KONSORSIUM PT WIJAYA KARYA (PERSERO) TBK – PT WIJAYA KARYA

REKAYASA KONSTRUKSI

Tamansari Hive Office, 5th Floor, Jl. D.I. Panjaitan Kav.2 Jakarta 13340, Phone : +62-21 2286 4446 / 47 / 48

Letter No: PKTIII-L-KSO.WIKA/WRK-SRM-EXT-506 , 2023

To
PT PLN (PERSERO) Unit Induk Pembangunan Maluku dan Papua
Jl. Baru Pasar Yotefa, Kelurahan Wai Mhorock, Kecamatan Abepura, Jayapura 99225
Papua, Indonesia

Attn. Mr. Sukahar

General Manager

Subject : Request for Progress Payment Others for Consumable per Sch 1.6 on August 2022

Dear Sir,

Referring to the Contract no. 0177.PJ/DAN.02.01/DIR/2017, Amandement No. A.03/2019, Amandement No. A.04/2019,
Amandement No. A.05/2019, Amendment No. A.06/2020 we are please to submit our invoice for Progress Payment Others
for Consumable per Sch 1.6 on August 2022

Description :

Description Invoice No. Amount

Payment upon Issue of the Progress Payment
Others for Consumable per Sch 1.6 on August PKTIII-INV-KSO.WIKA/WRK-SRM-EXT-094 IDR 1.759.937
2022 (Incl. VAT 11%)

Hereby, we attached the necessary documents for the progress payment as per the special condition of the Contract

Please find the enclosed document for your ready reference :

1 Attachment 1 Signed Contractor's correct and complete invoice
2 Attachment 2 Copy of the respective Taking-Over Certificate issued by the Owner
3 Attachment 3 Payment Certificate

Thank you for your cooperation and kind attention.

Yours faithfully,
Konsorsium PT Wijaya Karya
(Persero) Tbk. - PT Wijaya Karya
Rekayasa Konstruksi

Ribut Budyanto
Project Manager

Copy to : 1. KSO WIKA-WRK, Jakarta Office

2. File
 KONSORSIUM PT WIJAYA KARYA (PERSERO) TBK – PT WIJAYA KARYA
REKAYASA KONSTRUKSI

Tamansari Hive Office, 5th Floor, Jl. D.I. Panjaitan Kav.2 Jakarta 13340, Phone : +62-21 2286 4446 / 47 / 48

Attachment 1 - Invoice
To :
PT PLN (PERSERO) Head Office INVOICE
Jl. Trunojoyo Blok M 1/135 Kebayoran Baru, Jakarta Our Invoice Reference
Indonesia Invoice No. : PKTIII-INV-KSO.WIKA/WRK-SRM-EXT-094
Invoice Date : , 2023

Project Title : MOBILE POWER PLANT AND FIXED TYPE GAS ENGINE
POWER PLANT PACKAGE III (FIXED POWER PLANT) -
PLTMG SERAM PEAKER 20 MW

Contract Ref.No. : 0177.PJ/DAN.02.01/DIR/2017

Amendment No. : A.03/2019
Amendment No. : A.04/2019
Amendment No. : A.05/2019
Amendment No. : A.06/2020

Request for Progress Payment Others for Consumable per Sch 1.6 on August Rp 1.759.937
2022

Description : Currency Amount

1. Others for Consumable per Sch 1.6 Contract Value : Rp 1.373.859.400

Others for Consumable per Sch 1.6 Progress Value
Rp 1.236.473.460
90%
2. Project Progress Others for Consumable per Sch 1.6 : 0,396%
up to this month
3 Others for Consumable per Sch 1.6 Portion : 0,396%
4. Others for Consumable per Sch 1.6 this Month : 0,128%
5. Ex-Work DAS this Month : Rp 1.585.529
on this period (item 1a x Item 4)
6 Total Amount to Claimed Exclude VAT (11%) Rp 1.585.529
7 VAT 11% Rp 174.408
8 Sum of invoice Rp 1.759.937

Total Amount to be Paid Rp 1.759.937

Please transfer the payment to our Account :

Account Name : KONSORSIUM WIJAYA KARYA - WIJAYA KARYA REKAYASA KONSTRUKSI
Bank Name : PT. Bank DBS Indonesia
Swift Code : DBSBIDJA
Account Number : 3320061940 (IDR)

Best regards for your kind attention and good cooperation.

