MEMORANDUM OF AGREEMENT

THIS MEMORANDOUM OF AGREEMENT IS ENTERED BY AND BETWEEN:

SFO2 Andrew Z Tacata

THE BUREAU OF FIRE PROTECTION, CITY OF SAN FERNANDO FIRE

STATION, a government entity created in accordance with law, with principal address at
Barangay 1, City of San Fernando, La Union, represented by SINSP MICHAEL JOHN V
ESCAÑO, hereafter referred to as the “FIRST PARTY”;

and the
SFO2 Daryl G Macagba

ILOCOS TRAINING AND REGIONAL MEDICAL CENTER (ITRMC) a

government entity duly organized and existing by virtue of the laws of the Republic of the
Philippines with principal address at Parian, San Fernando City, La Union, represented by
EDUARDO M. BADUA III, MD, FPSP hereinafter reffered to as the “SECOND PARTY”;

WITNESSETH, that
SINSP MICHAEL JOHN V ESCAÑO

WHEREAS, Republic Act No. 7719, otherwise known as the “NATIONAL

Blood Coordinator

VOLUNTARY BLOOD SERVICES ACT of 1994” was passed and enacted in order to pursue
the State’s goal of attaining the objectives of the national voluntary blood program of the
government;

WHEREAS, one of the declared policy of Republic Act No. 7719 is to mobilize all
sectors to participate in mechanisms for voluntary non-profit collection for blood;
EDUARDO M BADUA III,MD,FPSPUNITY H. CORTEZ, MD,FPOGS,FPSUOG,MBA-H,CESE JIMMY S. ROSALES, MD, DPSP

WHEREAS, the FIRST PARTY must be involved actively in the implementation of the
Blood Coordinator

provisions of Republic Act No. 7719, to encourage participation and to proceed with vigor for
the ultimate attainment of the objectives envisioned under said law;

WHEREAS, it is a declared policy of the FIRST PARTY to give priority to health

development through the provision and delivery of health services;

WHEREAS, pursuant to the aforesaid policy, the FIRST PARTY, is committed to

Acting City Fire Marshal

provide medical assistance when necessity for blood transfusion arises during confinements in
hospitals by providing them voluntary donors;

WHEREAS, a considerable number of patients who need blood transfusion during their
confinement at the hospitals have been recipients of the Blood Service Program;

WHEREAS, in order to have expeditious, orderly and effective release, delivery and
utilization of the needed blood for patients during confinements, the creation of Blood Donor
Registry is therefore imperative;
Pathologist, ITRMC

WHEREAS, concomitant to the avowed policies of Republic Act No. 7719, is the need
to have a blood collection/pool in the FIRST PARTY. Thus, the FIRST PARTY approved that
the Ilocos Training and Regional Medical Center (ITRMC) will serve as the blood storage of the
units collected during Mobile Blood Donation activities;
CMPS II, ITRMC

NOW THEREFORE, for and in consideration of the foregoing premises and the mutual
covenants set forth below, the parties hereby mutually agree and declare as follows:
MCC II, ITRMC

Memorandum of Agreement Page 1 of 5

 AGREEMENT:

A. FIRST PARTY
SFO2 Andrew Z Tacata

THE BUREAU OF FIRE PROTECTION, CITY OF SAN FERNANDO FIRE STATION

shall:

1. Implement the voluntary blood services program through the assistance of the Health
Unit personnel as scheduled with emphasis to the following activities:
SFO2 Daryl G Macagba

a. Blood donor recruitment, retention, education and counseling

b. Donor selection and screening
c. Blood collection

2. Enlist qualified donors, maintain and update Donor Registry;

3. Provide funds for the operation of scheduled Mobile Blood Donation;

SINSP MICHAEL JOHN V ESCAÑO

4. It shall provide the SECOND PARTY the regular schedule of blood donation activities;

5. Notify the second party at least (2) weeks prior to the scheduled date of blood donation
Blood Coordinator

activities;

6. Provide at least thirty (30) donors per Mobile Blood Donation Activity;

B. SECOND PARTY
EDUARDO M BADUA III,MD,FPSPUNITY H. CORTEZ, MD,FPOGS,FPSUOG,MBA-H,CESE JIMMY S. ROSALES, MD, DPSP

The ILOCOS TRAINING AND REGIONAL MEDICAL CENTER (ITRMC) shall:

Blood Coordinator

1. Provide medical personnel who will assist the Health Unit Personnel during the
scheduled Mobile Blood Donation;

2. Process and test the blood units for five infectious disease markers (anti-HIV ½ anti-
HCV, HBsAg, Syphilis and Malaria);
Acting City Fire Marshal

3. Serve as the storage of whole blood and blood components obtained from the FIRST
PARTY;

4. Authorize the issuance of blood units based on the blood requests from physicians and/or
blood program coordinator of the FIRST PARTY;

5. Provide the first party an inventory of the blood units stored, upon request. In case the
blood inventory is zero, blood services fee will be charged to the patient.
Pathologist, ITRMC

WHEREAS, Administrative Order No. 2015-0045 dated October 26, 2015 and Department
Circular No. 2016-0318, is intended to regulate blood service fees in accordance with Section 8
of the National Blood Services Act of 1994, which states that blood bank/center shall operate on
a non-profit basis, but that may be allowed to collect blood services not greater than the
CMPS II, ITRMC

maximum prescribed by the DOH.

MCC II, ITRMC

Memorandum of Agreement Page 2 of 5

 COMMON PROVISIONS:

1. Both parties agree that the rates for the blood service fees shall be:
SFO2 Daryl G MacagbaSFO2 Andrew Z Tacata

Whole Blood Php 1,800.00

Packed Red Cells Php 1,500.00
Other blood components (platelet, Concentrate, Fresh Frozen Php 1,000.00
Plasma, Cryoprecipitate, Cryosupernate)

2. Term of the MOA: this Memorandum of Agreement shall be valid and binding for a
period of two (2) years for a term beginning upon the signing of this agreement and
maybe renewed through a written Agreement subject to presentation/compliance of the
requirements under the Regional Blood Service Network.

3. Without prejudice hereof, this Agreement may be terminated by any party thereto subject
to a thirty (30) days prior notice to the other party on valid and justifiable grounds or if
SINSP MICHAEL JOHN V ESCAÑO

any of the parties commit any material breach of this agreement or at any time whenever
the exigencies of the service so require;
Blood Coordinator

4. Any amendment or modification to this Agreement should be made in writing and in

consultation with all parties involved.

5. Both parties attest that they have fully read and understood the terms, contents and
consequences of this Memorandum of Agreement which shall be in full force and effect
EDUARDO M BADUA III,MD,FPSPUNITY H. CORTEZ, MD,FPOGS,FPSUOG,MBA-H,CESE JIMMY S. ROSALES, MD, DPSP

upon the signing hereof.

Blood Coordinator

IN WITNESS WHEREOF, the parties hereto have affixed their signatures on the ____ day of
________,2022, as manifestation of their willingness to abide with its terms and conditions.
Acting City Fire Marshal

ILOCOS TRAINING AND BUREAU OF FIRE PROTECTION

REGIONAL MEDICAL CENTER CITY OF SAN FERNANDO
FIRE STATION
Pathologist, ITRMC

By:

EDUARDO M. BADUA III, MD, FPSP SINSP MICHAEL JOHN V ESCAÑO

Medical Center Chief II Acting City Fire Marshal
MCC II, ITRMC CMPS II, ITRMC

Memorandum of Agreement Page 3 of 5

Signed in the presence of:

UNITY H. CORTEZ, MD, FPOGS, FPSUOG SFO2 Daryl G Macagba

MBA-H, CESE Blood Coordinator
Chief of Medical Professional Staff II, ITRMC

JIMMY S. ROSALES, MD, DPSP SFO2 Andrew Z Tacata

Pathologist, Department of Laboratories, ITRMC Blood Coordinator

Memorandum of Agreement Page 4 of 5

 ACKNOWLEDGMENT

Republic of the Philippines)

Province of La Union)
City of San Fernando)

BEFORE ME, a Notary Public for and in the City of San Fernando, La Union,
personally came and appeared this _____ day of ___________ 2022.

NAME ID NUMBER Date of issuance / Place of

Issuance
EDUARDO M. BADUA III, PRC ID 01/14/1988
MD, FPSP 0064224 City of Manila
SINSP MICHAEL JOHN V BFP ID E28052 01/15/2019
ESCAÑO Sto.Tomas, La Union

Both known to me and to me known to be the same persons who executed the foregoing
instrument and acknowledged to me that the same is their voluntary act and deed. The
parties/representative had been identified through competent evidence of identity.

This instrument consists of five (5) pages including this page wherein the
acknowledgement is written, and is signed by the parties and their individual witnesses on each
and every page hereof

WITNESS MY HAND SEAL, the day, year and place written above.

___________________________
NOTARY PUBLIC

Doc. No._____
Page No._____
Book No._____
Series of 2022

Memorandum of Agreement Page 5 of 5