Draft 2023 SGLGB Form 2 Data Capture Form DCF Sheet3 Watermark

2023 SEAL OF GOOD LOCAL GOVERNANCE FOR BARANGAY
Year Under Review: CY 2022 SGLGB Form No. 1

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 BFDP Monitoring Form A of the DILG Advisory dated
board, pursuant to DILG MC No. 2014-81 and DILG MC No. March 25, 2022
2022-027:
Photo Documentation of the BFDP board displaying
Instruction: Put a check ✓ on the box that
YES NO the following documents:
corresponds to the given questions.
ANNUAL REPORT
ANNUAL REPORT a. Barangay Financial Report
a. Barangay Financial Report b. Barangay Budget;
b. Barangay Budget; c. Summary of Income and Expenditures;
c. Summary of Income and Expenditures; d. 20% Component of the IRA Utilization;
d. 20% Component of the IRA Utilization; e. Annual Procurement Plan or Procurement List;
e. Annual Procurement Plan or Procurement
List; QUARTERLY REPORT
QUARTERLY REPORT f. List of Notices of Award (4th Quarter); and
f. List of Notices of Award (4th Quarter); and
MONTHLY REPORT MONTHLY REPORT
g. Itemized Monthly Collections and g. Itemized Monthly Collections and Disbursements
Disbursements (Oct-Dec, CY 2022). (Oct-Dec, CY 2022).
October 2022
November 2022
December 2022
1.1.2 Accomplished prescribed BFR form with the "stamp receipt" of Barangay Financial Report on Statement of Receipt
the Office of the C/M Accountant. and Expenditure (Annex 7)
YES NO Instruction: Put a check ✓ on the box that

PROCESSING OF RESULTS REMARKS

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

1.2.1 Increase in local resources in 2022. Barangay Budget Preparation Form 2 of 2021 and
2022
YES NO Total amount obtained from local resources in:
Instruction: Put a check ✓ on the box that CY 2021:
1
CY 2022:
Percentage Increase:

YES NO
Met the minimum requirement on
Innovations on revenue generation or
exercise of corporate powers?
1.3. Approval of the Barangay Budget on the Specified Timeframe

Presence of a Barangay Appropriation Ordinance approved on

1.3.1 Approved Barangay Appropriation Ordinance
or before December 31, 2021.
YES NO Date of Approval:

Consideration: Presence of a Barangay Appropriation

Ordinance approved from January 1, 2022 to March 31, 2022
YES NO

YES NO
Met the minimum requirement on Approval
of the Barangay Budget on the Specified
Timeframe?
1.4. Allocation for Statutory Programs and Projects as Mandated by Laws and/or Other Issuances
1.4.1 With allocated funds for the following statutory programs and Approved Barangay Appropriation Ordinance
projects:

YES NO
a. Senior Citizens (per R.A. 9994 and DBM

Local Budget Memorandum No. 82);
b. Persons with Disability (per R.A. 7277 and

DBM Local Budget Memorandum No. 82);
c. At least 20% of the IRA is allocated for

development programs (DILG-DBM JMC No.
2017-01);
d. At least 1% of the IRA/NTA for the

Barangay Council for the Protection of
Children (BCPC) per RA 9344;
e. At least 5% from total budget allocated for

GAD plans and programs per RA 9710.

YES NO Met the minimum requirement on
Allocation for Statutory Programs and
Projects as Mandated by Laws and/or Other
Issuances? 2
Allocation for Statutory Programs and
Projects as Mandated by Laws and/or Other
Issuances?
1.5. Posting of the Barangay Citizens’ Charter (CitCha)

Barangay Citizens’ Charter posted at a conspicuous place. (i.e. Photo documentation of the Barangay CitCha (name
1.5.1
barangay hall, market, transport terminal or multi-purpose hall) of the barangay should be visible)
YES NO

YES NO
Met the minimum requirement on the
posting of Barangay CitCha
1.6. Release of the Sangguniang Kabataan (SK) Funds by the Barangay

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:

