0% found this document useful (0 votes)
116 views

2024 Compiled SGLGB Forms

Uploaded by

sandie060813
Copyright
© © All Rights Reserved
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
0% found this document useful (0 votes)
116 views

2024 Compiled SGLGB Forms

Uploaded by

sandie060813
Copyright
© © All Rights Reserved
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
You are on page 1/ 14

2024 Seal of Good Local Governance for Barangay

Barangay Documentary Checklist

BARANGAY: POBLACION I
CITY/MUNICIPALITY: GEN. E. AGUINALDO, CAVITE
PROVINCE: CAVITE
REGION: IV-A

DOCUMENTARY CHECKLIST
INDICATORS MINIMUM REQUIREMENT MOVs
Core Governance Area 1: Financial Administration and Sustainability
1.1 COMPLIANCE WITH THE BARANGAY 1.1.1 Posted the following CY 2023 financial ☐ Three (3) BFDP Monitoring Form A of the DILG Advisory
FULL DISCLOSURE POLICY (BFDP) documents in the BFDP
1.1.2 Accomplished and board,
signed pursuant
BFR withto DILG covering
☐ Annex the
B of1st to 3rd quarter monitoring
DBM-DOF-DILG data signed by the
JMC No. 2018-1
BOARD
1.2 INNOVATIONS ON REVENUE MC No.
received 2014-81
stamp and
from DILG
the MC
Office No.
of 2022-027:
the C/M
1.2.1 Increase in local resources in CY 2023 City Director/C/MLGOO, Punong Barangay
☐ SRE for 2022 and 2023, signed by Barangay and Barangay
Treasurer
GENERATION OR EXERCISE OF
1.3 APPROVAL OF THE BARANGAY Accountant
1.3.1 Presence of a Barangay Appropriation Secretary
and Punong Barangay; and
☐ Approved Barangay Appropriation Ordinance signed by the
CORPORATE
BUDGET POWERS
ON THE SPECIFIED TIMEFRAME Ordinance approved on or before December 31, Sangguniang Barangay Members (SBMs), SK Chairperson,
2022 Barangay Secretary, and Punong Barangay.
1.4 ALLOCATION FOR STATUTORY 1.4.1 With allocated funds for the following ☐ Approved Barangay Appropriation Ordinance;
PROGRAMS AND PROJECTS AS statutory programs and projects:
MANDATED BY LAWS AND/OR OTHER ☐ Annual Investment Program signed by Barangay
ISSUANCES a) At least 20% of the NTA is allocated for Treasurer, Barangay Secretary, and Punong Barangay;and
development programs;
b) Not less than five percent (5%) shall be set ☐ Certification for the Allocation for Statutory Programs and
aside as the Local Disaster Risk Reduction and Projects signed by the City/Municipal Budget Officer
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

