MEMORANDUM OF UNDERSTANDING

KNOW ALL PERSONS BY THESE PRESENTS:

This AGREEMENT is made and entered into by and between:

CITY OF PANABO, a duly constituted local government unit of the Republic of the
Philippines, and represented herein by HON. JOSE E. RELAMPAGOS, pursuant to
Sangguniang Panlungsod Resolution No. ______, Series of 2023, in his capacity as the City
Mayor, hereinafter referred to as the “SERVICE PROVIDER”

-and-

PROVINCE OF DAVAO DEL NORTE a duly constituted local government unit of the
Republic of the Philippines, and represented herein by HON. EDWIN I. JUHAHIB, pursuant to
Sangguniang Panlalawigan Resolution No. ______, Series of 2023, in his capacity as the
Provincial Governor, hereinafter referred to as the the “REFERRAL HOSPITAL.”

- Witnesseth -

WHEREAS, the SERVICE PROVIDER is engaged in the service of providing maternity

care to pregnant women offering parental, midwife-assisted delivery and postnatal care to
mothers and newborns;

WHEREAS, the SERVICE PROVIDER is a non-hospital and a Basic Emergency

Obstetrics and Newborn Care (BEMONC) facility with adequate and competently trained
staff capable of providing all maternal and neonatal services and under the supervision of the
Municipal Health Office, Carmen, Davao del Norte;

WHEREAS, the REFERRAL HOSPITAL is a PhilHealth-Accredited Level 1 hospital

and certified Comprehensive Emergency Obstetrics and Newborn Care (CEMONC) facility
equipped with state-of-the-art medical instruments and equipment needed for the management of
obstetric or newborn complications;

WHEREAS, there are onset risk cases which the SERVICE PROVIDER can handle
better with the help of professional medical practitioners after an examination of the patients and
a determination that they will require further medical supervision for both mothers and
newborns;

WHEREAS, the SERVICE PROVIDER shall facilitate patients’ admission to the

REFERRAL HOSPITAL, bearing in mind the best interest of the mother and the unborn and
newborn, as the case may be;

NOW THEREFORE, for and in consideration of the foregoing premises, the hereinafter
parties have agreed to the following terms and conditions:

ARTICLE I

OBLIGATIONS OF THE SERVICE PROVIDER

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 1.) The SERVICE PROVIDER shall render prenatal, birth delivery, routine newborn care
and post-partum services to female beneficiaries during their first and second low-risk
pregnancies and normal deliveries;

2.) The SERVICE PROVIDER shall do a pregnancy risk assessment during the first pre-
natal visit of the patient;

3.) The SERVICE PROVIDER shall provide ambulance/vehicle to transport patient to the
REFERRAL HOSPITAL, should and emergency arise related to complaints on
obstetric/neonatal cases.

ARTICLE II

OBLIGATIONS OF THE REFERRAL HOSPITAL

1.) The REFERRAL HOSPITAL shall accept ALL patients properly referred by the
SERVICE PROVIDER;

2.) The REFERRAL HOSPITAL shall accept referrals on a 24-hour basis for
obstetrics/gynecologic/neonatal emergency cases.

ARTICLE II

OBLIGATIONS OF THE PARTIES

The herein PARTIES agreed that their attendance to the patients shall be independent of each
other, hence, each PARTY shall be individually responsible for any incident that may occur
during the time of the patient is under his/her care. The determination of the liabilities of
PARTIES in the care of patients shall depend upon the specific factual circumstances all around
the patients.

This agreement shall take effect on ________________ and shall be in full force for a period of
one (1) year unless either party gives a notice of its intention to terminate or modify this
agreement at least thirty (30) days before the intended termination of modification.

IN WITNESS WHEREOF, we hereunto affix our signature this ___________ day of

______________ at Panabo City, Davao del Norte, Philippines.

EMERGENCY CLINIC AND SAFE PEEDO – Davao del Norte Hospital –

BIRTHING FACILITY Carmen Zone
First Party Second Party

By: By:

JOSE E. RELAMPAGOS EDWIN I. JUBAHIB

City Mayor Provincial Governor

SIGNED IN THE PRESENCE OF:

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 __________________________ & __________________________

ACKNOWLEDGEMENT

(Republic of the Philippines)

(In the City of Panabo) s.s.
x- - - - - - - - - - - - - - - - x

BEFORE ME, a Notary Public for and in the City of Panabo

this_________________________________
personally appeared:

Competent Evidence of Identity

Name:

HON. JOSE E. RELAMPAGOS TIN: 918-235-289

EDWIN I. JUBAHIB
_________________

Known to me and to me known to be the same person who executed the foregoing instruments
and acknowledged to me that the same is his free act and voluntary deed and that of the entity represents;

This MEMORANDUM OF AGREEMENT, consisting of three (3) pages, including the page
on which this acknowledgement is written, has been signed by the first party and his witness on the left
margin thereof.

WITNESS MY HAND AND SEAL, on the date, year and place first above mentioned.

Doc. No _______;
Page No. _______;
Book No. _______;
Series of 2023.