2024 Seal of Good Local Governance for Barangay

Barangay Documentary Checklist

BARANGAY:
CITY/MUNICIPALITY:
PROVINCE:
REGION:

DOCUMENTARY CHECKLIST
INDICATORS MINIMUM REQUIREMENT
Core Governance Area 1: Financial Administration and Sustainability
1.1 COMPLIANCE WITH THE 1.1.1 Posted the following CY 2023 financial
BARANGAY FULL DISCLOSURE 1.1.2
documents in the BFDP
Accomplished and board,
signed pursuant
BFR withto DILG
POLICY (BFDP) BOARD
1.2 INNOVATIONS MC
1.2.1No.
ON REVENUE received 2014-81 and
stampinfrom
Increase DILG
localthe MC of
Office
resourcesNo. 2022-027:
inthe
CYC/M
2023
GENERATION OR EXERCISE OF Accountant
CORPORATE POWERS
1.4 ALLOCATION FOR 1.4.1 With allocated funds for the following
STATUTORY PROGRAMS AND statutory programs and projects:
PROJECTS AS MANDATED BY
LAWS AND/OR OTHER a) At least 20% of the NTA is allocated for
ISSUANCES development programs;
b) Not less than five percent (5%) shall be set
aside as the Local Disaster Risk Reduction and
Management Fund;
c) Gender and Development;
d) Senior Citizens and Persons with Disabilities;
e) Implementation of the programs of the Local
Councils for the Protection of Children; and
f) Ten percent (10%) for the Sangguniang
Kabataan

1.3 APPROVAL OF THE 1.3.1 Presence of a Barangay Appropriation

BARANGAY BUDGET ON THE Ordinance approved on or before December 31,
SPECIFIED TIMEFRAME 2022

Consideration: Approval until March 31, 2023.

1.5 POSTING OF THE 1.5.1 Barangay Citizens’ Charter posted at a
BARANGAY CITIZEN’S conspicuous place (e.g. barangay hall, market,
CHARTER (CitCha) transport terminal, or multi-purpose hall)
1.6 RELEASE OF THE 1.6.1 Compliance with Section 20 of the SK
SANGGUNIANG KABATAAN (SK) Reform The
1.6.1.1 Act of 2015 and
barangay Item
has 3.2 of DBM-DILG-
Barangay-SK
FUNDS OF THE BARANGAY NYC JMC No.
Agreement for 1,
thes.release/deposit;
2019 dated January 23, 2019

