2023 SEAL OF GOOD LOCAL GOVERNANCE FOR BARANGAY SGLGB Form

Year Under Review: CY 2022

Data Capture Form

Core Governance Area No. 1:

Financial Administration and Sustainability

1.1 Compliance with the Barangay Full Disclosure Policy (BFDP)

MINIMUM REQUIREMENT MEANS OF VERIFICATION

1.1.1 Posted the following CY 2022 financial documents in the BFDP 0 BFDP Monitoring Form A of the DILG Advisory
board, pursuant to DILG MC No. 2014-81 and DILG MC No. 2022- March 25, 2022
027:

Instruction: Put a check ✓ on the box that 0 Photo Documentation of the BFDP board disp
YES NO corresponds to your assessment. following documents:

ANNUAL REPORT
ANNUAL REPORT a. Barangay Financial Report
0 0 a. Barangay Financial Report; b. Barangay Budget;
0 0 b. Barangay Budget; c. Summary of Income and Expenditures;
0 0 c. Summary of Income and Expenditures; d. 20% Component of the IRA Utilization;
0 0 d. 20% Component of the IRA Utilization; e. Annual Procurement Plan or Procurement
0 0 e. Annual Procurement Plan or Procurement
List;
QUARTERLY REPORT
QUARTERLY REPORT f. List of Notices of Award (4th Quarter of CY
0 0 f. List of Notices of Award (4th Quarter of CY and
2022); and

MONTHLY REPORT MONTHLY REPORT

0 0 g. Itemized Monthly Collections and g. Itemized Monthly Collections and Disburse
Disbursements (Oct-Dec, CY 2022). (Oct-Dec, CY 2022).

0 October 2022
0 November 2022

0 December 2022

1.1.2 Accomplished prescribed BFR form with the "stamp receipt" of 0 Barangay Financial Report on Statement of Re
the Office of the C/M Accountant. Expenditure (Annex 7)

YES NO Instruction: Put a check ✓ on the box that

corresponds to your assessment.
0 0

PROCESSING OF RESULTS REMARKS

YES NO Met all the minimum requirements on
0 0 Compliance with the Barangay Full Disclosure
Policy (BFDP)?
 1.2. Innovations on revenue generation or exercise of corporate powers
MINIMUM REQUIREMENT MEANS OF VERIFICATION

1.2.1 Increase in local resources in 2022. 0 Barangay Budget Preparation Form 2 of 2021

YES NO Instruction: Put a check ✓ on the box that Tot

corresponds to your assessment. al CY 2021:
am
0 0 oun CY 2022:
t
Percentage Increase:
obt
ain
ed
fro
PROCESSING OF RESULTS m REMARKS
YES NO Met the minimum requirement on innovations loca
on revenue generation or exercise of corporate l
0 0 res
powers?
our
ces
in:

1.3. Approval of the Barangay Budget on the Specified Timeframe

MINIMUM REQUIREMENT MEANS OF VERIFICATION

1.3.1 Presence of a Barangay Appropriation Ordinance approved on or 0 Approved Barangay Appropriation Ordinance
before December 31, 2021.
YES NO Instruction: Put a check ✓ on the box that Dat
corresponds to your assessment. e of
App
0 0 rov
al:

Consideration: Approval until March 31, 2022

YES NO Instruction: Put a check ✓ on the box that
corresponds to your assessment.
0 0

PROCESSING OF RESULTS REMARKS

YES NO Met the minimum requirement on Approval of
0 0 the Barangay Budget on the Specified
Timeframe?

1.4. Allocation for Statutory Programs and Projects as Mandated by Laws and/or Other Issuances
MINIMUM REQUIREMENT MEANS OF VERIFICATION

1.4.1 With allocated funds for the following statutory programs and 0 Approved Barangay Appropriation Ordinance
projects:
Instruction: Put a check ✓ on the box that
YES NO corresponds to your assessment.

0 0 a. Senior Citizens (per R.A. 9994 and DBM Local

Budget Memorandum No. 82);
0 0 b. Persons with Disability (per R.A. 7277 and
DBM Local Budget Memorandum No. 82);
0 0 c. At least 20% of the IRA is allocated for
development programs (DILG-DBM JMC No.
2017-01);
0 0 d. At least 1% of the IRA/NTA for the Barangay
Council for the Protection of Children (BCPC)
per RA 9344;
0 0 e. At least 5% from total budget allocated for
GAD plans and programs per RA 9710.
 PROCESSING OF RESULTS REMARKS
YES NO Met the minimum requirement on Allocation
0 0 for Statutory Programs and Projects as
Mandated by Laws and/or Other Issuances?

