prs trip/prs Inland trans from Kabupaten Timor Tengah Selatan 1 trip x 8 prs trip/prs Inland trans from Kabupaten Belu 1 trip x 3 prs trip/prs Inland trans from Kabupaten Sikka 1 trip x 6 prs trip/prs Inland trans from Kabupaten Ende 1 trip x 3 prs trip/prs Inland trans from Kabupaten Ngada 1 trip x 10 prs trip/prs Inland trans from Kabupaten Manggarai 1 trip x 6 prs trip/prs c Pelatihan Teknis Infra - Inland Transport from Kabupaten Badung 1 trip x 2 prs trip/prs Inland Transport from Kabupaten Gianyar 1 trip x 4 prs trip/prs Inland Transport from Kabupaten Klungkung 1 trip x 7 prs trip/prs Inland Transport for Kabupaten Buleleng 1 trip x 6 prs trip/prs Inland trans from Kabupaten Lombok Barat 1 trip x 4 prs trip/prs Inland trans from Kabupaten Lombok Tengah 1 trip x 5 prs trip/prs Inland trans for Kabupaten Lombok Timur 1 trip x 11 prs trip/prs Inland trans from Kabupaten Sumbawa 1 trip x 4 prs trip/prs Inland trans from Kota Bima 1 trip x 8 prs trip/prs Inland trans from Kabupaten Sumba Barat 1 trip x 2 prs trip/prs Inland trans from Kabupaten Sumba Timur 1 trip x 2 prs trip/prs Inland trans from Kabupaten Timor Tengah Selatan 1 trip x 2 prs trip/prs Inland trans from Kabupaten Belu 1 trip x 1 prs trip/prs Inland trans from Kabupaten Sikka 1 trip x 1 prs trip/prs Inland trans from Kabupaten Ende 1 trip x 3 prs trip/prs Inland trans from Kabupaten Ngada 1 trip x 4 prs trip/prs Inland trans from Kabupaten Manggarai 1 trip x 2 prs trip/prs d Pelatihan Teknis MK - Inland Transport from Kabupaten Badung 1 trip x 1 prs trip/prs Inland Transport from Kabupaten Gianyar 1 trip x 2 prs trip/prs Inland Transport from Kabupaten Klungkung 1 trip x 5 prs trip/prs Inland Transport for Kabupaten Buleleng 1 trip x 3 prs trip/prs Inland trans from Kabupaten Lombok Barat 1 trip x 2 prs trip/prs Inland trans from Kabupaten Lombok Tengah 1 trip x 4 prs trip/prs Inland trans for Kabupaten Lombok Timur 1 trip x 7 prs trip/prs Inland trans from Kabupaten Sumbawa 1 trip x 2 prs trip/prs Inland trans from Kota Bima 1 trip x 6 prs trip/prs Inland trans from Kabupaten Sumba Barat 1 trip x 2 prs trip/prs Inland trans from Kabupaten Sumba Timur 1 trip x 2 prs trip/prs Inland trans from Kabupaten Timor Tengah Selatan 1 trip x 3 prs trip/prs Inland trans from Kabupaten Belu 1 trip x 1 prs trip/prs Inland trans from Kabupaten Sikka 1 trip x 1 prs trip/prs Inland trans from Kabupaten Ende 1 trip x 3 prs trip/prs Inland trans from Kabupaten Ngada 1 trip x 3 prs trip/prs Inland trans from Kabupaten Manggarai 1 trip x 2 prs trip/prs e Pelatihan PPM Korkot dan Askot - Inland Transport from Kabupaten Badung 1 trip x 1 prs trip/prs Inland Transport from Kabupaten Gianyar 1 trip x 1 prs trip/prs Inland Transport from Kabupaten Klungkung 1 trip x 1 prs trip/prs Inland Transport for Kabupaten Buleleng 1 trip x 1 prs trip/prs Inland trans from Kabupaten Lombok Barat 1 trip x 1 prs trip/prs Inland trans from Kabupaten Lombok Tengah 1 trip x 1 prs trip/prs Inland trans for Kabupaten Lombok Timur 1 trip x 1 prs trip/prs Reimbushable 12 / 29

