2023 Seal of Good Local Governance for Barangay (SGLGB) SGLGB Form No.

1
Documentary Checklist

BARANGAY:
CITY/MUNICIPAL:
PROVINCE:
REGION:

PART A - DOCUMENTARY CHECKLIST

INDICATORS MINIMUM REQUIREMENT MOVs
Core Governance Area 1: Financial Administration and Sustainability
1.1 COMPLIANCE WITH THE 1.1.1 Posted the following CY 2022 financial ☐ BFDP Monitoring Form A of the DILG Advisory dated
BARANGAY FULL DISCLOSURE documents in the BFDP
1.1.2 Accomplished board, pursuant
prescribed BFR formtowithDILG ☐ Barangay Financial Report on Statement of Receipt and
POLICY
1.2 (BFDP) BOARD
INNOVATIONS ON REVENUE the "stamp
1.2.1 receipt"
Increase of the
in local Office ofinthe
resources C/M
2022 Expenditure
☐ Barangay (Annex
Budget 7)Preparation Form 2 of 2021 and 2022
GENERATION
1.3 APPROVALOROFEXERCISE
THE OF 1.3.1 Presence of a Barangay Appropriation ☐ Approved Barangay Appropriation Ordinance
BARANGAY
1.4 BUDGET
ALLOCATION FORON THE Ordinance With
1.4.1 approved on orfunds
allocated before
forDecember 31, ☐ Approved Barangay Appropriation Ordinance
the following
STATUTORY PROGRAMS
1.5 POSTING OF THE AND statutory programs and projects:
1.5.1 Barangay Citizens’ Charter posted at a ☐ Photo documentation of the Barangay CitCha (name of the
BARANGAY
1.6 RELEASECITIZEN’S
OF THE conspicuous
1.6.1 placewith
Compliance (barangay
Sectionhall,
20 of market,
the SK barangay
☐ a) Copyshould
of thebe visible)
written agreement; and
SANGGUNIANG KABATAAN (SK) Reform IfAct
1.6.1.1 theofbarangay
2015 andhasItem 3.2 of DBM-DILG- ☐ b) Proof of deposit reflecting the Account No./ Name of
Barangay-SK
FUNDS OF THE BARANGAY Agreement for the annual or semestral or Barangay SK (1 deposit slip for annual, 2 deposit slips for
quarterly release/deposit: semestral, 4 deposit slips for quarterly

1. 6.1.2 If the barangay does not have ☐ a) 12 monthly deposit slips reflecting the Account No./
Barangay-SK Agreement but with current
1.6.1.3 If the barangay does not have SK Name of Barangay
☐ a) Proof SKof the 10% SK fund to the trust fund of
of transfer
Officials
1.6.2 or with SK
Presence OfficialsBarangay
of Annual but no quorum
Youth theCertification
☐ barangay suchfromas deposit
the slip oronOfficial
C/MLGOO current Receipt
number orof SK
1.7 CONDUCT OF BARANGAY Investment
1.7.1 Program
Conducted the (ABYIP) for 2022
2nd semester Barangay officials
☐ Post Activity Report on the conduct of the 2nd semester
ASSEMBLY FOR CY 2022 (2ND Assembly for CY 2022 (any modality, i.e., online, barangay
Core Governance Area 2: Disaster Preparedness assembly duly signed/approved by the Punong
2.1 FUNCTIONALITY OF THE 2.1.1 Established BDRRMC with its composition ☐ Executive Order or similar issuance creating the BDRRMC
BARANGAY DISASTER RISK compliant
2.1.2 to theBarangay
Approved ProvisionsDisaster
of NDRRMC,
Risk DILG, ☐ compliant
Approved to composition
BDRRM Planrequirements
CY 2022 covering CY 2022
REDUCTION AND MANAGEMENT Reduction and Management (BDRRM) Plan CY
COMMITTEE (BDRRMC)
2.1 FUNCTIONALITY OF THE
BARANGAY DISASTER RISK
REDUCTION AND MANAGEMENT 2.1.3. Allocation of 5% of the Estimated Revenue ☐ Enacted Appropriation Ordinance
COMMITTEE (BDRRMC) from
2.1.4 Regular
a) At leastSources as BDRRM Fundof the
50% accomplishment ☐ Accomplishment Report
2.2 EXTENT OF RISK physical
2.2.1 targets inanthe
Conducted BDRRM
activity Plan to Risk
in relation ☐ Post-Activity Report of activities such as Climate and
ASSESSMENT AND EARLY Assessment
2.2.2 A certifiedin the barangay
Barangay not earlier Map
Risk/Hazard than Disaster
☐ Photo Risk Assessment,
documentation Participatory
of the Disaster Risk
certified Barangay
WARNING SYSTEM (EWS) 2.2.3 An established Early Warning System for ☐ Risk/Hazard Map
Photo documentation of EWS for the top two (2) hazards in
the top two (2) hazards present in
2.3 EXTENT OF PREPAREDNESS 2.3.1. A barangay must have a permanent or the barangay the barangay
☐ Photo documentation of the permanent/alternate
FOR EFFECTIVE RESPONSE alternate
2.3.2 evacuation
A barangay center
must have the following evacuation
☐ center
Photo Documentation of disaster supplies equipment
AND RECOVERY disaster supplies/equipment:
Core Governance Area 3: Safety, Peace and Order
3.1 FUNCTIONALITY OF THE 3.1.1​​Organized BADAC with its composition and ☐ Executive Order or similar issuance creating the BADAC
BARANGAY ANTI-DRUG ABUSE appropriate committees
3.1.2 Established (Committees
Rehabilitation on Desk
Referral with
☐ EO itsorcomposition and appropriate
similar issuance establishing committees (Committees
the Rehabilitation
COUNCIL (BADAC) with Designated
3.1.3 Allocation of Duty Officer amount for anti-
substantial Referral
☐ Approved DeskBarangay Appropriation Ordinance
illegalApproved
3.1.4 drugs initiative
BADAC Plan of Action covering ☐ Approved BADAC Plan of Action
2022 as
3.1.5 year underofreview
Submission Consolidated Information ☐ Transmittal of CIR (stamp received) to CADAC/MADAC
Report (CIR) to CADAC/MADAC
3.1.6 a) At least 50% accomplishment of theand Local PNP and Local BADAC
☐ Annual PNP UnitAccomplishment and Fund Utilization
3.2 FUNCTIONALITY OF THE physical
3.2.1. targets inBPOC
Organized the BADAC
throughPlan of Action
an Executive Report
☐ submitted
Executive Ordernotor later than
similar the 20thindicating
issuance day of January
correct
BARANGAY PEACE AND ORDER 3.2.2
OrderApproved
or SangguniangBarangayBarangay
Peace andResolution,
Order and with membership
☐ Approved BPOPSin accordance
Plan to the EO 366 s. of 1996
COMMITTEE (BPOC) Publica)Safety
3.2.3 At least(BPOPS) Plan in accordance
50% accomplishment of theto ☐ Accomplishment Report (in any format) submitted to the