YES NO
MOVs for 1.6.1.1:
1.6.1.1. If the barangay is with Barangay-SK
Agreement for the annual or semestral or a) Copy of the written agreement; and
quarterly release/deposit:
b) Proof of deposit reflecting the Account No./ Name

of Barangay SK (1 deposit slip for annual, 2 deposit
slips for semestral, 4 deposit slips for quarterly
MOV for 1.6.1.2:

1.6.1.2. If the barangay is without an
a) 12 monthly deposit slips reflecting the Account No.
agreement with the SK, but with current
/ Name of Barangay SK
account:
MOV for 1.6.1.3:
1.6.1.3. If the barangay is without SK Officials
or with SK Officials but no quorum and/or No a) Proof of transfer of the 10% SK fund to the trust
SK Bank Account: fund of the barangay such as deposit slip or Official
Receipt or corresponding legal form/document
issued by the city/municipal treasurer if the barangay
opted that the corresponding SK fund be kept as trust
fund in the custody of the C/M treasurer.
MOV for 1.6.2:

Presence of Annual Barangay Youth Investment Program
(ABYIP) for 2022 Certification from the C/MLGOO on current number
1.6.2
of SK officials
(Applicable only for Barangays with 5 and above SK officials)
Please supply information
Total Number of SK Officials:
YES NO
If with 5 and above SK officials:
corresponds to the given questions. Approved Annual Barangay Youth Investment
Program (ABYIP) for 2022
3

YES NO
Met all minimum requirements on Release
of the Sangguniang Kabataan (SK) Funds by
the Barangay?
1.7. Conduct of Barangay Assembly for CY 2022 (2nd Semester)

Conducted the 2nd semester Barangay Assembly for CY 2022 Post Activity Report on the conduct of the 2nd
1.7.1
(any modality, i.e., online, face-to-face, hybrid). semester barangay assembly duly signed/approved
by the Punong Barangay (Annex D of DILG MC No.
YES NO 2022-131)

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

Disaster Preparedness
2.1. Functionality of the Barangay Disaster Risk Reduction and Management Committee (BDRRMC)
Established BDRRMC with its composition compliant to the Executive Order or similar issuance creating the
2.1.1 Provisions of NDRRMC, DILG, DBM, and CSC JMC No. 2014-01 BDRRMC compliant to composition requirements
covering CY 2022.
YES NO
Date of EO:
Approved Barangay Disaster Risk Reduction and Management

Approved BDRRM Plan CY 2022
2.1.2 (BDRRM) Plan
Coverage Year:
YES NO
Allocation of 5% of the Estimated Revenue from Regular

Enacted Appropriation Ordinance
2.1.3 Sources as BDRRM Fund
YES NO To compute % allocation for BDRRMF:

corresponds to the given questions. (BDRRMF Allocated / Estimated Total Revenue from Regular
Sources) x 100
Please supply the following information:
Estimated revenue
from regular sources:
Amount of BDRRMF
for FY 2022:
Percent-allocation
for BDRRMF:
2.1.4 Physical/Financial Accomplishment:

To compute Physical Accomplishment Rate:
4
Instruction: Put a check ✓ on the box that (Total number of activities/projects accomplished / Total number
YES NO corresponds to the given questions. of activities/projects reflected in the BDRRM plan) x 100
a. At least 50% accomplishment of the % of programs, project, and activities are completed
physical targets in the BDRRM Plan
Accomplishment Report
OR
b. At least 50% fund utilization of the 70% To compute % utilization:
component of CY 2022 BDRRMF - (Total Amount Utilized)/(Total Amount Allocated) x 100
Preparedness component as of December 31,
2022. Please supply the following information:
Amount utilized (as of Dec. 31,
2022):
Amount allocated for LDRRMF
CY 2022 (Preparedness
component):
Percent-utilization
for BDRRMF:
Annual Report on the utilization of the LDRRMF

YES NO Met all minimum requirements on the
Functionality of the Barangay Disaster Risk
Reduction and Management Committee
(BDRRMC)?
2.2. Extent of Risk Assessment and Early Warning System (EWS)

Post-Activity Report of activities such as Climate and

Has conducted an activity in relation to Risk Assessment in the
2.2.1 Disaster Risk Assessment, Participatory Disaster Risk
barangay not earlier than 2019
Assessment, BDRRM Planning, etc.
YES NO Instruction: Put a check ✓ on the box that Activity Title:

