Lampiran Addendum 1

Perjanjian Penggunaan Jasa Perawatan Kebersihan

Antara PT.Tirta Investama Dan PT.ISS Facility Services

Management fee Untuk Depo & Plant / monthly

DEPO PLANT

- Rp 327,868

Rp 327,868

Note :
Management fee must be constantly fixed during contractual period
Invoice (billing) is submitted monthly, on a respective working day of the following month
Payment is due and payable after 30 (thirty) days after invoice receipt date by PT. AGM/ TIV/ TSI

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 Lampiran Addendum 1
Perjanjian Penggunaan Jasa Perawatan Kebersihan
Antara PT.Tirta Investama Dan PT.ISS Facility Services

PERINCIAN PENAGIHAN REPACKING AQUA _DANONE SELURUH INDONESIA

Komponen Plant Rungkut Total

BIAYA TENAGA KERJA 3,047,014 3,047,014

BIAYA EQUIPMENT 231,667 231,667
SUB TOTAL 3,278,681 3,278,681
JASA PERUSAHAAN 10% 327,868 327,868
TOTAL SETELAH JASA PERUSAHAAN 3,606,549 3,606,549
PPN 10% 360,655 360,655
SETELAH PPN 10% 3,967,204 3,967,204
PPh Pasal 23 : 2% 72,131 72,131
TOTAL 3,895,073 3,895,073

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 Lampiran Addendum 1
Perjanjian Penggunaan Jasa Perawatan Kebersiha
Antara PT.Tirta Investama Dan PT.ISS Facility Services

Proyek AQUA

PT. ISS FACILITY SERVICE Tanggal 15 Mei 2010

Revisi

PERINCIAN HARGA REPACKING

PT. TIRTA INVESTAMA
Periode : 15 Mei 2010 - 14 Mei 2011

DETAIL OF REPACKING COST

NO KETERANGAN PLANT TOTAL

I BIAYA TENAGA KERJA 3,047,014 3,047,014

II BIAYA EQUIPMENT 231,667 231,667

Jakarta, 15 Mei 2010 SUB TOTAL 3,278,681 3,278,681

PT.IFS JASA PERUSAHAAN 10% 327,868 327,868

TOTAL SETELAH JASA PERUSAHAAN 3,606,549 3,606,549

PPN 10% 360,655 360,655

SETELAH PPN 10% 3,967,204 3,967,204

ANSORI HUDA PPh Pasal 23 : 2% 72,131 72,131

Integration Manager TOTAL 3,895,073 3,895,073

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 Lampiran Addendum 1
Perjanjian Penggunaan Jasa Perawatan Kebersihan
Antara PT.Tirta Investama Dan PT.ISS Facility Services

Detail Of Man Power Cost 1 Years

URAIAN Basic Weages THR MEDICAL ALLOWANCE NATURA ALLOWANCE UNIFORM

Medical Natura
UMP 2010
JLH Biaya Per THR per Periode Allowance Per Allowance Per
JML MAN (project 15 Mei TOTAL TOTAL NATURA
NO JENIS AREA SHIFT UMK Periode Contract TOTAL BW THR 2010 Contract Per TOTAL THR Periode Periode TOTAL UNIFORM
POWER 2010 - 14 Mei MEDICAL ALLOWANCE
TIGA Per Orang Orang Contract Per Contract Per
2011)
Orang Orang

z a d = a x 12 e=dXz f h=f I=hxz r = d x 7,24% s=rxz t u=txz v = z x Rp. 400.000

1 Depo Rungkut 2 1,031,500 1,289,375 15,472,500 30,945,000 1,289,375 1,289,375 2,578,750 1,120,209 2,240,418 - - 800,000
2 30,945,000 2,578,750 2,240,418 - 800,000
TOTAL PLANT 2 30,945,000 2,578,750 2,240,418 - 800,000 36,564,168 3,047,014

