ANNEX I

CONTRACT OF SERVICE BETWEEN THE DOLE REGIONAL OFFICE AND TUPAD WORKERS
(For Direct Administration)

Republic of the Philippines

DEPARTMENT OF LABOR AND EMPLOYMENT
Regional Office No. 02

CONTRACT OF SERVICE

KNOW ALL MEN BY THESE PRESENTS:

This contract of service entered into and executed this ___ day of ___________, _________ at
the Tuguegarao City, Cagayan, Philippines by and between:

Department of Labor and Employment- Regional Office No. 02 with office address at Regional
Government Center Carig Sur, Tuguegarao City, Cagayan herein represented by DIRECTOR JOEL N.
GONZALES, hereinafter referred to as the First Party;
-and-
TUPAD Workers, all of legal ages, Filipinos and residents of Barangay _________________,
___________, Cagayan hereinafter referred to as the Second Party;

-WITNESSETH-

That pursuant to the provisions of DOLE Department Order No. 219-2020 authorizing the
contracting of service in the DOLE-RO to implement the Emergency Employment Program called Tulong
Panghanapbuhay sa Ating Displaced/Disadvantaged Workers (TUPAD), to enable the displaced
workers, the self-employed and seasonal workers, to engage in short-term community works to provide
them with emergency/temporary wage employment, the following terms and conditions are hereby set:

1. That the Second Party are physically fit to perform LABOR-BASED SERVICES, in accordance with the
requirements of the job;
2. That the Second Party or any member of their families have not received cash assistance from
other social amelioration programs such as DOF’s Small Business Wage Subsidy (SBWS) Program
and Social Security System’s (SSS) Unemployment Benefit.
3. That in view hereof, the Second Party are hereby contracted to perform the following works
_________________________________________________________________________________
__________ for _________ days covering the period ______________ to _____________, with a
daily wage rate of 370.00 (prevailing minimum wage in the RO) chargeable against -
_________________ Fund. Absences, tardiness or under-time shall be deducted accordingly; and

4. That notwithstanding the fixed duration of the employment, the contract of service, may be
terminated anytime by the First Party for just cause such as but not limited to failure to meet the
required outputs.

IN WITNESS WHEREOF, both parties have hereunto set their hand this ____ day of
_______________ in Tuguegarao City, Cagayan.

First Party: SIGNATURE

DIRECTOR JOEL N. GONZALES ___________________

Second Party:
(Names of TUPAD-Emergency Employment Program Beneficiaries)
Name Address Signature
1. EMELY B. QUINAN DASSUN, SOL, CAG
2. NORGILYN A. BAQUIRAN DASSUN, SOL, CAG
3. REIVIE M. ANGOLUAN DASSUN, SOL, CAG
4. CHRISTIE S. TAGUIAM DASSUN, SOL, CAG
5. EDMAR C. ANGOLUAN DASSUN, SOL, CAG
6. JHONDER B. MABBORANG DASSUN, SOL, CAG
7. MARICRIS T. MATEO DASSUN, SOL, CAG
8. ROCKY M. BARRIENTOS DASSUN, SOL, CAG
9. JEREMIE D. MABBORANG DASSUN, SOL, CAG
10. MARY JOY M. CASTRO DASSUN, SOL, CAG
11. MARILYN T. MARCOS DASSUN, SOL, CAG
12. MARINA B. BALOD DASSUN, SOL, CAG
13. ROSEMARIE B. ANOG DASSUN, SOL, CAG
14. MARY ROSE B. BAGGAYAN DASSUN, SOL, CAG
15. NELSON P. BAGGAYAN DASSUN, SOL, CAG
16. LUISA B. MASIRAG DASSUN, SOL, CAG
17. MARILYN B. BALOD DASSUN, SOL, CAG
18. MARILYN C. TRINIDAD DASSUN, SOL, CAG
19. JORGE B. CUSIPAG DASSUN, SOL, CAG
20. MYRIN C. MASIRAG DASSUN, SOL, CAG
21. JONATHAN A. CABUTOTAN DASSUN, SOL, CAG
22. PERLITA M. BALOD DASSUN, SOL, CAG
23. RYAN JAY B. TAGACAY DASSUN, SOL, CAG
24. AILENE P. RAMOS DASSUN, SOL, CAG
25. JOVELYN T. BACCAY DASSUN, SOL, CAG
26. JONALYN B. TRINIDAD DASSUN, SOL, CAG
27. JOEL B. SORIANO DASSUN, SOL, CAG
38. SUSAN E. SILVA DASSUN, SOL, CAG
29. JONALYN C. ANDRES DASSUN, SOL, CAG
30. ERWIN U. MANULAGA DASSUN, SOL, CAG
31. RODELTO M. CAGURANGAN DASSUN, SOL, CAG
32. LEONITA C. ANGOLUAN DASSUN, SOL, CAG
33. ELIZABETH N. DELA CRUZ DASSUN, SOL, CAG
34. VIRGINIA D. BANGIBANG DASSUN, SOL, CAG
35. THELMA D. CASTRO DASSUN, SOL, CAG
36. RON-RON C. CAGURANGAN DASSUN, SOL, CAG
37. NORMIJOY T. SILVA DASSUN, SOL, CAG
38. ROTY B. LANA DASSUN, SOL, CAG
39. MIGUEL M. DARAUAY DASSUN, SOL, CAG
40. JANINE T. SORIANO DASSUN, SOL, CAG
41. SANTIAGO T. SILVA DASSUN, SOL, CAG
42. MYRENE S. FUEGO DASSUN, SOL, CAG
43. MARICRIS C. PEREZ DASSUN, SOL, CAG
44. RICHARD M. BALUBAL DASSUN, SOL, CAG
45. FROILAND M. BALIUAG DASSUN, SOL, CAG
46. MACARIO L. MABBORANG DASSUN, SOL, CAG
47. EMA P. TAGUIAM DASSUN, SOL, CAG
48. ELISA P. BALISI DASSUN, SOL, CAG
49. MONSOUR C. PASCUA DASSUN, SOL, CAG
50. JONALYN B. PASCUA DASSUN, SOL, CAG

Subject to Availability of Funds: (General Fund)

 GSHELIA F. CAPALUNGAN
(Signature over Printed Name)

Accountant II

Signed in the presence of:

MAYET C. UBIÑA PREXIE A. CARONAN

(Signature over Printed Name) (Signature over Printed Name)

Proponent Representative DOLE Representative

(LGU i.e PESO Manager, LCE (RO/PO/FO Head or
or Head of PO/CSO) DILEEP Focal Person)

A C K NO W L E D G M E N T

REPUBLIC OF THE PHILIPPINES)

CITY OF _________________ ) S.S
 BEFORE ME, IN THE City of _____________, this _______ day of ________________,
20___ personally appeared the following:

VALID IDENTIFICATION DATE/PLACE OF

NAME
CARD/NUMBER ISSUE
Director JOEL N. GONZALES

(Names of TUPAD-Emergency Employment Program Beneficiaries

NAME VALID IDENTIFICATION DATE/PLACE ISSUED

FIRST NAME MIDDLE LAST NAME EXT CARD/NUMBER
NAME .
EMELY BAGUIO QUINAN PhilHealth, 06-20126829-5 01/01/2012, Tug. City,
Cag.
NORGILYN ANGOLUAN BAQUIRAN PhilHealth, 06-025374023-2 01/01/2020, Tug. City,
Cag.
REIVIE MABBORANG ANGOLUAN CTC, 12931907 06/10/2021, Brgy. Dassun
CHRISTIE SILVA TAGUIAM CTC, 12931908 06/11/2021, Brgy. Dassun
EDMAR CAGURANGAN ANGOLUAN Voter`s ID, 1527-01438-C1878 Solana, Cagayan
JOHNDER BALOD MABBORANG Voter`s ID, 1527-0086A-B0473 Solana, Cagayan
MARICRIS TULIAO MATEO TIN, 326-638-467-000 01/21/2020, Tug. City,
Cag.
ROCKY MASAM BARRIENTOS PhilHealth, 06-200750072-1 01/01/2007, Tug. City,
Cag.
JEREMIE DURAN MABBORANG Driver`s ID, B04-18-0033302 06/13/2018,Tug.City, Cag.
MARIJOY MASIRAG CASTRO Voter`s ID, 1527-0092A-A0189 Solana, Cagayan
MARILYN TAMAYAO MARCOS Voter`s ID, 1527-0086A-E0677 Solana, Cagayan
MARINA BALISI BALOD TIN ID, 402-981-579-000 01/11/2011, Tug, City,
Cag.
ROSEMARIE BARRIENTOS ANOG CTC, 12931913 06/12/2021, Brgy. Dassun
MARY ROSE BALOD BAGGAYAN SSS ID, 0034-0216964-3 SSS – Tug. City, Cagayan
NELSON PARALLAG BAGGAYAN Driver`s ID, B13-20-001878 06/17/2020, Tug. City,
Cag.
LUISA BALOD MASIRAG SSS ID, 34-0230676-5 SSS - Manila
MARILYN BOSI BALOD Voter`s ID, 1527-0091A-K0176 Solana, Cagayan
MARILYN CUSIPAG TRINIDAD PhilHealth, 06-050205920-6 Tug. City, Cagayan
JORGE BALUBAL CUSIPAG Driver`s ID, B04-12-002843 Tug. City, Cagayan
MYRIN CAGURUNGAN MASIRAG Passport, P7644323A Tug. City, Cag.
JHONATAN ARAGO CABUTOTAN Driver`s ID, N02-16-000822 Tug. City, Cagayan