Date of Activity:
2.2.2 A certified Barangay Risk/Hazard Map Photo documentation of the certified Barangay
Risk/Hazard Map
YES NO
An established Early Warning System for at least the top two Photo documentation of EWS for the top two (2)
2.2.3 (2) hazards present in the barangay hazards in the barangay
YES NO TOP 1 Hazard:

TOP 2 Hazard:

YES NO
Met all minimum requirements on the
Extent of Risk Assessment and Early Warning
System (EWS)?
2.3. Extent of Preparedness For Effective Response And Recovery

5
2.3.1 Presence of permanent/alternate evacuation center Photo documentation of the permanent/alternate
evacuation center
YES NO Please supply the following information:
Permanent evacuation center Location:

OR
Alternate evacuation center Location:
2.3.2 Presence of the following disaster supplies/equipment:

Photo Documentation of disaster supplies equipment
YES NO
a. Communication equipment (i.e., 2 way

radio,mobile phone)
b. Rescue vehicle/Barangay patrol
c. Generator set/alternative sources of

energy
d. First aid kit
e. Flashlight with batteries
f. Personal Protective Equipment (PPE)

YES NO
Extent of Preparedness For Effective
Response And Recovery?

Safety, Peace and Order
3.1. Functionality of the Barangay Anti-Drug Abuse Council (BADAC)

Executive Order or similar issuance creating the

Organized BADAC with its composition and appropriate
BADAC with its composition and appropriate
3.1.1 committees (Committees on Operations and on Advocacy)
committees (Committees on Operations and on
compliant to DILG-DDB JMC No. 2018-01
Advocacy) compliant to DILG-DDB JMC No. 2018-01
YES NO
Established Rehabilitation Referral Desk with Designated Duty

EO or similar issuance establishing the Rehabilitation
3.1.2 Officer
Referral Desk
YES NO
3.1.3 Allocation of substantial amount for anti-illegal drugs initiative Approved Barangay Appropriation Ordinance
YES NO
6
Approved BADAC Plan of Action covering 2022 as year under

3.1.4 Approved BADAC Plan of Action
review
YES NO
Submission of Consolidated Information Report (CIR) to Consolidated Information Report (CIR) with stamp
3.1.5
CADAC/MADAC and Local PNP Unit. received by CADAC/MADAC and Local PNP Unit.
YES NO
3.1.6 Physical/Financial Accomplishment: Annual BADAC Accomplishment and Fund Utilization

Report submitted not later than the 20th day of
January (stamp received) to the CADAC/MADAC
YES NO
(Total number of activities/projects accomplished / Total number
a. At least 50% accomplishment of the of activities/projects reflected in the BADAC Plan of Action) x 100
physical targets in the BADAC Plan of Action Please supply the following information:
% of programs, project, and activities are completed
OR
To compute % utilization:
(Total Amount Utilized)/(Total Amount Allocated) x 100
b. At least 50% fund utilization rate of the Amount utilized (as of Dec. 31,
PAPs in the BADAC Plan of Action 2022):
Amount allocated for BADAC
PAPs:
Percent-utilization:

YES NO
Functionality of the Barangay Anti-Drug
Abuse Council (BADAC)?
3.2. Functionality of the Barangay Peace and Order Committee (BPOC)

Organized BPOC through an Executive Order or Sangguniang

Executive Order or similar issuance indicating correct
Barangay Resolution, with its composition compliant to the
membership in accordance to the EO 366 s. of 1996
3.2.1 provisions of EO 366 s. of 1996
YES NO
Approved Barangay Peace and Order and Public Safety (BPOPS)

Plan in accordance to DILG MC 2017-142 covering 2022 as year Approved BPOPS Plan
3.2.2 under review
YES NO
3.2.3 Physical/Financial Accomplishment:

Accomplishment Report (in any format) submitted to
the C/M POC on the prescribed schedules (stamp
received)
7
Accomplishment Report (in any format) submitted to
the C/M POC on the prescribed schedules (stamp
Instruction: Put a check ✓ on the box that received)
YES NO
a. At least 50% accomplishment of the To compute Physical Accomplishment Rate:

physical targets in the BPOPS Plan (Total number of activities/projects accomplished / Total number
of activities/projects reflected in the BPOPS Plan) x 100
% of programs, project, and activities are completed
OR
b. At least 50% fund utilization rate of the (Total Amount Utilized)/(Total Amount Allocated) x 100
PAPs in the BPOPs Plan
2022):
Amount allocated for Peace
and Order PAPs:

YES NO
Functionality of the Barangay Peace and
Order Committee (BPOC)?
3.3. Functionality of the Lupong Tagapamayapa (LT)

3.3.1 Organized Lupong Tagapamayapa Appointment of the Lupong Tagapamayapa
YES NO
3.3.2 Systematic maintenance of records (record of cases)

YES NO
For barangays of cities: Computer database For barangays of cities: 2 photos with caption of the
with searchable information computer database with searchable information
For barangays of municipalities: Manual For barangays of municipalities: 1 photo, with caption
Records (Case Record Book) OR Digital on the manual and digital file
Record Filing (scanned copy of KP files)
Conducted monthly meetings for the administration of the Copies of minutes of meetings with attendance
3.3.3
Katarungang Pambarangay sheets (at least 3 minutes covering meetings
conducted in 2022)
YES NO
Attendance of LT to KP training or seminar not earlier than Certified true copy of any proof of training such as
3.3.4
2019 Certificate of Completion and/or Participation (at
least 1)
YES NO
8
YES NO
theFunctionality of the Lupong
Tagapamayapa (LT)?
3.4. Organization and Strengthening Capacities of Barangay Tanod

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

Barangay Tanod covering 2022
YES NO
Attendance of barangay tanod to necessary training not earlier

Certificate of Attendance/Participation
3.4.2 than 2019
YES NO

YES NO
Organization and Strengthening Capacities
of Barangay Tanod?
3.5. Barangay Initiatives During Health Emergencies

Organized Barangay Health and Emergency Response Team

3.5.1 (BHERT) with its composition compliant to the provisions of EO or similar issuance on the organization of BHERTs
DILG MC No. 2020-023
YES NO
Poster or tarpaulin containing the active telephone and/or

cellphone Numbers of the Barangay, Punong Barangay and
3.5.2 Photo documentation of poster and/or tarpaulin
BHERT Members posted in conspicuous public places within
the barangay jurisdiction
YES NO

YES NO
Barangay Initiatives During Health
Emergencies?
3.6. Conduct of Monthly Barangay Road Clearing Operations (BaRCO)

9
3.6.1 Conducted BaRCO on a monthly basis in 2022 Monthly BarCo Reports for October-December 2022
YES NO

YES NO
Conduct 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

Established Barangay VAW Desk and designated Barangay VAW Executive Order or similar issuance on the
4.1.1 Desk Officer establishment of Barangay VAW Desk and designated
VAW Desk Officer
YES NO
Attendance of the Barangay VAW Desk Officer to at least one Certificate of participation/ attendance to
(1) training/orientation related to gender-sensitive handling of training/orientation related to gender-sensitive
4.1.2 VAW Cases not earlier than 2019 handling of VAW cases not earlier than 2019
YES NO
Approved 2022 Barangay Gender and Development (GAD) Plan Approved 2022 Barangay Gender and Development
4.1.3 and Budget (GAD) Plan and Budget
YES NO
Submission of Monthly Accomplishment Reports on the

incidence of VAW and violence against children (VAC) to
Monthly Accomplishment Reports for CY 2022
4.1.4 C/MSWDO and C/MLGOO within 10 working days of the
(October-December 2022)
ensuing month (stamp received), pursuant to the Advisory
dated March 3, 2021
YES NO
4.1.5 Physical/Financial Accomplishment: CY 2022 GAD Accomplishment Report

YES NO (Total number of activities/projects accomplished / Total number
of activities/projects reflected in the GAD Plan) x 100
a. At least 50% accomplishment of the Please supply the following information:
physical targets in the GAD Plan % of programs, project, and activities are completed
OR
b. At least 50% fund utilization rate of the CY (Total Amount Utilized)/(Total Amount Allocated) x 100
2022 GAD Budget
10
b. At least 50% fund utilization rate of the CY
2022 GAD Budget
2022):
Amount allocated for GAD
PAPs:
Updated database on VAW cases reported to the barangay, Updated database on VAW cases reported to the
4.1.6 with the following information at the minimum:
barangay
YES NO
Total number of VAW cases received
Total number of cases documented for

violating RA 9262
Total number of cases documented for

violating other VAW-related laws
Assistance provided to victim-survivors

YES NO
Functionality of Barangay Violence Against
Women (VAW) Desk?
4.2. Access to Health and Social Welfare Services in the Barangay

4.2.1 Presence of a Barangay Health Station/Center Photo documentation of the BHS/C
YES NO
4.2.2 Appointment of Barangay Health Worker (BHW) EO or similar issuance on the appointment of BHW
YES NO
4.2.3 Appointment of Barangay Nutrition Scholar (BNS) EO or similar issuance on the appointment of BNS
YES NO
Availability of the following services in the Barangay Health Photo documentations of the operations of the
4.2.4
Station/Center (BHS/C): BHS/C
Barangay Issuances on the provision of the four (4)

YES NO Instruction: Put a check ✓ on the box that listed health services
a. Immunization
b. Maternal and child healthcare

c. Family Planning
11
d. Health Education

YES NO
Access to Health and Social Welfare Services
in the Barangay?
4.3. Functionality of the Barangay Development Council (BDC)

Organized BDC with its composition compliant to Section 107 of

EO or similar issuance organizing the BDC with its
4.3.1 RA 7160
composition compliant to Section 107 of RA 7160
YES NO
Conducted public hearings/ barangay assemblies for public Minutes of the public hearings/barangay assemblies
4.3.2 consultation with attendance sheet
YES NO
4.3.3 Approved Barangay Development Plan Barangay Development Plan with BDC and SB
Resolutions adopting such
YES NO
4.3.4 Physical/Financial Accomplishment: CY 2022 Accomplishment Report of the BDP

of activities/projects reflected in the BDP) x 100
a. At least 50% accomplishment of the Please supply the following information:
physical targets in the BDP % of programs, project, and activities are completed
OR
b. At least 50% fund utilization rate of the CY (Total Amount Utilized)/(Total Amount Allocated) x 100
2022 BDP Budget
2022):
Amount allocated for PAPs in
the BDP:

YES NO
Functionality of the Barangay Development
Council (BDC)?
4.4. Implementation of the Kasambahay Law

Kasambahay desk with a designated Kasambahay Desk Officer EO or similar issuance designating a Kasambahay
4.4.1
(KDO) Desk and a KDO
12
YES NO
4.4.2 Maintenance/updating of Kasambahay Masterlist Updated Kasambahay Report Form 2 (Kasambahay

Masterlist) as of December 2022
YES NO

YES NO
Implementation of the Kasambahay Law?
4.5. Functionality of the Barangay Council for the Protection of Children (BCPC)
Organization of the Barangay Council for Protection of Children Executive Order or similar issuance on the
(BCPC) with its composition compliant to the provisions of DILG establishment Barangay Council for Protection of
4.5.1 MC No. 2021-039 Children (BCPC)
YES NO
Attendance of the Members of the Barangay Council for

Protection of Children (BCPC) to at least one (1) Certificate of participation/ attendance to
training/orientation related to their functions not earlier than training/orientation not earlier than 2019
4.5.2 2019
YES NO
4.5.3 Approved BCPC Annual Work and Financial Plan Approved BCPC Annual Work and Financial Plan
(AWFP)
YES NO
4.5.4 Physical/Financial Accomplishment: CY 2022 Approved Accomplishment Report on BCPC

Plan
of activities/projects reflected in the BCPC Plan) x 100
a. At least 50% completion rate on PPAs in Please supply the following information:
the BCPC Plan % of programs, project, and activities are completed
OR
b. At least 50% utilization rate of CY 2022 (Total Amount Utilized)/(Total Amount Allocated) x 100
BCPC AWFP Budget
2022):
the BCPC Plan:
13
Database on Children disaggregated by age, sex, ethnicity, with
4.5.5 or with disabilities, OSCY, etc. updated as of December 31, Updated database on children
2022
YES NO Instruction: Put a check ✓ on the box that

