THE WORLD BANK I BANK DUNIA Sharing Development Solutions OFFICIAL for an Emerging Indonesia IDOCUMENTS. Letter No. CD-082/PNPM/III/2013 March 11, 2013 Dra. Titik Hartini Msi Association for Community Empowerment (ACE) JI. Saleh Abud. No. 6 Otista Jakarta Timur 13330 Indonesia Dear Ms. Hartini: Re: Amendment No. 4 to PSF Grant No. TFO99555- PNPM Peduli Executing Organization: Association for Community Empowerment (ACE) Project We refer to the Grant Agreement ("Grant Agreement"), dated June 30, 2011. as amended, between the Association for Community Empowerment ("Recipient") and the International Bank for Reconstruction and Development ("World Bank"), acting as administrator of grant funds provided by donors under the Support Facility for National Program for Community Empowerment (TF070967) ("PSF") for the above-mentioned project (the --Project"). We refer also to your letter dated January, 18 2013. requesting an amendment to the Grant Agreement. The World Bank is pleased to inform you that, after due consideration, it has concurred with your request and accordingly agreed to amend the Grant Agreement to reflect: (i) the increase of the Grant amount, (ii) reallocation of Grant proceeds, and (iii) changes to the Procedures, Terms and Conditions for Sub-grants as follows: A. Increase in the Amount of the Grant. The Grant amount is hereby increased from US$1,966,800 to US$2,460,800 as follows (the amended language is italicized for ease of reference): "In response to the request for financial assistance made on behalf of the Association for Community Empowerment ("Recipient"), I am pleased to inform you that the International Bank for Reconstruction and Development ("World Bank"), acting as administrator of grant funds provided by donors under the Support Facility for National Program for Community Empowerment (TF070967) ("PSF"), proposes to extend to the Recipient for the benefit of the Republic of Indonesia ("Member Country"), a grant in an amount not to exceed two million four hundred sixty thousand cight hundred (nited States Dollars (USS2.460800) ("Grant") on the terms and conditiors set "orth or referred to in this letter agreement ("Agreement"), ISEB Tower 2, 121h Floor, JI. Jend. Sudirman Kay. 52-53, Jakarta 12190 I+6221 5299 3000 0 +6221 5299 3111 Owww.worldbank.org/id Dra. Titik Hartini Msi 2 of 3 March 11, 2013 Association for Community Empowerment (ACE) which includes the attached Annex, to assist in the financing of the project described in the Annex ("Project"). This Grant is fided out of the abovementioned trust fund for which the World Bank receives periodic contributions. In accordance with Section 3.02 of the Standard Conditions (as defined in the annex to this Agreement), the Recipient may withdraw the Grant proceeds subject to the availability of such funds." B. Reallocation of Grant Proceeds. The World Bank hereby reallocates the proceeds of the Grant allocated in the table in Section 3.01 of the Annex to the Grant Agreement as set out below: Category Amount of the Grant Percentage of Allocated Expenditures to be (expressed in US$) Financed (inclusive of Taxes) (1) Goods 18,400 100% (2) Consultant services 86,700 100% (3) Training and Workshops* 387,100 100% (4) Sub-Grants under Part 1 1,623,200 100% of the Project (5) Direct Operational Costs* 231,500 100% (6) Indirect Operational 113,900 100% Costs* TOTAL AMOUNT 2,460,800 C. Changes to the Procedures, Terms and Conditions for Sub-grants. Section 2.03(c)(iv)(B) of the Annex to the Grant Agreement is hereby amended as follows (the amended language is italicized for ease of reference): "require that all goods and services necessary for the Sub-Project shall be procured by the Sub- Grantee in accordance with the provisions of paragraph 2.07 of this Annex and put in place arrangements for adequate supervision for ensuring that the required procurement procedures are followed:" Except as specifically provided in this Amendment, all other terms and conditions of the Grant Agreement remain in full force and effect. ISEB Tower 2, 12th Floor, JI. Jend. Sudirman Kay. 52-53, Jakarta 12190 I+6221 5299 3000 0+6221 5299 3111 O www.worldbank.org/id Dra. Titik Hartini Msi 3 of 3 March 11, 2013 Association for Community Empowerment (ACE) Please confirm your agreement to the foregoing by signing and dating both enclosed copies of this letter in the space provided and returning one signed copy to us. The above Amendment will become effective as of the date of the later date of countersignature of this letter by the Recipient. Very truly yours, INTERNATIONAL BANK FOR RECONSTRUCTION AND DEVELOPMENT Josep sinette Acting C ntr Dir tor, Indonesia AGREED: ASSOCIATION FOR COMMUNITY EMPOWERMENT A 0 By: Name: T Title: R(Z Date: 0- ISEB Tower 2, 12th Floor, JI. Jend. Sudirman Kay. 52-53, Jakarta 12190 8 +6221 5299 3000 0 +6221 5299 3111 0 www.worldbank.org/id