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,• . \ r Republic of the Philippines CITY OF SANTA ROSA Province of LagW1a I .-.,.· OFFICE OF THE SANGGUNIANG PANLUNGSOD SIPI MULA SA KATITIKAN NG IKA-TATLUMPUNG PANGKARANIWANG PULONG NG SANGGUNIANG PANLUNGSOD NG LUNGSOD NG SANTA ROSA, LAGUNA NA IDINAOS SA ARAW NG MIYERKULES, IKA-6 NG AGOSTO, 2014 SA BULWAGANG PULUNGAN NG SANGGUNIANG PANLUNGSOD NG LUNGSOD NG SANTA ROSA, LAGUNA. Mga Dumalo: 1. Kgg. ARNEL DC. GOMEZ 2. Kgg. MA. THERESA C. AALA 3. Kgg. LUISITO B. ALGABRE 4. Kgg. MYTHOR C. CENDANA 5. Kgg. ERIC T. PUZON 6. Kgg. ANTONIA T. LASERNA 7. Kgg. PAULINO Y. CAMACLANG,JR. 8. Kgg . PETORNIO C. FACTORIZA 9. Kgg. RAYMOND RYAN F. CARVAJAL 10.Kgg. LAUDEMER A. CARTA 11.Kgg. EDWARD FERNANDITO S. TIONGCO 12. Kgg. RODRIGO B. MALAPITAN - Pangalawang Punong-lungsod Namuno - Kagawad - Kagawad - Kagawad - Kagawad - Kagawad - Kagawad - Kagawad - Kagawad - Kagawad - Kagawad - Kagawad, Pangulo ng Samahan ng mga Punong- Barangay ************* ******* KAPASIYAHAN BLG. 158-2014 (Sa mungkahi ng Lupon ng Laws and Government) ANG KAPASIYAHAN na nagpapatibay ng Pagbibigay ng Pahintulot kay Punong-Jungsod Arlene B. Arcillas na lumagda sa "MEMORANDUM OF AGREEMENT" kasama ang ROTARY CLUB OF SANTA ROSA, LAGUNA kaugnay ng pagtanggap ng Pamahalaang Lungsod sa mga ipinagkaloob na Physical Therapy Rehabilitation Equipment para sa Santa Rosa Physical Therapy Rehabilitation Centersa ilalim ng pangangasiwa ng Santa Rosa Community hospital. BUONG PAGKAKAISANG PINAGTIBAY. PATOTOO: Pinatutunayan ko na ang Kapasiyahang ito ay pinagtibay para sa Ikalawang Pagbasa at sinipi mula sa Katitikan ng Ika-tatlumpung Pangkaraniwang Pulong ng Sangguniang Panlungsod noong Ika- 6 ng f.gosto, 2014. Pinatotohanan: u ARNEL DC. GOMEZ Pangalawang Punong-lungsod CYNTH i. GOMEZ Kalihim ng sal~u~lang Panlungsod Pinagtibay : Punong-Jungsod ~/'---1 Gtl\JI\ J f?, . Min::> 1 .J t ,- ,.,_-,'( 5/F C it y G ov ernment Cen t er, J.P. Rizal Bl vd., City of Santa Rosa, Laguna - Tel. No . (049) 530-0015 Local 5100-5104 "Serbisyong Makatao , Lungsod na Makabago"

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,• . \ r

Republic of the Philippines CITY OF SANTA ROSA

Province of LagW1a I

.-.,.·

OFFICE OF THE SANGGUNIANG PANLUNGSOD

SIPI MULA SA KATITIKAN NG IKA-TATLUMPUNG PANGKARANIWANG PULONG NG SANGGUNIANG PANLUNGSOD NG LUNGSOD NG SANTA ROSA, LAGUNA NA IDINAOS SA ARAW NG MIYERKULES, IKA-6 NG AGOSTO, 2014 SA BULWAGANG PULUNGAN NG SANGGUNIANG PANLUNGSOD NG LUNGSOD NG SANTA ROSA, LAGUNA.

Mga Dumalo:

1. Kgg. ARNEL DC. GOMEZ

2. Kgg. MA. THERESA C. AALA 3. Kgg. LUISITO B. ALGABRE 4. Kgg. MYTHOR C. CENDANA 5. Kgg. ERIC T. PUZON 6. Kgg. ANTONIA T. LASERNA 7. Kgg. PAULINO Y. CAMACLANG,JR. 8. Kgg. PETORNIO C. FACTORIZA 9. Kgg. RAYMOND RYAN F. CARVAJAL 10.Kgg. LAUDEMER A. CARTA 11.Kgg. EDWARD FERNANDITO S. TIONGCO 12. Kgg. RODRIGO B. MALAPITAN

- Pangalawang Punong-lungsod Namuno

- Kagawad - Kagawad - Kagawad - Kagawad - Kagawad - Kagawad - Kagawad - Kagawad - Kagawad - Kagawad - Kagawad, Pangulo ng

Samahan ng mga Punong­Barangay

********************

KAPASIYAHAN BLG. 158-2014 (Sa mungkahi ng Lupon ng Laws and Government)

ANG KAPASIYAHAN na nagpapatibay ng Pagbibigay ng Pahintulot kay Punong-Jungsod Arlene B. Arcillas na lumagda sa "MEMORANDUM OF AGREEMENT" kasama ang ROTARY CLUB OF SANTA ROSA, LAGUNA kaugnay ng pagtanggap ng Pamahalaang Lungsod sa mga ipinagkaloob na Physical Therapy Rehabilitation Equipment para sa Santa Rosa Physical Therapy Rehabilitation Centersa ilalim ng pangangasiwa ng Santa Rosa Community hospital.

