CHECKLIST FOR ISSUANCE OF CERTIFICATE OF REGISTRATION PURSUANT TO
DEPARTMENT ORDER No. 174-17 (Job Contr!tor"S#b-Contr Contr!tor"S#b-Contr!tor$ !tor$ % CORPORATION % SINGLE PROPRIETORSHIP % PARTNERSHIP
% COOPERATI&E % LA'OR ORGANIATION
NEW A.
Three (3) copies of duly accomplished Application Application Form (TIN required) With attached proof of compliance with substantial capital requirement as defined in Section 3 (l)
RENEWAL
□
Three (3) copies of duly accomplished Application Form (TIN required)!
□"opies of all the updated supportin$
documents in letters (a) to (e) of Section 8+ shall be attached to the duly accomplished application forms includin$ the followin$<
! An) o* t+, *oo/n0
□
"ertified True "opy of the "ertificate of
"ertificate of membership and proof of payment of SSS& I#& %""& *a$II contributions for the last three (3) years& as well as loan amorti6ation' and
"ertificate of pendin$ or no pendin$ labor standard 4iolations cases with the N0#" and -/0%! The pendency of a case will not pre;udice the renewal of re$istration& unless there is a findin$ of 4iolation of labor standards by the -/0% #e$ional -irector
#e$istration from S%"& alon$ with the Articles of Incorporation' w a paidup capital of *+&,,,&,,,!,,'
□ □ □ C.
D.
E.
"ertified "opy of -TI #e$istration "ertificate and -TI "ertification with net worth of *+&,,,&,,,!,,' "ertified True "opy of the "ertificate of #e$istration from the "-A with *+&,,,&,,,!,, paid up capital stoc.sshares "ertified copy of #e$istration from the -/0% if the applicant is a union!
==-/0% "learance (Certificate of no pending case)
"ertified True "opy of 0icense or usiness *ermit 1ayor2s *ermit issued by the 0ocal o4ernment 5nit where the contractors operates! "opy "opy of duly duly audi audite ted d fina financ ncia iall stat statem emen ent& t& for for "orpor "orporati ation& on& *artne *artnersh rship& ip& "ooper "ooperati ati4e 4e or a labor labor or$ani6ation' or copy of the latest Income Ta7 #eturn (IT#)& for sole proprietorship! Sworn disclosure that the re$istrant& its /fficers and /wners or principal stoc.holders or any of them& has not been operatin$ or pre4iously pre4iously operatin$ as a contractor under a different business name or entity or with pendin$ cases of 4iolations of -!/! 89:89 andor labor standards or with a cancelled re$istration! In case any of the fore$oin$ has a pendin$ case& a copy of the complaint and the latest status of the case shall be attached!
F! "ertified listin$ with proof of ownership ownership or lease contract of facilitie facilities& s& tools& tools& equipment& equipment& premises premises implements implements&& machineries and wor. premises that are actually used by the contractor in the performance of completion of the specific ;ob or wor. contracted out!
> >
Application for "learance "learance #equest Form or letter request indicatin$ the purpose! Identification "ard of the requestin$ party! party!
"opy of pre4ious "ertificate of #e$istration! *roof of submission of "ontractor2sSub "ontractor2s SemiAnnual #eports! FILING AND PROCESSING OF APPLICATION
>
The application& with all supportin$ documents& shall be filed in triplicate in the #e$ional /ffice where the applicant principally operates!
> No application for re$istration shall be accepted unless all the requirements in the application are complied with!
! *hoto of the office office buildin$ and premises where the contractor holds office' NOTE 2 PA3MENT OF REGISTRATION FEE OF ONE HUNDRED THOUSAND PESOS (P15 .$ SHALL 'E RE6UIRED UPON APPRO&AL OF THE APPLICATION. 2ALL REGISTERED CONTRACTORS SHALL APPL3 FOR RENEAL OF THEIR CERTIFICATE OF REGISTRATION THIRT3 (8$ DA3S 'EFORE THE E9PIRA E9PIRATION TION OF THEIR THEIR REGISTRA REGISTRATION TO REMAIN REMAIN IN THE ROSTER ROSTER OF LEGITIMA LEGITIMATE TE SER&ICE SER&ICE CONTRACTO CONTRACTORS. RS. THE APPLICANT SHALL PA3 A REGISTRATION RENEAL FEE OF HUNDRED THOUSAND PESOS (P15 .$ TO DOLE REGIONAL OFFICE
PRE-E&ALUATION SHEET (To (To be filled-up the DOLE-RO Frontliner/Pre-ealuator) #eturn -!/! 89:89 Application and documents submitted #eason for #eturnin$ -!/! 89:89 Application Incomplete documentary requirements& namely< ?????????????????????????????????????????????????????????????????????? ?????????????????????????????????????????????????????????????????? ???? In4alid documents& namely< ??????????????????????????????????????????????? ?????????????????????????????????????????????????????????????????????? ?????????????????????????????????????????????????????????????????? ???? %7plained to the client the reasons for returnin$ -!/! 89:89 Application! ????????????????????????????????????????????????????????????????????? ?????????????????????????????????????????????????????????????????? ??? (The application was not received.) Reason for not accepting accepting the D.O. 174-17 application application was explained to me and retrned all the docments that ! have have given and presented. presented. """"""""""""" """""""""""""""""""" """""""""""""" """"""""""""" """"""""""""" """""""""""""" """"""""""""" """"""""""""" """""""""""""" """"""""" ""
(#ignatre over $rinted %ame and $osition of the &lient) Date'""""""""""""""""""
Name of of %4 %4aluator ?? ???????????????????
-ate of of %4aluation ?? ???????????????