ANNEX A RAPID SUBPROJECT SUSTAINABILITY ASSESSMENT (RSSA) FOR WATER SUPPLY SYSTEM Date of Assessment { ALGLIN (mm/ddiyy): 12/03/2020 (1) Program; BUB - Water Supply a Funding Year: 2015 4.49 A Project ID: PW-15-08-48-05-1 (2) Title of Project: REHABILITATION/ EXPANSION) UPGRADING OF LEVEL ll WATER SUPPLY SYSTEM WITH APPROPRIATE WATER TREATMENT SYSTEM Project Location (Sitio/Purok, Bray, Municipality, City, Province): Bray, PolangiPolangi, CATARMAN {Capital}, NORTHERN SAMAR. REGION Vill - EASTERN VISAYAS Mode of Implementation: Contract Level of Service: Level i Nature of Project: Upgrading (3) Sources of Funds National Subsidy 4,000,000.00 LGU Counterpart (if any) 0.00 Total Project Cost 4,000,000.00 (4) Date Project Completed: 04/22/2016 (5) Is the Project booked-up as LGU asset? (Refer to LGU Accountant) Answer: YES Attach proof of booking-JEV and attachment 162-230-4.jpg (6) Is the Project Insured? No Answer (7) Is it still FUNCTIONAL? Answer: YES (7.a) If YES: System in place are in good working condition Improvements Made Actual Cost Responsible Office Other Source of FundANNEX A (8) CATEGORY OF NON-FUNCTIONALITY: No Answer (9) Is it still OPERATIONAL? Answer: YES (9.a) If YES: ~ System is being managed Who manages the facility? BWSA If managed, does it have the following attributes? (Tick all items applicable) List of Officers Is the facility regularly maintained? Answer: YES How much is the annual maintenance budget? 500,000.00 How much? (per container or per week or per month) No Answer |s the community aware of the project facility? ES Answé \s the facility being used according to its intended purpose? ‘Answer: YES (10) Needed interventions to make it functional/operational and its estimated cost. (Prioritize the need according to urgency) Intervention Estimated Cost Improvements Made (if Estimated Cost Responsible Office (10.a) (10.b) any) (10.c) Photos: Please Attach 1MG20200424084732-230-99.jpg Thereby certify that the above data are true and correct. ie bj Municipal EngineerANNEX AANNEX A RAPID SUBPROJECT SUSTAINABILITY ASSESSMENT (RSSA) FOR WATER SUPPLY SYSTEM Date of Assessment (mm/dd/yy): 12/03/2020 (1) Program: SALINTUBIG Funding Year: 2018 Project ID: SA-18-08-48-05-000-1. (2) Title of Project: Wit Project Location (Sitio/Purok, Bray. Municipality, ty Province: roy. Tingwaran,atarman- Northern Mode of Implementation: Contract Level of Service: Level I Nature of Project: Rehabilitation (3) Sources of Funds National Subsidy 2,000,000.00 LGU Counterpart (if any) 0.00 Total Project Cost 2,000,000.00 (4) Date Project Completed: 04/15/2019 (5) Is the Project booked-up as LGU asset? (Refer to LGU Accountant) Answer: YES Attach proof of booking JEV and attachment 162-231-4,jpg (6) Is the Project Insured? Answer: NO (7) Is it still FUNCTIONAL? Answer: YES (7.2) IFYES: System in place are in good working condition Suitable for Drinking Improvements Made Actual Cost Responsible Office Other Source of FundANNEX A (8) CATEGORY OF NON-FUNCTIONALITY: No Answer (9) Is it still OPERATIONAL? Answer: YES (9.a) If YES: System is being managed ‘Who manages the facility? BWSA If managed, does it have the following attributes? (Tick all items applicable) List of Officers \s the facility regularly maintained? ‘Answer: YES How much is the annual maintenance budget? 500,000.00 How much? (per container or per week or per month) No Answer Is the community aware of the project facility? Answer: YES \s the facility being used according to its intended purpose? ‘Answer: YES (10) Needed interventions to make it functional/operational and its estimated cost. (Prioritize the need according to urgency) Intervention Estimated Cost Improvements Made (if Estimated Cost Responsible Office (10.2) (10.b) any) (10.c) Photos: Please Attach 1MG20190215101132-231-99,jpg hereby certify that the above data are true and correct. Prepared by: saul EngineerANNEX Aee ANNEX C RAPID SUBPROJECT SUSTAINABILITY ASSESSMENT (RSSA) FOR ROADS, BRIDGES, AND RIVER CONTROL/SEA WALL Date of Assessment (mm/dd/yy): 04/05/2023 (1) Program: AMA Funding Year: 2020 Project 1D: AM-LA-20-08-48-05-000-1 (2) Title of Project: REHABILITATION AND IMPROVEMENT OF HIBABAOGAN-BANIHIT ACCESS ROAD IN BRGY, WASHINGTON Project Location (Sitio/Purok, Brgy, Municipality,City, Province): Sitio Hibabaogan, Bray. Washington, Catarman Northern SamarWashington, CATARMAN (Capital). NORTHERN SAMAR. REGION Vill - EASTERN VISAYAS Mode of Implementation: Contract Nature of Project: Road Rehabilitation Type of Project: Roads (3) Sources of Funds National Subsidy 11,897,000.00 LGU Counterpart (if any) 550,000.00 Total Project Cost 12,447,000.00 (4) Date Project Completed: 08/03/2021 (5) Is the Project booked-up as LGU asset? (Refer to LGU Accountant)? Answer: YES (Attach proof of booking JEV and attachment) scan093-11885-54,jog (6) Is the Project Insured? No Answer (7) Is it still FUNCTIONAL? Answer: YES (7.a) IFYES: Components in place are in good working condition Facility is being used according to its intended purposeANNEX.C Improvements Made Actual Cost Responsible Office Other Source of Fund (8) CATEGORY OF NON-FUNCTIONALITY: No Answer (9).is it still OPERATIONAL? ‘Answer: YES (9.a) IFYES: Facility is being used according to its intended purpose Who maintain the facility? City/Municipality LGU Is the facility regularly maintained? Answer: YES How much is the annual maintenance budget? 500,000.00 |s the community aware of the project facility? Answer: YES Does the community consider the project as BENEFICIAL? Answer: YES If Yes, in what way? The project is beneficial to the community by providing a faster and easy mobility for people and their goods. Photos: Please Attach 339259983_157771576928497_6295332966599456812_n-11885-101,jpg 339256407_549764440619026_14537944143291484_n-11885-101.jpg I hereby certify that the above data are true and correct, Prepayéd by: Municipal EngineerAra ANNEX C4 ANNEX C RAPID SUBPROJECT SUSTAINABILITY ASSESSMENT (RSSA) FOR ROADS, BRIDGES, AND RIVER CONTROL/SEA WALL Date of Assessment (mmidd/yy): 04/05/2023 (2) Program: ADM - ROADS ‘ ALGLINLY Funding Year: 2017 ve FE Project ID: ADM-LA-17-08-48-05-000-1 ba 05 fre (2) Title of Project: Core Local Access Roads Project Location (Sitio/Purok, Brgy, Municipality.City, Province): Bray. Acaia and Bray. Airport inport Vi ATARMAN (Capit \-REGION Vill - EASTERN VISAYAS Mode of Implementation: Contract Nature of Project: Road Reblocking Type of Project: Roads (3) Sources of Funds National Subsidy 2,000,000.00 LGU Counterpart (if any) 0.00 Total Project Cost 2,000,000.00 (4) Date Project Completed: 12/06/2017 (5) Is the Project booked-up as LGU asset? (Refer to LGU Accountant)? “Answer: YES (Attach proof of booking-JEV and attachment) 163-6485-54-11884-54.jpg (6) Is the Project Insured? Answer: NO (7) Is it still FUNCTIONAL? “Answer: YES (7.a) If YES: Components in place are in good working condition Facilty is being used according to its intended purpose Improvements Made Actual Cost Responsible Office Other Source of Fund= ANNEX C (8) CATEGORY OF NON-FUNCTIONALITY: No Answer (9) is it still OPERATIONAL? Answer: YES (9.a) if YES: Facility is being used according to its intended purpose Who maintain the facility? City/Municipality LGU Is the facility regularly maintained? ‘Answer: YES How much is the annual maintenance budget? 500,000.00 Is the community aware of the project facility? Answer: YES Does the community consider the project as BENEFICIAL? ‘Answer: YES If Yes, in what way? Improved access to local markets, health centers, educational facilities, public transportation and public utilities. Photos: Please Attach 340447914_100154699727691_4193538323963634142_n-11884-101.jpg 341168188_1266796210597058_8184077088059045004_n-11884-101.jpg I hereby certify that the above data are true and correct,ANNEX C eddy C/MLGGO,