Having followed the procedure for your appointment as Independent Verifier specified in the Concession Agreement dated [•] (the "Agreement") between [•], a [nature of the Agency], with its principal address at [•] (the "Agency") and [•], a corporation duly organized and existing under the laws of the Republic of the Philippines with its principal office at [•] (the "Company"), you are hereby engaged by the Agency and the Company on the following terms and conditions: