QweAT OF Tp, sY OFFICIAL %, SRELEASEDY E Sloneture eww” Oat ea 2 $time OF - Repel o te Pilpins Hi ggacons seen DEPARTMENT OF THE INTERIOR AND LOCAL GOVERNMENT Memorandum Cieulat No. 2019-7 Date:_May 20, 2019 : LOCAL CHIEF EXECUTIVES, MEMBERS OF THE LOCAL TO SANGGUNIANS, MEMBERS ' OF THE LOCAL FINANCE COMMITTEES, DILG HEADS, AND DIRECTORS OF THE CENTRAL AND REGIONAL OFFICES/FIELD OFFICES AND. ‘ALL OTHERS CONCERNED SUBJECT : POLICY GUIDELINES AND PROCEDURES IN THE IMPLEMENTATION OF THE FY 2019 LOCAL GOVERNMENT SUPPORT FUND-ASSISTANCE TO MUNICIPALITIES (LGSF-AM) PROGRAM SU 1.0 2.0 3.0 40 BACKGROUND Local governments confront rising public expectations regarding the delivery of services, Despite more than two decades of implementation of Republic Act (R.A.) No. 7160 (Local Government Code of 1991), local governments stil face various challenges in the exercise of devolved service delivery functions. Foremost among these Is the raising of sufficient funds for local development, Part of the General Appropriations Act (GAA) under the FY 2019 Local Government ‘Support Fund (LGSF) is the Assistance to Municipallties (AM) Program, which seeks to equitably assist ell municipaities in the delivery of basic services by providing financial subsidy to municipalities for the implementation of their priority programs and projects, PURPOSE ‘This Memorandum Circular is being issued to prescribe the general policies and Procedures in the implementation of the FY 2019 AM Program and ensure that all concerned are able to abide by the policies, processes, and responsibilities it the ‘overall implementation of the Program, LEGISLATIVE COMPLIANCE testy Cognizant of the need to provide further support to the Municipaities to enable them to fully carry out functions devolved fo them, while at the same time, building their capacity towards genuine fiscal autonomy, the National Government (NG) has scaled Up its efforts to ensure meaningful devolution by providing a Local Government ‘Support Fund (LGSF) under the FY 2019 GAA, 1 COVERAGE OF THE PROGRAM ‘The Program shall cover 1,373 municipalities. As provided for in Paragraph 2 of Section 1-Assistance to Municipalities of the Special Provisions of the LGSF under the FY 2019 GAA, page 891, the projects to be funded under the Program are culled out 1/Pige dag qwo0*{rom the Local Development Investment Programs (LDIPs) of municipalities and shall be limited to: aa 42 43 44 45 46 ar 48 Local Access Roads, 1o include drainage system along existing roads, thal are ‘complisnt with DPWH standards Local Bridges Potabie Water System Projects Evacuation Center and Disaster Risk Reduction-related equipment ‘Small Water impounding Projects Rain Water Catchment Faciities Sanitation and Health Faciities ‘Municipal Drug Rehabiltation Faciity —_______80__DEFINMION OF TERMS For purposes of this Memorandum Circular, the following terminologies are used and defined as follows: BA 52 63 64 Aide Memoire ~ An official document (Annex S) thal summarizes the findings, recommendations, and agreements during the exit conferonce as a result of the project monitoring visit conducted by the DIL. Cortificate of Completion ~ A document issued by the Municipal Local Government Unit (MLGU) stating that the project has been satisfactorily completed in accordance with the Plans. and Specifications of the Contract ‘based on the Inspection Repart (Annex M-1) indicating no defectsideficiencies ‘observed, duly prepared by the MLGU Inspectorate Team. Certificate of Final Acceptance’ — A document issued by the Municipality ‘upon final acceptance of the works, alter the one-year Defects Liability Period and atter all defects, deficiencies and failures, if any, have been corrected and supplied, based on the Final Inspection Report, duly prepared by the MLGU Inspectorate Team, Dofocts Liability Period (DLP) ~ One (1) year after the project completion up to the Final Acceptance in accordance with Section 62.2.2 of the 2016 Revised IRR of R.A. No. 9184. In addition to the regular repairs done by the Contractor ‘during this period, at least wo (2) weeks before its expiry date, the project shall ‘again be inspected by the Inspectorate Team to determine any defects thereon, ‘Al discovered defects, if any, shall be repaired by the Contractor to the ‘satisfaction of the Inspectorate Team after which the Certificate of Final ‘Acceptance shall be issued to the Contractor by the MLGU. For projects funded ‘by the NG and implemented by a Local Government Unit (LGU), the latter shall bbe required to post the necessary warranty secuniy in accordance with Section 62 of RA 9164 and is IRR, Duly-Accredited Civil Society Organizations (CSOs) — Civil Society Organizations which have previous experience and participation in local planning. The accreditation shall be in accordance with the existing guidelines in DILG MC 2016-97 series of 2016, DILG MC 2018-89 series of 2018, and/or bby DILG which guidelines to be issued for the purpose, 2 [PageBr 68 Bat 542 513 Disaster Risk Reduction (DRA) - Related Equipment — A motor vehicle or fescue equipment/iools used for preparedness, immediate response, and rescue/elief operations during disasters and calamities. Evacuation Center —Refers to an enclosed building designed and constructed to protect people living in the locality during an emergency, especially during man-made disasters, such as fire, and natural disasters, such as typhoons, flooding, and earthquake, Geo-resistivity Survoy - A field survey that uses the geovesistvity meter 10 ‘know the subsurface layering of soll and rock formations and to determine the groundwator level of the study area, which shall be conducted before the preparation of Detailed Engineering. esign-and-shall form-part-of the MuGU— Counterpart Inspection Report A document that summarizes the narrative of the findings ‘of Inspectorate Team during inspection, including repair works done by the Contractor. It'na more defects/deficiencies are observed after punch- listing, use the latest Inspection Report as bass forthe issuance of Certificate of Completion. Final inspection Report— A document that summarizes the narrative of the findings of Inspectorate Team during the conduct of Final Inspection. It indicates defectsdeficiencies duly rectified by the Contractor after the one-year Defects Liablity Period (DLP), Ifdefects/deficiencies are stil observed and not rected after the DLP, use the Inspection Report instead of this form, Ina more defects/deficiencies are observed, this document will be the basis for the issuance of the Certificate of Final Acceptance. sctorate Team — Once the project reaches an accomplishment of ninety- five (86%) of the total contract amount, the procuring ently may ereate an Inspectorate Team fo make preliminary inspection and submit a punch-list 10 the contractor in preparation for the final turn-over ofthe project in accordance with Section 7 of Annex E of the 2016 Revised IRR of RA 9164 Local Access Roads — Under this Program, these are municipal and barangay roads that serve as the MLGU’s access to basic services, aide in the mobility (of products, goods and services, and improve the connectivity of the MLGU road network, Local Bridges ~ Under this Program, these are bridge components of ‘municipal and barangay roads, these may also include footbridges. Local Government Support Fund (LGSF) — Financial assistance to LGUs for the implementation of prioty programs and projects, as provided for in the FY 2019. GAA. ‘Monitoring — The method of collecting and analyzing information to determine: the program's development or prograss in reference to its overall objectives, ‘Monitoring outputs are used to come up with sound management decisions, 3|Page8A5 5.16 67 8.19 5.20 521 5.22 6.23 6.24 5.25 ‘Municipal Drug Rehabilitation Contor —A treatment and rehabilitation center Used exclusively forthe non-residential (oulpation) treaiment and rehabilitation of drug dependents, A Non-Residential Treatment and Rehabiltation Center is, a facilly thal provides diagnosis, treatment, and management of drug ‘dependents on an outpatient basi, Notice of Authority to Debit Account issued (NADAI) — A document issued by the Regional Bureau of the Treasury (Br) io the Municipality informing them that the subsidy has been deposited into the General Account of the MLGU, Notice of Defects/Deficiencios ~ A document isstied by the MLGU, signed by the Local Chief Executive (LCE), to officially notify the Contractor of the noted defacta/deficiencies and required corrective repair- works found during Punch listing. This document shall also be used to notify the Contractor of the noted ‘defectsideficiencies within the one (1) year DLP Office of Project Devolopment Sorvices — Assistance to Municipalities Project Management Offices (OPDS-AM PMOs) ~ Tho established three (3) sectoral offices under the OPDS of the DILG, namely 1) Water Supply and Senitation PMO; 2) Local Access Roads PMO, and 3) Disaster Risk Reduction and Other infrastructure PMO, which shall be responsible for the overall program management of AM. Potable Water ~The water that has passed the Potabilty Test Weter Quality Test, a6 certified by DOH, Potability TesWator Quality Test - Physical, chemical, and bacteriological ‘examinations of water from newly-constructed systems or sources before and during construction, before they are operated and opened for public use, and a regular periodic conduct of the same after completion as part of the project sustainably, Projects ~ The eliibie projects mentioned in Section 4 of these Guidetines. Projact Complotion ~ The 100% physical accomplishment of the works, or goods as per Contracvapproved Program of Works. The project is deemed ‘completed once the Certificate of Completion is issued by the MLGU. Project Implementation Team (PIT) ~ The team within the MLGU that is tasked to implement the project and ensure the quality and safety required for the project implementation. The PIT shall be led by the Municipal Engineer (ME) with, but not limited to, the following as members: the Municipal Accountant, the Municipal Treasurer, and the Disaster Risk Reduction ‘Management Officer (ORRMO), Project Management Office (PMO) ~ established in the DILG under the Office of Project Development Services (OPDS) which shall be responsible for the ‘overall program management of the projects. Project Monitoring Committee (PMC) ~ The team created or activated by the MLGU under the Municipal Development Council (MOC) that is tasked to ‘monitor the projects under the Program. a\rage60 5.27 628 5.30 31 6.32 533 534 Punch-listing ~ Conduct of preliminary inspection by the Inspectorate Team upon reaching 95% physical accomplishment. Rainwator Catchment Facility ~A sinucture used to collect, convey, and store fain water from the roof surface area of a government-owned facity for domestic use. It should have the four basio elements: () collection (catchment) ‘area, (2) conveyance system consisting of pipes and gutters; (3) storage facilly; and. (4) delivery system consisting ofa tap or pump, Regional Hubs (RHubs) ~ Regional water and sanitation (WATSAN) Hubs ‘composed of higher educational institutions (universities/eolleges), water districts, the private sector, and NGOs that will assist the DILG in the capacity building of the MLGUs ‘Sanitation and Health Facilities - Public sanitary and hygienic facities that ensure safe stool disposal, proper hand washing behaviour, and general hygiene practices in secured, government-owned properties, ‘Small Water impounding Project (SWIP) - A water harvesting and storage cearth-fil structure constructed across narrow valleys or depression afoas that consist of an earth embankment spillway, outlel works, and canal facilities, Undisbursed Funds ~ Actual amounts unspent or unpaid out ofthe budgeted amour. Water Source - Can elther be @ groundwater flow out of the ground, or withdrawing of water from underground aquifers, It should meet the quality and water demand (quantity) based on the minimum requirements of the water system. Water Source Validation — The confirmation of viability of water source in terms of quality and quantity 1o be developed for the intended beneficiaries which should be conducted during peak of dry season, WATSAN ({Wa8H) Council — The local oversight body on Water Supply, Sanitation and Hyglone (WaSHWATSAN) maitars ofthe whole locally. It ated serves as govemance and coortination body forthe implementation of WaSH at te local level GENERAL GUIDELINES 64 Fund 4 LGSF-AM FY 2019 GAA (R.A. No. 11260) ‘The amount of Eleven Billion Seven Hundred Fourteen Mion One Hundred Thirty-Three Thousand Pesos (Php! 1,714,133,000,00) is National Subsidy to Municipailies appropriated under the Local Government Support Fund-Assistance to Municipalities (LGSF-AM) Program pursuant to Paragraph 1 Section 1 of tha Special Provisions ‘under the LGSF of the FY 2019 GAA. s|rere624 622 .2 Fund Allocation ‘As specified in Paragraph 1 Section 1 of the Special Provisions of the LGSF in the FY 2019 GAA, budget allocation for Municipalities is, determined based on equal share, fiscal capaclty, per caplta share, and share for good performance. LGU Counterpart ‘The MLGU shall put up cash counterpart to be deposited into the Trust Account with a government bank for the following cases, equivalent to: B24 624.2 62.14 {the cost forthe preparation of he DED forthe Design and Suid ‘Scheme, prior 10 the issuance of the Notarized LGU Cetiiction for Fund Release (Annex A of these Guidelines); the difference between the total project cost and the subsidy ‘oceived by the MLGU for the project, pror to the issuance of the Noterized LGU Certification of Complance to Project Implementation (Annex E of these Guidelines); the amount for the remaining works of cancelled projects ferred to in Section 8.0 of these Guidelines, which is also ‘equivalent to the reverted amount mentioned in Section 8.4.8, ‘por o the submission of the Notarized Aficavit of Undertaking (annex R of these Guidelines), and the amount for the remaining works to complete tho project when the project has commenced but isnot physically ‘competed by 31 December 2020, within six (6) months after the expiration of the fund validity. The MLGU shall make available funds to finance, bul not limited to, the following: 224 All expenses incurred in the conduct of preliminary activities, Such a, but not limited to; |. Social Preparation; )- Community Consultations; ‘Securing clearances and permits; Feasibility study/project proposal preparation, Surveys (e.g. Geo-resistivily, Road Surveys, ete); Dotailed Engineering Design (DED) preparation; Procurement actives; . Water driling explorations; and Pump test, wator quality test. ‘Administrative costs in the supervision and monitoring of the project during implementation, such a, but not imited to: a. Travelling expenses and rental of vehicles for project monitoring; eirage6223 6224 8.3 Fund Release ‘The release of funds under the Program shall be subject to the ‘compliance of the concemed MlLGUs with the following concitions: 634 e344 63.42 Hiting of Project Engineers (i current manpower is not sufficion); Office supplies and mater Communication expenses; ‘Web development and maintenance; and Installation of Community Billboards (Annex |) to be installed in the premises of the Municipal Hal, Expenses in attending tranings/meetings/workshops related to project implementation Expenses in the implementation of action plans as agreed upon after the said activites, including, but not limited to: ‘a. Conduct of Actual infra-Audlt; and b. Geotagging of Projects and inventory of Local Infrastructure Projects, ‘The requirements of the DILG Good Financial Housekeeping (GFH); ‘The requirements of the DILG Local Development Council (LDC) Functionality Assessment, Assessment of Public Financial Management (PFM) systems and adoption of the corresponding PFM improvement measures; and ‘Submission of Notarized LGU Certtication for Fund Release (Annex A of these Guidelines) prepared by the Municipal Engineer (ME) and Municipal Planning and Development Coordinator (MPOC), signed by the LCE attesting that: 2. The site of the project has no land ownership and Right- of-Way (ROW) problemslissues; b, The project is not located in the "No Build Zone" and hazard prone area as determined by the Minos and Geosciences Bureau Hazard Map. or engineering ‘mitigating measures has been included in the design to ‘adress the potential problem ; and &. For water supply, the water source has been validated by the ME and found tobe feasible to supply water to the lmended beneficiaries and potable for drinking or ‘mitigating measures have been included in the design to make the water potable. Copy of the Source Validation Report (SVR) shal! be attached to Annex A as an integral ppart thereof, format shall be in conformance with the 7pPaKe632 638 634 637 ‘equired template herein refered to.as Annex At and shall be prepared and signed by the ME. Consistent with unnumbered Memorandum dated March 11, 2019, the deadline for submission by the MLGU to DILG-RO of the request for post-assessment to comply with LOC Functionality shall be unti 5:00 In the afternoon of 28 June 2018, ‘Compliance with the governance conditions - GFH, LOC, and PFM, as ‘mentioned in Sections 6.3.1.1, 6.3.1.2, and 6.3.1.3, shall be until 31 ‘July 2019. Likewise, submission of documentary requirements by the MLGU to the DILG thru channel forthe release of fund shall be unt 9 August 2019, ‘The submission of the Notarized LGU Certification for Fund Release (Annex A) shall be through DILG channel. The Provincial Director (PD) shall recommend to Regional Office (RO) the list of MLGUs with ‘Notarized LGU Certification for Fund Release. The RO, through the Project Development and Management Unit (POMU), shall validate ‘and confirm the veracity of the Certifications within five (5) working ‘days alter receipt of the endorsement of the PO. Upon validation and confimation, the DILG-RO shall endorse to the Office of the Undersecretary for Local Government (QUSLG), through the Office of Project Development Services (OPDS), not later than 5:00 In the afternoon of 16 August 2019 using Annex B and Annex B.1 ‘The endorsement shall include the scanned copies of the Notarized LGU Certification for Fund Release (Annex A of these Guidali stipulated in Section 6.3.1.4, For water supply, Source Validation Report shall be attached. The DiLG-Central Office (CO), through the Office of Project Development Services (OPOS), shall review The List of ‘Municipalities Eligible for Fund Release submitted by the ROS, Including the projects to be funded and thelr corresponding cost (per project), and subsequently recommend to the Secretary of the Interior ‘and Local Government (SILG), through the USLG, fo endorse the validated lst to the Department of Budget and Management (DBM), Endorsements for fund release, which are not jn accordance with Section 6.3.5, shall not be endorsed to DBM, ‘The DILG-CO shall disseminate to the DILG-ROs the validated List of Eligible Municipalities endorsed to DBM. The DILG-RO shall issue Notice of Eligibility (Annex C) to the concermed Municipalities Informing them of their eligibility to receive the fund allocation for their approved projects, and advising them of the documentary requirements for submission to the concerned DILG-RO through the ‘Municipal Local Government Operations Officer (MIGOO). The Notice ‘of Elighilty shall serve as the inital notification prior to the receipt of the NADAL Upon receipt of the Notice of Eligibility (Annex C), the Municipal “Treasurer shall regularly monitor whether the funds intended for their BlPage63.10 approved projects have been deposited into their General Fund Account by the 8, through the issuance of NADA\, “The procedure forthe release of fund from DBM through the BT to the ‘Municipalities shall be in accordance with the established procedures. ‘of DBM and BTr, The BTr will furnish copies of NADA\ to the DBM, COA-Regianal Offices, and DILG-OPDS and Regional Offices (ROs) ‘concerned, as woll as the Local Auditors in-charge of the ‘Municipalities, 64 Fund Management ead 642 643 a4 646 Pursuant tothe General Provisions ofthe FY 2019 GAA, the fund shall bbe used exclusively fr the AM Projects and shall be used exclusively inthe idontiiod LGUs “The amount released to the Municipalities shall be recorded as Trust Fund to be used for its specified purpose. Moreover, the Municipality shall maintain a separate subsidiary ledger for each project to record ‘each transaction. Funds which are undisbursed, s mentioned in ‘Section 6.4.8, shall be reverted to the BT. Within 30 days reckoning from the date of the NADA, the Municipality, through the Municipal Treasurer, shall confirm with the DILG-RO, through the DILG-Provincial Office (DILG-PO) and concerned MLGOO, that the funds have been transferred from the General ‘Account to the Trust Fund Account intended for the project, using the template shown under Annex D (Municipality's Confirmation on the Receipt of FY 2019 AM Fund) hereot, ‘The Municipality shall exclusively utilize the fund for its intended purpose as indicated in the NADA and in accordance with the existing government budgeting, procurement, accounting and auditing laws, fulles and regulations, Implementation of and payments for infrastructure projects to extend ‘until December 31, 2020, in accordance with lem V, page 985, Cash Budgeting of the President Veto Message on the R.A. No. 11260 (FY 2019 GAA), Prohibited Use of Funds The AM Fund shall not be used: 6.4.8.1. For any purpose othr than the projects to which the fund ‘was released not spectied in the NADA; 4.6.2 To fund projects already covered by other funds; and 6.4.6.3 For the payment of Personal Services? expenditures ( Payment of salaries, including honoraria, allowances, ‘eo Ln Gon ze 14 Stra msmarestan Gens een lich rq cl Rove WR 188ar 8.48 bonuses, and similar forms of compensation) and all other items indicated in Section 6,2.2 of these Guidelines, The Municipality may use the difference between the Approved Budget for the project and Contract Price to finance Variation Orders for the. ‘saine project, subject to Section 6.5.6.4 of this MC. Variation Order ‘mentioned herein strictly refers to the Variation Orders as defined and a allowed in llem 1 to 3, Annex E*, of the 2016 Revised Implementing Rules and Regulations of R.A. No. 9184, Reversion of Funds ‘The Municipality shall be responsible forthe folowing Consistent with Paragraph 2 Section 6 of the Special Provisions of the LGSF under the Allocations to Municipaities in the FY 2019 GAA R.A. No. 11260, any undisbursed funds after 31 December 2020, shall be raverted to the BT by tho recipient Municipalities. {6.4.8.2 In case of non-completion of projects by 31 December 2020, the MGU shall issue a Notarized Affidavit of Undertaking (Annex R), signed by the LCE, for the folowing: ‘2. Allocate local funds equivalent tothe reverted amount for the remaining works in accordance with Section 6.2.1.3, of this MC; Complete the project not later than the date agreed upon by the MLGU and the concerned DILG-R . Submit Project Completion Report (Annex K) within 30 Calendar days to DILG-RO through the DILG-PO afer the issuance of Certificate of Completion; and 1, Assume accountability and lability under applicable laws fand issuances in case of non-compliance with this Undertaking, For completed projects, the Municipality shall revert othe Bir the undisbursed funds after the Final Paymnent as recognized by the Municipal Accountant within the fiscal year. 6.4.8.4 |, at any point in time before the lapse of the fund valiity period of 31 December 2020, the Municipality determines thatthe funds cannot be disbursed (e.9, when the program or project cannot be implemented for any reason or the same thas been funded from other sources), the total amount received by the Municipality for the project shall be ‘immediately reverted to the BT. 64.8.5 The DILG-RO shall demand MLGUs, ater substantial ‘notification and documentation, to revert the funds equivalent to the remaining works for specific project/s which have received the Notice of Project Cancellation (Annex P) and 10)Pagehhave continually digressed conformance to any or all of provisions of these Guidelines. In case of cancellation of on-going projects, the MLGU shall issue Notarized Affidavit of Undertaking using Annex R. ‘The DILG-RO shall immediately deny requests and demand the immediate reversion of funds for the following situations: ‘a. Request for reslignment because the proposed project has been funded from other sources; b, Request for change of project type o.g. Potable Water ‘Supply System project o Local Access Road project; Request for change of location of project ether than those indicated in the NADAN, 4d, Request for realignment of funds to a new project fe, Request for spiiting of funds to accommodate two or ‘more projects or locations; and Request for merging of funds released for two or more ‘Projects to finance the implementation of only one project 2,9. funds released for Water System for Barangay A and Barangay B, and proposed to be used only for Barangay ‘Aor only for Barangay B. For any reversion of funds, the Municipal Accountant shall Initiate the preparation of vouchers and the Municipal ‘Treasurer shall cause the remittance of the undisbursed funds to the BTr, ‘The Municipality shail provide copy of the said transaction within fileen (18) calendar days to DILG-RO through DILG- PO and concemad MLGOO. .5 Project Implementation 64 Pursuant to Section 27 of the General Provisions of the FY 2019 GAA, {he following requirements shall be observed in the implementation of infrastructures projects: aa 65.1.2 ‘The locations, areas, or sites ofall nfrastructure projects are ot included in the ertical geo-hazard areas or no buikl zones. identified or certified by the Mines and Geo-Sciences Bureau (map); ‘The standards of construction, rehabiltation, improvement, Ot repair of all infrastructure projects in all areas and zones. ‘consistent wit the rules determined by the DPWH, which ‘shall consider, among others, the structural strength and limite resilience requited for infrastructure projects in all areas and zones; and ure65.2 65.3 664 6.6.1.3 The planning and construction of all nfrastructure projects to be implemented within the National integrated Protected ‘Area System (NIPAS) are done in a way that eliminates or ‘minimizes the risk of biodiversity loss while the specifications thereon are in accordance with those ‘determined by the DPWH, in coordination wih the DENR. Major infrastructure projects may only be undertaken in said areas if intended to ‘enhance biodiversity. The DPWH and all other agencies shall take into account climate risk information and green building standards to be issued by the Climate Change Commission (CCC) in the planning, identification of site, design, ‘constuction, engineering and renovation of government buildings and facilities, including schools and hospitals ‘The Mayor, a8 the LCE of the Municipality, shall be accountable forthe ‘overall implementation of the projects, ‘The Municipal Engineer shall ensure that the Detailed Engineering Designs (DEDs), Program af Works (POWs), technical specifications, ‘and construction of projects are in accordance with the AM Project ‘Menu, NG standards, relevant provisions stipulated in the FY 2019 GAA (Annex V) and within the range of costs of materials, labor, ‘equipment, etc., and project duration of similar projects being Implented by @ National Government Agency (NGA) i ho same o Preparation and Submission of Documentary Requirements as Pro-roquisite to Procurement (prior to Award of Contract) 6.5.4.1 Within two (2) months reckoning from the date of the NADA, ‘except for Potable Water System Projects which will be three (3) months, the MLGU shall submit to DILG-RO, through DILG-PO and concerned MLGOO, the following: 8. Notarized LGU Certification of Compliance to Project Implementation (see template under Annex E-1 to ‘Annex E-9 hereo!) prepared by the ME and MPDG, and signed by the LCE. ‘The MLGU may submit @ separate LGU Certification of Compliance to Project Implementation for each type of project. b. Project Implementation Schedule, including procurement. timelines, prepared by the Municipal Engineer and approved by the LCE, using the template ‘under Annex F-2 (Pro-forma implementation Schedule) hereof, in accordance with the Maximum Prescribed Timelines (Annex F-1), ‘The approved Annex F-2 shall be submited together with Annex £1 to Annex E-9, A revised Annex F-2 shall be submitted for any change in the duration of project implementation, 2|Pape‘The Notarized LGU Certification of Compliance to Project Implementation shall attest the following: For infrastructure projects: a, The DED and POW have been prepared and ‘proved in accordance with the AM Project Monu (Annex W), NG standards and relevant provisions of the GAA (refer to Annex V) and other applicable laws and issuances. ‘The approved DED and POW shall be attached to this Certification (Annexes E-4 10 E9, 9 may be applicable) ». In the case of Design and Bulld Scheme, the MLGU ‘shall comply with the requirement of Section 7 of ‘Annex G of the Revised IRR of R.A. 9184, otherwise: known a6 the Guidelines for the. Procurement and Implementation of Contracts for Design and Build Infrastructure Projects, ©. All bidding documents have been completed and the MLGU is ready to proceed with publication of Invitation to Bid/Advartisement (ITBVAG) d. AS may be applicable, Environmental Compliance Certiicate (ECC\Certiicate of Non—Coverage (CNC), National Commission on the Indigenous People (NCIP), Water Permit and other permit applications have been submitted to the agencies cconcemed, with dates of submission specified ©. As may be appicable, pursuant to Section 96 of the General Provisions of the FY 2018, alteration, renovation oF demeition of goverment buildings and ‘pen spaces decored or presumed to be important Cultural properties by goverment cultural agencies oncored approval shall be undertaken only upon Prior approval of the said government cltiral agencies and proper consultation with stakeholders ‘and cultural groups tobe administered bythe NCCA, Tis includes the protection of the sight ine with Fegard to buld herage, cultural propertes. ‘and cultural landscapes. {Project Specific Requirements are stipulated in ‘Annexes E-1 10 E-9, 9, Municipal funds shall be made available under thelr 20% Annual Investment Program (AIP) for the maintenance, repairs and insurance, where applicable, once the project is completed,6.6.4. 6.5.44 hh, There is a Project Monitoring Committee (PMO) ‘created of activated in the Municipality that is tasked to monitor the projects under the Program, among others, (Any undisbursed furids shall be remnitied tthe BT, pursuant to Section 6.4.8 of the AM Implementation Guidelines. j. The MLGU commits ancl binds itl to comply with sll the provisions of the Project implementation and ‘Monitoring Guidelines. ‘The abovementioned documents shall be made available to: the DILG during field monitoring visits andlor as may be Fequested. Any failure on the part of the MILGU to present the ‘above documents shall be grounds for possible dlaqualfeation or negbly in accessing the NG assistance inthe future, Conduct of procurement prior to the submission of project documentary requirements mentioned above shall be ‘considered as non-compliance with these Guidelines and ‘may be considered as ground for sanction as stipulated in Section 0.0 of these Guidelines. 8.5.5 Procurement by the MLGU 6.5.5.4 Pursuant to Section 19 of the General Provisions of the FY 2019 GAA, all agencies of the government shall strictly adhere to the provisions of R.A, No. 9184, its IRR, and GPPB. ‘guidelines in the procurement of goods, infrastructure projects, and consuling services, To promote transparency and achieve efficiency in the procurement process, the Philippine Government Electronic Procurement System (PRIGEPS) shall be the primary and repository of information on government procurement. All project procurement shail be through competitive bidding, n strict compliance with the provisions of R.A, No, 9184 (Government Procurement Reform Act) and its 2016 IRR and GPPB Guidelines. The Municipally shall lise the latest standard bidding documents, 5! Edition, {or procurement of works issued by tha GPPB which can bbe accessed at wiew.appb.gov.ph, b. The Bids and Awards Committee (BAC) shall ensure thatthe following are included inthe Bidding Documents: |. The winning bidder shall comply with the exsting labor laws and standards, specifically the submission of the approved Application for Construction Safety and Health Program (CSHP), in compliance with R.A, 11058 (An Act Strengthening 14 [Page6.5.5.2 65.54 6.5.5.5 Compliance with Occupational Sefety and Health Standards Providing Penalties for Violations Thereof) and the Deparment of Labor and Employment (OOLE) Depariment Order No, 13; and |i."The Contractor shail submit the Statement of Works ‘Accomplished (SWA) monthly, 6. Incase of two (2) failed compettive biddings, the MLGU ‘may resort to an altemative mode of procurement 4d. In the event of a failed bidding, the Bids and Awards Comnmitiee (BAC) shall conduct a mandatory review and evaluation of the terms, conditions, and specifioatons in the Bidding Documents, inchiding i's cost estimates. fe. The MLGU shall invite @ representative of @ duly ‘accredited CSO, in accordance with the Special Provisions of the FY 2019 GAA, to observe in the procurement process, The MLGU may also invite the ‘concerned MLGOO, The MLGU shall include as a provision of the Contract ‘Agreement the submission of monthly Statement of Works ‘Accomplished (SWA) (Annex T) by the Contractor, to ensure ‘submission thereof The MILGU shall cause the winning bidder to comply with R.A. No. 11058 and Department of Labor and Employment (DOLE) Department Order No. 13, ‘The MLGU shall cause the winning bidder to post the Performance security consistent with Section 39 of the Revised IRR of R.A, 9184, In reference to Section 37.4.1 of the 2016 Revised IRR of RA. 9184, tho Municipality shall ensure that the Notice to Proceed (NTP) is issued and duly received by the successful bidder within seven (7) calendar days from the date of approval of the Contract. ‘The Municipaity shall provide an electronic or hard copy of the duly received NTP to DILG-PO, through the concerned. ‘MLGOO, within seven (7) calendar days from the date of ‘receipt by the Contractor of the NTP. 'Non-submission of the copy of the NTP shall be considered as non-compliance and may be considered as grounds for Sanction as stipulated in Section 9.0 ofthese Guidelines. The DILG-PO shall reflect in the SubayBAYAN platform (hitpssubaybayan.dig.gov.ph) the date of receipt by the Contractor as the Project Start Date, 15|PanePursuant to GPPB Resolution No. 39-2017, the MLGU shall submit thelr Agency Procurement Complianco Performance Indicators (APCPl) Assessment to GPPE. and inform the DILG, through channel, oftheir submission, 8.5.6 Project Execution 65.64 Adherence to National Government Standards and Policies 14.4. ‘The Municipality shall abide by the standards and policies set by the NG, including the AM Project Menu, which-are-applioable-to-all-phases- of Project preparation and implementation 85, 8..6.1.2 The DILG-RO shall ensure that these standards and policies are considered during appraisal and are being observed during actual implementation by the MLGU, ‘The Mayor, as the LCE of the Municipality, through the Office of the Municipal Engineer, shall have the primary responsibility in ensuring the quality of works and that the implementation ofthe project shall be in accordance with the ‘approved designs, plans, and specifications consistent with the relevant provisions of applicable avs, circulars, and ‘issuances. The Mayor, as the LCE of the Municipaity, shall create or mobilize the existing PIT, led by the ME, which shall be responsible in providing supervision. inthe project, Implementation, The ME, 2s head of the PIT, shall be accountable in ensuring thal each project will be completed. fn time and within the contract cost, based on the approved plans and specifications, adhering to National Standards in design and quality of workmanship. Without relinquishing responsibilty, ha ME may assign a Project Engineer in each project 1o supervise the day-to-day activities in the project site, ‘The responsibilities of the ME, through the Project Engineer, include, but are not limited to, the folowing: ‘a. Supervise regulatly the progress of work: 'b, Cause the Contractor to submit request for inspection prior to any concrete pouring works using the pro-forma: for work request andlor concrete pouring. (Annexes G-1 106-3) ‘+ Two (2) days prior to the start of every major activity; and 16 |Page+ One (1) day prior to the concrete pouring of every major activity. Be present during the actual construction activities ‘mentioned in item (b). The list of major activlies for every project type is shown in Annex H; Verity and check the quantities of tems of work; ‘accomplished by the Contractor as against the approved plans, specifications, and programs of work and Immediately notify the Contractor of any observed deficiencies; Verify and check the quality of workmanship of the Contractor as against the approved plans, specifications, immediately nolify the Contractor of any observed deficiencies; ‘Verify and check whether quality control plan is observed, ‘qualily tests are conducted, and construction logbook is maintained at the project site, and immediately notify the Contractor of any observed deficiencies; |. In-case of any observed deficiencies during construction, Issua Site Instruction (Annex 1.) to the Contractor for ‘rectification; |. Initiate regular coordination meetings with the Contractor toaddiess all pending issues and concerns regarding the project; Cause the Contractor to submit monthly Statemont of Work Accomplisned (SWA) (Annex 7). If project Is By Administration, prepere the SWWA; ‘Verity and recommend for approval of SWA submitted by the Contractor. if there is variance between the actual work accomplished and the SWA, notify the Contractor; Review and recommend for approval the progress and final bilings of the Contractor, Securecompile records of project (ie, photographs taken before, during and after), as-staked, as-bil drawings of the completed projects, test results, work request, concrete pouring. permit, weather charts, end other pertinent documents relaied to project implementation, ‘and make available during inspections or as requested; Ensure that the Contractor submits a Certificate of ‘Compliance as provided for in Section § of R.A. 8885; and Provide project status report to the MLGOO for the data needed to update the SubayBAYAN platfonn. [PageVariation Order a. Any variation order shall stricly comply with Annex E (Contract Implementation Guidelines for he Procurement Of Infrastructure Projects) of the 2016 Revised IRR of RA, No. 9184, and the provisions of the Contract. Any vatiaion order and contract time extension shall be approved by the LCE b. Ifthe variation order wil require additional cost, the said amount shall be charged against the unutilized allocation Which refers to the difference belween the approved allocation for-the project against the. approved contract ‘amount Ifthe variation order exceeds the approved allocation for the project, the Municipality shall provide the required ‘additional funds. 4. The Munioipaity shail inform the concemed DILG-RO, through the OlLG-PO and the concerned MLGOO, of any approved variation order and contract time extension, all ensure that all related documents are readily ‘available during monitoring by DILG personnel and/or as may be requested, ‘The MLGU shall ensure that: 18, There is a valid Contractor's Letter of Credit or guarantee Instrument equivalent {0 the balance of the advance payment not yet recouped; , The Contractor's All Risk Insurance is valid throughout the approved project duration, including time extension, ‘and &. The performance security by Contractor is validlupdated within the approved project duration including approved time extension, Termination of Contract Consistent with the Guidelines of Annex | of the Revised IRR of R.A. 9184, the MLGU may terminate the contract when any ‘ofthe following conditions attend its implementation: 8.5.6.6.1 For infrastructuro projects: a) Due to the Contractor's fault and while the project is on-going, it has incurred negative slippage of fiteen percent (16%) or more in accordance with Presidential Decree 1870; 18 [Pane) Due to the Contractor’s fault and after the contract time has expired, it has incurred. a negative slippage of ten percent (10%) or more Inthe completion ofthe work; of ©) The Contractor: |. abandons the contract works, refuses or fails to comply with a valid instruction of the Procuring Enlily of falls 10 proceed expeditiously and without delay despite 3 ‘ttten notice by the Procuring Entity; ji does not actually have on the project site the ‘minimum essential equipment listed on the Bid necessary to prosecute the Works in ‘accordance with the approved work plan and ‘equipment deployment schedule as required forthe project, li does not execute the Works in accordance with the contract or persistently or flagrantly neglects to carry out is obligations under the ‘eantract |v. neglects or refuses to remove materials or to perform a new work that has been rejected fs defective or unsuitable, or V. ‘sub-ets any part of the contract works without approval by the Procuring Entily .2. For contracts for Goo ‘The Procuring Entily shail terminate 3 contract for default when any of the following conditions attend its implementation: Oulside of force majeure, the Supplier fails to liver or perform any or ail fhe Goods within the period's specified in the contract, oF within any extension thereof granted by the Procuring Enity pursuant to @ request made by the ‘Supplier prior to the delay, and such failure ‘amounts to at least ten percent (10%) of the contract price; 'b, As a result of force majeure, the Suppliar is tunable to deliver or perform any or all of the ‘Goods. aimounting to atleast ten percent (10%) ff the contract price, for @ period of not less than sixty (60) calendar days after receipt ofthe tice from the Procuring Entity stating thatthe 19) Paw5.6.41 6.56.12 5.5.6.13 5.615 sicurnstance of force iiajoure is deemed to have ceased: or . The ‘Supplier fails to perform any other ‘obiigation under the Contract Blachlisting of tho Contractor Upon termination of the contract due to the fault of the Gontractor, the MLGU shall immediately blacklist the Contractor in accordance with Appendix 17 of the Revised IRR of R.A. 9184, on the Uniform Guidelines for Blacklisting ‘of Manufacturers, Suppliers, Distibutors, Contractors and ‘Consultants 2S ‘The Municipality, through the LCE, shall ensure that there is 2 Maintenance Plan after the completion of each project Including the required provision to implement the said pian. {in case of delay in the implementation of the project, the Municipality shall be guided with the provisions stipulated in RA 9184 and DILG MC 2018-104, Jn case the Contractor fais to complete the work within the specified contract duration and any approved time extension, the Municipality shall impose liquidated damages in ‘accordance with Annex E of the 2018 Revised IRR of R.A. No, 9184, Tha Municipality, through the PIT, shall inform the DILG- ROIPO that the project has been substantially completed (95%), ‘The Project is deemed physically completed once the ‘Municipality issues a Certificate of Completion (Annex N-1), Upon issuance of Certicate of Completion, the Municipality shall prepare, within thity (90) calendar days, the Project Completion Report and submit the same to the DILG-PO. through the MI.GOO, Tne MLGU shail ensure thal the warranty securily by the Contractor is validlupdated throughout the warranty period, The MLGU shall ensure that the ton percent (10%) Retention Money I withheld to cover all defects and deficiencies, including maintonanco casts for one (1) yoor after proyeck completion, An altematve to the ten percent (1056) fal retention would be the posting ofthe Warranty Secunly. as stipulated in Section 62 ofthe Revised IRR of R.A. 9184, ‘Tho Municipalty shail issue a Cortifcate of Final Acceptance (Annex N-2) after the one-year Defects Liabilly Period, and after all defects and deficiencies any, have been corrected,17 From Final Acceptance, the MILGU shall continue to observe the Warranty provisions. against structural defects. and failures, as stipulated in Section 62.2.3 for infrastructure Projects, and as stipulated in Section 62.1 for goods, of the Revised IRR of R.A, 9184, 6.6.7 Information and Publicity of Projects 8574 6.5.7.2 65.7.3 6.6.74 ‘As MLGU counterpart, within 30 days reckoning from the dale of the NADA,” the Municipality shall install the Community Bilboard within the premises ofthe municipal hall in accordance with the specifications prescribed in Annex | (Community. Billboard). hereof DILG. Projects" Community Billboards must contain al DILG implemented projects under FY 2019 GAA, MLGU shall inckide in the Community Billboard the MLGU's list of projects thal are yet to be completed under FY 2017 LGSF-ADM, FY 2018 LGSFAM, FY 2018 LGSF- SALINTUBIG, and FY 2019 LGSF-SALINTUBIG, ‘The MLGU shall ensure the installation of the Project Signboard/s by the Contractor at each project location in accordance with COA Circular No. 2013-004 dated 30 January 2013 and ensure the regular updating therect, Pursuant to Section 18 of the General Provisions of the FY 2019 GAA, the Community Bilboards and Project Signboards should not bear the name, image, and logo of ‘candidates or pubic officials on government project. ‘The Municipaity shall comply with the reportorial and posting requirements stipulated inthe folowing laws, to wit a, Rule XI Section 37.4.2 of the 2019 Revised IRR of R.A. No. 8184 and any relevant policies issued by the GPPB:; b. Consistent with the Full Disclosure Paley (FDP) of the: DILG, the said reports shall be posted on the MLGU's: wobsite, and at least three (3) conspicuous public places in the locally within twenty (20) days from the end of each quarter, ©. Pursuant fo Section 105 of the FY 2019 GAA General Provisions (Transparency in infrastructure Project); and 4d. Paragraph of Section 6 of the FY. 2019 GAA Special Provisions under the LGSF ‘The LCEs and web administrators of their equivalent shall be ole for ensuring compliance with Paragraphs (a) to (4) of Section 6.6.7.3 of these Guidelines. altageProjact Monitoring Project Monitoring shail be in accordance with the provision of DILG MC. 2018-104 dated 5 July 2018, 6.6.9. Project Reporting 6 4 DILG Reporting DILG Reporting shall be in accordance withthe provision of the OILG MC 2018-114 dated 20 July 2018, also known as the Guidelines on the implementation of SubayBAYAN tip uisubaybayan.dia gov. oh) 8.6.8.2 LGU Reporting ‘The MLGU shall comply with the reportrial and posting as Fequired in the GAA (Section 6 of the Special Provisions), R.A. 9184, and the DIL.G Monitoring Guidelines, External Monitoring For purposes of transparency, a separate Guidelines shall be issued for the Third-Party Monitors and CSOs. 7.0 RESPONSIBILITIES AND ACCOUNTABILITIES 7A Municipal Local Government Units (MLGUs) 7.A.4 The LCE and the concemed local officials shall be fully responsible and accountable for the proper disbursement and utlization of the subsidy, “They will ensure the following: TAA That the said funds are used for its intended purpose as indicated in the NADA| and as provided for in the F.Y, 2019 GAA; 7.44.2 That the required project documents are complete, avaliable, and can be readily verified; 74.1.3 That the projects submitted for funding are shovel-ready, and thatthe timeliness and quality of works in the implementation Of the projects are in accordance with the AM Project Menu, DEDIPOW, technical specifications, and consistent with these Guidelines and the relevant provisions of applicable laws, circulars, and issuances; and 7.1.1.4 That no duplication andlor overlapping of funding wil accu. ‘As such, the Municipally sal immedially inform the DILG- RRO iithas received funding from other sources for the same programs of projects ‘The Municipal Accountant shall recognize the completed project as asset in the Book of Accounts of the Municipality pursuant to 21 PoneGoverment Accounting Manual Volume I for other infrastructure projects, and COA Circular 2016-008, and submit proof to the DILG- PO, through the MLGOO, thal the completed project has been booked as asset 74.3 The MLGU, through the Municipal Health Officer, shall ensure that upon completion, tha water supply system shall pass the Potabilly TostWater Quality Test requirements sat by the Philippine National Standard for Drinking Water (PNSDW), 74.4 The specific responsiblites of he MILGU are stipulated in the applicable provisions of these Guidelines, as found in TdsA— Section 6:2 for the MLGU. Counterpart: Section 6.4 for the Fund Management; and Section 6.5 for Project Implementation, including procurement, execution, information and pubiicty of the project, monitoring, and reporting 7A.8 Adherence 0 the applicable provisions of DILG MC 2018-104 Monitoring Guidelines, “The Municipality shall aim to create and maintain an inventory of focal infrastructure and faciities which shall support better planning and programming, which vil inctude, but net limited to, the following: 7.4.64 Local roads and bridges which may be reflected in the LRNDP of the Provincial Government; Existing and potential water sources; 7.4.6.3 Waler supply systems (functional and non-functional) Including management systems (e.g. LGU-managed, BAWASA, ete.); 74.84 Sanitation and Health facities; 74.6.5 Results of Infrastructure Audit, ‘Existing and proposed, including its condition ‘a, Evacuation Center (permanent and non-permanent), , Puble Market, © Public Cemetery; 4. SWiP, 2. Drug Rehabiltation Center (for out-patient) TA.6.1 DRR-elated equipment 74.7 The MLGU, through the LCE, shall issue an Executive Order creating ‘oF reactivating the following, with the minimum composition, to wi: 747-4 Projact Monitoring Committee (PMC), as created through DILG MC 2004-78, or any amendment thereatter, wherein )Page72 DIL 724 the MLGOO cannot be appointed as the chairperson. Furthermore, itis suggested that the Municipal Planning and Development Coordinator (MPDC) be appointed as the Chairperson af the Committe. TAT. Inspectorate Team, with the ME or his assigned representative/Project Engineer as the Chairperson, whose members shall be selected trom the folowing ‘offices, ‘depending on the nature or ype or project ‘Municipal Engineer's Office (MEO); Municipal Accountant's Office (MAccO), ‘Municipal Heath Office (MHO), ‘Municipal Agricuiturit's Office (MAO): Municipal Disaster Risk and Reduction Management Office (MORRMO); and + Goneral Services Office (680), 7A.7.8 Project Implementation Team (PIT), with the Municipal Engineer (ME) of his assigned representative/Project Engineer as the Chaiperson, whose members. shall be sslectad from the following offices, depending on the nature ‘or type or project: ‘+ Municipal Disaster Risk Reduction Management Office (MORRMO); ‘+ Municipal Accountant's Office (MAccO), + Municipal Treasurer's Office (MTO), and + Municipal Administrator's Office, if any: if none, senior staff from Mayor's Office holding a plantita position Central Office (CO) ‘Three (3) sectoral PMOs, namely 1) Water Supply and Sanitation (WSS) PMO; 2) Local Access Roads (LAR) PMO; and 3) Disaster Risk Reduction ané Other Infrasinucture (DRRO!) PMO, have been eslablished in the DILG-CO under the OPDS, which shall be responsible in overseeing the overall project implementation, ‘menitoring and evaluation, including the provision of technical ‘assistance and capacity development for Municipaities, in close ‘coordination with DILG-ROs, DEM and line agencies, ‘and other Stakeholders, The PMOS shall specifically be responsible for the following: T2414 Oversight 8 Formulate/Update and revise, a8 necessary, the Implementation Guidelines in coordination with DM and ‘other stakeholders, . Overall physical and financial planning in coordination with the DILG-ROs; Pane‘6. Based on the endorsed list of eligible Municipalities 10 DBM, inform the concemed Municipalities through the ILG-ROs ofthe funds to be released by the DBM; {d.-Manitor Program Acconiplshinints atthe Regional level; Prepare and submit consolidated monthly, quartery, ‘annual and other reports to the DILG Management and ‘other oversight and partner agencies. as provided for in the F.Y. 2019 GAA Provisions; 1. Conduct regular consultations/dialogues with the DBM, ‘other agencies, and-stakehiolders-on-malters-telated-to— project implementation; 9. Ifthe circumstances warrant, notify the Municipality, copy {umished Municipal/Regional COA and DILG-RO, in any ‘noted deviation to the provisions of these Guidelines and ‘non-compliance with the recommended corrective ‘actions during implementation; ancl h. Overall monitoring and evaluation: + Ensure. the implementation of the Results-based Monitoring and Evaluation (ROME) framework and system 10 determine the outcome a the project. ‘+ Track the implementation ofthe risk-based monitoring system to improve project performance, and monitor the compliance of DILG-RO to iis responsibilities ‘among others, 35 stated in DILG MC 2018-104, Through the monthly reports published in the SubayBAYAN, conduct Risk Assessment and analysis as basis for management actions including provision of Technical Assistance, + As needed, conduct project monitoring visits on projects identified as erica; and ‘+ If warranted, assist the DILG-ROs in the conduct of detailed assessment for non-functional projects based on the result of the Rapid Subproject Sustainability Assessment (RSSA) 7.24.2 Gapacity Development 4. Develop and implement Capacity Development Interventions on project implementation and govemance reforms related to the soctors covered by the Program, for DILG Field Offices, MLGUs, and service providers; IPageb. Develop and maintain database of conducted Capacity Development interventions; ©. Develop evaluation tools and conduct evaluation 10 measure the outcomes of conducted Capacity Development interventions; and 4, Prepare customized reference materials and manuals for local infrastructure projects such as procurement, ‘construction management, safely and health, quali ‘management, water and sanitation, and maintenance for vertical structures, among othors. 