3.3 FUNCTIONALITY OF THE physical targets in the BPOPS
3.3.1. Organized Lupong Tagapamayapa Plan C/M POC on theofprescribed
☐ Appointment the Lupong schedules (stamp received)
Tagapamayapa
LUPONG TAGAPAMAYAPA (LT) 3.3.2. Systematic maintenance of records
(recordConducted
3.3.3. of cases) monthly meetings for the ☐ Copies of minutes of meetings with attendance sheets (at
administration
3.3.4. Attendance of the Katarungang
of LT to KP trainingPambarangay
or seminar ☐ least 3 minutes
Certified true covering
copy of anymeetings
proof ofconducted in 2022)
training such as
3.4 ORGANIZATION AND not earlier than 2019
3.4.1 Organized Barangay Tanod Certificate of Completion and/or Participation (at
☐ EO or similar issuance on the organization of the Barangayleast 1)
STRENGTHENING CAPACITIES 3.4.2 Attendance of barangay tanod to Tanod
☐ covering
Certified true 2022
copy of any proof of training such as
OF BARANGAY TANOD
3.5 BARANGAY INITIATIVES necessary
3.5.1 training
Organized not earlier
Barangay than and
Health 2019 Certificate of Completion
☐ EO or similar issuance and/or
on the Participation
organization (at least 1)
of BHERTs
DURING HEALTH EMERGENCIES 3.5.2
Emergency
PosterResponse
or tarpaulin Team (BHERT)
containing the with
activeits ☐ Photo documentation of poster and/or tarpaulin
3.6. CONDUCT OF MONTHLY telephone and/or cellphone Numbers of the
3.6.1 Conducted BaRCO on a monthly basis in ☐ Monthly BarCo Reports for October-December 2022
BARANGAY ROAD CLEARING 2022Essential Governace Area 1: Social Protection and Sensitivity
4.1 FUNCTIONALITY OF 4.1.1. Established Barangay VAW Desk and ☐ Executive Order or similar issuance on the establishment
BARANGAY VIOLENCE AGAINST 4.1.2
designated Barangay
Attendance VAW
of the Desk Officer
Barangay VAW Desk of Barangay
☐ VAW
Certified true Desk
copy and proof
of any designated VAWsuch
of training DeskasOfficer
WOMEN (VAW) DESK Officer to at least one (1) training/orientation
4.1.3 Approved 2022 Barangay Gender and Certificate
☐ Approved 2022 Barangay Gender and Development1)(GAD)
of Completion and/or Participation (at least
Development
4.1.4 Submission (GAD) Plan andAccomplishment
of Monthly Budget Plan
☐ and Budget
Monthly Accomplishment Reports for CY 2022 (October-
Reports
4.1.5 on thedatabase
Updated incidenceon of VAW
VAW cases
and violence
reported ☐ December
Updated2022)
database of VAW cases reported to the barangay
to thea)
4.1.6 barangay,
At least with
50%the following information
accomplishment of the at ☐ CY 2022 GAD Accomplishment Report
physical targets in the GAD Plan
4.2 ACCESS TO HEALTH AND 4.2.1. Presence of a Barangay Health ☐ Photo documentation of the BHS/C
SOCIAL WELFARE SERVICES IN Station/Center
THE BARANGAY 4.2.2. Appointment of a Barangay Health Worker ☐ EO or similar issuance on the Appointment of BHW
(BHW)
4.2.3. Appointment of a Barangay Nutrition ☐ EO or similar issuance on the appointment of BNS
Scholar (BNS)
4.2.4. Availability of the following health services ☐ Photo documentations of the operations of the BHS/C
4.3 FUNCTIONALITY OF THE in the BHS/C:
4.3.1. Organized BDC with its composition ☐ EO or similar issuances organizing/reconstituting the BDC
BARANGAY DEVELOPMENT compliant
4.3.2. to Section
Conduct of public107hearings/
of RA 7160 barangay with
☐ its composition
Minutes compliant
(at least 2) to Section
of the public 107 of RA 7160
hearings/barangay
COUNCIL (BDC) assemblies
4.3.3 Approved for public
Barangayconsultation
Development Plan assemblies
☐ Barangaywith attendancePlan
Development sheetwith BDC and SB
4.3.4 a) At least 50% accomplishment of the Resolutions adopting such
☐ CY 2022 Accomplishment Report of the BDP
4.4 IMPLEMENTATION OF THE physical targets in the BDP
4.4.1 Kasambahay Desk with designated ☐ EO or similar issuance designating a Kasambahay Desk
KASAMBAHAY LAW Kasambahay
4.4.2 Desk Officer (KDO)
Maintenance/updating of a Kasambahay andUpdated
☐ a KDO Kasambahay Report Form 2 (Kasambahay
4.5. FUNCTIONALITY OF THE Masterlist
4.5.1 Organization of the Barangay Council for ☐ Masterlist)
Executive asOrder
of December
or similar2022issuance on the establishment
BARANGAY COUNCIL FOR THE Protection of Children (BCPC)
4.5.2 Attendance of the Members of the with its of
☐ Certified true copy of any proof ofoftraining
Barangay Council for Protection Children (BCPC)
such as
PROTECTION OF CHILDREN Barangay Council for Protection
4.5.3 Approved BCPC Annual Work and of Children Certificate of Completion and/or Participation
☐ Approved BCPC Annual Work and Financial Plan (AWFP) (at least 1)
(BCPC) Financial
4.5.4 Plan on Children disaggregated by
Database ☐ Updated database on children
age, sex,
4.5.5 ethnicity,
Updated with orFlow
Localized withChart
disabilities,
of Referral ☐ Updated Localized Flow Chart of Referral System
System not earlier than 2019
4.5.6 a) At least 50% completion rate on PPAs in ☐ CY 2022 Approved Accomplishment Report on BCPC Plan
4.6 MECHANISM FOR GENDER the 4.6.1BCPC Plan Barangay GAD Focal Point
Organized ☐ EO or similar issuance organizing the Barangay GAD
ANDMAINTENANCE
4.7. DEVELOPMENTOF (GAD) System
4.7.1 Updated RBI for two semesters of CY 2022 Focal Point System
☐ Accomplished RBI Form A of two semesters of CY 2022
UPDATED RECORD OF Essential Governance Area 2: Business-Friendliness and Competitiveness
5.1 POWER TO LEVY OTHER 5.1.1 Enacted Barangay Tax Ordinance pursuant ☐ Enacted Barangay Tax Ordinance
TAXES,
5.2. COMPLIANCE TO SECTION to
FEES OR CHARGES Sec.
5.2.1 129 of the
Enacted LGC Ordinance relative to
Barangay ☐ Enacted Barangay Ordinance relative to Barangay
11 OF RA 11032 OR THE EASE Barangay
5.2.2 Clearance
Approved fees on
resolution businessthe
authorizing permit Clearance
☐ Approved Fees on business
resolution permitthe
authorizing andCity/Municipal
locational clearance
OF DOING BUSINESS
5.3 ISSUANCE OF BARANGAY​ City/Municipal
5.3.1 PresenceTreasurer
of a Citizens’to collect fees
Charter onfor
the Treasurer
☐ to collect fees of
Photo documentation forthe
Barangay
Citizens’Clearance
Charter onforthe
Business
CLEARANCE NOT COVERED BY issuance of barangay clearance posted in the
Essential Governance Area 3: Environmental Managementissuance of barangay clearance only (name of the barangay
6.1.FUNCTIONALITY OF THE 6.1.1 Organized BESWMC with composition ☐ EO or similar issuance on the organization of the
BARANGAY ECOLOGICAL SOLID 6.1.2 compliant to DILG
Approved MCWaste
Solid No. 2018-112
Management BESWMC
☐ Approved Solid Waste Management Program/Plan with
WASTE MANAGEMENT Program/Plan
6.1.3 Attendance withofcorresponding fund allocation ☐
BESWMC to necessary corresponding
Certified truefund
copyallocation
of any proof of training such as
COMMITTEE (BESWMC) training related activities to promoting Certificate
6.1.4 a) At least 50% completion rate on PPAs in ☐ Monthly Accomplishmentof Completion and/or Participation
Reports for 2022 (at least 1)
6.2 EXISTENCE OF A SOLID the
6.2.1BESWMP
Presence of a Materials Recovery Facility ☐ For MRF operated by the barangay: Photo documentation
WASTE
6.3 MANAGEMENT
PROVISION OF SUPPORTFACILITY 6.3.1
(MRF)/ Materials
Enacted Recovery
Barangay System (MRS)
Ordinance or similar of the
☐ MRF/MRF
Ordinance Records
or similar of the barangay
issuance on segregation of wastes at-
MECHANISMS FOR issuance on segregation of wastes at-source source
This is to respectfully submit the attached Means of Verifications (MOVs) for the purpose of the Seal of Good Local Governance for
Barangay (SGLGB) assessment.
 SUBMITTED BY:

PRINTED NAME AND SIGNATURE OF THE PUNONG BARANGAY

NAME OF BARANGAY

RECEIVED BY:

CITY/MUNICIPAL PERFORMANCE ASSESSMENT TEAM SECRETARIAT

DATE RECEIVED: