Professional Documents
Culture Documents
Upgrading of Contractor'S License Application: Philippine Contractors Accreditation Board
Upgrading of Contractor'S License Application: Philippine Contractors Accreditation Board
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PCAB
PCAB-PAD-UPG-F01
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The following pertinent documents and information shall be submitted in support of Upgrading of PCAB
license application.(Applicant may Initially fill out the check boxes subject for final validation by PCAB/DTIROG pre-screener)
A. LEGAL
Complied
Yes
No
NA
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Certified copy by the LTO of the LTO Certificate of Registration and current Official
Receipt of Registration of newly acquired registrable Construction and/or
Transportation / Delivery Vehicles/Equipment
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Certified copy of Deed of Sale or sales invoices/official receipts for newly acquired
construction equipment/machineries/plants, or newly acquired construction equipment
3.1.4 Other Assets - (i.e. investment in Banks and / or Shares of stocks and other accounts)
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Certified copies of certificates of Stock, time deposits, & other pertinent proofs of
ownership of other assets
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PCAB
PCAB-PAD-UPG-F01
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3.3 Schedules of Receivables and Inventory accounts if the values of the said accounts exceed 50% & 20%,
respectively, of the Contractors Networth per Audited Balance Sheet duly signed by AMO and certified
by External Auditor.(Page 11 of 16)
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6.6.1 For STE/s below 60 years old: Certified copy of the pertinent page of CCL (formerly SSS
Form R-3) submitted to SSS for the quarter immediately preceding the filing of application;
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6.6.2 For STEs 60 years old and above: Certified copy of Certificate of Income Tax
Withheld on compensation (BIR Form 2316, formerly BIR W-2) for the taxable year
immediately preceding the filing of application issued by the firm to the employee
and duly stamped received by BIR/ or accredited bank.
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D.3. Self-stamped envelopes (One self stamped mailing envelope is required for each supporting
document submitted), or a prepaid courier pouch.
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4. Applicants Authorization to BIR & other government agencies to release information to PCAB
D. OTHERS
D.1. Original Signature of AMO on each and every page of the application forms including supporting
documents.
D.2. PCAB Response Form (self-addressed and with sufficient stamps affixed)
Prescreening Results
[ ] Comply lacking items as listed in the Remarks
Accepted
[ ] Comply lacking items as listed in the Remarks
Accepted
[ ] Comply lacking items as listed in the Remarks
Accepted
REMARKS:
LETTER / ITEM NO.
COMMENTS:
Filed
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Pre-screener / Date
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PCAB
PCAB-PAD-UPG-F01
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In behalf ofOF
____________________________________________________________,
AFFIDAVIT
ATTESTATION
(Name of Firm)
NOTARY PUBLIC
Until December 20 ____
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PCAB
PCAB-PAD-UPG-F01
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Tel./Fax No.
Tel./Fax No.
Website
E-mail Address
[ ] Corporation
Registration Date
[ ] Cooperative
Expiry Date
PhilHealth No.
PAG-IBIG No.
Principal Classification:
Other Classification/s:
Specialty(please specify):
___________________________________
POSITION
NATIONALITY
CAPITAL
SUBSCRIPTION
PAID-UP
CAPITAL
PERCENTAGE
Peso
value
Shares
POSITION
NATIONALITY
ADDRESS
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THE MANAGER
_________________________________
_________________________________
_________________________________
Date:_______________________
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Date:_______________________
Type of Application: (Pls. check)
New
Upgrading
Renewal
Others, pls. specify
_______________________
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AUTHORIZATION
________________________
Signature over Printed Name
of Authorized Managing Officer
Date:_______________________
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*TCTCLT/CCT/TD
NUMBER
LOCATION
(St. #, Barangay, Municipality/
City, Province)
ACQUISITION
COST
________________________
Type of Application: (Pls. check)
New
Upgrading
Renewal
Others, pls. specify
_______________________
Date:_______________________
ACQUISITION
DATE
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Year
Plate No.
Model
ACQUISITION
OR No. / Date
Date
Cost
(in Php)
Php
BOOK
VALUE
(in Php)
Php
ACQUISITION
SERIAL NO.
Date
BOOK
VALUE
(in Php)
Cost
(in Php)
Php
Php
By:_________________________
Signature over Printed Name
of Authorized Managing Officer
Date:________________
PRC REGISTRATION
NAME OF STE
Prof.
Date of
License
Number Registration Validity
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Date
Position
Employed in the
Firm
Previously Nominated
1.
2
3
4.
5.
6.
7.
8
9.
10.
11.
12.
13.
Newly Nominated
1.
2.
3.
4.
5.
6.
7.
8
9.
10.
By:_________________________
Signature over Printed Name
of Authorized Managing Officer
Date:_______________________
Type of Application: (Pls. check)
New
Upgrading
Renewal
Others, pls. specify
_______________________
PCAB
PCAB-PAD-UPG-F01
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SCHEDULES
PCAB
PCAB-PAD-UPG-F01
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RECEIVABLES
To be accomplished if the applicant's receivable accounts (accounts/contracts & other receivable) exceed 50% of
the total networth/equity as of the latest audited balance sheet submitted in support of its application.
