REPUSLIC OF THE PHILIPPINES

DEPARTMENT OF THE INTERIOR AND LOCAL GOVERNMENT

A. Francisco Gold Condominium ll, EDSA Cor., Mapagmahal St.
Diliman. Quezon Citv

April 13, 2012

MEMORANDUM CIRCULAR

NO. 2012 - 66

TO: ALL PROVINCIAL GOVERNORS, CIWMUNICIPAL MAYORS, DILG

REGIONAL, PROVINCIAL AND CITY DIRECTORS, GLGOOS,
MLGOOS, CLUSTER HEADS, AND ALL OTHERS CONCERNED

SUBJECT : IMPLEI{ENTING GUIDELINES IN THE AVAILMENT OF 2OI2

PERFORMANCE CHALLENGE FUND (PCF)

I. PREFATORYSTATEMENT

The Philippine Development Plan (PDP) 2011-20'16 (Chapter Vll) puts premium on the
promotion of effective and honest goveman@ to create an enabling environment for citizens and
the private sector to reach their full potential. This is envisioned through high quality, efficient,
transparent, accountable, financially and physically accessible and nondiscriminatory delivery of
public service. At the local level, the PDP identifies the importance of empowering local govemment
units (LGUS) to improve their ability to deliver public services and in promoting public accountability
which shall be canied out through the following strategies:

. lmplementration of systems to determine performance of LGUS in terms of their state of local

govemance and compliance with policies;
r Public disclosure of LGU performance; and
. Institution of pedormance-based LGU incentives or awards.

In support of the Philippine Development Plan particularly in instiMionalizing incentives to

strengthen local govemance and performance, ttle Departnent initiabd the implementation of the
Performance Challenge Fund (PCF), an inentive system for local governments excelling good
local govemance performance.

II. GUIDING PRINCIPLES

Th6 administration of the Performance Challenge Fund (PCF) shall be govemed by the
following guiding principles:
1. The Department of the Interior and Local Govemment (DILG) shall establish a Perfomance
Challenge Fund {PCF) as an incentive b qualfied Local Govemment Units (LGUS) for the
implementation of local development projec{s aligned with the national govemment strategic
thrusts and goals.
2. The PCF shall encourage convergence of local development projects with the priority programs
of the National Govemment in order to achieve the Millennium Development Goals (MDGS);
maintaining of core road network to boost tourism and local economic development; promote
transparency and accountability in all govemment hnsactions; and comply with the Philippine
Disaster Risk Reduction and Management Ac{ of 2O1O (RA 10121), and the Ecological Solid
Waste Management Act of 2000 (RA 9003).
3. The PCF shall recognize LGUS exhibiting exemplary performance in intemal housekeeping
particularly in the areas of planning, fiscal management, transparency and accountability and
valuing performance monitoring.
III. OBJECTIVES OFTHE PERFORMANCE CHALLENGE FUND
The PCF is a facility that envisions to:
1 . help stimulate local govemments to put premium on transparency and accountability to
enable them to avail themselves of financial support to jumpstart and sustain socio-
economic development initiatiYes;
2. complement with other programs of other national government agencies providing
incentives to LGUS: and
3. address support requirements of the LGUs in the delivery of their responsibilities such as
the supply side requirements of the Pantawicl Pamilyang Pilipino Program (4Ps)

IV. PCF OPERATIONAL GUIDELINES

A. Eligibllity Requircments
1. Eligible LGUsfor2Ol2 PCF
a) Provincies, cities and municipalities belonging to the 1d to 3'd income class, and the
newly created 4s and 5h class cities both passed the Seal of Good Housekeeping
Round 2 assessment dated August 26, 2011 and have not received the PCF subsidy in
2011. Target recipients shall be prioritized according to the following raking:
. 1$ priority - 3d income class LGUs and the 2O1 1 newly-converted cities
2'd prianty - 2'd income claa LGUs
3d priority - 1s income class LGUS
In the event that the fund shall not be enough to cover all eligible LGUs, they shall be
further ranked according to poverty incidence based on 20m NSCB Survey.

b) 2012 Gawad Pamana ng Lahi awardees shall be eligible to receive the 2012 PCF.

