PT.

SIARPLAN UTAMA KONSULTAN

Konsultan Jalan
Perencanaan & Pengawas
Sam Ratulangi V Nomor 11 Telp/Fax. (0380) - 832771 Kupang

F.3.2 BREAKDOWN OF REIMBURSABLE EXPENSES

Consultant Estimate
No Description Time Unit Unit price
Quantity
US$
1 2 3 4 5=2x3 6

A MOBILISASI DE MOBILISASI
1 Profeesional Staff (Expert)
1.1 Malang - Kupang - Dilli 3 Person 1.00 Trip 3.00 450.00
1.2 Kupang - Dilli 3 Person 2.00 Trip 6.00 150.00
1.3 Paspport + Visa 6 Person 1.00 Trip 6.00 100.00

2 Sub Proffesional Staff

2.1 Kupang - Dilli 10 Person 1.00 Trip 10.00 150.00
2.2 Paspport + Visa 10 Person 1.00 Trip 10.00 100.00
Sub Total

B OFFICES OVERHEAD COST

1 Communication Ls 2.00 Month 2.00 200.00
3 Offices equipment LS 2.00 Month 2.00 200.00
4 Housing Staff 1 Unit 2.00 Month 2.00 500.00
5 Computer & Printer 4 Unit 2.00 Month 4.00 100.00
6 Offices Consumables LS 2.00 Month 6.00 200.00
Sub Total
C Site Investigation (8 location)
C.1 Reconnaisance
1 Transportation to Site
Rent of Car 1 Unit 10.00 day 10.00 750.00
2 Survey Equipment 1 LS 10.00 day 6.00 300.00
3 Documentation 1 Ls 1.00 100.00
Sub Total
C.2 Topographic Survey & Mapping
1 Salary cost
1. Labour (local component) 6 perns 15.00 day 90.00 25.00
3 Rent of Car 1 Unit 15.00 day 15.00 750.00
4 Equipment
Teodolit 2 Unit 15.00 day 30.00 75.00
GPS Hand Held 2 Unit 15.00 day 30.00 25.00
Waterpass 2 Unit 15.00 day 30.00 75.00
 Documentation, etc Ls 1.00 50.00
Sub Total
C.3 Hidrologi Survey
1 Salary cost
1. Labour (local component) 2 perns 10.00 day 20.00 25.00
2 Rent of Car 1 Unit 10.00 day 10.00 750.00
3 Equipment
GPS Hand Held 1 Unit 10.00 day 10.00 25.00
Documentation, etc Ls 1.00 50.00
Sub Total
C.4 Geotechnic Survey
1 Salary cost
a. Soil technician 3 perns 20.00 day 60.00 75.00
b. Labour 4 perns 20.00 day 80.00 25.00
3 Transportasi
2 Rent of Car 1 Unit 20.00 day 20.00 750.00
4 Equipment
Ducth cone penetrometer Test 1 Unit 20.00 day 20.00 500.00
Soil sampling LS 1.00 150.00
Hand Boring 1 Unit 20.00 day 20.00 250.00
Laboratory quipment ls 1.00 1,000.00
Documentation Ls 1.00 50.00
9 Data Analysis ls 1.00 200.00
Sub Total
C.5 Detail Design & Bid Document
1 Equipment
Computer & Printer 4 unit 2.00 month 8.00 250.00
Offices consumables, etc Ls 1.00 750.00
Sub Total
Sub Total B

F.2.2 DOCUMENTATION

Consultant Estimate
No Description Unit Unit price
Quantity
US$
1 2 3 4 5
A Inception Report Sets 6.00 30.00
B Draft Design Report
a. Draft Design Drawing Sets 6.00 150.00
b. Draft Bill of Quantity Sets 6.00 40.00
c. Draft Engineering Estimate/Cost estimate Sets 6.00 40.00
d. Design Note's Sets 6.00 60.00
Sub total
C.1 Final Design Report
a. Site survey & Mapping Report Sets 6.00 60.00
b. Geotechnical Report Sets 6.00 60.00
c. Hidrologyst Report Sets 6.00 60.00
d. Design Drawing Sets 6.00 60.00
e. Bill of Quantity Sets 6.00 40.00
h. Environmental Management Plan Sets 6.00 40.00
i. Design Note's Sets 6.00 40.00
C.2 Bidding Document (Each Package)
a. Bid Document Sets 6.00 60.00
b. Technical Specification Sets 6.00 60.00
c. Desain Drawing Sets 6.00 150.00
d. CD back up design Sets 6.00 10.00
Sub total
D
a. Environmental Impact Assesment Analysis Sets 6.00 40.00
b. Environmental Management Plan Sets 6.00 40.00
Sub total
Sub Total
 PLAN UTAMA KONSULTAN
Perencanaan & Pengawasan
n Sam Ratulangi V Nomor 11 Telp/Fax. (0380) - 832771 Kupang

Consultant Estimate
Cost
US$
7=5x6

1,350.00
900.00
600.00
-
-
1,500.00
1,000.00
5,350.00

400.00
400.00
1,000.00
400.00
1,200.00
3,400.00

7,500.00
1,800.00
100.00
9,400.00

2,250.00
11,250.00

2,250.00
750.00
2,250.00
 50.00
18,800.00

500.00
7,500.00

250.00
50.00
8,300.00

4,500.00
2,000.00

15,000.00

10,000.00
150.00
5,000.00
1,000.00
50.00
200.00
37,900.00

2,000.00
750.00
2,750.00
80,550.00

Consultant Estimate
Cost
US$
6=4x5
180.00

900.00
240.00
240.00
360.00
1,740.00
 360.00
360.00
360.00
360.00
240.00
240.00
240.00

360.00
360.00
900.00
60.00
3,840.00

240.00
240.00
480.00
6,240.00
 PT. SIARPLAN UTAMA KONSULTAN
KonsultanJalanPerencanaan & Pengawas
Sam Ratulangi V Nomor 11 Telp/Fax. (0380) - 8585089 Kupang

F.3.2 BREAKDOWN OF REIMBURSABLE EXPENSES

Consultant Estimate
No Description Time Unit Unit price
Quantity
US$
1 2 3 4 5=2x3 6

A MOBILISASI DE MOBILISASI
1 Profeesional Staff (Expert)
1.1 Malang - Kupang - Dilli 3 Person 1.00 Trip 3.00 450.00
1.2 Kupang - Dilli 3 Person 2.00 Trip 6.00 150.00
1.3 Paspport + Visa 6 Person 1.00 Trip 6.00 100.00

2 Sub Proffesional Staff

2.1 Kupang - Dilli 10 Person 1.00 Trip 10.00 150.00
2.2 Paspport + Visa 10 Person 1.00 Trip 10.00 100.00
Sub Total

B OFFICES OVERHEAD COST

1 Communication Ls 2.00 Month 2.00 200.00
3 Offices equipment LS 2.00 Month 2.00 200.00
4 Housing Staff 1 Unit 2.00 Month 2.00 500.00
5 Computer & Printer 4 Unit 2.00 Month 4.00 100.00
6 Offices Consumables LS 2.00 Month 6.00 200.00
Sub Total
C Site Investigation (8 location)
C.1 Reconnaisance
1 Transportation to Site
Rent of Car 1 Unit 10.00 day 10.00 750.00
2 Survey Equipment 1 LS 10.00 day 6.00 300.00
3 Documentation 1 Ls 1.00 100.00
Sub Total
C.2 Topographic Survey & Mapping
1 Salary cost
1. Labour (local component) 6 perns 15.00 day 90.00 25.00
3 Rent of Car 1 Unit 15.00 day 15.00 750.00
4 Equipment
Teodolit 2 Unit 15.00 day 30.00 75.00
GPS Hand Held 2 Unit 15.00 day 30.00 25.00
Waterpass 2 Unit 15.00 day 30.00 75.00
 Documentation, etc Ls 1.00 50.00
Sub Total
C.3 Hidrologi Survey
1 Salary cost
1. Labour (local component) 2 perns 10.00 day 20.00 25.00
2 Rent of Car 1 Unit 10.00 day 10.00 750.00
3 Equipment
GPS Hand Held 1 Unit 10.00 day 10.00 25.00
Documentation, etc Ls 1.00 50.00
Sub Total
C.4 Geotechnic Survey
1 Salary cost
a. Soil technician 3 perns 20.00 day 60.00 75.00
b. Labour 4 perns 20.00 day 80.00 25.00
3 Transportasi
2 Rent of Car 1 Unit 20.00 day 20.00 750.00
4 Equipment
Ducth cone penetrometer Test 1 Unit 20.00 day 20.00 500.00
Soil sampling LS 1.00 150.00
Hand Boring 1 Unit 20.00 day 20.00 250.00
Laboratory quipment ls 1.00 1,000.00
Documentation Ls 1.00 50.00
9 Data Analysis ls 1.00 200.00
Sub Total
C.5 Detail Design & Bid Document
1 Equipment
Computer & Printer 4 unit 2.00 month 8.00 250.00
Offices consumables, etc Ls 1.00 750.00
Sub Total
Sub Total B

F.2.2 DOCUMENTATION

Consultant Estimate
No Description Unit Unit price
Quantity
US$
1 2 3 4 5
A Inception Report Sets 6.00 30.00
B Draft Design Report
a. Draft Design Drawing Sets 6.00 150.00
b. Draft Bill of Quantity Sets 6.00 40.00
c. Draft Engineering Estimate/Cost estimate Sets 6.00 40.00
d. Design Note's Sets 6.00 60.00
Sub total
C.1 Final Design Report
a. Site survey & Mapping Report Sets 6.00 60.00
b. Geotechnical Report Sets 6.00 60.00
c. Hidrologyst Report Sets 6.00 60.00
d. Design Drawing Sets 6.00 60.00
e. Bill of Quantity Sets 6.00 40.00
h. Environmental Management Plan Sets 6.00 40.00
i. Design Note's Sets 6.00 40.00
C.2 Bidding Document (Each Package)
a. Bid Document Sets 6.00 60.00
b. Technical Specification Sets 6.00 60.00
c. Desain Drawing Sets 6.00 150.00
d. CD back up design Sets 6.00 10.00
Sub total
D
a. Environmental Impact Assesment Analysis Sets 6.00 40.00
b. Environmental Management Plan Sets 6.00 40.00
Sub total
Sub Total
RPLAN UTAMA KONSULTAN
Perencanaan & Pengawasan
an Sam Ratulangi V Nomor 11 Telp/Fax. (0380) - 8585089 Kupang