Updated Localized Flow Chart of Referral System not earlier

4.5.6 Updated Localized Flow Chart of Referral System
than 2019
YES NO

YES NO
Functionality of the Barangay Council for the
Protection of Children (BCPC)?
4.6. Mechanism for Gender and Development (GAD)

4.6.1 Organized Barangay GAD Focal Point System EO or similar issuance organizing the Barangay GAD
Focal Point System
YES NO

YES NO
Mechanism for Gender and Development
(GAD)?
4.7. Maintenance of Updated Record of Barangay Inhabitants (RBIs)

4.7.1 Updated RBI for two semesters of CY 2022 Accomplished RBI Form A of two semesters of CY
2022
YES NO

YES NO
Maintenance of Updated Record of
Barangay Inhabitants (RBIs)?

Business Friendliness and Competitiveness
5.1. Power to Levy Other Taxes, Fees, or Charges

Enacted Barangay Tax Ordinance pursuant to Sec. 129 of the

Enacted Barangay Tax Ordinance
5.1.1 LGC
14
YES NO

YES NO
Power to Levy Other Taxes, Fees, or
Charges?
5.2. Compliance to Section 11 of RA 11032 of the Ease of Doing Business Law

Enacted Barangay Ordinance relative to Barangay Clearance Enacted Barangay Ordinance relative to Barangay
5.2.1 fees on business permit and locational clearance for building Clearance Fees on business permit and locational
permit pursuant to DILG MC No. 2019-177 clearance for building permit, in accordance with MC
No. 2019-177.
YES NO
Approved resolution authorizing the City/Municipal Treasurer

Approved resolution authorizing the City/Municipal
to collect fees for Barangay Clearance for Business permit and
5.2.2 Treasurer to collect fees for Barangay Clearance for
locational clearance purposes pursuant to DILG MC No. 2019-
Business permit and locational clearance purposes.
177.
YES NO

YES NO
Compliance to Section 11 of RA 11032 of the
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 days
Presence of a Citizens’ Charter on the issuance of barangay Photo documentation of the Citizens’ Charter on the
5.3.1 clearance posted in the barangay hall issuance of barangay clearance only (name of the
barangay should be visible)
YES NO

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

Environmental Management
6.1. Functionality of the Barangay Ecological Solid Waste Management Committee (BESWMC)
15
Organized BESWMC with composition compliant to DILG MC EO or similar issuance on the organization of the
6.1.1
No. 2018-112 BESWMC
YES NO
Approved Solid Waste Management Program/Plan with Approved Solid Waste Management Program/Plan
6.1.2
corresponding fund allocation with corresponding fund allocation
YES NO
Attendance of BESWMC to necessary training relative to

Certificate of attendance to training not earlier than
6.1.3 promoting environmental protection, preservation and
2019
awareness not earlier than 2019
YES NO
6.1.4 Physical/Financial Accomplishment: Monthly Accomplishment Reports for 2022

of activities/projects reflected in the BESWMP) x 100
a. At least 50% completion rate on PPAs in Please supply the following information:
the BESWMP % of programs, project, and activities are completed
OR
b. At least 50% utilization rate of CY 2022
(Total Amount Utilized)/(Total Amount Allocated) x 100
BESWM Budget
2022):
the BESWM Plan:

YES NO Met all minimum requirements on the
Functionality of the Barangay Ecological
Solid Waste Management Committee
(BESWMC)?
6.2. Existence of a Solid Waste Management Facility Pursuant to R.A. 9003

Presence of a Materials Recovery Facility (MRF)/ Materials

6.2.1 Recovery System (MRS)

YES NO
For MRF operated by the barangay: Photo

Established MRF operated by the barangay documentation of the MRF/MRF Records of the
barangay
16
For MRS: MOA with junkshop;
Mechanism to process biodegradable wastes;
MRS MOA with service provider for collection/treatment
of special, hazardous, and infectious waste
For Clustered MRFs: MOA with the host barangay

(applicable for barangay-clustered MRFs);
MOA or LGU document indicating coverage of
Clustered MRF
city/municipal MRF (applicable for barangays
clustered to the Central MRF of City/Municipality)

YES NO
Existence of a Solid Waste Management
Facility Pursuant to R.A. 9003?
3. Provision of Support Mechanisms for Segregated Collection

Ordinance or similar issuance on segregation of wastes at- Ordinance or similar issuance on segregation of
6.3.1
source covering 2022 wastes at-source
YES NO

YES NO
Provision of Support Mechanisms for
Segregated Collection?
We hereby certify that all information contained in this assessment report are true and correct, and are correspondingly
supported by documents and other means of verifications as reviewed by the undersigned.
City/Municipal Performance Assessment Team
Team Leader
(City/Municipal Vice-Mayor or any member of the Sangguniang Panlungsod/Bayan or City Administrator/Municipal Administrator or
any Department Head to be designated by the Mayor)
Assistant Team Leader

(City/Municipal Planning and Development Officer/Coordinator)
C/M Performance Assessment Team Members
City/Municipal Chief of Police
City/Municipal Social Welfare and Development Officer
City/Municipal Budget Officer
17
City/Municipal Disaster Risk Reduction and Management Officer
Business Permit and Licensing Officer or Representative
City/Municipal Environment and Natural Resources Officer or

City/Municipal Environment and Solid Waste Management Board
Liga ng mga Barangay sa Pilipinas (LnB) ICC/CC/Municipal Chapter President
CSO Representative from the City/Municipality
Other stakeholders deemed necessary by the LGU to be part of the C/M PAT
18

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2023 SEAL OF GOOD LOCAL GOVERNANCE FOR BARANGAY

Year Under Review: CY 2022 SGLGB Form No. 1

Core Governance Area No. 1:

1.1 Compliance with the Barangay Full Disclosure Policy (BFDP)

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

PROCESSING OF RESULTS REMARKS

1.2. Innovations on revenue generation or exercise of corporate powers

PROCESSING OF RESULTS REMARKS

1.3. Approval of the Barangay Budget on the Specified Timeframe

Presence of a Barangay Appropriation Ordinance approved on

YES NO Date of Approval:

Consideration: Presence of a Barangay Appropriation

PROCESSING OF RESULTS REMARKS

Instruction: Put a check ✓ on the box that

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

b. Persons with Disability (per R.A. 7277 and

c. At least 20% of the IRA is allocated for

d. At least 1% of the IRA/NTA for the

e. At least 5% from total budget allocated for

PROCESSING OF RESULTS REMARKS

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

PROCESSING OF RESULTS REMARKS

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

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

Instruction: Put a check ✓ on the box that

b) Proof of deposit reflecting the Account No./ Name

MOV for 1.6.1.2:

MOV for 1.6.2:

PROCESSING OF RESULTS REMARKS

1.7. Conduct of Barangay Assembly for CY 2022 (2nd Semester)

PROCESSING OF RESULTS REMARKS

Core Governance Area No. 2:

Approved Barangay Disaster Risk Reduction and Management

Allocation of 5% of the Estimated Revenue from Regular

YES NO To compute % allocation for BDRRMF:

2.1.4 Physical/Financial Accomplishment:

PROCESSING OF RESULTS REMARKS

2.2. Extent of Risk Assessment and Early Warning System (EWS)

Post-Activity Report of activities such as Climate and

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

YES NO TOP 1 Hazard:

PROCESSING OF RESULTS REMARKS

2.3. Extent of Preparedness For Effective Response And Recovery

Permanent evacuation center Location:

2.3.2 Presence of the following disaster supplies/equipment:

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

b. Rescue vehicle/Barangay patrol

c. Generator set/alternative sources of

d. First aid kit

e. Flashlight with batteries

f. Personal Protective Equipment (PPE)

PROCESSING OF RESULTS REMARKS

Core Governance Area No. 3:

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

Executive Order or similar issuance creating the

Established Rehabilitation Referral Desk with Designated Duty

Approved BADAC Plan of Action covering 2022 as year under

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

PROCESSING OF RESULTS REMARKS

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

Organized BPOC through an Executive Order or Sangguniang

Approved Barangay Peace and Order and Public Safety (BPOPS)

3.2.3 Physical/Financial Accomplishment: