Вы находитесь на странице: 1из 8

SUBCONTRACTOR/SERVICE PROVIDER APPLICATION

INSTRUCTIONS

For proper facilitation of your application for subcontractor, kindly observe the
following:
(1) Fill out the Subcontractor/Service Provider Accreditation Form with all honesty
and integrity and submit all documents listed in the information sheet. We will
accept your application only if the required documents are COMPLETE.

(2) Prepare documents in one (1) set filed in a legal sized green folder.
(3) Documents are to be submitted on Mondays, Wednesdays and Fridays at No.
888 Cayetano Ave., C-5 Extension Road, Palingon-Tipas, Taguig City,
attention to Ms. ELIZABETH T. MENDOZA.
(4) Unless we communicate with you, initial follow-up will be entertained after
ONE (1) MONTH from acceptance of documents.

(5) Upon submission of complete documents, your technical and financial


capabilities will be evaluated, your accreditation documents will be reviewed
and your performance standing will be investigated. You have to pass all
these processes. Once your accreditation is approved, we will officially advise
you and inform our plant stations. Moreover, your inability to submit the
required documents within 30 working days after the issuance of the attached
accreditation form would be interpreted as your lack of interest to pursue your
application for accreditation. Accordingly, your application will no longer be
processed. The investigation fee amounting to Two Thousand Pesos
(P2,000.00) will be shouldered by the Applicant which will be deducted on his
billing if his application will be approved.
If you need further clarification, please do not hesitate to call us at Telephone
Number indicated below and look for Ms. Joanne Alvinez/Gwen Del Rosario.

ELIZABETH T. MENDOZA
Managing Director

NO. 888 CAYETANO AVENUE, C-5 EXTENSION, DIVERSION ROAD,


BRGY. PALINGON-TIPAS, TAGUIG CITY, PHILIPPINES 1637
TEL NO. (+632) 628 8228 / FAX NO. (+632) 628-8221

FM-PUR-007 Rev.00

SUBCONTRACTOR/SERVICE PROVIDER ACCREDITATION FORM


REQUIRED ITEMS

REMARKS

A. LEGAL
1. Affidavit of Attestation (page 3);
2. Original NBI Clearance of Authorized Officer (valid as of the date of filing)
3. For Sole Proprietorship: Certified True Copy of Business Name
Registration Certificate;
4. For Partnership or Corporation: Certified True Copy of SEC Certificate
of Registration and Articles of Partnership/Incorporation and By-Laws with
contracting as one of the purposes and subsequent amendments thereto,
if any;
5. Mayors Permit;
6. Barangay Clearance;

B. FINANCIAL

C.

1. Bureau of Internal Revenue Certificate of Registration (Form 2303);


2. Latest Income Tax Return;
3. Complete Financial Statement with accompanying Auditors notes dated
within the last six (6) months immediately preceding the filing of
application;
4. List of Land and Building owned by the applicant and registered in tis
name (page 6);
a. Certified Copy of Transfer Certificate of Title (TCT)
including back page;
b. Deed of Sale of Certified Copy of Tax Declaration of
Land/Building owned by the applicant;
5. List of Transportation/Delivery Vehicles/Equipment/Machineries owned by
the applicant and registered in its name (page 5);
a. Certified Copy by LTO of Certificate of Registration and
Current Official Receipt of Registration of Construction
and/or Transportation/Delivery Vehicles/Equipment
reported;
b. Certified Copy of Deed of Sale or sales invoices/official
receipts of other equipment/machineries;
6. Statement of Assets and Liabilities; and
7. Authorization to verify documents from BIR and other agencies (page 7);
GENERAL INFORMATION Fill out GI Sheet (page 4)
1. SSS, PHILHEALTH & PAG-IBIG Registration

D. OTHER REQUIREMENTS
1.
2.
3.
4.

DO-18 (DOLE Registration)


Rule 10-20 (Registry Establishment)
Safety Program
List of Employees with corresponding BIO-DATA/RESUME and NBI
Clearances
5. Pictures of Office premises
6. Latest 2x2 ID Picture of Owner/Authorized Officer

FM-PUR-007 Rev.00

AFFIDAVIT OF ATTESTATION
In behalf of ________________________________________________________________
I hereby request that its application as a Subcontractor/ Service Provider be approved.
I certify that the information/documents contained in this application are true and correct.
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.
I am fully aware that:
1. All documents submitted in support to this application are subject to verification by
the Monocrete Construction Philippines, Inc. Legal Department;
2. Any discovered misrepresentation of information and/or manifestations of fraud on
the application documents submitted by my firm applicant or its Authorized
Representative/Agent/Liaison Officer shall be subjected to investigation which may
result to the disapproval of my application and blacklisting of my firm and myself to
any future projects of Monocrete Construction Philippines, Inc. (Note: The said
investigation fee in the amount of Php 2,000.00 will be shouldered by the Applicant to be deducted on
his retention fee once the Applicant is a duly accredited Subcontractor/Service Provider of Monocrete.);

and
3. The evaluation of my qualification shall be solely based on the documents submitted
at the time the application was filed/accepted by Monocrete Construction Philippines,
Inc. Legal Department.

_________________________
Signature over printed name of Individual Applicant/
Authorized Officer for Non-Individual Applicant

Republic of the Philippines


City of ____________

)
) S.S

SUBSCRIBED AND SWORN TO BEFORE ME this ____ day of _________at ________________,


Philippines,
affiant
exhibiting
to
me
his/her
____________________
with
No.
_________________________ which will expire on __________________ as a competent proof of
his/her identity.

Doc. No.____
Page No.____
Book No.____
Series of 20___.

NOTARY PUBLIC
Until December 31, 20___

FM-PUR-007 Rev.00

SUBCONTRACTOR/SERVICE PROVIDER INFORMATION SHEET


Note: Please use additional sheets if necessary

Name of Firm: (as per SEC or DTI)

Telephone No. / Fax No.

Office Address:

If Provincial based, contact address in Manila, if any

Website

E-mail Address

Type of Firm (please check only one)


[ ] Sole Propriertorship [ ] Partnership
[ ] Corporation
SEC / Business Name Registration No.
Firms SSS No.

Mobile No.

Equity
Filipino:
%
Foreign:
%
Registration Date (mm/dd/yy)

Tax Identification No.

PhilHealth No.

Other Offices, Branches, or Affiliates (Include Foreign, if any)


Branches/Affiliate

Directors / Officers (For corporations only)


Name
Position

What services can your Company provide?


1.
2.
3.
4.
5.
Major Clients (Please list down your Five (5) Major Clients)
Name of Company/Project
1.
2.
3.
4.
5.

Nationality:
Expiry Date (mm/dd/yy)
PAG-IBIG No.

Address

Nationality

Address

Address

Certified correct by:

_________________________
Signature over printed name of Individual Applicant/
Authorized Officer for Non-Individual Applicant

FM-PUR-007 Rev.00

LIST OF SUBCONTRACTOR/SERVICE PROVIDERS


VEHICLES/EQUIPMENT
Note: Please use additional sheets if necessary

A. TRANSPORTATION/DELIVERY EQUIPMENT
Vehicle Brand/Type

Plate No.

Year Model

OR No. / Date

B. MACHINERIES AND OTHER CONSTRUCTION EQUIPMENT


Complete Description

Serial No.

Certified correct by:

_________________________
Signature over printed name of Individual Applicant/
Authorized Officer for Non-Individual Applicant

FM-PUR-007 Rev.00

LIST OF SUBCONTRACTOR/SERVICE PROVIDERS REAL


PROPERTIES
Note: Please use additional sheets if necessary

REAL PROPERTIES
Complete Description

TCTCLT/CCT/TD
Number

Location
(St. No., Brgy., Municipality/City,
Province)

Acquisition Date

Certified correct by:

_________________________
Signature over printed name of Individual Applicant/
Authorized Officer for Non-Individual Applicant

FM-PUR-007 Rev.00

AUTHORITY TO VERIFY FROM GOVERNMENT AGENCIES


AUTHORIZATION
The Monocrete Construction Philippines, Inc. 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 Monocrete Construction
Philippines, Inc.:
1. Securities and Exchange Commission (SEC)
2. Land Registration Authority (LAR)
3. Land Transportation Office (LTO)
4. Social Security System (SSS)
5. Philippine Health Insurance Corporation (PhilHealth)
6. Home Development Mutual Fund (Pag-IBIG)
7. Bureau of Internal Revenue (BIR)

_________________________
Signature over printed name of Individual Applicant/
Authorized Officer for Non-Individual Applicant

FM-PUR-007 Rev.00

LIST OF SUBCONTRACTOR/SERVICE PROVIDERS EMPLOYEES


Note: Please use additional sheets if necessary

Name

Birthday

Position

Requirements
BIO-DATA
NBI Clearance

1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
25.

_________________________
Signature over printed name of Individual Applicant/
Authorized Officer for Non-Individual Applicant

FM-PUR-007 Rev.00