1.5 POSTING OF THE BARANGAY 1.5.1 Barangay Citizens’ Charter posted at a ☐ Two (2) Photo documentation of the Barangay CitCha
CITIZEN’S CHARTER
1.6 RELEASE OF THE(CitCha)
SANGGUNIANG conspicuous placewith
1.6.1 Compliance (e.g.Section
barangay hall,
20 of themarket,
SK (name of the
MOVs for barangay should be visible)
1.6.1.1:
KABATAAN (SK) FUNDS OF THE transport
Reform The
1.6.1.1 terminal,
Act of or
2015 and
barangay multi-purpose
hasItem hall)
3.2 of DBM-DILG-
Barangay-SK ☐ Copy of the written agreement; and
BARANGAY NYC JMC No.
Agreement for 1,
thes.release/deposit;
2019 dated January 23, 2019 ☐ 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
1. 6.1.2 The barangay does not have Barangay- MOV for 1.6.1.2:
been transferred.
SK Agreement but with current account; ☐ Deposit slips reflecting the Account No./ Name of
1.6.1.3 The barangay does not have SK Officials MOV for 1.6.1.3:
or withPresence
1.6.2 SK Officials but no quorum
of Approved and/or
Annual No SK If the barangayand
Barangay Barangay SK hasthe5 total allocated
and above SKamount
Officials:for the 2023 SK
funds
1.7 CONDUCT OF BARANGAY ASSEMBLY Bank
Youth Account
Investmentthe
1.7.1 Conducted Program (ABYIP)Barangay
1st semester for 2023 ☐ Post Activity Report/ Minutes on the conduct of the 1st
Assembly for CY 2023 semester Barangay Assembly 2023 duly approved by the
Core Governance Area 2: Disaster Preparedness
2.1 FUNCTIONALITY OF THE BARANGAY 2.1.1 Structure Punong Barangay
☐ EO (signed by the PB) or similar issuance
DISASTER RISK REDUCTION AND Organized BDRRMC with its composition (resolution/ordinance signed by the PB, Barangay Secretary
MANAGEMENT COMMITTEE (BDRRMC) compliant to the provisions of NDRRMC, DILG, and SBMs) organizing the BDRRMC with its composition
DBM, and CSC JMC No. 2014-01. compliant to the provisions of JMC No. 2014-01, covering
2.1 FUNCTIONALITY OF THE BARANGAY
DISASTER RISK REDUCTION AND 2.1.2 Plan ☐ Approved BDRRM Plan adopted by the Sangguniang
MANAGEMENT COMMITTEE (BDRRMC) Approved Barangay
2.1.3. Budget Disaster Risk Reduction and Barangay ;
☐ Certification on the allocation of at least 5% of the
Management
Allocation of (BDRRM)
at least 5%
2.1.4 Accomplishment Reports Plan
of thecovering
EstimatedCY 2023 Estimated
MOVs for 2.1.4.1: from Regular Sources as BDRRM Fund,
Revenue
2.2 EXTENT OF RISK ASSESSMENT AND Revenue from Regular
2.2.1 Conducted Sources
an activity as BDRRM
in relation to Risk signed
☐ by the City/Municipal
Accomplishment
Post-Activity Report;
Report Budgetsuch
and
of activities Officer
as Climate and
EARLY WARNING SYSTEM (EWS) Fund
Assessment in the barangay not earlier than CY Disaster Risk Assessment, Participatory Disaster Risk
2.2.2 Barangay Risk/Hazard Map which indicates ☐ Two (2) Photo documentations of Barangay Risk/Hazard
2020
possible
2.2.3 An risks — natural
established Earlyor Warning
man-made. (e.g.
System Assessment,
Map BDRRM Planning, etc.
☐ Two (2) Photo documentations of Barangay Risk/Hazard
2.3 EXTENT OF PREPAREDNESS FOR flood-prone
(EWS) for theand landslide-prone
top two (2) hazards
2.3.1. A barangay must have a permanent orareas, etc.)
present in the Map
☐ Two (2) Photo documentation of the permanent or
barangay
EFFECTIVE RESPONSE AND RECOVERY temporary evacuation center
2.3.2 A barangay must have the following temporary evacuation center;
☐ Photo Documentation and of disaster supplies
for each
disaster
Coresupplies/equipment:
Governance Area 3: Safety, Peace and equipment:
Order
3.1 FUNCTIONALITY OF THE BARANGAY 3.1.1​​Structure ☐ EO (signed by the PB) or similar issuance
ANTI-DRUG ABUSE COUNCIL (BADAC) Organized
3.1.2 BADAC with
Establishment its composition
of Barangay and
Rehabilitation (resolution/ordinance
☐ EO (signed by the PB) signed by the issuance
or similar PB, Barangay Secretary
appropriate
Referral
3.1.3 committees
Desk with of
Organization (Committees
Designated Barangay
House Clusters on
withDuty and SBMs) creating
(resolution/ordinance
☐ EO (signed by the PB)the BADAC
signed with its Barangay
composition
by the issuance
or similar PB, and
Secretary
Operations
Officer and on Advocacy) compliant to DILG- appropriate
and SBMs) committees,
establishing covering
the January to October 2023
designated
3.1.4 House Cluster
