(Donation to the Government with Revocation Clause)

DEED OF DONATION

KNOW ALL MEN BY THESE PRESENTS:

This Deed of Donation made and executed by and between:

_____________, of legal age, Filipino, (single / married / widow),

and a resident of _____________, Philippines, (hereinafter referred
to as the " DONOR")

- and -

_____________ CITY, a municipal corporation existing under the

laws of the Republic of the Philippines, represented herein by its
__Position__, __Name of Official__ (hereinafter referred to as the
"DONEE");

WITNESSETH:

WHEREAS, the DONOR is the true and registered owner of certain playground
equipment, listed and described in Annex "A" and attached hereto and made an integral part
hereof;

WHEREAS, the DONOR recognizes and supports the noble task of the DONEE in
promoting the welfare and well-rounded development of the children of the City;

WHEREAS, the DONOR desires to assist the DONEE and give further impetus to its
numerous child welfare programs;

NOW, THEREFORE, for and in consideration of the foregoing premises and due to the
magnanimity of the DONOR, the latter hereby TRANSFERS and CONVEYS unto the DONEE,
by way of DONATION, the playground equipment listed in Annex "A" hereof subject to the
conditions that the DONEE shall, at its own expense, maintain the donated playground
equipment and its immediate surroundings in a clean and safe condition, re-paint the said
equipment on a regular basis to prevent corrosion and make all the necessary maintenance and
repair at all times to ensure that the playground equipment remain clean and safe for use by the
children. In addition, the DONEE shall install and maintain on the premises signs acknowledging
the donation by the DONOR of the playground equipment.

In the event that the conditions of the donation, as contained herein, are not complied
with by the DONEE within thirty (30) days after the latter's failure to comply with the same is
brought to its attention, this donation shall be automatically revoked and rendered ineffective and
the DONOR shall regain ownership over the playground equipment and shall have the right to
recover possession of the same.

The DONEE hereby accepts the donation of the playground equipment as listed in Annex
"A", together with the conditions herein imposed, and hereby expresses its gratitude and
appreciation for the support, kindness and liberality of the DONOR.

IN WITNESS WHEREOF, we have hereunto set our hands, this _____________ at

_____________, Philippines.

DONOR DONEE
 SIGNED IN THE PRESENCE OF:

__________________ __________________

(ACKNOWLEDGMENT)