CIKAMPEK PALIMANAN TOLL ROAD PROJECT Technical and Financial Evaluation For Independent Checking Engineer (ICE) Quality

and Cost Based Selection (QCBS) COMMERCIAL SUMMARY

Note: PLEASE FOLLOW THE INSTRUCTION GIVEN ON THE TOP RIGHT HAND CORNER OF ALL PAGES

CPTR-Quality and Cost-Based Selection (QCBS)-ICE

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CIKAMPEK PALIMANAN TOLL ROAD PROJECT

Technical and Financial Evaluation For Independent Checking Engineer (ICE)

Quality and Cost Based Selection (QCBS)

Note: COMMERCIAL SUMMARY PLEASE DO NOT INSERT ANY VALUE IN ANY OF THE CELL Technical Evaluation Criteria Weightage 80% The weights given to the Technical (T) and Financial (P) Proposals are: T= F= 80% 20% Financial Evaluation Weightage 20% Total Score Score

Score

100%

80%

100%

20%

100%

Proposals are ranked according to their combined technical (St) and financial (Sf) scores using the weights (T = the weight given to the Technical Proposal; P = the weight given to the Financial Proposal; T + P = 1) as following: S = St x T% + Sf x P%.

TOTAL

100%

80%

100%

20%

100%

CPTR-Quality and Cost-Based Selection (QCBS)-ICE

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CIKAMPEK PALIMANAN TOLL ROAD PROJECT

Technical and Financial Evaluation For Independent Checking Engineer (ICE)

Quality and Cost Based Selection (QCBS)

Note: A - TECHNICAL EVALUATION PLEASE DO NOT INSERT ANY VALUE IN ANY OF THE CELL Min. Technical Score Criteria Weightage Score 1.0 2.0 3.0 4.0 Consultants relevant professional experience: Quality of the methodology proposed for the Assignment: Qualifications of Key Experts: Other factors TOTAL (% of max.) Weightage 5% 50% 40% 5% 100% 80% 4% 40% 32% 4% 80%

5% 50% 40% 5%
100%

100% 100% 100% 100%

CPTR-Quality and Cost-Based Selection (QCBS)-ICE

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CIKAMPEK PALIMANAN TOLL ROAD PROJECT

Technical and Financial Evaluation For Independent Checking Engineer (ICE)

Quality and Cost Based Selection (QCBS)

A - TECHNICAL EVALUATION Note: PLEASE INSERT VALUE IN % IN THE SHADED CELL Scoring 100%

Min. Technical Score (% of max.)

Criteria Weightage 1.0 1.1 1.2 1.3 1.4 Consultants relevant professional experience: experience in similar assignments experience in similar locations (Indonesia) structure, organization, capacity of Consultant years of experience [25%] more than 10 years a between 8 - 10 years b between 5 - 8 years c between 3 - 5 years d less than 2 years e information not provided f TOTAL 5% 20% 30% 40% 10% 100% 80% 60% 40% 20% 0%

Score

Score 100%

Weightage 5%

80% 4%

100% 100% 100%

20% 30% 40% 10%

100%

100%

100%

5%

4%

CPTR-Quality and Cost-Based Selection (QCBS)-ICE

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CIKAMPEK PALIMANAN TOLL ROAD PROJECT

Technical and Financial Evaluation For Independent Checking Engineer (ICE)

Quality and Cost Based Selection (QCBS)

A - TECHNICAL EVALUATION Note: PLEASE INSERT VALUE IN % IN THE SHADED CELL Scoring 100%

Min. Technical Score (% of max.)

Criteria Weightage 2.0 2.1 Quality of the methodology proposed for the Assignment: presentation (understanding of assignment) Attended by a President Director or Equivalent Position i - Yes - No ii Technical Director or Equivalent Position - Yes - No Presentation Skills President Director or Equivalent Position - Excellent - Good - Fair - Unsatisfactory Technical Director or Equivalent Position - Excellent - Good - Fair - Unsatisfactory Explanation During Question/Answer President Director or Equivalent Position - Excellent - Good - Fair - Unsatisfactory Technical Director or Equivalent Position - Excellent - Good - Fair - Unsatisfactory Availability of Personnel To be Assigned For The Project Lead - Immediate - 1 month notice - > 1 month ii Supporting - Immediate - 1 month notice - > 1 month 50% 20% 20% 70% 100% 0% 30% 100% 0% 20% 15% 100% 80% 60% 0% 5% 100% 80% 60% 0% 30% 20% 100% 80% 60% 0% 10% 100% 80% 60% 0%

Score

Score 100%

Weightage 50%

80% 40%

100% 100% 100%

20% 20% 70%

100% 20%

30%

b i

20% 15%

100%

ii

5% 100%

c i

30% 20% 100%

ii

10% 100%

d i

30% 70% 100% 50% 0% 30% 100% 50% 0% 20% 0% 50% 100% 60% 0% 50% 100%

100.0%

30% 70%

100%

100%

30%

2.2

technical implementation (approach and methodology) Did not provide information. a Well planned but lacking details in some areas. b Well planned with full details and well defined. c organization Chart (work plan and team assignments) Did not provide. a Provided with full organization chart but some boxes yet b to be identified with personnel. Provided with full organization chart and all boxes for c personnel have been named. TOTAL

20% 100%

2.3

60% 100%

100%

50%

40%

CPTR-Quality and Cost-Based Selection (QCBS)-ICE

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CIKAMPEK PALIMANAN TOLL ROAD PROJECT

Technical and Financial Evaluation For Independent Checking Engineer (ICE)

Quality and Cost Based Selection (QCBS)

A - TECHNICAL EVALUATION Note: PLEASE INSERT VALUE IN % IN THE SHADED CELL Scoring 100%

Min. Technical Score (% of max.)

Criteria Weightage 3.0 31 a Qualifications of Key Experts: [list the Key Experts who will be evaluated: ] Bridge Lead Each of the Key Experts listed above will be evaluated as follows: i general qualifications ii specific experience and expertise iii related to their task iv experience in region v regular staff experts vi [other: language, IT capability, etc. ] Supporting Each of the Key Experts listed above will be evaluated as follows: i general qualifications ii specific experience and expertise iii related to their task iv experience in region v regular staff experts vi [other: language, IT capability, etc. ] Earthworks/Geotechnical Lead Each of the Key Experts listed above will be evaluated as follows: i general qualifications ii specific experience and expertise iii related to their task iv experience in region v regular staff experts vi [other: language, IT capability, etc. ] Supporting Each of the Key Experts listed above will be evaluated as follows: i general qualifications ii specific experience and expertise iii related to their task iv experience in region v regular staff experts vi [other: language, IT capability, etc. ] Pavement Lead Each of the Key Experts listed above will be evaluated as follows: i general qualifications ii specific experience and expertise iii related to their task iv experience in region v regular staff experts vi [other: language, IT capability, etc. ] Supporting Each of the Key Experts listed above will be evaluated as follows: i general qualifications ii specific experience and expertise iii related to their task iv experience in region v regular staff experts 40% 20% 60% 100% 10% 10% 50% 15% 10% 5% 40% 100% 10% 10% 50% 15% 10% 5% 20% 60% 100% 10% 10% 50% 15% 10% 5% 40% 100% 10% 10% 50% 15% 10% 5% 20% 60% 100% 10% 10% 50% 15% 10% 5% 40% 100% 10% 10% 50% 15% 10%

Score

Score 100%

Weightage 40%

80% 32%

100% 100%

20% 60%

100% 100% 100% 100% 100% 100% 100%

10% 10% 50% 15% 10% 5% 40%

100% 100% 100% 100% 100% 100% 100% 100%

10% 10% 50% 15% 10% 5% 20% 60%

3.2 a

100% 100% 100% 100% 100% 100% 100%

10% 10% 50% 15% 10% 5% 40%

100% 100% 100% 100% 100% 100% 100% 100%

10% 10% 50% 15% 10% 5% 20% 60%

3.3 a

100% 100% 100% 100% 100% 100% 100%

10% 10% 50% 15% 10% 5% 40%

100% 100% 100% 100% 100%

10% 10% 50% 15% 10%

CPTR-Quality and Cost-Based Selection (QCBS)-ICE

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CIKAMPEK PALIMANAN TOLL ROAD PROJECT

Technical and Financial Evaluation For Independent Checking Engineer (ICE)

Quality and Cost Based Selection (QCBS)

A - TECHNICAL EVALUATION Note: PLEASE INSERT VALUE IN % IN THE SHADED CELL Scoring 100%

Min. Technical Score (% of max.)

Criteria Weightage 5% 20% 60% 100% 10% 10% 50% 15% 10% 5% 40% 100% 10% 10% 50% 15% 10% 5% 5% 60% 100% 10% 10% 50% 15% 10% 5% 40% 100% 10% 10% 50% 15% 10% 5% 5% 60% 100% 10% 10% 50% 15% 10% 5% 40% 100% 10% 10% 50% 15% 10% 5%

Score 100% 100% 100% 5% 20% 60%

Score

Weightage

80%

vi 3.4 a

[other: language, IT capability, etc. ]

Drainage/Potential Flooding Lead Each of the Key Experts listed above will be evaluated as follows: i general qualifications ii specific experience and expertise iii related to their task iv experience in region v regular staff experts vi [other: language, IT capability, etc. ] Supporting Each of the Key Experts listed above will be evaluated as follows: i general qualifications ii specific experience and expertise iii related to their task iv experience in region v regular staff experts vi [other: language, IT capability, etc. ] Traffic Management Lead Each of the Key Experts listed above will be evaluated as follows: i general qualifications ii specific experience and expertise iii related to their task iv experience in region v regular staff experts vi [other: language, IT capability, etc. ] Supporting Each of the Key Experts listed above will be evaluated as follows: i general qualifications ii specific experience and expertise iii related to their task iv experience in region v regular staff experts vi [other: language, IT capability, etc. ] Road Safety Audit Lead Each of the Key Experts listed above will be evaluated as follows: i general qualifications ii specific experience and expertise iii related to their task iv experience in region v regular staff experts vi [other: language, IT capability, etc. ] Supporting Each of the Key Experts listed above will be evaluated as follows: i general qualifications ii specific experience and expertise iii related to their task iv experience in region v regular staff experts vi [other: language, IT capability, etc. ]

100% 100% 100% 100% 100% 100% 100%

10% 10% 50% 15% 10% 5% 40%

100% 100% 100% 100% 100% 100% 100% 100%

10% 10% 50% 15% 10% 5% 5% 60%

3.5 a

100% 100% 100% 100% 100% 100% 100%

10% 10% 50% 15% 10% 5% 40%

100% 100% 100% 100% 100% 100% 100% 100%

10% 10% 50% 15% 10% 5% 5% 60%

3.6 a

100% 100% 100% 100% 100% 100% 100%

10% 10% 50% 15% 10% 5% 40%

100% 100% 100% 100% 100% 100%

10% 10% 50% 15% 10% 5%

CPTR-Quality and Cost-Based Selection (QCBS)-ICE

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CIKAMPEK PALIMANAN TOLL ROAD PROJECT

Technical and Financial Evaluation For Independent Checking Engineer (ICE)

Quality and Cost Based Selection (QCBS)

A - TECHNICAL EVALUATION Note: PLEASE INSERT VALUE IN % IN THE SHADED CELL Scoring 100%

Min. Technical Score (% of max.)

Criteria Weightage 3.7 a Construction Methodology and Method Lead Each of the Key Experts listed above will be evaluated as follows: i general qualifications ii specific experience and expertise iii related to their task iv experience in region v regular staff experts vi [other: language, IT capability, etc. ] Supporting Each of the Key Experts listed above will be evaluated as follows: i general qualifications ii specific experience and expertise iii related to their task iv experience in region v regular staff experts vi [other: language, IT capability, etc. ] TOTAL 10% 60% 100% 10% 10% 50% 15% 10% 5% 40% 100% 10% 10% 50% 15% 10% 5%

Score 100% 100% 10% 60%

Score

Weightage

80%

100% 100% 100% 100% 100% 100% 100%

10% 10% 50% 15% 10% 5% 40%

100% 100% 100% 100% 100% 100%

10% 10% 50% 15% 10% 5% 100% 100% 40% 32%

CPTR-Quality and Cost-Based Selection (QCBS)-ICE

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CIKAMPEK PALIMANAN TOLL ROAD PROJECT

Technical and Financial Evaluation For Independent Checking Engineer (ICE)

Quality and Cost Based Selection (QCBS)

A - TECHNICAL EVALUATION Note: PLEASE INSERT VALUE IN % IN THE SHADED CELL Scoring 100%

Min. Technical Score (% of max.)

Criteria Weightage 4.0 4.1 4.2 4.3 Other factors local participation back-up capacity from HQ quality assurance system TOTAL

Score

Score 100%

Weightage 5%

80% 4%

5%
25% 40% 35% 100% 100% 100% 25% 40% 35% 100%

100%

5%

4%

CPTR-Quality and Cost-Based Selection (QCBS)-ICE

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CIKAMPEK PALIMANAN TOLL ROAD PROJECT

Technical and Financial Evaluation For Independent Checking Engineer (ICE)

Quality and Cost Based Selection (QCBS)

B - FINANCIAL EVALUATION Note: PLEASE INSERT VALUE IN IDR IN THE SHADED CELL Lowest Price (IDR) Proposal Price (IDR) Scoring Sf = 100 x Fm/ F Fm 1.0 Financial Evaluation The lowest evaluated Financial Proposal (Fm) is given the maximum financial score (Sf) of 100. The formula for determining the financial scores (Sf) of all other Proposals is calculated as following: Sf = 100 x Fm/ F, in which Sf is the financial score, Fm is the lowest price, and F the price of the proposal under consideration. Score (Sf) Weightage TOTAL 100% 100% 20% 20% 1,000,000,000 1,000,000,000 100% F Sf IDR

Criteria

CPTR-Quality and Cost-Based Selection (QCBS)-ICE

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