1.5. Posting of the Barangay Citizens’ Charter (CitCha)

MINIMUM REQUIREMENT MEANS OF VERIFICATION

1.5.1 Barangay Citizens’ Charter posted at a conspicuous place. (e.g., 0 Photo documentation of the Barangay CitCha
barangay hall, market, transport terminal or multi-purpose hall) the barangay should be visible)
YES NO Instruction: Put a check ✓ on the box that
0 corresponds to your assessment.
0

PROCESSING OF RESULTS REMARKS

YES NO Met the minimum requirement on the posting
of Barangay CitCha
0 0

1.6. Release of the Sangguniang Kabataan (SK) Funds by the Barangay

MINIMUM REQUIREMENT MEANS OF VERIFICATION

1.6.1 Compliance with Section 20 of the SK Reform Act of 2015 and

Item 3.2 of DBM-DILG-NYC JMC No. 1, s. 2019 dated January 23,
2019:

Instruction: Put a check ✓ on the box that

YES NO corresponds to your assessment.
MO
0 1.6.1.1. If the barangay is with Barangay-SK Vs 0 a) Copy of the written agreement; and
0 for
Agreement for the annual or semestral or
quarterly release/deposit: 1.6.0 b) Proof of deposit reflecting the Account No.
1.1: Barangay SK (1 deposit slip for annual, 2 depo
semestral, 4 deposit slips for quarterly

MO
0 1.6.1.2. If the barangay is without an V 0 a) 12 monthly deposit slips reflecting the Acco
0 for
agreement with the SK, but with current MO Name of Barangay SK
account: 1.6.
0 1.6.1.3. If the barangay is without SK Officials or V
1.2:0 a) Proof of transfer of the 10% SK fund to the
0 for
with SK Officials but no quorum and/or No SK of the barangay such as deposit slip or Officia
Bank Account: 1.6. or corresponding legal form/document issued
1.3: city/municipal treasurer if the barangay opted
corresponding SK fund be kept as trust fund i
custody of the C/M treasurer.
 MO
1.6.2 Presence of Approved Annual Barangay Youth Investment V Certification from the C/MLGOO on current n
Program (ABYIP) for CY 2022 for0 SK officials
1.6.
2:
(Ap Please supply information
plic Total Number of SK Officials:
abl
YES
e NO Instruction: Put a check ✓ on the box that
onl0 corresponds to your assessment. If with 5 and above SK officials:
0 0
y
for Approved Annual Barangay Youth Investment
Bar (ABYIP) for 2022
ang PROCESSING OF RESULTS REMARKS
ays
YES NO Met all minimum requirements on Release of
wit the Sangguniang Kabataan (SK) Funds by the
h 50 0
Barangay?
and
abo
ve
SK
offi 1.7. Conduct of Barangay Assembly for CY 2022 (2nd Semester)
cial MINIMUM REQUIREMENT MEANS OF VERIFICATION
s)
1.7.1 Conducted the 2nd semester Barangay Assembly for CY 2022 0 Post Activity Report on the conduct of the 2n
( via any modality, i.e., online, face-to-face, hybrid). barangay assembly duly signed/approved by
Punong Barangay (Annex D of DILG MC No. 20
YES NO Instruction: Put a check ✓ on the box that
0 corresponds to your assessment.
0

PROCESSING OF RESULTS REMARKS

YES NO Met the minimum requirement on Conduct of
Barangay Assembly for CY 2022 (2nd
0 0 Semester)?

Core Governance Area No. 2:

Disaster Preparedness

2.1. Functionality of the Barangay Disaster Risk Reduction and Management Committee (BDRRMC)
MINIMUM REQUIREMENT MEANS OF VERIFICATION

2.1.1 Established BDRRMC with its composition compliant to the 0 Executive Order or similar issuance creating t
Provisions of NDRRMC, DILG, DBM, and CSC JMC No. 2014-01 BDRRMC compliant to composition requirem
covering CY 2022.
YES NO Instruction: Put a check ✓ on the box that
corresponds to your assessment. Date of EO or similar
0 issuance:
0

2.1.2 Approved Barangay Disaster Risk Reduction and Management 0 Approved BDRRM Plan CY 2022
(BDRRM) Plan covering CY 2022
Coverage Year:
YES NO Instruction: Put a check ✓ on the box that
corresponds to your assessment.
0 0
2.1.3 Allocation of 5% of the Estimated Revenue from Regular Sources 0 Enacted Appropriation Ordinance
as BDRRM Fund
YES NO Instruction: Put a check ✓ on the box that To compute % allocation for BDRRMF:
corresponds to your assessment. (BDRRMF Allocated / Estimated Total Revenue from Regula
x 100
0 0
Ple
ase
Estimated revenue
sup regular sources:
from
Amount
ply of BDRRMF
for
the FY 2022:
foll
Percent-allocation for
owi
BDRRMF:
ng
info
2.1.4 Physical/Financial Accomplishment: rma
To compute Physical Accomplishment Rate:
tion
Instruction: Put a check ✓ on the box that :
(Total number of activities/projects accomplished / Total nu
YES NO corresponds to your assessment. activities/projects reflected in the BDRRM plan) x 100

