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(Final) 2023 SGLGB Form 2-Data Capture Form

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2023 SEAL OF GOOD LOCAL GOVERNANCE FOR BARANGAY
Year Under Review: CY 2022
Data Capture Form
SGLGB Form No. 2
Core Governance Area No. 1:
Financial Administration and Sustainability
1.1 Compliance with the Barangay Full Disclosure Policy (BFDP)
MINIMUM REQUIREMENT
MEANS OF VERIFICATION
1.1.1 Posted the following CY 2022 financial documents in the BFDP
board, pursuant to DILG MC No. 2014-81 and DILG MC No.
2022-027:
YES
NO
Instruction: Put a check ✓ on the box that
corresponds to your assessment.
BFDP Monitoring Form A of the DILG Advisory dated
March 25, 2022
Photo Documentation of the BFDP board displaying
the following documents:
ANNUAL REPORT
ANNUAL REPORT
a. Barangay Financial Report
a. Barangay Financial Report;
b. Barangay Budget;
b. Barangay Budget;
c. Summary of Income and Expenditures;
c. Summary of Income and Expenditures;
d. 20% Component of the IRA Utilization;
d. 20% Component of the IRA Utilization;
e. Annual Procurement Plan or Procurement List;
e. Annual Procurement Plan or Procurement
List;
QUARTERLY REPORT
QUARTERLY REPORT
f. List of Notices of Award (4th Quarter of CY 2022);
f. List of Notices of Award (4th Quarter of CY
2022); and
and
MONTHLY REPORT
MONTHLY REPORT
g. Itemized Monthly Collections and
Disbursements (Oct-Dec, CY 2022).
g. Itemized Monthly Collections and Disbursements
(Oct-Dec, CY 2022).
October 2022
November 2022
December 2022
1.1.2 Accomplished prescribed BFR form with the "stamp receipt" of
the Office of the C/M Accountant.
YES
NO
Instruction: Put a check ✓ on the box that
corresponds to your assessment.
PROCESSING OF RESULTS
YES
NO
Barangay Financial Report on Statement of Receipt
and Expenditure (Annex 7)
REMARKS
Met all the minimum requirements on
Compliance with the Barangay Full
Disclosure Policy (BFDP)?
1
1.2. Innovations on revenue generation or exercise of corporate powers
MINIMUM REQUIREMENT
MEANS OF VERIFICATION
1.2.1 Increase in local resources in 2022.
YES
NO
Instruction: Put a check ✓ on the box that
corresponds to your assessment.
Barangay Budget Preparation Form 2 of 2021 and
2022
Total amount obtained from local resources in:
CY 2021:
CY 2022:
Percentage Increase:
REMARKS
PROCESSING OF RESULTS
YES
NO
Met the minimum requirement on
innovations on revenue generation or
exercise of corporate powers?
1.3. Approval of the Barangay Budget on the Specified Timeframe
MINIMUM REQUIREMENT
MEANS OF VERIFICATION
1.3.1
Presence of a Barangay Appropriation Ordinance approved on
or before December 31, 2021.
YES
NO
Instruction: Put a check ✓ on the box that
corresponds to your assessment.
Approved Barangay Appropriation Ordinance
Date of Approval:
Consideration: Approval until March 31, 2022
YES
NO
Instruction: Put a check ✓ on the box that
corresponds to your assessment.
PROCESSING OF RESULTS
YES
NO
REMARKS
Met the minimum requirement on Approval
of the Barangay Budget on the Specified
Timeframe?
1.4. Allocation for Statutory Programs and Projects as Mandated by Laws and/or Other Issuances
MINIMUM REQUIREMENT
MEANS OF VERIFICATION
1.4.1 With allocated funds for the following statutory programs and
projects:
YES
NO
Approved Barangay Appropriation Ordinance
Instruction: Put a check ✓ on the box that
corresponds to your assessment.
a. Senior Citizens (per R.A. 9994 and DBM
Local Budget Memorandum No. 82);
b. Persons with Disability (per R.A. 7277 and
DBM Local Budget Memorandum No. 82);
c. At least 20% of the IRA is allocated for
development programs (DILG-DBM JMC No.
2017-01);
d. At least 1% of the IRA/NTA for the
Barangay Council for the Protection of
Children (BCPC) per RA 9344;
2
e. At least 5% from total budget allocated for
GAD plans and programs per RA 9710.
PROCESSING OF RESULTS
YES
NO
REMARKS
Met the minimum requirement on
Allocation for Statutory Programs and
Projects as Mandated by Laws and/or Other
Issuances?