13 - Inland trans from Kabupaten Sumbawa 1 trip x 1 prs trip/prs Inland trans from Kota Bima 1 trip x 1 prs trip/prs Inland trans from Kabupaten Sumba Barat 1 trip x 1 prs trip/prs Inland trans from Kabupaten Sumba Timur 1 trip x 1 prs trip/prs Inland trans from Kabupaten Timor Tengah Selatan 1 trip x 1 prs trip/prs Inland trans from Kabupaten Belu 1 trip x 1 prs trip/prs Inland trans from Kabupaten Sikka 1 trip x 1 prs trip/prs Inland trans from Kabupaten Ende 1 trip x 1 prs trip/prs Inland trans from Kabupaten Ngada 1 trip x 1 prs trip/prs Inland trans from Kabupaten Manggarai 1 trip x 1 prs trip/prs II.3.10 Kegiatan Dukungan CB (di Wilayah) a TOT Askot Infra (di OC) - Inland Transport from Kabupaten Klungkung 1 trip x 2 prs trip/prs Inland trans for Kabupaten Lombok Timur 1 trip x 2 prs trip/prs Inland trans from Kota Bima 1 trip x 2 prs trip/prs Inlad Travel 1 trip x 6 prs prs/tm Tiket Mataram - Bali (PP) 1 trip x 6 prs prs/tm Inland trans from Kabupaten Sumba Timur 1 trip x 2 prs trip/prs Inland trans from Kabupaten Ende 1 trip x 3 prs trip/prs Inlad Travel 1 trip x 7 prs prs/tm Tiket Kupang - Bali (PP) 1 trip x 7 prs prs/tm b TOT Askot MK (di OC) - Inland Transport from Kabupaten Klungkung 1 trip x 1 prs trip/prs Inland trans for Kabupaten Lombok Timur 1 trip x 1 prs trip/prs Inland trans from Kota Bima 1 trip x 1 prs trip/prs Inlad Travel 1 trip x 4 prs prs/tm Tiket Mataram - Bali (PP) 1 trip x 4 prs prs/tm Inland trans from Kabupaten Sumba Timur 1 trip x 1 prs trip/prs Inland trans from Kabupaten Ende 1 trip x 2 prs trip/prs Inlad Travel 1 trip x 5 prs prs/tm Tiket Kupang - Bali (PP) 1 trip x 5 prs prs/tm c Pelatihan Asmandat (di OC) - Inland Transport from Kabupaten Klungkung 1 trip x 1 prs trip/prs Inland trans for Kabupaten Lombok Timur 1 trip x 1 prs trip/prs Inland trans from Kota Bima 1 trip x 1 prs trip/prs Inlad Travel 1 trip x 4 prs prs/tm Tiket Mataram - Bali (PP) 1 trip x 4 prs prs/tm Inland trans from Kabupaten Sumba Timur 1 trip x 1 prs trip/prs Inland trans from Kabupaten Ende 1 trip x 1 prs trip/prs Inlad Travel 1 trip x 4 prs prs/tm Tiket Kupang - Bali (PP) 1 trip x 4 prs prs/tm d TOT Pemandu Nasional untuk Coaching KBP (di OC) - Inland Transport from Kabupaten Klungkung 1 trip x 1 prs trip/prs Inland trans for Kabupaten Lombok Timur 1 trip x 1 prs trip/prs Inland trans for Kabupaten Lombok Tengah 1 trip x 1 prs trip/prs Inland trans for Kabupaten Lombok Barat 1 trip x 1 prs Inlad Travel 1 trip x 5 prs prs/tm Tiket Mataram - Bali (PP) 1 trip x 5 prs prs/tm Inlad Travel 1 trip x 4 prs prs/tm Tiket Kupang - Bali (PP) 1 trip x 4 prs prs/tm II.3.11 Kegiatan Dukungan CB (di Kab/Kota) di OC - - a Pelatihan Korkot 2 (Korkot dan Askot Mandiri) - Inland Transport from Kabupaten Badung 1 trip x 1 prs trip/prs - Reimbushable - 13 / 29 -