Organization of BADAC Leaders (HCL)
Auxiliary Team (resolution/ordinance
☐ EO (signed signed
by the PB) or Rehabilitation
by the issuance
similar ReferralSecretary
PB, Barangay Desk
DDB JMC No. 2018-01 covering
and CY organizing
SBMs), 2023 houseby clusters
(BAT) Plan:
3.1.5 (resolution/ordinance
☐ Copy of approved signed
BADPA the PB,with
Summary or designated
Barangay
copy HCL
Secretary
of approved
Formulation
3.1.6 Budget:of BADAC Plan of Action (BADPA) BPOPs and SBMs),
Planorganizing
☐ Approved with BADPA
Barangay BATcovering CYOrdinance
Appropriation 2023 signed by the
covering CY 2023 PB, Barangay Secretary and
3.1.7. Implementation of Drug Abuse Prevention ☐ Copy of Activity Report prepared by the BADAC SBMs.
Advocacy Campaigns of
3.1.8. Implementation - Barangay
Drug-Clearingorganized at ☐ Three (3) Transmittals of CIR, covering the 1st to 3rd
least
3.1.9.1Implementation
community-based
Operations - Submission IEC
of Activity during CY quarter,
Consolidated
of Community-Based received BADAC
☐ Accomplished by CADAC/MADAC
Form 4- Unifiedand Barangay
Local PNPReport
Unit;
2023
Information
Intervention Report (CIR)
for Person Whoto Meetings
CADAC/MADAC
Used Drugs and on
AND Referral Action (UBRA)
3.1.10. Conduct of Monthly ☐ Copy of the BADAC monthly minutes of the meeting with
Local
(PWUDS)PNP - Unit
Presence of referral system attendance
3.2 FUNCTIONALITY OF THE BARANGAY 3.2.1. Structure: ☐ EO (signed by the PB) or3similar
sheets (at least minutes covering CY 2023)
issuance
PEACE AND ORDER COMMITTEE (BPOC) Organized
3.2.2 Plan BPOC with its composition compliant (resolution/ordinance
☐ Approved BPOPS Plan signed by the CY
covering PB,2023
Barangay Secretary
to the provisions
Formulated of EO
Barangay Peace
3.2.3. Accomplishment No.
Reports366, s. of 1996
and Order and and
☐ Accomplishment Report with the statusinofaccordance
SBMs) indicating correct membership to
implementation
Public Safety (BPOPS) Plan in accordance to the
of EO 366 s. of 1996,utilization
covering January to October to2023
3.3 FUNCTIONALITY OF THE LUPONG 3.3.1. Structure: ☐ target activities
At least ten (10)and
KP Form #5 -of funds
Oath submitted
of Office the
of the Lupong
TAGAPAMAYAPA (LT) DILG MC 2017-142 covering
Organized Lupong Tagapamayapa CY 2023 C/M POC with received stamp
Tagapamayapa members, signed by the PBof the DILG City Director or
C/MLGOO
3.3.2. System MOVs for 3.3.2.1
Systematic
3.3.3. maintenance of records of cases
Meetings: Two (2)of
☐ Copies photos withofcaption
minutes meetings of the
withcomputer
attendancedatabase
sheets with
(at
Conducted
3.3.4. monthly meetings for the
Trainings: searchable
least
☐ At 3
least information
minutes
1 copycovering
of proofmeetings
of trainingconducted in CY 2023)
such as Certificate of
administration
Attendance
3.4 ORGANIZATION AND STRENGTHENING 3.4.1 Structure:of the
of LT Katarungang
to KP training or Pambarangay
seminar not Completion
☐ EO (signed and/or
by theParticipation
PB) or similar issuance
CAPACITIES OF BARANGAY TANOD earlier
3.4.2 than
Organized CY
Trainings: 2020
Barangay Tanod with its composition (resolution/ordinance
☐ At least one (1) copy signed by the
of proof PB, Barangay
of training such asSecretary
Certificate
3.5 BARANGAY INITIATIVES DURING compliant
Attendance to the
of
3.5.1 Organized provisions
barangay
Barangay of DILG
tanod MC No.
to necessary
Health and and
of SBMs)
Completionon the organization
and/or Participationof the
☐ EO (signed by the PB) or similar issuance Barangay Tanod
HEALTH EMERGENCIES 2003-42
training not earlier
Emergency ResponsethanTeam
2020 (BHERT) with its covering January to October
(resolution/ordinance signed 2023
by the PB, Barangay Secretary
composition compliant to the provisions of DILG and SBMs) on the organization of BHERTs covering January
MC No. 2020-023 to October 2023
3.5 BARANGAY INITIATIVES DURING
HEALTH EMERGENCIES 3.5.2 Poster or tarpaulin containing the active ☐ Two (2) Photo documentations of poster or tarpaulin
telephone and/or cellphone Numbers of the
Barangay, Punong Barangay and BHERT Photo Requirements:
Members posted in conspicuous public places One (1) photo with Distant View; and
within the barangay jurisdiction One (1) photo with Close-up View

OR

☐ Screenshot of the posting on social media with date


covering CY 2023.

3.6. CONDUCT OF MONTHLY BARANGAY 3.6.1 Conducted BaRCO on a monthly basis in ☐ Three (3) Monthly BarCo Reports covering July-September
ROAD CLEARING OPERATIONS (BaRCO) Essential
CY 2023 Governace Area 1: Social Protection and 2023Sensitivity
4.1 FUNCTIONALITY OF BARANGAY 4.1.1. Structure: ☐ EO (signed by the PB) or similar issuance
VIOLENCE AGAINST WOMEN (VAW) DESK 4.1.2
Organized Barangay VAW Desk and designated ☐
Training: (resolution/ordinance
At least one (1) copy signed by the
of proof PB, Barangay
of training such asSecretary
Certificate
Barangay
Attendance VAW
of Desk
the
4.1.3 Plan and Budget: Officer
Barangay VAW Desk Officer to and
☐ Approved Barangay GAD Plan and Budget for CYDesk
of SBMs)
Completion on the establishment
and/or Participationof Barangay VAW 2023and
at leastAccomplishment
Approved oneCY(1)2023
training/orientation
Barangay related
Gender and to designated VAW Desk Officer, covering January to October
4.1.4 Reports: ☐ Accomplishment Report covering 1st to 3rd quarter of CY
gender-sensitive
Development handling
(GAD) Plan of
andVAW Cases
Budget not 2023 withofreceived stampreport
by theor
C/MSWDO
4.1.5 Database: ☐ Copy the generated screenshotand C/MLGOO
of the updated
earlier than CY 2020
4.1.6 Accomplishment Reports database of VAW cases reported
☐ 2023 GAD Accomplishment Report; and to the barangay with the
4.1.7. Referral Network total no. of VAW Cases and assistance provided
4.2 ACCESS TO HEALTH AND SOCIAL 4.2.1. Presence of a Barangay Health ☐ Photo documentation of the BHS/C
WELFARE SERVICES IN THE BARANGAY Station/Center
4.2.2. (For Profiling Purposes Only) ☐ EO (signed by the PB) or similar issuance
4.2.3. Appointment of a Barangay Nutrition (resolution/ordinance
☐ EO (signed by the PB) signed by the issuance
or similar PB, Barangay Secretary
Scholar
4.2.4. (BNS) of health services in the BHS/C ☐
Availability and SBMs) on the
(resolution/ordinance Appointment
Certification on the signed of
by of
provision BHW
thehealth and/or
PB, Barangay BHO
services or by
Secretary
signed
such as: BHAsst
and
theEOSBMs)
C/MHO coveringtheJanuary
on by to October
appointment of BNS 2023
4.3 FUNCTIONALITY OF THE BARANGAY 4.3.1. Structure: ☐ (signed the PB) or similar issuance
DEVELOPMENT COUNCIL (BDC) Organized
4.3.2. BDC with its composition compliant to ☐
Meeting: (resolution/ordinance
Post activity report signed by the
or Minutes with PB, Barangaysheet
attendance Secretary
for
Section
Conducted
4.3.3 107 of RA 7160
Plan meetings, public hearings, and/or and SBMs)
CYApproved
☐ 2023 organizing/reconstituting the BDC with
Barangay Development Plan covering CY 2023 its
barangay assemblies for public
Approved Barangay Development Plan consultation composition compliant
☐ SB Resolution adopting to Section 107 of RA
the approved BDP7160 covering
4.3.4 Accomplishments Reports: ☐ CY 2023 Accomplishment Report with received stamp by
4.4 IMPLEMENTATION OF THE 4.4.1 Presence of Kasambahay Desk with theEO
☐ C/MPDC
(signed by the PB) or similar issuance
KASAMBAHAY LAW designated
4.4.2 Kasambahay Desk
Maintenance/updating of aOfficer (KDO)
Kasambahay (resolution/ordinance
☐ Copy of the Updated signed by the PB,
Kasambahay Barangay
Report Secretary
for the 3rd
4.5. FUNCTIONALITY OF THE BARANGAY Masterlist
4.5.1 Structure: and SBMs)
Quarter
☐ designating
(July-September
EO (signed a KDO
by the PB) 2023) to manage
or similar issuance the Kasambahay
COUNCIL FOR THE PROTECTION OF Organized Barangay Council for Protection of Desk, signed by the PB,
(resolution/ordinance Barangay
signed by the Secretary and SBMs
PB, Barangay
4.5.2 Trainings: ☐ At least one (1) copy of proof of training such asSecretary
Certificate
CHILDREN (BCPC) Children (BCPC)
Attendance of thewith its composition