1.5. Posting of the Barangay Citizens’ Charter (CitCha)
MINIMUM REQUIREMENT
MEANS OF VERIFICATION
1.5.1
Barangay Citizens’ Charter posted at a conspicuous place. (e.g.,
barangay hall, market, transport terminal or multi-purpose hall)
YES
NO
YES
NO
Photo documentation of the Barangay CitCha (name
of the barangay should be visible)
Instruction: Put a check ✓ on the box that
corresponds to your assessment.
PROCESSING OF RESULTS
REMARKS
Met the minimum requirement on the
posting of Barangay CitCha
1.6. Release of the Sangguniang Kabataan (SK) Funds by the Barangay
MINIMUM REQUIREMENT
MEANS OF VERIFICATION
1.6.1 Compliance with Section 20 of the SK Reform Act of 2015 and
Item 3.2 of DBM-DILG-NYC JMC No. 1, s. 2019 dated January
23, 2019:
YES
NO
Instruction: Put a check ✓ on the box that
corresponds to your assessment.
1.6.1.1. If the barangay is with Barangay-SK
Agreement for the annual or semestral or
quarterly release/deposit:
MOVs for 1.6.1.1:
a) Copy of the written agreement; and
b) Proof of deposit reflecting the Account No./ Name
of Barangay SK (1 deposit slip for annual, 2 deposit
slips for semestral, 4 deposit slips for quarterly
MOV for 1.6.1.2:
1.6.1.2. If the barangay is without an
agreement with the SK, but with current
account:
a) 12 monthly deposit slips reflecting the Account No.
/ Name of Barangay SK
MOV for 1.6.1.3:
1.6.1.3. If the barangay is without SK Officials
or with SK Officials but no quorum and/or No
SK Bank Account:
a) Proof of transfer of the 10% SK fund to the trust
fund of the barangay such as deposit slip or Official
Receipt or corresponding legal form/document
issued by the city/municipal treasurer if the barangay
opted that the corresponding SK fund be kept as trust
fund in the custody of the C/M treasurer.
3
MOV for 1.6.2:
Presence of Approved Annual Barangay Youth Investment
1.6.2 Program (ABYIP) for CY 2022
(Applicable only for Barangays with 5 and above SK officials)
YES
Certification from the C/MLGOO on current number
of SK officials
Please supply information
Total Number of SK Officials:
NO
If with 5 and above SK officials:
Instruction: Put a check ✓ on the box that
corresponds to your assessment.
Approved Annual Barangay Youth Investment
Program (ABYIP) for 2022
REMARKS
PROCESSING OF RESULTS
YES
NO
Met all minimum requirements on Release
of the Sangguniang Kabataan (SK) Funds by
the Barangay?
1.7. Conduct of Barangay Assembly for CY 2022 (2nd Semester)
MINIMUM REQUIREMENT
MEANS OF VERIFICATION
1.7.1
Conducted the 2nd semester Barangay Assembly for CY 2022
( via any modality, i.e., online, face-to-face, hybrid).
YES
NO
Post Activity Report on the conduct of the 2nd
semester barangay assembly duly signed/approved
by the Punong Barangay (Annex D of DILG MC No.
2022-131)
Instruction: Put a check ✓ on the box that
corresponds to your assessment.
PROCESSING OF RESULTS
YES
NO
REMARKS
Met the minimum requirement on Conduct
of Barangay Assembly for CY 2022 (2nd
Semester)?
Core Governance Area No. 2:
Disaster Preparedness
2.1. Functionality of the Barangay Disaster Risk Reduction and Management Committee (BDRRMC)
MINIMUM REQUIREMENT
MEANS OF VERIFICATION
Established BDRRMC with its composition compliant to the
2.1.1 Provisions of NDRRMC, DILG, DBM, and CSC JMC No. 2014-01
YES
Executive Order or similar issuance creating the
BDRRMC compliant to composition requirements
covering CY 2022.
NO
Instruction: Put a check ✓ on the box that
corresponds to your assessment.
Approved Barangay Disaster Risk Reduction and Management
2.1.2 (BDRRM) Plan covering CY 2022
Date of EO or similar
issuance:
Approved BDRRM Plan CY 2022
Coverage Year:
YES
NO
Instruction: Put a check ✓ on the box that
corresponds to your assessment.
4
Allocation of 5% of the Estimated Revenue from Regular
2.1.3 Sources as BDRRM Fund
YES
NO
Instruction: Put a check ✓ on the box that
corresponds to your assessment.
