Department of the Interior and Local Government Form P 3.

11
CY 2022 Seal of Good Local Governance Summary of Initial Results

Seal of Good Local Governance – DOCUMENTARY REVIEW & INITIAL ASSESSMENT

Summary of Initial Results

Province of : __________________________________ Income Class : ______

__________________________________ Region : ______
INSTRUCTIONS: PLEASE READ BEFORE PROCEEDING TO THE ITEMS.
(1) Based on the findings in Forms P 3.1 – 3.10, please tick the appropriate box per indicator under Column 1. (2) Tick “Yes” for items with pending change
request in Column 2. (3) In case of a correction/erasure, RAT leader must affix signature parallel to corrected portion. (4) Affix signature at the last page
of this summary form, and put initials at the bottom of each page.

Column 2 Remarks
Column 1 With pending
Initial Processing change
Indicator request?
PASSED
REQUIREMENT
PASSED
CONSIDERATION
FAILED NA YES NO

FINANCIAL ADMINISTRATION
1.1. Most recent COA Opinion is ☐ ☐ ☐ ☐ _____________
un/qualified plus 30% of
recommendations fully acted
upon
1.2. FDP compliance for CY 2021 2nd ☐ ☐ ☐ ☐ ______________
to 4th quarters and CY 2022 1st
quarter posting period (Three
conspicuous places and FDP Portal)
and FY 2021-Q4 e-SRE in e-SRE
system
1.3. At least positive increase in ☐ ☐ ☐ ☐ ______________
average local revenue growth for
three consecutive years (CYs
2018 to 2020)
1.4. Full utilization of 20% component ☐ ☐ ☐ ☐ ☐ ______________
of the 2020 IRA
Consideration: Passing benchmarks of at
least 63%
1.5. Full utilization of Performance ☐ ☐ ☐ ☐ ☐ ☐ ______________
Challenge Fund released in 2019
and earlier
Consideration: request for extension until
December 31, 2021 has been granted by
the DILG-RO or BLGD
1.6. CY 2022 budget is approved by ☐ ☐ ☐ ______________
Dec. 31, 2021
Consideration: Approved budget by Mar.
31, 2022
Area Processing: Passed all of the ☐ N/A ☐ N/A N/A N/A ______________
applicable items from 1.1 to 1.6
DISASTER PREPAREDNESS
2.1 Full LDRRMC membership and ☐ ☐ ______________
regular meetings for all quarters
CY 2021
2.2 LDRRMO with: ☐ ☐ ☐ ______________
a) Plantilla Head with at least
SG 22
b) At least three (3) Plantilla
staff complement
c) Workspace

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Column 2 Remarks
Column 1 With pending
Initial Processing change
Indicator request?
PASSED
REQUIREMENT
PASSED
CONSIDERATION
FAILED NA YES NO
2.3 Approved PDPFP covering CY ☐ ☐ ☐ ☐ ☐ ______________
2022 and engagement of
component LGUs in the planning
process or initiative to
communicate the plan to their
component LGUs

Consideration: In case Plan is still under

review, risk assessment should have
been already incorporated in the FINAL
DRAFT.
2.4 Approved CY 2022 LDRRM Plan ☐ ☐ ______________

2.5 Approved LCCAP covering CY ☐ ☐ ______________

2022 submitted to CCC
2.6 Approved Contingency plan for ☐ ☐ ☐ ______________
top 2 high risk hazards
integrating COVID/EREID
concerns

Consideration: Has an existing CP

approved in 2019 onwards but is
currently being updated for
COVID/EREID concerns
2.7 At least 50% fund utilization of ☐ ☐ ______________
the 70% component of CY 2021
LDRRMF (Current Fund; cut-off date:
Dec. 31, 2021)
2.8 Early warning system with: ☐ ☐ ______________
a) at least 1 marker for top 1
and top 2 hazard in high-risk
areas,
b) warning and alarm system,
c) automated or locally-
innovated rain gauge, and
d) information on EWS in
conspicuous places
e) SOP on the end-to-end use
of EWS, including feedback
mechanisms, communicated
to residents in high risk areas
2.9 Pre-emptive and forced ☐ ☐
evacuation Mechanism captured
in an EO or equivalent issuance
2.10 Evacuation management with: ☐ ☐ ______________
a) Evacuation center with
minimum required facilities;
Evacuation Center
Management Plan or other
camp management-related
protocol/system integrating
the observation of minimum
health protocols; system for
registration of evacuees;
localized information guide,
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Column 2 Remarks
Column 1 With pending
Initial Processing change
Indicator request?
PASSED
REQUIREMENT
PASSED
CONSIDERATION
FAILED NA YES NO
and organized EC
Management
Committees/Teams
b) Prepositioned goods,
resources, and services
2.11 Equipped and trained Search ☐ ☐
and Rescue (SAR) or
Emergency Response (ER)
teams
2.12 LDRRM Operations Center with ☐ ☐
SOP
2.13 Established Incident Command ☐ ☐ ______________
System and LDRRMC
head/member or LDRRMO
head/staff trained in any level of
ICS
2.14 Participation in the CY 2022 ☐ ☐ ☐ ☐ ______________
Gawad Kalasag Seal for
LDRRMCOs
Area Processing: Passed all of the ☐ N/A ☐ N/A N/A N/A ______________
applicable items from 2.1 to 2.14
SOCIAL PROTECTION AND SENSITIVITY
3.1 GAD mechanisms: ☐ ☐ ☐ ______________
a) Focal point system,
b) Database,
c) 2021 Accomplishment report,
d) GAD Code updated not
earlier than CY 2016*,
e) Reviewed CY 2021 and CY
2022 GAD plan and
budget**, and
f) at least 75% utilization/
completion of CY 2021 GAD
budget
Consideration:
*existing GAD Code adopted not earlier
than CY 2011, or old Code that has
been amended or revised by a new
ordinance enacted not earlier than CY
2011
**CY 2022 plan and budget at least
submitted for review to DILG
3.2 Organized LCAT-VAWC ☐ ☐ ☐ ______________

3.3 Local Code for Children updated ☐ ☐ ☐ ______________

not earlier than CY 2016
Consideration: existing Code adopted
not earlier than CY 2011, or old Code
that has been amended or revised by a
new ordinance enacted not earlier than
CY 2011
3.4 Compliance with Accessibility ☐ ☐ ☐ ______________
Law in:
a) LG building,

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Column 2 Remarks
Column 1 With pending
Initial Processing change
Indicator request?
PASSED
REQUIREMENT
PASSED
CONSIDERATION
FAILED NA YES NO
b) LG main hospital/main health
facility, and
c) Tertiary educational
facility/technical vocational
education and training center
(if available)

Consideration: LG building is a historical

site provided that LGU has facility or
building catering to all PWD-related
concerns or services, OR is under
construction provided that LGU has
facility or building catering to all PWD-
related concerns or services and
construction plans include provision of
ramps with 2-level handrails
3.5 Functionality of Persons with ☐ ☐ ☐ ______________
Disability Affairs Office (PDAO):
a) ordinance establishing
PDAO;
b) Permanent PDAO Head;
Consideration: PDAO established
through an executive order;
provided that there is at least a
designated PWD affairs officer

c) Accomplishment Report of
any PWD-related PPAs
3.6 IPMR with COA, if applicable, is: ☐ ☐ ☐ ☐ ☐ ☐ ______________
a) seated in the Sanggunian,
b) receiving appropriate
compensation and other
regular benefits, and
c) attending Sanggunian
meetings.

