REKAPITULASI

LOGO PERUSAHAAN
LAPORAN BULANAN
INSTANSI / SKPD : ....................................................................................... KONSULTAN SUPERVISI : .......................................................................................
PEKERJAAN : ....................................................................................... NO. KONTRAK : .......................................................................................
LOKASI : ....................................................................................... TGL. KONTRAK : .......................................................................................
TAHUN ANGGARAN : ....................................................................................... JADWAL PEKERJAAN : .......................................................................................
KONTRAKTOR PELAKSANA : ....................................................................................... SUMBER DANA : .......................................................................................
NILAI KONTRAK : .......................................................................................
NO. KONTRAK : .......................................................................................
TGL. KONTRAK : ....................................................................................... BULAN KE : 1 ( SATU )
JADWAL PEKERJAAN : ....................................................................................... PERIODE MINGGU : 1 ( SATU ) - 4 ( EMPAT )
SUMBER DANA : ....................................................................................... PERIODE TANGGAL : 1 JANUARI 2017 S/D 28 JANUARI 2018

KONTRAK REALISASI
BULAN LALU BULAN INI S/D BULAN INI
NO URAIAN PEKERJAAN
JUMLAH HARGA BOBOT (%) BOBOT (%) BOBOT (%) BOBOT (%)
TERC. TERTIMB. TERC. TERTIMB. TERC.
1 2 3 = TOTAL 4 = TOTAL 5 = (6 / 4) x 100 6 =TOTAL RM 7 = (8 / 4) x 100 8 = RM - 6 9 = (10 / 4) x 100

I. PEKERJAAN PERSIAPAN 2,800,000.00 7.98 - - 100.00 7.98 100.00

II. PEKERJAAN STRUKTUR 7,700,000.00 21.94 - - 100.00 21.94 100.00
III. PEKERJAAN ARSITEKTUR 12,600,000.00 35.90 - - 100.00 35.90 100.00
IV. PEKERJAAN AKHIR 12,000,000.00 34.19 - - 100.00 34.19 100.00

VII. TOTAL JUMLAH URAIAN PEKERJAAN 35,100,000.00 100.00 - 100.00

VIII. NILAI PENYERAPAN ANGGARAN 35,100,000.00 - 35,100,000.00
IX. PPN ( 10 % x II ) 3,510,000.00 - 3,510,000.00
X. TOTAL NILAI ( II + III ) 38,610,000.00 - 38,610,000.00
XI. DI BULATKAN 38,610,000.00 - 38,610,000.00

KENDARI, 28 JANUARI 2018

DIKETAHUI / DI SETUJUI OLEH : DIPERIKSA OLEH : DI BUAT OLEH :
PEJABAT PELAKSANA TEKNIS KEGIATAN KONSULTAN SUPERVISI KONTRAKTOR PELAKSANA
( instansi pemberi tugas ) ...................................................... PT. / CV. ......................................................... PT. / CV. .........................................................

.......................................................... ................................................................. .................................................................

NIP. .............................................. TEAM LEADER / SITE ENGINEERING KEPALA PROYEK / PELAKSANA LAPANGAN
 B1

S/D BULAN INI

BOBOT (%)
TERTIMB.
10 = 6 + 8

7.98
21.94
35.90
34.19

100.00
35,100,000.00
3,510,000.00
38,610,000.00
38,610,000.00

KENDARI, 28 JANUARI 2018

KONTRAKTOR PELAKSANA
PT. / CV. .........................................................

.................................................................
KEPALA PROYEK / PELAKSANA LAPANGAN