1. 6.1.2 The barangay does not have Barangay-

SK Agreement
1.6.1.3 but withdoes
The barangay current
notaccount;
have SK Officials
or withPresence
1.6.2 SK Officials but no quorum
of Approved and/or
Annual No SK
Barangay
1.7 CONDUCT OF BARANGAY Bank
Youth Account
Investmentthe
1.7.1 Conducted Program (ABYIP)Barangay
1st semester for 2023
ASSEMBLY Assembly for CY 2023
Core Governance Area 2: Disaster Preparedness
2.1 FUNCTIONALITY OF THE 2.1.1 Structure
BARANGAY DISASTER RISK Organized
2.1.2 Plan BDRRMC with its composition
REDUCTION AND MANAGEMENT compliant
Approved to the provisions
Barangay
2.1.3. Budget Disaster of Risk
NDRRMC, DILG,
Reduction and
COMMITTEE (BDRRMC) DBM, and of
Management
Allocation CSC
at JMC 5%
(BDRRM)
least No.Plan
2014-01.
of thecovering CY
Estimated 2023
2.1.4 Accomplishment Reports
2.2 EXTENT OF RISK Revenue from Regular
2.2.1 Conducted Sources
an activity as BDRRM
in relation to RiskFund
ASSESSMENT AND EARLY Assessment
2.2.2 Barangay in the barangay Map
Risk/Hazard not earlier
which than CY
indicates
WARNING SYSTEM (EWS) 2020
possible
2.2.3 An risks — natural
established Earlyor Warning
man-made. (e.g.
System
flood-prone
2.3 EXTENT OF PREPAREDNESS (EWS)
2.3.1. Afor and
the
barangaytoplandslide-prone
two (2)have
must hazards areas, etc.)
present
a permanent in
orthe
FOR EFFECTIVE RESPONSE barangay
temporary
2.3.2 evacuation
A barangay mustcenter
have the following
AND RECOVERY disaster supplies/equipment:
Core Governance Area 3: Safety, Peace and Order
3.1 FUNCTIONALITY OF THE 3.1.1​​Structure
BARANGAY ANTI-DRUG ABUSE Organized BADAC with
3.1.2 Establishment its composition
of Barangay and
Rehabilitation
COUNCIL (BADAC) appropriate
Referral
3.1.3 committees
Desk with of
Organization (Committees
Designated
House on Duty
Barangay
Clusters with
Operations
Officer
designated and on Cluster
House Advocacy) compliant
Leaders (HCL)to DILG-
3.1.4 Organization of BADAC Auxiliary Team
DDB JMC No. 2018-01
(BAT)
3.1.5 Plan:
Formulation
3.1.6 Budget:of BADAC Plan of Action (BADPA)
covering
3.1.7. CY 2023
Implementation of Drug Abuse Prevention
Advocacy
3.1.8. Campaigns of
Implementation - Barangay organized at
Drug-Clearing
least
3.1.9.1Implementation
community-based
Operations - Submission IEC
of Activity during CY
Consolidated
of Community-Based
2023
Information
Intervention Report (CIR)
for Person to Meetings
Who CADAC/MADAC
Used Drugs and
3.1.10. Conduct of Monthly
Local
(PWUDS)PNP-Unit
Presence of referral system
3.2 FUNCTIONALITY OF THE 3.2.1. Structure:
BARANGAY PEACE AND ORDER Organized
3.2.2 Plan BPOC with its composition compliant
COMMITTEE (BPOC) to the Accomplishment
provisions
Formulated
3.2.3. of EOPeace
Barangay No. 366,
ands.Order
Reports of 1996
and
Public Safety (BPOPS) Plan in accordance to
DILG MC
3.2.3.1. At2017-142
least 50%covering CY 2023 of the
accomplishment
physical targets in the BPOPs Plan
3.3 FUNCTIONALITY OF THE 3.3.1. Structure:
LUPONG TAGAPAMAYAPA (LT) Organized Lupong Tagapamayapa
3.3.2. System
Systematic
3.3.3. maintenance of records of cases
Meetings:
Conducted monthly meetings for the
3.3.4. Trainings:
administration
Attendance of the
of LT Katarungang
to KP training or Pambarangay
seminar not
earlier than CY 2020
3.4 ORGANIZATION AND 3.4.1 Structure:
STRENGTHENING CAPACITIES Organized Barangay Tanod with its composition
OF BARANGAY TANOD compliant to the provisions of DILG MC No.
2003-42
3.4.2 Trainings:
3.5 BARANGAY INITIATIVES Attendance of barangay
3.5.1 Organized Barangay tanod to necessary
Health and
training
DURING HEALTH EMERGENCIES Emergencynot earlier than 2020
3.5.2 Poster or tarpaulin containing the with
Response Team (BHERT) its
active
composition
telephone compliant
and/or to theNumbers
cellphone provisions
of of
theDILG
MC No. 2020-023
Barangay, Punong Barangay and BHERT
Members posted in conspicuous public places
within the barangay jurisdiction

