Contract. 7144859 “Ths number must be shown on all labels shipping documents The World Bank Group ‘The World Bank INTERNATIONAL BANK FOR RECONSTRUCTION AND DEVELOPMENT aise beans INTERNATIONAL DEVELOPMENT ASSOCIATION Usa MULTILATERAL INVESTMENT GUARANTEE AGENCY INTERNATIONAL FINANCE CORPORATION ses te The Wo Bat ado Tam Cain, Cop aati nin om wn nota ameter (2024728 Terms Page within 30 days Due net 208 PT. Surya Abadi Konsultan Period of Performance : JL Banyu Urip No.217 60244 SURABAYA Attn: HENDRO PRASETYO | From: October 23, 2007 INDONESIA Vendor # 95287 To: May 31, 2008 Fax 62318431642 FTEM CATALOG #/ DESCRIPTION "QUANTITY UNIT UNIT PRICE TOTAL PRICE 10010 Indonesia: Total Sanitation and 1,000 EA 916622380 916.622.380 ‘Sanitation Marketing project ‘The item covers the following services: 40 Fees and Expenses 1 916.622.380 ‘SPECIAL CONDITIONS OF CONTRACT. ‘Amendments of, and Supplements to, Clauses in the General Conditions of Contract Consultants’ Personne! ‘The Consultants” Key sonnel and Subconsultants who will provide the Services are: Dwi Sucian: ‘Asyik Pamiluhadi, Ronie Prasetyo, Wida Indrayant Retty A. Wilujeng, Fathori, Esty Prinandani, Falea Afifa ‘The Authorized Representatives: | Client: Ms Ratna. Josodipoero, For the Consultants: HENORO PRASETYO Te 1nd Conditions of Payment:LUMP SUM OF IDR 916,622,380.00 TO BE PAID ACCORDING TO THE FOLLOWING SCHEDULE ; TDR 91,662,200,00 UPON EXECUTION OF CONTRACT AND RECEIPT OF INCEPTION REPORT INCLUDING WORK PLAN AND ‘SUBSEQUENT APPROVAL OF AUTHORIZED CLIENT REPRESENTATIVE. IDR 274,986,700.00 UPON RECEIPT REPORT ON TRIGGER CLTS AND FOLLOW UP WITH 10 COMMUNITIES AND SUBSEQUENT APPROVAL OF AUTHORIZED CLIENT REPRESENTATIVE, TOR 320,617,800.00 UPON RECEIPT REPORT ON TRIGGER CLTS AND FOLLOW UP WITH 30 COMMUNITIES AND SUBSEQUENT APPROVAL OF AUTHORIZED CLIENT REPRESENTATIVE, IDR 229,159080.00 UPON SUBMISSION OF ACCEPTABLE FINAL REPORT AND SUBSEQUENT APPROVAL OF AUTHORIZED CLIENT REPRESENTATIVE. (CC: Ms Henny Winardl ; MSN: JKTWB. For additonal information, contact: Ms Jeand'Are M. Lewis -7201 Bid No. GSA No. TOTAL ee 916.622.380 _| Signature Date Signed Name of Authorized Representative SS 23-Oct-2007 ‘Ms Jeanette M. RennieThe World Bank Group INTERNATIONAL BANK FOR RECONSTRUCTION AND DEVELOPMENT INTERNATIONAL DEVELOPMENT ASSOCIATION The World Bank 1818 H Street, N.W. Washington, D.C 20433 USA Contract 7144859 MULTILATERAL INVESTMENT GUARANTEE AGENCY INTERNATIONAL FINANCE CORPORATION Issued subject to The World Bank standard Terms & Conditions. Copies available on-iine from ww workibank. This number must be shown on all labels, shipping documents crglcorporateprocurement o by cating (202)473-1118, Terms Page | Within 30 days Que net LOF 2 PT. Surya Abadi Konsultan Period of Performance ; Ji. Banyu Urip No.217 60244 SURABAYA Attn: HENDRO PRASETYO From: October 23, 2007 INDONESIA Vendor # 95287 To: May 31, 2008 Fax# 62318431642 TAX EXEMPTION INVOICES: Submit all Invoices to the Accounts Payable Unit DC Sales tax exemption No. 8199 77842 01. MO Sales tax ‘exemption No, 3004942. VA Sales & Use tax exempt by the Dept. of Taxation ruling of 3/22/73, Exempt rom manufactures ond retailers taxin accordance with intemal Revenue Service Ruling (Rul. 62-56. Comm. Bull, 1962-1.188) ITEM CATALOG # / DESCRIPTION QUANTITY Adminstrative Expense Division, World Bank, 1818 H Street, N.W., Washington, DC 20433, USA. Invoices must contain the folowing information: PO number, item number, description of goods or sorvicos, 8izes, quanttles, unt price and extended totals. UNIT UNIT PRICE = TOTAL PRICE ‘This CONTRACT (hereinafter called the "Contract") Is entered into between the member of the World Bank Group named above (hereinafter called the “Client") and the Vendor named above (hereinafter called the “Consultants"). WHEREAS (a) Client has requested the Consultants to provide certain consulting services ("the Services") as defined in the General Conditions of Contract for Operational Consulting Services attached to this Contr {b) the Consultants, having represented to the Client that they have the required professional skills, and personnel and technic: set forth in this Contract; NOW THEREFORE, the parties hereto agree as follows: %.. resources, have agreed to provide the Services on the terms and conditions The following documents shall be deemed to form an integral part of this Contract: (a) The General Conditions of Contract for Operational Consulting Services (July 2006); {b) The Special Conditions of Contract; (c) Appendix A: Description of the Services/Terms of Reference 2. The mutu (a) The Consultants shall carry out the Services in accordance with the provis! (b) The Client shall make payments to the Consultants in accordance with the IN WITNESS WHEREOF, the Parties have caused this C: For and on behalf of the Consultants HENDRO PRASETYO Authorized Representative ract to Authorided Signature rights and obligations of the Client and the Consultants shall be as set forth in the Contract, and in particular: jons of the Contract; and provisions of the Contract. signed in their respective names. Date : October 23, 2007 Forward original signed contract to: The World Bank; 1818 H Street, N.W.; Washington, D.C. 20433 USA; Attn: Corporate Procurement; Mailstop: MSN 13-307. Forward a copy of same to the Usted below. For additional information, contact: Ms Jeand’Arc M. Lewis. designated Client Authorized Representative Phone: (202)473-7201 Bid No. GSA No. Currency TOTAL IDR Signature Date Signed Name of Authorized Representative