CONTRACT OF SERVICE

KNOWN ALL MEN BY THESE PRESENTS:

This Agreement is made and entered into by and between:

QUEZON PROVINCIAL HOSPITAL NETWORK - ________, existing

under and by virtue of the laws of the Philippines with office address at
__________________, Quezon, represented herein by HON. ANGELINA
“DOKTORA HELEN” D.L. TAN, MD, MBAH in her capacity as GOVERNOR,
hereinafter referred to as the “HOSPITAL”;

-and-

COMPLETE NAME residing at address, a duly licensed physician and a

certified CARDIOLOGIST or INTERNIST, hereinafter referred as the
“PHYSICIAN”.

WITNESSETH

WHEREAS, pursuant to its mandate to provide quality health services,

the Provincial Government of Quezon operates the HOSPITAL, and several
district hospitals within the Province of Quezon;

WHEREAS, the administration of the HOSPITAL has been hampered

by lack of specialized physicians who will respond to the medical needs of the
people of Quezon Province;

WHEREAS, to increase the efficiency and quality of healthcare

services in the HOSPITAL, the engagement of sufficient physicians to
address the increasing number of patients is necessary;

WHEREAS, to address these problems, the Provincial Government

needs to engage specialized physicians to complement the available medical
staff;

WHEREAS, the PHYSICIAN, who is highly qualified and competent to

provide such services, offered his services to the HOSPITAL, which offer
was accepted by the latter;

NOW, THEREFORE, for and in consideration of the foregoing premises

and the mutual covenants hereinafter set forth, the Parties hereto agree on
the following terms and conditions:

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 ARTICLE I
RESPONSIBILITIES OF THE PARTIES

A. For and in consideration of the compensation to be made by the

HOSPITAL, the PHYSICIAN shall fully and faithfully perform the
following services and/or activities, viz:

1. Submit and comply with all the necessary documents and

certifications as required by the HOSPITAL;

2. Undertake to perform the services with the highest standards of

professional and ethical competence and integrity;

3. Issue official reading of electrocardiogram (ECG) within the day and

not later than 24 hours after sending the copy

4. To provide immediate readings for emergencies or if immediately

necessary for the management of patient

5. Ensure faithful compliance with policies, rules, and regulations of

the HOSPITAL, including but not limited to the following:

i. The PHYSICIAN must be duly licensed by the Philippine

Regulatory Commission.

ii. No personnel of the HOSPITAL shall be contracted as agent for

any subject PHYSICIAN. Otherwise, it shall be considered as
unethical and shall be a ground for revocation of the privilege to
practice in the HOSPITAL. Personnel who acted as an agent
herein shall be subjected to appropriate disciplinary action.

iii. The PHYSICIAN must establish cordial and friendly

relationship with the medical staff, nursing staff, and
administrative and ancillary staff. He shall help and contribute
to the development of the hospital.

iv. In compliance with the No Balance Billing (“NBB”) Policies of

PHILHEALTH, no professional fees shall be charged to NBB
patients in addition to the regular professional fee paid by the
PHILHEALTH.

v. Additional rules and regulations may be implemented from time

to time as deemed necessary and/or appropriate.

B. In return for the services rendered by the PHYSICIAN, the HOSPITAL

shall:

1. Timely record the collections of professional fees of the HOSPITAL

from the PHILIPPINE HEALTH INSURANCE CORPORATION
(“PHILHEALTH”) corresponding to the share of the PHYSICIAN;

2. Process and submit disbursement vouchers for the claims of the

PHYSICIAN regarding his/her share of professional fees and

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 consequently submit these vouchers to the Commission on Audit for
Post-Audit Review;

3. Ensure payment of the monthly remuneration of the PHYSICIAN

upon submission of complete and appropriate documents;

4. Provide all the facilities, equipment, and paraphernalia needed in

the conduct of service/operation for patients; and

5. Maintain standard records of services rendered by the PHYSICIAN

and provide monthly evaluation reports to the Provincial Governor’s
Office and Integrated Provincial Health Office.

ARTICLE II
REMUNERATION (PHILHEALTH SHARE)

During the duration of this Contract, the PHYSICAN shall be

compensated in an amount of fifty pesos (PhP 50.00) per ECG reading.

The HOSPITAL shall prepare an Accomplishment Report at the end of

every month, reviewed by the PHYSICIAN containing the names of
patients, procedure, date received, and date of reading.

The Monthly Accomplishment Report, billing charges, and complete

and appropriate supporting documents shall be facilitated by the HOSPITAL
and ensure that the PHYSICIAN receive his/her remuneration within thirty
(30) days.

Such amount shall be chargeable against the retained five percent

(5%) contingency fund of PHIC Professional Fee pursuant to Section 9 of
Executive Order No.23, Series of 2015. Should the same be superseded by
another Executive Order enacted following the execution of this Contract, the
remuneration stated in the subsequent Executive Order shall apply.

