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ADDENDUM I
to
AGREEMENT ON
“NAMA PROJECT”
between
PT TRRS.
and
PT ……………………………………………………….

NO JO

This Addendum I to Agreement on “NAMA PROJECT & LOKASI” (hereinafter shall be referred to as the
“Addendum I”) is made and signed on ____ of October, two thousand fourteen (XX-10-2014), by and
between:

1. PT ………………………………., a limited liability company incorporated under the laws of the Republic of
Indonesia, having its head office in …”ALAMAT KANTOR”………………………, in this matter is represented
by ”NAMA DIREKTUR”, each in their capacities as Directors and therefore legally authorized to act
for and on behalf of PT TRRS. (hereinafter shall be referred to as the “First Party”).

2. PT “SUB CONTRACTOR”, a limited liability company incorporated under the laws of Indonesia,
having its head office in “ALAMAT KANTOR SUB CONTRACTOR”, in this matter is represented by
“NAMA DIREKTUR”, in her capacity as Director, and therefore legally authorized to act for and on
behalf of PT Adi Reksa Data Inti (hereinafter shall be referred to as the “Second Party”).

The First Party and the Second Party hereinafter shall collectively be referred to as the “Parties” and each
shall also be referred to as the “Party”.

The Parties in their respective capacity as mentioned above firstly state the following matters:

1. Whereas, the Parties has made and entered into Agreement on “NAMA PROJECT”, No. NOMOR JO
dated TANGGAL JO (the “Agreement”).

2. Whereas, the First Party has requested to the Second Party to CONSTRUCT …… UNIT HOUSING.

3. Whereas, due to the additional NUMBER OF UNIT HOUSING the Parties agree to amend the Contract
Price through this Addendum I based on the Second Party’s Quotation No.”PENAWARAN DARI SUB
KONTRAKTOR DAN TANGGAL” as attached hereof.

Based on the matters as mentioned above, the Parties hereby agree to enter into and sign this
Addendum I, with the following terms and conditions:

ARTICLE 8

First Party’s Initials: Second Party’s Initials:

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PRICE AND TERM OF PAYMENT

8.1. The Parties agree that the total value of the Work in the amount of Rp368.800.000 (three
hundred sixty eight million eight hundred thousand Rupiah) (“Total Value of Work”).

The Total Value of Work above is total amount price including procurement, fabrication,
installation, mobilization cost, lifting tool, heavy equipment such as Mobile Crane, Fork Lift,
Mobile Truck, et cetera in relation to the execution of the Works, and excludes the Value Added
Tax (VAT) which shall be borne by the First Party and the Second Party shall submit the original
VAT invoice to the First Party.

The First Party shall be entitled to deduct Withholding Tax from Total Value of Work for the
services provided by the Second Party.

8.2. Payment for the Work by the First Party to the Second Party with the amount as stated in
Article 8.1, shall be made by the following scheme:

a. First Payment
30% (thirty percent) of Total Value of Work or equal to Rp110.640.000,- (one hundred ten
million six hundred forty thousand Rupiah) shall be made after the signing date of this
Agreement and within 40 (forty) Business Days after the First Party has received the correct
and complete of following documents:
i. Invoice and its supporting documents; and
ii. Bank Guarantee in the equal amount with first payment issued by the bank acceptable
by the First Party and shall be valid up to the signing date of PAC by the Parties as
mentioned in the Article 10.1 hereto.

b. Second Payment
40% (forty percent) of Total Value of Work or equal to Rp147.520.000,- (one hundred forty
seven million five hundred twenty thousand Rupiah) shall be made after draft final report
approved and received by the First Party.

c. Final Payment
30% (thirty percent) of Total Value of Work or equal to Rp110.640.000,- (one hundred ten
million six hundred forty thousand Rupiah) shall be paid after final report approved and
received by the First Party.

Becomes and shall be read as follows:

ARTICLE 8
PRICE AND TERM OF PAYMENT

8.1. The Parties agree that the total value of the Work in the amount of Rp TOTAL SETELAH ADA
ADDITIONAL WORKS………. (………………………………… Rupiah) with detail as follows:

Main Work Value = Rp NILAI JO AWAL

Additional Work Value = Rp TAMBAHAN +
Total = Rp ……………………..

First Party’s Initials: Second Party’s Initials:

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(hereinafter shall be referred to as “Total Value of Work”)

The Total Value of Work above is total amount price including procurement, fabrication,
installation, mobilization cost, lifting tool, heavy equipment such as Mobile Crane, Fork Lift,
Mobile Truck, et cetera in relation to the execution of the Works, and excludes the Value Added
Tax (VAT) which shall be borne by the First Party and the Second Party shall submit the original
VAT invoice to the First Party.

The First Party shall be entitled to deduct Withholding Tax from Total Value of Work for the
services provided by the Second Party.

8.2. Payment for the Work by the First Party to the Second Party with the amount as stated in
Article 8.1, shall be made by the following scheme:

I. For the Main Work:

a. First Payment

b. Second Payment

c. Final Payment / Retention

II. For the Additional Work

100% (one hundred percent) of Additional Work Value or equal to RP NILAI TOTAL ADDITIONAL
WORKS shall be paid after final report of Additional Work approved and received by the First
Party.

2. The Parties agree to amend Attachment 1 of the Agreement regarding Scope of Work, where the
additional work as attached in this Addendum I shall be added to the Attachment 1 of the
Agreement.

3. The other terms and conditions as set forth in the Agreement which are not contrary and amended
by this Addendum I shall be remain valid and bind the Parties. This Addendum I and its appendices
shall be an integral and inseparable part with the Agreement and valid as of TANGGAL BERLAKUNYA
ADDENDUM.

In witness whereof, the Parties have caused this Addendum I to be executed in duplicate by their
authorized representatives with sufficient stamp duty and each Party shall be given 1 (one) set of
Addendum I signed by the other Party on the stamp duty.

The First Party, The Second Party,

PT ………….. . PT ………………………..

First Party’s Initials: Second Party’s Initials:

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NAMA NAMA
Director Director

Witnessed by,

NAMA
GM PT TRSSS

First Party’s Initials: Second Party’s Initials:

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ATTACHMENT 1

ADDENDUM I
to
AGREEMENT ON
NAMA PROYEK
between
PT TRSS.
and
PT SUB CONTRACTOR

No. NO JO AWAL

ADDITIONAL SCOPE OF WORK AND QUOTATION

First Party’s Initials: Second Party’s Initials:

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BACKGROUND

This addendum is proposed due to additional potential site located in Pangkalan Susu – North Sumatra.

Scope of supply according to existing agreement is: Kuala Tanjung and Pangkalan Brandan only. User
request additional survey also done at Pangkalan Susu. The location very close to Pangkalan Brandan
(see the map below).

Bathymetric survey should be performed for 92 hectare. The Outcome must be as follow: bathymetric
chart, soft copy in Autocad, Report.

The advantages to use this contractor are: They already on site and their crew very close to location so
very minimum cost for mobilization. Survey operation commenced on September 04, 2014 and finished
on September 09, 2014. Final report on September 23, 2014.

NEW POTENTIAL SITE

REQUESTED BY USER FOR
ADDENDUM

POTENTIAL SITE ACCORDING

TO CONTRACT No. 150/Agr-
ITP/CTR/VI/14

First Party’s Initials: Second Party’s Initials: