The following pertinent documents and information are to be submitted in support of the special license application of

JOINT VENTURE a cooperative arrangement between licensed construction (all Filipinos, all non-Filipinos, or a
combination of Filipinos and Non-Filipinos) to jointly perform a single specific undertaing!project with each of the partners
contributing to the performance"
#" $egal

% & '" (uly accomplished and notari)ed application for special license by the *oint +enture (,-#. Form /0')
% & 1" 2eneral 3nformation 4heet (,-#. Form /01)
% & 5" *oint +enture #greement, which includes, among others, the following6
% & 5"' 3dentification of the ,roject title, owner!tendering agency location"
% & 5"1 4tipulation as to the specific role!participation of constructor partner!s and non constructor
partner!s, capital contribution, profit 7 loss sharing and joint liability of partners"
% & 5"5 *oint 8esolution of all partners appointing an #uthori)ed 9anaging :fficer (#9:) to act
:n behalf of the joint venture
% & ;" -opy of <3nvitation to .id= or <3nstruction to .idders= or < Notice to .idders= published in
Newspapers disseminated by the owners!tendering agency showing the following6
% & ;"' (eadline for submission of intent!3nterest to ,re>ualify, deadline for >ualification and the
date of bidding?
% & ;"1 Funding 4ource, $oan #greement Number, #pproved .udget for the ,roject?
% & ;"5" 8e>uired $icense -ategory ,roject @ind and 4i)e 8anges
% & A" -opy of +alid ,-#. $icense and 8egistration for 2overnment ,roject of each Filipino -onstructor
partner
% & B" -opy of 4pecial $icense of Foreign -onstructor-,artner"
% & C" 4elf-addressed and self-stamped letter form!notice (,-#. 8esponse Form)

." Financial, Technical and Trac 8ecord
% & D" For *oint +enture previously issued special license!s only6 $ist of completed and!or on-going projects during
the last three (5) years (,-#. Form /05)
% & /" For *oint +enture applying for license category, project ind!s, si)e range!s different from that of lead
-onstructor-partner only"
% & /"' Financial 4tatements!,re-:perating .alance 4heet!,artnersE 4tatement under oath containing their
combined financial resources (pre-operating balance sheet) to be committed!invested in the joint
venture"
% & /"1 Technical ,ersonnel ,artnersE statement under oath containing the names and other details of their
respective nominated sustaining technical personnel to be assigned in the implementation of the
project of the joint venture"
% & '0" Trac 8ecord!projects relevant to the project ind!s applied for undertaen and completed by the
joint venture or each constructor partner (if not previously submitted)
% & '0"' -opy of -ontract!4ubcontract #greement!s duly authenticated by the tendering agency or project
owner in case of subcontract, by the prime!main contractor"
% & '0"1 -opy of the -ertificate of #cceptance!-ompletion from tendering agency or project owner, or in case
of subcontract from the prime!main contractor"
% & '0"5 For privately-owned projects only6 -ertified True -opy of -ertificate of -reditable 3ncome
TaF Githeld (Form 'C;5"'!'C;5"CA0!150C) stamped received by the .38 for each
contract!subcontract"
Note6 :riginal signature of #uthori)ed 9anaging :fficer on each and every page of the application forms including
4upporting documents"


#pplication for 4pecial $icense of *:3NT +HNTI8H with the
PHILIPPINE CONTRACTORS ACCREDITATION BOARD
DO NOT FILL FOR PCAB USE ONLY
Total No. of pages submitte !!!!!!!!!!!!!!!! C"e#$liste b%& !!!!!!!!!! Date& !!!!!!!!!!!!
Rema'$s& !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

3n behalf of E.M. CUERPO, INC. PHILSOUTH BUILDERS JOINT VENTURE ,
(Name of *oint +enture)
3 respectfully re>uested that said company be issued a 4pecial $icense to participate in the bidding for
and!or undertae the construction of the project described below6
,roject Title 6 Dumaguete Airprt De!e"pme#t Pr$e%t &A'p(a"t O!er"a) * Ru#+a) a#,
Impr!eme#t * Drai#age S)'tem-
.

,roject $ocation 6 Brg). A,a#.a#, Si/u"a#, Dumaguete, Negr' Orie#ta" .
Funded by 6JJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJ
$oan #greement 6JJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJ
(ate <Notice to .idders= was published or (ate <3nvitation to .idders= was received by the
#pplicant 6 Ju") 00 , 1203 "
K
(ate of .idding 6 Ju") 42, 120355555555555555555555555555555555555555555555555
3 hereby certify that the information and documents contained in this application are true and correct of my own
personal nowledge" 3 am fully aware that 3 shall be personally held liable for any misrepsentation that may be found
herein"
JJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJ
LUISITO M. TIJIN6
#uthori)ed 9anaging :fficer
(4ignature over printed name)
8epublic of the ,hilippine)
Lue)on -ity- - - - - - - - - -)s"s"
4I.4-83.H( #N( 4G:8N to before me this JJJJJJJJJJJJJJ day of JJJJJJJJJJJJJJJJJJJJ 10';
at JJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJ6 #ffiant eFhibited to me his (riverEs $icense No"
201-/0-01;A5C issued at (umaguete -ity ,hilippines"
(:-" N:" JJJJJJJJJJJJJJ6
,#2H N:" JJJJJJJJJJJJJJ6
.::@ N:" JJJJJJJJJJJJJJ6
4H83H4 :F JJJJJJJJJJJJJJ6
JJJJJJJJJJJJJJJJJJJJJJJJJJJJJJ
N:T#8M ,I.$3-
Intil (ecember 5', 10';
#pplication for 4pecial $icense of *:3NT +HNTI8H with the
PHILIPPINE CONTRACTORS ACCREDITATION BOARD
,-#. Form /0'
A. CONTRACTORS IDENTI7ICATION
8egistered Name of *oint +enture!-onsortium
E.M. CUERPO,INC. PHILSOUTH BUILDERS JOINT VENTURE
#ddress of Firm in the ,hilippines6
1318 Ca"i#,aga#, Dumaguete Cit), Negr' Orie#ta"
Tel" No"6
&249- 311.1:42 ; &249- 119.3291
3f provincial based, contract address in 9anila, if any6

N;A
Tel" No"6
N;A
B. JOINT VENTURE;COMSORTIUM PARTNERS
Name
C#tra%tr<'
Li%e#'e N.
Capita" Su/'%ripti#
Pai,.Up Capita"
Vti#g
S(are
N#.
!ti#g
S(are'
E.M. CUERPO INC. 42=>4 90 ?
PHILSOUTH BUILDERS 10=>1 3= ?
C. CURRENT DIRECTORS AND O77ICERS * ea%( N#.C#'tru%tr Part#er
PARTNER
Name, * Dire%tr' @
O**i%er'
Nati#a"it)
Capita" Su/'%ripti#
Vti#g
S(are'
N#.
Vti#g
'(are'
N;A N;A N;A N;A N;A
Certi*ie, Crre%t /)A
LUISITO M. TIJIN6 55555555555555555555555555
Aut(riBe, Ma#agi#g O**i%er Sig#ature ;Date
LIST O7 COMPLETED; ON.6OIN6 CONSTRUCTION PROJECT&S-
6ENERAL IN7ORMATION SHEET
&7r Spe%ia" Li%e#'e * a Ji#t Ve#ture ; C#'rtium * C#tra%tr'-
,-#. Form /01
,-#. Form /05
I# t(e P(i"ippi#e' ,uri#g t(e "a't t(ree &4- )ear'
TITLE O7 PROJECT ; LOCATION
DATE
CONTRACT
CAS SI6NED
LENDIN6
INSTITUTION
&e.g. IBRD,
ADB, OEC7-
PERCENT &?-
COMPLETED
REMARDS
TENDERIN6 A6ENCE;PROJECT
OCNER
&e.g. DPCH,MCSS,NIA,et%.-
SCHEDULED
COMPLETION
DATE
LOAN
A6REEMENT
NO.
ACTUAL
DATE
COMPLETED
N;A N;A N;A N;A
N;A
CERTI7IED TRUE AND CORRECT
LUISITO M. TIJIN6 .
4ignature of 8epresentative over printed name