Yours faithfully, Total Amount Rp 1.759.937

Konsorsium PT Wijaya Karya (Persero) Tbk. - PT
Wijaya Karya Rekayasa Konstruksi In words ;
PLTMG Seram Peaker 20 MW Indonesian Rupiah, One Million Seven Hundred Fifty Nine
Thousand Nine Hundred and Thirty Seven Only

Ribut Budyanto
Project Manager
 KONSORSIUM PT WIJAYA KARYA (PERSERO) TBK – PT WIJAYA KARYA
REKAYASA KONSTRUKSI

Tamansari Hive Office, 5th Floor, Jl. D.I. Panjaitan Kav.2 Jakarta 13340, Phone : +62-21 2286 4446 / 47 / 48

Attachment 1 - Invoice
To :
PT PLN (PERSERO) Head Office INVOICE
Jl. Trunojoyo Blok M 1/135 Kebayoran Baru, Jakarta Our Invoice Reference
Indonesia Invoice No. : PKTIII-INV-KSO.WIKA/WRK-SRM-EXT-094
Invoice Date : , 2023

Project Title : MOBILE POWER PLANT AND FIXED TYPE GAS ENGINE
POWER PLANT PACKAGE III (FIXED POWER PLANT) -
PLTMG SERAM PEAKER 20 MW

Contract Ref.No. : 0177.PJ/DAN.02.01/DIR/2017

Amendment No. : A.03/2019
Amendment No. : A.04/2019
Amendment No. : A.05/2019
Amendment No. : A.06/2020

Request for Progress Payment Others for Consumable per Sch 1.6 on August Rp 1.759.937
2022

Description : Currency Amount

1. Others for Consumable per Sch 1.6 Contract Value : Rp 1.373.859.400

Others for Consumable per Sch 1.6 Progress Value
Rp 1.236.473.460
90%
2. Project Progress Others for Consumable per Sch 1.6 : 0,396%
up to this month
3 Others for Consumable per Sch 1.6 Portion : 0,396%
4. Others for Consumable per Sch 1.6 this Month : 0,128%
5. Ex-Work DAS this Month : Rp 1.585.529
on this period (item 1a x Item 4)
6 Total Amount to Claimed Exclude VAT (11%) Rp 1.585.529
7 VAT 11% Rp 174.408
8 Sum of invoice Rp 1.759.937

Total Amount to be Paid Rp 1.759.937

Please transfer the payment to our Account :

Account Name : KONSORSIUM WIJAYA KARYA - WIJAYA KARYA REKAYASA KONSTRUKSI
Bank Name : PT. Bank DBS Indonesia
Swift Code : DBSBIDJA
Account Number : 3320061940 (IDR)

Best regards for your kind attention and good cooperation.

Yours faithfully, Total Amount Rp 1.759.937

Konsorsium PT Wijaya Karya (Persero) Tbk. - PT
Wijaya Karya Rekayasa Konstruksi In words ;
PLTMG Seram Peaker 20 MW Indonesian Rupiah, One Million Seven Hundred Fifty Nine
Thousand Nine Hundred and Thirty Seven Only

Ribut Budyanto
Project Manager
 KONSORSIUM PT WIJAYA KARYA (PERSERO) TBK – PT WIJAYA KARYA
REKAYASA KONSTRUKSI

Tamansari Hive Office, 5th Floor, Jl. D.I. Panjaitan Kav.2 Jakarta 13340, Phone : +62-21 2286 4446 / 47 / 48

Attachment 1 - Invoice
To :
PT PLN (PERSERO) Head Office INVOICE
Jl. Trunojoyo Blok M 1/135 Kebayoran Baru, Jakarta Our Invoice Reference
Indonesia Invoice No. : PKTIII-INV-KSO.WIKA/WRK-SRM-EXT-094
Invoice Date : , 2023

Project Title : MOBILE POWER PLANT AND FIXED TYPE GAS ENGINE
POWER PLANT PACKAGE III (FIXED POWER PLANT) -
PLTMG SERAM PEAKER 20 MW

