No 2E+05

Nama WASH NTT

Eksekusi
No No LFA Uraian Jumlah Frekuensi Harga Satuan

I A-22 Ceremoni Peresmian SAB

Tenda, Sound System dll 1 paket 1 kali 5,000,000
Konsumsi masyarakat (snack & lunch) 20 orang 1 kali 50,000
Transportasi 2 paket 1 kali 1,000,000
Stationary 1 paket 1 kali 100,000
I B-22 Koordinasi Stakeholder
Konsumsi 10 paket 8 kali 35,000
Stasionary 1 paket 2 kali 100,000
I C-22 Rembuk Warga
Konsumsi 10 paket 8 kali 35,000
Stasionary 1 paket 2 kali 100,000
II B-22 Social Mapping (PRA)
Tiket Pesawat Jkt - Larantuka PP 1 orang 2 kali 2,500,000
Transportasi bandara PP 1 orang 2 kali 200,000
Kapal cepat 1 orang 2 kali 50,000
Akomodasi 1 orang 3 hari 300,000
Fee narasumber 1 orang 3 hari 200,000
Konsumsi narasumber 1 orang 4 hari 75,000
Komunikasi narasumber 1 orang 1 kali 100,000
Sewa tempat 1 unit 3 hari 200,000
Konsumsi peserta (1 lunch, 2 snack) 12 orang 3 hari 75,000
Stationary 1 paket 1 kali 500,000
Mobilisasi Enumerator 8 orang 4 hari 100,000
Stationary 1 paket 4 titik 200,000
Transportasi enumerator 2 orang 4 hari 50,000
Pembuatan Laporan 1 paket 4 titik 250,000
II B-22 Pembangunan Sarana Air Bersih
Sumur Bor Desa Bilal & instalasi (55m) 1 unit 1 titik 75,751,000
Sumur Bor Desa Oyangbarang (Molong) & instalasi
(60m) 1
1 unit titik 88,583,000
Sumur Bor Lamahala & instalasi (60m) 1 unit 1 titik 83,730,000
Sumur Bor Waiwerang & instalasi (60m) 1 unit 1 titik 89,155,000
Papan Program 1 unit 4 titik 1,500,000
Videografer 1 paket 1 kali 3,500,000
II B-22 Pendampingan
Field Officer 1 orang 4 bulan 2,500,000
Transportasi & Komunikasi 1 Paket 4 bulan 150,000
II B-22 Pelatihan Pengelolaan SAB
 Tiket Pesawat Jkt - Larantuka PP 1 orang 2 kali 2,500,000
Transportasi bandara PP 1 orang 2 kali 200,000
Kapal cepat 1 orang 2 kali 50,000
Akomodasi 1 orang 4 hari 300,000
Fee narasumber 1 orang 4 hari 200,000
Konsumsi narasumber 1 orang 5 hari 75,000
Komunikasi narasumber 1 orang 1 kali 100,000
Sewa tempat / kebersihan 1 unit 4 hari 200,000
Konsumsi peserta (1 lunch, 2 snack) 12 orang 4 titik 75,000
Stationary 1 paket 1 kali 300,000
II B-22 Promosi Kebersihan & Kesehatan
Fee Fasilitator 2 orang 1 paket 2,000,000
Media KIE (Komunikasi, informasi, & Edukasi) 250 pcs 4 titik 8,500
Snack peserta 250 orang 4 titik 20,000
II B-22 Monitoring & Evaluasi
Tiket Pesawat 2 orang 1 paket 4,000,000
Transportasi bandara 2 orang 2 kali 200,000
Akomodasi 2 orang 3 hari 300,000
Konsumsi 2 orang 3 hari 75,000
Transportasi lokal 2 orang 3 hari 1,000,000
II B-22 Operasional Program
Banner 3 Paket 1 kali 300,000
Komunikasi 3 Orang 5 bulan 100,000
ATK & Stationary 1 paket 1 paket 856,000
Sewa Motor, BMM & Perawatan 1 unit 5 bulan 2,500,000
Laporan Akhir Program 1 Paket 1 kali -
II B-22 Penempatan Tim Teknis
Tiket Pesawat 1 orang 2 kali 2,500,000
Transportasi bandara 1 orang 2 kali 200,000
Kapal Cepat 1 orang 2 kali 50,000
Akomodasi 1 orang 5 bulan -
III C-22 Human Resources
Project Manager (70%) 1 Orang 5 bulan 2,500,000
WASH Engineer (100%) 1 Orang 5 bulan 6,000,000
Finance & Admin Officer (50%) 1 Orang 5 bulan 1,500,000
Total

CATATAN :
1 Harus dimulai dari baris ke 6.
2 Hanya menggunakan 2 tingkat/level penomoran,
Kalau lebih dari 2 level, mohon digabung/disesuaikan.
3 Tidak ada spasi/baris di antara masing-masing kegiatannya.
5 Untuk yang nilainya kosong, janga
6 No LFA diisi dari LFA Activities yan
7 Pastikan Catatan tidak dihapus, ad
4 Kolom merah harus kosong, tidak boleh ada karakter apapun.
 Eksekusi Donor Bulan 1
Sub Total Total Harga satuan Sub Total Total Eksekusi
8,100,000 8,100,000
5,000,000 5,000,000 5,000,000
1,000,000 50,000 1,000,000
2,000,000 1,000,000 2,000,000
100,000 100,000 100,000
3,000,000 4,400,000
2,800,000 50,000 4,000,000
200,000 200,000 400,000
3,000,000 4,400,000
2,800,000 50,000 4,000,000
200,000 200,000 400,000
16,600,000 20,900,000
5,000,000 2,500,000 5,000,000
400,000 250,000 500,000
100,000 50,000 100,000
900,000 400,000 1,200,000
600,000 200,000 600,000
300,000 75,000 300,000
100,000 100,000 100,000
600,000 500,000 1,500,000
2,700,000 75,000 2,700,000
500,000 500,000 500,000
3,200,000 150,000 4,800,000
800,000 300,000 1,200,000
400,000 50,000 400,000
1,000,000 500,000 2,000,000
346,719,000 350,219,000
75,751,000 75,751,000 75,751,000

88,583,000 88,583,000 88,583,000

83,730,000 83,730,000 83,730,000
89,155,000 89,155,000 89,155,000
6,000,000 2,000,000 8,000,000
3,500,000 5,000,000 5,000,000
10,600,000 16,800,000
10,000,000 4,000,000 16,000,000
600,000 200,000 800,000
12,675,000 14,575,000
 5,000,000 2,500,000 5,000,000
400,000 250,000 500,000
100,000 50,000 100,000
1,200,000 400,000 1,600,000
800,000 200,000 800,000
375,000 75,000 375,000
100,000 100,000 100,000
800,000 500,000 2,000,000
3,600,000 75,000 3,600,000
300,000 500,000 500,000
32,500,000 33,500,000
4,000,000 2,500,000 5,000,000
8,500,000 8,500 8,500,000
20,000,000 20,000 20,000,000
17,050,000 17,850,000
8,000,000 4,000,000 8,000,000
800,000 250,000 1,000,000
1,800,000 400,000 2,400,000
450,000 75,000 450,000
6,000,000 1,000,000 6,000,000
15,756,000 21,256,000
900,000 300,000 900,000
1,500,000 100,000 1,500,000 300,000
856,000 856,000 856,000
12,500,000 3,500,000 17,500,000 2,500,000
500,000 500,000
5,500,000 8,000,000
5,000,000 2,500,000 5,000,000 5,000,000
400,000 200,000 400,000 400,000
100,000 50,000 100,000 100,000
- 500,000 2,500,000 -
50,000,000 100,000,000
12,500,000 7,000,000 35,000,000 2,500,000
30,000,000 9,000,000 45,000,000 6,000,000
7,500,000 4,000,000 20,000,000 1,500,000
Total 521,500,000 600,000,000 18,300,000
13.08% 78,500,000

uk yang nilainya kosong, jangan dikosongkan tetapi diisi dengan angka 0.

LFA diisi dari LFA Activities yang Deskripsi-nya sama dengan Kegiatan.
tikan Catatan tidak dihapus, ada jarak 1 baris dari baris Total ke Catatan.
Bulan 1 Bulan 2 Bulan 3 Bulan 4
Donor Eksekusi Donor Eksekusi Donor Eksekusi Donor

5,000,000 5,000,000
1,000,000 1,000,000
2,000,000 2,000,000
100,000 100,000

1,400,000 2,000,000 1,400,000 2,000,000

100,000 200,000 100,000 200,000

1,400,000 2,000,000 1,400,000 2,000,000

100,000 200,000 100,000 200,000

5,000,000 5,000,000
400,000 500,000
100,000 100,000
900,000 1,200,000
600,000 600,000
300,000 300,000
100,000 100,000
600,000 1,500,000
2,700,000 2,700,000
500,000 500,000
3,200,000 4,800,000
800,000 1,200,000
400,000 400,000
1,000,000 2,000,000

75,751,000 75,751,000

88,583,000 88,583,000
83,730,000 83,730,000
89,155,000 89,155,000
6,000,000 8,000,000
3,500,000 5,000,000

2,500,000 4,000,000 2,500,000 4,000,000 2,500,000 4,000,000

150,000 200,000 150,000 200,000 150,000 200,000
 5,000,000 5,000,000
400,000 500,000
100,000 100,000
1,200,000 1,600,000
800,000 800,000
375,000 375,000
100,000 100,000
800,000 2,000,000
3,600,000 3,600,000
300,000 500,000

4,000,000 5,000,000
8,500,000 8,500,000
10,000,000 10,000,000 10,000,000 10,000,000

4,000,000 4,000,000
400,000 500,000
900,000 1,200,000
225,000 225,000
3,000,000 3,000,000

300,000 300,000 300,000 300,000 300,000 300,000

300,000 300,000 300,000 300,000 300,000 300,000 300,000
214,000 214,000 214,000 214,000 214,000 214,000
3,500,000 2,500,000 3,500,000 2,500,000 3,500,000 2,500,000 3,500,000

5,000,000
400,000
100,000
500,000 - 500,000 - 500,000 - 500,000

7,000,000 2,500,000 7,000,000 2,500,000 7,000,000 2,500,000 7,000,000

9,000,000 6,000,000 9,000,000 6,000,000 9,000,000 6,000,000 9,000,000
4,000,000 1,500,000 4,000,000 1,500,000 4,000,000 1,500,000 4,000,000
29,800,000 208,423,000 227,573,000 207,349,000 220,399,000 63,239,000 84,089,000
 Bulan 5
Eksekusi Donor

2,500,000 4,000,000
150,000 200,000
 4,000,000 4,000,000
400,000 500,000
900,000 1,200,000
225,000 225,000
3,000,000 3,000,000

300,000 300,000
214,000 214,000
2,500,000 3,500,000
500,000

- 500,000

2,500,000 7,000,000
6,000,000 9,000,000
1,500,000 4,000,000
24,189,000 38,139,000 1,121,500,000