Enacted Appropriation Ordinance
To compute % allocation for BDRRMF:
(BDRRMF Allocated / Estimated Total Revenue from Regular
Sources) x 100
Please supply the following information:
Estimated revenue
from regular sources:
Amount of BDRRMF
for FY 2022:
Percent-allocation
for BDRRMF:
2.1.4 Physical/Financial Accomplishment:
To compute Physical Accomplishment Rate:
YES
NO
Instruction: Put a check ✓ on the box that
corresponds to your assessment.
a. At least 50% accomplishment of the
physical targets in the BDRRM Plan
(Total number of activities/projects accomplished / Total number
of activities/projects reflected in the BDRRM plan) x 100
Please supply the following information:
% of programs, project, and activities are completed
Accomplishment Report
OR
b. At least 50% fund utilization of the 70%
To compute % utilization:
component of CY 2022 BDRRMF (Total Amount Utilized)/(Total Amount Allocated) x 100
Preparedness component as of December 31,
2022.
Please supply the following information:
Amount utilized (as of Dec. 31,
2022):
Amount allocated for LDRRMF
CY 2022 (Preparedness
component):
Percent-utilization
for BDRRMF:
Annual Report on the utilization of the LDRRMF
PROCESSING OF RESULTS
YES
NO
REMARKS
Met all minimum requirements on the
Functionality of the Barangay Disaster Risk
Reduction and Management Committee
(BDRRMC)?
2.2. Extent of Risk Assessment and Early Warning System (EWS)
MINIMUM REQUIREMENT
MEANS OF VERIFICATION
2.2.1
Conducted an activity in relation to Risk Assessment in the
barangay not earlier than 2019
YES
NO
Instruction: Put a check ✓ on the box that
corresponds to your assessment.
Post-Activity Report of activities such as Climate and
Disaster Risk Assessment, Participatory Disaster Risk
Assessment, BDRRM Planning, etc.
Please supply the following information:
Activity Title:
Date of Activity:
5
Photo documentation of the certified Barangay
Risk/Hazard Map
2.2.2 A certified Barangay Risk/Hazard Map
YES
NO
Instruction: Put a check ✓ on the box that
corresponds to your assessment.
Photo documentation of EWS for the top two (2)
hazards in the barangay
An established Early Warning System for at least the top two
2.2.3 (2) hazards present in the barangay
YES
NO
Instruction: Put a check ✓ on the box that
corresponds to your assessment.
TOP 1 Hazard:
TOP 2 Hazard:
PROCESSING OF RESULTS
YES
NO
REMARKS
Met all minimum requirements on the
Extent of Risk Assessment and Early Warning
System (EWS)?
2.3. Extent of Preparedness For Effective Response And Recovery
MINIMUM REQUIREMENT
MEANS OF VERIFICATION
Photo documentation of the permanent/alternate
evacuation center
A barangay must have a permanent or alternate evacuation
2.3.1 center
YES
NO
Instruction: Put a check ✓ on the box that
corresponds to your assessment.
Permanent evacuation center
OR
Alternate evacuation center
Please supply the following information:
Location:
Location:
A barangay must have the following disaster
2.3.2 supplies/equipment:
YES
NO
Photo Documentation of disaster supplies equipment
Instruction: Put a check ✓ on the box that
corresponds to your assessment.
a. Communication equipment (i.e., 2 way
radio,mobile phone)
b. Rescue vehicle/Barangay patrol
c. Generator set/alternative sources of
energy
d. First aid kit
e. Flashlight with batteries
f. Personal Protective Equipment (PPE)
PROCESSING OF RESULTS
YES
NO
REMARKS
Met all minimum requirements on the
Extent of Preparedness For Effective
Response And Recovery?
Core Governance Area No. 3:
Safety, Peace and Order
6
3.1. Functionality of the Barangay Anti-Drug Abuse Council (BADAC)
MINIMUM REQUIREMENT
MEANS OF VERIFICATION
Organized BADAC with its composition and appropriate
3.1.1 committees (Committees on Operations and on Advocacy)
compliant to DILG-DDB JMC No. 2018-01
YES
NO
Instruction: Put a check ✓ on the box that
corresponds to your assessment.
Established Rehabilitation Referral Desk with Designated Duty
3.1.2 Officer
YES
NO
3.1.4
NO
NO
NO
Transmittal of CIR (stamp received) to
CADAC/MADAC and Local PNP Unit
Instruction: Put a check ✓ on the box that
corresponds to your assessment.
3.1.6 Physical/Financial Accomplishment:
YES
Approved BADAC Plan of Action
Instruction: Put a check ✓ on the box that
corresponds to your assessment.
Submission of Consolidated Information Report (CIR) to
CADAC/MADAC and Local PNP Unit.
YES
Approved Barangay Appropriation Ordinance
Instruction: Put a check ✓ on the box that
corresponds to your assessment.
Approved BADAC Plan of Action covering 2022 as year under
review
YES
3.1.5
NO
EO or similar issuance establishing the Rehabilitation
Referral Desk
Instruction: Put a check ✓ on the box that
corresponds to your assessment.
3.1.3 Allocation of substantial amount for anti-illegal drugs initiative
YES
Executive Order or similar issuance creating the
BADAC with its composition and appropriate
committees (Committees on Operations and on
Advocacy)
Instruction: Put a check ✓ on the box that
corresponds to your assessment.
a. At least 50% accomplishment of the
physical targets in the BADAC Plan of Action
Annual BADAC Accomplishment and Fund Utilization
Report submitted not later than the 20th day of
January (stamp received) to the CADAC/MADAC
To compute Physical Accomplishment Rate:
(Total number of activities/projects accomplished / Total number
of activities/projects reflected in the BADAC Plan of Action) x 100
Please supply the following information:
% of programs, project, and activities are completed
OR
To compute % utilization:
(Total Amount Utilized)/(Total Amount Allocated) x 100
b. At least 50% fund utilization rate of the
PAPs in the BADAC Plan of Action
Please supply the following information:
Amount utilized (as of Dec. 31,
2022):
Amount allocated for BADAC
PAPs:
Percent-utilization:
7
PROCESSING OF RESULTS
YES
NO
REMARKS
Met all minimum requirements on the
Functionality of the Barangay Anti-Drug
Abuse Council (BADAC)?
3.2. Functionality of the Barangay Peace and Order Committee (BPOC)
MINIMUM REQUIREMENT
MEANS OF VERIFICATION
Organized BPOC through an Executive Order or Sangguniang
Barangay Resolution, with its composition compliant to the
3.2.1 provisions of EO 366 s. of 1996
YES
NO
Instruction: Put a check ✓ on the box that
corresponds to your assessment.
Approved Barangay Peace and Order and Public Safety (BPOPS)
Plan in accordance to DILG MC 2017-142 covering 2022 as year
3.2.2 under review
YES
NO
Executive Order or similar issuance indicating correct
membership in accordance to the EO 366 s. of 1996
Approved BPOPS Plan
Instruction: Put a check ✓ on the box that
corresponds to your assessment.
3.2.3 Physical/Financial Accomplishment:
YES
NO
Instruction: Put a check ✓ on the box that
corresponds to your assessment.
a. At least 50% accomplishment of the
physical targets in the BPOPS Plan
Accomplishment Report (in any format) submitted to
the C/M POC on the prescribed schedules (stamp
received)
To compute Physical Accomplishment Rate:
(Total number of activities/projects accomplished / Total number
of activities/projects reflected in the BPOPS Plan) x 100
Please supply the following information:
% of programs, project, and activities are completed
OR
b. At least 50% fund utilization rate of the
PAPs in the BPOPs Plan
PROCESSING OF RESULTS
YES
NO
To compute % utilization:
(Total Amount Utilized)/(Total Amount Allocated) x 100
Please supply the following information:
Amount utilized (as of Dec. 31,
2022):
Amount allocated for Peace
and Order PAPs:
Percent-utilization:
REMARKS
Met all minimum requirements on the
Functionality of the Barangay Peace and
Order Committee (BPOC)?
3.3. Functionality of the Lupong Tagapamayapa (LT)
MINIMUM REQUIREMENT
MEANS OF VERIFICATION
3.3.1 Organized Lupong Tagapamayapa
YES
NO
Appointment of the Lupong Tagapamayapa
Instruction: Put a check ✓ on the box that
corresponds to your assessment.
8
3.3.2 Systematic maintenance of records (record of cases)
YES
3.3.3
Instruction: Put a check ✓ on the box that
corresponds to your assessment.
For barangays of cities: Computer database
with searchable information
For barangays of cities: 2 photos with caption of the
computer database with searchable information
For barangays of municipalities: Manual
Records (Case Record Book) OR Digital
Record Filing (scanned copy of KP files)
For barangays of municipalities: 1 photo, with caption
on the manual and digital file
Conducted monthly meetings for the administration of the
Katarungang Pambarangay
YES
3.3.4
NO
NO
Instruction: Put a check ✓ on the box that
corresponds to your assessment.
Attendance of LT to KP training or seminar not earlier than
2019
YES
NO
NO
Certified true copy of any proof of training such as
Certificate of Completion and/or Participation (at
least 1)
Instruction: Put a check ✓ on the box that
corresponds to your assessment.
PROCESSING OF RESULTS
YES
Copies of minutes of meetings with attendance
sheets (at least 3 minutes covering meetings
conducted in 2022)
REMARKS
Met the minimum requirement on
theFunctionality of the Lupong
Tagapamayapa (LT)?
3.4. Organization and Strengthening Capacities of Barangay Tanod
MINIMUM REQUIREMENT
MEANS OF VERIFICATION
3.4.1 Organized Barangay Tanod
YES
NO
Instruction: Put a check ✓ on the box that
corresponds to your assessment.