Consultant Estimate
Cost
US$
7=5x6

1,350.00
900.00
600.00
-
-
1,500.00
1,000.00
5,350.00

400.00
400.00
1,000.00
400.00
1,200.00
3,400.00

7,500.00
1,800.00
100.00
9,400.00

2,250.00
11,250.00

2,250.00
750.00
2,250.00
 50.00
18,800.00

500.00
7,500.00

250.00
50.00
8,300.00

4,500.00
2,000.00

15,000.00

10,000.00
150.00
5,000.00
1,000.00
50.00
200.00
37,900.00

2,000.00
750.00
2,750.00
80,550.00

Consultant Estimate
Cost
US$
6=4x5
180.00

900.00
240.00
240.00
360.00
1,740.00
 360.00
360.00
360.00
360.00
240.00
240.00
240.00

360.00
360.00
900.00
60.00
3,840.00

240.00
240.00
480.00
6,240.00
 PT. SIARPLAN UTAMA KONSULTAN
Konsultan Jalan
Perencanaan & Pengawas
Sam Ratulangi V Nomor 11 Telp/Fax. (0380) - 832771 Kupang

F.2.2. DOCUMENTATION

DELIVERABLE QTY TIMMING

A INCEPTION REPORT 6 Sets

30 days after star date
ENVIRONMENTAL IMPACT ASSESMENT
REPORT and ENVIRONMENTAL At Completion of
B 6 Sets
MANAGEMENT PLAN Assignment

C MONTHLY PROGRESS REPORT 6 Sets

Day 5 of each month

DRAFT DESIGN REPORT with One month before

D 6 Sets
CONSTRUCTION DRAWING completion

FINAL DESIGN REPORT withCONSTRUCTION Within one month after

E 6 Sets
DRAWING comments on DDR by
Client
TOTAL AMOUNT

Kupang, 05 Mei 2009

PT. SIARPLAN UTAMA KONSULTAN
Konsultan Perencanaan dan Pengawasa

IR. ALEKSIUS D. RICHARDSON

Direktur
 PLAN UTAMA KONSULTAN
Perencanaan & Pengawasan
n Sam Ratulangi V Nomor 11 Telp/Fax. (0380) - 832771 Kupang

AMOUNT (US$)

180.00

480.00

Err:509

1,740.00

3,840.00
Err:509

Kupang, 05 Mei 2009

PT. SIARPLAN UTAMA KONSULTAN
Konsultan Perencanaan dan Pengawasan

IR. ALEKSIUS D. RICHARDSON

Direktur
 PT. SIARPLAN UTAMA KONSULTAN
KonsultanJalanPerencanaan & Pengawasan
Sam Ratulangi V Nomor 11 Telp/Fax. (0380) - 8585089 Kupang

BREAKDOWN OF REMUNERATION & REMBURSABLE EXPENSES

F.3.1. REMUNERATION

STAFF MONTHLY RATES (US$) MAN MONTH COST (US$)

NAME POSITION
FIELD HOME OFFICE FIELD/OFFICES FIELD
1 Team Leader $ 2,865.00 $ 2,415.00 2.00 $ 5,730.00
2 Material/Geotech Engineer $ 2,387.50 $ 2,012.50 2.00 $ 4,775.00
3 Highway design Engineer $ 2,387.50 $ 2,012.50 2.00 $ 4,775.00
4 Enironmental Specialist $ 2,387.50 $ 2,012.50 2.00 $ 4,775.00
5 Quantity/Cost Engineer $ 2,387.50 $ 2,012.50 2.00 $ 4,775.00
6 Bridge Design Engineer $ 2,387.50 $ 2,012.50 2.00 $ 4,775.00
7 Surveyor Engineer $ 1,910.00 $ 1,610.00 4.00 $ 7,640.00
8 Geotech Locating Surveyor $ 1,910.00 $ 1,610.00 6.00 $ 11,460.00
9 Topographic Locating Surveyor $ 1,432.50 $ 1,207.50 12.00 $ 17,190.00
10 CAD Operator $ 1,432.50 $ 1,207.50 8.00 $ 11,460.00
11 Office Administration $ 859.50 $ 644.00 2.00 $ 1,719.00

TOTA COST $ 79,074.00

Kupang, 10 September 2014

PT. SIARPLAN UTAMA KONSULTAN
Konsultan Perencanaan dan Pengawasan

IR. RANI HENDRIKUS, MS

Direktur
 PT. SIARPLAN UTAMA KONSULTAN
KonsultanJalanPerencanaan & Pengawa
Sam Ratulangi V Nomor 11 Telp/Fax. (0380) - 8585089 Kupang

SUMMARY & BREAKDOWN COST

CONSULTANT SERVICES

Project Name : Detailed Engineering Design and Bid Document Preparation For Road
Project Owner : Ministry of Infrastructure Procurement Services
Directorate of Administration and Finance

NO DESCRIPTION

I REMUNERATION COST

II REMBURSABLE COST
Offices Overhead Cost
Site Investigation
Documentation

TOTAL ( I + II )
TAX (4%)
TOTAL
GRAND TOTAL

Kupang, 10 September 2014

PT. SIARPLAN UTAMA KONSULTAN
Konsultan Perencanaan dan Pengawasan

IR. RANI HENDRIKUS, MS

Direktur
ARPLAN UTAMA KONSULTAN
nJalanPerencanaan & Pengawasan
Sam Ratulangi V Nomor 11 Telp/Fax. (0380) - 8585089 Kupang

SUMMARY & BREAKDOWN COST

CONSULTANT SERVICES

Detailed Engineering Design and Bid Document Preparation For Road

TOTAL COST
(US$)

$ 79,074.00

$ 3,400.00
$ 80,550.00
$ 6,240.00

$ 169,264.00
$ 6,770.56
$ 176,034.56
$ 176,000.00

Kupang, 10 September 2014

PT. SIARPLAN UTAMA KONSULTAN
Konsultan Perencanaan dan Pengawasan

IR. RANI HENDRIKUS, MS

Direktur
 FIN-4 BREAKDOWN OF REMUNERATION1

LOAN NO./TITLE:
1 2 3 4 5 6 7 8 9 10

Basic
Social
EXPERT Monthly Overhead Sub-Total Fee Home Office Others5/ Field Rate Multiplier
Charges Support
Salery Rate Month /Month
Documents
(4+5)
Position Amount Amount Amount Amount Amount
Firm1/ Citizenship Date of Birth Type2/ Category3/ Currency 4/
Full-Name 30% of 1 10% of 1 (1+2+3) 15% of 4 30% of 1 (6+7) (8/1)
Team Leader

1 Indonesia 1/9/1963 I FT $ 1,500.00 $ 450.00 $ 150.00 $ 2,100.00 $ 315.00 $ 2,415.00 $ 450.00 $ 2,865.00 1.91

Geotech/Soil Engineer

1 Indonesia 15/01/1954 I FT $ 1,250.00 $ 375.00 $ 125.00 $ 1,750.00 $ 262.50 $ 2,012.50 $ 375.00 $ 2,387.50 1.91

Highway design Engineer

1 Indonesia 17/04/1971 I FT $ 1,250.00 $ 375.00 $ 125.00 $ 1,750.00 $ 262.50 $ 2,012.50 $ 375.00 $ 2,387.50 1.91

Enironmental Specialist

1 Indonesia 5/7/1976 I FT $ 1,250.00 $ 375.00 $ 125.00 $ 1,750.00 $ 262.50 $ 2,012.50 $ 375.00 $ 2,387.50 1.91

Quantity/Cost Engineer

1 Indonesia 18/10/1968 I FT $ 1,250.00 $ 375.00 $ 125.00 $ 1,750.00 $ 262.50 $ 2,012.50 $ 375.00 $ 2,387.50 1.91

Bridge Design Engineer

1 Indonesia 18/08/1960 I FT $ 1,250.00 $ 375.00 $ 125.00 $ 1,750.00 $ 262.50 $ 2,012.50 $ 375.00 $ 2,387.50 1.91

Surveyor Engineer

1 Indonesia 25/03/1974 I FT $ 1,000.00 $ 300.00 $ 100.00 $ 1,400.00 $ 210.00 $ 1,610.00 $ 300.00 $ 1,910.00 1.91

Geotech Locating Surveyor

1 Indonesia 23/01/1967 I FT $ 1,000.00 $ 300.00 $ 100.00 $ 1,400.00 $ 210.00 $ 1,610.00 $ 300.00 $ 1,910.00 1.91

Topographic Locating Surveyor

2 Indonesia 11/5/1971 I FT $ 750.00 $ 225.00 $ 75.00 $ 1,050.00 $ 157.50 $ 1,207.50 $ 225.00 $ 1,432.50 1.91

CAD Operator

2 Indonesia 3/11/1966 I FT $ 750.00 $ 225.00 $ 75.00 $ 1,050.00 $ 157.50 $ 1,207.50 $ 225.00 $ 1,432.50 1.91

Offices/Adm

2 Indonesia 17/05/1964 N 0S $ 450.00 $ 135.00 $ 45.00 $ 630.00 $ 94.50 $ 724.50 $ 135.00 $ 859.50 1.91

1/
Initials of lead firm associated (pls indicate in the box, the firm represented by initials):

2/
I=International, N=National
INITIALS FIRM NAME
CERTIFIED AS CORRECT :
3/
FT - Full time with lead firm or associate firm
1
OS - Other source (other than lead firm or associate firm) Name :

IP - Independent consultant/free lancer 2

Position in Firm :
4/
Currency of the firm's country

5/
If applicable, pls.provide explanations. Date :

1
Requeired to be completed for CQS, QBS and SSS methods
 FORM T3. CONSULTANTS FIRM'S EXPERIENCE

Assignment Name Approx. USD value of the Project

NEW CONSTRUCTION LABORATORY USD 238,393.84

METROLOGY & STANDARDIZE BUILDING
(BPSMB)
Country : Total staff-months your firm :
Timor Leste
Location within country :
18 man-months
Caicoli - Dili
Name of Client Approx. USD value of services
from your firm :
Ministerio do Desenvolvimento
Division of Metrology & Standardizaton USD 13,041.26

Address : Start date (month/year)

Caicoli - Dili August 2006

Name of associated Consultans, if any: Name of senior professional staff of your firm involved and functions
performed :
1. David Pelata, ST
2. Elizinu Ferreira, ST
3. Martinho de Deus
Narrative description of project
The project's objective according to the scope of works is providing the architectural, structural and Plumbing and
electrical design for the former NEW CONSTRUCTION LABORATORY METROLOGY & STANDARDIZE BUILDING
(BPSMB) in Caicoli - Dili. This design including bill of quantity, cost estimation and technical specification preparation

Description of actual services provided by your staff within the assignment :

1. Provide architectural rehabilitation design
2. Provide structural design
3. Provide electrical & plumbing design
4. Provide bill of quantities
5. Provide cost estimation
6. Provide technical specification
FIRM NAME : MAIDALO I CONSULTANT

FORM T3. CONSULTANTS EXPERIENCE

Assignment Name Approx. USD value of the Project

REHABILITATION PARK & GARDEN PLACED USD 79,158.42

Country : Total staff-months your firm :

Timor Leste
Location within country :
12 man-months
Fomento - Dili
Name of Client Approx. USD value of services
from your firm :
Ministerio do Desenvolvimento
Division Adm. & Financas USD 5,541.09

Address : Start date (month/year)

Fomento - Dili August 2006

Name of associated Consultans, if any: Name of senior professional staff of your firm involved and functions
performed :
1. David Pelata, ST
2. Elizinu Ferreira, ST
3. Martinho de Deus
Narrative description of project
The project's objective according to the scope of works is providing the architectural,
for the former REHABILITATION PARK & GARDEN PLACED in Fomento - Dili.
This design including bill of quantity, cost estimation and technical specification preparation

Description of actual services provided by your staff within the assignment :

1. Provide architectural rehabilitation design
4. Provide bill of quantities
5. Provide cost estimation
6. Provide technical specification

FIRM NAME : MAIDALO I CONSULTANT

FORM T3. CONSULTANTS EXPERIENCE

Assignment Name Approx. USD value of the Project

USD 701,362.81
NEW CONSTRUCTION OF HOSTEL BUILDING
ERMERA
Country : Total staff-months your firm :
Timor Leste
Location within country :
24 man-months
GLENO - ERMERA
Name of Client Approx. USD value of services
from your firm :
FUNDAÇÃO O BOM SAMARITANO
USD 49,095.4

Address : Start date (month/year)

GLENO - ERMERA August 2004

Name of associated Consultans, if any: Name of senior professional staff of your firm involved and functions
performed :
1. David Pelata, ST
2. Elizinu Ferreira, ST
3. Martinho de Deus
Narrative description of project
The project's objective according to the scope of works is providing the architectural, structural and Plumbing and
electrical design for the former NEW CONSTRUCTION OF HOSTEL BUILDING ERMERA including NEW CONSTRUCTION OF
OFFICE BUILDING, NEW CONSTRUCTION OF CLINIC BUILDING, NEW CONSTRUCTION OF LIBRARY, STUDY BUILDING
REHABILITATION OF FENCE in Gleno - Ermera.

Description of actual services provided by your staff within the assignment :

1. Provide architectural rehabilitation design
2. Provide structural design
3. Provide electrical & plumbing design
4. Provide bill of quantities
5. Provide cost estimation
6. Provide technical specification

FIRM NAME : MAIDALO I CONSULTANT

FORM T3. CONSULTANTS EXPERIENCE

Assignment Name Approx. USD value of the Project

NEW CONSTRUCTION TYPE 36 BUILDING USD 950,760.00

Country : Total staff-months your firm :

Timor Leste
Location within country :

BAUCAU, DILI, LOSPALOS, ILIOMAR, 24 man-months

VIQUEQUE, AINARO, LIQUICA, ERMERA
MANATUTO, AILEU, SAME DISTRICT
Name of Client Approx. USD value of services
from your firm :
Ministry of Solidaridade & Trabalho
USD 87,500.00
 USD 87,500.00

Address : Start date (month/year)

Dili - Timor Leste December 2006

Name of associated Consultans, if any: Name of senior professional staff of your firm involved and functions
performed :
1. David Pelata, ST
2. Elizinu Ferreira, ST
3. Martinho de Deus
Narrative description of project
The project's objective according to the scope of works is providing the architectural, structural and Plumbing and
electrical design for the former NEW CONSTRUCTION TYPE 36 BUILDING (100 Unit) at BAUCAU, DILI, LOSPALOS, ILIOMAR,
VIQUEQUE, AINARO, LIQUICA, ERMERA MANATUTO, AILEU, SAME DISTRICT. This design including bill of quantity,
cost estimation and technical specification preparation

Description of actual services provided by your staff within the assignment :

1. Provide architectural rehabilitation design
2. Provide structural design
3. Provide electrical & plumbing design
4. Provide bill of quantities
5. Provide cost estimation
6. Provide technical specification

FIRM NAME : MAIDALO I CONSULTANT

S EXPERIENCE

Assignment duration
(months)

1 Months

Total staff-months
your associate firm :

Approx. USD value of services

from your associate firm :

Completion date (month/year)

September 2006

al staff of your firm involved and functions

Project Manager/Structural
CAD Designer
Site Engineer

tural, structural and Plumbing and

OLOGY & STANDARDIZE BUILDING
nd technical specification preparation
 PERIENCE

Assignment duration
(months)

1 Months

Total staff-months
your associate firm :

Approx. USD value of services

from your associate firm :

Completion date (month/year)

September 2006

al staff of your firm involved and functions

Project Manager/Structural
CAD Designer
Site Engineer
 PERIENCE

Assignment duration
(months)

3 Months

Total staff-months
your associate firm :

Approx. USD value of services

from your associate firm :

Completion date (month/year)

Oktober 2004

al staff of your firm involved and functions

Project Manager/Structural
CAD Designer
Site Engineer
 tural, structural and Plumbing and
G ERMERA including NEW CONSTRUCTION OF
ONSTRUCTION OF LIBRARY, STUDY BUILDING

PERIENCE

Assignment duration
(months)

1 Months

Total staff-months
your associate firm :

Approx. USD value of services

from your associate firm :
 Completion date (month/year)

Januari 2007

al staff of your firm involved and functions

Project Manager/Structural
CAD Designer
Site Engineer

tural, structural and Plumbing and

00 Unit) at BAUCAU, DILI, LOSPALOS, ILIOMAR,
ICT. This design including bill of quantity,
 PT. SIARPLAN UTAMA KONSULTAN
Konsultan Jalan
Perencanaan & Pengawasan
Sam Ratulangi V Nomor 11 Telp/Fax. (0380) - 832771 Kupang

FORM T.5.3.

CONSULTANT'S WORK PROGRAM

WEEK NOMINAL ACTIVITY

START
NO ACTIVITY 1 2 3 4 5 6 DURATION
DATE
1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 (Weeks) ###

1 PREPARATION WORK
1 Desk Study 1 1 1 3.000
2 Inception Report 1 1 1 3.000
3 Collection Primary data 1 1 1 3.000
4 Review Secondary data 1 1 1 3.000
5 Mobilization 1 1 1 1 4.000
6 Reconnaisance 1 1 1 1 4.000
7 Preliminary Survey Report 1 1 1 1 4.000
2 SITE INVESTIGATION
1 Inventory data existing condition
2 Topografi survey 1 1 1 1 1 1 1 1 1 1 1 1 1 1 14.000
3 Long-cross survey each 20 meters 1 1 1 1 1 1 1 1 1 1 1 1 1 1 14.000
4 Horisontal & vertical alignment survey 1 1 1 1 1 1 1 1 1 1 1 1 1 1 14.000
5 Borrow area material 1 1 1 1 1 1 1 1 1 1 1 1 1 1 14.000
6 Benklemean Beam Test 1 1 1 1 1 1 1 1 1 1 1 1 1 1 14.000
7 Traffic Survey 1 1 1 1 1 1 1 1 1 1 1 1 1 1 14.000
3 Environmental Survey
1 Identification site problem 1 1 1 1 1 1 1 1 1 1 1 11.000
2 Collect. Data existing 1 1 1 1 1 1 1 1 1 1 1 11.000
4 Hidrological Survey 1 1 1 1 1 1 1 1 1 1 1 11.000
1 Area rainfal 1 1 1 1 1 1 1 1 1 1 1 11.000
2 Site Hidrogeologi 1 1 1 1 1 1 1 1 1 1 1 11.000
3 Catchment area 1 1 1 1 1 1 1 1 1 1 1 11.000
5 Geotech/Soil Survey
5.1. Field data Collection
1 Boring & Soil sampling data 1 1 1 1 1 1 1 1 1 1 1 11.000
2 Duct Cone Penetrometer 1 1 1 1 1 1 1 1 1 1 1 11.000
3 Pavement material sampling 1 1 1 1 1 1 1 1 1 1 1 11.000
5.2. Laboratory Testing 0.000
1 Soil data properties 1 1 1 1 1 1 1 1 1 1 1 1 1 13.000
2 Shear strengt of soil 1 1 1 1 1 1 1 1 1 1 1 1 1 13.000
3 Compaction Test 1 1 1 1 1 1 1 1 1 1 1 1 1 13.000
5 CBR Test 1 1 1 1 1 1 1 1 1 1 1 1 1 13.000
6 Abration test 1 1 1 1 1 1 1 1 1 1 1 1 12.000
7 Gradation Test 1 1 1 1 1 1 1 1 1 1 1 1 12.000
6 Analysis Data Engineering Design
1 Field data 1 1 1 1 1 1 1 1 1 1 1 1 12.000
2 Geotech/soil data 1 1 1 1 1 1 1 1 1 1 1 1 12.000
3 Hidrological & Drainage site 1 1 1 1 1 1 1 1 1 1 1 1 12.000
4 Traffic data 1 1 1 1 1 1 1 1 1 1 1 1 12.000
5 Topografical and site mapping 1 1 1 1 1 1 1 1 1 1 1 1 12.000
6 Environment Impact Assesment & EMP 1 1 1 1 1 1 1 1 1 1 1 1 12.000
7 Design Engineering
Geometric design 1 1 1 1 1 1 1 1 1 1 1 1 12.000
Pavement layer design 1 1 1 1 1 1 1 1 1 1 1 1 12.000
Drainage 1 1 1 1 1 1 1 1 1 1 1 1 12.000
Slope protection 1 1 1 1 1 1 1 1 1 1 1 1 12.000
Embankment material 1 1 1 1 1 1 1 1 1 1 1 1 12.000
8 Detail Drawing
Long cross 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 16.000
Vertical & Horisontal Alignment 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 16.000
Typikal Cross section 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 16.000
Street map 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 16.000
Drainage structur 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 16.000
Slope protection structuk 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 16.000
9 Bill of Quantity & Cost Estimate 1 1 1 1 1 1 1 1 1 1 1 1 12.000
10 Technical Specification 1 1 1 1 1 1 1 1 1 1 1 1 12.000
Tender Preparation Document 1 1 1 1 1 1 1 1 1 1 1 1 12.000
11 Design Drawing 1 1 1 1 1 1 1 1 1 1 1 1 12.000
7 Draft Final Report 1 1 1 1 1 1 1 1 1 1 1 1 12.000
8 Final Report 1 1 1 1 1 5.000
576.000
 CONSULTANT'S STAFFING SCHEDULE

STAFF INPUT - WEEK NOMINAL PERSON

ACTIVITY
NO NAME POSITION TOTAL 1 2 MONTHS
DURATION
1 2 3 4 1 2 3 4 (Field/Offices)
1 Team Leader 1 1 1 1 1 1 1 1 1 2.000
2 Material/Geotech Engineer 1 1 1 1 1 1 1 1 1 2.000
3 Highway design Engineer 1 1 1 1 1 1 1 1 1 2.000
4 Enironmental Specialist 1 1 1 1 1 1 1 1 1 2.000
5 Quantity/Cost Engineer 1 1 1 1 1 1 1 1 1 2.000
6 Bridge Design Engineer 1 1 1 1 1 1 1 1 1 2.000
7 Surveyor Engineer 1 1 1 1 1 1 1 1 4.000
8 Geotech Locating Surveyor 3 1 1 1 1 1 1 1 1 6.000
9 Topographic Locating Surveyor 6 1 1 1 1 1 1 1 1 12.000
10 CAD Operator 2 1 1 1 1 1 1 1 1 8.000
10 Offices/Adm 1 1 1 1 1 1 1 1 1 2.000

44.000

DED JALAN
PROFFESIONAL STAFF
NAME STAFF
1 Ir. Egidius Kalogo, MT
2 Dr. Paulus Pramono Rahardjo
3 Ir. Paul Sianto, MT
4 Ir. Henry David Sachariaz
5 Ir. Ricky Octoviato Penlaana
6 Ir. Stefanus Tani Temu
TECHNICAL/SUPPORTING STAFF
1 Dominikus Mene Bano, ST
2 Vinsensius Lalo, ST
3 Ferdiandus Wolodiri, ST
4 Melkianus Lie, ST
5 Timotius Tapatab, BE
6 Ir. Frederikus Wahyu Kristanto
7 Ir. John GF. Seran
8 Marcelinus A. Tance, ST
9 Ir. Bambang Suharyanto
10 Yedid Saudale, ST
11 Aloysius Terto Djen, ST
12 Ir. Ernawan Setyono
13 Hengky Bean Betan, ST
14 Johanes K. Raka, ST
CONSULTAN'S TEAM COMPOSITION & STAFFING
FIRM AREA OF EXPERTISE
PT. SIARPLAN UTAMA Highway Engineer
PT. SIARPLAN UTAMA Geolog/Geotech Engineer
PT. SIARPLAN UTAMA Geotech/Laboratory
PT. SIARPLAN UTAMA Highway Engineer
PT. SIARPLAN UTAMA Civil Engineer
PT. SIARPLAN UTAMA Environmental
PT. SIARPLAN UTAMA Civil Engineer
PT. SIARPLAN UTAMA Civil Engineer
PT. SIARPLAN UTAMA Civil Engineer
PT. SIARPLAN UTAMA Civil Engineer
PT. SIARPLAN UTAMA Civil Engineer
PT. SIARPLAN UTAMA Civil Engineer
PT. SIARPLAN UTAMA Civil Engineer
PT. SIARPLAN UTAMA Civil Engineer
PT. SIARPLAN UTAMA Civil Engineer
PT. SIARPLAN UTAMA Civil Engineer
PT. SIARPLAN UTAMA Civil Engineer
PT. SIARPLAN UTAMA Civil Engineer
PT. SIARPLAN UTAMA Civil Engineer
PT. SIARPLAN UTAMA Civil Engineer
15 Laurensius L. Liru PT. SIARPLAN UTAMA Management
16 Yessy W. Therik PT. SIARPLAN UTAMA Management
 FORM T.5.1

COMPOSITION & STAFFING ASSIGNMENTS

POSITION ASSIGNMENT TASK ASSIGNMENT

Team Leader In charge of the Project Manager
Material/Geotech. Engineer In charge of the Geotech Engineering
Material/Geotech. Engineer In charge of the Laboratory/material engineering
Highway Engineer In charge of the Road design
Contracts Engineer In charge of the Contracts specialist
Environmental Specialist In charge of the Environmental Impact analysis & Management plan

Quality/Cost Engineer In charge of the Cost control analysis

Quality/Cost Engineer In charge of the Quantity engineer
Contracts Engineer In charge of the Bidding documents
Contracts Engineer Co Assistant of Bidding documents
Highway Design Engineer In charge of the Detail drawing & Technical Specification
Highway Design Engineer In charge of the Detail drawing & Technical Specification
Engineering Surveyor In charge of the field data Collection
Engineering Surveyor In charge of the field data Collection
Locating Engineer Specialist data collection
Locating Engineer Specialist data collection
Locating Engineer Specialist data collection
Environmental Assistant Co assistant Specialist field data cillections
CAD Operator Specialist Cad drawing
CAD Operator Specialist Cad drawing
Office Administration In charge of Administration
Office Administration In charge of Administration

Kupang, 05 Mei 2009

PT. SIARPLAN UTAMA KONSULTAN
Konsultan Perencanaan dan Pengawasan

IR. ALEKSIUS D. RICHARDSON

Direktur
 PT. SIARPLAN UTAMA KONSULTAN
Konsultan Jalan
Perencanaan & Pengawasan
Sam Ratulangi V Nomor 11 Telp/Fax. (0380) - 832771 Kupang

DAFTAR PERALATAN YANG DIGUNAKAN

No Uraian Merk/Kap. Status Kondisi Jumlah Satuan

A Peralatan Kantor
1 Alat tulis kantor - - 1 LS
2 Kertas HVS - - 1 Ls
3 Kertas kalkir - - 1 Ls
4 Tinta printer (warna dan hitam) Warna/Hitam/ Epson Milik Baik 1 Ls
5 Komputer Intel pentium D Milik Baik 8 Unit
6 Printer Epson Stylus/A4/A3 Milik Baik 8 Unit
7 Ploter HP Ink Jet/Ao Milik Baik 2 Unit
8 Scanner Canon Milik Baik 2 Unit
9 Meja dan kursi kerja Olympic Milik Baik 4 Set
10 Filling cabinet Olympic Milik Baik 4 Set
B Peralatan lapangan
1 Teodolit buah Nikon/Digital Milik Baik 8 Set
2 Waterpass bh DGPS/ Milik Baik 8 Set
3 Kompas geologi bh Milik Baik 4 Set
4 Palu geologi bh Milik Baik 4 Set
5 Kamera bh Nikon Milik Baik 8 Set
7 Pita ukur bh Milik Baik 8 Set
10 DCP Test MBT/10 m' Milik Baik 2 Set
12 Benklemean Beam Test MBT Milik Baik 2 Set
13 Tabung sample Split barel Milik Baik 10 Set
15 Core box Kayu Milik Baik 4 Set
C Kendaraan Operasional
1 Kendaraan Roda Empat Toyota 2400 CC Milik Baik 2 Unit

Kupang, 05 Mei 2009

PT. SIARPLAN UTAMA KONSULTAN
Konsultan Perencanaan dan Pengawasan

IR. ALEKSIUS D. RICHARDSON

Direktur
 JADWAL PENGGUNAAN PERALATAN

Bulan Pemakaian
No Nama Alat I II III IV V VI Ket.
1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4

A Peralatan Kantor
1 Alat tulis kantor
2 Kertas HVS
3 Kertas kalkir
4 Tinta printer (warna dan hitam)
5 Komputer
6 Printer
7 Ploter
8 Scanner
9 Meja dan kursi kerja
10 Filling cabinet
B Peralatan lapangan
1 Teodolit buah
2 Waterpass bh
3 Kompas geologi bh
4 Palu geologi bh
5 Kamera bh
7 Pita ukur bh
10 DCP Test
12 Benklemean Beam Test
13 Tabung sample
15 Core box

C Kendaraan Operasional
1 Kendaraan Roda Empat

Kupang, 05 Mei 2009

PT. SIARPLAN UTAMA KONSULTAN
Konsultan Perencanaan dan Pengawasan

IR. ALEKSIUS D. RICHARDSON

Direktur