DARBY A.

LUMBRES, CPA

CONTRACT OF SERVICE FOR THE RURAL HEALTH

Accountant III

MIDWIFE PLACEMENT PROGRAM

KNOW ALL MEN BY THESE PRESENTS:

This Contract of Service made and entered into this 20th day of June, 2019 in
____________, Philippines by and between:
_____________________

DEPARTMENT OF HEALTH, an executive department of the Republic of

the Philippines, created pursuant to E.O. 94, s. 1947, transformed under E. O. 102, s.
Second Party

1999, with principal office at San Lazaro Compound, Sta. Cruz, Manila, represented
by MINERVA P. MOLON, MD, MPH FPPA, CESO III, Director IV, Regional
Office VIII and herein referred to as the “FIRST PARTY”;

and

_______________________, of legal age, Filipino and with residence address

at _____________________________________________, herein referred to as the
“SECOND PARTY”.
MINERVA P. MOLON, MD, MPH, FPPA, CESO III

-WITNESSETH-

WHEREAS, the First Party is in need of the services of the Second Party
who shall perform work not performed by the regular personnel of the First Party;
Director IV

WHEREAS, the Second Party has signified his/her intention, to which the
First Party has accepted, to provide the service needed by the latter;

WHEREAS, the Second Party hereby possesses the education, experience

and skills required to perform the job as described herein;

WHEREAS, the Second Party hereby attests that 1) he/she is not related
within the third degree of consanguinity or affinity to the hiring authority and/or
REPRESENTATIVE of the First Party; 2) he/she has not been previously dismissed
from government service by reason of an administrative offense; 3) that he/she has
DAISY R. GORGONIA

not already reached the compulsory retirement age of sixty-five (65);

Training Specialist III

WHEREAS, the performance of service by the Second Party pursuant to

EO No. 782 or No. 366 is not under an “employer-employee relationship” hence, it
is a sale or exchange of service which is within the ambit of Section 108 of the 1997
Tax Code.

WHEREAS, the Second Party shall have the full support of the Department
of Health as a member of the organization;

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DARBY A. LUMBRES, CPA

NOW THEREFORE, in consideration of the foregoing premises, the First

Party hereby engages the services of the Second Party effective June 20, 2019 to
Accountant III

July 15, 2019, subject to the following terms and conditions:

1. The Second Party shall receive a monthly salary equivalent to Salary

Grade SG 11-Step I Fourth Tranche of the Salary Schedule under
National Budget Circular no. 575 dated March 25, 2019 in the amount of
TWENTY THOUSAND SEVEN HUNDRED FIFTY FOUR PESOS
ONLY (Php 20, 754.00); inclusive of taxes, payable on the 3rd week of the
following month. Salary shall be processed for payment after the cut-off
period and upon submission of complete supporting documents chargeable
_____________________

against the funds of HRH DEPLOYMENT , this Department, subject to

the usual government accounting and auditing rules and regulations;
Second Party

2. The Second Party will receive an additional of 5% premium compensation

based on their monthly salary stated above pursuant to Department of Health
Department Memorandum Order no. 2019-0009 dated January 4, 2019,
including remittances of Philippine Health Insurance Corporation.

3. The Second Party is expected to perform the following functions:

a. Conducts house-to-house health education and awareness campaigns for
reproductive health and health maintenance;
MINERVA P. MOLON, MD, MPH, FPPA, CESO III

b. Conducts home visit to households for monitoring and proper referral of

pregnant and post-partum mothers;
c. Reports status of families/household visited especially the pregnant and
post-partum mothers;
d. Assist in the conduct of health education and advocacy campaigns on
MNCHN and demand generation activities and provision of FP services;
e. Facilitate community participation in implementation and monitoring of
MNCHN programs and projects;
Director IV

f. Provides direct maternal, handle deliveries and direct child care services
(preventive and curative under DOH guidelines) in coordination with the
Rural Health Midwife;
g. Maintains referral systems for difficult/complicated pregnancies in the
SDN;
h. Refer new FP acceptors for counseling and FP provision and assist in the
inventory of DOH procured FP commodities;
i. Mans the birthing facility together with the Rural Health Midwife;
j. Participate in the conduct of maternal and neonatal death review and
surveillance activities with the PHN and MHO;
k. Participate in data gathering and response during health emergencies and
DAISY R. GORGONIA

disasters on FP/MNCHN related concerns

l. Performs other related functions as may be assigned subject to the
Training Specialist III

approval of the DOH.

4. The Second Party shall perform work at a time and schedule to be agreed
upon by both parties, such as, but not limited to:
a. Completes the eight (8) working hours per day or forty (40) working
hours a week

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 b. Renders night shift duty together with an organic RHU staff as deemed
DARBY A. LUMBRES, CPA

necessary
c. Works with the DOH Provincial Health Team Leader / DOH
Accountant III

Development Management Officers (DMOs) / Provincial Health

Officers (PHOs) who shall oversee his/her activities in coordination
with the Municipal Health Officer or the designated officer-in-charge.
d. Submits Daily Time Records (DTRs), Accomplishment Reports, Leave
Applications, Individual Performance Commitment and Reviews
(IPCRs) and other administrative related documents / reports required
from all deployed HRH signed / approved by respective DMOs, PHOs,
or authorized signatories of Integrated Provincial Health Offices
(IPHOs) in ARMM.
_____________________

e. Submits other necessary documents and records for purposes of

compensation, program monitoring and evaluation as may be required
Second Party

by the Regional Offices.

f. Reports to the respective DMOs / immediate supervisor, DOH
Regional Office, DOH-ARMM or HHRDB as necessary, any untoward
events that can threaten his/her safety and security and that of his/her
community.

5. The First Party shall have the right to terminate this Contract on the
following grounds:
a. Violation by the Second Party of the Terms and Conditions of this
MINERVA P. MOLON, MD, MPH, FPPA, CESO III

Contract;
b. Non-availability of funds;
c. Violation of Office rules and regulations; and
d. Unsatisfactory performance of his/her duties and responsibilities.

6. The First Party shall ensure health and security of HRH who renders night
shift duty. Eight (8) hours per day or forty (40) hours per week working hours
Director IV

shall be strictly observed.

7. The Second Party shall comply with all administrative issuances and
technical guidelines of the DOH, DOH-Regional Offices or PHOs for DOH-
ARMM in close coordination with the concerned RHU officials or Local
Chief Executives.

8. The First Party shall ensure the safety and security of HRH deployed through
the following:
7.1 Provision of a Hotline for reporting of cases;
7.2 Establishment of a chain of communication in reporting and
responding to threats and emergencies;
DAISY R. GORGONIA

7.3 Designation of a focal person at the provincial and regional level

Training Specialist III

who will be the over-all in charge in managing and responding to

safety and security issues and concerns

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 IN WITNESS WHEREOF, both parties have hereunto set their hands this ___ day
of _______ 2019 at ________, Philippines.

MINERVA P. MOLON, MD, MPH, _______________________________

FPPA, CESO III NAME OF MIDWIFE
Director IV Second Party

Signed in the presence of:

DAISY R. GORGONIA DARBY A. LUMBRES, CPA

Training Specialist III Accountant III

ACKNOWLEDGEMENT

CERTIFICATION OF AVAILABILITY OF FUNDS:

WILSON P. MORALLOS, CPA, LLB DARBY A. LUMBRES, CPA

Administrative Officer V Accountant III
Budget Officer

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 ACKNOWLEDGEMENT

REPUBLIC OF THE PHILIPPINES)

____________________________) S.S.

BEFORE ME, a Notary Public for and in the above jurisdiction, personally
appeared the following:

NAME TIN NO. DATE ISSUED

MINERVA P. MOLON 146-722-967-000 _____________

_____________________ ______________________ _____________

Known to me to be the same persons who executed the foregoing

instrument and acknowledged to me that the same is their own free will and voluntary
act and deed;

This instrument consists of four (5) pages including this page wherein this
Acknowledgement is written, and is signed by the parties and their instrumental
witnesses on each and every page hereof.

WITNESS MY HAND AND SEAL, this ________ day of _____________

2019 at Manila, Philippines.

_________________________________
NOTARY PUBLIC
Doc. No. ____________:
Page No.____________;
Book No. ____________;
Series of 2019