Contract Ref.No. : 0177.PJ/DAN.02.01/DIR/2017

Amendment No. : A.03/2019
Amendment No. : A.04/2019
Amendment No. : A.05/2019
Amendment No. : A.06/2020

Request for Progress Payment Others for Consumable per Sch 1.6 on August Rp 1.759.937
2022

Description : Currency Amount

1. Others for Consumable per Sch 1.6 Contract Value : Rp 1.373.859.400

Others for Consumable per Sch 1.6 Progress Value
Rp 1.236.473.460
90%
2. Project Progress Others for Consumable per Sch 1.6 : 0,396%
up to this month
3 Others for Consumable per Sch 1.6 Portion : 0,396%
4. Others for Consumable per Sch 1.6 this Month : 0,128%
5. Ex-Work DAS this Month : Rp 1.585.529
on this period (item 1a x Item 4)
6 Total Amount to Claimed Exclude VAT (11%) Rp 1.585.529
7 VAT 11% Rp 174.408
8 Sum of invoice Rp 1.759.937

Total Amount to be Paid Rp 1.759.937

Please transfer the payment to our Account :

Account Name : KONSORSIUM WIJAYA KARYA - WIJAYA KARYA REKAYASA KONSTRUKSI
Bank Name : PT. Bank DBS Indonesia
Swift Code : DBSBIDJA
Account Number : 3320061940 (IDR)

Best regards for your kind attention and good cooperation.

Yours faithfully, Total Amount Rp 1.759.937

Konsorsium PT Wijaya Karya (Persero) Tbk. - PT
Wijaya Karya Rekayasa Konstruksi In words ;
PLTMG Seram Peaker 20 MW Indonesian Rupiah, One Million Seven Hundred Fifty Nine
Thousand Nine Hundred and Thirty Seven Only

Ribut Budyanto
Project Manager
 KONSORSIUM PT WIJAYA KARYA (PERSERO) TBK – PT WIJAYA KARYA
REKAYASA KONSTRUKSI

Tamansari Hive Office, 5th Floor, Jl. D.I. Panjaitan Kav.2 Jakarta 13340, Phone : +62-21 2286 4446 / 47 / 48

Attachment 1 - Invoice
To :
PT PLN (PERSERO) Head Office INVOICE
Jl. Trunojoyo Blok M 1/135 Kebayoran Baru, Jakarta Our Invoice Reference
Indonesia Invoice No. : PKTIII-INV-KSO.WIKA/WRK-SRM-EXT-094
Invoice Date : , 2023

Project Title : MOBILE POWER PLANT AND FIXED TYPE GAS ENGINE
POWER PLANT PACKAGE III (FIXED POWER PLANT) -
PLTMG SERAM PEAKER 20 MW

Contract Ref.No. : 0177.PJ/DAN.02.01/DIR/2017

Amendment No. : A.03/2019
Amendment No. : A.04/2019
Amendment No. : A.05/2019
Amendment No. : A.06/2020

Request for Progress Payment Others for Consumable per Sch 1.6 on August Rp 1.759.937
2022

Description : Currency Amount

1. Others for Consumable per Sch 1.6 Contract Value : Rp 1.373.859.400

Others for Consumable per Sch 1.6 Progress Value
Rp 1.236.473.460
90%
2. Project Progress Others for Consumable per Sch 1.6 : 0,396%
up to this month
3 Others for Consumable per Sch 1.6 Portion : 0,396%
4. Others for Consumable per Sch 1.6 this Month : 0,128%
5. Ex-Work DAS this Month : Rp 1.585.529
on this period (item 1a x Item 4)
6 Total Amount to Claimed Exclude VAT (11%) Rp 1.585.529
7 VAT 11% Rp 174.408
8 Sum of invoice Rp 1.759.937

Total Amount to be Paid Rp 1.759.937

Please transfer the payment to our Account :

Account Name : KONSORSIUM WIJAYA KARYA - WIJAYA KARYA REKAYASA KONSTRUKSI
Bank Name : PT. Bank DBS Indonesia
Swift Code : DBSBIDJA
Account Number : 3320061940 (IDR)

Best regards for your kind attention and good cooperation.

Yours faithfully, Total Amount Rp 1.759.937

Konsorsium PT Wijaya Karya (Persero) Tbk. - PT
Wijaya Karya Rekayasa Konstruksi In words ;
PLTMG Seram Peaker 20 MW Indonesian Rupiah, One Million Seven Hundred Fifty Nine
Thousand Nine Hundred and Thirty Seven Only

Ribut Budyanto
Project Manager
 KONSORSIUM PT WIJAYA KARYA (PERSERO) TBK – PT WIJAYA KARYA
REKAYASA KONSTRUKSI

Tamansari Hive Office, 5th Floor, Jl. D.I. Panjaitan Kav.2 Jakarta 13340, Phone : +62-21 2286 4446 / 47 / 48

RECEIPT

Received from : PT PLN (PERSERO) Head Office

Jl. Trunojoyo Blok M 1/135 Kebayoran Baru, Jakarta
Indonesia

Amount : IDR 1.759.937

In words :
Indonesian Rupiah, One Million Seven Hundred Fifty Nine
Thousand Nine Hundred and Thirty Seven Only

Payment of : Request for Progress Payment Others for Consumable per Sch 1.6
on August 2022

This receipt shall be in effect after the payment has been received and recorded in our account

, 2023

Konsorsium PT Wijaya Karya

(Persero) Tbk. - PT Wijaya Karya
Rekayasa Konstruksi
materai

Ribut Budyanto
Project Manager
 KONSORSIUM PT WIJAYA KARYA (PERSERO) TBK – PT WIJAYA KARYA
REKAYASA KONSTRUKSI

Tamansari Hive Office, 5th Floor, Jl. D.I. Panjaitan Kav.2 Jakarta 13340, Phone : +62-21 2286 4446 / 47 / 48

RECEIPT

Received from : PT PLN (PERSERO) Head Office

Jl. Trunojoyo Blok M 1/135 Kebayoran Baru, Jakarta
Indonesia

Amount : IDR 1.759.937

In words :
Indonesian Rupiah, One Million Seven Hundred Fifty Nine
Thousand Nine Hundred and Thirty Seven Only

Payment of : Request for Progress Payment Others for Consumable per Sch 1.6
on August 2022

This receipt shall be in effect after the payment has been received and recorded in our account

, 2023

Konsorsium PT Wijaya Karya

(Persero) Tbk. - PT Wijaya Karya
Rekayasa Konstruksi
materai

Ribut Budyanto
Project Manager
 KONSORSIUM PT WIJAYA KARYA (PERSERO) TBK – PT WIJAYA KARYA
REKAYASA KONSTRUKSI

Tamansari Hive Office, 5th Floor, Jl. D.I. Panjaitan Kav.2 Jakarta 13340, Phone : +62-21 2286 4446 / 47 / 48

RECEIPT

Received from : PT PLN (PERSERO) Head Office

Jl. Trunojoyo Blok M 1/135 Kebayoran Baru, Jakarta
Indonesia

Amount : IDR 1.759.937

In words :
Indonesian Rupiah, One Million Seven Hundred Fifty Nine
Thousand Nine Hundred and Thirty Seven Only

Payment of : Request for Progress Payment Others for Consumable per Sch 1.6
on August 2022

This receipt shall be in effect after the payment has been received and recorded in our account

, 2023

Konsorsium PT Wijaya Karya

(Persero) Tbk. - PT Wijaya Karya
Rekayasa Konstruksi
materai

Ribut Budyanto
Project Manager
 KONSORSIUM PT WIJAYA KARYA (PERSERO) TBK – PT WIJAYA KARYA
REKAYASA KONSTRUKSI

Tamansari Hive Office, 5th Floor, Jl. D.I. Panjaitan Kav.2 Jakarta 13340, Phone : +62-21 2286 4446 / 47 / 48

RECEIPT

Received from : PT PLN (PERSERO) Head Office

Jl. Trunojoyo Blok M 1/135 Kebayoran Baru, Jakarta
Indonesia

Amount : IDR 1.759.937

In words :
Indonesian Rupiah, One Million Seven Hundred Fifty Nine
Thousand Nine Hundred and Thirty Seven Only

Payment of : Request for Progress Payment Others for Consumable per Sch 1.6
on August 2022

This receipt shall be in effect after the payment has been received and recorded in our account

, 2023

Konsorsium PT Wijaya Karya

(Persero) Tbk. - PT Wijaya Karya
Rekayasa Konstruksi
materai

Ribut Budyanto
Project Manager
 UIP MALUKU DAN
PAPUA

PAYMENT CERTIFICATE BERITA ACARA PEMBAYARAN

No. : .BA/KEU.01.02/F47000000/2023 No. : .BA/KEU.01.02/F47000000/2023

Today, dated month year Pada hari ini tanggal bulan tahun
, in accordance with invoice No. PKTIII-INV- berdasarkan invoice No. PKTIII-INV-
KSO.WIKA/ WRK-SRM-EXT-094 dated , KSO.WIKA/ WRK-SRM-EXT-094 tanggal ,
the Nominated Contractor, CONSORTIUM PT KONSORSIUM PT WIJAYA KARYA
WIJAYA KARYA (PERSERO), TBK – PT WIJAYA (PERSERO), TBK – PT WIJAYA KARYA REKAYASA
KARYA REKAYASA KONSTRUKSI is entitled to KONSTRUKSI berhak menerima Pembayaran
receive the Progress Payment Others for Consumable Progress Payment Others for Consumable per Sch 1.6
per Sch 1.6 on August 2022 for Mobile Power Plant pada Bulan Agustus 2022 untuk Mobile Power Plant
and Fixed Type Gas Engine Power Plant Package III and Fixed Type Gas Engine Power Plant Package III
(Fixed Power Plant) – PLTMG Seram Peaker 20 MW, (Fixed Power Plant) – PLTMG Seram Peaker 20 MW,
Contract No. 0177.PJ/DAN.02.01/DIR/2017 dated May Kontrak No. 0177.PJ/DAN.02.01/DIR/2017 tanggal 18
18th, 2017 and Amendment No. A.03/2019 dated Mei 2017 dan Amandemen No. A.03/2019 tanggal 11
January 11th, 2019, Amendment No. A.04/2019 dated Januari 2019, Amandemen No. A.04/2019 tanggal 16
August 16th, 2019, Amendment No. A.05/2019 dated Agustus 2019, Amandemen No. A.05/2019 tanggal 5
November 5th, 2019, Amendment No. A.06/2020 dated November 2019, Amandemen No. A.06/2020 tanggal
January 28th, 2020 through Telegraphic Transfer (T/T) 28 Januari 2020 melalui Telegraphic Transfer (T/T)
as follows: sebagai berikut:

Amounting to : IDR 1.585.529,- Sebesar : IDR 1.585.529,-

VAT (11%) : IDR 174.408,- PPN (10%) : IDR 174.408,-
Due amount in total : IDR 1.759.937.- Yang akan dibayarkan : IDR 1.759.937.-
(Included VAT 10%) (Termasuk Ppn 11%)
Amount said in words : Indonesian Rupiah, One Terbilang : Satu Juta Tujuh Ratus Lima
Million Seven Hundred Fifty Puluh Sembilan Ribu
Nine Thousand Nine Hundred Sembilan Ratus Tiga Puluh
and Thirty Seven Only Tujuh Rupiah.

This statement is made of 4 (four) originals consist of 2 Demikian Berita Acara ini dibuat 4 (empat) rangkap
(two) originals with stamp and 2 (two) originals without terdiri dari 2 (dua) rangkap bermaterai dan 2 (dua)
stamp in accordance with normal procedure. rangkap tanpa materai untuk dipergunakan
sebagaimana mestinya.

CONTRACTOR : OWNER :

Konsorsium PT Wijaya Karya (Persero) Tbk, - PT PT PLN (Persero)

Wijaya Karya Rekayasa Konstruksi Unit Induk Pembangunan Maluku dan Papua

RIBUT BUDYANTO SUKAHAR

Project Manager General Manager
 UIP MALUKU DAN
PAPUA

PAYMENT CERTIFICATE BERITA ACARA PEMBAYARAN

No. : .BA/KEU.01.02/F47000000/2023 No. : .BA/KEU.01.02/F47000000/2023

Today, dated month year Pada hari ini tanggal bulan tahun
, in accordance with invoice No. PKTIII-INV- berdasarkan invoice No. PKTIII-INV-
KSO.WIKA/ WRK-SRM-EXT-094 dated , KSO.WIKA/ WRK-SRM-EXT-094 tanggal ,
the Nominated Contractor, CONSORTIUM PT KONSORSIUM PT WIJAYA KARYA
WIJAYA KARYA (PERSERO), TBK – PT WIJAYA (PERSERO), TBK – PT WIJAYA KARYA REKAYASA
KARYA REKAYASA KONSTRUKSI is entitled to KONSTRUKSI berhak menerima Pembayaran
receive the Progress Payment Others for Consumable Progress Payment Others for Consumable per Sch 1.6
per Sch 1.6 on August 2022 for Mobile Power Plant pada Bulan Agustus 2022 untuk Mobile Power Plant
and Fixed Type Gas Engine Power Plant Package III and Fixed Type Gas Engine Power Plant Package III
(Fixed Power Plant) – PLTMG Seram Peaker 20 MW, (Fixed Power Plant) – PLTMG Seram Peaker 20 MW,
Contract No. 0177.PJ/DAN.02.01/DIR/2017 dated May Kontrak No. 0177.PJ/DAN.02.01/DIR/2017 tanggal 18
18th, 2017 and Amendment No. A.03/2019 dated Mei 2017 dan Amandemen No. A.03/2019 tanggal 11
January 11th, 2019, Amendment No. A.04/2019 dated Januari 2019, Amandemen No. A.04/2019 tanggal 16
August 16th, 2019, Amendment No. A.05/2019 dated Agustus 2019, Amandemen No. A.05/2019 tanggal 5
November 5th, 2019, Amendment No. A.06/2020 dated November 2019, Amandemen No. A.06/2020 tanggal
January 28th, 2020 through Telegraphic Transfer (T/T) 28 Januari 2020 melalui Telegraphic Transfer (T/T)
as follows: sebagai berikut:

Amounting to : IDR 1.585.529,- Sebesar : IDR 1.585.529,-

VAT (11%) : IDR 174.408,- PPN (10%) : IDR 174.408,-
Due amount in total : IDR 1.759.937.- Yang akan dibayarkan : IDR 1.759.937.-
(Included VAT 10%) (Termasuk Ppn 11%)
Amount said in words : Indonesian Rupiah, One Terbilang : Satu Juta Tujuh Ratus Lima
Million Seven Hundred Fifty Puluh Sembilan Ribu
Nine Thousand Nine Hundred Sembilan Ratus Tiga Puluh
and Thirty Seven Only Tujuh Rupiah.

This statement is made of 4 (four) originals consist of 2 Demikian Berita Acara ini dibuat 4 (empat) rangkap
(two) originals with stamp and 2 (two) originals without terdiri dari 2 (dua) rangkap bermaterai dan 2 (dua)
stamp in accordance with normal procedure. rangkap tanpa materai untuk dipergunakan
sebagaimana mestinya.

CONTRACTOR : OWNER :

Konsorsium PT Wijaya Karya (Persero) Tbk, - PT PT PLN (Persero)

Wijaya Karya Rekayasa Konstruksi Unit Induk Pembangunan Maluku dan Papua

RIBUT BUDYANTO SUKAHAR

Project Manager General Manager
 UIP MALUKU DAN
PAPUA

PAYMENT CERTIFICATE BERITA ACARA PEMBAYARAN

No. : .BA/KEU.01.02/F47000000/2023 No. : .BA/KEU.01.02/F47000000/2023

Today, dated month year Pada hari ini tanggal bulan tahun
, in accordance with invoice No. PKTIII-INV- berdasarkan invoice No. PKTIII-INV-
KSO.WIKA/ WRK-SRM-EXT-094 dated , KSO.WIKA/ WRK-SRM-EXT-094 tanggal ,
the Nominated Contractor, CONSORTIUM PT KONSORSIUM PT WIJAYA KARYA
WIJAYA KARYA (PERSERO), TBK – PT WIJAYA (PERSERO), TBK – PT WIJAYA KARYA REKAYASA
KARYA REKAYASA KONSTRUKSI is entitled to KONSTRUKSI berhak menerima Pembayaran
receive the Progress Payment Others for Consumable Progress Payment Others for Consumable per Sch 1.6
per Sch 1.6 on August 2022 for Mobile Power Plant pada Bulan Agustus 2022 untuk Mobile Power Plant
and Fixed Type Gas Engine Power Plant Package III and Fixed Type Gas Engine Power Plant Package III
(Fixed Power Plant) – PLTMG Seram Peaker 20 MW, (Fixed Power Plant) – PLTMG Seram Peaker 20 MW,
Contract No. 0177.PJ/DAN.02.01/DIR/2017 dated May Kontrak No. 0177.PJ/DAN.02.01/DIR/2017 tanggal 18
18th, 2017 and Amendment No. A.03/2019 dated Mei 2017 dan Amandemen No. A.03/2019 tanggal 11
January 11th, 2019, Amendment No. A.04/2019 dated Januari 2019, Amandemen No. A.04/2019 tanggal 16
August 16th, 2019, Amendment No. A.05/2019 dated Agustus 2019, Amandemen No. A.05/2019 tanggal 5
November 5th, 2019, Amendment No. A.06/2020 dated November 2019, Amandemen No. A.06/2020 tanggal
January 28th, 2020 through Telegraphic Transfer (T/T) 28 Januari 2020 melalui Telegraphic Transfer (T/T)
as follows: sebagai berikut:

Amounting to : IDR 1.585.529,- Sebesar : IDR 1.585.529,-

VAT (11%) : IDR 174.408,- PPN (10%) : IDR 174.408,-
Due amount in total : IDR 1.759.937.- Yang akan dibayarkan : IDR 1.759.937.-
(Included VAT 10%) (Termasuk Ppn 11%)
Amount said in words : Indonesian Rupiah, One Terbilang : Satu Juta Tujuh Ratus Lima
Million Seven Hundred Fifty Puluh Sembilan Ribu
Nine Thousand Nine Hundred Sembilan Ratus Tiga Puluh
and Thirty Seven Only Tujuh Rupiah.

This statement is made of 4 (four) originals consist of 2 Demikian Berita Acara ini dibuat 4 (empat) rangkap
(two) originals with stamp and 2 (two) originals without terdiri dari 2 (dua) rangkap bermaterai dan 2 (dua)
stamp in accordance with normal procedure. rangkap tanpa materai untuk dipergunakan
sebagaimana mestinya.

CONTRACTOR : OWNER :

Konsorsium PT Wijaya Karya (Persero) Tbk, - PT PT PLN (Persero)

Wijaya Karya Rekayasa Konstruksi Unit Induk Pembangunan Maluku dan Papua

RIBUT BUDYANTO SUKAHAR

Project Manager General Manager
 UIP MALUKU DAN
PAPUA

PAYMENT CERTIFICATE BERITA ACARA PEMBAYARAN

No. : .BA/KEU.01.02/F47000000/2023 No. : .BA/KEU.01.02/F47000000/2023

Today, dated month year Pada hari ini tanggal bulan tahun
, in accordance with invoice No. PKTIII-INV- berdasarkan invoice No. PKTIII-INV-
KSO.WIKA/ WRK-SRM-EXT-094 dated , KSO.WIKA/ WRK-SRM-EXT-094 tanggal ,
the Nominated Contractor, CONSORTIUM PT KONSORSIUM PT WIJAYA KARYA
WIJAYA KARYA (PERSERO), TBK – PT WIJAYA (PERSERO), TBK – PT WIJAYA KARYA REKAYASA
KARYA REKAYASA KONSTRUKSI is entitled to KONSTRUKSI berhak menerima Pembayaran
receive the Progress Payment Others for Consumable Progress Payment Others for Consumable per Sch 1.6
per Sch 1.6 on August 2022 for Mobile Power Plant pada Bulan Agustus 2022 untuk Mobile Power Plant
and Fixed Type Gas Engine Power Plant Package III and Fixed Type Gas Engine Power Plant Package III
(Fixed Power Plant) – PLTMG Seram Peaker 20 MW, (Fixed Power Plant) – PLTMG Seram Peaker 20 MW,
Contract No. 0177.PJ/DAN.02.01/DIR/2017 dated May Kontrak No. 0177.PJ/DAN.02.01/DIR/2017 tanggal 18
18th, 2017 and Amendment No. A.03/2019 dated Mei 2017 dan Amandemen No. A.03/2019 tanggal 11
January 11th, 2019, Amendment No. A.04/2019 dated Januari 2019, Amandemen No. A.04/2019 tanggal 16
August 16th, 2019, Amendment No. A.05/2019 dated Agustus 2019, Amandemen No. A.05/2019 tanggal 5
November 5th, 2019, Amendment No. A.06/2020 dated November 2019, Amandemen No. A.06/2020 tanggal
January 28th, 2020 through Telegraphic Transfer (T/T) 28 Januari 2020 melalui Telegraphic Transfer (T/T)
as follows: sebagai berikut:

Amounting to : IDR 1.585.529,- Sebesar : IDR 1.585.529,-

VAT (11%) : IDR 174.408,- PPN (10%) : IDR 174.408,-
Due amount in total : IDR 1.759.937.- Yang akan dibayarkan : IDR 1.759.937.-
(Included VAT 10%) (Termasuk Ppn 11%)
Amount said in words : Indonesian Rupiah, One Terbilang : Satu Juta Tujuh Ratus Lima
Million Seven Hundred Fifty Puluh Sembilan Ribu
Nine Thousand Nine Hundred Sembilan Ratus Tiga Puluh
and Thirty Seven Only Tujuh Rupiah.

This statement is made of 4 (four) originals consist of 2 Demikian Berita Acara ini dibuat 4 (empat) rangkap
(two) originals with stamp and 2 (two) originals without terdiri dari 2 (dua) rangkap bermaterai dan 2 (dua)
stamp in accordance with normal procedure. rangkap tanpa materai untuk dipergunakan
sebagaimana mestinya.

CONTRACTOR : OWNER :

Konsorsium PT Wijaya Karya (Persero) Tbk, - PT PT PLN (Persero)

Wijaya Karya Rekayasa Konstruksi Unit Induk Pembangunan Maluku dan Papua

RIBUT BUDYANTO SUKAHAR

Project Manager General Manager
 PERHITUNGAN PEMBAYARAN PORSI DELIVERY AT SITE
PLTMG SERAM PEAKER-20 MW

I. Progress Delivery at Site (Bulan Agustus 2022)

a. Nilai Pekerjaan s/d BAP ini :

100% x Rp 1.373.859.400,- = IDR 1.373.859.400
b. Nilai Pekerjaan s/d BAP yang lalu : = IDR 1.372.097.701 -
c. Nilai Pekerjaan BAP ini (netto) = IDR 1.761.699
d. Potongan-potongan :
(I) Uang Retensi = IDR 176.170
(II) Uang Muka = IDR - +
(III) Jumlah Potongan = IDR 176.170 -
e. Sub Total (c - d) = IDR 1.585.529
f. Pembayaran BAP ini (netto) = IDR 1.585.529
g. PPN 11% dari f. = IDR 174.408 +

h. Nilai yang harus dibayarkan = IDR 1.759.937

Terbilang : "Satu Juta Tujuh Ratus Lima Puluh Sembilan Ribu Sembilan Ratus Tiga Puluh
Tujuh"

II. Rekapitulasi Pembayaran Kontrak :

NO URAIAN JUMLAH (+PPN) KETERANGAN

1 Nilai Kontrak (termasuk add) IDR 1.511.245.340 Porsi Ex-Work DAS

2 Total Pembayaran s/d BAP yang lalu IDR 19.338.186.461
3 Pembayaran BAP ini 1.759.937 Progress August 2022
IDR
4 Total Pembayaran s/d BAP ini IDR 19.339.946.398
5 Sisa Kontrak (1 - 4) IDR (17.828.701.058)

PT PLN (PERSERO)
KONSORSIUM PT WIJAYA KARYA (PERSERO)-
UNIT INDUK PEMBANGUNAN MALUKU
PT WIJAYA KARYA REKAYASA KONSTRUKSI
DAN PAPUA

PUPUNG ADIWIBOWO RIBUT BUDYANTO

Senior Manager Operasi Konstruksi Project Manager