VARIATION PRICE REQUEST

VARIATION ORDER V.O. NO

DATE
:
:
013/VO-TJS/SBV/IV/2023
28-Apr-23

To : PT. LOMBOK TOROK DEVELOPMENTS Project : SAMARA BAY VILLA

Attention : Location : SAMARA BAY - DUSUN TOROK AIK BELEK, DESA
MONTONG AJAN, KECAMATAN PERAYA BARAT DAYA,
Contract/SPK : 025/SPK/SBR-B47//CS/XI/2022 KABUPATEN LOMBOK TENGAH - NTB
026/SPK/SBR-O11//CS/XI/2022

Site Instruction Ref : 013/SI/TJS/SBV/IV/2023 Request for Variation Ref :

COST ADJUSTMENT (Rp)

NO. DESCRIPTION REMARK
ORIGINAL CONTRACT VARIATION ADDITIONAL

1 RECTIFICATION METHOD FOR B47 & O11 VILLAS - 12,570,701.94 12,570,702

SUB TOTAL - 12,570,702 12,570,702

(PPN 11 %) - 1,382,777 1,382,777
TOTAL : - 13,953,479 13,953,479
GRAND TOTAL ADDITION : 13,953,479

PRICE INCREASE / DECREASE Original Contract sum (w/o PPN 10%) Original Contract sum (w/o PPN 10%)
Current contract sum Current contract sum
LAST CONTRACT SUM : Rp. Variance to original contract: Rp. Variance to original contract: Rp.
Quotation by: (Contractor)
Approved by : Rec. Approved Checked by: Submitted by
PT. LOMBOK TOROK
PT. LOMBOK TOROK DEVELOPMENTS PT. LOMBOK TOROK DEVELOPMENTS PT. TUNAS JAYA SANUR
DEVELOPMENTS

a.n

Signed : Signed : Signed : Signed : Signed :

Name : Jay Mac Donald Name : Nivethitha Velu Name : Sahrul Ramdan Name : Teguh Prasetia Name : Lalu Suharta
Head of Project Project Manager Construction Manager Quantity Surveyor Project Manager
ADDITIONAL / DEDUCTION WORK

PROJECT : SAMARA BAY VILLA

LOCATION : SAMARA BAY - DUSUN TOROK AIK BELEK, DESA MONTONG AJAN, KECAMATAN PERAYA BARAT DAYA, KABUPATEN LOMBOK TENGAH - NTB

SCOPE : RECTIFICATION METHOD FOR B47 & O11 VILLAS

013/VO-TJS/SBV/IV/2023

ORIGINAL CONTRACT VARIATION ADDITION

NO DESCREPTION RATE TOTAL PRICE TOTAL PRICE TOTAL PRICE

QTY UNIT QTY UNIT RATE (Rp.) QTY UNIT RATE (Rp.)
(Rp.) (Rp.) (Rp.) (Rp.)

ADDITIONAL WORK
1 Rectification Method Villa B47
Compaction Soil 1.33 m2 46,400.00 61,538 1.33 m2 46,400.00 61,538
Stone Masonry 2.35 m3 1,121,800.00 2,641,418 2.35 m3 1,121,800.00 2,641,418
Concrete Fill 1.99 m3 1,701,700.00 3,394,381 1.99 m3 1,701,700.00 3,394,381

2 Rectification Method Villa O11

Compaction Soil 4.93 m2 46,400.00 228,845 4.93 m2 46,400.00 228,845
Stone Masonry 1.99 m3 1,121,800.00 2,237,654 1.99 m3 1,121,800.00 2,237,654
Concrete Fill 2.35 m3 1,701,700.00 4,006,865 2.35 m3 1,701,700.00 4,006,865

TOTAL - 12,570,702 12,570,702

TOROK, 28 April 2023

Approved by Checked by Prepared by
PT. LOMBOK TOROK DEVELOPMENTS PT. LOMBOK TOROK DEVELOPMENTS PT. TUNAS JAYA SANUR

a.n
Jay Mac Donald Nivethitha Velu Sahrul Ramdan Teguh Prasetia Lalu Suharta
Head of Project Project Manager Construction Manager Quantity Surveyor Project Manager
PROJECT : SAMARA BAY VILLA
LOCATION : SAMARA BAY - DUSUN TOROK AIK BELEK, DESA MONTONG AJAN, KECAMATAN PERAYA BARAT DAYA, KABUPATEN LOMBOK T
AREA : PLOT O11 & B47

