ANNEX C – LGU MANANGED WATER UTILITY PROFILE FORM

REGION:
PROVINCE:
MUNICIPALITY:

I. LGU PROFILE

Population of the Municipality:

No. of Barangays:
No. of Households:
Ave. Annual Growth Rate:
Ave. Family Income:
Income Class:

II. LGU WATER UTILITY

A. WATER UTILITY PROFILE

Name of Water Utility:

Under what unit:
WATERWORKS ENGINEERING OFFICE

MEEDO OTHERS (Pls. Specify)

Head of the Municipal Water Utility System

Name:
Position/Designation:
Phone Number:
Mobile:
Office:
Office Address:

Certificate of Public Conveyance Issued by NWRB: No. Year Granted:

Year started operation: No. of years in Operation:

B. INSTITUTIONAL INFORMATION
Water Utility Organizational Structure:

Please use separate sheet.

Personnel Working for the Water Utility:

Permanent/Regular:
Name Position Office Assigned Role in the Waterworks

Casual:
Name Position Office Assigned Role in the Waterworks

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 ANNEX C – LGU MANANGED WATER UTILITY PROFILE FORM

Job Order:
Name Position Office Assigned Role in the Waterworks

Total no. of utility staff 0

C. COVERAGE AREA
C1. Municipality Coverage

Name of Barangays Covered Current Households No. of HHs served

Total 0 0

Total no. of Barangays served 0

C2. If there other areas covered by the Municipality, use the table below:

Name of other Municipality Covered

Name of Barangays Covered Current Households No. of HHs served

Total 0 0

Total no. of Barangays served 0

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POPULATION % of Population served 0%

Population in service area 0 w/in the Municipality

Persons per household Gaps in access to water 100%

Persons served 0 Persons unserved 0

Population served, % 0%

SERVICE CONNECTIONS LEVEL II LEVEL III

Level II Water System

Total no. of connections Metered Unmetered

Public taps (HHs) No. of tapstands

HHs served

Level III Water System

Total no. of connections Metered Unmetered

Residential (HHs)

Institutional

Commercial

Industrial

Bulk Water Supply

Grand total 0 0 0

New Connections for the Year

PRODUCTION CONSUMPTION

Non-revenue water, % 0% Monthly HHs Average Consumption, cu.m.

Annual production, cu.m. Ave. consumption per capita per day, liters

Annual volume billed, cu. m.

Production capacity, lps 0.0

D. WATER UTILITY SYSTEM

Brief Description of the Utility:

Schematic Diagram

Please use separate sheet.

Water System Facility:

SOURCE OF WATER:

GROUNDWATER BULK PURCHASE - raw water OTHER SOURCES

SURFACE WATER BULK PURCHASE - treated water

PUMPING HOURS WATER

DEEPWELL DISCHARGE (lps) PUMP CAPACITY (hp) YEAR CONSTRUCTED
(hrs/day) QUALITY

PUMP 1

PUMP 2

PUMP 3

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 ANNEX C – LGU MANANGED WATER UTILITY PROFILE FORM

PUMP 4

PUMP 5

PUMPING HOURS WATER

SPRING DISCHARGE (lps) GRAVITY FEED YEAR CONSTRUCTED
(hrs/day) QUALITY

SURFACE WATER DISCHARGE (lps) WATER QUALITY YEAR CONSTRUCTED

Water Treatment

Surface Water with Treatment facility; without Treatment facility

Well with Treatment facility; without Treatment facility

Spring with Treatment facility; without Treatment facility

Chlorination

Well Injection type; Drip type; None

Spring Injection type; Drip type; None

Water Storage Capacity (m³)

Pipelines
Transmission Distribution
Materials
(mm. diameter) (mm. diameter)
PVC
HDPE
Steel
Ductile Iron
GI
Asbestos Cement

Total length of Pipelines km

E. OPERATION AND MAINTENANCE

E1. Operation:
1. Operating Hours

Deep Well (Pumping Hours) hrs/day

Spring hrs/day

Surface Water hrs/day

Water Treatment Facility hrs/day

Service Delivery hrs/day

Water Pressure
m
(from ground to 2nd Flr.)

E2. Maintenance: (do they have a maintenance plan?) YES NO

1. Maintenance Work/ Repairs made to the following:

Pump Times/mo.
Intake Box Times/mo.
Reservoir Times/mo.
Treatment/Chlorinator Facility Times/mo.

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Transmission Lines Distribution lines

Number of Pipeline Repair

Length of Pipeline Replacement m

Tap Stand repair Times/mo.

Number of Water Meter replaced

E3. Problems encountered during operations and action taken:

Particulars
Problems Encountered Action Taken
Facility:

Water Source

Water Treatment Facility

Reservoir

Chlorinator

Intake Box

Pump

Leakage

Pipelines

Reservoir

Service Connections

Operation & Maintenance

Operation of System & Facilities

Maintenance of the facilities

F. FINANCE & MANAGEMENT

Finance
1. Operating Finances

Revenues Collected

Operating Expenditures

Payments on Loan (if any)

Cash Balance

2. Debt

Loan Balance

Penalty Arrears Balance

Monthly Amortization

WATER RATE/TARIFF

CATEGORY RESIDENTIAL COMMERCIAL INDUSTRIAL INSTITUTIONAL BULK WATER

MINIMUM CHARGE (Php) (Php) (Php) (Php) (Php)

(First 10 m³ or less)

Per cubic meter in excess of the minimum (Php/m³) (Php/m³) (Php/m³) (Php/m³) (Php/m³)

Average Monthly Tariff 0.00 PHP/ m³

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COLLECTIONS REVENUE AND EXPENSES

Collection efficiency, % 0% Operating Ratio, % 0%

Collection period, days Unit Production Cost 0 PHP/ m³

Total Annual billings, PhP

Total Annual collections , PhP

Unpaid bills, end of the year

III. TRAINING NEED ASSESSMENT

Number of Personnel for Managerial & Administrative Activities

Number of Personnel for Technical Activities

Needs of Training on the following:

1. Management Planning, Designing, Supervising YES NO

2. Commerce Reading, Billing, Collecting, Accounting YES NO

3. O & M Operating, Maintaining, Repairing, Meter Installation YES NO

Remarks:

Note: (if the LGU is willing to undergo series of training, coaching and mentoring for the setting-up/establishing of their Waterworks Office)

May we request that the duly accomplished LGU Water Utility Profile be returned to us thru email address wsspmo.technical@gmail.com or thru fax at (02) 928-
5854 on or before November 30, 2020.

For any concerns, you may contact the following:

EMAIL ADDRESS NAME CONTACT NUMBER(s)

Engr. Jayrold C. Asuncion 0921-696-3701
Engr. Nelia O. Almelor 0922-871-6653
wsspmo.technical@gmail.com
0999-919-3486
Engr. Olga F. Patron
0956-386-8267