Ple
0 0 a. At least 50% accomplishment of the physical ase %
targets in the BDRRM Plan sup of
ply 0 pro Accomplishment Report
the gra
OR foll ms,
owi proj
0 0 b. At least 50% fund utilization of the 70% ng
To ect,
component of CY 2022 BDRRMF - Preparedness co info and
component as of December 31, 2022. rma
mp acti
tion
Ple
ute viti
:%
ase es
Amount
sup
utili utilized
are (as of Dec. 31,
2022):
ply
zati
Amount co
allocated for LDRRMF CY
the
on:
2022 mpl
(Preparedness
Percent-utilization for component):
foll
(Tot
BDRRMF: ete
owi
al d Annual Report on the utilization of the LDRRM
ng
Am
info
oun
rma
t
PROCESSING OF RESULTS tion
Utili REMARKS
YES NO Met all minimum requirements on the :zed
Functionality of the Barangay Disaster Risk )/(T
0 0 Reduction and Management Committee otal
(BDRRMC)? Am
oun
t
Allo
2.2. Extent of Risk Assessment andcat Early Warning System (EWS)
MINIMUM REQUIREMENT ed) MEANS OF VERIFICATION
x
2.2.1 Conducted an activity in relation to Risk Assessment in the 100 Post-Activity Report of activities such as Clima
0
barangay not earlier than 2019 Ple Disaster Risk Assessment, Participatory Disast
ase Assessment, BDRRM Planning, etc.
YES NO Instruction: Put a check ✓ on the box that Acti
corresponds to your assessment. sup
vity
ply
Titl
0 0 Dat
the
ee:of
foll
Acti
owi
vity
ng
:
info
rma
tion
:
2.2.2 A certified Barangay Risk/Hazard Map 0 Photo documentation of the certified Baranga
Risk/Hazard Map
YES NO Instruction: Put a check ✓ on the box that
corresponds to your assessment.
0 0

2.2.3 An established Early Warning System for at least the top two (2) 0 Photo documentation of EWS for the top two
hazards present in the barangay hazards in the barangay
YES NO Instruction: Put a check ✓ on the box that TOP 1 Hazard:
corresponds to your assessment.
0 0 TOP 2 Hazard:

PROCESSING OF RESULTS REMARKS

YES NO Met all minimum requirements on the Extent
of Risk Assessment and Early Warning System
0 0 (EWS)?

2.3. Extent of Preparedness For Effective Response And Recovery

MINIMUM REQUIREMENT MEANS OF VERIFICATION

2.3.1 A barangay must have a permanent or alternate evacuation 0 Photo documentation of the permanent/alter
center evacuation center
YES NO Instruction: Put a check ✓ on the box that Ple
corresponds to your assessment. ase
sup
ply
0 0 Permanen Location:
the
t OR foll
evacuatio owi
0 0 Alternate
n center Location:
ng
evacuatio
n center info
2.3.2 A barangay must have the following disaster supplies/equipment: rma 0 Photo Documentation of disaster supplies eq
Instruction: Put a check ✓ on the box that tion
corresponds to your assessment. :
YES NO

0 0 a. Communication equipment (i.e., 2 way

radio,mobile phone)
0 0 b. Rescue vehicle/Barangay patrol

0 0 c. Generator set/alternative sources of energy

0 0 d. First aid kit

0 0 e. Flashlight with batteries

0 0 f. Personal Protective Equipment (PPE)

PROCESSING OF RESULTS REMARKS

YES NO Met all minimum requirements on the Extent
of Preparedness For Effective Response And
0 0 Recovery?

Core Governance Area No. 3:

Safety, Peace and Order

3.1. Functionality of the Barangay Anti-Drug Abuse Council (BADAC)

MINIMUM REQUIREMENT MEANS OF VERIFICATION
3.1.1 Organized BADAC with its composition and appropriate 0 Executive Order or similar issuance creating t
committees (Committees on Operations and on Advocacy) with its composition and appropriate committ
compliant to DILG-DDB JMC No. 2018-01 (Committees on Operations and on Advocacy
YES NO Instruction: Put a check ✓ on the box that
corresponds to your assessment.
0 0

3.1.2 Established Rehabilitation Referral Desk with Designated Duty 0 EO or similar issuance establishing the Rehab
Officer Referral Desk
YES NO Instruction: Put a check ✓ on the box that
corresponds to your assessment.
0 0

3.1.3 Allocation of substantial amount for anti-illegal drugs initiative 0 Approved Barangay Appropriation Ordinance

YES NO Instruction: Put a check ✓ on the box that

corresponds to your assessment.
0 0

3.1.4 Approved BADAC Plan of Action covering 2022 as year under 0 Approved BADAC Plan of Action
review
YES NO Instruction: Put a check ✓ on the box that
corresponds to your assessment.
0 0

3.1.5 Submission of Consolidated Information Report (CIR) to 0 Transmittal of CIR (stamp received) to CADAC
CADAC/MADAC and Local PNP Unit. and Local PNP Unit
YES NO Instruction: Put a check ✓ on the box that
corresponds to your assessment.
0 0

3.1.6 Physical/Financial Accomplishment: Annual BADAC Accomplishment and Fund Uti

Report submitted not later than the 20th day
(stamp received) to the CADAC/MADAC
Instruction: Put a check ✓ on the box that
YES NO corresponds to your assessment.
To compute Physical Accomplishment Rate:
(Total number of activities/projects accomplished / Total nu
0 0 a. At least 50% accomplishment of the physical activities/projects reflected in the BADAC Plan of Action) x 1
targets in the BADAC Plan of Action Ple
ase %
sup of
OR ply pro
0 0 b. At least 50% fund utilization rate of the PAPs To
the gra
in the BADAC Plan of Action co
foll ms,
mp
owi proj
Ple
ute
ng
ase ect, (as of Dec. 31,
Amount
%
info utilized
sup
2022): and
utili
rma
Amount allocated
acti for BADAC
ply
zati
tion
PAPs: viti
Percent-utilization:
the
on:
:foll es
(Tot are
owi
al
ng co
Am mpl
info
oun
rma ete
t d
tion
Utili
:zed
)/(T
otal
Am
oun
t
Allo
cat
ed)
x
100
 PROCESSING OF RESULTS REMARKS
YES NO Met all minimum requirements on the
0 0 Functionality of the Barangay Anti-Drug Abuse
Council (BADAC)?

3.2. Functionality of the Barangay Peace and Order Committee (BPOC)

MINIMUM REQUIREMENT MEANS OF VERIFICATION

3.2.1 Organized BPOC through an Executive Order or Sangguniang 0 Executive Order or similar issuance indicating
Barangay Resolution, with its composition compliant to the membership in accordance to the EO 366 s. o
provisions of EO 366 s. of 1996
YES NO Instruction: Put a check ✓ on the box that
corresponds to your assessment.
0 0

3.2.2 Approved Barangay Peace and Order and Public Safety (BPOPS) 0 Approved BPOPS Plan
Plan in accordance to DILG MC 2017-142 covering 2022 as year
under review
YES NO Instruction: Put a check ✓ on the box that
corresponds to your assessment.
0 0

3.2.3 Physical/Financial Accomplishment: 0 Accomplishment Report (in any format) subm

the C/M POC on the prescribed schedules (sta
received)
Instruction: Put a check ✓ on the box that
YES NO corresponds to your assessment.

0 0 a. At least 50% accomplishment of the physical To compute Physical Accomplishment Rate:

targets in the BPOPS Plan (Total number of activities/projects accomplished / Total nu
activities/projects reflected in the BPOPS Plan) x 100
Ple
ase %
sup of
OR ply pro
0 0 b. At least 50% fund utilization rate of the PAPs To
the gra
in the BPOPs Plan co
foll ms,
mp
owi proj
Ple
ute
ng ect,
ase
%
info
Amount utilized
and (as of Dec. 31,
sup
utili
rma
2022): acti
Amount
ply
zati allocated for Peace and
tion
Order viti
PAPs:
Percent-utilization:
the
on:
: es
foll
(Tot are
PROCESSING OF RESULTS owi
al co REMARKS
ng
Am mpl
YES NO Met all minimum requirements on the info
oun
Functionality of the Barangay Peace and Order rma ete
t d
Committee (BPOC)? tion
Utili
0 0
:zed
)/(T
otal
Am Tagapamayapa (LT)
3.3. Functionality of the Lupong
MINIMUM REQUIREMENT oun MEANS OF VERIFICATION
t
Allo
3.3.1 Organized Lupong Tagapamayapa cat 0 Appointment of the Lupong Tagapamayapa
ed)
x
YES NO Instruction: Put a check ✓ on the box that 100
corresponds to your assessment.
0 0

3.3.2 Systematic maintenance of records (record of cases)

 Instruction: Put a check ✓ on the box that
YES NO corresponds to your assessment.

0 0 For barangays of cities: Computer database 0 For barangays of cities: 2 photos with caption
with searchable information computer database with searchable informati

0 0 For barangays of municipalities: Manual 0 For barangays of municipalities: 1 photo, with

Records (Case Record Book) OR Digital Record on the manual and digital file
Filing (scanned copy of KP files)

3.3.3 Conducted monthly meetings for the administration of the 0 Copies of minutes of meetings with attendan
Katarungang Pambarangay (at least 3 minutes covering meetings conduc
2022)
YES NO Instruction: Put a check ✓ on the box that
corresponds to your assessment.
0 0

3.3.4 Attendance of LT to KP training or seminar not earlier than 2019 0 Certified true copy of any proof of training su
Certificate of Completion and/or Participation
1)
YES NO Instruction: Put a check ✓ on the box that
corresponds to your assessment.
0 0

PROCESSING OF RESULTS REMARKS

YES NO Met the minimum requirement on
0 0 theFunctionality of the Lupong Tagapamayapa
(LT)?

