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REPUBLIC OF THE PHILIPPINES )

MUNICIPALITY OF TIWI )SS.

WAIVER

I, __________, of legal age, married, a Filipino and a resident of Villa


Socorro Subd., Purok 5, Libjo Tiwi, Albay, after having been duly sworn to in
accordance with law, hereby depose and say that:

1. I was hired by Smartgeo Surveying and Geomatics(Smartgeo) as


a Safety Officer/ First Aider to be assigned at the gravity survey
and leveling project of Philippine Geothermal Production
Corporation(PGPC) in Tiwi, Albay;

2. As a consequence of my employment, Smartgeo is bound to


pay the necessary contributions of my SSS, Philhealth and PAG-
IBIG.

3. I am waiving said Philealth and PAG-IBIG contributions to be


paid by Smartgeo; and

4. I am further waiving any right to reclaim said Philhealth and


PAG-IBIG contributions against Smartgeo and PGPC in
whatever court of law.

IN WITNESS WHEREOF, I have hereunto affixed my signature this


____ day of May, 2018 in Tiwi, Albay, Philippines.

__________________________
Affiant

SUBSCRIBED AND SWORN TO before me this ____ day of


_____________ 2018 in ______________, Philippines after affiant having
exhibited to me his __________________________________ as competent
proof of identity.

NOTARY PUBLIC
Doc. No. ………..;
Page No. ……….;
Book No. ………;
Series of 2018.
March 2, 2018

HARLEY MARCUAP
Contract Owner
Philippine Geothermal
Production Corporation

Dear Sir Harley,

I have attached in this letter a notarized quitclaim over my Philhealth and


PAG-IBIG contributions to be paid by Smartgo Surveying and Geomatics. In
said waiver, I have also stated that I am not pursuing any claims arising from
said Philhealth and PAG-IBIG contributions as a result of my assignment by
Smartgeo in PGPC.

May this letter and the attached Notarized Waiver be considered for
whatever purposes it may serve.

Thank you!

Truly Yours,

Reynante Pascual Santiago

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