14 b - Inland Transport from Kabupaten Gianyar 1 trip x 1 prs trip/prs Inland Transport from Kabupaten Klungkung 1 trip x 1 prs trip/prs Inland Transport for Kabupaten Buleleng 1 trip x 1 prs trip/prs Inland trans from Kabupaten Lombok Barat 1 trip x 1 prs trip/prs Inland trans from Kabupaten Lombok Tengah 1 trip x 1 prs trip/prs Inland trans for Kabupaten Lombok Timur 1 trip x 1 prs trip/prs Inland trans from Kabupaten Sumbawa 1 trip x 1 prs trip/prs Inland trans from Kota Bima 1 trip x 1 prs trip/prs Inlad Travel 1 trip x 5 prs prs/tm Tiket Mataram - Bali (PP) 1 trip x 5 prs prs/tm Inland trans from Kabupaten Sumba Barat 1 trip x 1 prs trip/prs Inland trans from Kabupaten Sumba Timur 1 trip x 1 prs trip/prs Inland trans from Kabupaten Timor Tengah Selatan 1 trip x 1 prs trip/prs Inland trans from Kabupaten Belu 1 trip x 1 prs trip/prs Inland trans from Kabupaten Sikka 1 trip x 1 prs trip/prs Inland trans from Kabupaten Ende 1 trip x 1 prs trip/prs Inland trans from Kabupaten Ngada 1 trip x 1 prs trip/prs Inland trans from Kabupaten Manggarai 1 trip x 1 prs trip/prs Inlad Travel 1 trip x 10 prs prs/tm Tiket Kupang - Bali (PP) 1 trip x 10 prs prs/tm Loka Latih FKA BKM tk kota (3 org per kecamatan) - Inland Transport from Denpasar to Kabupaten Badung 1 trip x 2 prs trip/prs Inland Transport from Denpasar to Kabupaten Gianyar 1 trip x 2 prs trip/prs Inland Transport from Denpasar to Kabupaten Klungkung 1 trip x 2 prs trip/prs Inland Transport for denpasar to Kabupaten Buleleng 1 trip x 2 prs trip/prs Inland trans from Mataram to Kabupaten Lombok Barat 1 trip x 2 prs trip/prs Inland trans from Mataram to Kabupaten Lombok Tengah 1 trip x 2 prs trip/prs Inland trans form Mataram to Kabupaten Lombok Timur 1 trip x 2 prs trip/prs Inland trans from Mataram to Kabupaten Sumbawa 1 trip x 2 prs trip/prs Inland trans from Mataram to Kota Bima 1 trip x 2 prs trip/prs Inland trans from Kupang to Kabupaten Sumba Barat 1 trip x 2 prs trip/prs Inland trans from Kupang to Kabupaten Sumba Timur 1 trip x 2 prs trip/prs Inland trans from Kupang to Kabupaten Timor Tengah Selatan 1 trip x 2 prs trip/prs Inland trans from Kupang to Kabupaten Belu 1 trip x 2 prs trip/prs Inland trans from Kupang to Kabupaten Sikka 1 trip x 2 prs trip/prs Inland trans from Kupang to Kabupaten Ende 1 trip x 2 prs trip/prs Inland trans from Kupang to Kabupaten Ngada 1 trip x 2 prs trip/prs Inland trans from Kupang to Kabupaten Manggarai 1 trip x 2 prs trip/prs c Coaching KBP 1 kali even - Inland Transport from Denpasar to Kabupaten Badung 1 trip x 3 prs trip/prs Inland Transport from Denpasar to Kabupaten Gianyar 1 trip x 3 prs trip/prs Inland Transport from Denpasar to Kabupaten Klungkung 1 trip x 3 prs trip/prs Inland Transport for denpasar to Kabupaten Buleleng 1 trip x 3 prs trip/prs Inland trans from Mataram to Kabupaten Lombok Barat 1 trip x 3 prs trip/prs Reimbushable 14 / 29

15 - Inland trans from Mataram to Kabupaten Lombok Tengah 1 trip x 3 prs trip/prs Inland trans form Mataram to Kabupaten Lombok Timur 1 trip x 3 prs trip/prs Inland trans from Mataram to Kabupaten Sumbawa 1 trip x 3 prs trip/prs Inland trans from Mataram to Kota Bima 1 trip x 3 prs trip/prs Inland trans from Kupang to Kabupaten Sumba Barat 1 trip x 3 prs trip/prs Inland trans from Kupang to Kabupaten Sumba Timur 1 trip x 3 prs trip/prs Inland trans from Kupang to Kabupaten Timor Tengah Selatan 1 trip x 3 prs trip/prs Inland trans from Kupang to Kabupaten Belu 1 trip x 3 prs trip/prs Inland trans from Kupang to Kabupaten Sikka 1 trip x 3 prs trip/prs Inland trans from Kupang to Kabupaten Ende 1 trip x 3 prs trip/prs Inland trans from Kupang to Kabupaten Ngada 1 trip x 3 prs trip/prs Inland trans from Kupang to Kabupaten Manggarai 1 trip x 3 prs trip/prs II.3.13 Monitoring, Supervision, Coordination By Province Office (NTT) 3% per siklus - - a To New Kelurahan in Kota Kupang (4 kelurahan) - Lumpsum 1 dy x 2 trip x 3 prs day/prs b To New Kelurahan in Kabupaten Timor Tengah Selatan (1 kelurahan) - Lumpsum 2 dy x 2 trip x 3 prs day/prs Inland trans to Kabupaten Timor Tengah Selatan 2 trip x 3 prs day/prs Accommodation 1 dy x 2 trip x 3 prs day/prs c To New Kelurahan in Kabupaten Ngada (8 kelurahan) - Lumpsum 2 dy x 2 trip x 3 prs day/prs Inland trans to Kabupaten Ngada 2 trip x 3 prs day/prs Accommodation 1 dy x 2 trip x 3 prs day/prs d To New Kelurahan in Kabupaten Ende (1 kelurahan) - Lumpsum 2 dy x 2 trip x 3 prs day/prs Inland trans to Kabupaten Ende 2 trip x 3 prs day/prs Accommodation 1 dy x 2 trip x 3 prs day/prs e To New Kelurahan in Kabupaten Sikka (3 kelurahan) - Lumpsum 2 dy x 2 trip x 3 prs day/prs Inland trans to Kabupaten Sikka 2 trip x 3 prs day/prs Accommodation 1 dy x 2 trip x 3 prs day/prs f To New Kelurahan in Kabupaten Sumba Timur (3 kelurahan) - Lumpsum 2 dy x 2 trip x 3 prs day/prs Inland trans to Kabupaten Sumba Timur 2 trip x 3 prs day/prs Accommodation 1 dy x 2 trip x 3 prs day/prs II.3.14 Monitoring, Supervision, Coordination By Korkot and Askot 50% per siklus - - a To New Kelurahan in Kota Kupang (4 kelurahan) - Lumpsum 1 dy x 6 trip x 3 prs day/prs b To New Kelurahan in Kabupaten Timor Tengah Selatan (1 kelurahan) - Lumpsum 2 dy x 1 trip x 4 prs day/prs Inland trans to Kabupaten Timor Tengah Selatan 1 trip x 4 prs day/prs Accommodation 1 dy x 1 trip x 4 prs day/prs c To New Kelurahan in Kabupaten Ngada (8 kelurahan) - Lumpsum 2 dy x 12 trip x 4 prs day/prs Inland trans to Kabupaten Ngada 12 trip x 4 prs day/prs Accommodation 1 dy x 12 trip x 4 prs day/prs d To New Kelurahan in Kabupaten Ende (1 kelurahan) - Lumpsum 2 dy x 1 trip x 3 prs day/prs Inland trans to Kabupaten Ende 1 trip x 3 prs day/prs Accommodation 1 dy x 1 trip x 3 prs day/prs e To New Kelurahan in Kabupaten Sikka (3 kelurahan) - Lumpsum 2 dy x 4 trip x 4 prs day/prs Inland trans to Kabupaten Sikka 4 trip x 4 prs day/prs Accommodation 1 dy x 4 trip x 4 prs day/prs f To New Kelurahan in Kabupaten Sumba Timur (3 kelurahan) - Lumpsum 2 dy x 4 trip x 3 prs day/prs Inland trans to Kabupaten Sumba Timur 4 trip x 3 prs day/prs Reimbushable 15 / 29

16 - Accommodation 1 dy x 4 trip x 3 prs day/prs II.3.15 Sepecial Monitoring, Supervision, Coordination By Province Office NTT a To Kelurahan in Kabupaten Sikka (3 kelurahan Semparang, Kel Sempana & Kel. Gunung Sari) Lumpsum 3 dy x 1 trip x 2 prs day/prs Inland trans form Kab Kupang to Kab. Sikka 1 1 trip x 2 prs day/prs Inland trans form Kab Sikka to Kelurahan 1 trip x 2 prs day/prs II.3.16 Sepecial Monitoring, Supervision, Coordination By Korkot and Askot - - a To Kelurahan in Kabupaten Sikka (3 kelurahan Semparang, Kel Sempana & Kel. Gunung Sari) - Lumpsum 3 dy x 1 trip x 2 prs day/prs Inland trans form Kab Ende to Kab. Sikka 1 1 trip x 2 prs day/prs Inland trans form Kab Sikka to Kelurahan 1 trip x 2 prs day/prs Accommodation 2 dy x 1 trip x 2 prs day/prs II.3.17 Koordinasi Korkot dan Askot Advance ke KMW Inland Transport from Kabupaten Badung 1 2 tm x 3 prs prs/tm Accommodation 1 dy x 2 tm x 3 prs prs/dy Inland Transport from Kabupaten Gianyar 1 2 tm x 3 prs prs/tm Accommodation 1 dy x 2 tm x 3 prs prs/dy Inland Transport for Kabupaten Buleleng 1 2 tm x 3 prs prs/tm Accommodation 1 dy x 2 tm x 3 prs prs/dy Duty Travel 2011 II.3.19 Duty Travel Ke Jakarta a TOT Dasar Pemanas Konsultan (Calon Pemandu Nasional dari tiap OC) - Inland Transport from Kabupaten Badung 1 trip x 1 prs trip/prs Inland Transport from Kabupaten Gianyar 1 trip x 1 prs trip/prs Inland Transport for Kabupaten Buleleng 1 trip x 1 prs trip/prs Inlad Travel 1 trip x 3 prs trip/prs Tiket Bali - Jakarta (PP) 1 trip x 3 prs trip/prs Inland trans from Kabupaten Sumbawa 1 trip x 1 prs trip/prs Inland trans from Kota Bima 1 trip x 1 prs trip/prs Inland trans from Kabupaten Bima 1 trip x 1 prs trip/prs Inlad Travel 1 trip x 3 prs trip/prs Tiket Mataram - Jakarta (PP) 1 trip x 3 prs trip/prs Inland trans from Kabupaten Sumba Barat 1 trip x 1 prs trip/prs Inland trans from Kabupaten Sumba Timur 1 trip x 1 prs trip/prs Inland trans from Kabupaten Timor Tengah Selatan 1 trip x 1 prs trip/prs Inland trans from Kabupaten Belu 1 trip x 1 prs trip/prs Inland trans from Kabupaten Sikka 1 trip x 1 prs trip/prs Inland trans from Kabupaten Ende 1 trip x 1 prs trip/prs Inland trans from Kabupaten Ngada 1 trip x 1 prs trip/prs Inland trans from Kabupaten Manggarai 1 trip x 1 prs trip/prs Inlad Travel 1 trip x 9 prs trip/prs Tiket Kupang - Jakarta (PP) 1 trip x 9 prs trip/prs b TOT Dasar dan Penguatan Pemanas Konsultan - Inland Transport from Kabupaten Badung 1 trip x 1 prs trip/prs Inland Transport from Kabupaten Gianyar 1 trip x 1 prs trip/prs Inland Transport for Kabupaten Buleleng 1 trip x 1 prs trip/prs Inland Transport from Kabupaten Klungkung 1 trip x 1 prs trip/prs Inlad Travel 1 trip x 5 prs trip/prs Tiket Bali - Jakarta (PP) 1 trip x 5 prs trip/prs Inland trans from Kabupaten Sumbawa 1 trip x 1 prs trip/prs Inland trans from Kota Bima 1 trip x 1 prs trip/prs Inland trans from Kabupaten Bima 1 trip x 1 prs trip/prs Inland trans for Kabupaten Lombok Timur 1 trip x 1 prs trip/prs Inland trans for Kabupaten Lombok Tengah 1 trip x 1 prs trip/prs Inland trans for Kabupaten Lombok Barat 1 trip x 1 prs Inlad Travel 1 trip x 7 prs trip/prs Tiket Mataram - Jakarta (PP) 1 trip x 7 prs trip/prs Inland trans from Kabupaten Sumba Barat 1 trip x 1 prs trip/prs Inland trans from Kabupaten Sumba Timur 1 trip x 1 prs trip/prs Inland trans from Kabupaten Timor Tengah Selatan 1 trip x 1 prs trip/prs Inland trans from Kabupaten Belu 1 trip x 1 prs trip/prs Reimbushable 16 / 29