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05 - CM - Form 3.11 - Summary of Initial Results
05 - CM - Form 3.11 - Summary of Initial Results
Form CM 3.11
CY 2021 Seal of Good Local Governance Summary
(For Field Test Purposes Only)
Column 2 Remarks
Column 1 With pending
Initial Processing change
Indicator request?
PASSED PASSED FAILED NA YES NO
REQUIREMENT CONSIDERATION
FINANCIAL ADMINISTRATION
1.1. Most recent COA Opinion is ☐ ☐ _____________
un/qualified plus 30% of
recommendations fully acted
upon
1.2. FDP compliance for CY 2020 all ☐ ☐ ☐ ☐ ______________
quarters and CY 2021 1st quarter
posting period (Three conspicuous
places, FDP Portal, and e-SRE
posting)
1.3. At least 5% increase in average ☐ ☐ ☐ ☐ ☐ ______________
local revenue growth for three
consecutive years (CYs 2017 to
2019)
1.4. Full utilization of 20% component ☐ ☐ ☐ ☐ ☐ ______________
of the 2019 IRA
Consideration: Passing benchmarks of at
least: Cities = 55%, and Municipalities =
66%
1.5. Full utilization of Performance ☐ ☐ ☐ ☐ ☐ ______________
Challenge Fund released in 2019
and earlier
1.6. Full utilization of Assistance to ☐ ☐ ☐ ☐ ☐ ______________
Municipalities fund released in
2018 and earlier and at least 85%
for CY 2019 funds
1.7. CY 2021 budget is approved by ☐ ☐ ☐ ______________
Dec. 31, 2020
Consideration: Passed budget by Mar.
31, 2021
Area Processing: Passed all of the ☐ N/A ☐ N/A N/A N/A ______________
applicable items from 1.1 to 1.7
DISASTER PREPAREDNESS
2.1 2019 Gawad KALASAG 1st Place ☐ ______________
National Awardee for Best
LDRRMC, or 2019 Hall of Fame
Awardee
2.2 Full LDRRMC membership and ☐ ☐ ☐ ______________
regular meetings for all quarters
CY 2020 and 1st quarter of CY
2021
1 of 9
Department of the Interior and Local Government
CY 2021 Seal of Good Local Governance
(For Field Test Purposes Only)
Column 2 Remarks
Column 1 With pending
Initial Processing change
Indicator request?
PASSED
REQUIREMENT
PASSED
CONSIDERATION
FAILED NA YES NO
Consideration: Convened only in 3rd and
4th quarter of CY 2020, and 1st quarter
of CY 2021
2.3 LDRRMO with: ☐ ☐ ☐ ______________
a) Plantilla Head with
prescribed SG (QC and Manila:
24, Other Cities: 22, 1st-3rd Mun: 18,
4th-6th Mun: 15);
b) Minimum number of Plantilla
staff complement (HUC: 3, CC
and 1st-3rd Mun: 1, 4th-6th Mun: 1);
Consideration: Designated staff
complement; and
c) Workspace
2.4 Approved CLUP ☐ ☐ ☐ ______________
Consideration: In case Plan is still under
review, risk assessment should have
been already incorporated in the FINAL
DRAFT.
2.5 LDRRM Plan and Budget ☐ ☐ ______________
Column 2 Remarks
Column 1 With pending
Initial Processing change
Indicator request?
PASSED
REQUIREMENT
PASSED
CONSIDERATION
FAILED NA YES NO
CC/M-functioning during disasters),
d) ICS training, and
e) SOP – Pre-emptive and
forced evacuation)
For 4th-6th Municipalities: any two of
items c to e.
