Progress Payment Form

PAYMENT CALCULATION SHEET
Project : Molten Sulphur Tank Project PCS Rev. / Date : Rev.00 / DDMMYY
Location : Purwakarta, Jawa Barat, Indonesia Progress Month : MMYY
Owner : PT. South Pacific Viscose Currency : Rupiah
Subcontract No. : 0-0791-3154-001

Subcontract Works : Tank Field Installation Work Contract Amount : 4,685,590,000
Subcontractor : PT. Hydroraya Adhi Perkasa Advance Payment : N/A
CUMULATIVE CUMULATIVE THIS

DESCRIPTION THIS MONTH LAST MONTH MONTH
[A] [B] [A - B]
1. PROGRESS AMOUNT - ORIGINAL SCOPE/ITEMS
(Refer to "Monthly Progress Summary")

1.1 Unit Rate Category - - -
1.2 Lump Sum Category 819,978,250 527,128,875 292,849,375
TOTAL (1) = 819,978,250 527,128,875 292,849,375
2. PROGRESS AMOUNT - CHANGE ORDER ITEMS
(Refer to "Change Order Progress Summary")
2.1 Unit Rate Category - - -
2.2 Lump Sum Category - - -
2.3 Daywork Category - - -
TOTAL (2) = - - -
TOTAL (1) + TOTAL (2) = 819,978,250 527,128,875 292,849,375
3. REFUND OF ADVANCE PAYMENT ( %) - NOT APPLICABLE
3.1 Original Scope/Items [ Total (1) x % ] - - -
3.2 Change Order Items [ (2.1) x % ] - - -
TOTAL (3) = - - -
4. RETENTION (5%)
4.1 Original Scope/Items [ Total (1) x 5% ] 40,998,913 26,356,444 14,642,469
4.2 Change Order Items [ { (2.1) + (2.2) } x 5% ] - - -
TOTAL (4) = 40,998,913 26,356,444 14,642,469
5. PAYABLE PROGRESS AMOUNT
5.1 Original Scope/Items [ Total (1) - (3.1) - (4.1) ] 778,979,337 500,772,431 278,206,906
5.2 Change Order Items [ Total (2) - (3.2) - (4.2) ] - - -
TOTAL (5) = 778,979,337 500,772,431 278,206,906
PT. HYDRORAYA ADHI PERKASA PT. JGC INDONESIA
Prepared / Submitted : Checked / Verified : Approved :
……………………… Ikhwanudin Febrian Prasetyo Boediharto

Site Manager Subcontract Eng Site Manager Project Manager
MONTHLY PROGRESS SUMMARY - ORIGINAL SCOPE / BQ ITEMS
MPS Rev. / Date: Rev.00 / DDMMYY
Project : Molten Sulphur Tank Project Progress Month : MMYY
Location : Purwakarta, Jawa Barat, Indonesia Subcontract No. : 0-0791-3154-001
Owner : PT. South Pacific Viscose Subcontract Works : Tank Field Installation Work
Subcontractor : PT. Hydroraya Adhi Perkasa
PROGRESS QUANTITY (WEIGHT) PROGRESS AMOUNT (IDR)

CONTRACT UNIT
CONTRACT CONTRACT AMOUNT
FWBS RATE CUMULATIVE CUMULATIVE THIS CUMULATIVE THIS CUMULATIVE THIS
DESCRIPTION BQ UNIT BQ (IDR) REMARK
CODE (IDR/BQ) THIS MONTH LAST MONTH MONTH MONTH LAST MONTH MONTH
[A] [B] [C] [D] [E] [F]=[D - E] [G]=[C x D] [H]=[C x E] [I]=[G - H]
5 4 0 0 STORAGE TANK
5 4 1 0 Atmospheric Tank LS 1.00 4,685,590,000 4,685,590,000 17.50% 11.25% 6.25% 819,978,250 527,128,875 292,849,375
TOTAL 4,685,590,000 17.50% 11.25% 6.25% 819,978,250 527,128,875 292,849,375
Prepared / Submitted : Checked / Verified : Checked / Verified : Approved :
………………………… Ikhwanudin Febrian Prasetyo Boediharto

Site Manager Subcontract Engineer Site Manager Project Manager
MONTHLY PROGRESS REPORT
MRP Rev. / Date: Rev.00 / DDMMYY
CONTRACT PROGRESS BQ
BQ WEIGHT THIS REMARK
FWBS CUMULATIVE THIS MONTH CUMULATIVE LAST MONTH
DESCRIPTION MONTH
CODE % Percentage Weight (%) Percentage Weight (%) Percentage Weight (%)
[A] [B] [C] = [A*B] [D] [E] = [A*D] [F] = [C-D] [G] = [A*F] [H]
5 4 0 0 STORAGE TANK
5 4 1 0 Atmospheric Tank
5 4 1 0 A Inner Tank Shell - SS
5 4 1 0 A a Bottom/Annular Plate 10.00% DETAIL
100% KALKULASI
10.00% MENGGUNAKAN
75% 7.50% 25% 2.50% Example
5 4 1 0 A b Shell Course #1 5.00% 75% 3.75% 50% 2.50% 25% 1.25% Example
5 4 1 0 A c Shell Course #2 5.00%
PERHITUNGAN
50%
DARI
2.50%
HYDRORAYA
25% 1.25% 25% 1.25% Example
5 4 1 0 A d Shell Course #3 5.00% 25% 1.25% 0% 0.00% 25% 1.25%
5 4 1 0 A e Shell Course #4 0%
5 4 1 0 A f Shell Course #5 0%
5 4 1 0 A g Shell Course #6 0%
5 4 1 0 A h Shell Course #7 0%
5 4 1 0 A i Shell Course #8 0%
5 4 1 0 A j Heating Coil 0%
5 4 1 0 A k Top Angle 0%
5 4 1 0 A l Rafter 0%
5 4 1 0 A m Roof 0%
5 4 1 0 B Outer Tank Shell - SS

5 4 1 0 B a Bottom/Annular Plate
5 4 1 0 B b Shell Course #1
5 4 1 0 B c Shell Course #2
5 4 1 0 B d Shell Course #3
5 4 1 0 B e Shell Course #4
5 4 1 0 B f Shell Course #5
5 4 1 0 B g Shell Course #6
5 4 1 0 B h Shell Course #7
5 4 1 0 B i Shell Course #8
5 4 1 0 C Plat Form / Ladder

5 4 1 0 C a Perimeter P/F on Outer Tank
5 4 1 0 C b P/F on Inner Tank
5 4 1 0 C c Stairway
5 4 1 0 C d Ladder
5 4 1 0 C e Roof Railing
5 4 1 0 D Nozzle
5 4 1 0 E Manhole
5 4 1 0 F Insulation
5 4 1 0 F a Shell Insulation
5 4 1 0 F a Roof Insulation
5 4 1 0 G Painting
5 4 1 0 G a Cleaning and Pickling of Inner Tank
5 4 1 0 G b Painting of Inner Tank
5 4 1 0 G c Painting of Outer Tank
5 4 1 0 H Hydrotesting
TOTAL 25.00% 17.50% 11.25% 6.25%
PT. JGC INDONESIA

PT. HYDRORAYA ADHI PERKASA CONST. DISCIPLINE SUBCONTRACT
Prepared / Submitted : Checked / Verified : Checked / Verified : Checked / Verified : Approved :
………………………………… ………………………… Ikhwanudin Febrian P. Boediharto

Site Manager Superintendent Subcon Engineer Site Manager Project Manager
MONTHLY PROGRESS SUMMARY - CHANGE ORDER
MPS Rev. / Date: Rev.00 / DDMMYY
PROGRESS QUANTITY PROGRESS AMOUNT (IDR)

CONTRACT UNIT CUM.
CONTRACT CONTRACT AMOUNT
FWBS RATE CUMULATIVE CUMULATIVE THIS CUMULATIVE THIS CUMULATIVE THIS PAYMENT
DESCRIPTION BQ UNIT BQ (IDR) REMARK
CODE (IDR/BQ) THIS MONTH LAST MONTH MONTH MONTH LAST MONTH MONTH %
[A] [B] [C] [D] [E] [F]=[D - E] [G]=[C x D] [H]=[C x E] [I]=[G - H] [J]=[G/B]
CHANGE ORDER
CO - SJU - 3120 - 001 - 001 Various Site Instruction Ls - - - - - - - -
TOTAL - - - - #DIV/0!
Prepared / Submitted : Checked / Verified : Checked / Verified : Approved :
………………………….. Ikhwanudin Febrian Prasetyo Boediharto

Site Manager Subcontract Engineer Site Manager Project Manager
MONTHLY PROGRESS REPORT - CHANGE ORDER
MRP Rev. / Date: Rev.00 / DDMMYY
PROGRESS BQ
CONTRACT
FWBS BQ CUMULATIVE THIS CUMULATIVE LAST THIS
DESCRIPTION BQ UNIT REMARK
CODE MONTH MONTH MONTH
[A] [B] [C] [D]=[B - C]
PT. JGC INDONESIA

PT. HYDRORAYA ADHI PERKASA CONST. DISCIPLINE SUBCONTRACT
Prepared / Submitted : Checked / Verified : Checked / Verified : Checked / Verified : Approved :
……………………………………… …………………………… Ikhwanudin Febrian P. Boediharto

Site Manager Superintendent Subcon Engineer Site Manager Project Manager

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PAYMENT CALCULATION SHEET

Subcontract No. : 0-0791-3154-001

CUMULATIVE CUMULATIVE THIS

1. PROGRESS AMOUNT - ORIGINAL SCOPE/ITEMS

(Refer to "Monthly Progress Summary")

1.2 Lump Sum Category 819,978,250 527,128,875 292,849,375

TOTAL (1) = 819,978,250 527,128,875 292,849,375

2. PROGRESS AMOUNT - CHANGE ORDER ITEMS

(Refer to "Change Order Progress Summary")

2.1 Unit Rate Category - - -

2.2 Lump Sum Category - - -

2.3 Daywork Category - - -

TOTAL (1) + TOTAL (2) = 819,978,250 527,128,875 292,849,375

3. REFUND OF ADVANCE PAYMENT ( %) - NOT APPLICABLE

3.1 Original Scope/Items [ Total (1) x % ] - - -

3.2 Change Order Items [ (2.1) x % ] - - -

4.1 Original Scope/Items [ Total (1) x 5% ] 40,998,913 26,356,444 14,642,469

4.2 Change Order Items [ { (2.1) + (2.2) } x 5% ] - - -

TOTAL (4) = 40,998,913 26,356,444 14,642,469

5. PAYABLE PROGRESS AMOUNT

5.2 Change Order Items [ Total (2) - (3.2) - (4.2) ] - - -

TOTAL (5) = 778,979,337 500,772,431 278,206,906

PT. HYDRORAYA ADHI PERKASA PT. JGC INDONESIA

Prepared / Submitted : Checked / Verified : Approved :

……………………… Ikhwanudin Febrian Prasetyo Boediharto

PROGRESS QUANTITY (WEIGHT) PROGRESS AMOUNT (IDR)

[A] [B] [C] [D] [E] [F]=[D - E] [G]=[C x D] [H]=[C x E] [I]=[G - H]

TOTAL 4,685,590,000 17.50% 11.25% 6.25% 819,978,250 527,128,875 292,849,375

PT. HYDRORAYA ADHI PERKASA PT. JGC INDONESIA

Prepared / Submitted : Checked / Verified : Checked / Verified : Approved :

………………………… Ikhwanudin Febrian Prasetyo Boediharto

5 4 1 0 B Outer Tank Shell - SS

5 4 1 0 C Plat Form / Ladder

TOTAL 25.00% 17.50% 11.25% 6.25%

PT. JGC INDONESIA

………………………………… ………………………… Ikhwanudin Febrian P. Boediharto

PROGRESS QUANTITY PROGRESS AMOUNT (IDR)

CO - SJU - 3120 - 001 - 001 Various Site Instruction Ls - - - - - - - -

PT. HYDRORAYA ADHI PERKASA PT. JGC INDONESIA

Prepared / Submitted : Checked / Verified : Checked / Verified : Approved :

………………………….. Ikhwanudin Febrian Prasetyo Boediharto

[A] [B] [C] [D]=[B - C]

PT. JGC INDONESIA

……………………………………… …………………………… Ikhwanudin Febrian P. Boediharto

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