* Allowance bonus give at April Monthly

COST ALOCATION BASE ON LEVEL

JML MAN TOTAL TOTAL NATURA
NO LEVEL TOTAL BW TOTAL THR TOTAL UNIFORM
POWER MEDICAL ALLOWANCE

1 Repacking 2 30,945,000 2,578,750 2,240,418 - 800,000

2 30,945,000 2,578,750 2,240,418 - 800,000

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 Lampiran Addendum 1
Perjanjian Penggunaan Jasa Perawatan Kebersihan
Antara PT.Tirta Investama Dan PT.ISS Facility Services

MONTHLY MANPOWER COST

Please fill in the provided column, highlighted in orange color
By Level
TOTAL MAN POWER
No. Element of Cost
Repacking COST

1 Basic Wages (BW) Rp 2,578,750 Rp 2,578,750

Allowances
2
(please specify for each level)

Allowance of Hari Raya (1 x THR) Rp 214,896 Rp 214,896

Allowance of Natura Rp - Rp -

3 Medical Allowance (7,24%) Rp 186,702 Rp 186,702

Subtotal Basic Wages & Allowances Rp 2,980,347 Rp 2,980,347

4 Uniform Rp 66,667 Rp 66,667

Entitlement of Uniform per year 2 stell Rp -

TOTAL Rp 3,047,014 Rp 3,047,014

Management Fee (10%) Rp 304,701 Rp 304,701

Note:
1 All cost must be constantly fixed during contractual period
2 All janitors must be registered as the Member of Jamsostek for JKK, JK and JHT
3 All janitors must receive his/her Jamsostek Member Card
4 Allowance bonus give at April Monthly

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 Lampiran Addendum 1
Perjanjian Penggunaan Jasa Perawatan Kebersihan
Antara PT.Tirta Investama Dan PT.ISS Facility Services

Manning at Depo Rungkut

Allocation per Shift per Area

No. Depo Rungkut
shift 1 shift 2 shift 3 subtotal

1 REPACKING 2 2

TOTAL 2 - - 2

Note:
1 There be overtime incurred at the Office Area for janitor, following to User's requirement
2 There be overtime incurred at the Garden Area for gardener, following to User's requirement

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 Lampiran Addendum 1
Perjanjian Penggunaan Jasa Perawatan Kebersihan
Antara PT.Tirta Investama Dan PT.ISS Facility Services

SUMMARY MANPOWER BY LEVEL ALL AREA

Quantity Requirement / month

*Subject to changed upon User's
No. Item Description request TOTAL

Depo Rungkut

1 Repacking 2

2 2

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 Lampiran Addendum 1
Perjanjian Penggunaan Jasa Perawatan Kebersihan
Antara PT.Tirta Investama Dan PT.ISS Facility Services

MONTHLY EQUIPMENT CONSUMPTION at EACH AREA - Repacking

Please fill in the provided column, highlighted in blue color

Quantity
Requirement / Chemical Cost /
Life Cycle
Price / UM month month
No. Item Description UM / UM TOTAL
(IDR) * *Subject to changed (IDR)
upon User's request

Amount Month Depo rungkut Depo Rungkut

1 Sepatu Boot psg 50,000 12 Month 2 8,333
2 Rompi pcs 75,000 12 Month 2 12,500
3 Masker pcs 5,000 1Month 8 40,000
4 Sarung Tangan Kain psg 10,000 1Month 8 80,000
5 Wet Mop Set pcs 100,000 12 Month 1 8,333
6 Wet Mop Refill pcs 15,000 1Month 1 15,000
7 Lobby Duster Set pcs 120,000 12 Month 1 10,000
8 Lobby Duster Refill pcs 35,000 3Month 1 11,667
9 Floor Squeegee 80cm pcs 75,000 12 Month 2 12,500
10 Dusting Cloth pcs 10,000 1Month 2 20,000
11 Sapu Ijuk pcs 10,000 3Month 1 3,333
12 Dust Pan pcs 10,000 6Month 1 1,667
13 Jas Hujan pcs 50,000 12 Month 2 8,333
Total Equipment Cost Rp 231,667 Rp 231,667
Management Fee (10%) Rp 23,167 Rp 23,167

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