7.24.3 Technical Assistance ‘a. Provide advisory and technical assistance to DILG Fick Offices and Municipailies in the development, ‘implementation, operation, and management of projects, as needed: and Disseminate national standards for quay assurance and contro! in the implementation of projects to DILG-ROs ‘and Municipalities, 7.2.44 Communications and Advocacy 3, Provide support to DILG:ROs in the documentation of Good Practices in the implementation of the Program; b. Develop, update, and maintain information, education, ‘and communication (IEC) materials about the program ‘and the accomplishments for tr-media including social media and the DILG website al the national level, and ©. Spearhead the conduct of Knowledge Fora to showcase Good Practices in the implementation of the Program al the National level 7.2.2 Regional Office (RO) “The RO shall take the lead in the progress monitoring and evaluation ‘and is responsible in overseeing the implemontalion of the program at the regional level to ensure efficiency and eftectiveness. ‘This includes the provision of technical assistance, monitoring and evaluation, and capacity development for MLGUs, 7224 (RO) shat: 8, Oversce the AM Program implementation in the Region to ensure thatthe AM Project Menu, national standards, ‘and policies are considered during projec preparation nd actual implementation bythe Municipalities; 26|PaneEnsure the dissemination of program policies issued by the DILG Management. including other issuances related {0 project implementation, national standards for quality assurance, Ensure that the Municpalities are walkinformed of and are able to comply with the policies and other issuances riated to project Implementation; Report to the DIL G-USLG, copy furnish OPOS, the status of program implementation; Issue 3" Warning —Lotterand._ Notice of Project. Cancellation pursuant to DILG MC 2018-104; Ensure that the monthly reports submitted by the ‘concerned DILG-POs are in accordance with the DILG Mc 2018-114; Review the Regional Risk Assessment Reports prepared by the PDMU or its equivalent, and track possible Interventions/actions at the RO level, Submit to the USLG, copy furnish OPDS, the copy of the Regional Risk Assessment Reports with information on the interventionsiactions taken by the Region’ Mobilize the PDMU for provision of technical assistance tothe MLGU; Ensure submission by the Regiorial Accountant of the Financial Accomplishments Reports af the utilization of MBE fund every 10 day of the folowing month to DILG- FMs; Mobilize Information or Communication Officers in the Region to document good practices inthe implementation of he Program within the region, Enure that the concemed DILG-POs discharge their responsibiities in program implementation as stated in ‘Section 7.2.2.3, and provide assistance, it needed: Ensure the inclusion inthe regional ManCom meeting the status of LFP3 and/or coneluct regular meetings with Field Officers and/or concemed MILGUSs to discuss and resolve issues regarding project implementation; and On behalf of the DILG, enter into 9 Partnership ‘Agreement with RHubs and other accredited CSOs and POs for the provision of Technical Assistance and Capacity Devolopment to the MLGUs and in the ‘implamentation of CSO participation 27 [Powe222 ifs equivaiont Uni ‘The POMU or ts equivalent unit shall serve as the Project Management arm of the Program at the regional level. It ‘shall be responsible for the folowing Planning and Pro-implementation: |. Disseminate program policies issued by the DILG. Management, including other issuances related to project implementation, and national standards for ‘ually assurance; . Conduct orientation or one-on-one briefing to ensure that the MLGUs are well-informed of and are able to ‘comply with the policies and other issuances related to project implementation, c. Validate and confirm the veraciy of the decuments submited by the MLGU, which include, but are not limited to, the folowing: 1, Notarized LGU Cortfcation for Fund Release (annex A); 2. Confimation on the Receipt of Fund (Annex D); 9. Notarized LGU Certification of Compliance to ice niente. aoe Anes ‘4, Project implementation Schedule (Annex F-2) use the In vatiating and confirming Hems 1 t0 Validation Form (Annex Q-1), 4d. Conduct regional physical and financial planning in ‘coordination with OILG-POs; and 2. May attend bid openings, if warranted Progress Monitoring and Evaluation: a. Field oF mobilize Engineors assigned in the RO to provide technical assistance 10 the MLGU, if necessary; >, Maintain regional database and electronic copies of MLGU submissions transmitted by the POs and be ‘made available during inspection; ©. Prepare a quarterly regional monitoring plan based on agreed deliverables. Submit a summarized ‘accomplishment report fo DILG-CO-OPDS every last ‘month of the ensuing quarter, 28) Pawe4. Fiekd or mobilize Engineers assigned in the RO to ‘monitor the projecis based on the monitoring plan. Use the Project Monitoring Tempiates when ‘conducting site visits and spot checks during project Implementation, and monitor the following, but not Tinie to: ‘+ Implementation timetines; + Availabilty of constuction materials on-site, in ‘accordance with the approved plans and specifications: Availablity of appropriate: equipment on-site in. accordance with the Equipment Schedule and ‘manpower; + Works are in accordance with the approved Plans ana Specifications; * Quality test conducted and construction logbook Is boing maintained, + Proper waste disposal is done in accordance wit prescribed standard set by MENRO; and + Health and Safety standards set by DOLE shall be implemented, 2. In compliance with the provisions of the DILG MC 2018-114 (Guidelines. inthe Implementation of SubayBAYAN) relalive to the progress. reporting of the projects 2. Ensure that the information on the progress of implementation suchas physical ‘accomplishment in percent based on the monthly Statement of Work Accomplished (SWA) and Financial Accomplishment or Disbursement wil bbe reporied in the SubayBAYAN on a monthly basis, b. Ensure that the information provided by the MLGOOs on a monthly basis has been validated onsite, f. Consolidate and analyze all Provincial Risk Assessment Reports submitted by the PDs, and prepare and submit to the RO the Regional’ Risk Assessment Reports using DILG Monthly Risk Analysis on LGUs’ Compliance with Recommended Actions to Identified issues and Concerns (Annex U- 2). Identify and recommend to the RD possible interventions/actions to be taken at the RO level and those to be endorsed at the DILG-CO level aan7223 2. For projects that remain erica after the issuance of the 2° Warning Letter by the PD, recommend to RD the issuance of the 3° Warning Letter, hh. Facilitate the conduct of consultations/dialogues at the regional level with DILG-POs, Municipalities, and ‘other stakeholders to resolve issues. on project ‘implementation, Lf warranted, participate in the conduct of punch- listing and final inspection to ensure that all Issues and concoms were addressed before the issuance of corresponding certifications; j, Monitor reversion of undisbursed funds by the Municipaities as provided for in Section 6.4.8 ofthese Guidelines; Assist the DILG-PO an the Conduct of RSSA one (1) year after the completion of projects, or as necessary ‘and prepare detailed assessment for non-functional projects based on the result. Capacity Development and Communications: ‘8. Assist the DILG-CO-OPDS-PMOs in the conduct of capacity development programs, b. Assist the DILG-CO-OPDS in the conduct of ‘Communications and Advocacy Program, ‘Provincial Director (PD) ‘The DILG-Provincial Director (DILG-PD) shall assist the RO in monitoring overall program implementation at the provincial level to ensure efficient and effective Implementation of the projects. HeiShe shall be responsible for the following: ‘8, Conduct provincial physical and financial planning in ‘coordination with DILG-RO; . Assist the RO in he dissemination of program policies Issued by the DILG Management, including other Isouances related to project implementation, and ‘national standards for qualily assurance; Assist the RO in the conduct af orientation or one-on- fone briefing to ensure that the MLGUs are well- informed of and are able to comply with the policies and other issuances related to project implementation; Recommend to RO the list of MLGUs with Notarized LGU Certification for Fund Release; 40 [PagePrepare and implement a quarterly monitoring plan; Field or motitze the Engineers assigned in the PO to monitor projects regularly and provide tochnical ~assistance to the MLGUs wih reported issues, Ensure thal the concemed Cluster Heads and MLGOOs discharge theit responsibilities in program implementation, as stated in Section 7.2.2.4 and Section 7.2.2.5, and provide assistance, it needed; Monitor the MLGUs' compliance with any recommended. corrective actions._duting. implementation within the agreed timelines, Ensure the compliance with the provisions of the DILGMC 2018-114 (Guidelines inthe Implementation, ‘of SubayBAYAN) relative to the progress reporting of the projects; Maintain the copies of =MLGU submissions transmitted by the MLGOOs and be made available ‘during inspection. Seanned copies should be provided to DILG-RO-POMU; Based on the reports submitted by the MLGOOs and the Cluster Heads, prepare and submit io DILG-RO the Provincial Monthly Risk Analysis on LGUs* Compliance with Recommended Actions to Identified Issues and Concems (Annex U-1) and track possible inlerventions/actions at the PO fevel in accordance with DILG MC 2018-104; Issue 1* and 2% Waming Letters and other natices in ‘accordance with DILG MC 2018-104; Conduct the Rapid Subproject Sustainability ‘Assessment (RSSA) for completed projects within the prescribed timelines pursuant to Guidelines issued by the DILG, Provide advisory and technical assistance to Municipalities; ‘Assist the DILG-RO andlor OPDS-PMOs in the ‘conduct of Communications and Advocacy Program; Faciitate the conduct of consultaionsidiatogues at the provincial level with DILG-RO, Municipalities, and other stakeholders to resolve ‘issues on project implementation; Assist the DILG-RO andlor OPDS-PMOs in the ‘conduct of capacity development programs; a1] PageMay altend bid openings, if invited; ‘8. Check whether the MLLGU already booked the project as asset upon final acceptance, and 1 Receive the MILGU Certification of provision of annua ‘maintenance fund specificaly for the concemed Projects. 72.24 Cluster Heads shal ‘The Cluster Heads shall assist the PD in monitoring projects.) hishher Cluster MLGU, He/She shall be responsi for tne ftwinge Ensure that the MLGOO complies with the provisions ‘of the DILG MC 2018-104 and DILG MC 2018-114; 1. Ofiant the MILGOOs on the Policy, Monitoring, and Reporting Guidelines; ©. Oversee the maintenance of documents and MLGU ‘submissions transmitted by the MLGOOs; d. Supervise the MLGOOs in the discharge of their ‘responsibities and provide assistance, If needed; and ©. If warranted, participate in the conduct of punch listing and final inspection to ensure that all issues ‘and concerns are addressed before the issuance of Corresponding certifications. 7.2.2.6 The Municipal Local Government IMLGOO) shall: ‘The MLGOO shall assist the PD and the Cluster Head in ‘monitoring projects at the municipal level, He/She shall be responsible forthe following: a, Review the completeness ofthe following 1), Notarized LGU Cetication for Fund Release (annex A): 2 Confirmation onthe Reospt of Fund (Annex D); 3. Notarized LGU Cortfication of Compliance to Project Implementation (use applicable Annex E); and 4. Project Implementation Schedule (Annex F-2) In validating and confirming ems 1 to 4, use the Validation Form (Annex 0-2). . Take and promptly upload geotagged photos of the project (0%, 30%, 60%, 90%, 100%, Turn-over) and a2|Paneproject data in the SubayBAYAN; 12 Assist in the dissemination of program polices issued by the DILG Management, including other issuances elated to project implementation and national standards for qualily assurance, to ensure that the MLGUs are well-informed and are able to comply with such issuances; 4d, Monitor if the Municipality has received the AM fund ‘as mentioned in Section 6,4.2 ofthese Guidelines and hhas been transferred to the Trust Fund Account, including the MLGU Counterpart mentioned in Section 8.2 of these Guidelines, itany, ©. IF warranted, MLGOO may aitend bid openings and ‘note CSO participation in the procurement process; Notify DILG-PO of "Failed Bidaings" and advise MLGU to submit Revised Annex. F-2 (Pro-forma Implementation Schedule); 9. Assist in the conduct of project monitoring visit cum exit conference with the Municipality. Secure a copy of the Aide Memoire (Annex ) signes by the parties present, copy furnistied DILG-PO; and |. Assist the DILG-PO jn the conduct of the capacity development activites at the provincialimunicipal level 8.0 PROJECT CANCELLATION az Projects implemented notin accordance withthe provisions of these Guidelines, including all other applicable laws, shall be subject to the Waring Scheme ‘stipulated in the DILG MC 2018-104, Projects issued with 3 jevel waming may be subjected to project cancelistion and reversion ofits fund allocation pursuant to Section 5.14 of DILG MC 2018-104, which include but not limited to the following: 4. If the MLGU fails to submit/compiete documentary requirements. prior to procurement; 1b. During procurement stage. if the MLGU falls 10 follow the procurement schedule submitted to the DILG without valid reason; and © If the nogative slippage reaches 15%, oF i deviations in Monitoring Parameters have remained uncorrected. If projects are cancelled pursuant to Section 811 of these Guidelines, the ‘Municipality shal 8.2.4 Revert the unutlized fund in accordance with Section 64.8 of these Guidelines,822 Ifthe project to be cancelled is “on-going”, issue Notarized Affidavit of Undortaking stating the folowing: 8.2.2.1 Complete the: projects: using own funds of or before agreed timelines with the DILG RO; 8.2.2.2 Submit completion and tum-over report 20 calendar days (CDs) ater issuance of Certificate of Completion, and 8.2.2.3 Assume the accountability and lability under applicable laws fand issuances in case of non-compliance with this, Undertaking. 8.3 If warranted, documentary reports and findings shall be forwarded 10 the BANTAY KORAPSYON Project Management Office for proper disposition. 9,0 SANCTIONSIPENAL PROVISIONS: 944 942 Projects not implemented in accordance with the provisions ofthis MC including, but not limited to, the folowing applicable laws: RA. No. 3019 “AntiGrait and Corruption Practices Act’ R.A. No. 11092 “An Act Promoting Ease of Doing Business and Eicint Dolivery of Goverment Services, Amending for the Purpose Republic ‘Act No. 9485, Othierwiso Kriown as the Ant-Red Tape Act of 2007, arid {for Other Purposes’: RA. No, 9184 “The Government Procurement Reform Act and its Revised implementing Rules and Reguiations’; Section 43, Chapter 5 and Section 80, Chapter 7, Book VI of E.0. No, 292 “Expenditure of appropriated funds’, ant Pertinent Provisions of RA No, 11260 - FY 2019 General ‘Appropriations Act, 10.0 ISSUES FOR RESOLUTION Interpretation of the provisions of this Memorandum Circular, including issues. and concerns nol covered herein, shall be submitted to the DIG for resolution, 11.0 REPEALING CLAUSE {Al provisions of existing Issuance that are inconsistent with this Memorandum Circular are hereby repealediamended accordingly 12.0 ANNEXES: ‘Annex A Annex A (MLGU Certification for Fund Release Water Source Validation Report (SVR) Form a4 }PaneAnnex 8 Annex 8.1 ‘Annex Annex 0 Annex Annex Et ‘Antiox E2 Annex 3 ‘Annex 4 Annex E5 Annex E-6 Annex E-7 Annex E-8 Annex €-9 Annex Pot ‘Annex F-2 Annex O-1 Annex G-2 Annex G-3 Annex H Annex | Annex J Annex K Annex Annex Met DILG-RO Endorsement of Projects of Eligible Municipaliies for Fund Release ro-foma List of Projects of Eligible Municipalities for Fund Release Notice of Eligibility MLGU's Confirmation on the Recoipt of the FY 2019 AM Fund MLGU Gerttication of Compliance to Project implementation Local Access Roads ‘Local Bridges and Footbrdges Potable Water System Evacuation Center Municipal Drug Rehabiitation Facity ‘Small Water impounding Projects Disaster Risk Reduction Related Equipment Rain Water Catchment Faciity Sanitation and Health Facity Maximum Prescribed Implementation Timelines jon Schedule Prosforma Project Implement Concrete Pre-Pour Checklist Concrete Pouring Permit Finished Concrete Checklist List of Major Activities Community Bitboard MLGU Quarterly Report Project Completion Report Site Instruction Form Inspection Report as [PaneAnnex M2 Annex No ‘Annex N-2 Annex 0 ‘annex P Annex oH Annex o-2 pier ‘Annex ‘Annex ‘Annex U4 Annex U2 Annex V Annex W 13.0 EFFECTIVITY Final Inspection Report Cortieate of Completion Cerificate of Acceptance Notice of Defects/Deficiencies Notice of Project Canceliation ‘Validation Form (for ROIPO Technical Staff Validation Form (for MLGOO) “Afidavit of Undortaking ‘Aide Memoive Contractor Monthiy of Statement of Werk Accomplished (SWA) DILG Monthly Risk Analysis on LGUs’ Compliance with the Recommended Actions to Identified Issues and Goncems (For DILG- Po) DILG Monthly Risk Analysis on LGUs’ Compliance with the Recommended Actions to Identified Issues and Concems (For DILG- RO) FY 2019 GAA Provisions AM Project Menu This Circular shall take effect immediately upon posting in the-DILG website. ‘Secret ey VARIO MH. ANO iG 36 [PapeAnnex A MLGU Conifeaton for Fund Release LETTERHEAD OF THE LOCAL GOVERNMENT UNIT CERTIFICATION {nthe implementation of the following project(s) In the Municipality of Under the FY 2018 AM Program: 1 2 3 We, the undersigned, hereby attest that 1, The site of the project has no “Land Ownership" and/or "Road Right-ot-Way (RROW)" problemsfissues; and ‘The project is not located in the "No Build Zone” and hazard prone area ae determined by the Mines and Geosciences Bureau Hazard Map, or engineering mitigating ‘measures/intervention has been Included in the design to addtess possible problemssissues, 3. For potable water supply project, thal the water source has been validated by the Municpal Engineer and has been found to be Feasible 10 supply water to the intended beneficiaries based on the enclosed Source Validation Report (SVR) prepared by the Municipal Enginear, and b. Potable for drinking because It has passed the Potabilty Test Water Qualty Test ‘equitements set by the Philippine National Standard for Drinking Water (PNSDW), Nat potable for drinking and that scientific and/or engineering ‘nterventions/measures willbe Inciuded in the design fo make the water potable. Prepared by: (Sinnature over Printed Name} ‘Municipal Engineer ‘Municipal Planning and Development Coordinator Date) ‘Municipal Engineer Note: If woter Is potable, delete second paragraph of Item 3. Ir water is not potable, delete frst paragraph of Teen 5.Anno A MUGU Corteaton for Fund Ralmaee ACKNOWLEDGEMENT REPUBLIC OF THE PHILIPPINES (Municipality of. 8s. Subscribed and sworn to before me on this date, a Notary Public for and in Philippines. ~ NOTARY PUBLIC oe, No, Book No. age No, Sones of.Arnos At ‘Water Source Vaiaton Rapot (SVR) Form LETTERHEAD OF THE LOCAL GOVERNMENT UNIT SOURCE VALIDATION REPORT In the implementation of (Name of Project) located in (Exact Location) with the allocation of in the Municipality of under the FY 2019 LGSF- Assislanoe fo Municipalities Program, the following has been validated ‘The source is (Type of Water Sour} located in (Exact SitorBaranaay) ‘The Geo-resistivity test was conducted on (dae): (Tor wel) — ~ ‘The pumping test was conducted on (date). (or wel) ‘The measured discharge flow is ___ (jps) and feasible for supplying water fo the intended beneficiaries, with dischargefiow design requirement of (ips) ‘The following data are available Senn 2, Longitude . Latitude ©. Elevation 6. Target Population To be served (HH) @. Date of Measurement : (measurement should be done during Peak-dry season) Method of Measurement Water Quality Test ‘attach Test resuity 6 Compliant with Chapter il, Section 13 of PD 856 (Senitation Code of the Phiippines), and that the water source is free from contamination and pollutants; and 7. Potable for drinking and passed the minimum requirements set by the Philippine National ‘Standard for Drinking Water (PNSDW) Or ‘Scientiic and/or engineering interventions/measures willbe included in the design to make the water potable and meet the minimum requirements set by the Philippine National Standard for Drinking Water (PNSOWY), We are allowing the DILG representatives to verify the above data as needed to check the {easibilty ofthe proposed project. Prepared by: e ‘Municipal Engineer ‘Noto: if water is potable, dolote second paragraph of tem 7. Miwatoris not potable, dolete first paragraph of tom 7Annas 8 ILG-HO Enderserentol Projects of Eigble Muncipsles or Fund Rota Republic ofthe Philippines Department of the interior and Local Government [ Address of DILG Regional Office | [Date ] ENDORSEMENT OF PROJECTS OF ELIGIBLE MUNICIPALITIES “FOR FUND RELEASE UNDER THE FY 2019 AM PROGRAM | hereby certify that the Municipalty(ies), with their corresponding project(s) shown in the allached list, have submitted Notarized Certiicaton(s), signed by the LCE(s), attesting the following: a. The site(s) of the project(s) hasthave no land ownership and/or Road Right-of-Way (RROW) problems/issues; ._ The project(s) is/are not located in the "No Build Zone" and hazard prone area as determined by the Mines and Geosciences Bureau Hazard Map; and &. The water source has been validated by the Municipal Engineer and was found to be feasible to supply water to the intended beneficiaries, and potable for drinking, oF ‘mitigating measures have been included in the design fo make the water potable, with attached Source Validation Report (SVR). | certty that the said Municipalities have complied wit the three governance reforms (GFH, ‘LOG Functionality, PEM). | hereby endorse the attached list of project(s) of the eligible Municipaly(es) for fund release [NAME OF REGIONAL DIRECTOR } Regional Director ene. ‘Aime 8 Provncl ces Endorsemen of rojecs of Eagle Muncie to Regent Ofer ‘nes B.1/AM Progrom FY 2019 Lt of Projects of Eine Munliaile for Fund ReeseAnnex 84 Pros List ot Projects of Egle Muricbaties fox Fund Release Department of the interior snd Local Government Pram au pRocRam List oF PROJECTS OF ELIGIBLE MUNICIPALITIES ESTIMATED NUMBE oF REGION PROVINCE | NICPALTY BARANGAY PROuecrrme | PROVECTDESCRTON | NUMBEROE | Ao ary | unt a (2) (3) (4) ® (6) a” 8) (9) Approved Prepared 8: mo . aaa Provincigl/Regional DirectorAnnex 84 Proforma List of Projects of Ege Municipalin fr Fin Release DeFNON oF exes Tages aT ee Sones oet etea Rae ea Tinea) aes Soe — = See leas oc shee dr see Sa eT eee | ile a (e.g. Provision of Potable Water Supply) | ‘Short description of the project coverageldetalls —— (co commun ies ree Soe Ben 705s avn © | Project Description line, 20 communal faucets, road length, road width, PCCP thickness, flor area of evacuation center, etc.) ay Se at He ee eas {aio A ee eaeAnnoxe oce of Etabity ‘Republic of the Philippines Department of the Interior and Local Government (DILG Regional Office) (Date) {Mayor's Namo) ‘Municipal Mayor ~ Municipality of Province of, SUBJECT: NOTICE OF ELIGIBILITY FOR FY 2019 LGSF-AM PROGRAM Dear Mayor We are pleased 10 inform you that we have endorsed to the Department of Budget and ‘Management (DEM) the release of funds for your Municipality for project(s) undar the Local Government Support Fund-Assistance 10 Municipalities (\GSF-AM) Program, upon determination of your elsibilty, ‘The amount of Phe hail be direct released by DBM through the Bureau of Treasury (BT?) to the LGU Account, which shall ba Immediately transferred to a Trust Account, for the Implementation of the following proposed project(s): Ne: Name of Pject ‘Algcation PHP: PHP, PhP Phe PhP. TOTAL PRP. Please ensure that the Municipal Treasurer monitors on a regular basis whether the funds intended for the approved project(s) have been deposited in the LGU General Account by the Bureau of Treasury alter receipt of this notice In anticipation ofthe release of fund, please prepare the following: 1. Confirmation on the Receipt of Fund (Annex D) shail kewise be submitted within 30 ‘calendar days reckoning from the date of NADA\; 2 Installation of Community Billboard (Annex |) shall tkewso be installed within 30 ‘calendar days reckoning from the date of NADA; 3. Project Implomentation Schedule (Annex F-2) within 60 calendar days reckoning from the date of NADAI except for potable water project(s) which is 90 calenclar days; andAnnex c Notes of Eitty 4, LGU Cortification of Compliance to Project Implementation (Annex E) within 60 calendar days reckoning trom the date of NADA\ excent for polable water project(s) which ‘is 90 calendar days, including copies of the approved DED and POW. Necessary Certfeates and Permits required by concerned agencies needed to implement the: project(s} have bean applied for. We look forward to the early completion of the abovementioned project(s), Very truly yours, (DILG Regional Director's Name) 6c: —_DILG Provincial Office; Custer Head DILG-MLGOO “Matino, Mahusay at Masasahan (DILG- Regional Office Address)Annex 0 'MLGU' Confirmation on the Rocio the FY 201 AM Furs isu Loso LETTERHEAD OF THE LOCAL GOVERNMENT UNIT MUGU's Confirmation on the Receipt of the FY 2019 AM Func Date Director __ DILG Regional Office _ Adds. Dear Director ‘This is t0 confirm the receipt of the Municipality of the amount of through the Notice of ADA Issued (NADAI) No. daled Intended for the implementation of the following project(s) under the FY 2018 LGSF-AM Program: No. Name of Project ‘location 1 Phe 2 - Phe 3 PAP TOTAL PAP ‘The said funds have been transferred from the General Fund to the Municipality's Trust Fund Account No, ‘and recorded as Trust Fund with separate subsidiary ledger per project. tached are certified true copies of proof of fund transfer, Res! assured that we are commited to implement the above project(s) in accordance with the FY 2019 AM Guidelines No. Series 2019. Prepared by (Sianature over Printed Name} ‘Munlipat Treasurer Conformed by: Signature over Printed Ni ‘Municipal Accountant Noted by: ‘Local Chief Executive Ge: DILG-PO, MLGOOAnnex E+ MIGU Cerieaton of Conpianceto Project Implementation (Leal Access Road Projects) LETTERHEAD OF THE LOCAL GOVERNMENT UNIT: CERTIFICATION In the implementation of Local Access Road Projects) in the Municipality of ent the FY. 2019. AM Program forthe following project's): 1 2 4 Wo hereby certify that: 1. The Detailed Engineering Design(s) (DED(s)) and the Program(s) of Works (POW\s)) have been prepared and approved in accordance with the AM Program Menu, National Government standards, and relevant provisions of tha RLA. No, 11260 (F.Y. 2019 GAA) ‘and other applicable laws and issuances, and copies of the approved DED\s) and POW(s) are hereby attached, 2 The PCCP thickness is not leas than 0.20 meter, 3. Allbidding documents have been completed and ready to proceed with publications of Invitation to Bid! Advertisoment (ITBIAd). 4, The ECC oF CNC application have been submited to the concerned DENR-EMB. 5.a. The project(s) is/are not located in the "No Build Zone" and hazard prone area as determined by the Mines and Geosciences Bureau Hazard Map; or ‘5.0. The projects located in a hazard zone, but engineering mitigation measures have bean included in the design to address the potential problems, 8.2 The Project(s) is/are not located in an ancestral domain area; or 6.b_ The project(s) is/are focated in an ancestral domain area: application for Free, Prior and Informed Consent (FPIC) has been submited to NCIP on (specity data); 7, Fuinds shall be made available for the maintenance once the project is completed. 8. Procurement of the projects is/are included in the Municipality's Annual Procurement Plan and the Invitation to Bid (ITB) Advertisement is targeted to commence on indicate date)__ (within 7 days after the date ofthis Certification) 9. The above documents shall be made available to DILG during fleld monitoring visits andlor as may be requested, 10 The LGU has a functional Project Monitoring Committee (PMC) created or activated in the Municipality in-charged of closely monitoring the projects under the LooaiAnnan 6-4 MLGU Carieaton of Camplance io Proje! inplemeriatio | oat Accent Rloea Projets) Government Suppor Fund (GSF), Attached is a copy of an Executive Order intended. {or the purpose, 11. Any undisbursed funds shall be remitted to the Bureau of Treasury (BT), pursuant to Section 6.4.8 of the FY 2019 LGSF-AM Program Policy Guidelines, 12, Municipality commits snd binds itself to comply with all the provisions of the Project. Implementation and Monitoring Guidelines issued by the DILG, We accept that the Municipality shall automaticaly be ineligible to recelve subsidy trom the ‘Assistance o Municipalities (AM) Program in the succeeding year(s) i any of the above ‘declarations are found to be misrepresented or fase. This Cetiication is being issued Jn. compliance with the DILG Memorandum Cikcullar No Series of 2019. m Ni ‘Municipal Planning and Bate Development Coordinator Name) ‘Municipal Engineer Baie ‘Signature over Printed Name) Local Chief Executive Date ‘ACKNOWLEDGEMENT REPUBLIC OF THE PHILIPPINES (MunicipaltyiGiyof SS. ‘Subscribed and sworn to before me on this date, a Notary Public for and in Philippines. NOTARY PUBLIC Doe. No, ook No. Page No, Series ofAnnex €2 'MGU Cartineavon of Compiange ta Projet Implementation (ikdge Projects Fontes) LETTERHEAD OF THE LOCAL GOVERNMENT UNIT’ CERTIFICATION Inthe implementation .of_Local_Bridae._/_ Footbridge _Project(s)_in_ the Municipality ot __ under the FY 2019 AM Program forthe following projects) 1 5 ‘Wo hereby certify that: 1. ‘The Detailed Engineering Design(s) (OED(s)) and the Program(s) of Works (POW(s)) have been prepared and approved in accordance wih the AM Program Menu, National Government standards, and relevant provisions of the R.A. No, 11260 (FY. 2019 GAA) land other applicable laws and issuances, and copies of the approved DED{s) and POWs) are hereby attached, 2, A\lbidding documents have been completed and ready to proceed with publications of Invitation fo Bid! Advertisement (ITB/Ad). 3. ‘The ECC oF CNC application have been submitied to the concerned OENR-EMB, 4a, The project(s) is/are not focated in the "No Build Zone” and hazard prone area as determined by the Mines and Geosciences Bureau Hazard Map; or 4.b, The projectis located in a hazard zone, but engineering mitigation measures have been included in the design to address the potential problems, 5.9 The Project(s) isfare not located in an ancestral domain '5.b. The project(s) is/are located in an ancestral domain area; application for Free, Prior and Informed Consent (FPIC) has been submitted to NCIP an (speciy date); 6, Funds shall be made available for the maintenance once the project is completed, 7. Procurement ofthe projects is/are included in the Municipality's Annual Procurement Plan and the Invitation to Bid (ITB) Advertisement is targeted to commence on {indicate date) ___(within 7 days after the date ofthis Certification), 8. The above documents shail be made available to OILG during field monitoring visits and/or as may be requested, 9, The LGU has a functional Project Monitoring Committee (PMC) created or activated in the Municipality in-charged of closely monitoring the projects under the Local Government Support Fund (LGSF), Altached is @ copy of an Executive Order intended {or the purpose,Anoox 62 MLGU Cerifeaten of Corianca lo Projet planation (tirlge Profle / Footage) 10. Any undisbursed funds shall be remitted to the Bureau of Treasury (BT), pursuant to Section 6.4.8 of the FY 2019 LGSF-AM Program Policy Guidelines 11. Municipality commits and binds itself to comply with all the provisions of the Project Implementation and Monitoring Guidelines issued by the DILG, We accept that the Municipality shall automatically be ineligible to receive subsidy from the Assistance to Municipalities (AM) Program in the succeeding year(s) s( any of the above ‘declarations are found to be misrepresented or false, ‘This Certification is being issued in compliance with the DILG Memorandum Giroular No, Series of 2019, Municipal Planning and Baie Development Coordinator Prin ‘Municipal Engineer Baie Local Chief Executive ACKNOWLEDGEMENT REPUBLIC OF THE PHILIPPINES (Municipalty/City of )Ss. ‘Subscribed and sworn to before me on this dato, 8 Notary Public for and in Philippines, NOTARY PUBLIC oe. No, Book No. Page No Sorias ofAnnex ES MUGU Gertifeaton of Camplance ts Project implamantain (Potaot Water Sysiom Projocs) LETTERHEAD OF THE LOCAL GOVERNMENT UNIT. CERTIFICATION in the implementation of Potable Water System Projec(s) in the Municipality of Under the FY 2019-AM Program for tho felowing projects) 1 2 3 We hereby certify that: 1. The Detailed Engineering Design(s) (DED(s)) and the Program(s) of Works (POW(s)) have been prepared and approved in accordance wih the AM Program Menu, National Government standards, and relevant provisions of the R.A. No, 11260 (F-Y. 2018 GAA) and other applicable laws and issuances, and copies of the approved DED(6) and POW\s) are hereby attached, 2. _Allbidging documents have bean completed and ready to proceed with publications of Invitation to Bid/ Advertisement (ITBIAG) 3, The ECC oF CNC application have been submitted tothe concomed DENR-EMB, 4.a_ The Projec{s) islare not located in an ancestral domain area; or 4.b The project(s) is/are located in an ancestral domain area, application for Free, Prior and Informed Consent (FPIC) has been submitted to NCIP on (specify date); 5. For Vertical Structures (Ground/Elevated Water Tank, Reservoir, Filtration Facilities, Pump House, among others): 2. The project(s) is/are not located inthe ‘No hill Zone" and hazard prone area as deloimined by the Mines and Geosciences Bureau Hazard Map; o¢ b, The project is located in a hazard zone, but engineering mitigation measures have ‘been included In the design to address the potential problems, 6 Water Permit and other required permits and licenses application(s) has/have been submitted to the DENR, DPWH, NWRB, EMB, on indicate date) 7. Funds shall be made available for the maintanance and insurance, where applicable, ‘once the project is completed, 8, Procurement of the project/ is/are included in the Municipality's Annual Procurement Plan and the Invitation to Bid (ITY Advertisement is targeted to commence on (indicate date) (within 7 days after the date ofthis Certification), 8. The above documents shall be made avaliable 1 DILG during field monitoring visits ‘andior as may be requested.‘Annex £3 ML.GU Certtion of Compiance to Projet Implemanation (Potable Water System Projects) 10. The LGU has a functional Project Monitoring Committee (PMC) created of activated in the Municipality in-charged of closely monitoring the projects under the Local Government Support Fund (LGSF). Attached is a copy of an Executive Order intended for the purpose. 11. Any undisbursed funds shall be remitted fo te Bureau of Treasury (BT), pursuant to Soction 6 4.8 of the FY 2019 LGSF-AM Program Policy Guidelines. 12, Municipaity commits and binds itself to comply with all the provisions of the Project Implementation and Monitoring Guidelines issued by the DILG. We accept that the Municipality shall automatically be ineligible to receive subsidy from the (sistance -to-Mumepalties- (AM) Program-in the succeeding years) any of theabove declarations are found to be misrepresented or false. | ‘This Certification is being issued in compliance with the DILG Memorandum Circular No___. Series of 2019, ‘Municipal Planning and Development Coordinator ‘Municipal Engineer Date Local Chief Executive ACKNOWLEDGEMENT REPUBLIC OF THE PHILIPPINES (Municipalty’City of ___ SS. Subscribed and sworn to before me on this date, a Notary Public for and in Philippines. NOTARY PUBLIC Doe: No. Book No. Page No. Series of.Anos Et [MLGU Caniteation of Compance to Peeoct Inplomentaton (Exacta Canter Projects) LETTERHEAD OF THE LOCAL GOVERNMENT UNIT CERTIFICATION ______1n_the— implementation —of Evacuation —Centor—Project(s} inthe — Municipality of Under the FY 2019 AM Program forthe folowing project(s) 1 2 3 We hereby certity that: 1. The Detailed Engineering Design(s) (DED(s)) and the Program(s) of Works (POW(S)) have been prepared and approved in accordance with the AM Program Ment, National ‘Government standards, and relevant provisions of the R.A. No. 11260 (FY. 2019 GAA) ‘and other applicable laws and issuances, and copies of the approved DED(s) and POW) are hereby attached. 2. _Allbidding documents have been completed and ready to proceed with publications of Invitation to Bid Advertisement (ITB/Ad), 3. The ECC oF GNC application have been submitted to the concemed DENR-EMB. 4.8, The project(s) is/are not located in the "No Build Zone” and hazard prone area as determined by the Mines and Geosciences Bureau Hazard Map; ot ‘4. The project is located in 2 hazard zone, but engineering mitigation measures have been included in the design to address the potential problems. 5.a The Projeci(s) is/are not located in an ancestral domain area; or 5.b The project(s) isare located in an ancestral domain area, application for Free, Prior and Informed Consent (FPIC) has been submitted to NCIP on {epeciy date); 6 Funds shall be made avaiiable for the maintenance and insurance, where applicable, ‘once the project Is completed, 7. Procurement of the projects is/are included in the Municipality's Annusl Procurement Plan and the Invitation to Bid (ITB) Advertisoment is targeted to commence on (indicate date) (within 7 days after the date of this Cestification), 8, The above documents shall be made avaliable to DILG during fieKd monitoring visits andlor as may be requested. 9. The LGU has a functional Project Monitoring Committee (PMC) created or activated in tha Municipaity in-charged of closely monitoring the projects under the LocalAnnexe LGU Carbcaton of Compliarao fo Projet implamantaion (Evacuation Coto Proj) ‘Goverment Support Fund (LGSF), Attached is a copy of an Executive Order intended {or the purpose, 10. Any undisbursed funds shall be remilted to the Bureau of Treasury (BTH), pursuant to Section 6.4.8 of the FY 2019 LGSF-AM Program Polley Guidelines, 11. Municipality commits and binds itself to comply with all the provisions of the Project Implomantation and Monitoring Guidelines issued by the DILG., We accept that the Municipality shall automatically be ineligible to receive subsidy from the Assisiance to Municipalities (AM) Program in the succeeding year(s) it any of the above declarations are found to be misrepresented of false, Thi. Cartication fe-boing issued in-compliance with the: DILG Memorandurn Cireular- No. Series of 2019, Municipal Pianning and Date Development Coordinator Prin ‘Municipal Engineer Dai (Signature over Printed Name) Local Chief Executive Dale ACKNOWLEDGEMENT REPUBLIC OF THE PHILIPPINES (Municipalty/City of ss. Subscribed and sworn to before me on this date, a Notary Public for and in Philippines, NOTARY PUBLIC Dos. No. Book No. Page No Series ofInthe Annex €5 MLGU Cetitcation of Companea lo Project Implemeriation (Municip! Dg Rehabltaion Facty Projects) LETTERHEAD OF THE LOCAL GOVERNMENT UNIT CERTIFICATION implementation of Municipal Drug Rehabiltation Facility Projects) in the Municipaity of under the FY 2019 AM Program forthe following project(s) 2 a We hereby certify that: 1. The Detailed Engineering Design(s) (OED(s)) and the Program(s) of Works (POW(s)) ‘have been prepared and approved in accordance with the AM Program Menu, National Government standards, and relevant provisions of the R.A. No, 11260 (F Y. 2019 GAA) land other applicable laws ard issuances, and copies of the approved DED(s) and POWs) are hereby attached. 2. _Allbidging documents have bean completed and ready to proceed with publications of Invitation to Bid/ Advertisement (ITB/Ad) 3, The ECC or CNC application have been submitted to the concerned DENR-EMB, 4a. The project(s) isfare not located in the "No Build Zone” and hazard prone area as determined by the Mines and Geosciences Bureau Hazard Map; or 41>, ‘The project is located in @ hazard zone, bul engineering mitigation measures have been Included in the design to address the potential problems, 5a The Projects) isfare not located in an ancestral domain area; or 5b. The project(s) isfare located in an ancestral domsin ares; application for Free, Prior and Informed Consent (FPIC) has been submitted to NCIP an (specty date); 6. Funds shail be made avaliable for the maintenance once the project is completed. 7. Procurement of the projectis is/are included in the Municipaly’s Annual Procurement Plan and the Invitation to Bid (ITB) Advertisomont Is targeted to commence on (indicate date) ___(within 7 days after the date af this Ceritication), 8. The above documents shall be made available to OILG during field monltoring visits and/or as may be requested. 9, ‘The LGU has a functional Project Monitoring Commitios (PMC) created or activated in the Municipality in-charged of closely monitoring the projects. under the Local Government Support Fund (LGSE). Attached is a copy of an Executive Order intended for he purpose.Annox 65 [LGU Cercaion f Compnoeto Projet Implementation (Muipl Drug Reabytabon Fay Prog) 10. Any undisbursed funds shall be remitted to the Bureau of Treasury (BT), pursuant to Section 6.4.8 of the FY 2019 LGSF-AM Program Policy Guidelines, 11. Municipality commits and binds itself to comply with all the provisions of the Project Implementation and Monitoring Guidelines issued by the DILG, We accept that the Municipality shall automatically be ineligible to roceive subsidy from the ‘Assistance to Municipalities (AM) Program in the succeeding year(s) it any of the above ‘declarations are found to be misrepresented or false This Certification is being issued in compliance with the DILG Memorandum Circular No, Series of 2019, Municipal Planning and Date Development Coordinator Baie ‘Municipal Engineer {Local Chief Executive ACKNOWLEDGEMENT REPUBLIC OF THE PHILIPPINES (Municipality of Ss, Subscribed and sworn to before me on this date, a Notary Public for and in Philipines, NOTARY PUBLIC oe. No, Book No. Page No, Series of.Annex 6 [MU Castcaton of Congas to Proj mplrnttion (Sl Nats trpcunding Poet) LETTERHEAD OF THE LOGAL GOVERNMENT UNIT CERTIFICATION Under the FY 2019 AM Program forthe folowing project(s): In the_implementation of Local _Bridge—1_Footbridge_Projec(s)_ia_the_Municipality—of : 3 3 We hereby certify that: 4, The Detailed Engingering Design(s) (DED(e)) and the Program(s) of Works (POW\(s)) have been prepared and approved in accordance with the AM Program Menu, National Government standards, and relevant provisions of the R.A. No, 11260 (F-Y. 2018 GAA) and other applicable laws and issuances, and copies of the approved DED(s) and. POW(s) are hereby attached. 2. Project proposal and OED and POW has been reviewed by the Municipal Agricultural Officer and MPDC, 3, All bidding documents have been completed and ready to proceed with publications of Invitation lo Bid/ Advertisement (ITE/Ad). ‘The ECC or CNC application have been submitted to the concemed DENR-EMB, 5. Water Permit and other required permits and licenses application(s) has/have been submitted fo the concerned agencies __ (indicate date) G.a. ‘The project(s) is/are not located in the “No Build Zone” and hazard prone area as determined by the Mines and Geosciences Bureau Hazard Map; or 6.b, The projects located ina hazard zone, but engineering mitigation measures have been Included in the design to address the potential problems, Ta. The Projects) is/are not located in an ancestral domain area; or ‘7b Tha project(s) is/are located in an ancestral domain area; application for Free, Prior and Informed Consant (FPIC) has been submited to NCIP on ‘specify date), 8, Funds shall be made available for the maintenance and insurance, where applicable, ‘ance the project is completed 9. Procurement of the projects is/are inckided in the Municipality's Annual Procurement Plan and the Invitation to Bid (ITB) Advertisement is targeted to commence on (indicate date) (within 7 days after the date of this Certification)Annex £6 |M.GU Cetin of Complncs to Projet npamertan (Sl War impound Preis) 10. The above documents shall be made avellable to DILG during fled monitoring visits ‘and/or as may be requested. 11. The LGU has a functional Project Monitoring Committee (PMC) created or activated in the Municipality in-charged of closely monitoring the projects under the. Local ‘Government Support Fund (LOSE): tached fa copy ofan Exec Ordr intended the purpose. 12. Any undisbursed funds shall be remitted to the Bureau of Treasury (BTH), pursuant to Section 6.4.8 ofthe FY 2019 LGSF-AM Program Policy Guidelines. 13. Municipality commits and binds itself to comply with all the provisions of the Project Implementation and Monitoring Guidelines issued by the DILG. We accept that the Municipality shall automaticaly be ineligible to receive subsidy from the Assistance to Municipalities (AM) Program in the succeeding year(s) | any of the above ‘declarations are found to be misrepresented or fase. Thi is Certification is being issued in compliance with the DILG Memorandum Circular No.___, Series of 2019, ‘Municipal Planning and Date Development Coordinator By ‘Municipal Engineer Bate Local Chief Executive Date ACKNOWLEDGEMENT REPUBLIC OF THE PHILIPPINES (Municipatty/City of Ss ‘Subscribed and swom to before me on this date, a Notary Public for and in Philippines, NOTARY PUBLIC Doe. No Book No. Page No. Series ofAnnan £7 [MUGU Cevtncaton of Compliance to Prjex Implementation (Disastor Risk Redon Related Ean) LETTERHEAD OF THE LOCAL GOVERNMENT UNIT CERTIFICATION In the implementation of Disaster Risk Reduction - Related Equipment Project(a) in the ‘Municipality of under the FY 2018 AM Program for the following project(s): = = 2 3 ‘Wo hereby certify that: 1. The DRR Related Equipment type of project: 8. For Rescue Vehicle + 15. in accordance with the DEM Budget Circular No, 2017-01, “REVISED GUIDELINES ON THE ACQUISITION AND USE OF GOVERNMENT MOTOR VEHICLES" dated April 26, 2017, ‘+ Procurement ofthe projectés is/are included in the Municipality's Annual Procurement Plan + All bidding documents had been completed and the Invitation to Bid (ITB) ‘Advertisement is targeted to commence within 7 days upon receipt of ATP from DBM, + The type and specifications of the proposed motor vehicle is in accordance with the ‘guidelines and polices issued by the DBM and DILG for the purpose. + The motor vehicle/DRF-related equipment will be used for Disaster response. and ‘escueltelef operations. ‘+ The Municipality had alceady prepared all required documents for the request of issuance of Authority to Purchase (ATP), and had sent letier request to the ‘appropriate agency through the DILG-RO/PO and concemed MLGOO, requesting authority to purchase (ATP) motor vehicles using AM Fund. b, Other ORR related equipment ‘+ The proposed equipment isfare not expendable item(s), ‘+ Specifications are based on relevant characteristics, functionality and/or performance Tequirements without reference to brand names except for tems or parts that are ‘compatibie with the existing fleet or equipment of the same make and brand, and to ‘maintain the performance, functionality and useful Me of the equipment.e7 [MLGU Cention of Compance te Project implementation (Caster Risk edu Heated Equipment) + Rescue Equipments Technical Speciications have been prepared in accordance with the National Government standards and approved by the LCE ‘+ If applicable, the application of Permit to Purchase for Two-way radio has boon ‘submitted to National Telecommunteation Commission (NTC) 2, AA bidding documents have been completed and ready to proceed with publications of Invitation To Bid/ Advertisement (ITEVAG) 3. Funds shall be available for the maintenance and Rescue Vehicle's insurance once the ‘vehiclefequipment has been delivered and accepted, 4._ Procurement ofthe: project(s) is. included i. the Municipalty’s Annual Procurement Pian and, {he Invitation to Bid (ITB) Advertisement is targeted to commence on (indicate dat) 5. The above documents shall be made: available to DILG during field monitoring visits andlor ‘as may be requested. 6, The LGU has a functional Project Monitoring Committee (PMC) created or activated in the Municipality in-charged of closely monitoring the projects under the Local Government Support Fund (LGSF). Attached is a copy of an Executive Order intended for the purpose. 7. Any undisbutsed funds shail be remitted to the Bureau of Treasury (BT), pursuant to Section 6.4.8 of the FY 2019 LGSF-AM Program Policy Guidelines, 8, Municipality commits and binds itself to comply with al the provisions of the Project Implementation and Monitoring Guidelines issued by the DILG. We accept that the Municipality shall automatically be ineligible to receive subsidy from the Assistance to Municipalities (AM) Program in the sucogeding year(s) if any of the above ‘declarations are found to be misrepresented or false. ‘Tis Certification is being issued in compliance with the DILG Memorandum Circular No. Series of 2019, Date ‘Municipal Planning and Development Coordinator ‘Municipal Engineer Local Chief Executive‘Annes €7 LGU Getta of Compkance to Proect implomreaion (Asante Rsk Reduction Reo tuners) ACKNOWLEDGEMENT REPUBLIC OF THE PHILIPPINES (MunicipalityCity of, )ss. ‘Subscribed and swom to before me on this date, Philippines, ‘Notary Putlic for and in 5 NOTARY PUBLIC Do: No. Book No. Page No, Series of.Annex £0 [MLGU Cancion of Compliance fo Project Inplomenttion (Rain Water Catan Fi) LETTERHEAD OF THE LOCAL GOVERNMENT UNIT. CERTIFICATION In the implementation of Rain Water Catchment Faclity Projects) in the Municipalty of ‘under the FY 2019 AM Program for the follawing project(s) i 2 8 We heroby certify that 4. The Detaled Enginooring Designs) (DED(s)) and the Progranys) of Works (POWs) have been prepared and approved in accordance with the AM Program Menu, National Government standards, and elavant provisions ofthe R.A. No, 11260 (FY. 2019 GAA) and other applicable laws and issuances, and copies of the approved DED(s) and POWs) are hereby attached. 2. Allbidding documents have been completed and ready to proceed with publications of Invitation to Bid! Advertisement (TEVA). 3. RWICF wil be installed in @ Municipalty-owned facilty 4. The water shall be primarily used for non-potable purposes such as but not limited to general cleaning, fushing of tolets, etc. unless adequately treated, fitered or boiled 5, The ECC or CNC application have been submitted to the concemed DENR-EMB, 6. The Project(s) is/are not located in an ancestral domain area; or 6.b The project(s) is/are located in an ancestral domain area; application for Free, Prior and Informed Consent (FPIC) has been submitted to NCIP on (speoty date); 7. For Vertical Structures (Grounc/Elevated Water Tank, Reservoir, Fitration Facilities, Pump House, among others) a, The project(s) is/are not located in the "No Build Zone" and hazard prone area as felermined by the Mines and Geosciences Bureau Hazard Map; or . The project is located in a hazard zone, but engineering mitigation measures have ‘been included in the design to address the potential problems, 8 Funds shall be made available for the maintenance and insurance, where applicable, ‘once the project is complated, 9. Procurement of the projects is/are included in the Municipality's Annual Procurement Pian and the Invitation to Bid (ITB) Advertisement is targeted fo commence on {indicate dato) __ (within 7 days after he date of this Certification),Annex E MLGU Caticaton of Comptiance o Project implementation (Ran Water Catchment Fae) 10, The above documents shal be made available to DILG during field monitoring visits and/or a may be requested 11, ‘The LGU has a functional Project Monitoring Commits (PMC) crated or activate in the Municipality inchorged of closely monitoring the projects under the Local ‘Government Support Fund (LGSF), Attached is @ copy of an Executive Order intended for the purpose 12. Any undisbursed funds shail be remitted to the Bureay of Treasury (BT), pursuant to ‘Section 6.4.8 of the FY 2019 LGSF-AM Program Policy Guidelines. 413, Municipality commits and binds itself to comply with all the provisions of the Project Implementation and Monitoring Guidelines issued by the DiLG. We accept that the Muniipaiy shall automatically be ineligible to receive subsidy from the Assistance to Municipalities (AM) Program in the succeeding year(s) any of the above ‘eclartions are found to be misrepresented of false This Certincation is being issued in compliance with the DILG Memorandum Circular No, Series of 2019. (Signature over Print Municipal Planning and Development Coordinator (Siunature over Printed Name) Date ‘Municipal Engineer Local Chief Executive ACKNOWLEDGEMENT REPUBLIC OF THE PHILIPPINES (Municipalty/City of ss. Subscribed and sworn to before me on this date, a Notary Public for and in ; Philippines. NOTARY PUBLIC oe. No. Book No. Page No. Series of.Annex E9 MLGU Gerteation of Comptancs lo Project Implementation (Santaton ape Heat Faciy) LETTERHEAD OF THE LOGAL- GOVERNMENT UNIT CERTIFICATION In the Implementation of Sanitation and Health Faclity Project(s) in the Municipality of tunder the FY 2019 AM Program for the following project(s) 7 =— 2 3 We hereby certify that 4. The Detailed Enginooring Design(s) (DED(s)) and the Program(s) of Works (POW(s)) have been prepared and approved in accordance with the AM Program Menu, National ‘Government standards, and relevant provisions of the R.A, No. 11260 (F-¥. 2019 GAA) land other applicable laws and issuances, and copies of the approved DED(s) and POW) are hereby attached. 2. Allbidding documents have been completed and ready to proceed with publications of Invitation to Bis! Advertisement (ITBVAd), 3. The ECC or CNC application have been submitted to the concerned DENR-EMB. 41a. The Project(s) is/are not located In an ancestral domain area; of 4b. The project(s) isvare focated in an ancestral domain area; application for Free, Prior and Informed Consent (FPIC) has been submitted to NCIP oF (specity date); 5, For Vertical Strictures (Groundilevated Water Tank, Reservoir, Filtration Faciities, Pump House, among others): The project(s) is/are not located in the "No Build Zone" and hazard prone area as determined by the Mines and Geosciences Bureau Hazard Map; ar b, The project is located in a hazard zone, but engineering mitigation measures have ‘been included in the design to address the potentia) problems, 6. Project location has an existing functional water supply system. 7 The facility wil be situated in a Municipalitly-ovmed tacit 8, Funds shall be made available for the maintenance and insurance, where applicable, ‘once the project is completed, 8, Procurement of the projects is/are included in the Municipality's Annual Procurement Plan and the Invitation to Bid (ITB) Advertisement is targeted to commence on (indicate date) __(within 7 days after the date ofthis Certification).Annex € [MLGU Ceritcaton of Compliance to Projet Implementation (Santon and Heath Fach) 10. The above documents shall be made available to DILG during field monitoring visits andlor as may be requested, 11, The LGU has a functional Project Monitoring Committee (PMC) created or activated in the Municipalty in-charged of closely monitoring the projects under the Local ‘Government Support Fund (L.GSF), Attachad is a copy of an Executive Order intended for the purpose, 12. Any undisbursed funds shall be remited to the Bureau of Treasury (BT/, pursuant to Section 6.4.8 of the FY 2018 LGSF-AM Program Policy Guidelines 13. Municipality commits and binds itself to comply with all the provisions of the Project Implementation and Monitoring Guidelines issued by the DILG, We accept that the Municipality shall automatically be ineligible to receive subsidy fram the Assistance to Municipalities (AM) Program in the suoceeding year(s) if any of the above ‘deciarations are found to be misrepresented or false. ‘This Certification is being issued in compliance with the DILG Memorandum Clreular No, Series of 2019, Pr ‘Municipal Planning and Date Development Coordinator ‘Municipal Engineer Date ‘Local Chief Executive Date ACKNOWLEDGEMENT REPUBLIC OF THE PHILIPPINES (MunicipaltyCity of SS, Subscribed and sworn to before me on this date, a Notary Public for and in : Philippines. NOTARY PUBLIC Dot. No, Book No, Page No, Series of.mae es ‘oto Preserbennasnentaton Tete MAXIMUM PRESCRIBED IMPLEMENTATION TIMELINESAnne F2 Protx Project Implertation Schade LETTERHEAD OF THE LOCAL GOVERNMENT UNIT FY 2019 AM PROGRAM Project Implementation Schedule Project Cost: Php. ; [target vinnie 1.00 | PROCUREMENT PROCESS 101] Bit Preparation 1,02, Pre-Procurement Conference 1.03 Ad! Posting ITB 1.04] Pre-bis Conterenco 1.05 ‘Submission and Receipts of Bids +06] Opening or Bis 1.07| a Evataton 1.08] Post Quaicaton 1109] Isuance of BAC Resolution w BER 4.10] Issuance of Notice of Award ant Contract Signing ‘em thie era howto od th Manu Pec lennon makes (Annex F-) ofthis Guidlines.Aros F2 Pro-orma Prejct implementation Schedule i Te Ee Pecans ‘CONSTRUCTION / IMPLEMENTATION 2.00 | (indicative Duration based on 8° | submitted Program of Works to, Rogional Office) 2.01] Mobilization |_2.02| _Implementation 2.03] _Pre-Final Inspection/Punch Listing 2.04] Acceptance Prepared by ‘Municipal Enginear ‘Approved by: Local Chief Executive ‘Target Timelines indicated above shal not go beyond the Maximum Preserbed Implementation tinolines (Ansox Ft) of tls Guidoinos.Annex G-4 Concete Pre-Pait Choad Republic of the Philippines PROVINGE / MUNICIPALITY OF (Project Name) ocaton) ‘QE Reto, Bane Proposed Pour Date Contact SomcsiGGS ‘Sinust ‘Type o Stvctre Location Rabar Dwg Ret “Typesrength of Cone Drawing Rel Guantty of Concrete Yea | we | Ret Applabie” | Non-Compnance nia Rape! (NCR) "Ta Excavation 17 the oneal dn cone Hem 12 he tase cone compacted 12 Ite once ry 1 lect bing care Ww 2.0 Formwork 21 Ist aout 22 Nae mov ol ber pied aor wa ron 2. toma veria 24 isha ann oe 25 can ac 310 Rainforooment 1.1 he eo Fon cee at 212 Whe cg eee [33 eh conte cover pr apoE 34 Ae we ws plas an oe ed ‘3 iret atau mcr! cats wT apaTOD nea 18 Pes th rambo fb ne rnc ane 137 Aa se hw covet in re avr brn cael postion Hei rir a wn ce wd “AO Géverat {C1 st porate Gun an How Fen a ti “£2 Wear agin vida poker ons “23 eg matt vate one 24 He imo Wat a one sail Baa oqenies 15 Hon ade ht been eran 46 Aw op Hock on te “47 it aoe “4. hor Space ora Caniacior “Trapocted by Name and Spree) | apresarintve, WES (Marne ane Signature) ject Manager (Nae nd Signa)Annex 6-2 Wek Request fr Concrete Pouring Republic of te Philippines PROVINCE / MUNICIPALITY OF OFFICE OF THE MUNICIPAL ENGINEER Aattoss) ia nee Pbness Fishing Toobséq pment (Sceadar, Boom, ‘Qual of Maio od (Gta a Dasa ae MarTeet Reports at) {ee na rade Age Ta RD, Lighing Blon cer numbaannex G3 iced Concrete Cnacktat Republic of the Philippines PROVINCE / MUNICIPALITY OF (Project Name) (Location) Date Ferme Removed ‘Gonerate Pouring Dae Type a Srctre Type of Conese 22 Iathere any peeing 23, Wrethere my eck 24 Are haw any andy sea 25 who ie hees raged 26 Are De exaggeriad or ragged onrk make 2:7 Ae tre any mora eed mars 28 lsmecaderO.K 2.9 Ganern eondton 0. 2:10 Back carat vel and eampacted Ceri aapaiad by Wat ad Sanaa) iE rane MEO ar aed Sia) corractorAnnex H List or Major Actives Republic of the Philippines DEPARTMENT OF THE INTERIOR AND LOCAL GOVERNMENT. FY 2019 LGSF-AM PROGRAM LIST OF MAJOR ACTIVITIES The Muncioal Engineer or the Project Engineer, shall be present during the conduct of, but not following Layout or at staking 1 2. Welling 3, Source Validation and/or Pumping Test 4, Pipe-taying 5. Pressure and leakage testing or hydro testing/commissioning 5, Water sampling for water quality test (before, during, and after construction) 7 Conorete pouring 8 Welding 8. Installation of electrical connections 10. Installation of appurtenances e.g. fire hydrant, gale valves, production meter, ete 4, Material testing (material sampiing and actual testing) 12. Punehisting 13. Final Inspection For other infrastructure projects: 4. Layout or at staking 2 Pouring of concrete 3. Welding 4. Installation of electrical connections 5, Installation of plumbing and sanitation appurtenances: 6. Installation of road appurtenances 7. Preparation of subgrade, subbase, base 8. Placing of embankment and compaction of materia 9. Removal of formworks 10, Material testing (material sampling and actual testing) 11, Testing and commissioning 42. RCPC laying 13, Punch-listing 14. Final Inspection‘Coler Tone ex 2002075 aceosinrz @ Hex =c92620 acs 201,40,45 @ Ex srDEIs AGB 285,222.21 © SALINTUBIG Loco an Loge ‘ADM LOGO ‘specs Height: $ feet Length: 8 fest Resolution: 70 opi Material: Tarpaulin Dus Lose DBM LOGO Font Name: Verdana Size: 260 at HEX =022370 AGS 2.35122 epi ares Condilers Adrrinistrative Region Prounee of Benguet MUNICIPALITY OF KIBUNGAN “LOCAL GOVERNMENT SUPPORT FUND" Note: Community Billboard should BE placed within the pramiees of the Municipal Hall] Color Black i Name: Cambria rant Size: 430 ot @ Hex 022370 AGS 235,222 Font Name: Verdana Font Size: 70 pt Color: Blacie prong AmunLocal Government Support Fund Report on Fund Utilization and Status of Program / Project Implementation For the Quarter Ended” 20, aE a waa ay meaner? | enigues eae | Sete tame rueot | space ap! ] Seem = [ne ar | osetia | Moe’ | scram movem | ts | nabee | Nema tt |e nf [suman | ees | trie I Prepare by: The acl Mace Commie saste by Taner Bama ee GRIP wa Daan connate isa crete ‘Municipal Treasurer ‘Nonicpal Aecountant {tracvons: 7 5 a ‘Pee epor sil be prepares bythe LFCin coordination with othe lea ofits carcemed (eg. local accountant on altnert. blgaton end Ssbursettenta, local engineer on the satus of the infastactie prjeca, as ey Be ‘applica ‘The fan source ena be based on the NADA enue to LS, ‘The ype of program/protec shal be scented coaitent with Secon 4.0 Coverage a he Program othr Grevien ‘Amour received ceers to the amour received bythe LG as its share Itz {he amount inleted inthe NADAL. Obignton fears of the total mune bled by the LU os of reporting evad: Dabureements festa te oa ‘unt pao by the Lou, a of reportng perc ‘The extmeted percd of comoleion rte the projected date (mone aid yee) tm complete te program / aroiec The “status of programs/poject rlers to the perertape of hystal {acelin a5 of reporting pris ‘Abo, submit accompiahed Annex the fowing Azencies, twits + AM ~ electronic copy to eshOsn sie + Senate committee on Finance — har copy address to Lesisative Budget Reseach ‘Ofc {LBRMO}: 2 Poor, Senate of the Piipines, Rous Boucied, and Nentonng Pasay, Metre Manis 1300 and electron fopy to =a a + House Committee on Appropriations — nord copy addressed to Commitee (Grammar, “House Commatee th Aporapratons, S/F AWW Bulting, odwe St ‘+ President ofthe Senate - Secipnic copy to ut ection com; and + Speaker of the House of Representatives — elecronic cooy to sinsteradacaiey sh oy furnish DILG Central Office though ema at eae ane ‘rice. day Avaieng HTH reouwyAnnex K Projet compton Report DuGLOGO —LGULOGO SAMPLE ONLY Number: Program Name: AM Progrant Fund Source: LGSF-AM FY. 2019 GAA Republic ofthe Phillppines Department ofthe Interior and Local Government Project Completion Report TOURING Tabidan Samang) ANTENA ROAD PROIECT me 2. ocation 2.frating/implomenting Agency Osta sein payor kan De La Cres ca na RS Powe: Pagosa Rcamayo:— Peo de Venaraton [el Wn O87 7665 usicpaly Oona Freasre: —Dominar Cardona [et No Oo645673451 orangy:Ccordarminalto Saman@ —|[aecountan_andres Graanea [oe Wo 05179865751 (ee aiached rao] mun. einer: dard sbansag [col 08134534675 2, |Reniasor Good wii Cone. carp—] ]Pb0: Wil De Pes eat o-oo n3en8 adr ZStoKSHEN SC MESO: Hadaran | Monkipl al Ral Ave. Pb Bobo, Pangainan [carne ooasasie Tac SST +. asa [isle Dao ‘costa | Taree | actual | NO] Under Milestones ‘Target ‘Actual be aoe [soae | [as | ote aeararromed —| soars | — TRS pu 700[ a8 | —[oae | farce Boy 019 | —31 bee 7019 isu 3.00 | 300-| —[ 0.0 | compton oe 35 Aug 3019 | — abe 2019 fenezary [8.99 [ 938 [| at frie overrun inden 1a ye/3i% [Gu Acentance Date eesti 7. Number of tenelries: Rana {ener Suess GS (8 10), Party Sucensul P37), UnsecesurUS (1-4 ow te Rune ial eas e—t Fem ices st hae | eee fet SS — Objectives (Beefs {ener impact) ‘The Project was successful in improving the elivery of potable water supply to the cammnity and to decrease the water-borne diseases which fe to Increase in economic actives, Specific (Quteames}: ‘The immediate objectives ofthe LGU supported project were achieved: which was ficient and effective ‘oad network/improved accessblity on remote areas, lustrated by decreased Wave te = 80 percent, rom wo houren 2016 t0 one hour in 2048 by rAnnox Kk rower Compltion port 9, Description (Output) “The project camprised the construction/instalation of 270 im pipes, nd 16 unis of publi faucets ‘The Project was locally funded with a (otal budget amourniry to PHP 20 min, implemented by Local ‘Government Unit of Magsaysay, Davao del Sur, in collaboration withthe Department of Interior and Local Government, with bul but uk implementation 420, changes in Project Scope and Design ‘All the targeted outputs to be delivered ofthe Project were comploted/accomplshed except forthe service Connections wherein the total numberof hoasehods fo be served were reduend frm the targeted 1,500 HA {0 1,200 HH due tothe charges made inthe layout of pipe. Wt appeas that the project ci nat achieve ts target on the beneficiaries to be served, however, the projet enhanced the capacty of the LGU to manage 3 water supoly project, provided employment to numberof residents, consequent Increased thet near, Iikewise, the income of the municipally increased. HeMce, the projects flective ‘two year bing and award delay for SOWA and contractor which cesulted in delay of ssuance af NTP, Startup al implementation and completion resulting In delayed bens for 137 years 12, Project Cost Divergence Explanation: ‘The total cost ofthe project decreasd by PHP 0.13 millon due to reduction of BILG counterpart Irom PHP 7.0 million to PHP 6.88 milion as cut by the DOM during the bude hearing. 13, Lessons Leamed, Recommendations: Pre-imolementation Phase 1. Particloatory planning implementation, monitoring and evaluation results in smooth implementation of the protect. 2." Thorounh investigation, review s necessary for te accuracy of targets in project planning and iimolementaton. 3. Very optimistic targeting ead to unachievable targets. 4. Poor project quality at entry results change/aditora in scope contributed in the increase of project cost 5, Therelsa need for ofthe project 6, Theresa need for skilled staf fr the efficient and effective procurement of goods and services 7. Projects that were ineluded in the Municipal and Provincial Development Plans ae assured of funding and budge or implementetion Pre-implementation Phase 44, Photos of Outputs and Beneficiaries wel Organi ofthe PMU and hiring of skilled stat to avold delay In implementation Prepared by: Date: Veritied bys Date: Submitted to: Date:Annex ‘te inetncion Republic of the Philippines: PROVINCE / MUNICIPALITY OF OFFICE OF THE MUNICIPAL ENGINEER (Address) Date: Day: Name of Project ————eeatratar— ————— ~ SITE INSTRUCTION NO. To Project Engineer (Contractor) FROM Project Engineer (wucuy ‘SUBJECT ‘You are hereby instructed to comply the following, Project inspector Project Engineer / Manicipal Enginear (Micuy (MLcu) RECEIVED BY Project Engineer (Contractor) DateAAonox Wt Irapecton Report LETTERHEAD OF THE LOCAL GOVERNMENT UNIT Date. INSPECTION REPORT No. PROJECT NAME ‘ LocaTION CONTRACT PRICE : (OriginalRevised) CONTRACTOR : DATE OF INSPECTION: Findings. : Provide here a narrative ofthe Inspectorate ‘Team's findings. | there are no defects/deficiencies observed by the Inspectorate Team during the First Inspection, this will serve as the basis ofthe issuance of the Cerificate of Completion, It there are defectsideficiencies observed, indicate rectiications needed fo be dane by the Contractor, and attach this to the succeeding Inspection Reports uni thera are no delects/deliciencies observed that would warrant the issuance of the Certificate of Complation. Attach the Team's Previous Inspection Report(s), indicating defectsidefciencies, i any, ‘observed by the Inspectorate Team and repair works done by the Contracir, If this Inspection Report shows no defects/falures, this wil serve as the basis ofthe issuance of the Certificate ‘of Completion. Rocommendation(s) : WLGU inspectorate Team Member 1 MCGU inspectorate Team Mombor 3 MILGU Inspectorate Team Mombor 2 MMLGU inspectorate Team Member 4 ‘Add namestettcelpastion of skanatoryes, ecessaryAnnox m2 Final especie Fert LETTERHEAD OF THE LOCAL GOVERNMENT UNIT Date FINAL INSPECTION REPORT PROJECT NAME r LOCATION CONTRACT PRICE : (OriginavRevised) CONTRACTOR DATE OF INSPECTION Dato of Certificate of Completion Findings: Provide hee a Navatve of the Inspectorate Team's findings. Attach the Team's Previous Inspection Reports) indicating defects/deficiencies observed by the Inspectorate Team alter the one-year Defects Liability Period, ‘and repair works done by the Contractor. This will be the basis of the issuance ofthe Certificate of Acceptance, We, hereby undersigned member/s of the Inspectorate Team, conducted a Final Inspection ‘on the above-siated project alter the one-year Defects Liability Period, and found the project to be free from any defects/defciencies that are due to poor workmanship, use of poor quality ‘materials, and non-compliance with Plans and Specification of the Contract jamber LGU inspectorate Team Member 3 LGU Tnspectorate Tear MLGU inspectorate Team Member? —-MLGU inspactorate Team Mombor 4 ‘At namesofica)psiion of sigalonyies), necessaryAnon et Contiale of omplebon LETTERHEAD OF THE LOCAL GOVERNMENT UNIT Date, CERTIFICATE OF COMPLETION PROJECT NAME t LOCATION : =, CONTRACT PRICE: (OriginaliRevised) CONTRACTOR 4 ‘This is 10 certify that the above stated project has boen satisfactory completed on {in accordance with the Plans and Specifications of the Contract based on ihe Inspection Report No. __ of the Inspectorate Team dated ‘This certification does not relieve the Contractor of their obligations and responsibilities in undertaking repair works on any defectsideficencies that may occur in any section of the project during one-year Defects Liabilly Period starting from the date of completion as herain ‘stated. Neither is he/she relieved of his/her obligations and responsibilities pursuant to the provisions of R.A, No, 9184 CERTIFIED AS COMPLETED AND ACCEPTED: Tocal Chief Executive: RECEIPT CONFIRMED AND ACKNOWLEDGED: GontractorAnos Ne? Contents of Final Acceptance LETTERHEAD OF THE LOCAL GOVERNMENT UNIT Date. CERTIFICATE OF FINAL ACCEPTANCE Project Name: Location, Contract Price (OriginalRevised) Contractor: Date of Certificate of Completion and Acceptance: Based on the Final Inspection Report No, __ of the Inepectornte Team dated after the one-year afects Liabilty Period, the project is free {tom defecte/deliciencies due to poor workmanship, use of poor qualily materials, and non- Compliance with the Plans and Specifications of the Contract. In view hereof, we hereby cerlfy that the project is accepted by this Municipality on Signature Over Printed Name Local Chief ExecutiveAnnex o Notice of Oulcls/ Deion LETTERHEAD OF THE LOGAL GOVERNMENT UNIT NOTICE OF DEFECTS/DEFICIENCIES Bate of issuance Name of Contractor ‘Address of the Contractor Fax and Contact Number of the Cantractor Dear Sir / Madame: Based on Inspection Report No.__, the folowing defects and deficioncies have been noted! 41. (Defects and Deficiencies) 2, (Detects and Deficiencies) 3. (Detects and Deficiencies) ‘You are given seven (7) calendar days to commence the repair works and complete them within thiy (20) calendar days after receipt of this Notice. Vory truly yours, Tocai Chief Execulive Contorme (Name of Contractor, if By Contract) (Name of Municipal Engineer, i By Administration) ‘Signature over Printed NameAnnex? Notes of Project Caneatin Republic of the Philippines. Department ofthe interior and Local Government (Regional Office) (Date) {Mayor's Namo) L Municipal Mayor Municipality of. Province of Subjact: NOTICE OF PROJECT CANCELLATION Dear Mayor This is in reference to Waming Letter No, 3, dated + with subject which ‘emains unresolved ae of this dale. In this regard, please be Informed that the following project(s) isare being canceled: PROJECTS) ‘AMOUNT FOR REVERSION ‘As such, the MLGU is required to revert the unutiized amount equivalent to the remaining works forthe above-mentioned project(s) to the Bureau of Treasury (BTr) within calendar days, ‘The Municipality shall provide # copy of the sad transection within fteen (15) calendar days the money has been reverted to DILG-RO through DILG-PQ and concerned MLGOO. Very truly yours, (Regional Director's Name) ‘Regional Director ce: MLGOO, DILG— Provincial Ofice DILG- OUsLG. Regional COA *Matino, Mahusay at Maaasahan* (DILG- Regional Office Adcress)FY 2019 ASSISTANCE TO MUNICIPALITIES ‘pies 4 VALIDATION FORM (POIRO) Yondation Fam ‘A: PROJECT PROFILE Fe Province Muncpatl Funding Year (RDATT Databawe Project Dota, canes sukimitod to DIL Ticode ci Tile edi Location eto it 7 Physical esate ational Sub LGU Cot st), Wa aR 5. TECHNICAL oOcuMeNTS essence gg | Semtnss and | REMARKS sry Ti eta Engin De 7-1 Pans. = TZ Siuetwal Pons 1:22 Avcocual Pane Ron Pans of Pps pea 1.23 Speetieabons (per em of wor POW) 1 2 Mecho, loot and Panay Pane “1235 Or Moeelanonus TZ Da Ana 1S OuareyTakeot Arai “4 Ui Cost Analy tafe Un Pica aas(OUPAY “5 Progra of Works ig the POW consistent with the Phyavcal Oulpu ho POW cost aqual olds than te Rational Sumy? “H nat hare a poate malay OTST exuniepart? i Carats Bang Docent {Reter'o GPPE Bidding Does v8) 3.0 Project Specihcs 34 For ail project iypes: 114 Zang Coat al oan Broject sata based onthe MGS hazard man 12 Congrle Pouring Panis SZForEveuaton Contes and oer Vericat Sacre "32:1 Raver calcio Renvestng 5/ sem insusea 3.2.3 Facihies for PWO's is meluded 524 Can wihaland S00kph wndspeod 325 Con witatand 8.0 maghinds sisris oa Fa We Poe 3,1 Sie Vaidaon rod rom TU 5,11 diction 7 Cnieaton tate wate ar is adoqua 33.12 Water Potoiiy Teat “Tp amnion Schedule 30 Pet Sigbard onl Propared By: Noted by ‘Signature over printed nyne Signature over pinto name DILG POIRO Technieat Stat DILG Provincial Director /POMU ChetAnnex 0-2 Validation Form FY 2019 ASSISTANCE TO MUNICIPALITIES Validation Form (MLGOO) EGU Counterpart) Fa Dit ors crc fo GU aoa nn ee ir Rocoipt of Fund (AnnoxD) Did the LGU sub the Conran an he Reco of Fund (Annex 0} yes, kncyinceate the actual ate submission and pda the SuboyBayan. ‘ste amount nated the Amex D eave] tilocaton nthe NADA? ister a poot of rant am Gavaral Fara “Tus Fund? ‘EE Conny Bara TaOX -Did the LGU instal Community Bitoard win the ‘pronigos of ha municipal hat yes, kin ca ‘he acu dao nataaton “Wh nod command biboard in caniomance vi th preseibed format? “the nab community board Upcatod? 323, Notarized CBU Covaanion Daina) ~Dis the LGU sub Notarized LGU Cariicabon (Arnox )? Hf yes; Kindy cate the actual date of Voisson and pate and upload pcre the Subaybayen 241 teh Daaled Eigaring Design (OED) taco! 9 the subnadAros E? 52a tia Progra ol Wank (FO) lashed ine subinited Annan £? “ga Completa Raking Docunents (olor ta GPU Biting Docs ov 5) — Bias Oidar cog oacivalng ha Peet ‘Monitoring Comintion MC). Fad Poot a oppeon TW Ba ROCTENE “Dido LGU apply Tr ECCT ONG? ys iccata ho tl dato of opication. Ta 2 Water Pari “Did ia LGU apply or Water Far? ‘yes, nat te actu dato of sppseation2349 NCP “sto prea Tce win ‘losedAnostal Domai? “Dit the LBU apply fr Cova of ow-Oveca or Fro, Pio, and Informa Const (FPG) yo, Inco to etal date of apeaton. EAGT NPAT “1 the rac ato win ‘onied Notona ograted Pract Aooas? (PAS) “Dil he LGU ai 1 PAS Corian iyo, inceoi tho oot stale of appa. EIS Bilt (GU prove pool oT Lane Onperp 0 Brgh Cy (OW? 250 Did he LGU netude the project nha Aa Proeuromon Pian (APP)? EAT Bid tw LGU told te pact Ta Local Dovelgment investment Pragian (Die? 2a “mplernontation Sehodule (Annex F) B41 De te LOU sub he Project Implement Sched (Arox F)? FAT Tee tl draton of Praramant win 14 cya? Wy, cata to art datos sod on Annas Fi iiome 3.1.2.2, find 25 nes oncom tho Siayayen astog “Did he LGU pou !TB/Ad i ha PRUGEPS? Hyon, ‘ncleat tho target are acta cio of THA Posting fan if Oporing in tom 3) a TSU iviiod G80 To Sbsens the Prosiramont Procons “Did he TU eo CSO to oborve the proaromant process? ‘tyes, prewdothe actual date of itation, “is C5 a a vere) Jn pocuromont procoss? a Spe oH “Di tw LGU covet Bi Opening? if ye, nets ta trgo ne actual datos ol Opening, is ToT og‘an encod i he SubayBayan. no, proceed a ext acesion “Was thee 3 -Did tho LOU subst copy of Nati To Proceed (TP)? Wyo, deat te dato of eco of NTP on ‘ecode the actual stat of mpernentaton {constrain inthe Subayaya, TE_APCPISubnssTon ‘te LGU submit a Aganay Proouarant Cempiiance Perormanes Inicatar (APCPI ‘Assosamontt¢ a GPP? Prepare ty Signature ove rind nama m.oo.Anox R Ati of ocean REPUBLIC OF THE PHILIPPINES Municipality of, dss. AFFIDAVIT OF UNDERTAKING k (LOCAL CHIEF EXECUTIVE) Fipino, of legal age, (civil status), the duly- elected Local Chiet Executive of the Manicipalty of ‘with address at (Address of ‘Municipal Hall), after having been duly sworn in accordance with the law, hereby depose and state: THAT, the Municipality sal allcato lacal funds equivslent to the reverted amount forthe Femaining works in accordance with Section of DG Memorandum Circular (MC) THAT, the (Municipality) shail complete the project not later than fl ‘THAT. the (Municipality) shail submit a Project Complation Report (PCR) (Annex __ of DILG-MC ___) within thity (30) calendar days to DILG-RO after the issuance of the Certificate of Completion and Acceptance (Annex of DILG-MC__): and THAT, the (Municipality) shall assume accountabilly and lability under applicable laws and {ssuances in case of non-compliance with this Undertaking IN WITNESS HEREOF, | have hereunto affixed my signature this __th day of (Month), (Year) in (Place) (LOCAL CHIEF EXECUTIVE) ‘Aliant SUBSCRIBED AND SWORN to before me this __th day of (Year) in (Municipality), (Province), Affiant exhibiting to me his evidence of idariliy NOTARY PUBLIC Doo. No, Page No, Book No, Series of 2019Annox s Aide Momus Department of the Interior and Local Government Address AIDE MEMOIRE Leu: DATE OF AIDE MEMOIRE: SUMMARY OF FINDINGS / OBSERVATIONS/AGREEMENTS: FINDINGS! RECOMMENDATIONS | TIMELINES REMARKS OBSERVATIONS AND AGREEMENTS Project ID: Project Nam Allocation: Location: Date Monitorod: 4 1 1 1 2 2 2, 2 Project ID: Project Name: Date Monitored: 1 1 1 4 2 2 2 2 (Use acitional shoat if necossary) | agree with the above observations and corresponding recommendationsiimelinas as stipulated above, DILG Representatives LGU Representatives Name Signature Name SignatureAnnex 5 iso Momo | agree with the above observations and corresponding recommendations and | commit to ‘act within the agreed timelines as stipulated above, Furthermore, | am aware that sanctions shall be applied in case of neglect to implement the ‘aforementioned agreements/recammendations as provided for in the DILG Memorandum Srevtar ‘Municipal Mayor €: DILG-MLGOO Page No.of _ore Moy Seeman et Wt Aaa ren san we ly Pr ne aerate nse A) Creal Contin Sean ‘ease: eset ans) eae Cones bom Seen td ane ry ae rs Acunt S TOBA a is sau surnevona tn . = Senet veotene ‘ros oat cae a SATB) @ ee TTT RTT Prepon gate coment) © fey ———— ene soem wetacenstienate ae fey —— ae [aa Simin Amelia Scape Set Sopees 10h)Annex FY 2010 GAA Proviso ‘OR FISCAL YE 14260) "AN AGT APPROPRIATING FUNDS FOR THE OPERATION OF THE GOVERNMENT OF THE REPUBLIC OF THE PHILIPPINES FROM JANUARY ONE TO DECEMBER THIRTY-ONE, TWO THOUSAND AND NINETEEN AND FOR OTHER PURPOSES ~ ‘THE PRESIDENT OF THE PHILIPPINES! DIRECT VETO, v. CASH BUDGETING “Concomitantly, et me emphasize that pursuant to the Administrative Code of 1987, J shail mandate the implementation of an operational cash budget for FY 2019 tO ‘ensure tho availablly of cash rosources for pronty development projects, and speed Lp the delivery of public sorvicos." “Nevertheless, in view of the delayad passage of the FY 2019 GAA and the election ‘ban in conection with the conduct of the May 13, 2019 national and local elections, ‘ve will allow the implementation of, and payment for infrastructure projects to ‘extond until Docember 31, 2020, provided that the funds for the purpose are obligated not