Republic of the Philippines

Province of Pangasinan
Municipality of Bani

WAIVER, RELEASE AND QUITCLAIM

I, Joseph N. Gambao, Filipino, of legal age, single, and a resident of Poblacion, Bani,
Pangasinan, Philippines, after being sworn to in accordance with law, depose and state:

1. That by these presents, I hereby state that I have voluntarily resigned as Civil Engineer
from Ground Specialists, Inc.;

2. That I hereby acknowledge to have received from my employer the sum of

_________________________________________________________ (P_____________)
which is in full and final satisfaction of my salary, and other benefits that may be due me
for the service which I have rendered for the latter employer;

3. That I hereby declare that I have no further claims whatsoever against my employer, its
President, members of the Board, officers or any of its staff and that I hereby release and
forever discharge all of them from any and all claims, demands, cause of action of
whatever nature arising out of my employment with the latter;

4. I further agree that this WAIVER, RELEASE AND QUITCLAIM may be pleaded in bar to
any suit or proceeding (Civil, SSS, PhilHealth, Medicare, Labor, etc.) to which either I, or
my heirs and assigns, may have against my employer in connection with my employment
with the latter and that the payment which I have received as provided herein should not in
any way be construed as an admission of liability on the part of my employer and is
voluntarily accepted by me and will, if need be, serve as full and final settlement of any
amount(s) due me or any claims or cause of action, either past, present, future, which I
may have in connection with my employment with my employer;

5. As such, I finally make manifest that I have no further claim(s) or cause of action against
my employer nor against any person(s) connected with the administration and operation of
the latter and forever release the latter from any and all liability.

IN WITNESS WHEREOF, I have hereunto set my hand this ___ of ____, 2017 at
Mandaluyong City, Metro Manila, Philippines.

Joseph N. Gambao

Affiant