MILLENNIUM ERECTORS CORPORATION

Main Office: LVT Bldg. 9445 Retiro Street, Guadalupe Nuevo, Makati City
Tel No: 8882-1538 / 8882-1396 / 8810-2721

SUPPLIER ACCREDITATION PROFILE FORM

Date : 22-Jun-24

INSTRUCTION: Please fill out this form completely and legibly. Leave nothing blank.
If something does not apply, Write "N/A" on the line. Once completed, please
submit this form together with the required documents listed on list page.

A. BACKGROUND INFORMATION
REGISTERED COMPANY NAME: JJJJG CONSTRUCTION SERVICES

OFFICE ADDRESS:B20 LOT 7, DASMARIÑAS TOWNSVILLE, FAX NO.

SABANG, DASMARIÑAS, CAVITE
OFFICE TELEPHONE NOS. OFFICE FAX NOS. EMAIL ADDRESS:cubillanjohn@yahoo.com
09535996794/09469672415
PLANT/ WAREHOUSE ADDRESS:B20 LOT 7, DASMARIÑAS TELEPHONE / FAX NO.
TOWNSVILLE, SABANG, DASMARIÑAS, CAVITE
MAIN OWNERS/PROPRIETOR: JOHHNNEDEL DATE STARTED BUSINESS OPERATION: MARCH
CUBILLAN 2019
CONTACT PERSON/s LANDLINE/MOBILE NO.
EMAIL:
B. TYPE OF ORGANIZATION (PLACE CHECK MARK)
TYPE OF BUSINESS NATURE OF BUSINESS
SINGLE PROPRIETORSHIP MANUFACTURING
PARTNESHIP GENERAL TRADING OR MERCHANDISING
CORPORATION EXCLUSIVE DISTRIBUTOR
OTHERS, PLEASE SPECIFY OTHERS, PLEASE SPECIFY

C. PRODUCT LINE
PLEASE ENUMERATE MAJOR LINES OR SERVICES 1. INTERIOR PAINTING WORK 2. WATERPROOFING
WORK 3.EPOXY FLOOR COATING WORKS 4. MASONRY WORKS 5. EXTERIOR PAINTING

D. DOCUMENTS RECQUIRED FOR ACCREDITATION

(check all items submitted with application)
DESCRIPTION
1. COMPANY PROFILE
2. PRODUCT PROFILES & BROCHURES
3. LIST OF COMPLETED & ON GOING PROJECTS
4. LIST OF SERVED CLIENTS/PROJECTS
5. SAMPLE OF SALES INVOICE, OFFICIAL RECEIPTS
6. LOCATION MAPS (OFFICE EQUIPEMENT YARD/PLANT/SHOP & WAREHOUSE
7. SEC REGISTRATION WITH BY-LAWS & ARTICLES OF INCORPORATED
8.GENERAL INFORMATION SHEET
9.BIR REGISTRATION
10. BUSINESS PERMIT
11. DEALER'S CERTIFICATE (IF DEALER/DISTRIBUTOR)
12. OSH CERTIFICATES (P.P.E. PRODUCTS)
E. ADDITIONAL SUPPLIER INFORMATION

1.HOW DID YOU KNOW ABOUT US? MILLENNIUM ERECTORS CORP.? (RECOMMENDED BY)

REQUIRED* I WAS ONCE A SUBCON PROJECT IN CHARGE IN YOUR PREVIOUS PROJECTS (TOYOTA
MANILA BAY UNDER ENGR. VIC, TOYOTA LAS PIÑAS UNDER ENGR. YANG, SIENA RESIDENCES UNDER
ENGR.YANG)

2.HAVE YOU EVER PROVIDED SERVICES OR PRODUCTS TO OUR COMPANY?IF YES ,WHAT
WHAT PRODUCT /SERVICES?
NOT YET, BUT I WORK ON YOUR PREVOUS SITES AS PROJECT IN CHARGE OF SUBCON

3.HOW MANY YEARS HAS YOUR ORGANIZATION BEEN IN BUSINESS AS CONTRACTOR /

SUPPLIER?
SINCE 2019, 5YEARS AND COUNTING.

4.HOW MANY YEARS HAS YOUR ORGANIZATION BEEN IN BUSINESS UNDER ITS PRESENT
BUSINESS NAME?
5 YEARS

5.IF A CORPORATION, ANSWER THE FOLLOWING: REQUIRED*

DATE OF INCORPORATION:
PLACE OF INCORPORATION:
PRESIDENT'S NAME:
VICE PRESIDENT'S NAME:

6.IF PARTNERSHIP,ANSWER THE FOLLOWING;

DATE OF ORGANIZATION:
NAMES AND ADDRESS OF GEN. PARTNERS:

7.IF SINGLE PROPRIETORSHIP, DESCRIBE YOUR ORGANIZATION AND PRINCIPALS NAME:

PRINCIPAL: JOHNNEDEL CUBILLAN
A BRIEF DESCRIPTION FOR THE COMPANY" YOU GOT PEACE OF MIND ON WORKING WITH US"

8.PLEASE LIST AT LEAST 3 MAJOR PROJECT/CLIENTS WITH CONTACT INFORMATIONS

REQUIRED*

1. RED PLANET HOTEL - ENGR. ABEL RELON - PROJECT MANAGER - 09065248433

2.RHODIUM BUILDERS -ENGR. JERALD VARGAS - 09560145047
3. TRIPLEWELL CONSTRUCTION CORPORATION - ENGR. ANTONINO LABAJO - 09154286265

THE UNDERSIGNED , DULY AUTHORIZED TO SIGN ON BEHALF OF THE CUSTOMER, HEREBY

DECLARES THAT THE FOREGOING ARE TRUE THE BEST OF HIS/HER KNOWLEDGE.

SIGNATURE OVER PRINTED NAME: JOHNNEDEL CUBILLAN

FOR MEC INTERNAL ONLY (SIGNATURE OVER PRINTED NAME )

RECOMMENDED BY: NOTED BY: EVALUATED BY:

MEC-PUR-SAPF VER. 02

PCAB License No: 32737

Category: AAA
ISO Certified: ISO9001:2015 / ISO45001:2018 / ISO140001:2015