The PHYSICIAN shall not be entitled to the benefits and privileges

accorded to the HOSPITAL officials and employees.

ARTICLE III
EFFECTIVITY/ DURATION

This Contract of Service shall take effect upon signing hereof by the
parties and shall remain valid and binding from 01 January 2024 to 31
December 2024, unless sooner terminated by the HOSPITAL upon prior
thirty (30) days written notice to the PHYSICIAN.

This Contract may also be terminated or cancelled at any time for a

cause, such as unethical or unprofessional conduct, infraction of the policies,
rules, and regulations of the HOSPITAL, other acts recommended by the
Chief of Hospital, and other acts inimical or disadvantageous to the Service.

Furthermore, this Contract shall automatically be terminated, without

need of further notice, at the end of the term as specified above and may be
renewed upon recommendation of the Chief of Hospital and/or Provincial
Health Officer II, subject to the approval of the Provincial Governor.
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 ARTICLE IV
NO EMPLOYER-EMPLOYEE RELATIONSHIP

The herein parties further agree and accept that there will be no
employer/employee relationship between them during the tenure of this
Contract of Service.

As such, the SERVICES to be rendered are not considered government

service and are not covered by the Civil Service rules and regulations.

ARTICLE V
INTELLECTUAL PROPERTY RIGHTS

The PHYSICIAN agrees to assign to the HOSPITAL all intellectual

property rights including but not limited to patents, copyright, utility model,
and related rights arising from, created by and/or as a result of the services
that he will render for the HOSPITAL in exchange for the salary, or any kind
of remuneration that he receive from the Program/Project.

The PHYSICIAN likewise agrees to execute all documents, and do all

acts as may deemed necessary by the HOSPITAL to give effect to this
Clause or for the transfer of technology or knowledge to the government.

ARTICLE VI
POSSESSION OF PAPERS, FILES AND DOCUMENTS

The herein parties agree that upon the termination of this Contract of
Service, the PHYSICIAN, without the need of any demand, shall turn over
to the HOSPITAL all records, files, programs, reports and official documents
which are in the possession and custody of the PHYSICIAN immediately.
The PHYSICIAN has the right to keep a copy of such for any future legal
reference subject to the provisions on Non-Disclosure of Confidential
Information.

ARTICLE VII
NON-DISCLOSURE OF CONFIDENTIAL INFORMATION

The PHYSICIAN agrees and undertakes that during the term of this
Contract and even after the termination of this agreement, any information
received in connection with the services to the HOSPITAL and marked or
indicated in any way as proprietary and/or confidential shall not be disclosed
or given to any THIRD PARTY without the prior written consent of the
HOSPITAL.

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 ARTICLE VIII
PENALTY CLAUSE

This Contract shall be implemented in accordance with the terms and

conditions herein stipulated. Failure on the part of any party to comply with
any provisions of this Agreement shall warrant its revocation and shall give
rise to the filing of appropriate administrative, civil, and criminal case against
the erring party.

ARTICLE IX
MISCELLANEOUS PROVISIONS

1. Each party shall not indemnify and hold harmless the other party from
and against all claims, proceedings, losses, liabilities, damages, cost,
and expenses which may be suffered or incurred by such other party
arising out of or in connection with negligence, breach of obligation,
willful misconduct of the party or any of its officers or agents under
this Contract.

2. The PARTIES agree to work together in good faith and to amicably

settle any dispute, controversy or claim arising out of or in connection
with this Contract.

3. Any dispute arising out of this Contract shall be brought before the
appropriate courts of Lucena City.

4. This Contract supersedes and rendered any and all previously entered
agreements and understandings, oral and/or written, between the
parties revoked.

IN WITNESS WHEREOF, we have hereunto set our hands this ___

day of ______________ 2023, at Lucena City.

Represented by:

ANGELINA D.L. TAN, MD, MBAH NAME

Governor Physician
Quezon Province

SIGNED IN THE PRESENCE OF:

KRISTIN MAE-JEAN M. VILLASEÑOR, NAME

RMT, MD, MPM
Provincial Health Officer II Chief of Hospital
Provincial Health Office QPHN - ___________

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 ACKNOWLEDGEMENT

REPUBLIC OF THE PHILIPPINES )

_______________________________ ) S. S.

BEFORE ME, a Notary Public for and in _______________ on this __ day of

_______________ 2023, personally appeared:

Name Evidence of Date and Place of

Identity Issuance

1. Governor ANGELINA
“DOKTORA HELEN” D.L. TAN,
M.D., MBAH
2. NAME OF PHYSICIAN

Who represented competent evidence of identity and both personally known

to me and before me known to be the same person who executed the foregoing
Contract of Service consisting of six (6) pages including this page, and they
acknowledge to me the same is their free and voluntary act and deed as well as
the respective entities they represent.

WITNESS MY HAND AND SEAL on the date and place stated above.

Doc No. ____.

Page No. ___.
Book No. ___.
Series of ____.

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