3.6. CONDUCT OF MONTHLY 3.6.1 Conducted BaRCO on a monthly basis in

BARANGAY ROAD CLEARING CY 2023Essential Governace Area 1: Social Protection and Sensitivity
OPERATIONS (BaRCO)
4.1 FUNCTIONALITY OF 4.1.1. Structure:
BARANGAY VIOLENCE AGAINST 4.1.2
Organized Barangay VAW Desk and designated
Training:
WOMEN (VAW) DESK Barangay
4.1.3 Plan VAW
Attendance of the
and Desk Officer VAW Desk Officer to
Barangay
Budget:
at least
Approved one (1)
CY training/orientation
2023 Barangay
4.1.4 Accomplishment Reports: related
Gender and to
gender-sensitive
Development (GAD)handling of VAW
Plan and Cases not
Budget
4.1.5 Database:
earlier than CY 2020
4.1.6 Accomplishment Reports
4.1.7. Referral Network
4.2 ACCESS TO HEALTH AND 4.2.1. Presence of a Barangay Health
SOCIAL WELFARE SERVICES IN Station/Center
4.2.2. (For Profiling Purposes Only)
THE BARANGAY 4.2.3. Appointment of a Barangay Nutrition
Scholar (BNS) of health services in the BHS/C
4.2.4. Availability
4.3 FUNCTIONALITY OF THE such as:
4.3.1. Structure:
BARANGAY DEVELOPMENT Organized
4.3.2. BDC with its composition compliant to
Meeting:
COUNCIL (BDC) Section
Conducted
4.3.3 107meetings,
Plan of RA 7160 public hearings, and/or
barangay assemblies
Approved for public consultation
Barangay Development Plan
4.3.4 Accomplishments Reports:
4.4 IMPLEMENTATION OF THE 4.4.1 Presence of Kasambahay Desk with
KASAMBAHAY LAW designated Kasambahay Desk
4.4.2 Maintenance/updating of aOfficer (KDO)
Kasambahay
4.5. FUNCTIONALITY OF THE Masterlist
4.5.1 Structure:
BARANGAY COUNCIL FOR THE 4.5.2 Organized Barangay Council for Protection of
Trainings:
PROTECTION OF CHILDREN Children
Attendance
4.5.3 (BCPC)
Plan: of thewith its composition
Members compliant
of the Barangay
(BCPC) to the provisions
Council
Presence forof an of DILG
Protection
approved of MC No.Annual
Children
BCPC 2021-039
(BCPC) to a
Work
4.5.4 Database:
training/orientation
and Financial
Establishment Plan
and related to theiroffunctions
maintenance updated not
4.5.5 System:
earlier
Databasethan CY
onof 2020
Children
a) Presence
4.5.6 updateddisaggregated
Accomplishment Localized Flow
Reports: byChart
age, of
sex, ethnicity,
Referral System withnotorearlier
without disabilities,
than CY 2020; OSCY,
4.6 MECHANISM FOR GENDER 4.6.1 Organized Barangay GAD Focal Point
etc.
AND DEVELOPMENT
4.7. MAINTENANCE OF(GAD) System
4.7.1 Presence of updated RBI for the first (1st)
UPDATED RECORD OF semester of CY 2023
4.8.1 Structure:
4.8. FUNCTIONALITY
BARANGAY OF THE
INHABITANTS (RBIs) 4.8.2
Organized
Plan: BNC
BARANGAY NUTRITION Presence of approved CY 2023 BNAP
COMMITTEE (BNC) 4.8.3 Decrease in Prevalence Rate in the
barangay,
4.8.4 for the following
Accomplishment categories:
Report:
4.9. HALINA’T MAGTANIM NG 4.8.4
4.9.1 a) At least 50%
Established accomplishment
a Barangay Community of the
physical
PRUTAS AT GULAY (HAPAG) SA 4.9.2.
Garden targetsan
(BCG)
Enacted in Ordinance
the CY 2023 forBNAP
the
BARANGAY PROJECT Establishment
4.9.3 Designated of aSBMBarangay Community
to Manage Garden
the Barangay
Community
4.9.4. Garden
Conducted at least One (1) Advocacy
(For Profiling Purposes Only)
Campaign/ Awareness
4.9.5. Established Grouponofcommunity
Volunteershousehold
on the
gardening
Implementation of the Community Garden

Essential Governance Area 2: Business-Friendliness and Competitiveness

5.1 POWER TO LEVY OTHER 5.1.1 Enacted Barangay Tax Ordinance pursuant
TAXES,
5.2. FEES OR CHARGES
COMPLIANCE TO SECTION to Sec.Enacted
5.2.1 129 of the LGC Ordinance relative to
Barangay
11 OF RA 11032 OR THE EASE Barangay Clearance
5.2.2 Approved fees on
resolution businessthe
authorizing permit
OF DOING BUSINESS ​ and locational clearance
City/Municipal Treasurer for building
to collect permit
fees for
pursuant toClearance
Barangay DILG MCforNo.Business
2019-177 permit and
locational clearance purposes pursuant to DILG
5.3 ISSUANCE OF BARANGAY 5.3.1 Presence of a Citizens’ Charter on the
CLEARANCE NOT COVERED BY issuance of barangay certification posted in the
DILG MC NO. 2019-177 SUCH AS: barangay hall
RESIDENCY, INDIGENCY, ETC,
WITHIN SEVEN (7) WORKING
DAYS

Essential Governance Area 3: Environmental Management

6.1.FUNCTIONALITY OF THE 6.1.1 Organized BESWMC with composition
BARANGAY ECOLOGICAL SOLID compliant to DILG
6.1.2 Approved MCWaste
Solid No. 2018-112
Management
WASTE MANAGEMENT Program/Plan
6.1.3 withofcorresponding
Attendance fund allocation
BESWMC to necessary
COMMITTEE (BESWMC) training related to promoting environmental
6.1.4 Accomplishment Reports:
6.2 EXISTENCE OF A SOLID protection,
6.1.4
6.2.1 a) preservation
At least
Presence 50%
of and awareness
accomplishment
a Materials not
RecoveryofFacility
the
WASTE MANAGEMENT FACILITY earlier
physical
(MRF)/ than CY 2020
targets
Materials in the BESWMP
Recovery System (MRS)
6.3 PROVISION OF SUPPORT 6.3.1 Enacted Barangay Ordinance or similar
PURSUANT TOFOR
MECHANISMS R.A. 9003 issuance on segregation of wastes at-source
SEGREGATED COLLECTION
This is to respectfully 2022
submit the attached Means of Verifications (MOVs) for the purpose of the Seal of Good Local Governance for Barangay
(SGLGB) assessment.

SUBMITTED BY:

PRINTED NAME AND SIGNATURE OF THE PUNONG BARANGAY

Name of Punong Barangay

RECEIVED BY:

CITY/MUNICIPAL SGLGB ASSESSOR

Name and Signature of SGLGB Assesor (City Director/C/MLGOO)

DATE RECEIVED:
ce for Barangay

CHECKLIST
MOVs
dministration and Sustainability
☐ Three (3) BFDP Monitoring Form A of the DILG Advisory covering
the 1st to B
☐ Annex 3rd
of quarter monitoringJMC
DBM-DOF-DILG dataNo.
signed by the City
2018-1
Director/C/MLGOO,
☐ SRE for 2022 andPunong Barangay
2023, signed and Barangay
by Barangay Secretary
Treasurer and
Punong Barangay; and
☐
☐ Certification on Increase
Approved Barangay in Local Resources
Appropriation Ordinance;signed by the
City/Municipal Treasurer/ Budget Officer
☐ Annual Investment Program signed by Barangay Treasurer,
Barangay Secretary, and Punong Barangay;and

☐ Certification for the Allocation for Statutory Programs and Projects

signed by the City/Municipal Budget Officer

☐ Approved Barangay Appropriation Ordinance signed by the

Sangguniang Barangay Members (SBMs), SK Chairperson, Barangay
Secretary, and Punong Barangay.

☐ Two (2) Photo documentation of the Barangay CitCha (name of the

barangay should be visible)

Photo for
MOVs Requirements:
1.6.1.1:
☐ Copy of the written agreement; and
☐ Proof of deposit reflecting the Account No./ Name of Barangay SK
and the total allocated amount for the 2023 SK funds

Consideration: In the absence of deposit slips, bank statements will

be considered, provided that it shows the transaction date, and that
the total 10% of the SK Fund has been transferred.

MOV for 1.6.1.2:

☐ Deposit
MOV slips reflecting the Account No./ Name of Barangay SK
for 1.6.1.3:
and
If thethe total allocated
barangay amount
has 5 and for SK
above theOfficials:
2023 SK funds
☐ Post Activity Report/ Minutes on the conduct of the 1st semester
Barangay
isaster Assembly 2023 duly approved by the Punong Barangay
Preparedness
☐ EO (signed by the PB) or similar issuance (resolution/ordinance
signed
☐ by theBDRRM
Approved PB, Barangay Secretary
Plan adopted andSangguniang
by the SBMs) organizing the ;
Barangay
BDRRMC
☐ withadopting
Resolution
Certification its
on composition
the BDRRM
the allocationcompliant
Plan
of at to the of
signed
least 5% provisions
bythe of JMC No.
theEstimated
Sangguniang
2014-01,
Barangay
Revenue covering January
with Regular
received to October
stamp from the2023
C/MDRRMO; and by the
MOVs for from
2.1.4.1: Sources as BDRRM Fund, signed
City/Municipal
Accomplishment
☐ Post-Activity Budget Officer
Report;
Report and such as Climate and Disaster Risk
of activities
Assessment,
☐ Two (2) PhotoParticipatory DisasterofRisk
documentations Assessment,
Barangay BDRRM
Risk/Hazard Map
Planning,
☐ Two (2)etc.Photo documentations of Barangay Risk/Hazard Map
☐ Two (2) Photo documentation of the permanent or temporary
evacuation
☐ center; and for each of disaster supplies equipment:
Photo Documentation
afety, Peace and Order
☐ EO (signed by the PB) or similar issuance (resolution/ordinance
signed by the PB,
☐ EO (signed Barangay
by the Secretary
PB) or similar and SBMs)
issuance creating the
(resolution/ordinance
BADAC
signed
☐ with
by theits
EO (signed bycomposition
PB, Barangay
the and appropriate
Secretary
PB) or similar committees,
and SBMs)
issuance covering
establishing the
(resolution/ordinance
January
signed bytothe
October
Rehabilitation PB, 2023
Referral Desk
Barangay covering
Secretary CY
and2023
SBMs), organizing house
☐ EO (signed by the PB) or similar issuance (resolution/ordinance
clusters
signed
☐ Copyby with
ofthe designated
approved HCLSecretary
PB, Barangay
BADPA Summaryand SBMs),
or copy organizing
of approved BAT
BPOPs
Plan with BADPA covering CY 2023
☐ Approved Barangay Appropriation Ordinance signed by the PB,
Barangay
☐ Copy ofSecretary and SBMs.
Activity Report prepared by the BADAC
☐ Three (3) Transmittals of CIR, covering the 1st to 3rd quarter,
received by CADAC/MADAC
☐ Accomplished BADAC Form and
4- Local PNP
Unified Unit; AND
Barangay Report on
Referral Action (UBRA)
☐ Copy of the BADAC monthly minutes of the meeting with
attendance sheets (at least 3 minutes covering CY 2023)
 ☐ EO (signed by the PB) or similar issuance (resolution/ordinance
signed by theBPOPS
☐ Approved PB, Barangay Secretary
Plan covering CYand
2023SBMs) indicating correct
membership in accordance
☐ Accomplishment to thethe
Report with EOstatus
366 s.ofofimplementation
1996, coveringof
January
target to October
activities and 2023
utilization of funds submitted to the C/M POC with
received stamp of the DILG City Director or C/MLGOO

☐ At least ten (10) KP Form #5 - Oath of Office of the Lupong

Tagapamayapa members, signed by the PB
MOVs for 3.3.2.1
Two (2)of
☐ Copies photos withofcaption
minutes meetingsof the
withcomputer database
attendance sheets with
(at least 3
searchable
minutes
☐ At least 1information
covering
copy meetings
of proof ofconducted in CY
training such as2023)
Certificate of
Completion and/or Participation
☐ EO (signed by the PB) or similar issuance (resolution/ordinance
signed by the PB, Barangay Secretary and SBMs) on the organization
of the Barangay Tanod covering January to October 2023

☐ At least one (1) copy of proof of training such as Certificate of

Completion
☐ EO (signedand/or
by theParticipation
PB) or similar issuance (resolution/ordinance
signed by the PB, Barangay
☐ Two (2) Photo documentationsSecretary and SBMs)
of poster on the organization
or tarpaulin
of BHERTs covering January to October 2023
Photo Requirements:
One (1) photo with Distant View; and
One (1) photo with Close-up View

OR

☐ Screenshot of the posting on social media with date covering CY

2023.

☐ Three (3) Monthly BarCo Reports covering July-September 2023

al Protection and Sensitivity
☐ EO (signed by the PB) or similar issuance (resolution/ordinance
signed
☐ by the
At least onePB,
(1) Barangay Secretary
copy of proof and such
of training SBMs) as on the
Certificate of
establishment
Completion
☐ Approvedand/or of Barangay
GADVAW PlanDesk
Participation
Barangay and designated
and Budget VAW Desk
for CY 2023
Officer, covering January to October 2023
☐ Accomplishment Report covering 1st to 3rd quarter of CY 2023
with
☐ received
Copy of thestamp by thereport
generated C/MSWDO and C/MLGOO
or screenshot of the updated
database
☐ 2023 GADof VAW cases reported
Accomplishment to theand
Report; barangay with the total no. of
VAW Cases and assistance provided
☐ Photo documentation of the BHS/C
☐ EO (signed by the PB) or similar issuance (resolution/ordinance
signed
☐ by the PB,
EO (signed Barangay
by the Secretary
PB) or similar and SBMs)
issuance on the
(resolution/ordinance
Appointment
signed by theof
☐ Certification BHW
PB,
on the and/or
Barangay BHOof or
Secretary
provision BHAsst
and
health covering
SBMs)
services January
on the
signed by theto
October 2023of BNS
appointment
C/MHO
☐ EO (signed by the PB) or similar issuance (resolution/ordinance
signed
☐ Post by the PB,
activity Barangay
report Secretary
or Minutes and SBMs)sheet for CY 2023
with attendance
organizing/reconstituting the BDC withPlan
☐ Approved Barangay Development its composition
covering CYcompliant
2023 to
Section
☐ 107 of RAadopting
SB Resolution 7160 covering JanuaryBDP
the approved to October 2023

☐ CY 2023 Accomplishment Report with received stamp by the

C/MPDC
☐ EO (signed by the PB) or similar issuance (resolution/ordinance
signed
☐ CopybyofthethePB, Barangay
Updated SecretaryReport
Kasambahay and SBMs)
for thedesignating
3rd Quartera (July-
KDO
to manage
September the Kasambahay
2023) Desk, signed by the PB, Barangay
☐ EO (signed by the PB) or similar issuance (resolution/ordinance
Secretary
signed by and
the SBMs covering January and
to October 2023
☐ At least onePB,
(1) Barangay Secretary
copy of proof SBMs)
of training such as on the
Certificate of
establishment
Completion
☐ Copy of the of
and/orBCPC, covering
Participation
generated January to October 2023
report or screenshot of the updated
database on children covering January to October 31, 2023