Consideration: LGU with

extenuating circumstances, subject
to CGLG deliberation
3.7 At least 75% fund utilization/ ☐ ☐ ______________
completion of PPAs in CY 2021 for
Senior citizen and PWDs
3.8 DSWD-accredited LGU-managed ☐ ☐ ☐ ☐ ☐ ______________
residential care facility for the
vulnerable sectors
Consideration: Existing partnership with
a DSWD-accredited facility, public or
private, captured in a MOA and
institutional arrangements spelled out
3.9 Functional LSWDO: ☐ ☐ ☐ ______________
a) Registered LSWDO with
valid PRC license,
Consideration and exemption: LGU
conditions cited in technical notes

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Column 2 Remarks
Column 1 With pending
Initial Processing change
Indicator request?
PASSED
REQUIREMENT
PASSED
CONSIDERATION
FAILED NA YES NO
b) Targeting System for Poor
and Vulnerable Sectors and
Households, and
c) Manual of Operations or
local guidelines on a case
management system
3.10 Local issuance on social ☐ ☐ ☐ ______________
protection adopted

Consideration: Other policies on social

protection enacted or adopted not earlier
than 2011
3.11 Institutionalized Public ☐ ☐ ☐ ______________
Employment Service Office with
Permanent PESO Manager with
SG 24
Consideration: With designated PESO
Manager/ Focal Person
3.12 Functional LDC with: ☐ ☐ ______________
a) Appropriate composition;
b) Executive Committee;
c) Secretariat
d) Local Project Monitoring
Committee (either as a
functional committee under
LDC or a stand-alone
committee;
e) Meetings (both semesters in
CY 2021);
f) satisfactory participation of
CSOs; and
g) approved plans and
investment programs -
PDPFP, LDIP and AIP
Area Processing: Passed all of the ☐ N/A ☐ N/A N/A N/A ______________
applicable items from 3.1 to 3.12
HEALTH COMPLIANCE AND RESPONSIVENESS
4.1 Complete 2020-2022 Local ☐ ☐ ☐ ☐ ______________
Investment Plan for Health
concurred by the CHD
Director/MOH-BARMM Minister
4.2 Equal or below mean-benchmark ☐ ☐ ☐ ☐ ______________
in stunting rate among children
under-five in CY 2020
4.3 At least 47.5% of households ☐ ☐ ☐ ☐
with access to safely-managed
drinking water services in CY
2020
4.4 TB Case Notification Rate: CY ☐ ☐ ☐ ☐ ______________
2020 rate is equal to, or above
2019 accomplishment

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Column 2 Remarks
Column 1 With pending
Initial Processing change
Indicator request?
PASSED
REQUIREMENT
PASSED
CONSIDERATION
FAILED NA YES NO
4.5 At least 90% TB Treatment ☐ ☐ ☐ ☐ ______________
Success Rate in CY 2020
4.6 Institutionalized DRRM-H ☐ ☐ ☐ ☐ ______________
System
4.7 Functional local Epidemiology ☐ ☐ ☐ ☐
Surveillance Unit (ESU)
Area Processing: Passed item 4.1 + ☐ N/A ☐ N/A N/A N/A ______________
any 3 from items 4.2 to 4.7
SUSTAINABLE EDUCATION
5.1 LSB Functionality: ☐ ☐ ☐ ______________
a) organized LSB
b) met at least once a month in
CY 2021**
Consideration:
*with LSB that complies with the
mandatory membership provision
under Section 98 of the LGC
**at least 6 LSB meetings in CY
2021 but with justifiable reasons as
specified in the Technical Notes
5.2 At least two (2) PPAs ☐ ☐
conducted in collaboration with
two different external partners in
CY 2021
5.3 At least 85% completion rate on ☐ ☐
either PPAs or utilization rate of
the fund intended for the CY
2021 SEF Budget to support
initiatives that produce
substantial impact in the
improvement of quality Basic
Education delivery and
performance indicators
5.4 LGU-initiated planned PPAs in ☐ ☐
their LDIP/AIP or SEF
Budget/LSB Plan covering CY
2022 aligned with identified
local priority education reform
areas of DepEd Schools
District/Division Office
5.5 Support to programs and ☐ ☐
projects that promote inclusive
education in CY 2021
Area Processing: Passed any 3 from ☐ N/A ☐ N/A N/A N/A ______________
items 5.1 to 5.5
BUSINESS-FRIENDLINESS AND COMPETITIVENESS
6.1a Finalist of 2021 PCCI’s Most ☐ ☐ ☐ ☐ ☐ ______________
Business-Friendly LGUs Award
6.1b Ranked among the Top 20 ☐ ☐ ☐ ☐ ☐ ______________
Provinces in the 2021
Competitiveness Index

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Column 2 Remarks
Column 1 With pending
Initial Processing change
Indicator request?
PASSED
REQUIREMENT
PASSED
CONSIDERATION
FAILED NA YES NO
6.2 Established Local Economic ☐ ☐ ______________
Development and Investment
Promotions Office/Unit i.e., has
structure, organization and staff
6.3 Local investment and incentives ☐ ☐ ☐ ☐ ______________
code updated not earlier than CY
2016
Consideration: existing Code adopted
not earlier than CY 2011, or old Code
that has been amended or revised by a
new ordinance enacted not earlier than
CY 2011
Area Processing: Passed item 6.1a ☐ N/A ☐ N/A N/A N/A ______________
or 6.1b, OR passed items 6.2 and 6.3
SAFETY, PEACE AND ORDER
7.1 2021 POC Performance Audit ☐ ☐ ☐ ☐ ______________
passer
7.2 Highly functional in CY 2021 ☐ ☐ ☐ ☐ ______________
ADAC Performance Audit
7.3 Logistical support to local PNP ☐ ☐ ______________
office in CY 2021
Area Processing: Passed all items ☐ N/A ☐ N/A N/A N/A ______________
from 7.1 to 7.3
ENVIRONMENTAL MANAGEMENT
8.1 SWM board should have: ☐ ☐ ______________
a) composition showing the
CSO, and private sector
membership; and
b) convened joint meetings of
the provincial, city, and municipal
SWM boards every quarter of
CY 2021
8.2 Approved 10-year solid waste ☐ ☐ ☐ ☐ ☐ ______________
management plan
Consideration: SWM Plan that is still
under review of NSWMC
Area Processing: Passed items 8.1 ☐ N/A ☐ N/A N/A N/A ______________
and 8.2
TOURISM, HERITAGE DEVELOPMENT, CULTURE AND THE ARTS
9.1 Permanent local tourism officer ☐ ☐ ☐ ______________

9.2 Tourist information and ☐ ☐ ☐ ______________

assistance center or desks
9.3 Tracking system of tourism data ☐ ☐ ☐ ______________
(at the minimum: tourist arrivals
and tourism enterprises)
9.4 Council for the promotion of ☐ ☐ ______________
culture and the arts
9.5 At least 75% utilization rate of ☐ ☐ ______________
the budget appropriated for the
conservation and preservation of
cultural property, CY 2021
9.6 Cultural property inventory ☐ ☐ ☐ ______________
updated not earlier than 2021,
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Column 2 Remarks
Column 1 With pending
Initial Processing change
Indicator request?
PASSED
REQUIREMENT
PASSED
CONSIDERATION
FAILED NA YES NO
adopted by the LGU, and
submitted to NCCA for review

Consideration: updated not earlier than

2021, and is yet to be adopted and
transmitted to NCCA for review.
9.7 Published narrative history ☐ ☐ ______________

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
10.1. Functional local youth ☐ ☐ ☐ ______________
development council:
a) Composition
b) Meetings, and
c) Trained members
10.2. Established local youth ☐ ☐ ______________
development office- Met any
two of the following:
a) Designated officer
b) Database of youth
organizations
c) At least 50% utilization of
appropriated CY 2021
budget for youth
development
d) Provided TA in conduct of
training for SK and LYDC
members from 2018
onwards
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 by LGU
office other than LYDO.
Area Processing: Passed any two of ☐ N/A ☐ N/A N/A N/A ______________
items 10.1 to 10.4

FINDINGS:

☐ Passed 2022 SGLG criteria based on review and initial processing

☐ Did not pass the 2022 SGLG criteria based on review and initial processing

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REMARKS:

_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________

Date: _______________________________

1. RAT Leader

Signature over Printed Name Agency/Organization

2. RAT Member

Signature over Printed Name Agency/Organization

3. RAT Member

Signature over Printed Name Agency/Organization

Official Release of this Form: (Please affix release stamp of DILG RO/PO here)

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