2.13 Participation in the CY 2021 ☐ ☐ ______________
Gawad Kalasag Seal
assessment
Area Processing: Passed all of the ☐ N/A ☐ N/A N/A N/A ______________
applicable items from 2.1 to 2.13
SOCIAL PROTECTION AND SENSITIVITY
3.2a GAD mechanisms: ☐ ☐ ☐ ______________
a) Focal point system,
b) Database,
c) 2020 Accomplishment
report,
d) GAD Code updated not
earlier than CY 2016,
e) CY 2021 plan and budget,
and
f) at least 75% utilization/
completion of CY 2019 GAD
budget
Consideration: GAD Code updated not
earlier than CY 2011
3.2b VAWC mechanism (Organized ☐ ☐ ☐ ______________
LCAT-VAWC, 100% of
barangays w/ VAWC desks, at
least 85% of barangays w/
submitted reports for all quarters
of CY 2020
Consideration: With submitted reports in
3rd and 4th quarter of CY 2020
3.3a Local Code for Children updated ☐ ☐ ☐ ______________
not earlier than CY 2016
Consideration: Code updated not earlier
than CY 2011
3.4a Compliance with Accessibility ☐ ☐ ☐ ______________
Law in:
a) LG building,
b) LG main hospital/main health
facility, and
c) one LG-managed tertiary
educational facility/technical
vocational education and
training center (if available)
3.4b Functionality of Persons with ☐ ☐ ☐ ______________
Disability Affairs Office (PDAO):
a) ordinance establishing
PDAO;
b) Permanent PDAO Head;
Consideration: HUC with PDAO
established
3 of 9
Department of the Interior and Local Government
CY 2021 Seal of Good Local Governance
(For Field Test Purposes Only)
Column 2 Remarks
Column 1 With pending
Initial Processing change
Indicator request?
PASSED
REQUIREMENT
PASSED
CONSIDERATION
FAILED NA YES NO
through an executive order;
provided that there is at least a
designated PWD affairs officer
Column 2 Remarks
Column 1 With pending
Initial Processing change
Indicator request?
PASSED
REQUIREMENT
PASSED
CONSIDERATION
FAILED NA YES NO
local guidelines on a case
management system
3.12 Local policy on social protection ☐ ☐ ☐ ______________
adopted
3.13 Institutionalized Public ☐ ☐ ☐ ______________
Employment Service Office with
Permanent PESO Manager with
prescribed SG
Consideration: With designated PESO
Manager/ Focal Person
3.14 Functional LDC with: ☐ ☐ ☐ ______________
a) Appropriate composition;
b) Meetings (both semesters in
CY 2020);
c) all plans-CDP, LDIP and AIP;
and
d) satisfactory participation of
CSOs
Area Processing: Passed all of the ☐ N/A ☐ N/A N/A N/A ______________
applicable items from 3.2 to 3.14
HEALTH COMPLIANCE AND RESPONSIVENESS
4.1 Functional Local Epidemiology ☐ ☐ ☐ ☐ ______________
Surveillance Unit (LESU)
4.2 Complete Local Investment ☐ ☐ ☐ ☐ ______________
Plan for Health (LIPH)
4.3 Institutionalized DRMM-H ☐ ☐ ☐ ☐ ______________
system
4.4 Equal or below mean in stunting ☐ ☐ ☐ ☐ ______________
rate among children under-five
4.5 At least 47.5% of households ☐ ☐ ☐ ☐ ______________
with access to safely-managed
drinking water services
4.6 TB Case Notification Rate: CY ☐ ☐ ☐ ☐ ______________
2019 rate is equal to, or above
2018 accomplishment
4.7 TB Treatment Success Rate: CY ☐ ☐ ☐ ☐ ______________
2018 rate equal to, or above
2017 accomplishment
Area Processing: Passed at least ☐ N/A ☐ N/A N/A N/A ______________
four (HUC/ICC) or three (CC/Mun) of
items 4.1 to 4.7
SUSTAINABLE EDUCATION
5.1 LSB Functionality: ☐ ☐ ☐ ______________
a) appropriate composition,
b) convened at least once in a
month in the 3rd and 4th
quarters of CY 2020 and 1st
Quarter of CY 2021
Consideration: Met at least once in
3rd and 4th quarter of CY 2020,
and 1st quarter of CY 2021
and
5 of 9
Department of the Interior and Local Government
CY 2021 Seal of Good Local Governance
(For Field Test Purposes Only)
Column 2 Remarks
Column 1 With pending
Initial Processing change
Indicator request?
PASSED
REQUIREMENT
PASSED
CONSIDERATION
FAILED NA YES NO
c) at least 85% fund utilization
or completion of CY 2019
LSB Plan
BUSINESS-FRIENDLINESS AND COMPETITIVENESS
6.1a Finalist of 2020 PCCI’s Most ☐ ☐ ______________
Business-Friendly LGUs Award
6.1b Ranked among the Top 20 ☐ ☐ ______________
Cities/Municipalities in the 2020
Competitiveness Index
6.2 Established Local Economic ☐ ☐ ______________
Development and Investment
Promotions Office/Unit i.e., has
structure, organization and staff
(Mun: Designated LEDIPO)
6.3 Updated citizens charter ☐ ☐ ______________
6 of 9
Department of the Interior and Local Government
CY 2021 Seal of Good Local Governance
(For Field Test Purposes Only)
Column 2 Remarks
Column 1 With pending
Initial Processing change
Indicator request?
PASSED
REQUIREMENT
PASSED
CONSIDERATION
FAILED NA YES NO
city/municipality or increase in
drug-cleared barangays
7.6 Designated firecracker zones ☐ ☐ ______________
Area Processing: Passed all items ☐ N/A ☐ N/A N/A N/A ______________
from 7.3 to 7.6
ENVIRONMENTAL MANAGEMENT
8.1 Convened local solid waste ☐ ☐ ______________
management board
8.2 No operating open and/or ☐ ☐ ☐ ______________
controlled dumpsite
Consideration: Closed dumpsite as of
CY 2020 with an approved
SCRP/efforts to craft SCRP, and
access to landfill
8.3 Approved 10-year solid waste ☐ ☐ ☐ ______________
management plan
Consideration: SWM Plan that is still
under review of NSWMC
8.4 Materials recovery facility ☐ ☐ ______________
Area Processing: Passed any two of ☐ N/A ☐ N/A N/A N/A ______________
9.1 to 9.3 (for LGUs where tourism is
a significant industry only), AND any
three of 9.4 to 9.7
YOUTH DEVELOPMENT
7 of 9
Department of the Interior and Local Government
CY 2021 Seal of Good Local Governance
(For Field Test Purposes Only)
Column 2 Remarks
Column 1 With pending
Initial Processing change
Indicator request?
PASSED
REQUIREMENT
PASSED
CONSIDERATION
FAILED NA YES NO
10.1. Functional local youth ☐ ☐ ______________
development council:
a) Structure,
b) Meetings, and
c) Trained members.
10.2. Established local youth ☐ ☐ ______________
development office- Met any
three of the following:
a) Designated officer,
b) Database of youth
organizations,
c) At least 50% utilization of
appropriated CY 2019
budget for youth
development, and
d) Provided TA in conduct of
training for SK and LYDC
members.
10.3. Local Youth Development Plan ☐ ☐ ☐ ______________
Consideration: Final draft that is
already submitted to LYDC for review
and approval
10.4. LGU support to youth ☐ ☐ ______________
development- Met any two of
the following:
a) Policy,
b) Facility, and
c) Completed PPA.
Area Processing: Passed any two of ☐ N/A ☐ N/A N/A N/A ______________
items 10.1 to 10.4
FINDINGS:
☐ Did not pass the 2021 SGLG criteria based on document review
REMARKS:
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I hereby certify that the information shown above are true and correct.
8 of 9
Department of the Interior and Local Government
CY 2021 Seal of Good Local Governance
(For Field Test Purposes Only)
_______________________________________________ ______________________________
_______________________________________________ ______________________________
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