fator than Decomber 31, 2019 in accordance with Section 65, General Provisions of this Act. This rule shall likewise cover subsidies givan 1a ‘government-owned or ~controlled corporations (GOCCs) for infrastructure.” GENERAL PROVISION(S) EXPENDITURE See. 17. Soc. 18, Soc. 19. Use of Government Funds, Government funds shall be utlized in accordance with the appropriations authorized for the purpose and comply with applicable laws, rules and regulations, such as, but not limited tothe following: (a) Purchase of foods, infastructure projects, and consuiting services, including ‘comnmon-use supplies, shail be made in accordance with the provisions of RA No, 9184, and its IRR and GPPB Guidelines; (b) Purchase of motor vehicles shall be made pursuant to.A.O. No. 233, s. 2008 as ‘amended by A.O. No. 15, s. 2011, B.C. No, 2016-5 dated August 22, 2016, as ‘amended, and such other pertinent guidelines issued by agencies concamed: Prohibition on the Attachment of the Name, Imago, and Logo of Candidates or Public Officials on Government Projects. i shall be prohibited to atx, or cause to be affixed, the name, visage, appearance, logo, signature, or other analogous image of any candidate for pubic office, or incumbent public official, whether elected or ‘appointed, on all signs, programs, activities, and projects under this act. ‘Strict Adherence to Procurement Laws, Rules and Regulations, ll agencies of the government shail strictly adhere to the provisions of R.A. No. 9184, fs IRR and GPPB guidelines in the procurement of goods, infrastructure projects and consulting sorviess. ‘To promote transparency and achieve elficiency in the procufement process, the Philippine Government Electronic Procurement System shal be the primary and epository of information on government procurement2, See. 33, Soc. 36. Sec. 41. Annex FY 2010 GAA Provisions implementation of Infrastructure Projects. The following requirements shall be ‘observed in the implementation of infrastructures projects (a) The location, areas or sites of al infrastructure projects are not included in the: tical geo:hazard areas or no build zones identified or cerified by the Mines: ‘and Geo-Selences Bureau (MGB); (b) The standards of construction, rehabitation, improvement or repair of all infrastructure projects in all areas and zones are consistent with the rules determined by the DPWH, which shall consider, among others, the siructural ‘strength and climate resilionce requiced for infrastructure projects in all areas. ‘and zones; and (c)_The_planning and construction of all inftastrscture projects to be-implemented — Within the National Integrated Protected Area System (NIPAS) are done in way that eliminated or minimizes the risk of biodiversity ioss while the specifications thereon are in accordance with those determined by the OPWH, in coordination with the DENR. Major infrastructure projects may only be undertaken in said areas if intended to enhance biodiversity. The DPWH and all other agencies shall lake info account climate risk information and green bulding standards to be issued by the Climate Change Commission (CC) in the planning, identification of sit, design, construction, engineering and renovation of government buildings and facilities, including schoots and hospitals. Installation of Rainwater Collection System. Rainwater collection system (RWCS) shall be instalied in public markets schoo! sites and goverment buildings and sites {8 an adaptation measure to combat climate change and to ensure sufficient water ‘supply, which shall be in accordance withthe prescribed design of OPWH. In no case ‘shall be tha RMCS be constructed in private lots or privately-owned or operated ‘market places, Programs and Projects Rolated to Senior Citizens and Persons with Disability, All agencies ofthe government shall formulate plans, programs and projacs intended to address the concems of senior citizen and persons with disability, insofar as it related to their mandated functions, and integrate the same in their regular activities, ‘Moreover, all government infrastructures and facilities shall provide architectural or structural features, designe or facilities that will reasonably enhance the mobilly, safety and weltare of persons with disability pursuant to Batas Pambansa Big. 344 ‘and R.A. No, 7277, as amended, Protection of Built Heritage, Cultural Properties. and Cultural Landscapes. Alleration, renovation or demolition of government buildings and open spaces actared oF presumed to be important cultural properties by government cultural agencies concerned shall be undertaken only upan prior approval of the said ‘government cultural agencies and proper consultation with stakeholders and cultural ‘groups to be administered by the NCA. This includes the protection of the sight line ‘with regard to build heritage, cultural properties and cultural landscapes, Energy Efficiency. All national government agencies, local government urits ancl government owned and controlled corporations shall embark on energy efficiency measures, including the adoption ofa standard thermostat level based on the DDE's ‘energy conservation program, and the use of energy efficient lighting, such as fight-Annex FY 2010 GAA Provisions emitting diode (LED) lamps, in thelr office buildings, schoo! bullings, hospitals, markets, parks, street lights and othar public places. Sec. 44, Repair and Retrofitting of Government Structures. The Government agencies ‘concerned shall priortize the repair and retroftting of government siictures in areas ‘considered highly vuinerable to seismic activily and shall ensure thatthe retrafiting shal result in structural strength required for the area concemed in accordance wlth RA. No, 10121 orn accordance withthe National Structural Code ofthe Philippines. RELEASE AND USE OF FUNDS Soc, 68. Availability of Appropriations. All appropriations authorized in this Act shall be ‘available for felease and obligation for the purpose speoiied, and under the same ‘special provisions applicable theroto, until December 31, 2019. ‘A report on these releases and obligations shall be submitted to the Speaker of the House of Representatives, the President of the Senate of the Phippines, the House ‘Committee on Appropriations and the Seniate Commitee on Finance, either in printed form or by the way of electronic document, Sec. 73. Meaning of Savings. Savings refer fo portions or balances of any released appropriations in this Act which have not been obligated as a result of any of the folowing {@) Completion, final discontinuance, or abandonment of a program, activity of project for which the appropriation is authorized; or (b) Implementation of measures resulting in improved systems and efficiancias and thus enabied an ayency to meet and deliver the required oF planned targets, [programs and services approved in {his Act at a lesser cost. In case final discontinuance or abandonment is used as basis in the declaration of ‘savings, such a8 discontinued or abandoned program, activity or project shall no Jonger be proposed for funding in the naxt two (2) fiscal years ‘The particulars of the expenditures to be funded from savings should be within the ‘scope of, or covered by an existing activity or project. The existence of an activity or project regardiess of the availabilty of alloiment class/ee is sufficient for the purpose ‘of augmentation Sec. 84. Disbursement of Funds. Public funds for obligations incuned with proper ‘authorization shall be disbursed only through the BTr or authorized government Bervicing banks under the Modified Disbursement System, subject to gukselines issued thereon, Sec. 86, _Incurrance or Payment of Unauthorized of Unlawful Obligation or Expenditure. Disbursements or expenditures incurred in violation of existing laws, rules. and Fegulations shall be rendered void. Any and all public officials or employees who will authorize, allow or permit, as well as those who are negligent in the performance of their duties and functions which resulted in the Incurrence or payment of Unauthorized and unlawful obligation or expenditure shall be, personally able to the ‘government forthe full amount commited or expended and, subject to disciplinary actions in accordance with Section 43, Chapter § and Section 80, Chapter 7, Book Viof E,.0. No, 292.Sec. 97. Sec. 99. See. 103, Soc. 105. Annoxv FY 2019 GAA Provalone Implementation of Nationally Funded Projects. Pursuant to Section 17 () of R.A ‘No. 7460, the National Govemment may designate LGUs as implementing agencies for publc works and infrastructure projects and other programs, services and facities, Including the construction of focal roads and facililes appropriated inthis, ‘Act, subject to the following: (2) The LGU has the capability 0 implement the foregoing administration or contract {in accordance with the design, plan, specifications, and such other standards ‘and policies of the National Government; and. {b) The LGU-recipient of nationally funded public works and infrastructure projects -and_other programs, services. and. facilities shall commil-to-fund.the-cost- of maintenance and repairs thereat ‘The LGU shall submit quarterly reports on fund utilization and accomplishments through the following: (a) Local Government units Reporting System (LGURS) or other electronic means or reports not covered by the LGURS; and {b) LGU's website. ‘The LGU shall send written notice when said reports have been submitted or posted fon its website fo the DBM, House of Representatives, Senate of the Philippines, House of Committee on Appropriations, Senate Committee on Finance, and other offices where the date of complance with this requirement. Report on Commission on Audit Findings and Recommendation. Within sixty (60) days from receipt of the COA Annual Audit Repon, agencies concemed shall ‘submit to the COA, either in printed form or by the way of electronic document, status ‘oport on the actions taken on said audit findings and recommendations using prescribed form under COA Memorandum No, 2014-002 dated March 18, 2074. They ‘shail likewise furnish the DBM, the Speaker of the House of the Representatives, the President of the Senate of the Philippines, the House Committee on Appropriations and the Senate Committee on Finance, either in printed form or by way of electronic document, a copy of said reports. The head of agency concemed and the agency's web administrator or hisyher equivalent shall be responsible for ensuring that seid status reports are posted on the agency's website, Liability for Non-Compliance with Reporting and Posting Requirements. Failure to submit reports and other information mandated in the /special and General Provisions of this Act shall render the head of the cancemed agency and other Fesponsibie officers liable to appropriate administrative charges, Fallura to post information on the official website of the concemed agency as ‘mandated in the Spacial and General Provisions of this Act shall likewise render the, hhaad of agency and the agency's web administrator or his/her equivalent lable to Appropriate administrative charges. ‘Transparency in Infrastructure Projects. All agencies ofthe government shal post the following on their respective websites, within the period inchcated:Annex FY 2019 GAA Provisions {a) The project tke, location and detailed descrigtion; detailed estimated in arriving at the Approved Budget forthe Contract; and winning contractor and the detailed estimates of the bid os awarded, within thity (30) calendar days from entering into contract; {(b) Start of construction; target date of completion; completion rate; project status; in case of delay, state the reasons; (@) Source of fund; implementing office, responsible official, contact number and ‘email address; ancl (@) “The detalied actual cost ofthe project; and variations orders issued, ian, within {hid (30) calendar days from the issuance of a certificate of completion. SECTION XV. DILG A. OFFICE OF THE SECRETARY. SPECIAL PROVISION(S) 10. Implementation of Environmental Laws. The LGUs shall be primarly responsible {or the implementation and enforcement of environmental laws, including but not limited to the Philippine Ciean Air Act, the Philippine Clean Water Act, the Ecological Solid Waste Management Act and the National Pollution Control Decree within their respective juriadiction, ‘The LGUs shall implement the air quality standards, including the noise standards, sot by the DENR, EC) LOCAL PORT FUND SPECIAL PROVISION(S) 1 ‘Assistance to Municipalities. The amount appropriaied herein under Assistance to Municipalities shall be used to support the priority projects of municipalities, and allocated based on equal share, fiscal capacity, per capita share, and share for good performance. ‘The Assistance to Municipalties shall fund projects culled out trom the Local Development Investment Programs of municipalities and shal be linted to: (local acc26s roads, to include drainage systams along existing roads, that are compliant to OPWH standard; (i) local bridges; (ll) potable water system projects, (lv) evacuation center and Disaster Risk Reducton-elated Equipment, (v) Small Impounding projects: (vi) Rain Water Catchment Facistes, (vi) Sanitation and Heelth Facts; (vil) Municipal Drug Rehabiltation Faciy, Release of fund to the municipalities shall be subject to their compliance with the foliowing: (I) DILG Seal of Good Financial Housekeeping; i) the requirements of the DILG Local Development Council functionality, (ii) assessment of Public Financial Management (PFM) systems and adoption of the corresponding PFM improvement measures, and (iv) Notarized Certification prepared by the Municipal Engineer and ‘Municipal Planning and Development Coordinator (MPDC), signed by the Local Chief Executive (LCE) attesting thatAnnas v FY 2010 64a Prowse {a) The site of the project has no land ownership and Right-olWay (ROW) probiems/issues; (b) The project is not located in the “No build Zone” and hazard prone area as determined by the Mines and Geosciences Bureau Hazard Map; and {6} Forwater supply, the water source has beer validated by the Municipal Engineer and found a be feasible to supply water to the inlended beneficiaries and potable for drinking oF mitigating measures have been included in Die design 1 make the water potable Duly accredited Civil Society Organizations are encouraged to actively parteipate in the implementation by way of: (i) serving as obsarver in the procurement process 0p municipat Development Counc project mondorng; an (il third party monitoring ‘and evaluation, Citzens are also encouraged 10 provide feedback on the implementation of the project. lmplementation of this provision shall be subject to guidelines to be issued for the purpose. 6 Reporting and Posting Requirements. The LGU shail submit quarterly reports on tuliization of the LGU shares, through the folowing: (8) Local Govemment Units Reporting System (LGURS) or other electronic means {for reports not covered by the LGURS; and (b) LGU’s website. ‘The LGU shall send writen notice when said reports have boon submitted or posted 6on its website to the DBM, House of Representatives, Senate of the Philippines, House Committee on Appropriations, Senate Committee on Finance, and other offices where the submission of reports is required under existing laws, rules and Fegulations. The date of notice to said agencies shall be considered the date of ‘compliance with this requirement.Amex LOCAL GOVERNMENT SUPPORT FUND ASSISTANCE TO MUNICIPALITIES (LOSF-AM) LOCAL GOVERNMEN ASSISTANCE TO: MUNG (LGSF-AM) DUPART MENT OF TIE INTERIOR AND LOCAL. GOvERYMENT DuPAteEMENT OF HUDEET AND MaNAGHANTAna LOCAL GOVERNMENT SUPPORT FUND — ASSSISTANGE TO MUNICIPALITIES (LGSF-AM) CONTENT Local Access Road Local Bridge .snsnsmnnnnee Potable Water Supply System Sanitation and Health Facility... Rainwater Catchment Facility... ‘Small Water. impounding Project (SWIP) Evacuation Center... DRR-Related Equipment... Municipal Drug Rehabilitation Facility .. CONTACT PERSONS PROJECT TYPES. MARIO 0. PAZ + Local Access Road Project Manager Il~ LAR PMO. + Local Bridge sllgeo, > Jocalrendsm@amall com (02) 929-9601/447 8100 local 4314 Water Supply System. ‘Sanitation and Health Factty ‘+ Rainwater Catchment Facility FE CRISILLA M. BANLUTA Project Manager Il WSS PMO dlawaanmogamall com (02) 928-5854/441 9100 local 4310 MIGUEL MARGARITO T. GLER ‘+ Small Water Impounding Projects Project Manager i! DRROI PMO Evacuation Centor DRR-Related Equipment (02) 876-2454/441 9100 local 4312 ‘+ Municipal Orug Rehabiitation Facity‘Anne W LOCAL GOVERNMENT SUPPORT FUND ~ ASSSISTANGE TO MUNICIPALITIES (LOSF-AM) FY 2019 ASSISTANCE TO MUNICIPALITIES, PROJECT HI NU ‘Component Detaite Project Type Local Accass Road Project Title + Local Access Road Rehabilation / Improvement; ‘+ Local Access Road Upgrading; ‘= Local Road Opening Descrition Rehabiitation / improvement, Upgrading, and Opening, of local roads, including rehabilitation / improvement of other road campanents, is for the provision of all-weather road {o.conslituents, for tiem to have beiter access to basic services such as education, social and health service areas or 10 ‘support the economic and commercial growth of the LGU by improving their accessibilly fo basic services, mobility of products, goods and services, and improving the connectivity of the LGU road network Projects under the Assistance to Municipalities (AM)-Local Access Roads Shall be limited to concreting of municipal and barangay roads, It shall be ‘upgrading trom earth, gravel, anapog, or dilapidated asphalt pavement to Portiand Gement Concrete Pavement (PCCP), It may also include reblocking (of previously concreted road whichis in poor or bad condition, ‘Secondary Component: In addition to the concreting / re-blocking of local road, other road ‘components for rehabilitation / improversent may be incorporated in the proposal such as; ~ Provision of road drainage and other appurtenances along existing ‘ocal road, which means repairing, rehabilitating, improving existing drainage and proving new drainage systoms if none hd previously ‘existed; Road shoulder widening ‘Slope protection on earthworks; Guardrals, Pavement Markings; Road signs; Structures related to Accessibilty Requirements for Persons with Disabilty, etc Dafinit 4. Rehabilitation / improvement of Local Access Road means work Necessary to restore to "good" condition the existing road pavement that hhas deteriorated to "poor" or "bed" condition, It may also be referred to as reconsiruction of restoration i looking at the defintion of restoring the ‘oad into is original condition, Rehbiltation will refer to restoring the ‘existing surface pavement info its original condition (i.e. reblocking of Concrete pavement). Other civil works on the road that is more than the Fequired scope of work that involves. improvement of roads to enhance ‘accessibility and mobility may also be included.Annex W {LOCAL GOVERNMENT SUPPORT FUND - ASSSISTANGE TO MUNICIPALITIES (L@SF-AM) 2. Upgrading of Local Access Road shall refor to civil works designed to elevate the current surface condition olf the road to the next or higher surface condition. This may mean upgrading the existing gravel road surface to PCCP. Similarly, replacement of existing asphalt pavement "may be upgraded to Portland Cement Concrete Paverent (PCCP) 3. Local Road Opening involves the construction of a nev road facity ‘where nothing ofits type currant exists. This might take the form of bypass constructed to cary Wwough trafic around an existing town, New road constuction may also be needed to create @ new access route for naw or existing growth conters in the municipality. For this category, ‘concreting of the road to be opened should be included in the works to ———“beundentaken Eligivitty Proposed project shall comply with al of the following, |. Work category shall be one of the following: 1. Local Access Road Rehabilitation / Improvement; or 2, Local Access Road Upgrading; of 3, Local Road Opening |i, Road administrative classification shall be one of the following: 1. Municipal Road ~ project is a municipal road included in the MLGU road inventory or declared as a municipal road thru an MLGU SB Resolution; or 2. Barangay Road — project is.a barangay road included in the MLGU ‘oad invantory or declared as a barangay road thru an MLGU SB Resolution i, Project Proposal shalt A Institutional Requirements Be stedinckided In the Municipality's duly approved Local Development Investment. Program (LDIP) which ere not funded from other sources; Have no land ownership and Right-of Way (ROW) problemsissues; Nol be locsted in the “No Build Zono" and hazard prone area as determined by the Mines and Geosciences Bureau Hazard Map; B. Technical Requirements Either have a minimum project cost amounting to PhP 4.0 Millon or hhave only one road section per proposal with @ minimum road length of 300 linear meters, two-lanes (may be measuted either ‘continuously, or intermitently in case of rablocking), Only one road per proposal ~ Have exact location (Sitio’s, Barangay/s): Have identiied Road Name / Road ID, station lints of beginning ‘and end of project, with location coordinates; if with exceptions, identify also the station limits of the exceptions: Have a straight line diagram indicating scope of works to be done; Have a vieinty map / digiized map indicating the road section proposed for funding and its connectivity to the road network of the Leu,Standard Costs ‘Annex W ‘LOCAL GOVERNMENT SUPPORT FUND ~ ASSISTANCE TO MUNICIPALITIES (UGSF-AN) Have identifed projected construction duration in calondar days, and implementation of which shal not exceed December 2020, (tefer to DPWH D.O. No. 44 Series of 2012, Annex A and B, for the ‘prescribed construction duration for 1oad and bridge projects); and Have identified approximate number of beneficiaries (in terms of ‘number of population) IV, Ready Access to the Proposed Site shall be observed: Road Right-of-Way (RROW) has been settied / acquired, To facilitate immediate implementation ofthe project upon receipt of fund, project site should be readily accessible for mobilization as arly a8 1 Quarter 2019, ‘Access fo project site should not be dependent on tha completion Of other projects funded by the LGU or other agencies (ie. avoid proposed project site that is contiguous / adjacent to other road projects which are not yet completed or not passible for completion by 1* Quarter of 2019) that may prevent / hinder mobiization once the Notice to Proceed (NTP) has been issuad, V, Proposed budget for the project should be sufficient to finance the minimum design considerations for local roads and should incorporate the provisions into the Items of Work / Pay Items for the. project in tho Overhead, Contingencies and Miscellaneous (OCM) Cost, such as, but not limited to project billboard, temporary facilities for the project, insurance premiums (Performance Secunty, Contractors Al-Risk insuranca, Warranty Security, and Bid Security), surveying for ‘as-staked and as-bull quantities and plans, construction safely and health, quaity contol, trafic management and road safety measures during’ project implementation, hauling, processing, delivery andior disposal of materials, environmental safeguards, miscellaneous for reports. NEGATIVE LisT: National Roads; Provincial Roads; City Roads; ‘Asphalt (bitumen material) and gravel as surface wearing course; ‘Single lane pavernent forall work categories (except for Rehabiitation and Improvement which may involve works for reblocking of existing paved roads of seal widening of existing roads), Proposals with project cost less than PhP 4.0 Million or proposals with Jength less than the minimum of 300 inear meter, two-lane; ‘Stand-alone rehabiltation / improvement / construction of items) under ‘Secondaty Component mentioned in the Description Section of this project ‘menu (proposal that does. not include works for the eancreling of the ‘carriageway following Items (5) and (6) ofthe Negative List); Approximate Project Cost shal be commensurate to the scope of works Identified by the LGU. The LGU may refer to the matrix below for the ‘approximate cost per kilometer of road:LOCAL GOVERNMENT SUPPORT FUND — ASSISTANCE TO MUNICIPALITIES (LGSF-AM) Annex Work Category “Approximate Cost par Kilometer (including direct. ‘costs such as matorials, Jabor. equipment and indirect costs such as overhead, ‘contingencies and miscollanoous cost) Rehabilitation /Wmproversent Of LOCAl | pane 49.9 16.5 auton ‘Access Road (assume embankment height ‘meter ‘Access Road Road _ | Upgrading of Local Access Road ‘Opening / Construction of Local ‘Opening / Construction of Local {assume road cut height = 1,0 meter) To F PNP 28:0=25.0 Mion PhP 15.0—17.0 Mion These values are rough estimates only. The LGU may adjust the cost of project ‘proposal based on prevailing cost of materials, labor, and equipment rental ‘ates in thei localty / geographical location by referring to the latest Detaled Unit Price Analysis (DUPA) per Pay item from the nearest OPWH - District Engineering Oifice (DEO). When not made available, the LGU may refer to the following references in preparing cost estimate: For Diract Cost and Indirect Cost 1. Labor Rates 2, Equipment Rates: 3. Materials cost Latest Regional Labor Rates as authorized by the DOLE, “Association of Carers and Equipment Lessors” (ACEL Rates 2014) DPWH Construction Meteriais Base Data ‘oF Prevaling Price in the locality, taking into Consigeration the costal source, processing, crushing, stockpiling, loading, toyalties, local taxes, construction and/or ‘maintenance of haul roads, etc; expenses for hauling to project site: handling ‘expenses; storage expenses; allowance for ‘waste andior losses, nat to excaed 5% of materials equipment, Refer to DPWH D.O. No. 197 Series of 2016 Revised Guidelines in the Preparation of Approved Budget for the Contract.Annex W {LOCAL GOVERNMENT SUPPORT FUND ~ ASSISTANCE TO MUNICIPALITIES (LOSF-AM) ‘Standard Design Project proposal shall be compliant with the following minimum design 1. Pavement thickness: 0.20 meter (minimum), Surface Wearing Course of Portiand Concrete Gement Pavement (PCCP) only ~ lem ‘311-PCCP; Use Portland Cement Type | anly (Cement type for general ‘construction use) 2 Pavement with’: ‘Municipal Road: 6.1 meters (minimum), two lanes Barangay Road: 4.0 meters (minimurn), two lanes 3. Shoulder width#: 1.5 meter in each side (minimum), em 200- Aggregate Subbase Course (minimum material) 4, Drainage Ditch Width?: 1.0 moter 8 Road Righ-OF-Way (RRO\ Municipal Road: 15.0 meters (minimum) Barangay Road: 10.0 meters (minimum) 6. Provision of Sulla contraction joints; Load transfer devices; Tie bars: and = doint seatant, et: 7. Consideration of the following optional items in cost estimation: ‘a. Provision of adequate road drainage structures (Le. RCPC- ‘minimum 0.910 m. diameter, RCBC, side drains, dich, catch basin, hheadwalts, curb and gutter, ec.) to convey surface water run-off b, Provision of adequate base/subbase courseiraising embankment to Imitigate roadway flooding, where needed «6. Provision of miscelaneous road safety structures, (ve. pedestrian Sidewalks, guardrails, wad signage, pavement markings, etc) where needed, 4, Provision of ether road components (ie. slope protection, ete.) where needed; @, Accessiblity Requirements for Persons with Disabiliy (refer to DPWH D.O. No. 37, Series of 2008), where needed, 8, Pay items, payment measurement, and minimum materiais ‘specifications and tests forthe project shall be in accordance with: OPWH Standard Specifications for Highways, Bridges end Aitpors, Volume Ii Edition 2013; DPWHD.O. No. 5 Series of 2017 Revised Standardized Pay tems ‘of Works for Civil Works Construction For Infrastructure Projects; and DPWH Highway Safety Design Standerds, Part 2 - Road Signs and Pavement Morkings Maral, Series May 2012 = ‘The above references will onsure optimum use of the local road facil land road safely, However, exceptions for items (2) Minimum Pavement Width for Municipal, and (3) Minimum Shoulder Width, may be Considered for projec in cases, such as Located in difficult terrain and physical conditions andior in lands inhabited by indigenous peoples, such that the chil works required \Would face either ofthe folowing consequences if the regular design standards were to be observed: a) they would be abnormally expensive (eg... massive earthmoving, ether cut or fil, in ‘mountainous terrain); b) they would have severe adverse impact onCounterpart Annan We LOCAL GOVERNMENT SUPPORT FUND - ASSISTANCE TO MUNICIPALITIES (LOSF-AM) the environment (e.g, extensive removal of trees) and on the ‘communities affected (e.g, dislocation of indigenous peoples); Despite most diigent efforts of the LGUs to obtain the required right- ‘ofway following the regular design standards, the nght-of-way ‘acquisition encounters any of the following: a) the right-of-way ‘2cquisition would be very costly forthe project, from the point of view ofthe LGUs; b) the right-of-way acquisition would be time-consuming ‘such that the implementation of the project will be significantly layed from the point of view of the GAA timeline Ifthe proposed project has been determined to be acceptable for the ‘exception, the folowing will be alowed: Pavernent width: ‘Municipal Road: 0 meters (minimum), two lanes Shoulder width: 4.0 meter? in each side (minimum), item 200-Aggregate Subbase Course (minimum material) In such cases, the Municipality shall provide justification stating the reason and deiais of adjustment made in the design and inclusion of engineering mitigation measures (2. additional safely signs, warning ‘signs, ee.) included in the DED, signed by the Municipal Engineer and ‘approved by the LCE. The document shail be attached to the approved DED to be submitted to the DILG upon the receipt of fund References: 'DPWH Design Guidelines, Criteria and Standards (DGCS), Volume 4, 2015 Eaiion SDPWH D.O. No. 11 Series of 2014 SDPWH D.O. No. 52 Series of 2014 Preparation of Feasibility Study and Detailed Engineering Design Including structural analysis and design ‘Surveys for DED preparation Sail Investigation for the location of the structurers Securing of permits and licenses Procurement process, contract management end construction supervision Implementation of Quality Assurance Attendance to trainings and seminar to be conducted by the DILG ‘Annual maintenance fund for the completed projects ‘Administrative cost such as, but not limited to the cost for LGU-reporting to identified offices, including provision / operation / maintenance af LGU website‘ones W LOCAL GOVERNMENT SUPPORT FUND — ASSISTANCE TO MUNICIPALITIES (LOSF.AM) FY 2019 ASSISTANCE TO MUNICIPALITIES PROJECT HLNU, Component Details Project Type Local Bridge Project Title Local Bridge Rehabilitation / improvement + Local Bridge Construction ‘+ Footbridge Rehablitation Improvement + Footbridge Construction Description Rehabilitation / improvement, and Construction of bridge as component of local road notwork including its other components is for provision of all weather access for constituents, for them. to. have botter-accoss to. basic services such as education, social and health service areas of to support the ‘economic and commercial growth of the LGU, by improving the access anc connectivity of the LGU road network Major Component: Projects under the Assistance to Municipalties (AM)-Local Bridges shall be limited to rehabiltaton / improvement, and construction of bridges as ‘component of municipal and barangay road network. It shall be rehabiitation improvement of existing bridges or construction of new bridges. Footbridges Within the municipality may also be proposed to improve the access of people ta basic services, {In addition to the abovementioned civil works which primarily refers. to providing alkweather access to basic services by means of providing ppormanent bridges and footbridges, other components of bridges and footboridges may be incorporated in the proposal Definition: 1. Rehabilitation / Improvement of Local Bridge / Footbridge means work necessary to restore to “good condition the existing bridge / footbridge that has deteriorated to “poor” or "bad! condition. Bridge / footbridge Fehabiltation may include the provision of deck drainage and other ‘appurtenances. This means repairing, rehabilitating, improving existing deck drainage and providing new deck drainage if none had previously cexisted. it may also be referred to as reconstruction or restoration if looking at the definition of restoring the bridge / footbridge into its original ‘condition. Rehabilitation will refer to restoring the existing deck into its ‘original condition (ie. retrfiting, strengthening of existing bridge / footbridge, which may Include tepair of handrails, replacement of damaged or deteriorated structural members, replacement of deck, epoxy sealing of eracks In decks, change of bearing plates, adltions of shear plates or cable restrainers, sand blasting and painting of structural ‘members, repair of retaining walls, foundation protection, stream clearing land debris removal to maintain water courses under bridges / footbridge, provision of detour / by-pass to redirect trafic while the bridge / {footbridge project is being implemented, to restore the existing bridge / {footbridge to good condition). Any other physical or civil works on the bridge / footbridge that may be included is more than the required seope ‘of work for bridge / footbridge rehabiitation oF mainlenance, The work Usually involves. improvement of bridge / footbridge to enhance‘rox W LOCAL GOVERNMENT SUPPORT FUND ~ ASSISTANCE TO MUNICIPALITIES (LSF-AM) accessibility and mobilty, Bridge / foctbridge improvement may include the following |&. New or expanded earthworks either embankments or cuttings: for ‘example increasing the amriount of cut in order to wider the bridge dk width; b, Stope protection on earthworks: & Wing wails / aprons; «. Foundation protection; ®. Widening or improvement of existing bridge: , Changing the existing bailey / wooden’ bamboo bridge/footbrge into permanent structure bridgerfoolbridge (ie, concrete / stee), et. 2° Construction of Local Bridge / Testbridge iivolves the construction of & new bridge / footbridge where nothing of ts type currently exis. This ‘ght fake the form ofa bypass constructed to carty through traffic around ‘an existing tow. New bridge / footbridge construction may also be ‘needed to create a now access route for new or existing growth centers ln the municipality / is found to bo a missing strategic link to major production area or a community with no existing access fo basic servicos, tigi Proposed project shall comply with all ofthe following: |. Work category shall be ono of the following: 1, Local Bridge Rehabilitation / improvement; oF 2. Local Bridge Construction; oF 3, Footbridge Rehabilitation / improvement; or 4. Footbridge Construction |i, Road administrative classification shall be one of the following: ‘1 Bridge as component of Municipal Road — project is a municipal oad included in the MLGU toad inventory or deciared as. ‘municipal road thn an MLGU SB Resolution; or 2. Bridge as component of Barangay Road projec! is a barangay road inchided in the MLGU toad inventory or declared as @ ‘barangay road thru an MLGU SB Resolution IW, Project Proposal shall: ‘A. Instutional Requirements ‘Be listed/included in the Municipality's duly approved Local Development Investment Program (LIP) which are not funded from other sources; Have no jand ownership and Rightol-Way (ROW) problems/issues, Not be located in the "No Build Zone” and hazard prone area aa dotemined by te Mines and Geosciences Bureau Hazard lap; 8 Technical Requirements Have a minimum project cost amounting to PhP 1.0 Nition for footbridge, and PhP 2.0 Milion for Bridges Have one bridge / footbridge per proposal, Be permanent structures only (concrete / steel) Have exact location (Sitios, Barangay);Ano LOCAL GOVERNMENT SUPPORT FUND - ASSISTANCE TO MUNICIPALITIES (LGSF-AM) Have identified Bridge / Footbridge Name, identity the Road Section / Road ID to be linked by the structure, station limits Of bridge/footbridge's approach, with location coordinates; Have a vicinity map / digitized map indicating the bridge / footbridge proposed for funding and its connectivity to the road network of the LGU; Have identified projected construction duration in calendar days, and implementation of which shall not exceed, December 2020 (refer to DPWH 0.0, No. 44 Series of 2072, ‘Annex AA and 8, for the prescribed construction duration for ‘oad and bridge projects); ang ~__Have identified approximate number of beneficiaries (in terms ‘of number of population) IV. Ready Access to the Proposed Site shall be observed: Road Right-of Way (RROW) has been settled / acquired To faciitate immediate implementation of the project upon receipt of fund, project site should be readily accessible for ‘mobilzation as early as 1* Quarter 2019; ‘Access to project site should nol be dependent on the completion of other projects funded by the LU or other agencies (i.e. avoid [proposed project site that fs contiguous / adjacent to other road Projects which are not yet completed or not possibie for ompietion by 1 Quarter of 2019) that may prevent / hinder mobilization once the Notice to Proceed (NTP) has been issued \V. Proposed budget for the project should be sufficient to finance the minimum design considerations for local roads and should Incorporate the provisions into the Items of Work / Pay Items for the project in the Overhead, Contingencies and Miscellaneous (OCM) Gost, such a8, but not limited to projec bilboard, temporary facities forthe project, surveying for as-staked and as-built quantiles and plans, ‘construction safety and health, quality conto, traffic management and toad safely measures during project implomentation, hauling, processing, delivery and/or disposal of materia, environmental Safeguards, miscellaneous for reports. NEGATIVE List: ‘Bridge as component of National Roads; Bridge as component of Provincial Roads, Bridge as component of ity Roads; Proposed bridge / footbridge is not permanent structure (not concrete / not stee!)Standard Costs {LOCAL GOVERNMENT SUPPORT FUND ~ ASSISTANCE TO MUNICIPALITIES (LGSF-AM) enex W Approcmate Project Gost shall be commensurate to the scape of works Ientiied by the LGU. The LGU may refer to the matrix below for the approximate cost per linear meter of bridge / footbridge: Work Catagory | Rehabilitation Vimprovemant | — PhP 0.25 ‘Approximate Cost per Linear ‘meter Length (including direct costs such as materials, labor, equipment and indirect costs, Such as overhead, contingencies and miscollancous cout ‘Construction of Local Bridge PAP O35 Millon Rehabilitation / improvement ‘PAP 0.05 Mion of Footbridge ‘Construction of Footbridge: PhP 0.15 Nilion “These valies are rough estimates only. The LGU may adjust the cost of project proposal based on prevailing cost of materials, labor, and equipment rental rates in their locality / geographical jocation by referring to the latest Detaled Unit Price Analysis (DUPA) per Pay Item from the nearest OPWH - District Engineering Oifice (DEO). When not made available, the LGU may refer to the following references in preparing cost estimate: For Direct Cost and Indirect Cost: 1. Labor Rates 2. Equipment Rates 3. Materiais cost Latest Regional Labor Rates as authorized by the DOLE. “Association of Cartiers and Equipment Lessors" (ACEL Rates 2014) DPWH Construction Matoriis Base Data ‘of Prevailing Price in the locality, taking into consideration the cost at source, processing, crushing, slockpling, loading, royalties, local taxes, construction and/or maintenance of haul roads, ete; expenses: {for hauling to project ‘site; handing expenses; storage expenses; allowance for waste and/or losses, not to exceed 5% of materials equipment, Refer lo DPWH D.0. No. 197 Series of 2016 Revised Guidelines inthe Preparation of Appraved Budget for the Contract Standard Design Project proposal shall be compliant with the folowing minimum design: 4. Structure: Permanent Structure only (Concrete / Stee!)Anweew LOCAL GOVERNMENT SUPPORT FUND - ASSSISTANCE TO MUNICIPALITIES (LOSE AM) 2. Deck width for Bridge Component of a Municipal or Barangay Road: {@) 4.0 meters (minimum) for bridge adjacent to toads wih pavement ‘ict less nen or equal to 4:0 meters: (©) 6.10 meters (minimum) for bridge adjacent o roads with pavement widih greater than 4.0 meter; (6) may adapt 6.10 meters or highor value fr future improvement of roads adjacent to the bridge; Deck width for Footbridge: ~ Minimum of 1.50 meter 44. Roaid-Right-OF-Way (RROW): ‘Municipal Road: 16.0 meter (minimum) Barangey Road: 10.0 moter (minimum) 5, Provision of : Pedestrian sidewalk: (minimum 1.20 with ralings and posts, at each side) Adequate standard drain pipe: 100 mm. diameter Gi. pipe (for concrete deck); Expansion joints Load transfer devices; Load and dimension restiction signs / structure loading capacity at each end; Approach stab; ‘Temporary bridging for detour / by-pass in the projec ste fo prevent {rac congestion vbere the structure is to be constructed (especially ithere sno allemate route); Appropriate painting works. and treatment to prevent detimental ‘elerioration of structural members due to rusting, adverse reaction to saltwater water and other chemicals and protection against scour and damage due to passing debris, Engineering mitigation measures such as provision of adequate foundation protection, etc 6. Structural Design: Conclict Soll Analysis ana Boring Tests of the project site; Conduct Hydraulic anaysis; Shall be based on AASHTO HL-93 Loading, using peak ground ‘cceleration for seismic analysis and 0-year flood frequency for hydraulic analysis Hydraulic clearanceftreeboard: 1.5 (rivers canying dabris) and 4.0, (other bridges): Shall be based on DPWH 0.0. 30 Series of 2011. Prescribing Concrete Structures for Short Bridges; ‘Vehicular Vertical Clearance (if above roadway): not less than 4.88 plus allowance of 0.16 meters fr future road resurfacing, ‘Navigational Vertical Clearance, if above body of water Vertical Clearance = HiWL + HV+ K (whore HIWL-highest water lave ‘ecorded within the area of responsibilty, HV-height of vessel, K=1.0 ‘meter allowance) 7. Consideration of the following in cost estimation: a. Provision of adequate deck drainago fo prevent water ponding (i. deck drains / dram pipes, underdrains, side drains, ete) to convey surface water run-oCounterpart ‘annex LOCAL GOVERNMENT SUPPORT FUND ~ ASSISTANCE TO MUNICIPALITIES (LOSF-AM) b. Provision of sppropriate embankment for the approach road, adequate wingwall/etaning wal where needed, Provision of miscelanoous road safely setures, (Le. pedestrian sidewalks; guardrails, signage; deck markings, light fixtures, etc.), ‘where needed; 4, Provision of ‘miscellaneous stuctures for the protection of foundationslopes (6. wingwals, apron, slope protection, gabions, e), where needed, ©, Accessibiliy Requitements for Persons with Disability (reler to DPWH 0.0. No. 37, Seres of 2009), where needed: Pay ems, payment messuremont, and minimum materials specifications and tosts for the project shall be in accordarice with: DPWH Standard Specifications for Highways, Sridges and Airports, Volume i Elton 2013; DPWWH D.0. No, § Seros of 2017 Revised Standardized Pay tems of Werks for Civil Works Consirucion For Infrastucture Projects; and DPWH Highway Safely Design Standards, Part2- Road Signs and Pavement Markings Manual, Seves May 2072 Preparation of Feasibility Study and Detailed Engineering Design including structural analysis and design Surveys Soil end Hydrologic Investigation forthe location ofthe siructure/s Securing of permits and licenses Procurement process, contract management and construction supervision. Implementation of Quatily Assurance ‘Atendance to treinings and seminar to be conducted by the DILG ‘Annual maintenance fund for the completed projects ‘Administrative cost such as, but not limited to the cost for LGU-reporting to identified offices, including provision / operation / maintenance of LGU website‘annex LOCAL GOVERNMENT SUPPORT FUND ~ ASSSISTANCE TO MUNICIPALITIES LGSF-AM) FY 2019 ASSISTANCE TO MUNICIPALITIES. PROJECT Hh NU ‘Component Details Project Type Patnbip Water Supply System Project Title + New Construction of Level Il Potable Water Supply System ‘+ Rehabltation/improvement of Level if.evel Il Water System + Upgrading of Water System ‘+ Expansion of Level I/Level lll Water System ‘Construction of Lovet | Potable Water Supply System Description ‘The following are the levols of service for a water supply = system: Level | (Point Source) is a protected well or a developed spring with an outlet, but without a distribution system where the users go to fetch the water, This project shall only be allowed where thare is no feasible Level I) ‘and Ii water system in the area, A Level | facility normally cerves an average of 15 Rouseholds within a radius of 250 meters (e.g. dug well, shallow well, ‘and rainwater collector) Level it (Communal Faucet System or Stand Posts) is a system that would distribute water from the source to the beneficiaries through tapstand which serves four to six households within @ 25 metors radius. Ite ‘generally sulted for rural and urban fringe areas where houses are clustered ‘in suficient density fo justify @ simple piped system. Tre consumers stil go {o the tapstand to fetch water. The transmission line and distribution line can ‘be designed to allow future upgrading to Level Il] Water Supply System, Level Il (Waterworks System or Individual House Connections) is a system that would distribute water from the source directly to the household beneficiaries. I is cenerally suited for densely populated urban areas where the population can afford individual connections, ‘A functional Level i! and tll Potable Water Supply System should have the following components + WATER SOURCE DEVELOPMENT Construction oF devetopment of the following: © For spring source, construction and development of intake box(es) (Which can also be the feservoit) with the capacity to ‘contain the water being discharged by the spring, © For a deep well water source, a construction and development cof deepwell with the desired yield and quality © For a surface water, construction of intake structure with @ ‘oncrete/permanent enclosure to withstand water pressure. © Other Altemative Technology option for water source appropriate to the area, © With Certification trom DOH or authorized water testing laboratory that the water is safe for drinking based on the standard set by PNSDW, ‘+ PUMPHOUSE, ELECTRO- MECHANICAL PUNE (ifthe elevation of the water source is lower than the target beneficiary).Annox Ww LOCAL GOVERNMENT SUPPORT FUND ~ ASSISTANCE TO MUNICIPALITIES (LOSF-AM) ‘A sttucture that will house the water pump with the required |ype/capacity to driveforce the water to a resarvoit. + RESERVOIR (if the water discharge is not sufficient 10 supply -andior the water. source. elevation. is. lower. than. the target beneficiaries) A reinforced concrete/steel storage tank that maybe elevated or ‘ground mounted to store water equivalent to 25% minimum of the ‘computed. Average Day Demand (ADD) of the target area. The proper height of the reservoir must be met to achieve the required water flow (Q) and elevation to supply and deliver water to the proposed service area, ‘+ PIPELINES AND OTHER APPURTENANCES - The installed pipes ‘and olher accessories to distibule water from the water source to target beneficiaries, which includes transmission fines, distribution lines, and service pipes. + TAPSTAND (For Level il Water Systom) - Installation of communal public faucet. A tapstand can serve a maximum six (6) household within the 25 m radius, With conerete platform and proper drainage system for he excess water + HOUSEHOLD CONNECTIONS (For Level Ill Water System) Installation of a water service connection directly to the household. (One service connection is equivalent to one household. + TREATMENT FACILITY Wi HOUSING & POWER SUPPLY - ‘A treatment facility such as but not limited to hypo-chlorinator to ‘ensure that the water is potable. *+ With organized water service providers that will manage and maintain the water supply sysiom. The following are the Type of eligible projects under the Program 4. New Construction of Level I Potable Water Supply System - Construction of a new water system that ill include all the components ‘mentioned above which is sufficient to supply potable water to the target households / beneficiaries through a tapstand. 2, Rehabilitation/improvement of Level I/Lovet Ill Water System ~ ‘Any major repair, alteration, and/or additions of the components mentioned above of existing Level I and Level Ill Water System to improve the current service being provided without any increase in the number of beneficiaries (2.9, from 8 hour service lisnbution to 24 hours, reduction of water leakage) 3, Upgrading of Water Supply System - This involve the upgrading of the love! of service of @ water system which may include alteration oF addition of any water supply component mentioned above due to Increase of water demand of households, Upgrading of a Lavel 110 Level |! andlor Lavell will be categorized as new construction 4, Expansion of Lovol i/Lovet ill Water Supply System - Any major repair, alleration, and/or additions of the components mentioned ‘above of existing Level Il and Level Ill Water System to improve the current service being provided with additional beneficiaries, 5. Construction of Level | Wator Supply Systom - In areas where only Level 1 system is feasible (e.g. rural areas where affordability is low ‘and the houses in the intended service area are not crowed or un ‘lustered). New construction of Level 1 systems is permitted whichEligibility Annex W {LOCAL GOVERNMENT SUPPORT FUND - ASSISTANCE TO MUNICIPALITIES (LOSF-AM) ‘may include the development of water source and provision of sisinfectant, to wit Development of a protected wail and Spring source ~ Installation of individual Household Rainwater Collector (One proposal one project ‘The integrated Watel, Sanitation, Health and Hygiene Pian (WaSH) should be integrated to Local Development investment Plan (LDIP). ‘The proposed Water Source capacity must be sufficent (atleast two LPS. with a minimum system pressure of thtee meters) to supply the target beneficiariesthauseholds, For spring and surface water sources must not be more than seven ‘Kilometers from the propose target beneficiaries ‘The proposed site for the consiruction of reservoir, pump house and treatment facility must be stable and not susceptibe to hazards based on the falest vulnerabilly, assessment and geo-hazard maps of the Mines and Geosciences Bureau (MGB)-Department of Environment and National Resources (DENR) and shall not be localed on a non-bull-zone, No fand ownership andor right-of-way issues in the location of water ‘source, pipelines, reservoir and other components of project The site for the propose pump house and treatment facilly should have an existing electric power tines. Proposed budget should be sufficient to finance a functional water supply sysiem NEGATIVE LIST: 1, New Construction of Level Ill Water Supply System 2. Project phasing is not allowed except when there is an appraved water supply system master plan and the proposed project under FY 2019) LLGSF-AM including LGU Counterpart, any, should be functional and ‘operational after completion 3, The location of the proposed water sources is In NWRB list of lowiendangered water table level (Water dling Is not allowed creas), ‘Each proposal shoulé have a project brief indicating the following: ‘+ Profle of proposed water source: ¥ Exact location/coordinates ¥ Quantity and Quality + Target barangay/s and number of household covered by the proposed project.‘ne LOCAL GOVERNMENT SUPPORT FUND - ASSISTANCE TO MUNICIPALITIES (LGSF.AM) SN STANDARD COST OF POTABLE WATER SUPPLY SYSTEM PROJECTS Category ——Levolof Standard Type of Water Service Gost perHH "Source New Level 15,000 Sprin/Deepweil midiicaiaia 20,000 Sutlace Water Level! 5,000-10,000 Spring/tieepwit aft 10,000, Rolnwater Rehabilation’ Lovell! SOHF-150H Any Source Improvement (Gost Pt.oM ~ 2.008); 10-4044 (Cost: P2M- 4M) Love 12,000 Any Source Upgrading Level Ito 15,000 Any Source Level i Expansion Levelliand 15,000 Any Source Leva i Standard Design ENGINEERING DESIGN sign Crea: Level of Servico (I Il) should be identiied Design Year should be either 5 10 10 years design period. Growth Rate - depends on the target barangaysibeneticiaries The proposed Water Source must be potable and sufficient to supply the target beneficiaries households, + Spring + Deepweit © Geo-resistivity Test ((or new construction of deopwell) ‘2 Pumping Test (24 to 72 hours) + Surface Water + Rainwater 5. Storage Capacity © Minimum of 25% of ADD 6. Water Demands: + ADD = Water requirement /(1-NRW) * MOD=1.3x ADD * PHD=2.0xAD0 PROJECT SPECIFICATIONS ‘+ Adherence of the Implementing Partner to existing national standards/quidelines, laws and polices, which Include, but is not limited, to the following: ‘a. Buildings and othar vertical structures per the CY 2015 Revised Editon of the RIRR of the National Building Code (PD 1096), and 6Counterpart oe LOCAL GOVERNMENT SUPPORT FUND - ASSISTANCE TO MUNICIPALITIES (LS-AM) Volume 1, 7! edition of the National Structural Code of the Philippines published on CY 2015 by the Association of Structural Engineers of the Philippines, bb Vol. Il, Standard: Specifications for Public’ Works and: Highways (2004 Edition) ©. Philippine National Standard for Drinking Water pursuar DOH Administrative Order (AD) 2017-0012 1d. Rainwater Collection Facilties pursuant to RA 6718 ©. Code of Sanitation of the Philippines pursuant to Presidential Decree (PD) 856 Clean Water Act of 2014 pursuant to RA 9275 Preparation of Feasibilty Study and Detaled Engineoring Design ‘Conduct of yeo-resistvily for new deepwell water source Dring of pit borehole, pumping test and well ogging Conduct of Potabilty Test Conduct of Sol Bearing Test for vertical structure (e.g water tank) ‘Securing of pert and licenses e.g. NWRB Perm) Procurement process, contract management and construction supervision Implementation of Quality Assurance (i required) ‘Altendance fo ranings and seminar to be conducted by the DILG. ‘Administrative cost ‘Annual maintenance fund Insurance forthe completed projec (i pplicable)Component Project Typo Project Title Description Eligibitty Annex W LOCAL GOVERNMENT SUPPORT FUND ~ ASSISTANCE TO MUNICIPALITIES (LGSF-AM) FY 2019 ASSISTANCE TO MUNICIPALITIES PROJECT MEI | Details ‘Sanitation and Heath Fay ‘+ Construction of Sanitary Toilet with Hygiene Facility for Public Places + Rehabiltation/improvemenYUpgrading of Existing Sanitary Toilet and Hygiene Fasility for Public Places, ‘A secured permanent structure providing the public a sanitary and hygiene faciily for urination dnd defecation. it should have of the folowing minimum basic facities: ‘+ Toilet Facility ~ A sanitation fixtures used for the storing of disposal of human urine and feces. The type of sanitary toilet facility are fush, pour {ish and ventited improved pit (VIP) lattine. ‘+ Soptic Tank - Watertight chamber maybe made of concrete, fbragiass, PVC or plastic, through with domestic wastewater (sewage) flows for primary treatment. It should have a sufficient capacity for adequate detention tine and proper disposal of solid and liquid human waste or excreta and should be located 25 meters away from existing water sources. ‘+ Water Supply Pipe - The connection and instalation of water supply to ‘and from the nearest available water distribution line ‘+ Hand Washing Facility -A tecilty providing ether a basin, container or ‘outlet with an adequate supply of potable water and soap with proper drainage system for excess water leading to soak way pit or naturat creek, * Toilet Structure - A structure that effectively prevent human, animal ‘and insect contact with human feces. It should be properly constructed, ‘well ventilated, and separate for male, female and PWD (1:80 persons) Construction of Sanitary Toilet with Hygiene Facility for Public Places ~ Construction of a new sanitary tolet with hygiene facities for public places In accordsnce with national standards complying with the minimum facilities ‘mentioned above, Rohabilitation/improvamentiUpgrading of Existing Sanitary Tollet and Hygiene Facility for Public Places ~Repair or retiabiitation or upgrading of existing facilities and/or construction of sanitary filet and hygiene facility for public places in accordance with national standards complying with the minimum facilties mentioned above, 41. One (1) proposal ane (1) project 2. The Integrated Water, Sanitation, Health and Hygiene Plan (aS) should be _ integrated to Local Development Investment Plan (DIP). 3. The proposed site should have an existing functional and operational water supply system. 4, The proposed site forthe construction of Sanitation and Hygiene Facility ‘must be stable and not susceptible to landslide or flooding based on the lates! vulnerabilly, assessment and geo-hazard maps of the Department of Environment and National Resources (ENR) and shall not be located ‘on a non-build-zone. 5. No land ownership issues,Anvoxw LOCAL GOVERNMENT SUPPORT FUND ~ ASSISTANCE TO MUNICIPALITIES (LGSF-AM) 6. The proposed site of Sanitation and Hygiene Foxility should be situated in public places own by the MLGU (e.g. Day Care Center, Health Center, Evacuation Facility, Public Parks, 8us Terminals and Public Market), I the ‘proposed site is owned by other government agencies, LGU shall secure Instrumentals e.g MOA, Usufuct and the lke 7. Proposed budget should be sufficien fo finance a functional Sanitation and Hyglene Fact, NEGATIVE LIST: 11. Household installation of Sanitary Tolet and Hygiene Facility is not allowed. ‘Each proposal should have a project brief indicating the folowing: ‘+ Exact location/coardinates ofthe proposed projec ete. + Scope of works ofthe proposed Sanitary Toilets + Total Number of proposed facility including the number tollet bowis/urinals and septic tanks, Standard Gost Sanitary Toilet Facility with Hand washing Facity Category Estimated Cost Scope of Work Fomale Male For School 32,000per 3 Tollet Bowis; 2 Toilet Bows; sqm 2 Lavatory; 1 Urinal wan Septe 1 Lavatory, Tank (18 m2) _Wih Septic Tank (16 m2) For Public 30,000 per 4 Toilet Bowls: i Places sam 2 Lavatory: with Sept Tank (18:m2) Tank (18 m2) Standard Design 1. Standard Number of Toilet and Hygiene Faciity for @ Public Use ‘For every public facility, there chould be at least one tolet for male ‘and female with hygiene faclily and septic tank: Particulars MALE FEMALE Bowl Urinal Bow! Primary School (Pour Flush Type ‘Hollet & 1 lavatory per Toilet) ‘lassroom ~ Per student Elementary and Secondary School = 140, 1:40 (Pour Flush Type Toit) urinal ~ Per student 3 bowls Public Market / Terminal 490 130 1:80 Per person Lavatory (except for primary school) 1) lavatory per 2 bowisnrmex LOCAL GOVERNMENT SUPPORT FUND - ASSISTANCE TO MUNICIPALITIES (LGSF-AN) 2, Qually of Sanitation facity + Hygienically safe to use ‘+ Accessible fo sate water for hand washing, menstnial hygiene, anal ‘and. genital clesnsing, including hygienic disposal of menstrual products. ‘Regular cleaning, emptying of pits and maintenance are essential ‘+ Safety needs of persons with disability (PWD) and children are Considered 2. Physical Accessbily of Sanitation facity Within or immediate vicinity of health and educational institutions, public places and work places ‘+ Reliable, Le... accessible all imes of the day-and night _ ‘+ Locations have minimal risk to physical secuny of users, including ‘attack from animel or human, + Accessible to all users (PWD, elderly, il, pregnant and children) +The design of public facility for male and female should be accessible to Person with Disabilities (PWD) in compliance to R.A 10754 or an ‘Act Expanding the Benefits and Privileges of Persons with Disability (PWos), 4. Acceplabilty of Sanitation fecily + Culluraly sensitive (design, location, orientation, conkition for use, hygiene practices, requirements. for privacy and separation ~ ‘men/women). ‘+ Squaltype toilet bow! design is alowed for cutural consideration, PROJECT SPECIFICATIONS: ‘Adherence of the Implementing Partner to existing _ national ‘standards/guidetines, laws and policies, which include, but is not finited, to the following Buildings and other vertical structures per the CY 2015 Revised Edition of the RIRR of the National Building Code (PO 1096), and Volume 1, 7 edition of the National Structural Code of the Philippines published on CY 2015 by the Association of Structural Enginoers ofthe Philippines 2. Vol. i, Standard Specifications for Publle Works and Highways (2004 Edition) 3. Philippine National Standard for Drinking Water pursuant to DOH. ‘Administratwe Order (AO) 2017-0012 4, Code of Sanitation of the Philippines pursuant to Presidential Decree (PO) 866 5. Clean Water Act of 2014 pursuant to RA 9275 6. “Senitary Engineers and Wastewater Disposal Systems", pursuant 7 to Sanitary Engineering Law- R.A. 1364 and its IRR Liquid Waste Disposal Provisions pursuant to Environment Code - P.0. 1152 and its IRR in Act To Regulate the Trade Of Master Plumber" ~ Republic Act No. 1378 9. Sanitation and Drainage Provisions pursuant to Chapter I, Section XVI 0f Local Government Code - R.A. 7160 and its IRRCounterpart Arwen LOCAL GOVERNMENT SUPPORT FUND - ASSISTANCE TO MUNICIPALITIES (LGSF-AM) Preparation of Feasivilly Study and Detsiied Engineering Design ‘Securing of permit and licenses Procurement process, contract management and construction -suparvision, Implementation of Quality Assurance (i required) Attendance to trainings and seminar to be conducted by the DILG. ‘Acminisirave cost ‘Annual maintenance fund Insurance for the completed projects (i applicable)Component Project Type Project Title Description. Eligibility ‘Standard Cost ‘Standard Design Amnon LOCAL GOVERNMENT SUPPORT FUND ~ ASSSISTANCE TO MUNICIPALITIES (L6SF-AM) FY 2019 ASSISTANCE TO MUNICIPALITIES PROECTHPNU. Details Rainwater Catchment Factty Provision of Rainwater Catchment Facilty Rainwater catchment facilty is structure use fo collect, convey and store rainwater from the rool surface area of a government owned facity for domestic use, t should have the four basic elements: (1) collection (catchment) area {@) conveyance system consisting of pipes and guters {G) storage facity, and (4) delivery system consisting of tap or pump. Rainwater tanks can be ‘+ petmanent structure ‘+ light material or movable structure (pre-fabricated) Sites must be stable and not susceptible to landsfide or flooding based ‘on the latest vulnerbilly, assessment and geo-hazard maps of the Department of Environment and Natural Resources (OENR), ‘+ Proposed budget should be sufficient to finance the proposed project, + The project must be installed in a government awned facility + No Land Ownership Issue Average development cost of Rainwater tanks can be: ‘+ permanent structure (PHP 100,000,00/4000 titers) + light material or movable structure (PHP 50,000/4000 ters) Rainwater tanks can be: ‘© permanent structure ‘light material or movable structure All rainwater tank designs should include a minimum requirement of ‘= Asold secure cover + Acoarse inlet fiter * An overflow pipe with wire mesh to prevent insects and small animals, from entering the tank + Amaniole, sump, and drain to facilitate cleaning ‘+ Anvextraction system that oes not contaminate the water, og. 8 tap ‘or purmp. + Gutter should be properly secured. + Tapstand should have a platform or pedestal and drainage system {for excess water and the surrounding is backfil with gravel materials, ‘+ Should have a wash-out tube to prevent or reduce dit from entering the tank + Ifa plastic pipe will be used, dark colored tanks should be used to peventreduce the occurrence of moss or green alge. ‘+ Provide connection /pipe connection to nearby toll.Counterpart Annex W LOCAL GOVERNMENT SUPPORT FUND ~ ASSSISTANCE TO MUNICIPALITIES (1 GSF-AM) DDetailed Engineering Design including structural analysis and design ‘Soil Investigation for the location ofthe structure/s ‘Securing of permit and licenses Procurement process, contract management and construction ‘supervision. Implementation of Quality Assurance {i required) ‘Allendance to trainings and sominer to be conducted by the DILG, ‘Annual maintenance fund ‘Administrative Cost Ingurance for the completed projectComponent Project Tite Project Typa Description Etigibilly Standard Costs ‘Standard Design nex W LOCAL GOVERNMENT SUPPORT FUND - ASSSISTANCE TO MUNICIPALITIES (LOSF-AM) FY 2019 ASSISTANCE TO MUNICIPALITIES: PROJECT P/ NU Dotaits ‘Simall Water Impouinding Proj > (SWI) ‘+ Construction of Small Water Reservoir ‘+ New Construction of SWIP + Rehabiitationvtmprovenent of existing SIP Construction of Small Water Reservoir - construction of |) small scale dam structure; i diversion dam: or ii) small reservoir to hold back water “which: car be used through the: distribution lines fr iigation, fishery; ‘and water supply for domestic use and also for recreation ‘New Construction of SWIP — constriction of new reservoir and distribution lines Rehabiitationmprovement of existing SWIP — rehablitation/improvement ‘of existing reservoirs, improvement of existing distribution lines, ‘andlor construction of additional distribution lines 1, _One (1) proposal one (1) project 2. Already identifed In the recent Local Development investment Pian (LDP), ‘The proposed site must be stable and not suscepilble to landslide of flooding based on the latest vulnerabilty, assessment and geo-hazard ‘maps ofthe Depertment of Environment and National Resources (OENR) ‘and shall not be located on a non-build-zane. No land ownership and/or right-of-way issues. Proposed budget should be sufficient to finance a functional SWIP. Pre-identified feasible location for the proposed SWIP with is basic ‘component (valley, watershed & resorvat) ‘Must have conducted community consultation that may be aflacted by the project 8. Have Minimum of 15 Farmers Beneficiaries NEGATIVE List ‘Above 18 meter height of embankment ‘Volume storage exceeding 50 milion m3 = Minimum allowed project cost 1,000,000.00 ~ Estimated Maximum development cost per hectare 300,000,00/ha~new -200,000,00iha ~ rehabilitation Between 5-15 meters height Service area at east 15 hectares Distribution canal must concrete structureMinima Counterpart Annex LOCAL GOVERNMENT SUPPORT FUND ~ASSSISTANCE TO MUNICIPALITIES (LOSF-AM) Preparation of Feasibility Study and Detailed Engineering Design including structural analysis and design Soil Investigation for the location ofthe structurers Securing of permit and licenses. Procurement process, contract management and construction ‘supervision. Implementation of Quality Assurance (if required) ‘Allendance to trainings and seminar to be conducted by the DILG. ‘Annual maintenance fund ‘Administrative cost Insurance for the completed projects Conduct of community consultationAnno we LOCAL GOVERNMENT SUPPORT FUND ~ ASSSISTANGE TO MUNICIPALITIES (LGSF-AM) FY 2019 ASSISTANCE TO MUNICIPALITIES PROJECT W210 Component Details Project Type Evactrtian Contr Project Tile = Construction of New Evacuation Center ‘+ ImproverentRehabiltation of Evacuation Center ‘+ Expansion of Evacuation Center Description ‘closed peimanent structure capable of providing temporary shelter for displaced fami in times of calamities, and may also Serve as command and traning venve for calamity dits and other disasion preparedness activites. The proposed evacuation cen shall bea replacement forthe schools and day care centers used as temporary fvacuation centers. t should have ofthe folowing minimum basic facies + Shelter and accommodation for women, chien, the ely, Persons Wilh Disabilities (POs) and such other physical provisions guaranteeing a humane condition for evacuees + Seporete toilet and bathing faites designated fer males and females, ‘+ Atleast one (1) tole per evacuation center specialy designed fr Persons with Disabilies; RRM Office and/or Camp Management Desk or Office, Breastfeeding arealecation station, Health Station/cinicintimary Storage Area Kitchen/Mess Hall WoshvLaundry Area Rainwater harvesting and colecton tact Potable Water and power supply Other Facittes: ‘© Couples’ Room ‘+ hild thendly Spaces (CFS) ‘+ Provision for management of ivestock and domestic animals ‘owned by evacuees ‘+ Aprovision for Solar Panel that can used as alternative source of electricity 4. Construction of New Evacuation Center - Construction of closed permanent structure with minimum basic facilities mentioned above and following the minimum design requirements 2. ImprovementRehabilitation of Evacuation Center - Improvement of existing building to be used as evacuation center like multipurpose building or gymnasium to comply with the minimum basic faclities mentioned above including retrfiting complying with minimum {design requirements. For improvement of any open type facil the structure must be converted to @ clased permanent structure,‘Annex W LOCAL GOVERNMENT SUPPORT FUND — ASSISTANCE TO MUNICIPALITIES (LOSF-AM) 3. Expansion of Evacuation Center - Expansion of existing closed builing to be used as evacuation center including the: cconstruction/instalation other facilities mentioned above, ‘One (1) proposal one (1) project Aeady ieniied i the recan Local Development Investment (DIP). 3. The evacuation fociity must be established on stable and safe areas Rot susceptible to landslides, flooding, stom surges, and other hydrological and_meteorological hazards. Site selection must {therefore be based on the most current risk assessments using geo- hazard “maps produced by the Department. of Environment and Natural Resources-Mines and Geosciences Bureau (DENR-MGB), the Department of Science and Technology-Phiippine Atmospheric, Geophysical and Astronomical Services Administration (OOST- PAGASA), and the OOST-Philppine Institute of Volcanology and ‘Selsmology (DOST-PHIVOLCS) 4, Na land ownership andor right-of-way issues, 8. Proposed budget shoud be suficent to tance. 9 funciona ‘evacuation canter. 6. Centers for evacuation must be sirategically located to enable immediate access to basic goods, services, and tities (e.g Healthcare faciiies, markets, water, electricity, communication); it must be accessible 10 local community through vehicular transportation, 7. Sites to be selected must allow for year-round acoess to and trem the evacuation facilly by means of vehicular transportation most sspecially before, during, and after a hazard event ligiity NEGATIVE List: 1, Construction of covered courts as evacuation center 2, Consinuction of open type buildings 3. Gonsinuction of evacuation. fences and site devalopment only for covered courts 4, shall not be constructed wan or very close to ‘The premises of sites and structures such as_ military bases, comps of inourgent groups, power planis, factories, and others, where the lkelinood of the occurrence of human: induced cisastrs is high ‘Areas categorized as ‘no-bulld-zones! of easement areas defined in the Water Code, Civil Code and Revised Foresty Gode ofthe Philippines, exciuding areas for ciical government infrastructure in support of economic: development (ve, ports, fish tandings, et.) Within hazard zones, uniess otherwise permitied in Section 6 of DENR-DILG-DND-DPWH-DOST Joint Memorandum Circular Na, 2014-01 on the “Adoption of Hazard Zone Classification InAreas Affected by Typhoon Yolanda (Haiyan) and Providing Guidelines for Activities. therein” as applicable in other areas within the Philippines.Standard Costs Standard Design Counterpart ‘Annex W LOCAL GOVERNMENT SUPPORT FUND ~ ASSSISTANCE TO MUNICIPALITIES (LGSF-AM) Each proposal should have a project bre! indicating the following ‘+ Exact address of the proposed site for evacuation center and coordinates, + Lot area * Floor Area ‘+ Number of Families to be accommodated Type of Structure (Concrete, Steel or Wooden, ee) + No.of + Faxiities to be included in the evacuation center ‘+ Target beneficiaries with the number of households and population ‘+ Naine of possible Sclioo! to be replaced as temporary Evacuation city upon completion ofthe project (please specily floor area of school being indicated) ‘New Construction + Estimated cost for the building is PHP 20,000-26, 000m ‘Minimum project cost for new construction is PHP 4.00 Million ImprovemeritRehabiltation and Expansion = Minimum of PHP 1 Millon ‘Minimum Design Requirements: + The evacuation center must be designed and constructed in ‘compliance with the National Buiding Code and should withstand wind speeds of iree hundeed kilometers per hour (200 kph) and ‘moderate soismic octivly of atleast 8.0 magnitude on the Richter ‘Scale ‘+ Utiized natural ventiation and rainwater through the inckision of a rainwater catchmenvnarvesting system; * Include fecities for the special needs of women, children, the cekderly, persons with disabilties (PWDs) and such other physical provisions guaranteeing a humane condition for evacuees; + Consider site stabilty and susceptibility to landstide of flooding based ‘on the latest vulnerabilly, risk assessment and geo-hazard maps of the DENR. No center shai he located on a no-bulld zone, + Shall at least have a minimum floor ara of 200 sq.m ‘+ IU shall allow for the instalation of temporary partitions within the facility a8 a means of maintaining the prvacy of evacuees; ‘+ Toilet and bathing areas (1:20 persons) + Minimum of ane (1) toilet per site for Persons with disability (PWD) ‘Average accommodation of 1.93 m#! person ‘Preparation of Feaably Sxl and Detaled Engineering Desi including structural analysis and design Soll Investigation forthe location ofthe structures ‘Securing of permit and licenses Procurement process, contract management and construction supervision. Implementation of Quaity Assurance (f required) ‘Atendance to trainings and serninar to be conducted by the DILG. ‘Annual maintenance fund ‘Administrative cost Insurance forthe completed projects‘Component Project Tile Project Type Description Eligity Aaron LOCAL GOVERNMENT SUPPORT FUND - ASSSISTANCE TO MUNICIPALITIES (LOSF-Am) FY 2019 ASSISTANCE TO MUNICIPALITIES PROJECT HL NU Details DRE Related Euloment + DRR Rescue Vehicle + DRR Equipment Procurement of DRR Rescue Equipment to be used for emergency services and public assistance for disaster preparedness and response in order {o save ives, onsure pubic safety and meet the basic subsistence of the people aifected ‘A. DRR Rescue Vehicle — procurement of the folowing + Adherence tothe latest issuance, Budget Crcular No. 2017-1 dated ‘Apt 26, 2017 of Department of Budget and Management Arencing ‘Budget Circular (BC) No, 2016-05 in particule (0, + Annex B ~ Revised Motor Vehicie Classification and Specifications Guide, Section E. For Disaster Response and Rescue! Rell Operations > Mult Purpose Vehicle MP (for conversion into a resciie Vehicle equipped with the necessary equipment and apparatus > Pick-up - (for conversion into a rescue vehicle with the necessary equipment and apparatus Motorcycle NEGATIVE LIST: 1. Vehicles not covered by Annex B ~ Revised Motor Vehicle Classification and Specifications Guide, Section E. For Disaster Response and Rescua! Relief Operations 1B. ORR Equipment — procurement of, but nol limited to, the folowving ORR- felated equipment ‘Two-way radio TV or Radio GPS deviee Mobile water treatment Megaphone with siren Rescue Whistle Search Warming Bells, Rain gauges ‘Grapnel with Poly Propylene Rope (80 meters) Core Hose Pipe 20 meters Long ‘Snap Link Safety Full body hamoss. Safe line Rescue Ropes 1" Manila rope (100 metersirol) Life Buoys Flood Light AIT 4500 General Compass Hydraulic Cutter Hydra Spreader Hack Saw Concrete cutter Chisel ‘Axe-weighing at feast 6 Ibs. Shovel-both flat head and pointed Crow bar or Claw Too! -36" of longer Bolt cutters Chain Pulley Block (10 ton) Pulling and Lifting Machine Rubber Boats: Life vests Illuminated Jackets (Night Light) Rain Coat (Shit & Trouser) Hard Hat Foldable Stretcher Body BagsStandard Costs Standard Design Counterpart ‘en W LOCAL GOVERNMENT SUPPORT FUND ~ ASSSISTANCE TO MUNICIPALITIES (.G8F-AN) Portabie tower ight Eye Goggles Search/Emergency lights Work Gloves ‘Aluminum Ladder (24 Feet) Collapsible partition/Tent- family Ascending & Descending Device sized Portable Generator Set Sleeping bags Power Pack Pump Breathing Apparatus NEGATIVE LIST: 4. Expendable goods are not alowed ike: Office Supplies (papers, balipens, envelopes, ete) Medical Supplies (medicine, alcohol, band ais, ‘iste tet) Minimum cost PHP 1.0 Mion Project specifications for ORR Rescue Vehicle 1, For MPV - Engine displacement not exceeding 1500 ce for gasoline oF 2500 cx for diesel b, For Pick-up - Engine displacement not exceeding 2200 oc for gasoline or 3000 cc for diese! 6. Motorcycle ~ Minimum specification of motoroycles allowed to the intended area of use ~ Each proposal should have a project bref indicating the following: 41, Type of vehicle/Equipment 2. Technical specifications 3. No. of units 4, Accessories inchided Includes expenses for the following 1, Securing permits, certificates, eto 2. Annual maintenance fund 3. Insurance 4. Attendance to trainings 5. Administrative Gost 0Component Projet Type Project Tie Description ‘Component new LOCAL GOVERNMENT SUPPORT FUND - ASSISTANCE TO MUNICIPALITIES (UGSF-AM) FY 2019 ASSISTANCE TO MUNICIPALITIES. PROJECT N= IU etal Municipal Orig Riyhabiltation Fs =ty + New Construction of « Municipat Drug Rehabilitation Facility + Rehabiltation/improvement of existing building to a Municipal Drag Rehabilitation Facility [Non-Residential Treatment and Rehabiltation Center Construction of a now enclosed permanent facility or a Rehabiitation/lmprevement of an existing ‘bulling which wil function similar to an out-patient cinicihospital that wil be ‘conducive fr the rehabiltation process of Drug Addicts. The faclty shall have at Jeast a floor area of twenty five (28) square meters forthe following: 41) Business Area 2) Consultation, examination and treatmont room with lavatory/sink 3) Tollet and Bath for Both Male and Female 4), Muti-purpose area that can double as the reception/waiting area ‘and meeting area for groupitamily 8) Clinic Infirmary 8) Male and Female Dormitory ( Optional) + Now Construction of Municipal Drug Rehabilitation Facility = Constniction of @ new building folowing the design and required facilities mentioned above + Rehabilitation/improvement of existing building to a Municipal Drug Rehabilitation Facility, ~ Existing buildings to be converted to a Municipal Drug Rehabilitation Facil following the required design criteria and facilties mentioned above. 4. One (1) proposal one (1) project 2. Alady identified in the recent Local Development Investment Plan (LIP), 3. The proposed site must be stable and not susceptible 10 landslide or flooding based cn the latest vuinerabilty, assessment and {geo-hazard maps of the Department of Environment and National Resources (DENR) and shall not be located on a non-build-zone. 4. No land ownership andior right-of-way issues. 55. Proposed budget should be sufficient fo finance @ functional evacuation ‘center. 6. Site must be accessible to institutional facities (hospitals, markels & etc) and utiles (electricity), 7. It must be accessible to local community through vehicular transportation, '8, Proposed location i accessible or the acces is included in the proposal (road and uiliies such as potable water and power supply) "Standard Costs ‘Standard Design Counterpart Aswox LOCAL GOVERNMENT SUPPORT FUND - ASSISTANCE TO MUNICIPALITIES (LOSF-AM) Each proposal should have @ project brief indicating the following ‘Exact address of the proposed site forthe facility and coordinates. Lot Area Floor Area “Type of Structure (Concrete, Stee! or Wooden, etc.) No. of Storeys Target beneficiaries Php 6,000,000.00 approximate ‘The design of the structure should be in accordance to the National Building ‘Standards withthe minimum design crleria; Have an open area inside the facilty that can accommodate different ‘drug patients. Have separate toilet and bath for male and female (non-skid floor tiles) ‘Minimum of one (1) tlle compliant to the Parsons with disabiliy (Pwo) requirements per site Provision of ramp for PWD accessibility (1:12 slope) Building must be well ventilated ‘+ Maximize utilization for natural venlation system ‘+ Minimum celing height of 2.8 m Least Floor Finish for Open Area (Cement floor finish) Painted Walls, Exterior and Interior of the Building Have access fo potable water supply and electricity Wide access to entrance area (double doors min 2.1x1.8) Exterior Wells 6 inches Concrete Hollow Blocks ‘Minimum Dimension of toilet and bath must be compliant to Latest Euition of Revised Plumbing Code ofthe Philigpines and Accessibilty Law for PWD, Preparation of Feasibily Study and Detailed Engineering Design including structural analysis and design Soll Investigation forthe location ofthe structures ‘Securing of permit and licenses Procurement process, contract management and construction supervision Implementation of Quality Assurance (if required) ‘Attendance to trainings and seminar to be conducted by the DILG, ‘Annual maintenance fund ‘Administrative cost Insurance for the completed projects 2