Perihal : Rig Ksr-01

Padahariini,Senin Tanggal Empat Belas Bulan November Tahun

Dua Ribu Sebelas, kami
yang beitanda tangan dibawah ini:

1. Nama Kusuma Sularko

Jabatan Company Man

5elanjutnya disebut plttAK PERTAMA, hertindak untuk

dan atas nama
TA' PERTAMINA ELLIPSE EN ERGY JATIRARANGON WAHANA
LTD

2. Nama Laurenz Fredrik Mano

.Ja bata n IPM Coordinator

Selanjutnya disebut pIHAK IGDUA, bertindak untuk

dan atas nama
PT. ASIA PETROCOM SERVICES

Mengacu Kontrak No. c011-003, plhAK KEDUA

terah meraksanakan Driring Rig 750 Hp pada
hari Senin tanggal 14 November 2011.

Demikian berita acara ini dibuat 2 (dua) rangkap dengan sebenar_benarnya untuk dapat
dipergunakan sebagaimana mestinya.

Jatirarangon, 14 November ZO11

PIHAK P6RTAMA
PIHAI( KEDUA
TAC PERTAMINA EEJW
PT, ASIA PETROCOM SERVICES

KUSUMO SUI"ARKO
TAURE(iFREDRIK MANo
Company Man
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i' 2, Nama Laurenz Fredrik Mai.to

Jabatan

Mengacu Kontrak No. c011-oo3r prHAK (EDUA terah meraksanakan

Dri[ing Rig 7s0 Hp pada
hari Senin tanSgal 14 November 2011.

Demikian berita acara ini dibuat 2 (dua) rangkap dengan sebenar-benarnya untuk
dapat
dipergunakan sebagaimana mestinya.

Jatirarangon, 14 November 2011

PIHAK PERTAMA PIHAK KEDUA
TAC PERTAMINA EEJW PT. ASIA PETROCOM SERVICES

KUSUMO SUI-ARKO
TAURENZ.FREDRIK MANO
Company Man IPM Coordinator
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TAC PERTAMINA - ELLIPSE ENERGY JATIRARANGON

WAHANA LTD-

AND

PT. ASIA PETROCOM SERVICES

,

JULY 201{
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Form of lgreemdnt
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Terms and eondftions

:

$gqpe of Work'
Rernur,r6ration

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July 2011
 RefNo.C0ll{03
PROVETON OF TNTEGMTED pRtLLtNG SeRUCiS.(rDS) Sedlon l- Form ofAgreernent

FORM OF CONTRACT

Thls CONTMCT ii miid6 Orilha T day of July2011

between the following partles:

TAC Pertamlna - Ellipsa Energy Jalirarangon Wahana Ltd. a cgmpany having.its maln offce at Wisma 46 - Kota BNl,
21"'Floor, Jalan Jendral Sudinnan Kav 1 Jakarta 10220 hereinaftor called ft'dlgOMPAl.lY

and PT. Asia Petrocom Solvices having its maln or registered office al.Jl:.titljen S. Parman Kav 1064 Jakada ij440
hereinafter called lhe CONTRACTof,
,:l,l:
WHEREAS;

L The COMPANY wishes that certain EQUIPMENT shall be provide; ai'llas described in the CONTRACT; and

i 2. The CONTMCTOR wis\es to supply the EQUIPMENT in accordance with the Terms and Conditions of this
l
CONTMCT.
I

I NOW:
I

I
The parties hereby agree as follows:
1J
(1) in this CONTMCT all capilalized wo-rds and expressions shall have ihe meanings assigned to them in this
Form of Contraot or elsewhere in the CONTMCT,

(21 the following Sectians shall be deemed to form and be read and constiiJed as part of ihe CONTRACT:

-,-
1, Section I Form of Contract including Appendix 1,1. '
2. Section Il Terms and Conditions

3. Scctjon lll Scope of Work:

- Drilling Rig
- Cementing L,laterial & Services
- Mud Chemical and Mud Engineering Seivicbs
- Directional Drilling
- Mud Logging
- Slickline Services
- Welltesting Services
- Logging While D.illing

4. Section lV Remuneralion:
- D.illing Rig
- Cementlng Matedal & Services
- Mud Chemicaland Mud Engineering Seinr'jces
- Directional Drilling
- Mud logging
- Stickline Seftices
- Welltesting Services
- Logging While Drilting

5. Section V HSE

(3) ln accordance with rerms and conditions of the coNTRAcr herei;,, coNTMCToR shall deliver the
EQUIPI.lENT and COMPANY shall pay CONTRACIOR based on the price stated in Section t.

(4) The terms and conditions of the ooNTMCT shall apply from I Juty 2011 which date shalt be the EFFECIVE
DATE.

(5) The CONIN4ENCEMENT DATE shall be as specified in Appendjx 1.1

b
Juy2011
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