PERLITA MASIRAG BALOD Voter`s ID, 1527-0086A-F0268 Solana, Cagayan
RYAN JAY BALOD TAGACAY Pag-Ibig, 1211-6763-8332 Tug. City, Cagayan
AILEEN PEREZ RAMOS TIN ID, 228-565-310-000 Tug. City, Cagayan
JOVELYN TRINIDAD BACCAY PhilHealth, 06-201039952-7 01/01/2010, Tug. City,
Cag.
JONALYN BOSI TRINIDAD Voter`s ID, 1527-0086A-K1691 Solana, Cagayan
JOEL BALOD SORIANO Voter`s ID, 1527-0086A-L1773 Solana, Cagayan
SUSAN EUSEBIO SILVA Voter`s ID, 1527-0085B-K0873 Solana, Cagayan
JONALYN CAGURANGAN ANDRES Postal ID, PRN-E35190133281 Solana, Cagayan
ERWIN UBIŇA MANULAGA Driver`s ID, N02-09-016205 06/04/2017, Cainta, Rizal
RODELTO MABBORANG CAGURANGAN Driver`s ID, B04-13-004770 Tug. City, Cag.
LEONITA CABAN ANGOLUAN PhilHealth, 06-20127785-3 01/01/2012, Tug. City,
Cag.
ELIZABETH NARAG DELA CRUZ Voter`s ID, 1527-0090B-B1166 Solana, Cagayan
VIRGINIA DARAUAY BANGIBANG Voter`s ID, 1527-0086A-D2976 Solana, Cagayan
THELMA DARAUAY CASTRO Voter`s ID, 1527-0086A-G0863 Solana, Cagayan
RON-RON CUNTAPAY CAGURUNGAN Postal ID, PRN-A2721011107 Solana, Cagayan
NORMIJOY TALATTAD SILVA PhilHealth, 08-051575158-4 Tug. City, Cag.
ROTY BAGGAYAN LANA JR ID Voter`s, 1527-0092a-J2287 Solana, Cagayan
MIGUEL MANULAGA DARAUAY ID Voter`s, 1527-0088A-C0771 Solana, Cagayan
JANINE TEJERO SORIANO CTC, 12931906 06/09/2021, Brgy. Dassun
SANTIAGO TALATTAD SILVA Driver`s ID, B04-13005796 Tug. City. Cag.
MYRENE SORIANO FUEGO SSS ID, 01-1054784-8 SSS - Manila
MARICRIS PEREZ CABADDU TIN ID, 362-210-531-000 01/26/2020, Tug. City,
Cag.
RICHARD MAMAUAG BALUBAL SSS ID, 0033-6933559-4 SSS – Tug. City, Cag.
FROILAN MAGUDDAYAO BALIUAG Driver`s ID, B04-08-001812 05/26/2017, Tug. City,
Cag.
MACARIO LINGAN MABBORANG JR Driver`s ID, B04-19-000298 01/11/2019, Tug. City.
Cag.
EMA PAUILA TAGUIAM CTC, 12931908 06/11/2021, Brgy. Dassun
ELISA PARALLAG BALISI Voter`s ID, 1527-0091A-G0465 Solana, Cagayan
MONSOUR CUNTAPAY PASCUA Driver`s ID, B13-19-002694 Tug. City, Cag.
JOVALYN BOLORA PASCUA TIN ID, 370-230-020-000 Tug. City, Cag.

all known to me and to me known to be the same persons who executed this
Contract of Service and acknowledge that the same is their free and voluntary act
and deed, which was signed by the parties and their witnesses and sealed with my
notarial seal.

NOTARY PUBLIC

Book No. ______:

Doc. No. ______:
Page No. ______:
Series of ______: