Berita Acara Serah Terima

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BERITA ACARA SERAH TERIMA KEDUA PEMBANGUNAN JEMBATAN ADM ROAD STA 4+630 SENGATA – RANTAU PULUNG Pada hari ini, Kamis tanggal Dua Puluh Tiga bula Juli tahun Dua Ribu Sembilan (23-07-2009), kami yang bertanda tngan di bawah ini : I. Louise G. Pessireron, Manager Project and Evaluation Departement PT Kaltim Prima Coal, oleh karenanya bertindak untuk dan atas nama PT. Kaltim Prima Coal alamat Mining Office (M2), Sengata, Kabupaten Kutai Timur, selanjutnya disebut sebagai Pihak Pertama. II. Sayid Fauzal Zaini, selau Direktur PT. Adinda Putri, alamat Jalan P. Hidayatullah RT.01/I Teluk Lingga, Sengata, Kabupaten Kutai Timur, selanjutnya disebut sebagai Pihak Kedua Berdasarkan : 1. Surat Perjanjian Kerja (Kontrak) : Nomor : SE14-CMP-PC- OT03 Tanggal : 25 Juli 2008 Addendum Kontrak : Nomor : SE14-CMP-PC-OT03 Tanggal : 15 Januari 2009 2. Pemeriksaan di lapangan tanggal 16 Juli 2009 Menyatakan bahwa : 1. Pihak Kedua menyerahkan hasil pekerjaan yang telah selesai dilaksanakan 100% dalam keadaan baik dengan hasil pemeriksaan tersebut di atas, dan Serah Terima ini untuk Kedua. 2. Pihak Pertama menerima penyerahan dari Pihak Kedua pekerjaan sesuai dengan yang dimaksud pada ketentuan di atas dengan baik, sesuai hasil pemeriksaan tersebut di atas. 3. Pihak Kedua sesuai dengan Surat Perjanjian Kerja yaitu masa pemeliharaan 90 (Sembilan puluh) hari kalender, telah dilaksanakan dengan baik dan selesai.

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Transcript of Berita Acara Serah Terima

Page 1: Berita Acara Serah Terima

BERITA ACARA SERAH TERIMA KEDUAPEMBANGUNAN JEMBATAN ADM ROAD STA 4+630

SENGATA – RANTAU PULUNG

Pada hari ini, Kamis tanggal Dua Puluh Tiga bula Juli tahun Dua Ribu Sembilan (23-07-2009), kami yang bertanda tngan di bawah ini :

I. Louise G. Pessireron, Manager Project and Evaluation Departement PT Kaltim Prima Coal, oleh karenanya bertindak untuk dan atas nama PT. Kaltim Prima Coal alamat Mining Office (M2), Sengata, Kabupaten Kutai Timur, selanjutnya disebut sebagai Pihak Pertama.

II. Sayid Fauzal Zaini, selau Direktur PT. Adinda Putri, alamat Jalan P. Hidayatullah RT.01/I Teluk Lingga, Sengata, Kabupaten Kutai Timur, selanjutnya disebut sebagai Pihak Kedua

Berdasarkan :1. Surat Perjanjian Kerja (Kontrak) : Nomor : SE14-CMP-PC-OT03

Tanggal : 25 Juli 2008Addendum Kontrak : Nomor : SE14-CMP-PC-OT03

Tanggal : 15 Januari 20092. Pemeriksaan di lapangan tanggal 16 Juli 2009

Menyatakan bahwa :

1. Pihak Kedua menyerahkan hasil pekerjaan yang telah selesai dilaksanakan 100% dalam keadaan baik dengan hasil pemeriksaan tersebut di atas, dan Serah Terima ini untuk Kedua.

2. Pihak Pertama menerima penyerahan dari Pihak Kedua pekerjaan sesuai dengan yang dimaksud pada ketentuan di atas dengan baik, sesuai hasil pemeriksaan tersebut di atas.

3. Pihak Kedua sesuai dengan Surat Perjanjian Kerja yaitu masa pemeliharaan 90 (Sembilan puluh) hari kalender, telah dilaksanakan dengan baik dan selesai.

Demikian Berita Acara Serah Terima Kedua ini dibuat dan ditandatangani di Sengata pada tanggal tersebut di atas dalam rangkap 2 (dua) untuk dipergunakan sebagaimana mestinya

Pihak Pertama Pihak KeduaPT. Kaltim Prima Coal PT. Adinda Putri

Louise G. Pessiraron Sayid Fauzal ZainiMgr. Project Managament DirekturAnd Evaluation

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CONTRACT DOCUMENT

KPC-66-0022G

“REPAIR ADM ROAD AT RANTAU

PULUNG (BRIDGE CONSTRUCTION)”

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AGREEMENT

THIS AGREEMENT is made the 25th day of July, 2009

BETWEEN PARTIES OF

PT. KALTIM PRIMA COAL, a Company duly incorporated in the Republic of Indonesia, and having its legal domicile in Jakarta and having its registered office at Wisma Bakrie2, 9th Floor, Jl. HR. Rasuna Said Kav. B2 Jakarta Selatan 12920, Indonesia (hereinafter with its successors and permitted assigns called the “Contractor” of the other part);

AND

PT. ADINDA PUTRI a Company duly incorporated in the Republic of Indonesia, and having its registered office at Jln. P. Hidayatullah RT.01/I – Teluk Lingga, Sengata, Kutai Timur, Kalimantan Timur, Indonesia (hereinafter with its successors and permitted assigns called the “Contractor” of the other part);

WHEREAS

the Company is desirous of having completed Works which are briefly described as Contract KPC-66-0022G “Repair ADM Road at Rantau Pulung (Bridge Construction)” at K.P.C Mining Operations, in East Kalimantan, Indonesia (hereinafter is called the “Works”) which are more particularly described in the Contract;

AND WHEREAS

The Contractor has submitted a Tender for the performance of the Works and the Company has accepted the Tender the parties desire to evidence their agreement;

NOW THEREFORE IT IS AGREED as follows:

1. CONTRACTThe Contract shall comprise of the following:

□ This Agreement□ Special Conditions□ Scope of Work and Specification□ General Condition

GC1 General Conditions – Projects□ Schedule A-Pricing Schedule□ Schedule B-Schedule of Prices for Variations□ Schedule C-Contractor’s Nominated Personnel & Organization□ Schedule D-Statement of Plant and Equipment□ Schedule F-Implementation Schedule□ Schedule G-Back Charge□ Appendices

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A-Drawings B-Bill of Quantity C-Technical Specification D-S2 Golden Rules E-S3 Hydrocarbon Management Handbook F-S4 Waste Management Handbook G-Prima Nirbhaya Element

(hereinafter collectively called the “Contract”)

The Contract as amended from time to time in accordance with the provisions herein contained represents the entire Agreement between the parties and supersedes all prior arrangements, whether written oral and all understandings, representation and documents (if any in relation to the works or its performance given prior to the date of the Contract).

2. COMMENCEMENT The Contractor shall commence to perform the Works on 26th July 2008 or such other as is mutually agreed between the Company and the Contractor.

3. COMPLETION The Contractor shall complete the Works with all diligence and proper practice. The completion date shall be on 29th October 2008.

4. CONTRACT PRICE AND TAXES In the consideration of the due performance of the Works by the Contractor and the performance of its other obligations under the Contract the Company shall pay to the Contractor in accordance with the Contract, with the fixed ESTIMATED price of:

IDR 6,096,834,350.00(Six Billion and Ninety Six Billion Eight Hundred Thirty Four Thousand Three Hundred Fifty

Rupiahs)

Or such other sum as may become payable to the Contractor pursuant to the provision of the Contract (hereinafter called the “Contract Price”).

The Contract Price excludes Value Added Tax (VAT) or Pajak Pertambahan Nilai (PPN).

VAT is added to commercial value of each invoice submitted by the Contractor to the Company, with 5% rate for services (special rate based on S.1437/PJ.51/1993 dated 1 July 1993) and 10% rate for goods. This VAT charge must be accompanied with attachment of Tax Invoice (Faktur Pajak) in accordance with Indonesian Tax Regulation.

The Company pays the VAT value to the Contractor. The Company Pays the VAT to the Tax Office for services from foreign/overseas Contractor.

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The Contact Price includes Withholding Tax.

Withholding Tax article 233 or Pajak Penghasilan Ps 23 – Pph 23 (for domestic Contractor) and Withholding tax article 26 or Pajak Penghasilan Ps 26 – Pph 26 (for foreign Contractor) is deducted by the Company from commercial value of each invoice submitted by the Contractor to the Company if the transaction falls into the category of certain services subject to withholding tax in accordance with Indonesian Tax Regulation. The amount is deposited by the Company to the Tax Authorities as prepaid corporate tax of the Contractor to claim it as prepaid corporate tax for its Annual Tax return.

Consequently, no extra charge of withholding tax can be grossed up into the Contract Price.

The withholding tax rate is 10% based on Coal Agreement for any type of service or at specific rate based on following conditions :

For National Company : At percentage in accordance with the job classification if the Contractor can present a

supporting letter from Director General of Tax, or At nil percentage if the type of work is not in the list of Director General of Tax Regulation

number 70 (Per.70/PJ/2007) or the new Director General of Tax Regulation, or At nil percentage if the Contractor can present a letter of “Free from Prepaid Withholding Tax

(Surat Keterangan Bebas = SKB)” issued by Director general of Tax, or At a rate in accordance with the valid latest government regulation, specially for air freight and

sea freight.

For Overseas Company At nil percentage if the Contractor can present Certificate of Domicile (COD) and the services

period no exceeding the time test of the specific country.

All supporting letter from Director General of Tax must be valid as on the date of the payment.

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EXECUTION PAGE

IN WITNESS whereof the parties hereto have executed this Agreement the day and year first above written.

THE COMMON SEAL OFPT. KALTIM PRIMA COALWas hereinto affixed in accordanceWith its Articles of Association

ENDANG RUCHIJAT CONTRACT COMMITE

In the presence of :

WITNESS

THE COMMON SEAL OFPT. ADINDA PUTRIWas hereinto affixed in accordanceWith Articles of Association

S. FAUZAL ZAINI

In the presence of :

WITNESS

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Variation to ContractSE14-CMP-SC-FM08

Contract Details

Contract No : KPC-66-0022 G Variations No: 001Contract Title :Repair ADM Road at Rantau Pulung(Bridge Construction)

Date: October 31, 2008

Contractor : PT. Adinda Putri Project No:

Variatons Details

This Variations shall take effect on and from : October 30, 2008Any attachments:Yes □ No □

Pursuant to the provisions of the General Conditions of the Contract, this Variation is issued to vary the Contract as follows:This Contract Variation is to extend the implementation schedule for further 62 Calendar Days period as agreed by both parties.All other Terms and Conditions of the Contract shall be remaining unchanged.

Contract Price Completion DateContract Price:

IDR 2,096,634,360.00Contract Completion Date October 29, 2008

Value of this Variation No.001

-NIL - Extension of Time this Variation No.001 62 Calendar Days

Revised Contract Price include Contract Variation No. 001

IDR 2,096,634,350.00Revised Contract Completion Date December 31, 2008

ApprovalsExcept as stated above in any attachments to this Variation, the Contract shell remain unaltered and in full force and effect, and shall apply to the performance of the work described.Signed for and behalf of:PT. Kaltim Prima Coal

Signed for and on behalf of:PT. Adinda Putri

Name: Endang Ruchijat Name:

Position: Contract Committee Position:

Signature: Signature:

In the presence of: In the presence of:

Signature: Signature:

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