CONTRACT OF SERVICE AGREEMENT

KNOW ALL MEN BY THESE PRESENTS:

This CONTRACT made and executed by and between:

NAME OF HD CENTER, a duly organized corporation with office and place of business at
___________________________________________________, represented herein by its
President/or Administrator Mr/Ms___________________________of legal age, Filipino citizen,
hereinafter referred to as HD CENTER/COMPANY;

- and –

DR.____________________, of legal age, Filipino citizen, with residence at

________________________________, duly authorized to render Nephrology care hereinafter
referred to as “DIALYSIS UNIT HEAD”.

W I T N E S S E T H:

WHEREAS, HD Center entered into a Contract of Service with the HD Unit Head, to render professional
medical services as Dialysis Unit Head of the Hemodialysis Center.

WHEREAS, HD Center is operating and housing a Department of Health Licensed dialysis center known
as “HD Center”;

WHEREAS, The “HD Center” needs a Licensed Physician certified by the Specialty Board of the
Philippine Society of Nephrology as indicated in Annex A hereof and pursuant to Department of Health
Administrative Order 2012 -001 entitled“ New Rules and Regulations Governing the Licensure and Regulation
of Dialysis Facilities in the Philippines”;

WHEREAS, HD Center has offered to avail the services of the Dialysis Unit Head, which the latter
accepted the position as Dialysis Unit Head of HD Center.

NOW THEREFORE, for and in consideration of the foregoing and upon terms and conditions agreed
upon, HD Center and the Dialysis Unit Head have agreed to provide safe, quality, effective and efficient
hemodialysis services, subject to the following terms and conditions:

SECTION 1: ENGAGEMENT

HD Center hereby engages the Dialysis Unit Head and the latter agrees to hold herself/himself
available to render, for and in behalf of the HD Center, the services of a Dialysis Unit Head as indicated in
Annex A hereof and pursuant to Department of Health Administrative Order 2012 -001 entitled “New Rules
and Regulations Governing the Licensure and Regulation of Dialysis Facilities in the Philippines.”

Dialysis Unit Head shall render his/her services as Dialysis Unit Head of HD Center located at
_____________________City.
SECTION 2: DUTIES

The Dialysis Unit Head shall render his/her services indicated in Annex A hereof and shall devote
his/her best efforts and abilities thereto, at such times and during the term hereof, and in such manner as the
HD Center and HD Unit Head shall mutually agree upon. He/She shall be physically present at HD Center on
the mutually agreed schedule, which shall not exceed ________ number of hours in a week and shall perform
his/her duties and responsibilities as stipulated in the DOH AO.

SECTION 3: COMPENSATION

As consideration for the services to be rendered by Dialysis Unit HEAD, HD Center shall pay Dialysis
Unit Head the monthly compensation of Php__________ inclusive of EVAT but exclusive of withholding tax.
The compensation shall be subject to review and adjustment upon mutual agreement of both parties within
thirty (30) days prior to the expiration of each term.

Additionally, HD Center may likewise offer the DIALYSIS UNIT HEAD additional benefits through
incentive programs that HD CENTER may adopt from time to time.

SECTION 4: TERM/PERIOD

The term of this Contract is deemed to have commenced on Day/Month/Year and shall continue for a
period of _______ years, and upon agreement by the parties, shall be renewable every year.

SECTION 5: TERMINATION OF CONTRACT

(1) The DIALYSIS UNIT HEAD shall have the option to unilaterally terminate this contract upon thirty
(30) days advance written notice to HD CENTER.
(2) The DIALYSIS UNIT HEAD may also terminate this contract upon prior written notice to HD CENTER,
if HD CENTER defaults in the performance of its obligation under this Contract or fails to provide
the minimum standards of personnel, basic medicines, equipment necessary for the delivery of
service of the dialysis center as provided by Annex A and HD CENTER fails to cure the default within
thirty (30) days from written notice of the DIALYSIS UNIT HEAD.
(3) The HD CENTER may also terminate this contract upon 30 days prior written notice to DIALYSIS
UNIT HEAD, if the latter fails to cure within thirty (30) days from written notice of his/her default
and/or nonperformance of his/her obligation under this contract and other grounds enumerated
hereunder.

SECTION 6: OBLIGATIONS UPON TERMINATION

Upon termination of the services of the DIALYSIS UNIT HEAD for the reason above stated, the DIALYSIS
UNIT HEAD agrees to return without further request and claim all documents, materials and information
owned by or referring to her job, to HD CENTER. All such documents, materials and information shall remain
the property of HD CENTER. When required by the DIALYSIS UNIT HEAD, HD CENTER shall issue a certified
statement that all documents, materials and information have been returned to HD CENTER.
SECTION 7: NON-DISCLOSURE OF INFORMATION

DIALYSIS UNIT HEAD shall not disclose or appropriate to his own use, or the use of any third party, at
any time during the term of this contract, any secret or confidential info of the HD CENTER of which DIALYSIS
UNIT HEAD has been or hereafter inform, whether or not developed by DIALYSIS UNIT HEAD, including but not
limited to, information pertaining to products, clients, customer list, services, methods, processes, prices,
profits, operating procedure, except as required in connection with DIALYSIS UNIT HEAD performance of
his/her services under this contract or as required by a relevant governmental authority.

SECTION 8: ASSIGNMENT

This Contract is a personal one, being entered into, in reliance upon and in consideration of the
singular personal skill and qualifications of DIALYSIS UNIT HEAD. DIALYSIS UNIT HEAD shall therefore not
voluntarily or by operation of law assign or otherwise transfer his rights and obligations under this Contract
without the prior written consent of HD CENTER.

This Contract may be assigned by HD CENTER in favor of an entity which is a parent, subsidiary or
affiliate of HD CENTER, or a successor through a merger, consolidation, or corporate reorganization under the
agreement/conditions set forth under this contract.

SECTION 9: NON-WAIVER

The failure of either party to enforce at any time or for any period of time the provisions of this
Contract shall not be construed to be a waiver of such provisions or of the right of such party thereafter to
enforce each and every provision.

SECTION 10: ENTIRE AGREEMENT

This Contract contains the entire agreement of the parties hereto, and no modification thereof shall be
binding upon the parties unless the same is in writing signed by the respective parties hereto.

SECTION 11: COUNTERPARTS

This Contract may be executed simultaneously in one or more counterparts. Each one of which be
deemed an original, but all of which together shall constitute one and the same instrument.

IN WITNESS WHEREOF, the parties have hereunto affixed their signatures this _____ day of
____________________, 2013, at ____________________________.

By:
_____________________ ____________________
Mr/Ms Dr.
President, HD CENTER DIALYSIS UNIT HEAD

Signed in the presence of:

_____________________ ____________________
 A C K N O W L E D G M E N T

REPUBLIC OF THE PHILIPPINES)

____________________________) S.S.

BEFORE ME a Notary Public for and in ________________, this _____ day of _______________, 2013,
personally appeared:

Name Competent Evidence of Identification

________________ _________________ __________________

Dr. ________________ _________________ __________________

known to me and to me known the same persons who executed the foregoing Contract for Services and who
acknowledged to me that the same is their free and voluntary act and deed, and with full power and authority
to sign and execute the same.

This contract, which consists of five (5) pages including this page on which this acknowledgement is
written, is signed by the parties and their instrumental witness on each and every page thereof.

WITNESS MY HAND AND SEAL, in the place and on the date first above written.

NOTARY PUBLIC

Doc. No. _____;

Page No. _____;
Book No. _____;
Series of 2013 .