3.4. Organization and Strengthening Capacities of Barangay Tanod

MINIMUM REQUIREMENT MEANS OF VERIFICATION

3.4.1 Organized Barangay Tanod 0 EO or similar issuance on the organization of

Barangay Tanod covering 2022

YES NO Instruction: Put a check ✓ on the box that

corresponds to your assessment.
0 0

3.4.2 Attendance of barangay tanod to necessary training not earlier 0 Certified true copy of any proof of training su
than 2019 Certificate of Completion and/or Participation
1)
YES NO Instruction: Put a check ✓ on the box that
corresponds to your assessment.
0 0

PROCESSING OF RESULTS REMARKS

YES NO Met all minimum requirements on the
Organization and Strengthening Capacities of
0 0 Barangay Tanod?
 3.5. Barangay Initiatives During Health Emergencies
MINIMUM REQUIREMENT MEANS OF VERIFICATION

3.5.1 Organized Barangay Health and Emergency Response Team 0 EO or similar issuance on the organization of
(BHERT) with its composition compliant to the provisions of DILG
MC No. 2020-023
YES NO Instruction: Put a check ✓ on the box that
corresponds to your assessment.
0 0

3.5.2 Poster or tarpaulin containing the active telephone and/or 0 Photo documentation of poster and/or tarpau
cellphone Numbers of the Barangay, Punong Barangay and BHERT
Members posted in conspicuous public places within the
YES
barangayNO Instruction: Put a check ✓ on the box that
jurisdiction
corresponds to your assessment.
0 0

PROCESSING OF RESULTS REMARKS

YES NO Met all minimum requirements on the
0 0 Barangay Initiatives During Health
Emergencies?

3.6. Conduct of Monthly Barangay Road Clearing Operations (BaRCO)

MINIMUM REQUIREMENT MEANS OF VERIFICATION

3.6.1 Conducted BaRCO on a monthly basis in 2022 0 Monthly BarCo Reports for October-Decembe

YES NO Instruction: Put a check ✓ on the box that

corresponds to your assessment.
0 0

PROCESSING OF RESULTS REMARKS

YES NO Met all minimum requirements on the Conduct
0 0 of Monthly Barangay Road Clearing Operations
(BaRCO)?

Essential Governance Area No. 1:

Social Protection and Sensitivity

4.1. Functionality of Barangay Violence Against Women (VAW) Desk

MINIMUM REQUIREMENT MEANS OF VERIFICATION

4.1.1 Established Barangay VAW Desk and designated Barangay VAW 0 Executive Order or similar issuance on the
Desk Officer establishment of Barangay VAW Desk and de
VAW Desk Officer
YES NO Instruction: Put a check ✓ on the box that
corresponds to your assessment.
0 0
4.1.2 Attendance of the Barangay VAW Desk Officer to at least one (1) 0 Certified true copy of any proof of training su
training/orientation related to gender-sensitive handling of VAW Certificate of Completion and/or Participation
Cases not earlier than 2019 1)
YES NO Instruction: Put a check ✓ on the box that
corresponds to your assessment.
0 0

4.1.3 Approved 2022 Barangay Gender and Development (GAD) Plan 0 Approved 2022 Barangay Gender and Develo
and Budget (GAD) Plan and Budget
YES NO Instruction: Put a check ✓ on the box that
corresponds to your assessment.
0 0

4.1.4 Submission of Monthly Accomplishment Reports on the incidence 0 Monthly Accomplishment Reports for CY 202
of VAW and violence against children (VAC) to C/MSWDO and (October-December 2022)
C/MLGOO within 10 working days of the ensuing month (stamp
YES
received),NO
pursuantInstruction: Put adated
to the Advisory checkMarch
✓ on the box that
3, 2021
corresponds to your assessment.
0 0

4.1.5 Updated database on VAW cases reported to the barangay, with 0 Updated database on VAW cases reported to
the following information at the minimum: barangay

YES NO Instruction: Put a check ✓ on the box that

corresponds to your assessment.

0 0 Total number of VAW cases received

0 0 Total number of cases documented for violating
RA 9262

0 0 Total number of cases documented for violating

other VAW-related laws

0 0 Assistance provided to victim-survivors

4.1.6 Physical/Financial Accomplishment: 0 CY 2022 GAD Accomplishment Report

Instruction: Put a check ✓ on the box that To compute Physical Accomplishment Rate:
YES NO corresponds to your assessment. (Total number of activities/projects accomplished / Total nu
activities/projects reflected in the GAD Plan) x 100
0 0 a. At least 50% accomplishment of the physical Ple
targets in the GAD Plan ase %
sup of
OR ply pro
0 0 b. At least 50% fund utilization rate of the CY To
the gra
2022 GAD Budget co
foll ms,
mp
owi proj
Ple
ute
ng
ase ect, (as of Dec. 31,
Amount
%
info utilized
sup
2022): and
utili
rma
Amount allocated
acti for GAD PAPs:
ply
zati
tion viti
Percent-utilization:
the
on:
:foll es
(Tot are
owi
al
ng co
Am mpl
info
oun
rma ete
t d
tion
Utili
:zed
)/(T
otal
Am
oun
t
Allo
cat
ed)
x
100
 PROCESSING OF RESULTS REMARKS
YES NO Met all minimum requirements on the
0 0 Functionality of Barangay Violence Against
Women (VAW) Desk?

4.2. Access to Health and Social Welfare Services in the Barangay

MINIMUM REQUIREMENT MEANS OF VERIFICATION

4.2.1 Presence of a Barangay Health Station/Center 0 Photo documentation of the BHS/C

YES NO Instruction: Put a check ✓ on the box that

corresponds to your assessment.
0 0

4.2.2 Appointment of Barangay Health Worker (BHW) 0 EO or similar issuance on the appointment of

YES NO Instruction: Put a check ✓ on the box that

corresponds to your assessment.
0 0

4.2.3 Appointment of Barangay Nutrition Scholar (BNS) 0 EO or similar issuance on the appointment of

YES NO Instruction: Put a check ✓ on the box that

corresponds to your assessment.
0 0

4.2.4 Availability of health services in the Barangay Health 0 Photo documentations of the operations of th
Station/Center (BHS/C):
Instruction: Put a check ✓ on the box that 0 Barangay Issuances on the provision of health
YES NO corresponds to your assessment.

0 0 a. Immunization

0 0 b. Maternal and child healthcare

0 0 c. Family Planning
0 0 d. Health Education

PROCESSING OF RESULTS REMARKS

YES NO Met all minimum requirements on the Access
0 0 to Health and Social Welfare Services in the
Barangay?

4.3. Functionality of the Barangay Development Council (BDC)

MINIMUM REQUIREMENT MEANS OF VERIFICATION

4.3.1 Organized BDC with its composition compliant to Section 107 of 0 EO or similar issuance organizing the BDC wit
RA 7160 composition compliant to Section 107 of RA 7
YES NO Instruction: Put a check ✓ on the box that
corresponds to your assessment.
0 0
4.3.2 Conducted public hearings/ barangay assemblies for public 0 Minutes (at least 2) of the public hearings/ba
consultation assemblies with attendance sheet
YES NO Instruction: Put a check ✓ on the box that
corresponds to your assessment.
0 0

4.3.3 Approved Barangay Development Plan 0 Barangay Development Plan with BDC and SB
Resolutions adopting such
YES NO Instruction: Put a check ✓ on the box that
corresponds to your assessment.
0 0

4.3.4 Physical/Financial Accomplishment: 0 CY 2022 Accomplishment Report of the BDP

Instruction: Put a check ✓ on the box that To compute Physical Accomplishment Rate:
YES NO corresponds to your assessment. (Total number of activities/projects accomplished / Total nu
activities/projects reflected in the BDP) x 100
0 0 a. At least 50% accomplishment of the physical Ple
targets in the BDP ase %
sup of
OR ply pro
0 0 b. At least 50% fund utilization rate of the CY thecompute
To gra % utilization:
2022 BDP Budget foll Amount
(Total ms, Utilized)/(Total Amount Allocated) x 100
owi proj
Ple
ng ect,
ase
info and (as of Dec. 31,
Amount
sup
rma utilized
2022): acti
ply
tion viti
the
:Amount allocated
es
foll for PAPs in the
BDP: are
Percent-utilization:
owi co
ng mpl
PROCESSING OF RESULTS info ete REMARKS
rma d
YES NO Met all minimum requirements on the tion
0 0 Functionality of the Barangay Development :
Council (BDC)?

4.4. Implementation of the Kasambahay Law

MINIMUM REQUIREMENT MEANS OF VERIFICATION

4.4.1 Kasambahay desk with a designated Kasambahay Desk Officer 0 EO or similar issuance designating a Kasamba
(KDO) and a KDO
YES NO Instruction: Put a check ✓ on the box that
corresponds to your assessment.
0 0

4.4.2 Maintenance/updating of Kasambahay Masterlist 0 Updated Kasambahay Report Form 2 (Kasamb

Masterlist) as of December 2022
YES NO Instruction: Put a check ✓ on the box that
corresponds to your assessment.
0 0

PROCESSING OF RESULTS REMARKS

YES NO Met all minimum requirements on the
0 0 Implementation of the Kasambahay Law?
 4.5. Functionality of the Barangay Council for the Protection of Children (BCPC)
MINIMUM REQUIREMENT MEANS OF VERIFICATION

4.5.1 Organization of the Barangay Council for Protection of Children 0 Executive Order or similar issuance on the
(BCPC) with its composition compliant to the provisions of DILG establishment Barangay Council for Protectio
MC No. 2021-039 Children (BCPC)
YES NO Instruction: Put a check ✓ on the box that
corresponds to your assessment.
0 0

4.5.2 Attendance of the Members of the Barangay Council for 0 Certified true copy of any proof of training su
Protection of Children (BCPC) to at least one (1) Certificate of Completion and/or Participation
training/orientation related to their functions not earlier than 1)
YES
2019 NO Instruction: Put a check ✓ on the box that
corresponds to your assessment.
0 0

4.5.3 Approved BCPC Annual Work and Financial Plan 0 Approved BCPC Annual Work and Financial Pl

YES NO Instruction: Put a check ✓ on the box that

corresponds to your assessment.
0 0

4.5.4 Database on Children disaggregated by age, sex, ethnicity, with or 0 Updated database on children
with disabilities, OSCY, etc. updated as of December 31, 2022
YES NO Instruction: Put a check ✓ on the box that
corresponds to your assessment.

0 0

4.5.5 Updated Localized Flow Chart of Referral System not earlier than 0 Updated Localized Flow Chart of Referral Syst
2019
YES NO Instruction: Put a check ✓ on the box that
corresponds to your assessment.
0 0

4.5.6 Physical/Financial Accomplishment: 0 CY 2022 Approved Accomplishment Report o

Plan
Instruction: Put a check ✓ on the box that To compute Physical Accomplishment Rate:
YES NO corresponds to your assessment. (Total number of activities/projects accomplished / Total nu
activities/projects reflected in the BCPC Plan) x 100
0 0 a. At least 50% completion rate on PPAs in the Ple
BCPC Plan ase %
sup of
OR ply pro
0 0 b. At least 50% utilization rate of CY 2022 BCPC To
the gra
AWFP Budget co
foll ms,
mp
owi proj
Ple
ute
ng
ase ect,
%
info
Amount utilized
and (as of Dec. 31,
sup
utili
rma
2022):
Amount
ply acti
allocated for PAPs in the
zati
tion
BCPC viti
Plan:
Percent-utilization:
the
on:
:
foll es
(Tot are
owi
al
ng co
Am mpl
info
oun
rma ete
t d
tion
Utili
:zed
)/(T
otal
Am
oun
t
Allo
cat
ed)
x
100
 PROCESSING OF RESULTS REMARKS
YES NO Met all minimum requirements on the
0 0 Functionality of the Barangay Council for the
Protection of Children (BCPC)?

4.6. Mechanism for Gender and Development (GAD)

MINIMUM REQUIREMENT MEANS OF VERIFICATION

4.6.1 Organized Barangay GAD Focal Point System 0 EO or similar issuance organizing the Baranga
Focal Point System
YES NO Instruction: Put a check ✓ on the box that
corresponds to your assessment.
0 0

PROCESSING OF RESULTS REMARKS

YES NO Met the minimum requirement on the
Mechanism for Gender and Development
0 0 (GAD)?

4.7. Maintenance of Updated Record of Barangay Inhabitants (RBIs)

MINIMUM REQUIREMENT MEANS OF VERIFICATION

4.7.1 Updated RBI for two semesters of CY 2022 0 Accomplished RBI Form A of two semesters o

YES NO Instruction: Put a check ✓ on the box that

corresponds to your assessment.
0 0

PROCESSING OF RESULTS REMARKS

YES NO Met the minimum requirement on the
Maintenance of Updated Record of Barangay
0 0 Inhabitants (RBIs)?

Essential Governance Area No. 2:

Business Friendliness and Competitiveness

5.1. Power to Levy Other Taxes, Fees, or Charges

MINIMUM REQUIREMENT MEANS OF VERIFICATION

5.1.1 Enacted Barangay Tax Ordinance pursuant to Sec. 129 of the LGC 0 Enacted Barangay Tax Ordinance

YES NO Instruction: Put a check ✓ on the box that

0 corresponds to your assessment.
0

PROCESSING OF RESULTS REMARKS

YES NO Met the minimum requirement on the Power
0 0 to Levy Other Taxes, Fees, or Charges?
 5.2. Compliance to Section 11 of RA 11032 of the Ease of Doing Business Law
MINIMUM REQUIREMENT MEANS OF VERIFICATION

5.2.1 Enacted Barangay Ordinance relative to Barangay Clearance fees 0 Enacted Barangay Ordinance relative to Baran
on business permit and locational clearance for building permit Clearance Fees on business permit and locatio
pursuant to DILG MC No. 2019-177 clearance for building permit, in accordance w
YES NO Instruction: Put a check ✓ on the box that No. 2019-177.
corresponds to your assessment.
0 0

5.2.2 Approved resolution authorizing the City/Municipal Treasurer to 0 Approved resolution authorizing the City/Mu
collect fees for Barangay Clearance for Business permit and Treasurer to collect fees for Barangay Clearan
locational clearance purposes pursuant to DILG MC No. 2019-177. Business permit and locational clearance purp
YES NO Instruction: Put a check ✓ on the box that
corresponds to your assessment.
0 0

PROCESSING OF RESULTS REMARKS

YES NO Met all minimum requirements on the
Compliance to Section 11 of RA 11032 of the
0 0 Ease of Doing Business Law?

