LOCAL WATER UTILITIES ADMINISTRATION P.O. Box 34, UP. Post Ofice, Katipunan Avenve, Balara, Quezon City Tel. No, 8920-5581 to 89, 8920-5601 Fax No.: (632) 8922-34-34 Office of the Administrator: (02) 8929-61-07 LWUA Website: www.wwa.gov.ph MEMORANDUM CIRCULAR No. 0 0 2 =2 2: To +: ALL CONCERNED WATER DISTRICTS SUBJECT — : DAMAGE AND LOSS ASSESSMENT DUE TO TYPHOON ODETTE DATE 105 January 2022 The Office of Civil Defense (OCD) has institutionalized the conduct of Post-Disaster Needs Assessment (PDNA) through the gathering of information on the sustained damages and losses due to TYPHOON ODETTE. In line with this, affected Water Districts are requested to supply the information regarding damages to their water supply assets as well as income and opportunity losses. Assessment forms are attached to facilitate this task. Considering the urgent nature of this request and the timeframe given to collate all the information, accomplished assessment forms should be sent to LWUA not later than January 15, 2022. These will form Part of the reports to be submitted to the OCD. For your guidance. ILING “GENE” A. NAMONDIONG Administrator TWUAOAD-SMO-FO08 v.00 (len. 20,2020) Transparency Accountability Performance002=22, ANNEX 2. PROJECT PROPOSAL TEMPLATE FOR IMPLEMENTING AGENCIES eae een on Implementing Agency Contact Person Email and Telephone Proposal ID No. (To be filled out by OCD) Date of Receipt (To be filled out by OCD) Section B. Information on the Project Proposal Project Title Project Location Address: Total Project Cost Php Amount Requested | Php Project Duration months Target Beneficiaries households Project Description Enumerate the objectives and expected outcomes.0U2222 For Technical Design, fill out the section corresponding to the type of proposed project. Beare taeireiee rit Please check all applicable items: Extent of damage and losses 1B Total 0 Partial Estimated losses: Php 1D Geophysical 1 Climatological C1 Others ‘Adherence to Design Standards National Building Code of the Philippines National Structural Code of the Philippines 1 Accessibilty Law 1D Others Social Preparation Activities (for resettlement-related projects) 1 Awareness raising 1 Capacity building 1 Assessment 1 People's planning Conducted consultation with LGUs? OD Yes Dates DB No Supporting Documents 4. Post-Disaster Needs Assessment (PDNA) or any Calamity Damage Report with photos 2. Hazard assessment of project location with site map from implementing agency or LGUs sourced from CSCAND? agencies 3. Detailed Engineering Design, technical specifications, technical drawings, and Program of Works 4. Certification from Head of Agency that the proposed project has not received funding from other sources 5. Documentation of consultations with concerned LGUs Additional Documents for Projects Needing Land Acquisition 4. Copy of Original Certificate of Title or Transfer Certificate of Tile (TCT) 2. Copy of appropriate pages of the latest applicable zonel valuation from the Bureau of Intemal Revenue and Schedule of Fair Market Values from the Municipality/City Assessor 3. Copy of property owner's declarationicertfication of intent/expression of willingness to sell the subject property 4. Applicable legal instrument allowing use of the land or property for the project 2 Collective Strengthening on Community Awareness on Natural Disasters (CSCAND) Agencies: Philippine Institute of Volcanology and Seismology (PHIVOLCS), Philippine Atmospheric, Geophysical, and Astronomical Services Administration (PAGASA), Mines and Geosciences Bureau (MGB), and National Mapping and Resource information Authority (NAMRIA)Beene suc ic Meaty Generate Date of consultation with any of the following Dates Concerned LGUS ‘Communities Business membership organizations (e.g. Chamber of Commerce, Business Clubs) ‘Academe Micro, small and medium enterprises (MSMEs) Non-government organizations (NGOs) People’s Organizations (POs) Others ‘Supporting Documents 1. Work and Financial Plan with target beneficiaries 2. Post-Disaster Needs Assessment (PDNA) or any similar report 3. Certification from Head of Agency that the proposed project has not received funding from other sources 4, Documentation of consultations conducted Pros eeeur cua Provide a list of key officers and personnel and their roles in project management, Rreeiaecets ene Describe how the project will be sustained after NDRRM Fund assistance in terms of policies, plans and resources002222 BASELINE DATA AND DAMAGE ASSESSMENT WATER SUPPLY LL Gity/ Municipality 2. Province 3. Region ‘4. Name of Water Service Provider (WSP) 5._Type of WSP (Water istrict (icu-managed 6. Address of WSP_ [cooperative (Corwsa |_ Cprivate 7. Contact Person ‘8. Position (concessionaire Clothers -spectty below ‘8. Mobile Phone 10. Land line Ti. Fax No. 12. E-mail Baseline information 13. Barangays Covered 414. Service Connections Type Number | Ave. Consumption/mo (m3) 15. Average Persons / HH Domestic Commercial 76. Average Monthiy Industrial Consumption Per Connection _[ institutional er Month, m3 Others Total 117. Annual Production , m3 18. Annual Volume Sold, m3 19. Hours of Operation / Day 20. Average water rate (PhP/m3) 21. Ave. Annual Revenues for the last year (PhP) 22. Ave. Annual Expenditures for the last year (PhP) 23. Collection efficiency (%) 24. Number of Employees Disaster information 25. Check the disaster that affected your water system. Crlooding Cimad slide Liothers 26, Describe briefiy what was done during the emergency situation. 27. How was water distributed to the affected population?002 22. Post-Disaster Information 128, Emergency Period (period of ‘| 29. Decrease in volume sold (%) | 30. Estimated NRW (%) service interruption), days How was water distributed during the emergency period? {)32. No change (732. Through water trucks ‘33. Number of trucks per day 34. Cost per truck (PhP) (185. other means ~ describe 36. Total cost incurred 37, How many more months | 38, Decrease in volume sold (%) | 39. Estimated NRW (96) before service normalizes after ‘the emergency period? 40. Increase in monthly operational costs during this period “Amount (PhP) (orovide/attach breakdown if available) Manpower - Energy / fuel Chemicals ‘Others 41. Sources of funding available for repair / restoration Amount a b € d Other Information 42. Impact on on-going projects 43, Impact on proposed projects Scope of Work Amount. ‘Scope of Work Amount Redesign Redesign Delay in Commissioning Relocation Relocation Addition Scoping. ‘Opportunity Loss Project Preparation Others ‘Opportunity Cost due to Delay Implementation Schedule, if applicable (attach)002222: Inventory of Damage on Water Supply Infrastructure In the interest of expediency, please fill up the data for the assets that suffered damage. Please take note of the following definitions: Partially damaged means the asset can still be recovered/rehabilitated through repairs or replacement of parts that do not exceed 50% of the asset value. Totally damaged means the asset must be completely replaced. Estimated cost means current replacement value to bring back the asset to its condition before the disaster. Status To Date 23 23 eaumated con | 2 HH anernaratve — | enored, art Type of Sri ay | une | | ESB osscnptonorbemege | restored perateel, “a = etc) ‘A. Source/Intake Structures 1, Surface Water System ‘a,_Impounding/Intake Structure b. Pumping facilities ~Electro-mechanical = Pump house E i ‘a, Wellhead structure . Well easing/screen Spring Intake box . Pumping facilities ~Electro-mechanical = Pump house f. Reticulation facilities002222: Type of Structure ty Unit Estimated Cost (PhP) Partially Damaged Totally Damaged Brief Narrative Description of Damage Status To Date (Restored, partially restored, operational, ete) B. Transmission Facilities 1. Transmission mains 2. Valving fa |. Distribution mains 9. Distribution laterals 5. Valving Fa |. Culvert crossings 3 Hydrants 7. Water meters L 2. 3, 4, 5. Standpipes 6 7. 8 Booster pumps D. Storage Facilities 1. Storage tanks/reservoir 2. Reticulation system 3. Pumping facilities ~Electro-mechanical = Pump house 4, Treatment/disinfection facilities002 =22 Type of Structure aty Estimated Cost (PhP) Partially Damaged Totally Damaged Brief Narrative Description of Damage Status To Date (Restored, partially restored, operational, etc) E. Treatment Facilities 1. Aeration system 2. Sedimentation/flocculation system 3, Filtration system 4, Disinfection system F. Laboratory Facilities 1, Laboratory equipment 2. Glassware 3. Laboratory bt 4, Chemical supplies 5, Laboratory furniture G. Administration Building 1. Building 2. Office furniture 3, Office equipment 4, Office supplies H. Support Facilities . Water Tankers . Power generating units ._Light equipment 5. Vehicles 9. Stock/store room bi 1 2. 3 4, Heavy equipment 5. 6 7. . Stock/store room supplies