Members compliant
of the Barangay and
of SBMs) on and/or
Completion the establishment
Participationof BCPC, covering January
to the provisions of DILG MC No. 2021-039
Council for Protection of Children (BCPC) to a to October 2023
training/orientation related to their functions not
earlier than CY 2020
4.5. FUNCTIONALITY OF THE BARANGAY
COUNCIL FOR THE PROTECTION OF
CHILDREN (BCPC) 4.5.3 Plan: ☐ Copy of the generated report or screenshot of the updated
Presence of
4.5.4 Database:an approved BCPC Annual Work database on children covering January to October 31, 2023
and
4.5.5Financial
System: Plan
Establishment and maintenance of updated
Database
a) Presence
4.5.6 onofChildren
updateddisaggregated
Accomplishment Localized Flow
Reports: byChart
age, of ☐ Updated
ApprovedLocalized Flow Chart
Accomplishment of Referral
Report on BCPC System
AWFP for CY
sex, ethnicity,
Referral System withnotor without
earlier disabilities,
than CY 2020; OSCY, 2023 with received stamp by the City/Municipality Inter-
4.6 MECHANISM FOR GENDER AND 4.6.1 Organized Barangay GAD Focal Point ☐ EO (signed by the PB) or similar issuance
etc. Agency Monitoring Task Force (IMTF)
DEVELOPMENT
4.7. MAINTENANCE (GAD)
OF UPDATED RECORD System
4.7.1 Presence of updated RBI for the first (1st) (resolution/ordinance
☐ RBI Monitoring Form signed
C; andby the PB, Barangay Secretary
OF BARANGAY INHABITANTS (RBIs) semester of CY 2023
4.8.1 Structure: and SBMs)
☐ List organizing
of barangays
EO (signed by thewith the
PB)RBI Barangay
covering
or similar GADthe Focal
issuance Point System
1st Semester of
covering
CY 2023 January
(generatedto October
from the2023
BIS-BPS) certified by the
4.8. FUNCTIONALITY OF THE BARANGAY Organized
4.8.2 Plan: BNC (resolution/ordinance
☐ Approved CY 2023signed BNAP by the PB,
signed Barangay
by the BNC Secretary
NUTRITION COMMITTEE (BNC) Presence of approved CY 2023 BNAP C/MLGOO
and SBMs) organizing the Barangay Nutrition Committee
4.8.3 Decrease in Prevalence Rate in the ☐ Operation Timbang (OPT) Plus Form 1A (Barangay Tally
barangay, for the following categories: (BNC) covering
andAccomplishment January
Summary SheetReport to October
of Preschoolers 2023
with Weight & Height
4.8.4 Accomplishment Report: ☐ on CY 2023 BNAP;
4.8.4 Established
4.9. HALINA’T MAGTANIM NG PRUTAS AT 4.9.1 a) At least 50% accomplishment
a Barangay Community of the Measurement
Certification
☐ Photo by Age Group,
on the submitted
documentation Sex and Nutritional
BCG Status) of
BNAP Accomplishment
of the established
physical targetsan in Ordinance
the CY 2023 CYs 2022 and 2023; and
GULAY (HAPAG) SA BARANGAY Garden
4.9.2. (BCG)
Enacted forBNAP
the Report for CYsigned
☐ Ordinance 2023 signed by the
by the PB, C/MLGOO
Barangay Secretary and
PROJECT Establishment
4.9.3 Designated of aSBMBarangay Community
to Manage Garden ☐
the Barangay SBMs) on the establishment
EO (signed of a BCG
by the PB) or similar issuance
Community
4.9.4. Garden
Conducted at least One (1) Advocacy (resolution/ordinance
☐ Proof of conduct of signed
at leastby the(1)
one PB, Barangay Secretary
Advocacy
(For Profiling Purposes Only) and SBMs) on the designated SMB to manage thePAR/AR,
BCG
Campaign/ Awareness on community
4.9.5. Established Group of Volunteers on the household Campaign/Awareness
☐ EO (signed by the PB) or similar issuancePost,
(Photo/Social Media
gardening
Implementation
Essential Governance of the 2:
Area Community Garden
Business-Friendliness etc.)Competitivenesssigned by the PB, Barangay Secretary
(resolution/ordinance
and
5.1 POWER TO LEVY OTHER TAXES, FEES 5.1.1 Enacted Barangay Tax Ordinance pursuant and SBMs) Barangay
☐ Enacted on the established group volunteers
Tax Ordinance signed by the PB,
OR
5.2. CHARGES
COMPLIANCE TO SECTION 11 OF RA to Sec.Enacted
5.2.1 129 of the LGC Ordinance relative to
Barangay Barangay
☐ EnactedSecretary
Barangayand SBMs (signed by the PB, Barangay
Ordinance
11032 OR THE EASE OF DOING BUSINESS ​Barangay Clearance
5.2.2 Approved fees on
resolution businessthe
authorizing permit Secretary
☐ Approved andresolution
SBMs) relative to Barangay
authorizing Clearance Fees on
the City/Municipal
5.3 ISSUANCE OF BARANGAY and
5.3.1locational
Presenceclearance
City/Municipal Treasurer for
of a Citizens’ building
to collect
Charter permit
feesonfor
the business
Treasurer permit andfees
to collect
☐ Photo documentation locational
forthe
of clearance
Barangay
Citizens’ for building
Clearance
Charter permit
forthe
on Business
CLEARANCE NOT COVERED BY DILG MC issuance pursuant
Barangay to DILG MC
Clearance
ofGovernance No.
for 2019-177
Business
barangay certification permit and permit
posted in the Managementand locational clearance purposes signed by
issuance of barangay certification only (name of the barangayPB,
Essential Area 3: Environmental
NO. 2019-177 SUCH AS: RESIDENCY, locational hall
barangay clearance purposes pursuant to DILG should Barangaybe Secretary
visible) and SBMs
6.1.FUNCTIONALITY OF THE BARANGAY 6.1.1 Organized BESWMC with composition ☐ EO (signed by the PB) or similar issuance
INDIGENCY,
ECOLOGICAL ETC, WITHIN
SOLID SEVEN (7)
WASTE compliant to DILG MCWaste
No. 2018-112 (resolution/ordinance signed by the PB,Program/Plan
Barangay Secretary
6.1.2 Approved Solid Management ☐ Approved Solid Waste Management
MANAGEMENT COMMITTEE (BESWMC) Program/Plan
6.1.3 Attendancewithofcorresponding
BESWMC to necessary and
fund allocation ☐ SBMs)
covering
At leastCY on the
2023
one organization of
with corresponding
(1) copy the BESWMC
fund such
of proof of training allocation
as Certificate
training
6.1.4 related to promoting
Accomplishment environmental
Reports: of Completion
☐ and/or Accomplishment
Three (3) Monthly Participation Reports covering July-
6.2 EXISTENCE OF A SOLID WASTE protection,
6.1.4 Presence
6.2.1 preservation
a) At leastof50% and
a Materials awareness
accomplishment not
RecoveryofFacility
the September
For 2023 by the barangay:
MRF operated
MANAGEMENT FACILITY PURSUANT TO 6.3.1 earlier
physical
(MRF)/ than CY
targets
Materials 2020
in the BESWMP
Recovery System (MRS) Photo documentation
6.3 PROVISION OF SUPPORT Enacted Barangay Ordinance or similar ☐ EO (signed by the PB)oforthe MRF/MRF
similar Records of the
issuance
R.A. 9003
MECHANISMS FOR SEGREGATED issuance on segregation of wastes at-source barangay
(resolution/ordinance signed by the PB, Barangay Secretary
COLLECTION
This is to respectfully submit the attached Means of Verifications (MOVs) for the purpose ofand
2022 theSBMs)
Seal ofonGood
segregation of wastes at-source
Local Governance for Barangay
(SGLGB) assessment.
SUBMITTED BY:
PRINTED NAME AND SIGNATURE OF THE PUNONG BARANGAY
Name of Punong Barangay

RECEIVED BY:

JERMILUZ R. DE CASTRO-GADON
Name and Signature of SGLGB Assesor (MLGOO)

DATE RECEIVED:
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. Total Number
E. Percentage 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.
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 ESSENTIAL
City/Municipality Barangays CORE Social Friendliness least
Administration Disaster Safety, Peace Environmental GOVERNANC
GOVERNANCE Protection and and 1 Essential Governance
and Preparedness and Order Management E
SUB-RESULT Sensitivity Competitivenes Area)
Number Percentage Sustainability SUB-RESULT 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
City/Municipalit Administration Safety, Peace GOVERNANC Social Protection Environmental
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

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.)
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

You might also like