Attendance of barangay tanod to necessary training not earlier
3.4.2 than 2019
YES
NO
Certified true copy of any proof of training such as
Certificate of Completion and/or Participation (at
least 1)
Instruction: Put a check ✓ on the box that
corresponds to your assessment.
PROCESSING OF RESULTS
YES
EO or similar issuance on the organization of the
Barangay Tanod covering 2022
REMARKS
NO
Met all minimum requirements on the
Organization and Strengthening Capacities
of Barangay Tanod?
9
3.5. Barangay Initiatives During Health Emergencies
MINIMUM REQUIREMENT
MEANS OF VERIFICATION
Organized Barangay Health and Emergency Response Team
3.5.1 (BHERT) with its composition compliant to the provisions of
DILG MC No. 2020-023
YES
NO
Instruction: Put a check ✓ on the box that
corresponds to your assessment.
Poster or tarpaulin containing the active telephone and/or
cellphone Numbers of the Barangay, Punong Barangay and
3.5.2
BHERT Members posted in conspicuous public places within
the barangay jurisdiction
YES
NO
YES
NO
EO or similar issuance on the organization of BHERTs
Photo documentation of poster and/or tarpaulin
Instruction: Put a check ✓ on the box that
corresponds to your assessment.
PROCESSING OF RESULTS
REMARKS
Met all minimum requirements on the
Barangay Initiatives During Health
Emergencies?
3.6. Conduct of Monthly Barangay Road Clearing Operations (BaRCO)
MINIMUM REQUIREMENT
MEANS OF VERIFICATION
Monthly BarCo Reports for October-December 2022
3.6.1 Conducted BaRCO on a monthly basis in 2022
YES
NO
YES
NO
Instruction: Put a check ✓ on the box that
corresponds to your assessment.
PROCESSING OF RESULTS
REMARKS
Met all minimum requirements on the
Conduct of Monthly Barangay Road Clearing
Operations (BaRCO)?
Essential Governance Area No. 1:
Social Protection and Sensitivity
4.1. Functionality of Barangay Violence Against Women (VAW) Desk
MINIMUM REQUIREMENT
MEANS OF VERIFICATION
Established Barangay VAW Desk and designated Barangay VAW
4.1.1 Desk Officer
YES
NO
Executive Order or similar issuance on the
establishment of Barangay VAW Desk and designated
VAW Desk Officer
Instruction: Put a check ✓ on the box that
corresponds to your assessment.
10
Attendance of the Barangay VAW Desk Officer to at least one
(1) training/orientation related to gender-sensitive handling of
4.1.2 VAW Cases not earlier than 2019
YES
NO
Instruction: Put a check ✓ on the box that
corresponds to your assessment.
Approved 2022 Barangay Gender and Development (GAD) Plan
4.1.3 and Budget
YES
NO
NO
NO
Monthly Accomplishment Reports for CY 2022
(October-December 2022)
Instruction: Put a check ✓ on the box that
corresponds to your assessment.
Updated database on VAW cases reported to the barangay,
4.1.5 with the following information at the minimum:
YES
Approved 2022 Barangay Gender and Development
(GAD) Plan and Budget
Instruction: Put a check ✓ on the box that
corresponds to your assessment.
Submission of Monthly Accomplishment Reports on the
incidence of VAW and violence against children (VAC) to
4.1.4 C/MSWDO and C/MLGOO within 10 working days of the
ensuing month (stamp received), pursuant to the Advisory
dated March 3, 2021
YES
Certified true copy of any proof of training such as
Certificate of Completion and/or Participation (at
least 1)
Updated database on VAW cases reported to the
barangay
Instruction: Put a check ✓ on the box that
corresponds to your assessment.
Total number of VAW cases received
Total number of cases documented for
violating RA 9262
Total number of cases documented for
violating other VAW-related laws
Assistance provided to victim-survivors
4.1.6 Physical/Financial Accomplishment:
YES
NO
Instruction: Put a check ✓ on the box that
corresponds to your assessment.
a. At least 50% accomplishment of the
physical targets in the GAD Plan
OR
b. At least 50% fund utilization rate of the CY
2022 GAD Budget
CY 2022 GAD Accomplishment Report
To compute Physical Accomplishment Rate:
(Total number of activities/projects accomplished / Total number
of activities/projects reflected in the GAD Plan) x 100
Please supply the following information:
% of programs, project, and activities are completed
To compute % utilization:
(Total Amount Utilized)/(Total Amount Allocated) x 100
Please supply the following information:
Amount utilized (as of Dec. 31,
2022):
Amount allocated for GAD
PAPs:
Percent-utilization:
11
PROCESSING OF RESULTS
YES
NO
REMARKS
Met all minimum requirements on the
Functionality of Barangay Violence Against
Women (VAW) Desk?
4.2. Access to Health and Social Welfare Services in the Barangay
MINIMUM REQUIREMENT
MEANS OF VERIFICATION
4.2.1 Presence of a Barangay Health Station/Center
YES
NO
Instruction: Put a check ✓ on the box that
corresponds to your assessment.
4.2.2 Appointment of Barangay Health Worker (BHW)
YES
NO
4.2.4
NO
NO
EO or similar issuance on the appointment of BNS
Instruction: Put a check ✓ on the box that
corresponds to your assessment.
Availability of health services in the Barangay Health
Station/Center (BHS/C):
YES
EO or similar issuance on the appointment of BHW
Instruction: Put a check ✓ on the box that
corresponds to your assessment.
4.2.3 Appointment of Barangay Nutrition Scholar (BNS)
YES
Photo documentation of the BHS/C
Instruction: Put a check ✓ on the box that
corresponds to your assessment.
Photo documentations of the operations of the
BHS/C
Barangay Issuances on the provision of health
services
a. Immunization
b. Maternal and child healthcare
c. Family Planning
d. Health Education
PROCESSING OF RESULTS
YES
NO
REMARKS
Met all minimum requirements on the
Access to Health and Social Welfare Services
in the Barangay?
4.3. Functionality of the Barangay Development Council (BDC)
MINIMUM REQUIREMENT
MEANS OF VERIFICATION
Organized BDC with its composition compliant to Section 107 of
4.3.1 RA 7160
YES
NO
EO or similar issuance organizing the BDC with its
composition compliant to Section 107 of RA 7160
Instruction: Put a check ✓ on the box that
corresponds to your assessment.
12
Conducted public hearings/ barangay assemblies for public
4.3.2 consultation
YES
NO
Instruction: Put a check ✓ on the box that
corresponds to your assessment.
Barangay Development Plan with BDC and SB
Resolutions adopting such
4.3.3 Approved Barangay Development Plan
YES
NO
Instruction: Put a check ✓ on the box that
corresponds to your assessment.
4.3.4 Physical/Financial Accomplishment:
YES
NO
Minutes (at least 2) of the public hearings/barangay
assemblies with attendance sheet
CY 2022 Accomplishment Report of the BDP
Instruction: Put a check ✓ on the box that
corresponds to your assessment.
a. At least 50% accomplishment of the
physical targets in the BDP
To compute Physical Accomplishment Rate:
(Total number of activities/projects accomplished / Total number
of activities/projects reflected in the BDP) x 100
Please supply the following information:
% of programs, project, and activities are completed
OR
b. At least 50% fund utilization rate of the CY
2022 BDP Budget
To compute % utilization:
(Total Amount Utilized)/(Total Amount Allocated) x 100
Please supply the following information:
Amount utilized (as of Dec. 31,
2022):
Amount allocated for PAPs in
the BDP:
Percent-utilization:
PROCESSING OF RESULTS
YES
NO
REMARKS
Met all minimum requirements on the
Functionality of the Barangay Development
Council (BDC)?
4.4. Implementation of the Kasambahay Law
MINIMUM REQUIREMENT
MEANS OF VERIFICATION
4.4.1
Kasambahay desk with a designated Kasambahay Desk Officer
(KDO)
YES
NO
Instruction: Put a check ✓ on the box that
corresponds to your assessment.
4.4.2 Maintenance/updating of Kasambahay Masterlist
YES
NO
YES
NO
EO or similar issuance designating a Kasambahay
Desk and a KDO
Updated Kasambahay Report Form 2 (Kasambahay
Masterlist) as of December 2022
Instruction: Put a check ✓ on the box that
corresponds to your assessment.
PROCESSING OF RESULTS
REMARKS
Met all minimum requirements on the
Implementation of the Kasambahay Law?
13
4.5. Functionality of the Barangay Council for the Protection of Children (BCPC)
MINIMUM REQUIREMENT
MEANS OF VERIFICATION
Organization of the Barangay Council for Protection of Children
4.5.1 (BCPC) with its composition compliant to the provisions of DILG
MC No. 2021-039
YES
NO
Instruction: Put a check ✓ on the box that
corresponds to your assessment.
Attendance of the Members of the Barangay Council for
Protection of Children (BCPC) to at least one (1)
4.5.2
training/orientation related to their functions not earlier than
2019
YES
NO
NO
4.5.5
NO
NO
NO
Updated Localized Flow Chart of Referral System
Instruction: Put a check ✓ on the box that
corresponds to your assessment.