BUONG PAGKAKAISANG PINAGTIBAY.

PATOTOO:

Pinatutunayan ko na ang Kapasiyahang ito ay pinagtibay para sa Ikalawang Pagbasa at sinipi mula sa Katitikan ng Ika-tatlumpung Pangkaraniwang Pulong ng Sangguniang Panlungsod noong Ika- 6 ng f.gosto, 2014.

Pinatotohanan:

u ARNEL DC. GOMEZ

Pangalawang Punong-lungsod

CYNTH i. GOMEZ Kalihim ng sal~u~lang Panlungsod

Pinagtibay:

A~~ Punong-Jungsod

~/'---1 Gtl\JI\ J f?,. Min::> 1.J

t ,- ,.,_-,'(

5/F City Government Center, J.P. Rizal Blvd., City of Santa Rosa, Laguna - Tel. No. (049) 530-0015 Local 5100-5104

"Serbisyong Makatao, Lungsod na Makabago"

~

,' • C . .,.

July 25, 2014

-

R~l!_blic of the Philippines CITY OF SANTA ROSA

Province of Lc:1guna

OFFICE OF THE CITY MAYOR

Hon. Vice Mayor Amel DC. Gomez and

The Members of the SangguniangPanlungsod

City Government of Santa Rosa, Laguna

Thru : Ms. Cynthia M. Gomez

Secretary to the SP

Ladies ·& Gentlemer;i, -

4t' '3 .2 2 r---.... ---·-- -- ... -- . ----- -····· :· ---- ---' / OFFICE OF rw.. en~-SE':!kET!d<Y . l

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Respectfully requesting the Sanggunian to pass a resolution authoriz_ing the Local Chief Executive to sign

the Memorandum of Agreement between the Rotary Club of Sta. Rosa and the City Government of

Santa Rosa.

The city is fortunate that the Rotary Club of Sta. Rosa will donate Physical Rehabilitation equipment to

our Santa Rosa Physical Therapy Rehabilitation Center under the supervision/ management of the Santa

Rosa Community Hospital.

The Memorandum of Agreement is attached for your reference.

Thank you very much.

... Very truly yours,

~i~ City Mayor

2/F City Government Center, J.P. Rizal Blvd.; City of Santa Rqsa, Laguna - Tel. No. (049) 530-0015 Local 2801-2805 -· ''Serbisyong Makatao,. Lungsod na Makab;igo-',.

' . ' ,-. -MEMORANDUM OF AGREEMENT

KNOW ALL MEN BY THESE PRESENTS:

This Memorandum of Agreem~nt ("MOA") made this day of 2014 in the City of Santa Rosa, Laguna, Philippines, and entered between:

The CIT\ GOVERNMENT OF SANTA ROSA, a local government unit, duly organized and existing under Republic Act No. 7160, also known as the Local Government Code of

. .

1991, with seat of government at the Santa Rosa City Hall, J.P. Rizal Blvd., City of Santa Rosa, Laguna, represented in this act · by its · Mayor, HON. ARLENE B. ARCILLAS, hereinafter referred to as "LGU-SANTA ROSA";

and

ROTARY CLUB OF STA. ROSA, a duly constituted Rotary International Club under District 3820, a non-government civic organization, and represented herein by its President MR. PAULO VERA CRUZ, hereinafter referred to as "ROTARY CLUB";

WITNESSETH THAT:

WHEREAS, the Santa Rosa · Community Therapy Rehabilitation Center . is being

established thru coordination between the national government providing the 2-storey

building and the City Government of Santa Rosa providing the finishing of the

building, manpower, management of its daily operation;

WHEREAS, there are no publicly or government-run Physical Therapy Rehabilitation

Center in the City of Santa Rosa which has a population of 300,000, and people in need

of physical therapy services will need to pay Php300-500 per session for such services in

private clinics or therapist;

WHEREAS, the Rotary Club of Sta. Rosa in partnership with its sister club Rotary Club

· of Gtimi Geumo, South Korea is· willing to donate and provide Physical Therapy

equipment ("PT equipment") to the Santa Rosa Community Therapy Rehabilitation

Center in order to speed-up· and facilitate it~ operation in providing qua~ity healthcare

to the people of Santa Rosa as well as to its neighbouring local government units;

WHEREAS, the following Physical Therapy equipment (see Annex 1) is being donated

to the City Government of Santa Rosa to be used by the . Santa Rosa Community

Hospital Physical Therapy Rehabilitation Center;

1

""· • ~ "t r--, .......,,

WHEREAS, the Sanggunian Panlungsod of the City of Sta. Rosa Laguna, through its

SP# . has fully authorized the Honorable Mayor Arlene B. Arcillas to execute, sign and deliver this Memorandum of Agreement with the ROTARY CLUB.

IN VIEW THEREOF, the Parties hereby agree on the following covenants:

I. Undertaking of LGU Santa Rosa

I. The LGU Santa Rosa shall:

a. Use the PT equipment solely for medical use and physical therapy rehabilitation;

b. Use the donated PT equipment with due care and diligence;

'

c. Allow Rotary Club of Santa Rosa to put-up a Rotary Logo in front of the Santa

Rosa Community Therapy Rehabilitation Center. Provided, that the size and

location of the said logo must be with the prior approval of the LGU Santa Rosa.

Provided further, that any expense or cost in the putting up of the said logo shall

be for the account of ROTARY CLUB;

d. Upon acceptance of the PT equipment, cost of repairs and maintenance of the

said equipment shall be for the account of LGU Santa Rosa; on the other hand;

II. Undertaking of Rotary Club

II. The Rotary Club shall:

a. Regularly monitor the progress of the beneficiary's maintenance . as to the

usefulness of the donated equipment;

b. Whenever necessary, shall assist in the effective use of the equipment;

c. Promote the Santa Rosa Community Therapy Rehabilitation Center's services to

component barangays of the city and nearby local government units.

JII. Effectivity

III. . This MOA shall take effect on ---------

2

' . ,.-. -..,

IN w:rrNEss WHEREOF, the Parf:ig~ h .:-i v o .ho:t'Ot.=">b ... J~~.d .bl-..- ;~ ~-r- ~ - _,,cr-- - - ­on the date and at the place first mentioned above.

HON. ARLENE B. ARCILLAS City Mayor

City of Santa Rosa, Laguna

MR. PAULO VERA CRUZ President

Rotary Club of Sta. Rosa

SIGNED IN THE PRESENCE OF

Dr. Parnell C. Patacsil Medical Director Santa Rosa Community Hospital

District Governor Rotary.Club District 3820

Mr. Ermin V. Lucino, MPM · City Planning and Development Coordinator

Mr. Oliver Castillo President-Elect, Rotary Club of Sta. Rosa

ACKNOWLEDGEMENT

REPUBLIC OF THE PHILIPPINES } } S.S.

BEFORE ME, a Notary Public personally appeared Hon. Arlene B. Arcillas, City Mayor of Santa Rosa, Laguna, with Community Tax Certificate Number __ issued at ________ on 20 · and Mr. Paulo Vera Cruz, President, Rotary Club of Sta. Rosa, with Community Tax Certificate Number issued at on 20 · known to me to be the same persons who have executed the above MEMORANDUM OF AGREEMENT and who acknowledged that the same is their voluntary act and deed. I further certify that this document consists of four (3) pages, and that the parties together with their instrumental witnesses have signed their names on every page of this document

WITNESS, my hand and seal this ________ __, Philippines.

Doc. No. Page No. · Book No. Series of

3

day of ___ _ / 20 -- at

Notary Public

~ . . ' ' '. ,--. -...

ANNEXl List of PT Equipment

PARTICULAR Quantity

PROPOSED

Continuous Passive 1 Unit motion -Legs ( Kinetic France)

Electrical Stimulation lOUnits (ES/l'EN'S)Machine (JEM-Stim)

Adjust&ble Parallel 1 Unit Hars Dumb bells (by pairs)

1 lb 1 pair '

21b 3 pairs

5 lbs 5 pairs

8 lbs · 2.pairs

lOlbs 2 pairs

Dumbbell Rack 1 unit

Ankle Weights {2 lbs) 4 pairs

Ankle Weights (5 lbs) 4 pairs

Theraband Set 2 yards lOpcs each Yellow, red, green, 20pcs blue, black, silver, gold

Theraband lOpcs

Hot Moist Pack 1 unit

Machine Hot Moist Pack s units Standard (GP12P-Korea)

. Hot Moist Pack Sunits Cervical (GP12P-Korea)

Hot Moist Pack 3units Lumbar (GP12P-Korea)

Hand and finger 2 sets .

exercise system (Digiflex)

4

,, .

Hand Dynamometer us Overhead Pulleys

Paraffin bath

Parallel Bars

Gait Belt

Postural Mirror .

Pegboard Test

Pinch gauge US

Quad cane

Walker

Single Cane

Sequential . Compression Pump (Wonjin)

Shoulder wheel

Theraputty 1 lb each 4 colors (US)

Stationary Bicycle (recumbent bike) (Fuel Brand)

Treadmill (motorize)

Gym (Exercise)Multi-purpose Machine

Tilt Bed (Dual Motor) (Medsys Turkey)

Traction Table

Traction unit

Treatment Bed

Ultrasound for Rehabilitation (Sonic Vital2) Germany

Wheel chair

5

-, ~

5 Units

1 Unit

1 Unit -

1 Unit

2 units

2 units

2 Units

2 Units

3 Units

3units

3units

1 Unit

1 Unit

2 sets

'

1 Unit

2 Units

2 units

2 Units '

2 Units

1 Unit

6 units

2 Units

2 Units