CLAIM AND ADJUSTMENT

The Insured: PT. KEMENTRIAN PEKERJAAN UMUM QQ PT.

WASKITA – BANGUNNUSA (KSO)
Our Ref.: 074-UNS-020320-CAR-STR

CLAIM REVIEW (IDR) ADJUSTMENT (IDR)

No. Description Remarks
Quantity Unit Price Amount Quantity Unit Price Amount
I Diversion structure
I.A Soil Works
Soil fill 5,393.73 m3 80,710.00 435,327,948.30 5,393.73 m3 80,710.00 435,327,948.30
Subtotal I.A 435,327,948.30 435,327,948.30

I.B Diversion structure repair

Concrete K-225 166.94 m3 1,395,700.00 232,998,158.00 166.82 m3 1,395,700.00 232,830,674.00
Reinforcement bar 14.77 ton 21,351,580.00 315,362,836.60 14.77 ton 21,351,580.00 315,362,836.60
Exposed formwork 2.63 m2 311,480.00 819,192.40 2.63 m2 311,480.00 819,192.40
Non-exposed formwork 62.47 m2 265,810.00 16,605,150.70 62.47 m2 265,810.00 16,605,150.70
Subtotal I.B 565,785,337.70 565,617,853.70

Total I 1,001,113,286.00 1,000,945,802.00

II Debris removal
Sediment cleaning at diversion structure 5,870.97 m3 77,500.00 455,000,175.00 4,884.87 m3 77,500.00 378,577,425.00
Sediment cleaning at main dam right side 2,609.99 m3 77,500.00 202,274,225.00 2,609.99 m3 77,500.00 202,274,225.00
Sediment cleaning at main dam left side 28,930.09 m3 77,500.00 2,242,081,975.00 28,930.09 m3 77,500.00 2,242,081,975.00
Sediment cleaning at outlet 6,580.84 m3 77,500.00 510,015,100.00 5,961.85 m3 77,500.00 462,043,375.00
Sediment cleaning at cofferdam foundation 13,599.00 m3 77,500.00 1,053,922,500.00 13,599.00 m3 77,500.00 1,053,922,500.00
Total II 4,463,293,975.00 4,338,899,500.00

Grand Total 5,464,407,261.00 5,339,845,302.00

Sum Insured 899,088,942,000.00

VAR 934,028,039,000.00
Prorata 0.96

Less: Deductible 10% of loss, minimum IDR 1,000,000,000.00 1,000,000,000.00

Recommendation 4,339,845,302.00
bersihan Lumpur Bangunan Pengelak

STA Volume BQ Volume Dari Shop Drawing Re Checked

0+0 OK
0+20 OK
0+40 OK
0+60 OK
0+80 OK
0+100 OK
0+120 165.00 243.00 OK
0+140 330.00 243.00 Overstated
0+160 330.00 243.00 Overstated
0+180 330.00 300.00 Overstated
0+200 330.00 300.00 Overstated
0+220 330.00 300.00 Overstated
0+240 330.00 300.00 Overstated
0+260 330.00 300.00 Overstated
0+280 330.00 224.99 Overstated
0+300 330.00 246.25 Overstated
0+320 330.00 300.00 Overstated
0+340 330.00 245.16 Overstated
0+360 330.00 245.16 Overstated
0+380 330.00 245.16 Overstated
0+400 330.00 249.52 Overstated
0+420 375.10 249.52 Overstated
0+440 460.48 650.00 OK
0+450 250.38 0.00 Tidak ada Shop Drawing
TOTAL 5870.96 4884.78
Pembersihan Lumpur - R/b Main dam

STA Volume BQ Volume Dari Shop Drawing Re Checked

0+0 OK
0+20 OK
0+40 OK
0+60 OK
0+80 OK
0+100 OK
0+120 OK
0+140 OK
0+160 OK
0+180 OK
0+200 OK
0+220 OK
0+240 OK
0+260 OK
0+280 OK
0+300 OK
0+320 OK
0+340 OK
0+360 624.68 11658.18800 OK
0+380 1209.32 1209.32000 OK
0+400 776.00 776.00000 OK
0+420 OK
0+440 OK
0+460 OK
0+480 OK
0+500 OK
0+520 OK
0+535 OK
TOTAL 2610.00 13643.51
Galian Bendung Utama Galian Bangunan Pen

STA Volume BQ Volume Dari Shop Drawing Re Checked

0+0 OK
0+20 OK
0+40 OK
0+60 OK
0+80 OK
0+100 OK
0+120 OK
0+140 OK
0+160 OK
0+180 3545.71 18446.688 OK
0+200 6097.52 11194.56 OK
0+220 6088.65 22973.184 OK
0+240 6977.53 16228.0809 OK
0+260 6220.68 10266.4934 OK
0+280 OK
0+300 OK
0+320 OK
0+340 OK
0+360 OK
0+380 OK
0+400 OK
0+420 OK
0+440 OK
0+460 OK
0+480 OK
0+500 OK
0+520 OK
0+535 OK
TOTAL 28930.09 79109.01
Galian Bangunan Pengelak Galian Cofferdam

STA Volume BQ Volume Dari Shop Drawing Re Checked STA

0+0 OK 0+0
0+20 OK 0+20
0+40 OK 0+40
0+60 OK 0+60
0+80 OK 0+80
0+100 OK 0+100
0+120 OK 0+120
0+140 OK 0+140
0+160 OK 0+160
0+180 OK 0+180
0+200 OK 0+200
0+220 OK 0+220
0+240 OK 0+240
0+260 OK 0+260
0+280 OK 0+280
0+300 OK 0+300
0+320 OK 0+320
0+340 OK 0+340
0+360 OK 0+360
0+380 OK 0+380
0+400 OK 0+400
0+420 OK 0+420
0+440 OK 0+440
0+460 1819.76 3910.332 OK 0+460
0+480 2432.522 2432.522 OK TOTAL
0+488 924.14 2380 OK
0+498 785.43 1254.546 OK
0+508 OK
TOTAL 5961.85 9977.40
lian Cofferdam

Volume BQ Volume Dari Shop Drawing Re Checked

OK
OK
OK
OK
OK
OK
OK
OK
168.68 41498.938 OK
948.56 25025.3278 OK
1905.66 27556.28 OK
4037.07 14497.7333 OK
6539.03 16887.708 OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
13599.00 125465.99