NAME OF PROJECTS
AMOUNT
DUE FOR
COLLECTION
AGE
_____________________________
Printed Name and Signature of AMO
INVENTORIES
To be accomplished if the applicant's inventory accounts exceed 20% of the total networth/equity as of the latest
audited balance sheet submitted in support of its application.
Intended Use or
Age/Date
Physical
Types
Amount
Place of Storage
Purpose for
Acquired
Condition
Storing
_____________________________
Printed Name and Signature of AMO
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I,
Born on
DD
MM
Passport size
Picture of STE
FIRSTNAME
YYYY
Single / Married
to
BARANGAY
MIDDLE NAME
SURNAME
DISTRICT
FIRSTNAME
MIDDLE NAME
CITY/MUNICIPAL
PROVINCE
ZIPCODE
4.
NAME OF SCHOOL
INCLUSIVE DATES
Given on:
NAME OF FIRM
POSITION IN THE FIRM
With position of
as a STE for
CFY
5. That I am not presently employed by either a private company or any government office or government owned/controlled
corporation, nor a full time instructor, nor working abroad;
6. That I am not a holder of a valid contractor's license;
7. That I am not involved in any construction malperformance suggestive of negligence, incompetence or malpractice or any
act or omission liable for disciplinary action by myself or in collaboration with any other person;
8. That I have not been convicted by a court of competent jurisdiction of any offense involving moral turpitude;
9. That I am fully aware that my failure to notify the PCAB of my disassociation with my present employer shall cause my
disqualification to be a Sustaining Technical Employee or an Authorized Managing Officer or an applicant for a contractors
license with PCAB;
10. That I authorize the PCAB to verify and investigate any or all information in this affidavit from whatever sources PCAB may
consider appropriate;
11. That I am executing this affidavit to attest to the truth of the foregoing.
FURTHER AFFIANT SAYETH NAUGHT.
_______________________________
Affiant
SUBSCRIBED and sworn to before me this _____ day of ___________________, 20___ affiant exhibited his/her Community Tax Certificate No.
_____________ issued at ___________________ on ______________.
Doc. No.
Page No.
Book No.
Series of 20 ___
Notary Public
Until December 20 ___
PASTE
PASTE
VALID FOR
VALID FOR
CURRENT YEAR
CURRENT YEAR
(Back)
(photocopy)
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PCAB-PAD-UPG-F01
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1. A technology professional, such as engineer or architect, duly licensed by the Professional Regulation
Commission (PRC).
2. Holder of a valid PRC I.D.
3. With three (3) years minimum actual construction experience.
4. A full-time employee of the nominating contractor, not associated professionally or by employment with any
other party, particularly a party engaged in construction or construction-related activities.
5. Have none of the following disqualifications:
a) Involvement, in any capacity, in any construction malperformance of grave consequence, suggestive of
his negligence, incompetence and/or malpractice;
b) Involvement, by himself or in collaboration with any other person or firm, in any act or omission liable for
disciplinary action of which he/she is or the other person or firm was found guilty by the PCAB Board ;
c) Conviction by a court of competent jurisdiction of any offense involving moral turpitude; and
d) If formerly a Sustaining Technical Employee or an Authorized Managing Officer of any construction firm
but disassociated there from, failure to notify the Board of his disassociation in accordance with
paragraph 5 and 6 of the Affidavit of Undertaking.
This is to certify that I have verified with PRC the above stated professional eligibility/registration of the
Sustaining Technical Employee. Affiant herein and found the same to be true and correct.
__________________________________________
Signature over Printed Name of the AMO
Date: _______________________
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PCAB
PCAB-PAD-UPG-F01
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Work
Classification
(GE, GB,
SP)
PROJECT
DURATION
(mm/dd/yy)
Nature/Scope of Work
Assignment
(Proj. Engr.)
From
To
That I authorize the PCAB to verify and investigate any or all information in this affidavit from whatever sources
PCAB may consider appropriate;
That I am executing this affidavit to attest to the truth of the foregoing.
FURTHER AFFIANT SAYETH NAUGHT.
_________________________________
Affiant
SUBSCRIBED and sworn to before me this _____ day of _________________, 20__ affiant exhibited his/her
Community Tax Certificate No. ______________ issued at ____________________ on ____________________.
Doc. No ;
Page No.;
Book No.;
Series of 20 _______.
Notary Public
Until December 20 ___
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PCAB-PAD-UPG-F01
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FIRST NAME
MIDDLE NAME
Date of
Employment
Date of
Resignation
Position
4. Other Remarks:
_________________________________________________________________________________________
_________________________________________________________________________________________
Valid I.D.(s) Presented:
1. ________________
No: ______________
2. ________________
No: ______________
________________________
STEs Signature
________________________
Date Signed
AFFIDAVIT OF REPRESENTATIVE
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PCAB
PCAB-PAD-UPG-F01
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______________________________________
AFFIANT
(Authorized Managing Officer of Firm)
SUBSCRIBED and sworn to before me this ______ day of ____________, 20___, affiant exhibited
his/her Community Tax Certificate No. _______________ issued at ___________ on
___________________.
NOTARY PUBLIC
Until December 20 ____
Doc. No.
Page No.
Book No.
Series of 20 __.