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CERTIFICATE

FOR PAYMENT
PROJECT:

LOSARI COFFEE PLANTATION RESORT AND SPA

CERTIFICATE NO.:

LS\01

DATE OF ISSUANCE:

20 July 1999

PROJECT NO.:

10

CONTRACTOR:

PT. ALKONUSA INTI DAYA

CONTRACT FOR:

LOSARI COFFEE PLANTATION RESORT & SPA

(Name, Address) LOSARI KEBON KOPI, GRABAG

MAGELANG, JATENG
TO:
(Employer)

PT. LUPITA AMANDA


SETIA BUDI BUILDING I, 4 FL, BLOCK D-2
JL. H.R. RASUNA SAID, KUNINGAN
JAKARTA - INDONESIA

PROJECT PHASE I
CONTRACT DATE:

28 JUNE 1999

In accordance with this Contract and the attached Application for payment date July 20, 1999, ref.No.003/LP-I/ALINDA/VII/1999, the Contractor is entitled
to payment in the amount stipulated below. The present status of the account for this Contract is as follows:
ADDITION RP.

DEDUCTION RP.

Change order approved in previous

a. Original Contract

months by Employer - TOTAL

2,500,000,000.00

100.00%

0.00%

2,500,000,000.00

100.00%

before PPN 10%


b. Total approved VO
Update contract value

SUBSEQUENT CHARGE ORDER


NUMBER

APPROVED

V.O.

(DATED)

before PPN 10%


0.00

0.00%

d. This Month Progress

c. Last Progress

126,849,142.34

5.07%

e. Achieved progress (d - c)

126,849,142.34

5.07%

f. Deduct advanced payment

-25,369,828.47

( - e% x DP.)

g. Retention 5%

-6,342,457.12

( - 5% x e.)

h. Total

95,136,856.76

(e+f+g)

9,513,685.68

( 10% x h )

104,650,542.43

( h + i. )

i. Add 10% PPN


Total recommended to be paid
By word:

TOTAL
SUPERVISOR:

CONTRACTOR:

EMPLOYER:

PT. CARATWARSA HANGANDANA

PT. ALKONUSA INTI DAYA

PT. LUPITA AMANDA

Signed:

Signed:

Signed:

Name:

Name:

Name:

Date:

Date:

Date:

This certificate is negotiable. It is payable only to the payee herein and its issuance, payment and acceptance are without prejudice to any rights of the Employer or Contractor
under their contract. If application for payment or other application form containing satisfactory evidence of payment for work previously completed DOES NOT ACCOMPANY
THIS CERTIFICATE, the Contractor shall first provide the equivalent certification by completing and executing the following:
The undersigned that the works covered by this Certificate for Payment has been completed in accordance with the Contract Documents, that all amounts have been paid for
for which previous Certificate for Payment issued and payments received, and that the current payment shown herein is now due.

Teruskan

Teruskan

CERTIFICATE
FOR PAYMENT
PROJECT:

LOSARI COFFEE PLANTATION RESORT AND SPA

CERTIFICATE NO.:

LS\02

DATE OF ISSUANCE:

03 August 1999

PROJECT NO.:

10

CONTRACTOR:

PT. ALKONUSA INTI DAYA

CONTRACT FOR:

LOSARI COFFEE PLANTATION RESORT & SPA

(Name, Address) LOSARI KEBON KOPI, GRABAG

MAGELANG, JATENG
TO:
(Employer)

PT. LUPITA AMANDA


SETIA BUDI BUILDING I, 4 FL, BLOCK D-2
JL. H.R. RASUNA SAID, KUNINGAN
JAKARTA - INDONESIA

PROJECT PHASE I
CONTRACT DATE:

28 JUNE 1999

In accordance with this Contract and the attached Application for payment date August 03, 1999, ref.No.009/LP-I/ALINDA/VIII/1999, the Contractor is
entitled to payment in the amount stipulated below. The present status of the account for this Contract is as follows:
ADDITION RP.

DEDUCTION RP.

Change order approved in previous

a. Original Contract

months by Employer - TOTAL

2,500,000,000.00

before PPN 10%


b. Total approved VO

Update contract value


SUBSEQUENT CHARGE ORDER
NUMBER

APPROVED

V.O.

(DATED)

2,500,000,000.00

before PPN 10%


c. Last Progress

126,849,142.34

d. This Month Progress

218,608,700.84

e. Achieved progress (d - c)

91,759,558.50

f. Deduct advanced payment

-18,351,911.70

g. Retention 5%

-4,587,977.93

h. Total

68,819,668.88

i. Add 10% PPN

6,881,966.89

Total recommended to be paid

75,701,635.76

By word:
Ninety six million three hundred fifty two
thousand and six hundred eighty five rupiah
TOTAL
SUPERVISOR:

CONTRACTOR:

EMPLOYER:

PT. CARATWARSA HANGANDANA

PT. ALKONUSA INTI DAYA

PT. LUPITA AMANDA

Signed:

Signed:

Signed:

Name:

Name:

Name:

Date:

Date:

Date:

This certificate is negotiable. It is payable only to the payee herein and its issuance, payment and acceptance are without prejudice to any rights of the Employer or Contractor
under their contract. If application for payment or other application form containing satisfactory evidence of payment for work previously completed DOES NOT ACCOMPANY
THIS CERTIFICATE, the Contractor shall first provide the equivalent certification by completing and executing the following:
The undersigned that the works covered by this Certificate for Payment has been completed in accordance with the Contract Documents, that all amounts have been paid for
for which previous Certificate for Payment issued and payments received, and that the current payment shown herein is now due.

RTIFICATE
R PAYMENT

OFFEE PLANTATION RESORT & SPA

A/VIII/1999, the Contractor is

100.00%
0.00%
100.00%

5.07%
8.74%
3.67%
( - e% x DP.)

Teruskan

( - 5% x e.)
(e+f+g)
( 10% x h )
( h + i. )

ny rights of the Employer or Contractor

completed DOES NOT ACCOMPANY

s, that all amounts have been paid for

Teruskan

CERTIFICATE
FOR PAYMENT
PROJECT:

LOSARI COFFEE PLANTATION RESORT AND SPA

CERTIFICATE NO.:

LS\02

DATE OF ISSUANCE:

03 August 1999

PROJECT NO.:

10

CONTRACTOR:

PT. ALKONUSA INTI DAYA

CONTRACT FOR:

LOSARI COFFEE PLANTATION RESORT & SPA

(Name, Address) LOSARI KEBON KOPI, GRABAG

MAGELANG, JATENG
TO:
(Employer)

PT. LUPITA AMANDA


SETIA BUDI BUILDING I, 4 FL, BLOCK D-2
JL. H.R. RASUNA SAID, KUNINGAN
JAKARTA - INDONESIA

PROJECT PHASE I
CONTRACT DATE:

28 JUNE 1999

In accordance with this Contract and the attached Application for payment date August 03, 1999, ref.No.009/LP-I/ALINDA/VIII/1999, the Contractor is
entitled to payment in the amount stipulated below. The present status of the account for this Contract is as follows:
ADDITION RP.

DEDUCTION RP.

Change order approved in previous

a. Original Contract

months by Employer - TOTAL

2,500,000,000.00

before PPN 10%


b. Total approved VO

Update contract value


SUBSEQUENT CHARGE ORDER
NUMBER

APPROVED

V.O.

(DATED)

2,500,000,000.00

before PPN 10%


c. Last Progress

218,608,700.84

d. This Month Progress

403,300,807.92

e. Achieved progress (d - c)

184,692,107.08

f. Deduct advanced payment

-36,938,421.42

g. Retention 5%

-9,234,605.35

h. Total

138,519,080.31

i. Add 10% PPN

13,851,908.03

Total recommended to be paid

152,370,988.34

By word:
Ninety six million three hundred fifty two
thousand and six hundred eighty five rupiah
TOTAL
SUPERVISOR:

CONTRACTOR:

EMPLOYER:

PT. CARATWARSA HANGANDANA

PT. ALKONUSA INTI DAYA

PT. LUPITA AMANDA

Signed:

Signed:

Signed:

Name:

Name:

Name:

Date:

Date:

Date:

This certificate is negotiable. It is payable only to the payee herein and its issuance, payment and acceptance are without prejudice to any rights of the Employer or Contractor
under their contract. If application for payment or other application form containing satisfactory evidence of payment for work previously completed DOES NOT ACCOMPANY
THIS CERTIFICATE, the Contractor shall first provide the equivalent certification by completing and executing the following:
The undersigned that the works covered by this Certificate for Payment has been completed in accordance with the Contract Documents, that all amounts have been paid for
for which previous Certificate for Payment issued and payments received, and that the current payment shown herein is now due.

RTIFICATE
R PAYMENT

OFFEE PLANTATION RESORT & SPA

A/VIII/1999, the Contractor is

100.00%
0.00%
100.00%

8.74%
16.13%
7.39%
( - e% x DP.)

Teruskan

( - 5% x e.)
(e+f+g)
( 10% x h )
( h + i. )

ny rights of the Employer or Contractor

completed DOES NOT ACCOMPANY

s, that all amounts have been paid for

Teruskan

CERTIFICATE
FOR PAYMENT
PROJECT:

LOSARI COFFEE PLANTATION RESORT AND SPA

CERTIFICATE NO.:

LS\02

DATE OF ISSUANCE:

03 August 1999

PROJECT NO.:

10

CONTRACTOR:

PT. ALKONUSA INTI DAYA

CONTRACT FOR:

LOSARI COFFEE PLANTATION RESORT & SPA

(Name, Address) LOSARI KEBON KOPI, GRABAG

MAGELANG, JATENG
TO:
(Employer)

PT. LUPITA AMANDA


SETIA BUDI BUILDING I, 4 FL, BLOCK D-2
JL. H.R. RASUNA SAID, KUNINGAN
JAKARTA - INDONESIA

PROJECT PHASE I
CONTRACT DATE:

28 JUNE 1999

In accordance with this Contract and the attached Application for payment date August 03, 1999, ref.No.009/LP-I/ALINDA/VIII/1999, the Contractor is
entitled to payment in the amount stipulated below. The present status of the account for this Contract is as follows:
ADDITION RP.

DEDUCTION RP.

Change order approved in previous

a. Original Contract

months by Employer - TOTAL

2,500,000,000.00

before PPN 10%


b. Total approved VO

Update contract value


SUBSEQUENT CHARGE ORDER
NUMBER

APPROVED

V.O.

(DATED)

2,500,000,000.00

before PPN 10%


c. Last Progress

403,300,807.92

d. This Month Progress

867,598,379.47

e. Achieved progress (d - c)

464,297,571.55

f. Deduct advanced payment

-92,859,514.31

g. Retention 5%

-23,214,878.58

h. Total

348,223,178.66

i. Add 10% PPN

34,822,317.87

Total recommended to be paid

383,045,496.53

By word:
Ninety six million three hundred fifty two
thousand and six hundred eighty five rupiah
TOTAL
SUPERVISOR:

CONTRACTOR:

EMPLOYER:

PT. CARATWARSA HANGANDANA

PT. ALKONUSA INTI DAYA

PT. LUPITA AMANDA

Signed:

Signed:

Signed:

Name:

Name:

Name:

Date:

Date:

Date:

This certificate is negotiable. It is payable only to the payee herein and its issuance, payment and acceptance are without prejudice to any rights of the Employer or Contractor
under their contract. If application for payment or other application form containing satisfactory evidence of payment for work previously completed DOES NOT ACCOMPANY
THIS CERTIFICATE, the Contractor shall first provide the equivalent certification by completing and executing the following:
The undersigned that the works covered by this Certificate for Payment has been completed in accordance with the Contract Documents, that all amounts have been paid for
for which previous Certificate for Payment issued and payments received, and that the current payment shown herein is now due.

RTIFICATE
R PAYMENT

OFFEE PLANTATION RESORT & SPA

A/VIII/1999, the Contractor is

100.00%
0.00%
100.00%

16.13%
34.70%
18.57%
( - e% x DP.)

Teruskan

( - 5% x e.)
(e+f+g)
( 10% x h )
( h + i. )

ny rights of the Employer or Contractor

completed DOES NOT ACCOMPANY

s, that all amounts have been paid for

Teruskan

CERTIFICATE
FOR PAYMENT
PROJECT:

LOSARI COFFEE PLANTATION RESORT AND SPA

CERTIFICATE NO.:

LS\02

DATE OF ISSUANCE:

03 August 1999

PROJECT NO.:

10

CONTRACTOR:

PT. ALKONUSA INTI DAYA

CONTRACT FOR:

LOSARI COFFEE PLANTATION RESORT & SPA

(Name, Address) LOSARI KEBON KOPI, GRABAG

MAGELANG, JATENG
TO:
(Employer)

PT. LUPITA AMANDA


SETIA BUDI BUILDING I, 4 FL, BLOCK D-2
JL. H.R. RASUNA SAID, KUNINGAN
JAKARTA - INDONESIA

PROJECT PHASE I
CONTRACT DATE:

28 JUNE 1999

In accordance with this Contract and the attached Application for payment date August 03, 1999, ref.No.009/LP-I/ALINDA/VIII/1999, the Contractor is
entitled to payment in the amount stipulated below. The present status of the account for this Contract is as follows:
ADDITION RP.

DEDUCTION RP.

Change order approved in previous

a. Original Contract

months by Employer - TOTAL

2,500,000,000.00

before PPN 10%


b. Total approved VO

Update contract value


SUBSEQUENT CHARGE ORDER
NUMBER

APPROVED

V.O.

(DATED)

2,500,000,000.00

before PPN 10%


c. Last Progress

867,598,379.47

d. This Month Progress

1,024,767,088.04

e. Achieved progress (d - c)

157,168,708.57

f. Deduct advanced payment

-31,433,741.71

g. Retention 5%

-7,858,435.43

h. Total

117,876,531.43

i. Add 10% PPN

11,787,653.14

Total recommended to be paid

129,664,184.57

By word:
Ninety six million three hundred fifty two
thousand and six hundred eighty five rupiah
TOTAL
SUPERVISOR:

CONTRACTOR:

EMPLOYER:

PT. CARATWARSA HANGANDANA

PT. ALKONUSA INTI DAYA

PT. LUPITA AMANDA

Signed:

Signed:

Signed:

Name:

Name:

Name:

Date:

Date:

Date:

This certificate is negotiable. It is payable only to the payee herein and its issuance, payment and acceptance are without prejudice to any rights of the Employer or Contractor
under their contract. If application for payment or other application form containing satisfactory evidence of payment for work previously completed DOES NOT ACCOMPANY
THIS CERTIFICATE, the Contractor shall first provide the equivalent certification by completing and executing the following:
The undersigned that the works covered by this Certificate for Payment has been completed in accordance with the Contract Documents, that all amounts have been paid for
for which previous Certificate for Payment issued and payments received, and that the current payment shown herein is now due.

RTIFICATE
R PAYMENT

OFFEE PLANTATION RESORT & SPA

A/VIII/1999, the Contractor is

100.00%
0.00%
100.00%

34.70%
40.99%
6.29%
( - e% x DP.)

Teruskan

( - 5% x e.)
(e+f+g)
( 10% x h )
( h + i. )

ny rights of the Employer or Contractor

completed DOES NOT ACCOMPANY

s, that all amounts have been paid for

Teruskan

CERTIFICATE
FOR PAYMENT
PROJECT:

LOSARI COFFEE PLANTATION RESORT AND SPA

CERTIFICATE NO.:

LS\02

DATE OF ISSUANCE:

03 August 1999

PROJECT NO.:

10

CONTRACTOR:

PT. ALKONUSA INTI DAYA

CONTRACT FOR:

LOSARI COFFEE PLANTATION RESORT & SPA

(Name, Address) LOSARI KEBON KOPI, GRABAG

MAGELANG, JATENG
TO:
(Employer)

PT. LUPITA AMANDA


SETIA BUDI BUILDING I, 4 FL, BLOCK D-2
JL. H.R. RASUNA SAID, KUNINGAN
JAKARTA - INDONESIA

PROJECT PHASE I
CONTRACT DATE:

28 JUNE 1999

In accordance with this Contract and the attached Application for payment date August 03, 1999, ref.No.009/LP-I/ALINDA/VIII/1999, the Contractor is
entitled to payment in the amount stipulated below. The present status of the account for this Contract is as follows:
ADDITION RP.

DEDUCTION RP.

Change order approved in previous

a. Original Contract

months by Employer - TOTAL

2,500,000,000.00

before PPN 10%


b. Total approved VO

-31,841,777.50

Update contract value


SUBSEQUENT CHARGE ORDER
NUMBER

APPROVED

V.O.

(DATED)

2,468,158,222.50

before PPN 10%


c. Last Progress

1,024,767,088.04

d. This Month Progress

1,083,393,310.85

e. Achieved progress (d - c)

58,626,222.81

f. Deduct advanced payment

-11,876,512.27

g. Retention 5%

-2,931,311.14

h. Total

43,818,399.40

i. Add 10% PPN

4,381,839.94

Total recommended to be paid

48,200,239.34

By word:
Ninety six million three hundred fifty two
thousand and six hundred eighty five rupiah
TOTAL
SUPERVISOR:

CONTRACTOR:

EMPLOYER:

PT. CARATWARSA HANGANDANA

PT. ALKONUSA INTI DAYA

PT. LUPITA AMANDA

Signed:

Signed:

Signed:

Name:

Name:

Name:

Date:

Date:

Date:

This certificate is negotiable. It is payable only to the payee herein and its issuance, payment and acceptance are without prejudice to any rights of the Employer or Contractor
under their contract. If application for payment or other application form containing satisfactory evidence of payment for work previously completed DOES NOT ACCOMPANY
THIS CERTIFICATE, the Contractor shall first provide the equivalent certification by completing and executing the following:
The undersigned that the works covered by this Certificate for Payment has been completed in accordance with the Contract Documents, that all amounts have been paid for
for which previous Certificate for Payment issued and payments received, and that the current payment shown herein is now due.

RTIFICATE
R PAYMENT

OFFEE PLANTATION RESORT & SPA

A/VIII/1999, the Contractor is

101.29%
-1.29%
100.00%

41.52%
43.89%
2.38%
( - e% x DP.)

Teruskan

( - 5% x e.)
(e+f+g)
( 10% x h )
( h + i. )

ny rights of the Employer or Contractor

completed DOES NOT ACCOMPANY

s, that all amounts have been paid for

Teruskan

CERTIFICATE
FOR PAYMENT
PROJECT:

LOSARI COFFEE PLANTATION RESORT AND SPA

CERTIFICATE NO.:

LS\02

DATE OF ISSUANCE:

03 August 1999

PROJECT NO.:

10

CONTRACTOR:

PT. ALKONUSA INTI DAYA

CONTRACT FOR:

LOSARI COFFEE PLANTATION RESORT & SPA

(Name, Address) LOSARI KEBON KOPI, GRABAG

MAGELANG, JATENG
TO:
(Employer)

PT. LUPITA AMANDA


SETIA BUDI BUILDING I, 4 FL, BLOCK D-2
JL. H.R. RASUNA SAID, KUNINGAN
JAKARTA - INDONESIA

PROJECT PHASE I
CONTRACT DATE:

28 JUNE 1999

In accordance with this Contract and the attached Application for payment date August 03, 1999, ref.No.009/LP-I/ALINDA/VIII/1999, the Contractor is
entitled to payment in the amount stipulated below. The present status of the account for this Contract is as follows:
ADDITION RP.

DEDUCTION RP.

Change order approved in previous

a. Original Contract

months by Employer - TOTAL

2,500,000,000.00

before PPN 10%


b. Total approved VO

-31,841,777.50

Update contract value


SUBSEQUENT CHARGE ORDER
NUMBER

APPROVED

V.O.

(DATED)

2,468,158,222.50

before PPN 10%


c. Last Progress

1,083,393,310.85

d. This Month Progress

1,124,790,971.26

e. Achieved progress (d - c)

41,397,660.41

f. Deduct advanced payment

-8,386,346.55

g. Retention 5%

-2,069,883.02

h. Total

30,941,430.84

i. Add 10% PPN

3,094,143.08

Total recommended to be paid

34,035,573.92

By word:
Ninety six million three hundred fifty two
thousand and six hundred eighty five rupiah
TOTAL
SUPERVISOR:

CONTRACTOR:

EMPLOYER:

PT. CARATWARSA HANGANDANA

PT. ALKONUSA INTI DAYA

PT. LUPITA AMANDA

Signed:

Signed:

Signed:

Name:

Name:

Name:

Date:

Date:

Date:

This certificate is negotiable. It is payable only to the payee herein and its issuance, payment and acceptance are without prejudice to any rights of the Employer or Contractor
under their contract. If application for payment or other application form containing satisfactory evidence of payment for work previously completed DOES NOT ACCOMPANY
THIS CERTIFICATE, the Contractor shall first provide the equivalent certification by completing and executing the following:
The undersigned that the works covered by this Certificate for Payment has been completed in accordance with the Contract Documents, that all amounts have been paid for
for which previous Certificate for Payment issued and payments received, and that the current payment shown herein is now due.

RTIFICATE
R PAYMENT

OFFEE PLANTATION RESORT & SPA

A/VIII/1999, the Contractor is

101.29%
-1.29%
100.00%

43.89%
45.57%
1.68%
( - e% x DP.)

Teruskan

( - 5% x e.)
(e+f+g)
( 10% x h )
( h + i. )

ny rights of the Employer or Contractor

completed DOES NOT ACCOMPANY

s, that all amounts have been paid for

Teruskan

CERTIFICATE
FOR PAYMENT
PROJECT:

LOSARI COFFEE PLANTATION RESORT AND SPA

CERTIFICATE NO.:

LS\02

DATE OF ISSUANCE:

03 August 1999

PROJECT NO.:

10

CONTRACTOR:

PT. ALKONUSA INTI DAYA

CONTRACT FOR:

LOSARI COFFEE PLANTATION RESORT & SPA

(Name, Address) LOSARI KEBON KOPI, GRABAG

MAGELANG, JATENG
TO:
(Employer)

PT. LUPITA AMANDA


SETIA BUDI BUILDING I, 4 FL, BLOCK D-2
JL. H.R. RASUNA SAID, KUNINGAN
JAKARTA - INDONESIA

PROJECT PHASE I
CONTRACT DATE:

28 JUNE 1999

In accordance with this Contract and the attached Application for payment date August 03, 1999, ref.No.009/LP-I/ALINDA/VIII/1999, the Contractor is
entitled to payment in the amount stipulated below. The present status of the account for this Contract is as follows:
ADDITION RP.

DEDUCTION RP.

Change order approved in previous

a. Original Contract

months by Employer - TOTAL

2,500,000,000.00

before PPN 10%


b. Total approved VO

-351,728,344.58

Update contract value


SUBSEQUENT CHARGE ORDER
NUMBER

APPROVED

V.O.

(DATED)

2,148,271,655.42

before PPN 10%


c. Last Progress

1,124,790,971.26

d. This Month Progress

1,152,596,638.80

e. Achieved progress (d - c)

27,805,667.54

f. Deduct advanced payment

-6,471,636.74

g. Retention 5%

-1,390,283.38

h. Total

19,943,747.42

i. Add 10% PPN

1,994,374.74

Total recommended to be paid

21,938,122.17

By word:
Ninety six million three hundred fifty two
thousand and six hundred eighty five rupiah
TOTAL
SUPERVISOR:

CONTRACTOR:

EMPLOYER:

PT. CARATWARSA HANGANDANA

PT. ALKONUSA INTI DAYA

PT. LUPITA AMANDA

Signed:

Signed:

Signed:

Name:

Name:

Name:

Date:

Date:

Date:

This certificate is negotiable. It is payable only to the payee herein and its issuance, payment and acceptance are without prejudice to any rights of the Employer or Contractor
under their contract. If application for payment or other application form containing satisfactory evidence of payment for work previously completed DOES NOT ACCOMPANY
THIS CERTIFICATE, the Contractor shall first provide the equivalent certification by completing and executing the following:
The undersigned that the works covered by this Certificate for Payment has been completed in accordance with the Contract Documents, that all amounts have been paid for
for which previous Certificate for Payment issued and payments received, and that the current payment shown herein is now due.

RTIFICATE
R PAYMENT

OFFEE PLANTATION RESORT & SPA

A/VIII/1999, the Contractor is

116.37%
-16.37%
100.00%

52.36%
53.65%
1.29%
( - e% x DP.)

Teruskan

( - 5% x e.)
(e+f+g)
( 10% x h )
( h + i. )

ny rights of the Employer or Contractor

completed DOES NOT ACCOMPANY

s, that all amounts have been paid for

Teruskan

CERTIFICATE
FOR PAYMENT
PROJECT:

LOSARI COFFEE PLANTATION RESORT AND SPA

CERTIFICATE NO.:

LS\02

DATE OF ISSUANCE:

03 August 1999

PROJECT NO.:

10

CONTRACTOR:

PT. ALKONUSA INTI DAYA

CONTRACT FOR:

LOSARI COFFEE PLANTATION RESORT & SPA

(Name, Address) LOSARI KEBON KOPI, GRABAG

MAGELANG, JATENG
TO:
(Employer)

PT. LUPITA AMANDA


SETIA BUDI BUILDING I, 4 FL, BLOCK D-2
JL. H.R. RASUNA SAID, KUNINGAN
JAKARTA - INDONESIA

PROJECT PHASE I
CONTRACT DATE:

28 JUNE 1999

In accordance with this Contract and the attached Application for payment date August 03, 1999, ref.No.009/LP-I/ALINDA/VIII/1999, the Contractor is
entitled to payment in the amount stipulated below. The present status of the account for this Contract is as follows:
ADDITION RP.

DEDUCTION RP.

Change order approved in previous

a. Original Contract

months by Employer - TOTAL

2,500,000,000.00

before PPN 10%


b. Total approved VO

-351,728,344.58

Update contract value


SUBSEQUENT CHARGE ORDER
NUMBER

APPROVED

V.O.

(DATED)

2,148,271,655.42

before PPN 10%


c. Last Progress

1,152,596,638.80

d. This Month Progress

1,212,847,243.36

e. Achieved progress (d - c)

60,250,604.56

f. Deduct advanced payment

-14,023,041.36

g. Retention 5%

-3,012,530.23

h. Total

43,215,032.97

i. Add 10% PPN

4,321,503.30

Total recommended to be paid

47,536,536.27

By word:
Ninety six million three hundred fifty two
thousand and six hundred eighty five rupiah
TOTAL
SUPERVISOR:

CONTRACTOR:

EMPLOYER:

PT. CARATWARSA HANGANDANA

PT. ALKONUSA INTI DAYA

PT. LUPITA AMANDA

Signed:

Signed:

Signed:

Name:

Name:

Name:

Date:

Date:

Date:

This certificate is negotiable. It is payable only to the payee herein and its issuance, payment and acceptance are without prejudice to any rights of the Employer or Contractor
under their contract. If application for payment or other application form containing satisfactory evidence of payment for work previously completed DOES NOT ACCOMPANY
THIS CERTIFICATE, the Contractor shall first provide the equivalent certification by completing and executing the following:
The undersigned that the works covered by this Certificate for Payment has been completed in accordance with the Contract Documents, that all amounts have been paid for
for which previous Certificate for Payment issued and payments received, and that the current payment shown herein is now due.

RTIFICATE
R PAYMENT

OFFEE PLANTATION RESORT & SPA

A/VIII/1999, the Contractor is

116.37%
-16.37%
100.00%

53.65%
56.46%
2.80%
( - e% x DP.)

Teruskan

( - 5% x e.)
(e+f+g)
( 10% x h )
( h + i. )

ny rights of the Employer or Contractor

completed DOES NOT ACCOMPANY

s, that all amounts have been paid for

Teruskan

CERTIFICATE
FOR PAYMENT
PROJECT:

LOSARI COFFEE PLANTATION RESORT AND SPA

CERTIFICATE NO.:

LS\02

DATE OF ISSUANCE:

03 August 1999

PROJECT NO.:

10

CONTRACTOR:

PT. ALKONUSA INTI DAYA

CONTRACT FOR:

LOSARI COFFEE PLANTATION RESORT & SPA

(Name, Address) LOSARI KEBON KOPI, GRABAG

MAGELANG, JATENG
TO:
(Employer)

PT. LUPITA AMANDA


SETIA BUDI BUILDING I, 4 FL, BLOCK D-2
JL. H.R. RASUNA SAID, KUNINGAN
JAKARTA - INDONESIA

PROJECT PHASE I
CONTRACT DATE:

28 JUNE 1999

In accordance with this Contract and the attached Application for payment date August 03, 1999, ref.No.009/LP-I/ALINDA/VIII/1999, the Contractor is
entitled to payment in the amount stipulated below. The present status of the account for this Contract is as follows:
ADDITION RP.

DEDUCTION RP.

Change order approved in previous

a. Original Contract

months by Employer - TOTAL

2,500,000,000.00

before PPN 10%


b. Total approved VO

-351,728,344.58

Update contract value


SUBSEQUENT CHARGE ORDER
NUMBER

APPROVED

V.O.

(DATED)

2,148,271,655.42

before PPN 10%


c. Last Progress

1,212,847,243.36

d. This Month Progress

1,850,999,269.25

e. Achieved progress (d - c)

638,152,025.89

f. Deduct advanced payment

-148,526,845.82

g. Retention 5%

-31,907,601.29

h. Total

457,717,578.78

i. Add 10% PPN

45,771,757.88

Total recommended to be paid

503,489,336.65

By word:
Ninety six million three hundred fifty two
thousand and six hundred eighty five rupiah
TOTAL
SUPERVISOR:

CONTRACTOR:

EMPLOYER:

PT. CARATWARSA HANGANDANA

PT. ALKONUSA INTI DAYA

PT. LUPITA AMANDA

Signed:

Signed:

Signed:

Name:

Name:

Name:

Date:

Date:

Date:

This certificate is negotiable. It is payable only to the payee herein and its issuance, payment and acceptance are without prejudice to any rights of the Employer or Contractor
under their contract. If application for payment or other application form containing satisfactory evidence of payment for work previously completed DOES NOT ACCOMPANY
THIS CERTIFICATE, the Contractor shall first provide the equivalent certification by completing and executing the following:
The undersigned that the works covered by this Certificate for Payment has been completed in accordance with the Contract Documents, that all amounts have been paid for
for which previous Certificate for Payment issued and payments received, and that the current payment shown herein is now due.

RTIFICATE
R PAYMENT

OFFEE PLANTATION RESORT & SPA

A/VIII/1999, the Contractor is

116.37%
-16.37%
100.00%

56.46%
86.16%
29.71%
( - e% x DP.)

Teruskan

( - 5% x e.)
(e+f+g)
( 10% x h )
( h + i. )

ny rights of the Employer or Contractor

completed DOES NOT ACCOMPANY

s, that all amounts have been paid for

Teruskan

CERTIFICATE
FOR PAYMENT
PROJECT:

LOSARI COFFEE PLANTATION RESORT AND SPA

CERTIFICATE NO.:

LS\02

DATE OF ISSUANCE:

03 August 1999

PROJECT NO.:

10

CONTRACTOR:

PT. ALKONUSA INTI DAYA

CONTRACT FOR:

LOSARI COFFEE PLANTATION RESORT & SPA

(Name, Address) LOSARI KEBON KOPI, GRABAG

MAGELANG, JATENG
TO:
(Employer)

PT. LUPITA AMANDA


SETIA BUDI BUILDING I, 4 FL, BLOCK D-2
JL. H.R. RASUNA SAID, KUNINGAN
JAKARTA - INDONESIA

PROJECT PHASE I
CONTRACT DATE:

28 JUNE 1999

In accordance with this Contract and the attached Application for payment date August 03, 1999, ref.No.009/LP-I/ALINDA/VIII/1999, the Contractor is
entitled to payment in the amount stipulated below. The present status of the account for this Contract is as follows:
ADDITION RP.

DEDUCTION RP.

Change order approved in previous

a. Original Contract

months by Employer - TOTAL

2,500,000,000.00

before PPN 10%


b. Total approved VO

-351,728,344.58

Update contract value


SUBSEQUENT CHARGE ORDER
NUMBER

APPROVED

V.O.

(DATED)

2,148,271,655.42

before PPN 10%


c. Last Progress

1,850,999,269.25

d. This Month Progress

1,996,245,406.92

e. Achieved progress (d - c)

145,246,137.67

f. Deduct advanced payment

-33,805,347.03

g. Retention 5%

-7,262,306.88

h. Total

104,178,483.75

i. Add 10% PPN

10,417,848.38

Total recommended to be paid

114,596,332.13

By word:
Ninety six million three hundred fifty two
thousand and six hundred eighty five rupiah
TOTAL
SUPERVISOR:

CONTRACTOR:

EMPLOYER:

PT. CARATWARSA HANGANDANA

PT. ALKONUSA INTI DAYA

PT. LUPITA AMANDA

Signed:

Signed:

Signed:

Name:

Name:

Name:

Date:

Date:

Date:

This certificate is negotiable. It is payable only to the payee herein and its issuance, payment and acceptance are without prejudice to any rights of the Employer or Contractor
under their contract. If application for payment or other application form containing satisfactory evidence of payment for work previously completed DOES NOT ACCOMPANY
THIS CERTIFICATE, the Contractor shall first provide the equivalent certification by completing and executing the following:
The undersigned that the works covered by this Certificate for Payment has been completed in accordance with the Contract Documents, that all amounts have been paid for
for which previous Certificate for Payment issued and payments received, and that the current payment shown herein is now due.

RTIFICATE
R PAYMENT

OFFEE PLANTATION RESORT & SPA

A/VIII/1999, the Contractor is

116.37%
-16.37%
100.00%

86.16%
92.92%
6.76%
( - e% x DP.)

Teruskan

( - 5% x e.)
(e+f+g)
( 10% x h )
( h + i. )

ny rights of the Employer or Contractor

completed DOES NOT ACCOMPANY

s, that all amounts have been paid for

Teruskan

CERTIFICATE
FOR PAYMENT
PROJECT:

LOSARI COFFEE PLANTATION RESORT AND SPA

CERTIFICATE NO.:

LS\02

DATE OF ISSUANCE:

03 August 1999

PROJECT NO.:

10

CONTRACTOR:

PT. ALKONUSA INTI DAYA

CONTRACT FOR:

LOSARI COFFEE PLANTATION RESORT & SPA

(Name, Address) LOSARI KEBON KOPI, GRABAG

MAGELANG, JATENG
TO:
(Employer)

PT. LUPITA AMANDA


SETIA BUDI BUILDING I, 4 FL, BLOCK D-2
JL. H.R. RASUNA SAID, KUNINGAN
JAKARTA - INDONESIA

PROJECT PHASE I
CONTRACT DATE:

28 JUNE 1999

In accordance with this Contract and the attached Application for payment date August 03, 1999, ref.No.009/LP-I/ALINDA/VIII/1999, the Contractor is
entitled to payment in the amount stipulated below. The present status of the account for this Contract is as follows:
ADDITION RP.

DEDUCTION RP.

Change order approved in previous

a. Original Contract

months by Employer - TOTAL

2,500,000,000.00

before PPN 10%


b. Total approved VO

-351,728,344.58

Update contract value


SUBSEQUENT CHARGE ORDER
NUMBER

APPROVED

V.O.

(DATED)

2,148,271,655.42

before PPN 10%


c. Last Progress

1,996,245,406.92

d. This Month Progress

2,087,849,991.26

e. Achieved progress (d - c)

91,604,584.34

f. Deduct advanced payment

-21,320,530.88

g. Retention 5%

-4,580,229.22

h. Total

65,703,824.24

i. Add 10% PPN

6,570,382.42

Total recommended to be paid

72,274,206.67

By word:
Ninety six million three hundred fifty two
thousand and six hundred eighty five rupiah
TOTAL
SUPERVISOR:

CONTRACTOR:

EMPLOYER:

PT. CARATWARSA HANGANDANA

PT. ALKONUSA INTI DAYA

PT. LUPITA AMANDA

Signed:

Signed:

Signed:

Name:

Name:

Name:

Date:

Date:

Date:

This certificate is negotiable. It is payable only to the payee herein and its issuance, payment and acceptance are without prejudice to any rights of the Employer or Contractor
under their contract. If application for payment or other application form containing satisfactory evidence of payment for work previously completed DOES NOT ACCOMPANY
THIS CERTIFICATE, the Contractor shall first provide the equivalent certification by completing and executing the following:
The undersigned that the works covered by this Certificate for Payment has been completed in accordance with the Contract Documents, that all amounts have been paid for
for which previous Certificate for Payment issued and payments received, and that the current payment shown herein is now due.

RTIFICATE
R PAYMENT

OFFEE PLANTATION RESORT & SPA

A/VIII/1999, the Contractor is

116.37%
-16.37%
100.00%

92.92%
97.19%
4.26%
( - e% x DP.)

Teruskan

( - 5% x e.)
(e+f+g)
( 10% x h )
( h + i. )

ny rights of the Employer or Contractor

completed DOES NOT ACCOMPANY

s, that all amounts have been paid for

Teruskan

CERTIFICATE
FOR PAYMENT
PROJECT:

LOSARI COFFEE PLANTATION RESORT AND SPA

CERTIFICATE NO.:

LS\02

DATE OF ISSUANCE:

03 August 1999

PROJECT NO.:

10

CONTRACTOR:

PT. ALKONUSA INTI DAYA

CONTRACT FOR:

LOSARI COFFEE PLANTATION RESORT & SPA

(Name, Address) LOSARI KEBON KOPI, GRABAG

MAGELANG, JATENG
TO:
(Employer)

PT. LUPITA AMANDA


SETIA BUDI BUILDING I, 4 FL, BLOCK D-2
JL. H.R. RASUNA SAID, KUNINGAN
JAKARTA - INDONESIA

PROJECT PHASE I
CONTRACT DATE:

28 JUNE 1999

In accordance with this Contract and the attached Application for payment date August 03, 1999, ref.No.009/LP-I/ALINDA/VIII/1999, the Contractor is
entitled to payment in the amount stipulated below. The present status of the account for this Contract is as follows:
ADDITION RP.

DEDUCTION RP.

Change order approved in previous

a. Original Contract

months by Employer - TOTAL

2,500,000,000.00

before PPN 10%


b. Total approved VO

-351,728,344.58

Update contract value


SUBSEQUENT CHARGE ORDER
NUMBER

APPROVED

V.O.

(DATED)

2,148,271,655.42

before PPN 10%


c. Last Progress

2,087,849,991.26

d. This Month Progress

2,148,271,655.42

e. Achieved progress (d - c)

60,421,664.16

f. Deduct advanced payment

-50,636,321.74

g. Retention 5%

-3,021,083.21

h. Total

6,764,259.22

i. Add 10% PPN

676,425.92

Total recommended to be paid

7,440,685.14

By word:
Ninety six million three hundred fifty two
thousand and six hundred eighty five rupiah
TOTAL
SUPERVISOR:

CONTRACTOR:

EMPLOYER:

PT. CARATWARSA HANGANDANA

PT. ALKONUSA INTI DAYA

PT. LUPITA AMANDA

Signed:

Signed:

Signed:

Name:

Name:

Name:

Date:

Date:

Date:

This certificate is negotiable. It is payable only to the payee herein and its issuance, payment and acceptance are without prejudice to any rights of the Employer or Contractor
under their contract. If application for payment or other application form containing satisfactory evidence of payment for work previously completed DOES NOT ACCOMPANY
THIS CERTIFICATE, the Contractor shall first provide the equivalent certification by completing and executing the following:
The undersigned that the works covered by this Certificate for Payment has been completed in accordance with the Contract Documents, that all amounts have been paid for
for which previous Certificate for Payment issued and payments received, and that the current payment shown herein is now due.

RTIFICATE
R PAYMENT

OFFEE PLANTATION RESORT & SPA

A/VIII/1999, the Contractor is

116.37%
-16.37%
100.00%

97.19%
100.00%
2.81%
( - e% x DP.)

Oke

( - 5% x e.)
(e+f+g)
( 10% x h )
( h + i. )

ny rights of the Employer or Contractor

completed DOES NOT ACCOMPANY

s, that all amounts have been paid for

Oke

Certificate Payment ( PPN )

No.
%

1
2
3
4
5
6
7
8
9
10
11
12
13

5.07%
3.67%
7.39%
18.57%
6.29%
2.38%
1.68%
1.29%
2.80%
29.71%
6.76%
4.26%
2.81%

Total

Progress
Nilai (Rp)

126,849,142.34
91,759,558.50
184,692,107.08
464,297,571.55
157,168,708.57
58,626,222.81
41,397,660.41
27,805,667.54
60,250,604.56
638,152,025.89
145,246,137.67
91,604,584.34
60,421,664.16

92.69% 2,148,271,655.42

Pot. Uang Muka


( Rp )

25,369,828.47
18,351,911.70
36,938,421.42
92,859,514.31
31,433,741.71
11,876,512.27
8,386,346.55
6,471,636.74
14,023,041.36
148,526,845.82
33,805,347.03
21,320,530.88
50,636,321.74

Pot. Retensi
( Rp )

Total
( Rp )

Ppn 10%
( Rp )

6,342,457.12
4,587,977.93
9,234,605.35
23,214,878.58
7,858,435.43
2,931,311.14
2,069,883.02
1,390,283.38
3,012,530.23
31,907,601.29
7,262,306.88
4,580,229.22
3,021,083.21

95,136,856.76
68,819,668.88
138,519,080.31
348,223,178.66
117,876,531.43
43,818,399.40
30,941,430.84
19,943,747.42
43,215,032.97
457,717,578.78
104,178,483.75
65,703,824.24
6,764,259.22

9,513,685.68
6,881,966.89
13,851,908.03
34,822,317.87
11,787,653.14
4,381,839.94
3,094,143.08
1,994,374.74
4,321,503.30
45,771,757.88
10,417,848.38
6,570,382.42
676,425.92

500,000,000.00 107,413,582.77

1,540,858,072.65

154,085,807.26

Uraian

Nilai (Rp.)

Kontrak

2,500,000,000.00

500,000,000.00 125,000,000.00

1,875,000,000.00

187,500,000.00

VO

-351,728,344.58

0.00 -17,586,417.23

-334,141,927.35

-33,414,192.74

Total

2,148,271,655.42

500,000,000.00 107,413,582.77

1,540,858,072.65

154,085,807.26

0.00

0.00

Selisih

0.00

DP 20%

Retensi 5%

0.00

0.00

Yg harus dibayarkan

Ppn 10%

Total
( Rp )

Total Pot.
Uang Muka s/d

104,650,542.43
75,701,635.76
152,370,988.34
383,045,496.53
129,664,184.57
48,200,239.34
34,035,573.92
21,938,122.17
47,536,536.27
503,489,336.65
114,596,332.13
72,274,206.67
7,440,685.14

25,369,828.47
43,721,740.17
80,660,161.58
173,519,675.89
204,953,417.61
216,829,929.87
225,216,276.43
231,687,913.17
245,710,954.53
394,237,800.35
428,043,147.38
449,363,678.26
500,000,000.00

1,694,943,879.91
-50,636,321.74
Total
2,062,500,000.00
-367,556,120.09
1,694,943,879.91
0.00

Total

104,650,542.43
180,352,178.19
332,723,166.53
715,768,663.06
845,432,847.63
893,633,086.98
927,668,660.89
949,606,783.06
997,143,319.33
1,500,632,655.98
1,615,228,988.11
1,687,503,194.78
1,694,943,879.91