5.3. Issuance of Barangay Clearance not covered by DILG MC No. 2019-177 such as: residency, indigency, etc, within seven (7) working d
MINIMUM REQUIREMENT MEANS OF VERIFICATION

5.3.1 Presence of a Citizens’ Charter on the issuance of barangay 0 Photo documentation of the Citizens’ Charter
clearance posted in the barangay hall issuance of barangay clearance only (name of
barangay should be visible)
YES NO Instruction: Put a check ✓ on the box that
0 corresponds to your assessment.
0

PROCESSING OF RESULTS REMARKS

YES NO Met the minimum requirement on the
Issuance of Barangay Clearance not covered by
0 0 DILG MC No. 2019-177 such as: residency,
indigency, etc, within seven (7) working days?

Essential Governance Area No. 3:

Environmental Management

6.1. Functionality of the Barangay Ecological Solid Waste Management Committee (BESWMC)
MINIMUM REQUIREMENT MEANS OF VERIFICATION

6.1.1 Organized BESWMC with composition compliant to DILG MC No. 0 EO or similar issuance on the organization of
2018-112 BESWMC
YES NO Instruction: Put a check ✓ on the box that
corresponds to your assessment.
0 0
6.1.2 Approved Solid Waste Management Program/Plan with 0 Approved Solid Waste Management Program
corresponding fund allocation corresponding fund allocation
YES NO Instruction: Put a check ✓ on the box that
corresponds to your assessment.
0 0

6.1.3 Attendance of BESWMC to necessary training relative to 0 Certified true copy of any proof of training su
promoting environmental protection, preservation and awareness Certificate of Completion and/or Participation
not earlier than 2019 1)
YES NO Instruction: Put a check ✓ on the box that
corresponds to your assessment.
0 0

6.1.4 Physical/Financial Accomplishment: 0 Monthly Accomplishment Reports for 2022

Instruction: Put a check ✓ on the box that To compute Physical Accomplishment Rate:
YES NO corresponds to your assessment. (Total number of activities/projects accomplished / Total nu
activities/projects reflected in the BESWMP) x 100
0 0 a. At least 50% completion rate on PPAs in the Ple
BESWMP ase %
sup of
OR ply pro
0 0 b. At least 50% utilization rate of CY 2022 To
the gra
BESWM Budget co
foll ms,
mp
owi proj
Ple
ute
ng
ase ect, (as of Dec. 31,
Amount
%
info utilized
sup
2022): and
utili
Amount
rma
ply allocated
acti for PAPs in the
zati
BESWM
tion Plan:
Percent-utilization:
viti
the
on:
:foll es
(Tot are
owi
al
ng co
PROCESSING OF RESULTS Am mpl REMARKS
info
YES NO Met all minimum requirements on the oun ete
rma
Functionality of the Barangay Ecological Solid ttion d
0 0 Waste Management Committee (BESWMC)? Utili :
zed
)/(T
otal
Am
oun Facility Pursuant to R.A. 9003
6.2. Existence of a Solid Waste Management
t
MINIMUM REQUIREMENT Allo MEANS OF VERIFICATION
cat
6.2.1 Presence of a Materials Recovery Facility (MRF)/ Materials ed)
Recovery System (MRS) x
Instruction: Put a check ✓ on the box that 100
YES NO corresponds to your assessment.

0 Established MRF operated by the barangay For MRF operated by the barangay:

0 Photo documentation of the MRF/MRF Reco

barangay

0 MRS For MRS:

MOA with junkshop;
0 Mechanism to process biodegradable wastes

0 MOA with service provider for collection/trea

special, hazardous, and infectious waste
0 Clustered MRF For Clustered MRFs:
MOA with the host barangay (applicable for b
clustered MRFs);
MOA or LGU document indicating coverage o
city/municipal MRF (applicable for barangays
to the Central MRF of City/Municipality)
 PROCESSING OF RESULTS REMARKS
YES NO Met the minimum requirement on the
0 0 Existence of a Solid Waste Management
Facility Pursuant to R.A. 9003?

6.3. Provision of Support Mechanisms for Segregated Collection

MINIMUM REQUIREMENT MEANS OF VERIFICATION

6.3.1 Enacted Barangay Ordinance or similar issuance on segregation of 0 Ordinance or similar issuance on segregation
wastes at-source at-source
YES NO Instruction: Put a check ✓ on the box that
0 corresponds to your assessment.
0

PROCESSING OF RESULTS REMARKS

YES NO Met the minimum requirement on the
0 0 Provision of Support Mechanisms for
Segregated Collection?

We hereby certify that all information contained in this assessment report are true and correct, and are correspond
supported by MOVs as reviewed by the undersigned.

City/Municipal Performance Assessment Team

Team Leader

Name and Signature of the Team Leader

Position/Designation of the Team Leader

Assistant Team Leader

Name and Signature of the Assistant Team Leader

Position/Designation of the Team Leader

Team Members
Note: Based on the EO re Creation of the CC/M PAT, please list down all the members using the following format:

Name and Signature of the Team Member Position/Designation of the Team Member
GLGB Form No. 2

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ce relative to Barangay
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