Documenti di Didattica
Documenti di Professioni
Documenti di Cultura
Instruction: Read Important Reminders (page 21 and 22). The following pertinent documents and information shall be submitted in
support to PCAB License New Application.
Checklist of Requirements Remarks
A. LEGAL
A.1. Affidavit of Attestation and General Information (page 3 and page 5);
A.1.1. For Sole Proprietorship - Certified true copy of Business Name Registration Certificate
(scope of business: national; nature of business: construction);
A.1.2. For Corporation or Partnership - Certified true copy of SEC Certificate of Registration and
Articles of Partnership/Incorporation and By-Laws with construction contracting as one of the
purposes and subsequent amendments thereto, if any;
A.2. PCAB Integrity Pledge (page 4);
A.3. Authorized Managing Officer (AMO) Nomination (with at least two (2) years experience in the
construction industry):
A.3.1. AMO Affidavit (page 6) with recent passport size picture;
A.3.1.1. For Corporation - Original Corporate Secretary's certificate as to the nomination of the
AMO (page 7);
A.3.1.2. For Corporation - If AMO is not the President, submit Board Resolution on AMO’s
duties and responsibilities: (1) sign checks and other financial documents, (2) hire and
fire employees, (3) approve, negotiate and sign contracts, (4) commit and answer for the
corporation, (5) oversee all contracts of the company;
A.3.1.3. For Corporation - Organizational Chart
A.3.2. Original NBI clearance of Filipino AMO (valid as of the date of filing);
A.3.3. If AMO is Non-Filipino (in addition to A.3.1):
A.3.3.1. Working Visa;
A.3.3.2. Alien Certificate of Registration;
A.3.3.3. NBI clearance if AMO has resided in the Philippines for six (6) months or longer if not,
equivalent clearance from AMO's home country duly authenticated by the Philippine
Embassy;
A.4. For Corporations or Associations with foreign shareholders, the following documents shall be
submitted:
A.4.1. Corporate Secretary’s Certification: (1) List of stockholders showing their nationalities and
shareholdings, (2) List of Board of Directors showing their names and nationality;
A.4.2. Copy of latest General Information Sheet duly filed with SEC showing the names of
stockholders and directors, nationality and shareholdings. The percentage control of the
number of seats occupied by foreigners in the Board of Directors shall not exceed 40%;
B. FINANCIAL
B.1. Complete Financial Statements with accompanying Auditor’s notes dated within the last six (6) months
immediately preceding the filing of application (duly audited and signed on every page by an
Independent CPA with valid PRC-BOA accreditation) and a CD-R (compact disc recordable)
containing the firm’s Audited Balance Sheet & Income Statement in the prescribed template to be
uploaded in the CIAP database. The PCAB Financial Statement Forms A & B (A. Balance Sheet / B.
Income Statement) can be downloaded at CIAP website, www.ciap.dti.gov.ph;
B.1.1. For old companies, audited financial statements for the immediately preceding taxable year
and copy of the Quarterly or Annual Income Tax Return certified by the BIR;
B.1.2. Cash - Original copy of Bank Certification/Bank statement of account certified by Bank
Manager of cash deposits as of the Balance Sheet date; (Note: Amount in excess of 1% of
the Networth per Audited Balance Sheet or P 500,000.00 whichever is higher, reflected
as “Cash” or “Cash on Hand” will be deducted from the Networth);
B.1.2.1. Authorization to Depository Bank (page 8);
B.1.3. Land and Building - List of Land and Building/Industrial Plants owned by the applicant and
registered in its name (page 11);
B.1.3.1. Certified Copy of Transfer of Certificate of Title (TCT) including back page;
B.1.3.2. Certified Copy of Deed of Sale or Tax Declaration of Land / Building owned by the
applicant;
B.1.4. Transportation & Construction Equipment - List of Construction and/or Transportation /
Delivery Vehicles / Equipment/ Machineries / Plants owned by the applicant and registered in
its name (page 12);
B.1.4.1. Certified Copy by Land Transportation Office (LTO) of Certificate of Registration and
Current Official Receipt of Registration of Construction and/or Transportation/Delivery
Vehicles/Equipment reported;
B.1.4.2. Certified Copy of Deed of Sale or sales invoices/official receipts of other construction
equipment/machineries;
B.1.5. Other Assets - (i.e. investment in Banks and / or Shares of stocks and other accounts);
B.1.5.1. Certified true copies of certificates of Stock, time deposits, & other pertinent proofs of
ownership of other assets;
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AFFIDAVIT OF ATTESTATION
In behalf
of K2RJL Industrial Sales and Services Corp.
