KNOW ALL MEN BY THESE PRESENTS: This Service Contract made this ___ day of _______________, by and between, __________________________________ of legal age single/married, with postal address at _________________________________, hereinafter referred to as the EMPLOYER - and ____________________(Name of Agency ) ________________________, with principal address at ___________________________________________________,represented by ____________________________, hereinafter referred to as the AGENCY; !T"#SS#T$ %"& %'(##& %S )*++*S, %- Duties and Respnsi!i"ities # t$e A%en&' .- That the AGENCY shall provide the EMPLOYER with the /0alified and competent 1asambahay re/0ired by the EMPLOYER( 2- That the AGENCY shall provide a pre3employment orientation briefing to the EMPLOYER AND KASAMBAHAY abo0t their rights and responsibilities in accordance with 4aragraph d, Section 5, (0le !!! of the !mplementing (0les and (eg0lations of (ep0blic %ct "o- .657. or 89atas 1asambahay:; 5- That the AGENCY) within one (.) month from the day the 1asambahay reported for wor;, shall provide the EMPLOYER a /0alified replacement at no additional cost if any of the following gro0nds occ0rred, Annex E 2 (a) The 1asambahay is fo0nd to be s0ffering from an inc0rable or contagio0s disease or mental illness as certified by a competent or government physician; (b) The 1asambahay abandons the <ob witho0t <0stifiable ca0se, vol0ntarily resigns, commits theft or any of the analogo0s acts pre<0dicial to the employer or his/her family; (c) The 1asambahay is physically or mentally incapable of discharging the minim0m re/0irements of the <ob, as specified in the employment contract; That the AGENCY shall ref0nd to the EMPLOYER seventyfive percent (=>?) of the fees paid if the former failed to provide a /0alified replacement after the lapse of one (.) month from receipt of the re/0est for replacement; The EMPLOYER shall be entitled to three (5) replacements d0ring the entire period of this contract- %ny re/0est for replacement after the first month shall be s0b<ected to an additional minim0m service fee of twenty3five percent (2>?) of the agreed service fee- @oreover, if the wor;er escapes, commits theft, or any other acts pre<0dicial to the employer, the same facts or circ0mstances shall be stated in an affidavit to be eAec0ted by the employer and s0bmitted to the agency before any replacement shall be provided by the agency- B- That the AGENCY shall be <ointly and solidarily liable with the EMPLOYER for payment of wages, wage related and other benefits, incl0ding monthly contrib0tion for SSS, 4hilhealth and 4ag3!9!' membership of the ;asambahay, in case the latter fails to comply with the aforementioned obligations; S0ch liability of the agency is co3termin0s with the eAistence of the d0ly signed Service Contract between the agency and employer- 3 9- Duties and Respnsi!i"ities # t$e E*p"'e+ .- That the EMPLOYER, 0pon the commencement of this Contract, shall ca0se the payment to the AGENCY of a service fee amo0nting to ________________________________ pesos (4_______), and the deployment eApenses amo0nting to _________________________________ pesos (4_______) which incl0de cost of transportation, meals, comm0nication and other incidental eApenses s0b<ect to presentation of receipts; 2- That the EMPLOYER shall pay the AGENCY the amo0nt of _________________________________ (4________) representing the cost of sec0ring the standard doc0mentary pre3employment re/0irements of the ;asambahay in case the latter paid for s0ch cost; 5- That the EMPLOYER shall sho0lder the cost of other medical eAamination that he/she may re/0ire in addition to the basic pre employment medical eAamination- B- That the EMPLOYER shall pay the monthly salary of the 1asambahay in cash at least once a month and all the benefits as provided for by law; >- That the EMLOYER shall provide the agency with a copy of the monthly pay slip and copies of proof of remittances with the SSS, 4ag3 !big, and 4hil$ealth not later the .> th day of each month; 7- That the EMPLOYER shall provide the ;asambahay medical assistance in the form of first aid medicines, in case of illness and in<0ries s0stained d0ring the service witho0t loss of benefits; and =- That 0pon the eApiration of the #mployment Contract or 0pon termination of employment, the EMPLOYER shall endorse the 1asambahay to the AGENCY for acco0nting of wage and other wage3 related benefits which may still be d0e and payable to the 1asambahay as well as the remittances with the SSS, 4ag3ibig, and 4hilhealth- C- The terms and conditions of this CONTRACT shall not be modified or amended by either party witho0t the conc0rrence of the other party- 4 !" !T"#SS $#(#*), the parties here0nto signed this Contract this _________day of___________________________, at _____________, 4hilippines-
S!'"#& !" T$# 4(#S#"C# *), ______________________ ______________________ S-BSCRIBED AND SWORN to before me this ____ day of ________, 26 ___ in ____________, __("ame of #mployer)___ eAhibited to me his/her !dentification Card and (esidence Certificate "o- ____________ iss0ed at _____________on _____________ and ___("ame of %gency (epresentative), with !dentification Card and (esidence Certificate "o- ____________________, iss0ed at ______________ on __________________________- NOTARY P-BLIC &oc- "o- _________ 4age "o- _________ 9oo; "o- _________ Series of _________