2. Eligible Projects
a) Projects eligible for the PCF subsidy are those consistent with the cunent
administration's thrusts and the provisions of the General Appropriations Act of 2012, as
follows:

Attainment of MDGS (e.9. school buildings, rural health units;/health c€nte6, birthing or
lying-in facilities, water and saniEtion, and housing and settlements)
Local Economic Development (e.9. core local roads and bridges, farm-to-market
roads, tourism facilities, inigation systems, post harvest facilities, cold storage facilities,
ports and wharves and other economic structures and growth enhancement projec'ts like
market, slaughter houses)
. Preparedness for Disasterc/Adaptation to Climate Change (e.9. flood control,
reforestations, storm drainage, dikes, seawall and related flood protection measures and
slope protection, evacuation centers, rainwater collection facility, early waming
system/devices and rescue equipment)
. Ecological Solid Waste Management (e.9. sanitary landfill, material re@very
facilities, sewerage system)
. Promotion of Transparency and Accountability
Website)

PG Fund Allocation and utilization

1. The amount of the 2O12 PCF subsidy is allocated as follows;
a) As subsidy for the 1d to 3d class LGU and 2011 newly-converted cities that passed the
2011 SGH shall be apportioned according io LGU level :
. Province - P7,0OO,0O0.0O
. City - P3,000,000.00
. Municipality - Pl,000,000.00
 b) As incentive to the 2012 Gawad Pamana rrg Lahi Regional awardees which shall be
apportioned according to LGU level:
o Province - P3,000,000.0O
r City - P2,000,000"00
. Municipality - P'|,000,000.00
c) As incentive to the 2012 Gawad Pamana ng Lahi National awardees with P5,0OO,O00,00
each for province, city and municipality.

2. The PCF shall be used to finance local development projecls indicated in the 2012 Annual
lnvestment Program (AlPs) of LGUs.

C. LGU PGF-Sub ProFct lmplementation Timeframe

The 2012 PCF subsidized-projects must be implemented by the recipient LGU within one
(1) year from the date of receipt of the PCF Check.

V. PROCEDURES IN ACCESSING THE PC FUND

A. Submission of Documentary Requirements

1. The concemed LGU shall submit within 3O calendar days, upon proper notification of
eligibility, to the DILG Regional Office, a Letter of Intent accompanied by the following
documents tor evaluation:
. Proiect Proposal whicft shall contain the ff:
a. Description (Brief Summary of the Proiec( P@ect Goals and Obiectives, Location,
Type and Estimated Number of Target Beneficiaries, Project Partners)
b. Project Components and lmplementation Scfiedule
c. Work and Financial Plan (or Project lmplementation Plan)
d. Project Management (including composition of
Proiect lmplementation and
Management Team)
e. Project Sustainability
f. ProlectOutpuUOutcome
g. Risk Management
. Program of Work
. Detailed Cost Estimates of the Project
. Detailed Engineering Design (for infrastructure projects)
. Copy of the 2012 Annual Investment Prcgram (AlP)
. Local Sanggunian Resolution authcrizing the Local Chief Executive to enter into a
Memorandum of Agreement (MOA) with A|e DILG through its Regional Diredor for the
PCF subsidy and implementalion of the PCF projects.
. Administrative/Executive Order creating the LGU PCF Proiect lmplementation
UnivTeam

The LGUS shall ensure that all engineering designs, plans, specifications, etc. related to the
constructions, installation, operations and rnaintenance of agricultural , aquaculture and
fishery, and for€st product machinery, agricultural buildings and structures, inigation and
drainage systems, farm-to market roads, post harvest facilities etc. shall be signed and
sealed by a licensed and registered agricultural engineer as required pursuant to item e),
Section 21, RA 8559 {Philippine Agricultural Engineering Act of 1998) and item 4.9 of DILG
Memorandum Circular No. 2008 - 167 dated November 1 1, 2008 implementing certain
orovisions of RA No. 8559.
2. lJpon receipt of the documents, the DILG Regional PCF Focal Person shal| check LGU
compliance to all requirements and immediately notify concerned LGU if there are
incompleteness of documents. Reviedappraisal of proposed poecls shall not proceed
unless all the documents (e.9. Sanggunian Resolution authorizing the Local Chief Executive
GCE) to enter into a MOA with DILG, etc.) are completely complied with.
B. Review and Assessment of Project Proposays
1. Within fifteen (15) calendar days after receipt of the documentary requirements, the
Regional PCF Management Team (RPCFMT) shall conduct thorough review and appraisal
of the LGU's project proposal and supporting documents. For infrastructure projects, the
Team shall conduct on-site inspection and validation to assess the location and physical
viability of the proposed project.

2. The Team shall ensure that the project proposaus shall conform with the existing national
standards/guidelines, such as for:
Typical urban and rural roads and bridges per DPWH technical standards
Hospital, lying-in facilities, health centers per DOH established standards
School buildings per DepEd established standards
Sanitary landfill, Material Recovery Facility (MRF) per DENR guidelines
Post haNest facilities, processing plants/facilities, irrigation, etc. per DA guidelines
Evacuation Centers and other DRRM and Climate Change Adaptation (CCA) required
facilities
Rainwater Collection Facilities pursuant to RA 6716
DBM procurement guidelines pursuant to RA 9184 (Gov't. Procurement Reform Act)
Tourism facilities per DOT guidelines

In the case of procuremenuacquisition of motor vehicles and relevant equipment for use in
the implementation of DRRM and ESWM laws and sourced from the national govemment
funds under the General Appropriations Act (e.9. PCF) , the Team shall ensure that the LGU
proponent shall have secured approval ftom the Department of Budget and Management
(DBM) to purchase vehicledequipments pursuant to Seclion 8.0 of A.O. No. 233, Series
2008, as amended by Section 2 of A.O. No. 15 dated May 25, 2011.
In the case of change of project proposal owing to LGU's in view of a natural calamity,
and/or unavoidable circumstances, the Team shall facilitate LGU proponent's compliance to
documentary requirements for a new projeci and forging of new Memorandum of Agreement
(MOA) with the region. Further, the Team shall ensure that the change of project shall be
supported by a Local Sanngunian Resolution stating thereat, among others, the valid
reason/s or justifications for such change.

5. The Team shall not endorse LGU's proposed project unless previous projects funded
under the PCF had been completed, fully liquidated, and audited and certified by the local
COA Auditor.
5. After satisfactory compliance of the requiremenb and approval of the proposed projects of
LGUS, the Regional Office shall immediately submit the list of LGUS with attached project
proposals to the Bureau of Local Govemment Development (BLGD) as basis for the release
of sub-.allotment by the Finance and Management Service (FMS).

C. Modality/Schedule of Release of PCF Subsidy

1 . The FMS shall suFallot to the Regions the PCF subsidy within three (3) calendar days upon
receipt of list of target LGU beneficiaries from BLGD.
2. Upon receipt of sub-allotment from Central Office, the Regional Office shall notify concerned
PCF LGU beneficiary to submit the following documents prior to the forging of Memorandum
of Agreement between the LGU and the DILG through the Regional Director:

' Certification from a Govemment Bank that the LGU had opened a Trust Fund account
for PCF, including the details of the account
. Memorandum of Agreement (MOA) which shall contain, among others, information
related to the proposed proiecl such as project title, brief description of the project,
location, date of start or projecl; estimated date of completbn of project; type and
estimated number of target beneficiaries, and proj'eci implementation schedule.
3. The PCF check shall be released to the LGU beneficiary only after the other required
documents had been complied with and the MOA had been forged. Schedule of release is
as follows:
. To the 2011 SGH passers between April and June 2012
. To the 2:012 Gawad Pamana rp Lahi awardees in November 2012
4. Upon receipt of the PCF check, concemed LGU shall issue an Official Receipt
conesponding to the amount of the subsidy received, reflecting lhe'Name of the Projecl
being funded and the Location of the Projecf' .

Monitoring and Evaluation

1. Monitoring and evaluation of the PCF shall cover LGU projecls implemented in 2010, 2011
and2012.
2. The LGU beneficiary shall:

. Submit to the Regional Office through channel the following reports within 5 days of the
ensuing month or quarter:
- Monthly Physical and Financial Accomplishment Report for projects with six (6)
months implementiation period
- Quarterly Physical and Financial Accomplishment Report for projecls with more than
six (6) months implementation period
. In poects involving procurement of goods and services (e.9. motor vehicleJequiprnent),
submit wilhin 15 calendar days the Physical and Financial Accomplishment Report
audited and certified by the local COA Auditor

. Submit within 15 calendar days, Project Completion Report, for completed projects,
supported with pictorials (with video documentation, if possible) accompanied with the
following documents:
- Certific€te of Completion
- Certificate of Acceptance (il the groject is By Conbac{)
- Report of Disbursement audited and certiFred by the local COA Auditor

. Post in @nspicuous places within public buildings (in front of Provincial Capitol,
City/Municipal Halls, public library, market, etc.) the monthly/quarterly progress of ptoject
implementation, completed projects including disbursed PCF subsidy. In the absence of
website in the case of cities/municipalities, said documents shall be posted in the
Provincial Govemment website or in the DILG Regional/Central website; and

. \r'Vithin three (3) months after completion of the project, submit an

AssessmenuEvaluation Report containing:
- Quantitative dimensions such as acilual work accomplishment and fund disbursed,
number and type of beneficiaries of the project, employment generated during project
implementation, etc.; and
- Qualitative dimensions sucfi as valuing LGU performance, positive attitudinal changes
among local officials and functionades, positive ouilmk on compliance to policies and
requirements

The RPCFMT shall:

o ln coordination with the Provincial PCF Focal Person, Cluster Head, and C/[,|LGOO,
mnduct periodic monitoring on PCF utilization and status of LGU project
implementation;
. Ensure submission of concerned LGUs the required reports to Regional O,ffice lhrough
channel:
. Conduct validauon and ocular inspection of projects implemented to validate reports
submitted and substantiate commentyobservations and recommendalions. In case of
negative findings and observations or slippage, the LGU beneficiary shall be required to
submit exception report $rhich contains the neggtive finding and obseryations or
slippage, its cause/s, recommendations and adions taken;

. Submit to the PCF Project Management Team-Central Office (thru the BLGD) a
quarterly consolidaled physical and financial accomplishment report with necessary
attachments such as comments/observations, recommendations or exception Eport;
 ' submit to trt: Project Management re€m a consolidated
l-cfsubmihed
Report based on Assessment /Evaluation
evaru;tio;-;rrts by the Leu o*"ili"ri!r;
"no
' Post the consolidated report of status of project
their respective regional websites.
implementation and fund utilization in

4. The pCF Management Team (Centrat Office)

shall:

' Review submitted

recommendations, if.-regional
reports and come up with comments/observations ancl
any;

' conduct varidation and ocurar inspection of compreted or on-going LGU project, if
necessary;

' submit on a
quarterly basis consoridate_d reports on financiar
and physical
accomplishments on the PCF utilization to the Department g"ug"t i"d Management
(DBM), House_.of Representatives committee bn oi
- l"o
npprolriati"i., the senate -
Committee on Finance copy turnish the O|LG ptanning
SiJrv-i;,---
o submit an Annuar Assessrnent /Evaruation Repod to DBM,
senate committee
Finance ana^llo!_pommittee on Appropriations nateJ'on -suoritted on
evaluation reports; and Regional

' Post the consolidated report of status of project implementation

in the DILG central
Off ice website.

All DILG Regional Offices through the Regional PCF. Focal persons,
city/Municipal Local Govemment opeftons omUrs-are directed Cluster Heads, and
beneficiaries
to extend assistance to LGU
as deemed necessary and as appropriate.

Vl. Etrec-tivity. This Memorandum Circular shall take effect immediately.

,r#frffi"*=oo
" Secretary
Repubtic of lhe phitippines
DEPARTIE {T OF IHE INTERICR

stLG12.002grt3

ill il11ilililIilililililililtffi illtr

 Attachment A

XIETORANDUT OF AGREETENT

This ilEI{ORANDUIS OF AGREEnENT entered into and executed this of

by:

The Deparfonent of the Interior and Local Govetnmont (DILG) herein referred to as the
OILG-Region with principal address at
represented herein by Regional Director
-
- and -

The Local Govemment Unit of , herein referred to as LGU PCF

grantee with principal office at and represented in this Agreement by its
(Governorrcityrtunicipal lleyor) by virtue of Sanggunian Resolution
No. _, Series of

-.
WITNESSETH

WHEREAS, the Department of the Interior and Local Govemment (DILG) through the Bureau of
Local Govemment Development (BLGD) is the Office with primary responsibility in localizing the
Millennium Development Goals (MDGs), and through the Regionat ffice in capacirtating LGUs to
effec*ively discharge their powers and functions towards improving the delivery of basic services and
facilities to their constituents;

WHEREAS, the Development Budget Coordinating Gommiftee (DBCC) of the Deparlment of

Budget and Management (DBM) approved the Performan@ Based Incentive Policy (PBIC) which
provides for an incentive framework to rationalize national govemment and intergovemmental transfers
to LGUs towards improving LGU performance in goveman@ and delivery of basic services;

WHEREAS, the Performance Challenge Fund (PCF) for Local Govemment Units is a flagship
program of the DILG that serves as a facility that will help stimulate LGUs that put premium on
transparency and accountability to enable them to avail themselves of financial support to jumpstart
and sustain locaf socio-economic development initiatives supportive of national govemment goals and
priorities. lt is an incentive fund to eligible LGUs to support in the implementation of high-impaci capital
investment projects in the Annual Investrnent Program (AlP);

WHEREAS, the Performance Challenge Fund (PCF) is being administered by the Department
of the Interior and Local Govemment in collaboration with the Department of Budget and Management
(DBM) to recognize god govemance performance particularly in the adoption of "good housekeeping'
along the govemance areas of development planning, sound financial management, transparency and
accountability, and valuing perfomance monitoring;

WHEREAS, the Performance Challenge Fund progressive realization to achieve the Millennium
Development Goals (MDGs), maintenance of core road network to boost tourism and local economic
development; comply with the Philippine Disaster Risk Reduc{ion (DRR) and Management Act of 2010
and Ecological Solid Waste Management Act of 2000; and promole transparency and accountability;
programs and projects are anchored on the contribution of local govemment units (LGUs), as well as
non{ovemment and private sec{or organizations;
 IwHEREAS, the Local Govemment Units (LGUS), as provided for under the Local Govemment
Code of 1991 or Repubtic Act 7160, assume the primary responsibility of providing basic services and
facilities lo improve the quality of life of their constituents thror.gh programs and projecf,s geared
towards the achievement of MDGs; preparedness to disasters and adaptation to climate change;
sustainable environmental management; and transparent and accountable local govemance;

WHEREAS, the Province/City/Municipality of ,has been awarded the

Seal of Good Housekeeping in 20_ thereby entitles the LGU to receive the PCF Subsidy amounting
to a maximum of (P ).

NOW, THEREFORE, for and in consideration of ttre above premises and of the mutual
covenanls stipulated hereinafter set forth the PARTIES hereto agree to enter into this Mamorandum of
Agreement to adhere to the following terms and conditions:

Section l. Proiect Dotails

a.

b. Brief Description of Project :

Estimated Date of Comdetion

d. Date of Start :
-----------; :

e. Number and Type of Target Beneficiaries :

t_ Projed lmplementation Schedule :

Section 2- Eligible Proiects

Eligible projeds for the PCF subsidy are those lhat support the national priorities of the present
administration in achieving the MDGs; preparedness to disasters and adaptation to dimate change;
sustainable environmental management; and hansparent and accountable local govemance, which
are implementable within one (1) year from the date of receipt of the PCF Check.

Section 3. Delineation of Responsibilities

The PCF Recipient LGU shall:

1. Submit a Certification from a Govemment Bank that the LGU had opened a Trust Fund for
PC, together with the details ofthe account;

2. Maintain a Book of Accounts for the PC Fund;

3. lssue an Official Receipt conesponding to the amount of PC Fund subsidy received;
4. Create a PCF Prolect lmplementation Team responsible for the implemenlation of the
project/s;

5. Submit to the DILG Regional Office the follorving reports within prescribed period as
stipulated in Memorandum Circular No. 2012 dated
o -
Monthly Physical and Financial Accomplishment Report for projeds with six (6) months
implementation Period
o Quarterly Physical and Financial Accomplishment Report for projec{s with more than six
(6) months im plementation period
. Report on proiects involving procurement of goods and services
 . Project Completion Report once the project had been completed supported with
pictorials (with video documentation, if possible) accompanied with the following
doc ments:
- Certificate of Completion
- Certificate of Acceptance (if the project is By Contract)
- Report of Disbursement audited and certified by local COA Auditor
. AssessmenVEvaluation Report containing:
- Quantitative dimensions such as actual work accomplishment and fund disbursed,
number of beneficiaries of the proiect, employment generated during proiect
implementation, etc.; and
- Qualitative dimensions such as valuing LGU performance, positive attitudinal
changes among local offcials and funclionaries, positive outlook on compliance to
policies and requirements
6. Put up a signage of the projecus using any of
these formats such as billboard, tarpaulin,
banner or poster on the place where the project is implemented follordng the
template/design as stipulated in Memorandum Circular No. 2012 -28 dated February 9,
2012.
7. Post in conspicuous places within public buildings (in front of Provincial capitol,
City/Municipal Halls, public library, market, etc.) monthly/quarterly progress of prolec{
implementation, completed projec{s including disbursed PCF subsidy. ln the absence of
website in the case of cities/municipalities, said documents shall be posted in the
Provincial Govemment website or in the DILG RegionaUCentral websites.

DILG Reaional Ofrice shail:

1 . Prepare and issue checks as financial subsidy to the LGU grantee;

2. Facilitate the release of the PCF chec* amounting to P to the
recipient LGU upon signing of the Memorandum of Agreement and the satisfaclory
submission of documeniary requirements under Section 1 of Procedures in Accessing the
PC Fund of MC No. 2012 --dated ------;
3. ln coordination with the Provincial PCF Focal Person, Cluster Head, and C/MLGOO'
conduct periodic monitoring on the progress of project implementation and disbursement of
PC Fund by the LGU;
4. Conduct validation and ocular inspection of the LGU projed/s to validate reports submitted
and substantiate comments/observations and recommendations. ln case of negative
findings and observations or slippage, the LGU beneficiary shall be required to submit
exception report whicfr contains the negative finding and observalions or slippage, its
cause/s, recommendations and actions taken;
Submit the following to the PCF Proiect Management Team - Central ffice:
o Quarterly physical and financial accomplishment reports on the PCF-funded pmject
. Report of Disbursement
. AssessmenUevaluation report based on the assessmenUevaluation report submitted by
the LGU recipient

Post the status of project implementation and fund utilization in the DILG Regional website

This agreement shall take effect immediately upon signing by the representatives of the Parties
hereto and shall be enforced within one (1) year upon completion ofthe project.
 lN WTTNESS WHEREOF, the Parties hereunto affixed their signatures on this day of
Philippines.
-

DILG-Regional Office

Department of the Interior and Local Govemment

Region _

Local Govemment Unit of

Governor and/or City/Municipal Mayor

SIGNED IN THE PRESENCE OF:

 ACKNOWLEDGEi'ENT

REPUBLIC OF THE PHILIPPINES)

) s.s.

BEFORE mE, a notary public, for and in the above jurisdiction, personally appeared on this :

cTc. No. DATE/PLACE OF ISSUE

DILG Regional Direclor

MAYOR

Known to me to be the personis vvho executed the foregoing instrument and acknowledge to me
is their free and voluntary act and deed.

The parties have signed this Memorandum of Agreement consisting of pages, including the
-
page where the acknowledgement is written, and their instrumental witnessed on the left margin of
each and every page.

lN WITNESS WHEREOF, I have hereunto set my hand on the date and place above written.

Documentary Number :

Page Number

Book Number

Series of 20_
 Attachment B
For Proiecls with 6 Months lmolementation Period

Republic of the Philippines

Province of_
CITY/MUNICIPALITY OF

Physical and Financial Accomplishment Report

For the Month of
-
Project Title
Proiect Description

Total ProJect Cost

Date Start of Project Estimated Date of Project Completion
No. and Tvoe of Beneficiaries

Physical Financial
Remarks (lndicate
Maior Activities PCF Vo ofUtilization LGU Yo of Utilization reasons for delay, if
Planned Actual o/o
of Subsidy Counterpart/ anyJ
Accomplishment Other Source, if
any

Certified by: Approved by:

Local Engineer Local Accountant Local Chief Executive

 Attachment C
For Proiects with more than 6 Months lmplementatjon Period
I

Republic of the Philippines

Province of-
CITY/MUN IClPALITY OF

Physical and Financial Accomplishment Report

For the Quarter ending _

Proiect Title
Project Description

Total Project Cost

Date Start of Proiect Estimated Date of Project Completion
No. and Type of Beneficiaries

Physical Financial
Remarks (lndicate
Maior Activities PCF 7o of Utilization Other Source, if % of Utilization reasons for delay, if any)
o/o of
Planned Actual [per activityJ any
Accomplishment [per activity]

Certified by: Approved by:

Local Accountant Local Chief Executive

 Attachment'D

Republic of the Philippines

Province of_
CITY/MUNICIPALITY OF

PENTORMANCE CHAI.IENGE TUilD-SUPPORIED PROJECI

Report of Disbursement
As of

Amount received per ChecklOfficial Receipt No.

l,ess: Disbursemcnt:

Balance as of

Payee Nature of Payment Check No. Date Amount Remarks

Certified Correct: Verified and Found correct by:

Local Chief Executive Local COA Audttor

 Attachment E

PENIORMANCE CHAII.ENGE f UND-SUPPORIED PROJECT

Quarterly Physical and Financial Accomplishment Report

For the Quarter ending _

Region

Beneficiaries Total Project Cost Status of lmplemenhtion

!stimated
LCU Title Date Start Date of
of ofProject ProJect
Number Type PCF LGtJ Tohl Physical Financial Remarks (indicate
Completion
Project Subsidy Counter- reasons for delay,
part, ifany
if any)
o/o of %of
Major Activities Utilization of Utilization of
PCF Subsidy LCU
Counterpad,
if any
Irlanned Actual Y. cf
Accomplish-
mcnt

Submitted by : Noted by :

Ilegional Director
 Attachment'E

PERFORMANCE CHATI.ENGE FUND-SUPPORTED PROJECT

Assessment/Evaluation Report
As of

LGU Name r

Total Prolect Cost Work Fund Disbursed Beneficiaries

AccomDlishment
LGU Benellts of the Proiect Remarks
Proiect Prolect PCr tcu Total Per Actual PCF Counter- Type Numbor
Title Descrlption Subsidy Counter- Proposed subsldy part, lf (e.g. employment
parL Work any generated, etc. during
lfany Program proiect lmplementatlon)

Per Actrral
Proposed
Proiect

Submitted by : Noted by :

I-ocal Chicf Exc'cutivc

 Attachment C

PERTORMANCE CHAI.IENGE f UND.SUPPORIED PROJECI

Consolidated Assessment/Evaluation Report

As of

Region:

Total Proiect Cost Work Fund Disbursed Beneficlaries

LGU AccomDllshment
LGU Benents of the Proiect Remarks
Prolect Proiect PCF LGU Total Per Actual PCF Counter- Type Number
Tltle Description Subsidy Counter- Proposed Subsldy part, tf {e.g. employment
part, work any generabd, etc, during
ifany Program proi ect implementatlon)

Per Actual
Proposed
Proiect

Submitted by : Noted by :

Iiegional PCF Focal Person Regional Director

 Attachment H

PERFONMAilCE CHAI.TENGE FUND.SUPPORIED PROJECT

Project Completion Report

1. Name of LGU:

2. Brief Profile of LGU :

3. Title of Pmject

4. Location:

5. Date MOA Signed:

6. ProiectDescription:

7. fluration of Proiect

. Project Start Date

. Proiect Completion Date

8. Project Beneficiaries (including no. and type of beneficiaries)

9. Maior Activitiee Undertaken:

10. Project Cost

. LGU Counterpart, if any

. Amount of PCF Subsidy Received:

11. Date o{ PCF Subsidy Received:

12. Fund Utilizatiorr

. of LGU Counterpart Utilized, if any
o/o

. t" olPCl Subsidy Utilized

. of Unexpended Fun4 if any
o/o

13. Proiect Results:

14. Problems Encountered/Action Taken:

15. Pictorials

16. Other Supporting Documents

Prepared b5r Certified Correct

LGU-PCF Proiect In-Charge Local Chief Executive

 Attachment I

Republic of the Philippines

Province of
Municipality of

-
CERTIFICAfi OF ACCEPTANCE

TITLE OF PROIECT:

LOCATION

THIS IS TO CERTIFY TFIAT L (Name ) . (Position )

representing the which is the end-user of
the above-mentioned projec! hereby accepts from the Province/CityMunicipality of
the said project.

As the proiect end-user, we assume the responsibility for proper operation and maintmance of
the (structure/facility/etc -)

(Name & Signature)

(Position/Designation)

NOTED:

(Provincial/CityAr,Iunicipaf Engineer)