(Name of Firm)
I further certify that the business name and/or SEC registration of this firm is valid and existing.
I certify furthermore that the SSS, Pag-IBIG, and PhilHealth contributions were remitted in favor of the
employees of this firm.
1. All documents submitted in support to this application are subject to verification before PCAB
action;
4. The evaluation of my qualification shall be solely based on the documents submitted at the time
the application was filed/accepted by PCAB.
NOTARY PUBLIC
Until December 31, 20 ____
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Page No.
Book No.
Series of 20 __.
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As frontrunners of nation-building, we acknowledge our major role and responsibility in ensuring that we carry out
our tasks guided by ethical standards and equipped with the necessary capability for the successful prosecution of
our contracts.
We will present only true qualifications to PCAB so that we may be evaluated properly and be given the
category and classification where we should rightfully belong;
We will uphold the dignity of the license and not be instruments for unlicensed contractors to undertake
construction projects through license lending nor through false joint ventures/consortium or pseudo
combinations which is inimical to the public safety/interest;
We will not employ unlicensed sub-contractors/specialty contractors which is a clear circumvention of the
requirement that all contractors must be licensed;
We will absolutely shun away from any form of collusion that destroys the very essence and integrity of
biddings;
We will not engage in bribery or do any act which constitutes graft or corrupt practice which is the root
cause of bloated contract amounts;
We will not use sub-standard materials which will in any way compromise the safety, reliability and
performance of the built environment;
We will not abandon our contracts and we will implement our projects faithfully in accordance with the
prescribed specifications thereof;
We will provide the necessary resources, financial and technical capability in carrying out our contractual
obligations, and as far as possible, within the stipulated time of completion;
We are aware that we will be imposed disciplinary action should we violate any of the commitments hereof
or the PCAB Code of Ethics or be found to be a party to corruption.
NOTARY PUBLIC
Until December 31, 20 ____
Doc. No.
Page No.
Book No.
Series of 20 __.
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N/A
Website E-mail Address Mobile No.
www.k2rjl.com sales@k2rjl.com 09988444407
Type of Firm (please check only one) Equity
[ ] Sole Proprietorship [ ] Partnership [ / ] Corporation Filipino: 100 % Foreign: % Nationality: Filipino
International Organization for Standardization (ISO) Certification (please check, if any)
[ ] ISO 14001:2004 [ ] OSHAS 18001:2007 [ ] ISO 9001:2008 [ ] ISO 9001:2015
SEC / Business Name Registration No. Registration Date (mm/dd/yyyy) Expiry Date (mm/dd/yyyy)
CS201503974 March 04, 2015 N/A
Firm’s SSS No. Tax Identification No. PhilHealth No. PAG-IBIG No.
03-9261112-3 008-971-077-000 003010000289 20280634005
Category Applied for Principal Classification Applied for Other Classification/s Applied for
(please check only one) (please check only one) (please check, if any)
[ ] AAAA [ ]B [ ] General Engineering [/] General Building [ ] General Engineering [/] General Building
[ ] AAA [ ]C [ ] Trade [ ] Specialty (please specify below): [/ ] Specialty (please specify below):
[ ] AA []D
[ ]A [ /] E/Trade
2-day AMO Seminar
Participant Host/Organizer Inclusive Dates Venue
Jose Miguel P. Quezon City Sports Club
SPECS May 31, 2018 – June 1, 2108
Sandicho Inc.
40-hour Safety Seminar ( [ ] COSH or [ ] BOSH with Construction Safety Components )
Participant Company Position Course Provider Inclusive Dates Venue
Jose Miguel P. Salus Consultancy
CEO May 15-18, 2018 UP Diliman, QC
Sandicho Sevices
Owners / Stockholders / Officers (for corporation / partnership)
Percentage
Paid-up
Name Position Nationality Capital Subscription Capital Peso
Shares value
Jose Miguel P. Sandicho President Filipino 6,250 156,250 25% 625,000
Joana Christina L. Lagrosa Treasurer Filipino 334 8,350 1.336% 33,400
Corporate
Ramon P. Sandicho Filipino 333 8,325 1.332% 33,300
Secretary
Rado P. Sandicho Board Member Filipino 333 8,325 1.332% 33,300
Directors / Officers (for corporation only)
Name Position Nationality Address
Jose Miguel P. Sandicho President Filipino Cortijos De San Rafael, Brgy. San Rafael, Rodriguez Rizal
Joana Christina L. Lagrosa Treasurer Filipino Lot 51 Virginia St., BF Homes, Sucat Parañaque
Corporate
Ramon P. Sandicho Filipino B15 L13 Armall Village, Sta Ana, Taytay Rizal
Secretary
Rado P. Sandicho Board Member Filipino 7 Magdalena Subd. F. Antonio St. Pasig City
3. That I possess at least two (2) years experience in the construction industry as follows (Ref. Sec. 20 of IRR of R.A. 4566)
Dates of
Designation / Position Company / Nature of Business Address Job Description
Employment
K2RJL Industrial Sales and Lot1 Block 8 Gloria Vista Subd.
Sales Manager / Safety August 01.
Sales Manager/Safety Officer Services Co. General Brgy. San Rafael Rodriguez
Officer 2012
Construction and Trading Rizal
4. That I possess knowledge of the building, safety, health , & lien laws of the Republic of the Philippines & the rudimentary
administrative principles of construction contracting from my work experiences in item 3 above and from the following
training/seminars (Ref. Sec. 20 of IRR of R.A. 4566):
5. That I am not involved in any construction malperformance suggestive of negligence, incompetence or malpractice or any act of
omission liable for disciplinary action by myself or in collaboration with any other person (Section 4.2 of IRR of R.A. 4566)
6. That I have not been convicted by a court of competent jurisdiction of any offense involving moral turpitude (Section 4.2 of IRR
of R.A. 4566)
7. That I am fully aware that my failure to notify PCAB of my disassociation with my present employer shall cause my
disqualification to be an Authorized Managing Officer, a Sustaining Technical Employee or a license applicant with PCAB .
8. That I authorize the PCAB to verify and investigate any or all information in this instrument from whatever sources PCAB may
consider appropriate
9. That I certify under pain of perjury that all information on this affidavit are true and correct.
FURTHER AFFIANT SAYETH NAUGHT.
JOSE MIGUEL P. SANDICHO
Affiant
NOTARY PUBLIC
Until December 31, 20 ___
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Series of 20 ___
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SECRETARY’S CERTIFICATION
Note: For Corporations only
Last Name First Name Ext. Name (Jr/Sr, if any) Middle Name
I,
Sandicho Ramon III Ponsaran
Room/Floor/Unit/Bldg. Name, Lot/Block/Phase No., Street, Subdivision, Barangay, City/Municipality, Province, Zip Code
and residing
at:
Blk. 15 L13 Armall Village, Sta Ana, Taytay Rizal.
do hereby certify, in my capacity as the duly elected and incumbent Corporate Secretary of
Wherein a quorum was present , the following resolution was unanimously approved, to wit:
AMO NOMINATION
Jose Miguel___________________Ponsaran____________________Sandicho_,
(FIRSTNAME MIDDLENAME SURNAME)
a senior executive who has been granted the power to render general management and
administrative decision, be appointed as the firm's Authorized Managing Officer to act on all
matters concerning the requirements of the PCAB and implementation of R.A. 4566 as amended
by P.D. 1746."
IN WITNESS WHEREOF, I have hereunto affixed my hand this ___________ day of ___________________ 20___, in
______________________________, Philippines.
____RAMON P. SANDICHO_III__
Corporate Secretary
(Signature over Printed Name)
NOTARY PUBLIC
Until December 31, 20 ___
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Page No.
Book No.
Series of 20 ___
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THE MANAGER
___Ms. Marivic M. Dionisio________
___Eastwest Bank_______________
___Rodriguez Rizal_______________
Madame:
Please provide the Philippine Contractors Accreditation Board (PCAB), a government agency
under the Department of Trade and Industry, any information they need regarding the subject
account with your bank.
I am applying for a contractor's license from PCAB and part of their evaluation process is the
verification of bank deposits and other assets of an applicant.
This will serve as your authorization to release any information that may be requested by PCAB
regarding the above subject account.
Thank you.
Name of Firm:
K2RJL INDUSTRIAL SALES AND SERVICES CORP.
Date:_______________________
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Madame:
Please provide the Philippine Contractors Accreditation Board (PCAB), a government agency
under the Department of Trade and Industry, any information they need regarding the subject ITR
and AFS filed with your office.
I am applying for a contractor's license from PCAB and part of their evaluation process is the
verification of ITR and AFS, of an applicant.
This will serve as a waiver on the confidentiality provision of Section 270 of the National Internal
Revenue Code of 1997 (memorandum circular No.28, 2006 dated May 08, 2006) and your
authorization to release any information that may be requested by PCAB regarding the above
subject document/s.
Thank you.
Date:____________________
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AUTHORIZATION
The Philippine Contractors Accreditation Board (PCAB) is hereby authorized to verify and
secure information and/or copies of documents submitted by or in the name of the firm to any or all of
the following agencies relative to its application filed with the PCAB:
Date:______________________
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*LEGEND:
TCT – Transfer Certificate of Title
CCT – Condominium Certificate of Title
TD – Tax Declaration
CLT – Certificate of Land Title
Date:________________________
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Date:_________________________
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SCHEDULE OF RECEIVABLES
Note: 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. Please use additional sheets if
necessary.
PRC Registration
Date Position
Name of STE License Date of
Employed in the Firm
Prof.
Number Registration Validity
Previously Nominated
1.N/A N/A N/A N/A N/A N/A N/A
2.
3
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
Newly Nominated
Civil Project
1.Engr. ORLANDO M. CASAS Engineering 0116535 4/6/2010 7/29/2020 11/15/2012
Engineer
Mechanical Technical
2.Engr.NOMAR LOPEZ Engineer Supervisor
3.
4.
5.
6.
7.
8
9.
10.
Date:________________________
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Last Name First Name Ext. Name (Jr/Sr, if any) Middle Name
I,
CASAS ORLANDO MANUEL
mm dd yyyy Single / Last Name First Name Middle Name
Born on 12 6 1979 NAGBUYA ARLENE CAHATOL
Married to
Room/Floor/Unit/Bldg. Name, Lot/Block/Phase No., Street, Subdivision, Barangay, City/Municipality, Province, Zip Code
and 475 GEN. LUNA ST. DULONG BAYAN, SAN MATEO, RIZAL
residing at
Telephone / Mobile No. (required) Email Address (required)
with
having been duly sworn in accordance with law depose and say:
1. That I am a duly licensed ______CIVIL ENGINEER_________ and holder of PRC License No. 0116535
(Profession)
valid up to __12/6/2020__, as evidenced by a copy of my PRC ID posted below;
Course / Profession
That I hold a Bachelor's Degree in
CIVIL ENGINEER
2. Name of School Inclusive Dates
Given at: Given 1on:
CENTRAL COLLEGES OF THE PHILIPPINES MARCH 2005
That my Tax Identification Number is : 234-719-913-000
3.
and my Social Security System Number: 33-8124751-8
That I am employed on a regular and full-time Name of Firm
basis by: K2RJL INDUSTRIAL SALES AND SERVICES CORP.
4.
Position in the Firm CFY
With the position of as STE for
PROJECT ENGINEER 2012-PRESENT
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 from my present employer within 30 days from
such disassociation shall cause my disqualification from being a Sustaining Technical Employee, an Authorized Managing
Officer and an applicant for a contractor’s 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.
__ORLANDO M. CASAS___
Affiant
SUBSCRIBED AND SWORN to before me this _____ day of ___________________, 20___ at ___________________________;
affiant exhibited his/her Community Tax Certificate No. _____________ issued at __________________ on ______________ 20___.
c) Conviction by a court of competent jurisdiction of any offense involving moral turpitude; and
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.
__________________________________________
Date
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I, ORLANDO M. CASAS__, single/married, Filipino, of legal age, with postal address at 475 GEN. LUNA ST. DULONG
BAYAN, SAN MATEO, RIZAL, having been duly sworn in accordance with law depose and say that the projects
enumerated below constitute my full & complete construction experience.
Repair of Worn Cyclone Feed Hopper GB-1, SP-ME Project Engineer May 11, 2019
Runruno, Nueva Vizcaya May 7, 2019
Sandblasting of BIOX Tank and Painting of PPO GB-1, SP-ME Project Engineer Nov. 18, 2019
Sept.14, 2019
2. K2RJL Industrial Sales and Services Co. GB-1 Head Engineer November 2012 March, 2013
“Construction of Two storey building of K2RJL (Civil & Structural works)
Industrial Sales and Services Co.”
Blk8 Lot1 Gloria Vista Subd., San Rafael Rodriguez
Rizal
3. Wai Fong (Qatar) L.L.C. GB-2 Section Engineer July, 2010 November
2010
Doha Qatar
4.Gamuda Berhad GE-3 Civil / Site Engineer January, 2007 March, 2010
(Sinohydro-Gamuda-WCT J V) (Tunnel)
That I authorize the PCAB to verify and investigate any or all information in this affidavit from whatever sources PCAB may consider
appropriate;
_______ORLANDO M. CASAS_______
Affiant
NOTARY PUBLIC
Until December 31, 20 ___
Doc. No
Page No.
Book No.
Series of 20 _____.
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STE PERSONAL APPEARANCE Page 18 of 30
Note: To be accomplished by the STE. The STE Personal Appearance is valid only for three (3) months from the date signed
by the PCAB/DTI Personnel.
SUSTAINING TECHNICAL EMPLOYEE AFFIDAVIT
Name of STEaccomplish this affidavit properly. Refer to the next page for STE qualification requirements.
Note: Please
Last Name First Name Ext. Name (Jr/Sr, if any) Middle Name
CASAS ORLANDO MANUEL
Profession PRC ID No. Expiration Date
CIVIL ENGINEER 0116535 12/6/2020
Present Employer
K2RJL INDUSTRIAL SALES & SERVICES CORP.
1. The veracity of the information reflected on the STE Affidavit and Affidavit of Construction Experience
that I executed in favor of the above present employer;
2. That I am fully aware that my failure to notify the PCAB of my disassociation from the above-stated
nominating firm and any misrepresentation in the attached forms shall cause my disqualification as
sustaining technical employee, or authorized managing officer, or a licensee applicant with PCAB per
Board Resolution No. 401, Series of 2001.
3. That I have been previously connected with the following companies and disassociated therefore:
Date of Date of
Previous Employers Position
Employment Resignation
WAI FONG (QATAR) L.L.C. July 2010 July 2011 Section Engineer
GAMUDA BERHAD (SINOHYDRO-GAMUDA-WCT JV) January 2007 March 2010 Site Engineer
4. Other Remarks:
_____________________________________________________________________________________
_____________________________________________________________________________________
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To be filled out by PCAB/DTI ROG Personnel
STE’s Specimen Signature (during interview):
Last Name First Name Ext. Name (Jr/Sr, if any) Middle Name
I,
BOLEN JUNE AGUILAR
mm dd yyyy Single / Last Name First Name Middle Name
Born on 07 06 1977 BOLEN ALMA ROMASANTA
Married to
Room/Floor/Unit/Bldg. Name, Lot/Block/Phase No., Street, Subdivision, Barangay, City/Municipality, Province, Zip Code
and 146-B E. SANTOS ST., SAN JOAQUIN, PASIG CITY
residing at
Telephone / Mobile No. (required) Email Address (required)
with
having been duly sworn in accordance with law depose and say:
1. That I am a duly licensed ______MECHANICAL ENGINEER_________ and holder of PRC License No. 0060013
(Profession)
valid up to __06/07/2020__, as evidenced by a copy of my PRC ID posted below;
Course / Profession
That I hold a Bachelor's Degree in
MECHANICAL ENGINEER
2. Name of School Inclusive Dates
Given at: TECHNOLOGICAL UNIVERSITY OF THE PHIL. Given 1on:
VISAYAS
MARCH 2001
That my Tax Identification Number is : 226-074-663-000
3.
and my Social Security System Number: 07-1708509-1
That I am employed on a regular and full-time Name of Firm
basis by: K2RJL INDUSTRIAL SALES AND SERVICES CORP.
4.
Position in the Firm CFY
With the position of as STE for
TECHNICAL SUPERVISOR 2017-PRESENT
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 from my present employer within 30 days from
such disassociation shall cause my disqualification from being a Sustaining Technical Employee, an Authorized Managing
Officer and an applicant for a contractor’s 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.
_JUNE BOLEN
Affiant
SUBSCRIBED AND SWORN to before me this _____ day of ___________________, 20___ at ___________________________;
affiant exhibited his/her Community Tax Certificate No. _____________ issued at __________________ on ______________ 20___.
VALID FOR
CURRENT YEAR
(Front)
(photocopy)
PCAB-PAD-NEW-F01
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Page 20 of 30
c) Conviction by a court of competent jurisdiction of any offense involving moral turpitude; and
This is to certify that I have verified with PRC the abovestated professional eligibility/registration of
the Sustaining Technical Employee. Affiant herein and found the same to be true and correct.
__________________________________________
Date
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Page 21 of 30
AFFIDAVIT OF STE CONSTRUCTION WORK EXPERIENCE
Note: Please use additional sheets if necessary.
I, JUNE A. BOLEN__, married, Filipino, of legal age, with postal address at 146-B E. SANTOS ST., SAN JOAQUIN,
PASIG CITY, having been duly sworn in accordance with law depose and say that the projects enumerated below
constitute my full & complete construction experience.
2. Saudi German Company for Non-Wovens GB-1 Production Shift Supervisor February 2013 February 2017
Dammam, Saudi Arabia
3. Rapu-rapu Processing Incorporated, Brgy. GB-1, SP-ME Supervisor September January 2013
Pagcolbon, Rapu-rapu, Albay 2012
4. Unilox Industrial Corporation GB-1 Project Engineer/ Internal June 2003 August 2012
Pasig City Philippines Quality Auditor/Document
Controller
5. ROHM Electronics Philippines Inc. GB-1 Facilities Manager March 2002 September
Cavite Philippines 2002
That I authorize the PCAB to verify and investigate any or all information in this affidavit from whatever sources PCAB
may consider appropriate;
_______JUNE A. BOLEN_______
Affiant
NOTARY PUBLIC
Until December 31, 20 ___
Doc. No
Page No.
Book No.
Series of 20 _____.
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Name of STE
Last Name First Name Ext. Name (Jr/Sr, if any) Middle Name
BOLEN JUNE AGUILAR
Profession PRC ID No. Expiration Date
MECHANICAL ENGINEER 0060013 06/07/2020
Present Employer
K2RJL INDUSTRIAL SALES & SERVICES CORP.
3. The veracity of the information reflected on the STE Affidavit and Affidavit of Construction Experience
that I executed in favor of the above present employer;
4. That I am fully aware that my failure to notify the PCAB of my disassociation from the above-stated
nominating firm and any misrepresentation in the attached forms shall cause my disqualification as
sustaining technical employee, or authorized managing officer, or a licensee applicant with PCAB per
Board Resolution No. 401, Series of 2001.
3. That I have been previously connected with the following companies and disassociated therefore:
Date of Date of
Previous Employers Position
Employment Resignation
Production Shift
Saudi German Company for Non-Wovens February 2013 February 2017
Supervisor
Rapu-rapu Processing Inc. September 2012 January 2013 Supervisor
Project Engineer/Internal
Unilox Industrial Corporation June 2003 August 2012 Quality Auditor/Document
Controller
September
ROHM Electronics Philippines Inc. March 2002 Facilities Manager
2002
4. Other Remarks:
_____________________________________________________________________________________
_____________________________________________________________________________________
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To be filled out by PCAB/DTI ROG Personnel
STE’s Specimen Signature (during interview):
I, _JOSE MIGUEL P. SANDICHO__ of legal age, Filipino, single/married, and residing at Lot 41 Blk 8
Gloria Vista Subd. Brgy. San Rafael Rodriguez Rizal.., after having been sworn to in accordance with law,
depose and say that:
NOTARY PUBLIC
Until December 31, 20 ____
Doc. No.
Page No.
Book No.
Series of 20 __.
IMPORTANT:
1. Submit this affidavit only if you have not undertaken any construction activity.
2. If construction has been undertaken prior to application or during the pendency of the application, inform the Public Assistance
Desk for assessment of Additional License Fee.
3. Misrepresentation in the application for a license may result in the disapproval thereof without prejudice to administrative, civil,
and criminal prosecution
PCAB-PAD-NEW-F01
Revision No. 07, 10/19/2017
This Form is NOT for sale. Reproduction is Allowed
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2.
B. Nico B. Aldueso
Messenger
to transact business with PCAB; i.e, present for pre-screening my application for contractor’s license or any
application related thereto, file/follow-up, submit documents, receive notices/license in connection with the said
application and the like.
That I am aware that I am responsible/liable for any or all acts/representation made by my representatives in
3.
connection with the functions stated herein.
4. That I undertake to notify PCAB in the event that this appointment is modified, amended or revoked.
That I have read and fully understood and complied with the requirements of PCAB Board Resolution No. 515 s.
5.
2011 (copies of required documents are attached).
NOTARY PUBLIC
Until December 31, 20 ___
Doc. No.
Page No.
Book No.
Series of 20 ___
PCAB-PAD-NEW-F01
Revision No. 07, 10/19/2017
This Form is NOT for sale. Reproduction is Allowed
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Note: Do not include this page in your application folder. For reference use only.
PCAB-PAD-NEW-F01
Revision No. 07, 10/19/2017
This Form is NOT for sale. Reproduction is Allowed
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A. Legal Requirement:
B. Financial Requirement:
C. Technical Requirement:
Please make sure to check the completeness of your application to avoid non-acceptance.
Note: Do not include this page in your application folder. For reference use only.
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Revision No. 07, 10/19/2017
This Form is NOT for sale. Reproduction is Allowed
Page 27 of 30
2. Category indicates the graded level of aggregate capability of a contractor with respect
to his principal classification and is based on predetermined qualification criteria which include financial capacity, experience
of STE, track record and equipment. Evaluation of category shall be based on the following criteria quantified by credit points
in scales as determined by the Board.
2.1 Financial capacity
Financial capacity shall be in term of Networth based on the latest audited financial statements submitted to the
Bureau of Internal Revenue (BIR), or paid-up capital based on the latest audited financial statements submitted to the
Securities and Exchange Commission (SEC), if a newly-organized partnership or corporation. PCAB has the right to
reject or reduce portion thereof if, upon verification, the reported assets of the contractor were found to be erroneous
or not adequately supported with appropriate documents. Corresponding credit points is 1 for every P100,000.00 of
the value of Networth/Stockholder’s Equity.
2.2 Equipment Capacity
Equipment capacity shall be in term of book value as reflected in the constructor’s latest audited financial statement
submitted to the BIR or the SEC, whichever is applicable, or equipment owned which are in operational condition and
applicable to construction of the classification in which the constructor is to be categorized. Said owned equipment
shall include units under installment and/or under lease purchase. Corresponding credit points is 1 for every
P100,000.00 of the NBV of the contractor owned equipment.
2.3 Experience of firm
Experience of firm shall be in terms of:
2.3.1 Aggregate number of years in which the constructor firm, under the same business identify, has been actively
engaged in construction contracting operation. Corresponding credit points is 10 for every year of actual
construction operation as a licensed contractor; and
2.3.2 Average annual value of work completed by the firm during the past three (3) years or, if constructor’s license
is less than three (3) years, since being licensed, based on the audited financial statements submitted to the
BIR. Corresponding credit points is one (1) for every P100,000.00 of the annual value of work
accomplishment.
2.4 Experience of technical personnel
Experience of technical personnel shall be the sum total of individual experience of each STE nominated to the
classification and shall be subject to the qualification requirement of each category as indicated in the PCAB
Classification and Categorization Table. Said individual experience of the STE shall be as defined and qualified
below:
2.4.1. The experience shall be in term of aggregate number of years in which the STE, in his present employment as
well as previous, has been involved in construction is to be categorized.
2.4.2. It shall include only the years in which he was performing in managerial/supervisory capacity bearing on
construction operation and/or contract implementation.
2.4.3. It shall be subject to a creditable ceiling of thirty (30) years, over which no excess shall be recognized.
Corresponding credit point is five (5) for every year of experience in construction.
The category of a contractor shall be determined on the basis of the number of points credited on the
aggregate/combined experience of all its qualified STE. Only STEs who meet the minimum individual experience
required shall be considered in determining aggregate experience and credit points. Thus, in order to qualify to the
technical capacity requirement for category “AAA”, the contractor must have qualified STEs whose individual
experience is not less than ten (10) years with a creditable ceiling of thirty (30) years and have an
aggregate/combined experience of at least sixty (60) years.
3. In determining a contractor’s category, his qualification must satisfy all the minimum
requirements, corresponding to the classification and category applied for, qualified and rated according to equivalent credit
points and shall be the lowest sustainable by all three determinants as follows:
C. SPECIALTY
AAA P90,000,000.00 900.00 10 60 300 1,510.00
SP-FW (Foundation Work)
SP-SS (Structural Steel Work)
SP-CC (Concrete Pre-casting, Pre-
Stressing or Post-tensioning) AA 45,000,000.00 450.00 10 50 250 695.00
SP-PS (Plumbing & Sanitary Work)
SP-EE (Electrical Work)
SP-ME (Mechanical Work)
A 9,000,000.00 90.00 7 21 105 211.00
SP-AC (Air-conditioning or Refrigeration)
SP-ES (Elevator or Escalator)
SP-FP (Fire Protection Work)
B 4,500,000.00 45.00 5 10 50 110.50
SP-WP (Waterproofing Work)
SP-PN (Painting Work)
SP-WD (Well-Drilling Work)
C 3,000,000.00 30.00 3 3 15 60.50
SP-CF (Communication Facilities)
SP-MS (Metal Roofing & Siding Installation)
SP-SD (Structural Demolition)
SP-LS (Landscaping)
D 900,000.00 9.00 3 3 15 24.00
SP-EM (Electro Mechanical Work)
SP-NF (Navigational Facilities)
D. SP-TRADE TRADE 45,000.00 0.40 none none none 0.45
* Minimum Qualification Requirements for Principal Classification
** For Other Classification/s, Minimum of 3 Years Actual Construction Experience
*** Overall credit points inclusive of Equipment Capacity (1 point/P100Th); Experience of Firm (10 points/year of active existence); &
1 point/P100Th of 3 year Average Annual Volume of Work Accomplished; and COMTCP points if STEs are COMTCP certified
Note: Do not include this page in your application folder. For reference use only.
PCAB-PAD-NEW-F01
Revision No. 07, 10/19/2017
This Form is NOT for sale. Reproduction is Allowed
Page 29 of 30
Introduction
The Quadruple A category license is a new category that will allow for the issuance of a regular license (with
annotation) to contractors with more than 40% foreign equity participation.
Scope of Registration
A newly organized domestic corporation (up to 100% foreign-owned) whose purpose is construction is eligible to
apply for the category. Likewise, a licensed contractor who has an equity/net worth at least PHP 1 Billion may apply
for upgrading to Quadruple A.
1. Quadruple A Platinum - locally owned licensed contractors with at least PHP 1 Billion equity
2. Quadruple A Gold - foreign-owned domestic corporation with at least PHP 1 Billion equity
The AMO may be a foreigner provided that the foreign AMO complies with the PCAB qualification standards of a
Filipino AMO. The AMO should be at least 35 years old.
The AMO should complete the AMO seminar, COSH and pass the AMO examination and interview by the Board.
Financial Qualification
The Financial Qualification shall be evidenced by Audited Financial Statements with at least PHP 1 Billion equity. For
newly organized foreign owned subsidiaries, the equity of PHP 1 Billion in cash shall be evidenced by inward
remittance through the Banko Sentral ng Pilipinas.
Technical Qualification
Quadruple A Gold contractors may undertake private projects under the following contract cost:
Quadruple A Platinum contractors may undertake government and private projects of any contract cost.
The Quadruple A category shall be limited to general contractors. However, Quadruple A contractors may engage
licensed subcontractor/specialty contractors to work on portions of its projects.
Renewal
Quadruple A Gold contractors should maintain the Financial and Technical Qualifications for Quadruple A category. If
a Quadruple A contractor does not maintain its P 1 Billion equity, its license will be invalidated.
Quadruple A Platinum contractors who fail to meet the Financial and Technical Qualifications shall be downgraded to
the highest category they will qualify for.
Note: Do not include this page in your application folder. For reference use only.
PCAB-PAD-NEW-F01
Revision No. 07, 10/19/2017
This Form is NOT for sale. Reproduction is Allowed
Page 30 of 30
FEE STRUCTURE
Note: Do not include this page in your application folder. For reference use only.