4.5.6 Physical/Financial Accomplishment:
YES
Updated database on children
Instruction: Put a check ✓ on the box that
corresponds to your assessment.
Updated Localized Flow Chart of Referral System not earlier
than 2019
YES
Approved BCPC Annual Work and Financial Plan
(AWFP)
Instruction: Put a check ✓ on the box that
corresponds to your assessment.
Database on Children disaggregated by age, sex, ethnicity, with
4.5.4 or with disabilities, OSCY, etc. updated as of December 31,
2022
YES
Certified true copy of any proof of training such as
Certificate of Completion and/or Participation (at
least 1)
Instruction: Put a check ✓ on the box that
corresponds to your assessment.
4.5.3 Approved BCPC Annual Work and Financial Plan
YES
Executive Order or similar issuance on the
establishment Barangay Council for Protection of
Children (BCPC)
Instruction: Put a check ✓ on the box that
corresponds to your assessment.
a. At least 50% completion rate on PPAs in
the BCPC Plan
OR
b. At least 50% utilization rate of CY 2022
BCPC AWFP Budget
CY 2022 Approved Accomplishment Report on BCPC
Plan
To compute Physical Accomplishment Rate:
(Total number of activities/projects accomplished / Total number
of activities/projects reflected in the BCPC Plan) x 100
Please supply the following information:
% of programs, project, and activities are completed
To compute % utilization:
(Total Amount Utilized)/(Total Amount Allocated) x 100
Please supply the following information:
Amount utilized (as of Dec. 31,
2022):
Amount allocated for PAPs in
the BCPC Plan:
Percent-utilization:
14
PROCESSING OF RESULTS
YES
NO
REMARKS
Met all minimum requirements on the
Functionality of the Barangay Council for the
Protection of Children (BCPC)?
4.6. Mechanism for Gender and Development (GAD)
MINIMUM REQUIREMENT
MEANS OF VERIFICATION
4.6.1 Organized Barangay GAD Focal Point System
YES
NO
EO or similar issuance organizing the Barangay GAD
Focal Point System
Instruction: Put a check ✓ on the box that
corresponds to your assessment.
PROCESSING OF RESULTS
YES
NO
REMARKS
Met the minimum requirement on the
Mechanism for Gender and Development
(GAD)?
4.7. Maintenance of Updated Record of Barangay Inhabitants (RBIs)
MINIMUM REQUIREMENT
MEANS OF VERIFICATION
4.7.1 Updated RBI for two semesters of CY 2022
YES
NO
Accomplished RBI Form A of two semesters of CY
2022
Instruction: Put a check ✓ on the box that
corresponds to your assessment.
PROCESSING OF RESULTS
YES
NO
REMARKS
Met the minimum requirement on the
Maintenance of Updated Record of
Barangay Inhabitants (RBIs)?
Essential Governance Area No. 2:
Business Friendliness and Competitiveness
5.1. Power to Levy Other Taxes, Fees, or Charges
MINIMUM REQUIREMENT
MEANS OF VERIFICATION
Enacted Barangay Tax Ordinance pursuant to Sec. 129 of the
5.1.1 LGC
YES
NO
Instruction: Put a check ✓ on the box that
corresponds to your assessment.
PROCESSING OF RESULTS
YES
NO
Enacted Barangay Tax Ordinance
REMARKS
Met the minimum requirement on the
Power to Levy Other Taxes, Fees, or
Charges?
15
5.2. Compliance to Section 11 of RA 11032 of the Ease of Doing Business Law
MINIMUM REQUIREMENT
MEANS OF VERIFICATION
Enacted Barangay Ordinance relative to Barangay Clearance
5.2.1 fees on business permit and locational clearance for building
permit pursuant to DILG MC No. 2019-177
YES
NO
Instruction: Put a check ✓ on the box that
corresponds to your assessment.
Approved resolution authorizing the City/Municipal Treasurer
to collect fees for Barangay Clearance for Business permit and
5.2.2
locational clearance purposes pursuant to DILG MC No. 2019177.
YES
NO
Enacted Barangay Ordinance relative to Barangay
Clearance Fees on business permit and locational
clearance for building permit, in accordance with MC
No. 2019-177.
Approved resolution authorizing the City/Municipal
Treasurer to collect fees for Barangay Clearance for
Business permit and locational clearance purposes.
Instruction: Put a check ✓ on the box that
corresponds to your assessment.
PROCESSING OF RESULTS
YES
NO
REMARKS
Met all minimum requirements on the
Compliance to Section 11 of RA 11032 of the
Ease of Doing Business Law?
5.3. Issuance of Barangay Clearance not covered by DILG MC No. 2019-177 such as: residency, indigency, etc, within seven (7) working days
MINIMUM REQUIREMENT
MEANS OF VERIFICATION
Presence of a Citizens’ Charter on the issuance of barangay
5.3.1 clearance posted in the barangay hall
YES
NO
Photo documentation of the Citizens’ Charter on the
issuance of barangay clearance only (name of the
barangay should be visible)
Instruction: Put a check ✓ on the box that
corresponds to your assessment.
PROCESSING OF RESULTS
YES
NO
REMARKS
Met the minimum requirement on the
Issuance of Barangay Clearance not covered
by DILG MC No. 2019-177 such as: residency,
indigency, etc, within seven (7) working
days?
Essential Governance Area No. 3:
Environmental Management
6.1. Functionality of the Barangay Ecological Solid Waste Management Committee (BESWMC)
MINIMUM REQUIREMENT
MEANS OF VERIFICATION
6.1.1
Organized BESWMC with composition compliant to DILG MC
No. 2018-112
YES
NO
EO or similar issuance on the organization of the
BESWMC
Instruction: Put a check ✓ on the box that
corresponds to your assessment.
16
6.1.2
Approved Solid Waste Management Program/Plan with
corresponding fund allocation
YES
NO
Instruction: Put a check ✓ on the box that
corresponds to your assessment.
Attendance of BESWMC to necessary training relative to
6.1.3 promoting environmental protection, preservation and
awareness not earlier than 2019
YES
NO
NO
Certified true copy of any proof of training such as
Certificate of Completion and/or Participation (at
least 1)
Instruction: Put a check ✓ on the box that
corresponds to your assessment.
6.1.4 Physical/Financial Accomplishment:
YES
Approved Solid Waste Management Program/Plan
with corresponding fund allocation
Instruction: Put a check ✓ on the box that
corresponds to your assessment.
a. At least 50% completion rate on PPAs in
the BESWMP
OR
b. At least 50% utilization rate of CY 2022
BESWM Budget
Monthly Accomplishment Reports for 2022
To compute Physical Accomplishment Rate:
(Total number of activities/projects accomplished / Total number
of activities/projects reflected in the BESWMP) x 100
Please supply the following information:
% of programs, project, and activities are completed
To compute % utilization:
(Total Amount Utilized)/(Total Amount Allocated) x 100
Please supply the following information:
Amount utilized (as of Dec. 31,
2022):
Amount allocated for PAPs in
the BESWM Plan:
Percent-utilization:
PROCESSING OF RESULTS
YES
NO
REMARKS
Met all minimum requirements on the
Functionality of the Barangay Ecological
Solid Waste Management Committee
(BESWMC)?
6.2. Existence of a Solid Waste Management Facility Pursuant to R.A. 9003
MINIMUM REQUIREMENT
MEANS OF VERIFICATION
6.2.1
Presence of a Materials Recovery Facility (MRF)/ Materials
Recovery System (MRS)
YES
NO
Instruction: Put a check ✓ on the box that
corresponds to your assessment.
Established MRF operated by the barangay
For MRF operated by the barangay:
Photo documentation of the MRF/MRF Records of
the barangay
MRS
For MRS:
MOA with junkshop;
Mechanism to process biodegradable wastes;
MOA with service provider for collection/treatment
of special, hazardous, and infectious waste
17
Clustered MRF
For Clustered MRFs:
MOA with the host barangay (applicable for
barangay-clustered MRFs);
MOA or LGU document indicating coverage of
city/municipal MRF (applicable for barangays
clustered to the Central MRF of City/Municipality)
PROCESSING OF RESULTS
YES
NO
REMARKS
Met the minimum requirement on the
Existence of a Solid Waste Management
Facility Pursuant to R.A. 9003?
6.3. Provision of Support Mechanisms for Segregated Collection
MINIMUM REQUIREMENT
MEANS OF VERIFICATION
6.3.1
Ordinance or similar issuance on segregation of
wastes at-source
Enacted Barangay Ordinance or similar issuance on segregation
of wastes at-source
YES
NO
YES
NO
Instruction: Put a check ✓ on the box that
corresponds to your assessment.
PROCESSING OF RESULTS
REMARKS
Met the minimum requirement on the
Provision of Support Mechanisms for
Segregated Collection?
We hereby certify that all information contained in this assessment report are true and correct, and are correspondingly
supported by MOVs as reviewed by the undersigned.
City/Municipal Performance Assessment Team
Team Leader
Name and Signature of the Team Leader
Position/Designation of the Team Leader
Assistant Team Leader
Name and Signature of the Assistant Team Leader
Position/Designation of the Team Leader
Team Members
Note: Based on the EO re Creation of the CC/M PAT, please list down all the members using the following format:
Name and Signature of the Team Member
Position/Designation of the Team Member
18
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