Updated Localized
☐ Approved Flow Chart
Accomplishment of Referral
Report on BCPC System
AWFP for CY 2023
with
☐ EOreceived
(signedstamp
by the byPB)the
or City/Municipality
similar issuance Inter-Agency Monitoring
(resolution/ordinance
Task
☐ RBIForce
signed by the(IMTF)
PB, Form
Monitoring Barangay
C; andSecretary and SBMs) organizing the
Barangay
☐ List GADby Focal
of barangays
EO (signed Point
thewith
PB) orSystem
RBI covering
similar covering
the 1stJanuary
issuance Semesterto October 2023
of CY 2023
(resolution/ordinance
(generated
signed
☐ Approved from
by the CYPB,the BIS-BPS)
Barangay
2023 certified
BNAPSecretary
signed by
thethe
byand C/MLGOO
SBMs)
BNC organizing the
Barangay
☐ Operation Nutrition
TimbangCommittee
(OPT) Plus (BNC)
Formcovering JanuaryTally
1A (Barangay to October
and
2023
Summary Sheet of Preschoolers
☐ Accomplishment Report on CYwith 2023 Weight
BNAP; & Height Measurement
by Certification
☐ Age Group,
Photo Sex and
on the
documentation Nutritional
submitted Status)
BNAP
of the established of CYs 2022 and
Accomplishment
BCG 2023;
Report for
and
CYOrdinance
2023 signed by the
☐ signed by C/MLGOO
the PB, Barangay Secretary and SBMs) on
theEO
☐ establishment
(signed by the of aPB)
BCGor similar issuance (resolution/ordinance
signed
☐ Proofbyofthe PB, Barangay
conduct of at leastSecretary and SBMs) on the designated
one (1) Advocacy
SMB
☐ EOto(signed
manage
Campaign/Awarenessbythe
theBCG (Photo/Social
PB) Media Post,
or similar issuance PAR/AR, etc.)
(resolution/ordinance
signed by the PB, Barangay Secretary and SBMs) on the established
group volunteers
-Friendliness and Competitiveness
☐ Enacted Barangay Tax Ordinance signed by the PB, Barangay
Secretary
☐ Enactedand SBMs Ordinance (signed by the PB, Barangay
Barangay
Secretary
☐ Approved andresolution
SBMs) relative to Barangay
authorizing Clearance Treasurer
the City/Municipal Fees on to
business
collect permit
fees and locational
for Barangay clearance
Clearance for building
for Business permit
permit and
locational clearance purposes signed by PB, Barangay Secretary and
SBMs
 ☐ Photo documentation of the Citizens’ Charter on the issuance of
barangay certification only (name of the barangay should be visible)

Photo Requirements:
One (1) photo with Distant View; and
One (1) photo with Close-up View

nvironmental Management
☐ EO (signed by the PB) or similar issuance (resolution/ordinance
signed by theSolid
☐ Approved PB, Barangay Secretary and
Waste Management SBMs) on the
Program/Plan organization
covering CY
of the
2023
☐ BESWMC
with
At least corresponding
one (1) copy offund
proofallocation
of training such as Certificate of
Completion
☐ Three (3) and/or Participation
Monthly Accomplishment Reports covering July-
September 2023 by the barangay:
For MRF operated
☐ Photo documentation
EO (signed by the PB)oforthe MRF/MRF
similar Records
issuance of the barangay
(resolution/ordinance
signed by the PB, Barangay Secretary and SBMs) on segregation of
wastes at-source
r the purpose of the Seal of Good Local Governance for Barangay

D BY:

OF THE PUNONG BARANGAY

Barangay

D BY:

LGB ASSESSOR
esor (City Director/C/MLGOO)

EIVED:
 2024 SEAL OF GOOD LOCAL GOVERNANCE FOR BARANGAY
Year Under Review: CY 2023
City/Municipal Consolidated Performance Assessment Form

HUC/ICC/CC/
MUNICIPALITY:
PROVINCE:
REGION:

Assessment Result per Governance Area

Put a ()✔️
if PASSED, (❌) if FAILED

No. Barangay Financial Social

SGLGB
Safety, CORE Business- ESSENTIAL Result
Administration Disaster Protection Environmenta
Peace and GOVERNANCE Friendliness and GOVERNANCE
and Preparedness and l Management
Order SUB-RESULT Competitiveness SUB-RESULT
Sustainability Sensitivity

1 Ex. Barangay A ❌ PASSED

2 Ex. Barangay B ❌ ❌ FAILED
3
4
5
6
7
8
9
10
11
12
13
14
15
TOTAL
 Note: If the barangay has been renamed – Both the old and new names must be cited in the Performance Assessment Forms and in the MOV folder of the barangay

Summary of SGLGB Assessment

A. Total Number of Barangays in the Component City/Municipality: 25
B. Total Number of Barangays assessed by the SGLGB Assessor: 23
C. Percentage of Barangays assessed (Formula: B/A x 100) 92.00%
D. Percentage
E. Total Number
of of SGLGB
SGLGB Passers
Passers in in
thethe Component
Component City/Municipality:
City/Municipality: 2
(Formula: D/B x 100) 8.70%

I hereby certify that the information herein are true and correct, and are accordingly supported by required documents as reviewed by the undersigned.

Name and Signature of the SGLGB Assessor

Date Accomplished:

ANNEX - List of Unassessed Barangays

No. Unassessed Barangays Remarks

(Kindly state the reason why the barangay was unable to participate.)

1 Barangay A Barangay A is located in an area with security challenges, such as conflict and high crime rates.

2
Barangay B The barangay lacks the necessary resources, such as funding, personnel, or infrastructure, to participate in the assessments.
 2
Barangay B The barangay lacks the necessary resources, such as funding, personnel, or infrastructure, to participate in the assessments.
3

7
TOTAL 2
 2024 SEAL OF GOOD LOCAL GOVERNANCE FOR BARANGAY
Year Under Review: CY 2023
Provincial Consolidated Performance Assessment Form

PROVINCE:
REGION:

Total Number of SGLGB

Total Number of Barangay Passers per Governance Area Passers
(Passed 3 Core
Component Total Number of Barangays Assessed Business- Governance Areas AND at
No. Financial
City/Municipality Barangays CORE Social Friendliness ESSENTIAL least
Administration Disaster Safety, Peace Environmental
GOVERNANCE Protection and and GOVERNANCE 1 Essential Governance
and Preparedness and Order Management
SUB-RESULT Sensitivity Competitivenes SUB-RESULT Area)
Number Percentage Sustainability Number Percentage
s
1 Municipality A 100 80 80.00% 79 75 76 75 76 63 75 93.75%
2
3
4
5
6
7
8
9
10
11
12
13
14
15
TOTAL 100 80 80.00% 79 75 76 75 76 63 75 93.75%

We hereby certify that the information herein are true and correct, and are accordingly supported by required documents as reviewed by the undersigned.

Provincial Performance Assessment Team (PPAT)

Name and Signature of Team Leader

Name and Signature of the Member Position/Designation of the Member

Name and Signature of the Member Position/Designation of the Member

Date Accomplished:

Note: Based on the Provincial Order re Creation of the PPAT, please include ALL MEMBERS.

ANNEX 1 - List of Provincial Passers

Assessment Result per Governance Area
Put a () if PASSED, (❌) if FAILED
Business-
Component Financial CORE ESSENTIAL SGLGB
No. Barangays Administration Friendliness
City/Municipality Disaster Safety, Peace GOVERNANC Social Protection Environmental GOVERNANC
and Preparedness and Order E SUB- and Sensitivity
and
Management E Result
Competitivenes
Sustainability RESULT SUB-RESULT
s
1 City A Barangay A ❌ PASSED
2 City A Barangay B PASSED
3 Municipality A Barangay A ❌ PASSED
4 Municipality A Barangay B ❌ ❌ PASSED
5
6
7
8
9
10
11
12
13
14
15
TOTAL 4 4 4 4 3 1 4 4 4

ANNEX 2 - List of Unassessed Barangays

City/ Unassessed Remarks

No.
Municipality Barangays (Kindly state the reason why the barangay was unable to participate.)

1 City A Barangay A Barangay A is located in an area with security challenges, such as conflict and high crime rates.

2
Municipality A Barangay A The barangay lacks the necessary resources, such as funding, personnel, or infrastructure, to participate in the assessments.
3

TOTAL 2 2
 2024 SEAL OF GOOD LOCAL GOVERNANCE FOR BARANGAY
Year Under Review: CY 2023
Regional Consolidated Performance Assessment Form

REGION:

Total Number of Passers per Governance Area

Total Total Number of SGLGB
Province/HUC/ Barangays Assessed
No. Number of Financial CORE Passers
ICC Disaster Business- ESSENTIAL
Barangays Administration Safety, Peace GOVERNANC Social Protection Environmental
Preparednes Friendliness and GOVERNANCE
and and Order E SUB- and Sensitivity Management
s Competitiveness SUB-RESULT
Number Percentage Sustainability RESULT Number Percentage
1 Province A 300 250 83.33% 200 195 190 195 170 180 180 72.00%
2 HUC A 20 20 100.00% 10 9 10 10 9 7 7 35.00%
3 ICC A 10 10 100.00% 8 5 10 5 6 5 5 50.00%
4
5
6
TOTAL 330 280 84.85% 218 209 210 210 185 192 192 68.57%

We hereby certify that the information herein are true and correct, and are accordingly supported by required documents as reviewed by the undersigned.

Regional Performance Assessment Team (RPAT)

Name and Signature of Team Leader

Name and Signature of Assistant Team Leader

Name and Signature of Member

Name and Signature of Member

Name and Signature of Member

Date Accomplished:
ANNEX 1 - List of Regional Passers
Assessment Result per Governance Area
Put a () if PASSED, (❌) if FAILED
HUC/ICC/
Component Financial CORE SGLGB
No. Province Barangays Disaster Business- ESSENTIAL
Administration Safety, Peace GOVERNANC Social Protection Environmental
City/Municipalit
and
Preparednes
and Order E SUB- and Sensitivity
Friendliness and
Management
GOVERNANCE Result
y s Competitiveness SUB-RESULT
Sustainability RESULT
1 Province A City A Barangay A ❌ PASSED
2 Province A City B Barangay A ❌ PASSED
3 Province B Municipality A Barangay A PASSED
4 Province B Municipality B Barangay A ❌ ❌ PASSED
5
6
7
8
9
10
11
12
13
14
15
TOTAL 4 4 4 4 4 2 2 4 4

ANNEX 2 - List of Unassessed Barangays

City/ Unassessed Remarks

No. Province
Municipality Barangays (Kindly state the reason why the barangay was unable to participate.)

1 Province A City A Barangay A Barangay A is located in an area with security challenges, such as conflict and high crime rates.

2
Province B Municipality A Barangay A The barangay lacks the necessary resources, such as funding, personnel, or infrastructure, to participate in the assessments.
3

6
7
TOTAL 2 2 2
 2024 SEAL OF GOOD LOCAL GOVERNANCE FOR BARANGAY
Year Under Review: CY 2023
National Consolidated Performance Assessment Form

Total Number of Barangay Passers

Total Total Number of SGLGB
Barangays Assessed Business-
Region Number of Financial National Passers
Disaster Safety, Core Social Friendliness Essential
Barangays Administration Environmental
Preparednes Peace and Govenance Protection and and Govenance
and Management
s Order Area Sensitivity Competitivenes Area
Number Percentage Sustainability Number Percentage
s
I 3267 3000 91.83% 2850 2750 2820 2810 2700 2650 2750 91.67%
II
III
IV-A
MIMAROPA
V
VI
VII
VII
IX
X
XI
XII
XIII
NCR
CAR
BARMM
TOTAL 3267 3000 91.83% 2850 2750 2820 2810 2700 2650 2750 91.67%

We hereby certify that the information herein are true and correct, and are accordingly supported by required documents as reviewed by the undersigned.

National Quality Committee

Chairperson:

Undersecretary for Barangay Affairs

 Vice-Chairperson:

Liga ng mga Barangay (LnB) National President

Members:

Director, National Barangay Operations Office (NBOO)

Director, Bureau of Local Government Supervision (BLGS)

Director, Bureau of Local Government Development (BLGD)

Date Accomplished:

ANNEX 1 - List of National Passers

HUC/ICC/ Financial Assessment Result per Governance Area ESSENTIAL
No. Region Province Component Barangays Administratio Disaster Safety, CORE
Put Social
a () if PASSED, (❌) if FAILEDBusiness-
SGLGB
Environmenta GOVERNANC
City/Municipality n and
Preparednes Peace and GOVERNANCE Protection and Friendliness and
l Management E Result
1 Region A Province A City A Barangay A Sustainability s Order SUB-RESULT Sensitivity Competitiveness
❌ PASSED
SUB-RESULT
2 Region A Province A City B Barangay A ❌ PASSED
3 Region A Province B Municipality A Barangay A PASSED
4 Region A Province B Municipality B Barangay A ❌ ❌ PASSED
5
6
7
8
9
10
11
12
13
14
 15
TOTAL 4 4 4 4 3 2 3 4 4

ANNEX 2 - List of Unassessed Barangays

City/ Unassessed Remarks

No. Region Province
Municipality Barangays (Kindly state the reason why the barangay was unable to participate.)

1 Region I Province A City A Barangay A Barangay A is located in an area with security challenges, such as conflict and high crime rates.

2
Region II Province A Municipality A Barangay A The barangay lacks the necessary resources, such as funding, personnel, or infrastructure, to participate in the assessments.
3

7
TOTAL 2 2 2 2