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PAYMENT APPLICATION
332,961,000 122,257,700
365,695,000 33,296,100
32,734,000 66,030,100
Attach evidences here Dokument No. P-OKIPL2-200-21-FRM-0001
Revision 03
Tempat Tempel
Bukti Slip Rev. Date 14 Sept 2016
PAYMENT APPLICATION
PERMOHONAN PEMBAYARAN SAP Doc. No.
No. Dokumen SAP
Company Location Date (dd/mm/yy)
Perusahaan
PT. OKI PULP & PAPER MILL Lokasi
Baung Tanggal (hr/bl/th) 2 2 1 2 2 0 1 6
Code Code Cost Center Code (Bearer)
Kode 8 8 8 9 Kode B Kode Pusat Biaya (Penanggung Biaya)
Date
OKI President Director PD / VP / Project D POF / Cost Control Division Head Dept Head Ahmad balatif Tanggal
Applicant --> Superior --> Approved --> Accounting --> Cashier --> Accounting
Pemohon --> Atasan --> Disetujui --> Akunting --> Kasir --> Akunting
Work Valuation Certificate
Handling Unit : Civil Work Department (CWD) Date : December 22th, 2016
Work Title: 1. LIME STONE HOUSE Progres Payment
Final Payment
Release Guarantee Retention
Contractor PT. Songco Widya Engineering SAP Document Number
Contract No. 46086334 / Dec 24, 2015 Currency IDR
Cost Allocation Contract Amount 904,940,200
Claim Doc. No. Advance Payment Amount*
Item Description Remark Wage Material
External Service
a Detail of Contract Amount 194,406,000 710,534,200
b Current Progress Accumulation #REF! #REF! #REF!
c Previous Progress Accumulation 171,108,000 606,698,000
d Progress Claim: d=b-c #REF! #REF!
e Retention 10% x b #REF! #REF!
f Current Payment Accumulation f=b-e #REF! #REF!
g Previous Payment Accumulation 0,9 x c 153,997,200 546,028,200
h Payment Amount h=f-g #REF! #REF!
i Write Off Advance Payment No*: ___________ ____ %
j Net Payment Amount j=h-i #REF! #REF!
k Variation Amount** (+/-) k=b-a
Material Component (Own Supply)
l Material Component Amount
m Variation Amount** (+/-)
Variation Summary
n Grand Total Variation Amount** (+/-) n=k+m
Reason for Legend:
* Filled if advance payment exist
** for final payment only
Liquidated Damages
Amount of Liq. Damages / day Total Project Delay (day)
Calculation Start Finish Dur. (Day) Accepted Extension Claim (day)
Contract Period : 24-Dec-15 2-Mar-16 70 Liquidated Damages (day)
Actual Period : 24-Dec-15 2-Mar-16 70 Amount of Liquidated Damages
Comment:
#REF!
PERINCIAN KLAIM PEMBAYARAN
PT. SONGCO WIDYA ENGINEERING
PROGRESS REPORT
Project Name : LIME STONE HOUSE
Location : PT. OKI Pulp & Paper Mills, Sungai Baung No. SPK / SO :46086334 / Dec 24, 2015
Nilai Kontrak : 904,940,200 Jadwal Pel. :
Date : 22 November 2019 Period :
Nilai Kontrak Realization Of Quantity Realization
No. Work Description Unit Quantity Unit Price (Rp.) Price (Rp.) Amount (Rp.)
Last Periode This Periode Up to Date
Wage Material Wage Material Sub Total Wage Material Sub Total
a Preperation
1 Mob & demob ls 1.00 2,500,000 - 2,500,000 - 2,500,000 0.90 #REF! #REF! #REF! #REF! #REF!
2 Overhead ls 1.00 2,500,000 - 2,500,000 - 2,500,000 0.90 #REF! #REF! #REF! #REF! #REF!
b Pilling work
1 Pile head cut spun pile D500mm point 12.00 130,000 - 1,560,000 - 1,560,000 12.00 #REF! #REF! #REF! #REF! #REF!
c Earth work - - - - #REF! #REF! #REF! #REF! #REF!
1 Excavation m3 50.00 50,000 - 2,500,000 - 2,500,000 34.26 #REF! #REF! #REF! #REF! #REF!
2 Backfill with black soil m3 228.00 50,000 - 11,400,000 - 11,400,000 136.68 #REF! #REF! #REF! #REF! #REF!
3 Backfill with red soil m3 14.00 50,000 200,000 700,000 2,800,000 3,500,000 14.00 #REF! #REF! #REF! #REF! #REF!
d Concrete work
1 Lean concrete K-125 m3 16.00 160,000 - 2,560,000 - 2,560,000 16.00 #REF! #REF! #REF! #REF! #REF!
2 Concrete K-300 m3 99.00 160,000 - 15,840,000 - 15,840,000 91.39 #REF! #REF! #REF! #REF! #REF!
3 Rebar kg 20,327.00 3,000 13,000 60,981,000 264,251,000 325,232,000 19,596.99 #REF! #REF! #REF! #REF! #REF!
4 Form work ( ordinary ) m2 303.00 75,000 110,000 22,725,000 33,330,000 56,055,000 303.00 #REF! #REF! #REF! #REF! #REF!
5 Grouting m3 0.10 1,000,000 12,000,000 100,000 1,200,000 1,300,000 0.10 #REF! #REF! #REF! #REF! #REF!
6 Anchord bolt type J, M-24 pcs 18.00 20,000 150,000 360,000 2,700,000 3,060,000 14.00 #REF! #REF! #REF! #REF! #REF!
7 Insert plate M-1 kg 418.00 5,000 22,500 2,090,000 9,405,000 11,495,000 418.00 #REF! #REF! #REF! #REF! #REF!
e Steel work
1 Steel work include accessories kg 5,877.00 5,000 22,500 29,385,000 132,232,500 161,617,500 5,877.00 #REF! #REF! #REF! #REF! #REF!
2 HTB M20 pcs 64.00 10,000 30,000 640,000 1,920,000 2,560,000 54.00 #REF! #REF! #REF! #REF! #REF!
3 HTB M18 pcs 6.00 10,000 30,000 60,000 180,000 240,000 6.00 #REF! #REF! #REF! #REF! #REF!
4 Roofing m2 236.00 40,000 270,000 9,440,000 63,720,000 73,160,000 162.36 #REF! #REF! #REF! #REF! #REF!
5 Metal ridge m2 9.00 20,000 102,300 180,000 920,700 1,100,700 9.00 #REF! #REF! #REF! #REF! #REF!
6 Cladding m2 217.00 25,000 175,000 5,425,000 37,975,000 43,400,000 177.90 #REF! #REF! #REF! #REF! #REF!
7 of 2
7 Canopy m2 42.00 40,000 270,000 1,680,000 11,340,000 13,020,000 17.60 #REF! #REF! #REF! #REF! #REF!
8 Flashing m1 64.00 20,000 90,000 1,280,000 5,760,000 7,040,000 21.00 #REF! #REF! #REF! #REF! #REF!
9 Gutter m1 31.00 500,000 4,200,000 15,500,000 130,200,000 145,700,000 18.80 #REF! #REF! #REF! #REF! #REF!
10 Down spout pipe 4 " m1 20.00 250,000 630,000 5,000,000 12,600,000 17,600,000 12.00 #REF! #REF! #REF! #REF! #REF!
8 of 2
#REF!
1 2 1+2
Klaim 777,806,000 #REF! #REF!
Dibyarkan 700,025,400 #REF! #REF!
#REF!
Retensi 77,780,600 #REF! #REF!
9 of 2
PT SONGCO WIDYA ENGINEERING
DATA VOLUME PEKERJAAN
1 Pile Cap
PC -1a V =( 1.00 + 1.00 )x 2 x 1.00 x 4 m2 16.00
PC -1a " V =( 1.50 + 1.50 )x 2 x 1.00 x 4 m2 24.00
PC -1b V =( 1.00 + 1.00 )x 2 x 1.00 x 3 m2 12.00
PC -1b " V =( 1.50 + 1.50 )x 2 x 1.00 x 1 m2 6.00
Spun pile V = 0.25 x 3.14 x 0.30 x 0.30 x 12 m2 0.85
2 Tie beam ( FB )
FB-1 V = 0.80 x 2 x 27.60 m2 44.16
FB-2 V = 0.80 x 2 x 13.00 m2 20.80
FB-3 V = 0.50 x 2 x 15.90 m2 15.90
FB-4 V = 0.50 x 2 x 13.20 m2 13.20
FB-5 V = 0.50 x 2 x 5.00 m2 5.00
3 Kolom
DZ-1 V =( 0.60 + 0.70 )x 2 x 2.50 x 4 m2 26.00
DZ-2 V =( 0.50 + 0.70 )x 2 x 1.00 x 2 m2 4.80
DZ-3 V =( 0.50 + 0.70 )x 2 x 1.00 x 1 m2 2.40
DZ-3 V =( 0.50 + 0.70 )x 2 x 2.50 x 1 m2 6.00
4 Kolom
Retaining Wall
V = 1.50 x 2 x 34.00 m2 102.00
=( 0.30 + 0.30 )x 1.50 m2 0.90
5 Kolom
Floor t = 200 mm
V =( 9.40 + 15.70 )x 2 x 0.20 m2 10.04
Jumlah 310.05
Required By,
PT. Songco Widya Engineering
a Preperation
1 Mob & demob ls 1.00
2 Overhead ls 1.00
b Pilling work
1 Pile head cut spun pile D500mm point 12.00
c Earth work
1 Excavation m3 19.32
2 Backfill with black soil m3 147.58
3 Backfill with red soil m3 40.34
d Concrete work
1 Lean concrete K-125 m3 18.71
2 Concrete K-300 m3 90.27
3 Rebar kg 21,002.00
4 Form work ( ordinary ) m2 310.05
5 Grouting m3 0.11
6 Anchord bolt type J, M-24 pcs 14.00
7 Insert plate M-1 kg 495.50
100
Sengkang dia.8-200
pjg rebar 1 kali lingkaran
L = 3.14 x 300 mm 8 200 0.39 x 0.94 x 8 x 12 kg 35.66
= 942 mm
jumlah lilitan 8 pcs
II PILE CAP
1 Pile Cap Type PC-1a ( 1000 x 1000 x 1000 ) ; 4 unit
Tul. Pokok D13-150 ( Atas )
100 900 100 13 150 1.04 x 1.10 x 7 x 4 kg 32.03
100 900 100 13 150 1.04 x 1.10 x 7 x 4 kg 32.03
Tul. Pokok D16-150 ( bawah )
850 900 850 16 150 1.58 x 2.60 x 7 x 4 kg 115.02
850 900 850 16 150 1.58 x 2.60 x 7 x 4 kg 115.02
Sengkang D10-150
900
300
900 900 10 100 0.616 x 2.50 x 58 x 1 kg 89.35
100
300
190
900 900 10 100 0.616 x 2.28 x 58 x 1 kg 81.49
100
190
Sengkang D10-100 ( (0,763 + 2,225 + 0.613) + (1,375 + 3,750 + 1,375 ) + ( 0,438 +1,875 + 0,588 )
300
900 900 10 200 0.616 x 2.50 x 42 x 1 kg 64.70
100
300
190
900 900 10 200 0.616 x 2.28 x 42 x 1 kg 59.01
100
190
Pengait D10-400 = 13,00m ; ( 3,600 + 6,50 + 2,900 m )
50 300 50 10 400 0.616 x 0.40 x 36 x 3 x 1 kg 26.62
III KOLOM
1 KOLOM TYPE DZ-1 ( 600x700mm2 ) Toc + 13.100
Tul. pokok 16 D22
300 3350 110 22 2.98 x 3.76 x 16 x 4 kg 717.11
500
190 190 10 100 0.616 x 1.48 x 26 x 4 kg 94.85
100
500
50 500 50 10 100 0.616 x 0.60 x 26 x 4 kg 38.45
170
600 600 10 100 0.616 x 1.64 x 11 x 3 kg 33.35
100
170
400
190 190 10 100 0.616 x 1.28 x 11 x 3 kg 26.03
100
400
50 400 50 10 100 0.616 x 0.50 x 11 x 3 kg 10.17
V FLOOR t = 150
Tulangan D16-150 melintang
80 9300 80 16 150 1.58 x 9.46 x 37 x 1 kg 553.03
80 9300 80 16 150 1.58 x 9.46 x 37 x 1 kg 553.03
Tulangan D16-150 melintang ( besi dioverlap 10 m u/ pintu masuk )
80 9940 80 16 150 1.58 x 10.10 x 68 x 1 kg 1,085.14
80 9940 80 16 150 1.58 x 10.10 x 68 x 1 kg 1,085.14
Tulangan D16-150 memanjang
80 11920 16 150 1.58 x 12.00 x 63 x 1 kg 1,194.48
640 3680 80 16 150 1.58 x 4.40 x 63 x 1 kg 437.98
80 11920 16 150 1.58 x 12.00 x 63 x 1 kg 1,194.48
640 3680 80 16 150 1.58 x 4.40 x 63 x 1 kg 437.98
Cakar ayam ( CA )
100
100 100 9 1000 0.50 x 0.65 x 128 x 0 kg -
100 250
Sub jumlah kg 8,229.10
Total jumlah kg 21,002.00
Required By,
PT. Songco Widya Engineering
167.04
90.432
30.8
30.8
72.8
72.8
103.6
64
64
124
124
159.6
23.1
23.1
54.6
54.6
77.7
16
16
31
31
39.9
240
104
240
104
144
51.12
2200.00
1100.00
325
296.4
200
182.4
86.4
120
59
1875.00
3750.00 120
59
937.50 72
1875.00 29.76
145
132.24
105
95.76
43.2
138.6
138.6
75.52
136.8
1100.00
2200.00
2200 120.96
120
109.44
35.2
198
172.8
2250.00 74.96
1125.00
136.8
120.96
120
109.44
49.5
48
37.48
104.5
92.4
24
240.64
239.2
168.48
72.8
153.92
62.4
94.92
69.3
54.12
42.24
16.5
52.64
54.6
42.64
33.28
13
192
192
187.84
34.8
35.2
350.02
350.02
686.8
686.8
756
277.2
756
277.2