No Description Location QTY Unit

1 COMPACTION SOIL PLOT B47 1.33 m2

2 STONE WALL PLOT B47 2.35 m3

3 CONCRETE FILL PLOT B47 1.99 m3

1 COMPACTION SOIL PLOT O11 4.93 m2

2 STONE MASONRY PLOT O11 1.99 m3

3 CONCRETE FILL PLOT O11 2.35 m3

 BACK UP VOLUME
VILLA B47

+- PANJANG PERHITUNGAN PENGURANG

Panjang AKIBAT G. VOLUME
QTY
NO URAIAN SKET/GAMBAR GRID AS-AS OVERLAP Panjang Tinggi Tinggi Rata- TOTAL KETERANGAN
Lebar Volume Item Panjangan Lebar QTY Volume
PONDS. Efektif Rata-Rata Rata
Efektif
(bh) (m) (m) (m) (m) (m) (m3) (m) (m) (m) (m3) (m3)

1 Compaction Soil Vertical

2.00 0.68 0.68 0.58 0.39 0.78

Horizontal

1.00 1.00 - 1.00 0.55 0.55 0.55

TOTAL 1.33 m2
 +- PANJANG PERHITUNGAN PENGURANG
Panjang AKIBAT G. VOLUME
QTY
NO URAIAN SKET/GAMBAR GRID AS-AS OVERLAP Panjang Tinggi Tinggi Rata- TOTAL KETERANGAN
Lebar Volume Item Panjangan Lebar QTY Volume
PONDS. Efektif Rata-Rata Rata
Efektif
(bh) (m) (m) (m) (m) (m) (m3) (m) (m) (m) (m3) (m3)

2 Stone Wall Vertical

2.00 0.68 0.68 0.45 1.00 0.30 0.61
2.00 0.68 0.68 0.60 1.70 0.69 1.39

TOTAL 1.99 m3
 +- PANJANG PERHITUNGAN PENGURANG
Panjang AKIBAT G. VOLUME
QTY
NO URAIAN SKET/GAMBAR GRID AS-AS OVERLAP Panjang Tinggi Tinggi Rata- TOTAL KETERANGAN
Lebar Volume Item Panjangan Lebar QTY Volume
PONDS. Efektif Rata-Rata Rata
Efektif
(bh) (m) (m) (m) (m) (m) (m3) (m) (m) (m) (m3) (m3)

3 Concrete Fill Vertical

2.00 0.68 0.68 0.28 1.70 0.32 0.63
2.00 0.68 0.68 0.09 - 0.06 0.12

Horizontal

1.00 1.00 - 1.00 0.56 2.70 1.51 1.51

1.00 1.00 - 1.00 0.09 - 0.09 0.09

TOTAL 2.35 m3
 BACK UP VOLUME
VILLA O11

+- PANJANG
PERHITUNGAN PENGURANG
PANJANG AKIBAT G. VOLUME
QTY
AS-AS OVERLAP Panjang Tinggi Rata- Tinggi TOTAL
NO URAIAN SKET/GAMBAR GRID Lebar Volume Item Panjang Lebar Jumlah Volume KETERANGAN
PONDS. Efektif rata Rata-rata
(bh) (m) (m) (m) (m) (m) (m3) (m) (m) (m) (m3) (m3)

1 Compaction Soil Type A

Vertical 2.00 1.00 1.00 0.60 - 0.60 1.20

Horizontal

1.00 1.60 1.60 0.60 - 0.96 0.96

Type B
Vertical 2.00 1.00 1.00 0.60 - 0.60 1.20

Horizontal 1.00 1.44 1.44 0.60 - 0.86 0.86

1.00 1.19 1.19 0.60 - 0.71 0.71

TOTAL 4.93 m2
 +- PANJANG
PERHITUNGAN PENGURANG
PANJANG AKIBAT G. VOLUME
QTY
AS-AS OVERLAP Panjang Tinggi Rata- Tinggi TOTAL
NO URAIAN SKET/GAMBAR GRID Lebar Volume Item Panjang Lebar Jumlah Volume KETERANGAN
PONDS. Efektif rata Rata-rata
(bh) (m) (m) (m) (m) (m) (m3) (m) (m) (m) (m3) (m3)

2 Stone Wall Type A

Detail Vertical
2.00 0.55 0.55 0.45 1.10 0.27 0.54

Horizontal

1.00 1.90 1.90 0.45 1.10 0.94 0.94

Type B
Vertical
2.00 0.55 0.55 0.45 1.10 0.27 0.54

Horizontal

1.00 1.59 1.59 0.45 1.10 0.78 0.78

1.00 1.34 1.34 0.45 1.10 0.66 0.66

TOTAL 3.47 m3

3 Concrete Fill Detail Type A

Vertical 2.00 0.40 0.40 0.40 1.10 0.09 0.18

Horizontal 1.00 1.30 1.30 0.40 1.10 0.29 0.29

Type B
Vertical 2.00 0.40 0.40 0.40 1.10 0.09 0.18

Horizontal 1.00 2.92 (0.60) 2.32 0.22 1.10 0.28 FP 1.00 0.20 0.10 2.00 0.04 0.24

TOTAL 0.88 m3