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Special License Joint Venture/Consortium Renewal
CIAP PCAB checklist and forms for consortium/joint venture renewal (updated as of 2017)
Your Browser Doesn't Support Canvas. Showing the Text Content of the PDF Instead: Department of Trade & Industry Philippines
Construction Industry Authority of the Philippines
PHILIPPINE CONTRACTORS ACCREDITATION BOARD
RENEWAL OF SPECIAL LICENSE OF A JOINT VENTURE/CONSORTIUM APPLICATION
PCAB-F-SVD-010. Revision No. 00, 11/18/2018 | This Form is NOT for sale. Reproduction is Allowed
Instruction: Read Important Reminders (page 6). The following pertinent documents and information are to be submitted in support
to the renewal of special license application of a Joint Venture/Consortium:
Checklist of Requirements
Remarks
A. LEGAL
A.1.
Duly accomplished and notarized renewal application for special license by a Joint Venture /
Consortium (page 2);
A.2.
Copy of Special License previously issued by PCAB to the applicant and for which renewal is sought;
A.2.1. For a project which original completion date has lapsed, certified true copy of approved
time extension reflecting new completion date
A.3.
General Information Sheet (page 3);
A.4.
A.5.
A.6.
Copy of Construction Contract or Notice of Award pertaining to the project awarded to the Joint Venture
/ Consortium;
Copy of valid PCAB License and Registration for Government Project of each Filipino Constructor
Partner;
Copy of valid special license or special license renewal application of each Foreign Constructor Partner;
A.7.
List of completed and/or on-going construction projects in the Philippines during the last three (3) years
(page 4);
B. FINANCIAL, TECHNICAL AND TRACK RECORD
B.1.
In case of Consortium, Non-contractor Partner/s must submit certified true copies of the Annual Income
Tax Return (ITR) and Audited Financial Statements (AFS) as of the end of the taxable year immediately
preceding the filing of renewal application, duly filed with the Bureau of Internal Revenue;
C. OTHERS
C.1.
Firm’s Authorized Representatives (note: must be an employee of the firm) Affidavit with recent
passport size picture (page 5)
C.1.1. Copy of company ID of the Authorized Representatives;
C.1.2. Latest CCL - formerly SSS Form R-3 (for below 60 years old) or Certificate of Income Tax
Withheld - BIR Form 2316, formerly BIR W-2 (for 60 years old and above) of the representatives;
C.2.
The Authorized Managing Officer or Resident Alien Representative must affix his original signature on
each and every page of application form and supporting documents;
C.3.
For New RAR/AMO: Personal Appearance/Interview by the Board. (Warning: Failure to appear on
scheduled date may be deemed as abandonment of application resulting in disapproval);
C.4.
Certified documents. In lieu of certified copies, photocopies may be accepted provided original copies are
presented for authentication;
C.5.
Mode of Release of License (please check only one): [ ] Mail using the attached prepaid courier pouch;
[ ] Claim at PCAB Makati; [ ] Claim at CIAP Window / DTI ROG Office ________________________.
FOR PCAB / DTI-ROG PRESCREENER ONLY
1st Prescreening
Item
No.
[ ] PCAB Makati [ ] DTI-ROG ______
Prescreener:
Date:
[ ] Accepted [ ] Comply lacking items
2nd Prescreening
3rd Prescreening
4th Prescreening
[ ] PCAB Makati
[ ] PCAB Makati
[ ] PCAB Makati
[ ] DTI-ROG ______
[ ] DTI-ROG ______
[ ] DTI-ROG _____
Renewal of Special License of a Joint Venture/Consortium Application
PCAB-F-SVD-010. Revision No. 00, 11/18/2018
This Form is NOT for sale. Reproduction is Allowed
Page 2 of 6
APPLICATION FOR RENEWAL OF SPECIAL LICENSE BY A JOINT VENTURE /
CONSORTIUM
In behalf of
(Name of Joint Venture / Consortium)
I respectfully request that said company be issued a Special License to participate in the bidding for and/or
undertake the construction of the project described below:
Project Title
Project Location
Funded by
Loan Agreement
Date “Notice to Bidders” was published or Date “Invitation to Bidders” was received by the applicant
Date of Bidding
I hereby certify that the information and documents contained in this application are true and correct of my
own personal knowledge. I am fully aware that I shall be personally held liable for any misrepresentation
that may be found herein.
Authorized Managing Officer
(Signature over Printed Name)
Republic of the Philippines )
Province of ______________)
City/Municipality of ___________) S.S
SUBSCRIBED AND SWORN TO before me this ________ day of ___________________ 20____ at
________________________________________________; affiant exhibited to me his Community Tax
Certificate No. _______________ issued at __________________ on _________________ 20 _______.
Doc. No.
Page No.
Book No.
Series of 20 __.
NOTARY PUBLIC
Until December 20 ____
Renewal of Special License of a Joint Venture/Consortium Application
PCAB-F-SVD-010. Revision No. 00, 11/18/2018
This Form is NOT for sale. Reproduction is Allowed
Page 3 of 6
GENERAL INFORMATION SHEET
Note: Please use additional sheets if necessary.
A. CONTRACTORS’ IDENTIFICATION
Registered Name of Joint Venture / Consortium
Office Address of the Firm in the Philippines
If provincial based, contact address in Manila, if any
Tel/Fax No. (include area code)
E-mail Address (required)
Mobile No.
B. JOINT VENTURE/CONSORTIUM PARTNERS
Capital Subscription
Contractor’s
License No.
Name
Voting
Shares
Nonvoting
shares
Paid-up Capital
C. CURRENT DIRECTORS & OFFICERS OF EACH NON-CONSTRUCTOR PARTNER
Partner
Named of Directors & Officers
Nationality
Capital Subscription
Non-Voting
Voting Shares
Shares
Certified correct by:
_____________________________________
Authorized Managing Officer / RAR
(Signature over printed name)
_________________
Date
Renewal of Special License of a Joint Venture/Consortium Application
PCAB-F-SVD-010. Revision No. 00, 11/18/2018
This Form is NOT for sale. Reproduction is Allowed
Page 4 of 6
LIST OF COMPLETED/ON-GOING CONSTRUCTION PROJECT(S) IN THE PHILIPPINES
DURING THE LAST THREE (3) YEARS
Note: Please use additional sheets if necessary.
I
Title of Project / Location
Date Contract
was Signed
II
Tendering Agency/Project Owner
(e.g. DPWH, MWSS, NIA, etc.)
Scheduled
Completion
Date
Lending Institution
(e.g. IBRD, ADB,
OECF)
Percent (%)
Completed
Loan Agreement No.
Actual Date
Completed
Remarks
I
II
I
II
I
II
I
II
I
II
I
II
Certified correct by:
_____________________________________
Authorized Managing Officer
(Signature over printed name)
_________________
Date
Renewal of Special License of a Joint Venture/Consortium Application
PCAB-F-SVD-010. Revision No. 00, 11/18/2018
This Form is NOT for sale. Reproduction is Allowed
Page 5 of 6
AUTHORIZED REPRESENTATIVES AFFIDAVIT
Note: To be accomplished by the AMO.
Republic of the Philippines
)
Province of ______________)
City/Municipality of ________) S.S
Last Name
I,
born on
mm
dd
First Name
yyyy
Single /
Married to
Last Name
Ext. Name (Jr/Sr, if any)
Middle Name
First Name
Middle Name
Room/Floor/Unit/Bldg. Name, Lot/Block/Phase No., Street, Subdivision, Barangay, City/Municipality, Province, Zip Code
and
residing
at:
having duly sworn to in accordance with law depose and say:
Name of Firm
That I am the
Authorized
Managing
1.
Officer of :
with office
address at:
Room/Floor/Unit/Bldg. Name, Lot/Block/Ph. No., Street, Subdivision, Barangay, City/Municipality, Province, Zip Code
That I appoint two (2) representatives, whose pictures and signatures appear below:
Name of Representative and
Position in the Firm
Picture
See Important Reminders (page 6,
item no. 4) for specification
Signature of Representative over
Printed Name
A.
2.
B.
3.
4.
5.
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
connection with the functions stated herein.
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.
2011 (copies of required documents are attached).
____________________________
Affiant
(Authorized Managing Officer of Firm)
SUBSCRIBED AND SWORN to before me this _________ day of ____________________________, 20_____ at
_____________________________________________________; affiant exhibited his/her Community Tax Certificate
No. _____________________ issued at _____________________________ on ________________ 20_________.
NOTARY PUBLIC
Until December 31, 20 ___
Doc. No.
Page No.
Book No.
Series of 20 ___
Renewal of Special License of a Joint Venture/Consortium Application
PCAB-F-SVD-010. Revision No. 00, 11/18/2018
This Form is NOT for sale. Reproduction is Allowed
Page 6 of 6
IMPORTANT REMINDERS
1.
2.
All required information in the application forms should be properly filled out. Do not leave an item blank. If an item is
not applicable, indicate “N/A”.
The recommended paper size in printing the application forms is 8.27” x 11.69” (A4 size).
3.
Application forms and its corresponding supporting documents/attachments should be:
a.
arranged according to page number with index tabs;
b.
fasten in a long size folder.
4.
The required picture specification for the Authorized Representatives Affidavit as follows:
a.
b.
c.
d.
e.
f.
taken within the last three (3) months prior to filing of application;
Philippine passport size (4.5 cm x 3.5 cm or 1.78” x 1.38”);
colored, with white background and printed on good quality photo paper;
in standard close-up shot, taken in full-face view directly facing the camera;
in bare face (with no eyeglasses or any accessories that may cover the facial features), showing left and right
ears;
with handwritten (not computer-generated) name tag legibly showing signature over printed full name in the
format: First Name, Middle Initial, Last Name and Extension Name, if any;
5.
Special license applicants must ensure that the ARC license of contractor-partner for a joint venture/consortium is
valid for a period of at least fifteen (15) days at the time of filing the special license application, provided that an
application for re-registration is likewise filed with PCAB (Board Resolution No. 365, s. 2014).
6.
Special license applications filed less than five (5) working days but at least one (1) day before bidding or negotiation
date may be accepted subject to the imposition of a non-refundable Additional Processing Fee (APF), in addition to
the usual licensing fee, as follows (Board Resolution No. 047, s. 2015):
Registration Size Range
Large B
Large A
Medium A & B
Small A & B
APF (P)
25,000
20,000
15,000
10,000
7.
The legal holidays before the date of bidding/negotiation are excluded from the five-working day count (Board
Resolution No. 047, s. 2015).
8.
In the event that the special license certificate of an approved application cannot be available due to limited time to
process, the Secretariat may upon request, issue a “Notice of Board Action” indicating the approval and details of the
approved application, which may be validly presented to the project owner as compliance with the requirement stated
herein (Board Resolution No. 047, s. 2015).
9.
All applicants are required to pay non-refundable upfront fees for all types of license applications upon acceptance
(Board Resolution No. 313, s. 2011).
10. Only the Authorized Managing Officer or one of the two (2) Authorized Representatives of the Firm is allowed to
transact with PCAB (Board Resolution No. 515, s. 2011).
11. Filing/submission of application/s can be done at PCAB Makati / CIAP Windows / DTI Regional or Provincial Offices /
PCAB Accredited Contractors’ Associations & Professional Organizations.
12. Application Forms (i.e. ARC, Amendments, Special License, etc.), Citizen’s Charter, Board Resolutions, Advisories
and other relevant information about PCAB application can be downloaded at www.ciap.dti.gov.ph.
13. Fee Structure:
Special License – Joint Venture / Consortium (Renewal)
Category
Fee Particulars
AAA
AA
A
B
C
D
Filing Fee
1,200
1,200
1,200
1,200
1,200
1,200
License Fee
100
100
100
100
100
100
Categorization Fee
28,800
14,400
4,800
3,600
1,920
960
Documentary Stamp Tax
15
15
15
15
15
15
Legal Research Fund
12
12
12
12
12
12
Grand Total (P)
30,127
15,727
6,127
4,927
3,247
2,287
Form of Payment - Cash / Manager’s Check or Cashier’s Check payable to “CIAP”
E/Trade
1,200
100
nil
15
12
1,327
14. For further inquiries or clarifications, please communicate with us thru email or thru contact numbers below:
Department of Trade & Industry Philippines
Construction Industry Authority of the Philippines
PHILIPPINE CONTRACTORS ACCREDITATION BOARD
5F Executive Building Center, 369 Sen. Gil J. Puyat Ave.,
Makati City 1209
Tel/TeleFax: 895-4258 / 895-4220 / 09178482427
E-mail Address: ciappcab.main@gmail.com, pcab@dti.gov.ph
Note: Do not include this page in your application folder. For reference use only.