SGLGB Form

No. 1
2023 Seal of Good Local Governance for Barangay (SGLGB)
Documentary Checklist

BARANGAY: CAESTEBANAN
CITY/MUNICIPAL: BANNA
PROVINCE: ILOCOS NORTE
REGION: I

PART A - DOCUMENTARY CHECKLIST

INDICATORS MINIMUM REQUIREMENT MOVs
Core Governance Area 1: Financial Administration and Sustainability
1.1 COMPLIANCE WITH THE 1.1.1 Posted the following CY 2022 ☐ BFDP Monitoring Form A of the DILG Advisory dated March 25, 2022
BARANGAY FULL financial documents in the BFDP board, ☐ Photo Documentation of the BFDP board displaying the nine documents:
DISCLOSURE POLICY pursuant to DILG MC No. 2014-81 and
(BFDP) BOARD DILG MC No. 2022-027: Annual Report
☐ Barangay Financial Report
Annual Report ☐ Barangay Budget
a) Barangay Financial Report ☐ Summary of Income and Expenditures
b) Barangay Budget ☐ 20% Component of the IRA Utilization
c) Summary of Income and Expenditures ☐ Annual Procurement Plan or Procurement List
d) 20% Component of the IRA Utilization
e) Annual Procurement Plan or Quarterly Report
Procurement List ☐ List of Notices of Award (4th Quarter of CY 2022)

Quarterly Report
f) List of Notices of Award (4th Quarter of Monthly Report
CY 2022) ☐ Itemized Monthly Collections and Disbursements (October-December 2022)

Monthly Report
g) Itemized Monthly Collections and
Disbursements (October-December 2022)

1.1.2 Accomplished prescribed BFR form ☐ Barangay Financial Report on Statement of Receipt and Expenditure (Annex 7)
with the "stamp receipt" of the Office of the
C/M Accountant.
1.2 INNOVATIONS ON 1.2.1 Increase in local resources in 2022 ☐ Barangay Budget Preparation Form 2 of 2021 and 2022
REVENUE GENERATION OR
EXERCISE OF CORPORATE
POWERS
1.3 APPROVAL OF THE 1.3.1 Presence of a Barangay ☐ Approved Barangay Appropriation Ordinance
BARANGAY BUDGET ON Appropriation Ordinance approved on or
THE SPECIFIED TIMEFRAME before December 31, 2021.

Consideration: Approval until March 31,

2022.

1.4 ALLOCATION FOR 1.4.1 With allocated funds for the ☐ Approved Barangay Appropriation Ordinance
STATUTORY PROGRAMS following statutory programs and projects:
AND PROJECTS AS
MANDATED BY LAWS a) Senior Citizens (per R.A. 9994 and DBM
AND/OR OTHER ISSUANCES Local Budget Memorandum No. 82);

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

and DBM Local Budget Memorandum No.
82);

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

development programs (DILG-DBM JMC
No. 2017-01);

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

Barangay Council for the Protection of
Children (BCPC) per RA 9344; and,

e) At least 5% from total budget allocated

for GAD plans and programs per RA 9710.

1.5 POSTING OF THE 1.5.1 Barangay Citizens’ Charter posted at ☐ Photo documentation of the Barangay CitCha (name of the barangay should be visible)
BARANGAY CITIZEN’S a conspicuous place (barangay hall,
CHARTER (CitCha) market, transport terminal or multi-purpose
hall)
1.6 RELEASE OF THE 1.6.1 Compliance with Section 20 of the SK ☐ a) Copy of the written agreement; and
SANGGUNIANG KABATAAN Reform Act of 2015 and Item 3.2 of DBM- ☐ b) Proof of deposit reflecting the Account No./ Name of Barangay SK (1 deposit slip for
(SK) FUNDS OF THE DILG-NYC JMC No. 1, s. 2019 dated annual, 2 deposit slips for semestral, 4 deposit slips for quarterly
BARANGAY January 23, 2019:
1.6.1.1 If the barangay has Barangay-SK
Agreement for the annual or semestral or
quarterly release/deposit:

1. 6.1.2 If the barangay does not have ☐ a) 12 monthly deposit slips reflecting the Account No./ Name of Barangay SK
Barangay-SK Agreement but with current
account:
1.6.1.3 If the barangay does not have SK ☐ a) Proof of transfer of the 10% SK fund to the trust fund of the barangay such as deposit
Officials or with SK Officials but no quorum slip or Official Receipt or corresponding legal form/document issued by the city/municipal
and/or No SK Bank Account: treasurer if the barangay opted that the corresponding SK fund be kept as trust fund in the
custody of the C/M treasurer
1.6.2 Presence of Annual Barangay Youth ☐ Certification from the C/MLGOO on current number of SK officials
Investment Program (ABYIP) for 2022
If with 5 and above SK officials:
(Applicable only for Barangays with 5 and ☐ Approved Annual Barangay Youth Investment Program (ABYIP) for 2022
above SK members)

1.7 CONDUCT OF 1.7.1 Conducted the 2nd semester ☐ Post Activity Report on the conduct of the 2nd semester barangay assembly duly
BARANGAY ASSEMBLY Barangay Assembly for CY 2022 (any signed/approved by the Punong Barangay (Annex D of DILG MC No. 2022-131)
FOR CY 2022 (2ND modality, i.e., online, face-to-face, hybrid)
SEMESTER)
Core Governance Area 2: Disaster Preparedness
2.1 FUNCTIONALITY OF THE 2.1.1 Established BDRRMC with its ☐ Executive Order or similar issuance creating the BDRRMC compliant to composition
BARANGAY DISASTER RISK composition compliant to the Provisions of requirements covering CY 2022
REDUCTION AND NDRRMC, DILG, DBM, and CSC JMC No.
MANAGEMENT COMMITTEE 2014-01
(BDRRMC)
2.1 FUNCTIONALITY OF THE
BARANGAY DISASTER RISK
REDUCTION AND
MANAGEMENT COMMITTEE
(BDRRMC)
2.1.2 Approved Barangay Disaster Risk ☐ Approved BDRRM Plan CY 2022
Reduction and Management (BDRRM)
Plan CY 2022

2.1.3. Allocation of 5% of the Estimated ☐ Enacted Appropriation Ordinance

Revenue from Regular Sources as BDRRM
Fund
2.1.4 a) At least 50% accomplishment of ☐ Accomplishment Report
the physical targets in the BDRRM Plan

OR

2.1.4 b) At least 50% fund utilization of the ☐ Annual Report on the utilization of the LDRRMF
70% component of CY 2022 LDRRMF -
Preparedness component as of December
31, 2022.

2.2 EXTENT OF RISK 2.2.1 Conducted an activity in relation to ☐ Post-Activity Report of activities such as Climate and Disaster Risk Assessment,
ASSESSMENT AND EARLY Risk Assessment in the barangay not Participatory Disaster Risk Assessment, BDRRM Planning, etc.
WARNING SYSTEM (EWS) earlier than 2019
2.2.2 A certified Barangay Risk/Hazard ☐ Photo documentation of the certified Barangay Risk/Hazard Map
Map
2.2.3 An established Early Warning System ☐ Photo documentation of EWS for the top two (2) hazards in the barangay
for the top two (2) hazards present in the
barangay
2.3 EXTENT OF 2.3.1. A barangay must have a permanent ☐ Photo documentation of the permanent/alternate evacuation center
PREPAREDNESS FOR or alternate evacuation center
EFFECTIVE RESPONSE AND
RECOVERY
2.3 EXTENT OF
PREPAREDNESS FOR
EFFECTIVE RESPONSE AND 2.3.2 A barangay must have the following ☐ Photo Documentation of disaster supplies equipment
RECOVERY disaster supplies/equipment:
a) Communication equipment (i.e., 2 way ☐ Communication equipment (i.e., 2 way radio,mobile phone)
radio,mobile phone) ☐ Rescue vehicle/Barangay patrol
b) Rescue vehicle/Barangay patrol ☐ Generatorset/alternative sources of energy
c) Generatorset/alternative sources of ☐ First aid kit
energy ☐ Flashlight with batteries
d) First aid kit ☐ Personal Protective Equipment (PPE)
e) Flashlight with batteries
f)Personal Protective Equipment (PPE)

Core Governance Area 3: Safety, Peace and Order

3.1 FUNCTIONALITY OF THE 3.1.1​​Organized BADAC with its ☐ Executive Order or similar issuance creating the BADAC with its composition and
BARANGAY ANTI-DRUG composition and appropriate committees appropriate committees (Committees on Operations and on Advocacy)
ABUSE COUNCIL (BADAC) (Committees on Operations and on
Advocacy) compliant to DILG-DDB JMC
No. 2018-01
3.1.2 Established Rehabilitation Referral ☐ EO or similar issuance establishing the Rehabilitation Referral Desk
Desk with Designated Duty Officer
3.1.3 Allocation of substantial amount for ☐ Approved Barangay Appropriation Ordinance
anti-illegal drugs initiative
3.1.4 Approved BADAC Plan of Action ☐ Approved BADAC Plan of Action
covering 2022 as year under review
3.1.5 Submission of Consolidated ☐ Transmittal of CIR (stamp received) to CADAC/MADAC and Local PNP Unit
Information Report (CIR) to
CADAC/MADAC and Local PNP Unit
 3.1.6 a) At least 50% accomplishment of ☐ Annual BADAC Accomplishment and Fund Utilization Report submitted not later than the
the physical targets in the BADAC Plan of 20th day of January (stamp received) to the CADAC/MADAC
Action

OR

3.1.6. b) At least 50% fund utilization rate of

the PAPs in the of the CY 2022 BADAC
Budget

3.2 FUNCTIONALITY OF THE 3.2.1. Organized BPOC through an ☐ Executive Order or similar issuance indicating correct membership in accordance to the
BARANGAY PEACE AND Executive Order or Sangguniang Barangay EO 366 s. of 1996
ORDER COMMITTEE (BPOC) Resolution, with its composition compliant
to the provisions of EO 366 s. of 1996

3.2.2 Approved Barangay Peace and Order ☐ Approved BPOPS Plan

and Public Safety (BPOPS) Plan in
accordance to DILG MC 2017-142 covering
2022 as year under review
3.2.3 a) At least 50% accomplishment of ☐ Accomplishment Report (in any format) submitted to the C/M POC on the prescribed
the physical targets in the BPOPS Plan schedules (stamp received)

OR

3.2.3. b) At least 50% fund utilization rate of

of the CY 2022 BPOPs Budget

3.3 FUNCTIONALITY OF THE 3.3.1. Organized Lupong Tagapamayapa ☐ Appointment of the Lupong Tagapamayapa
LUPONG TAGAPAMAYAPA
(LT)
3.3 FUNCTIONALITY OF THE
LUPONG TAGAPAMAYAPA
(LT)

3.3.2. Systematic maintenance of records

(record of cases)
For barangays of cities: Computer ☐ For barangays of cities: 2 photos with caption of the computer database with searchable
database with searchable information information

For barangays of municipalities: Manual ☐ For barangays of municipalities: 1 photo, with caption on the manual and digital file
Records (Case Record Book) OR Digital
Record Filing (scanned copy of KP files)

3.3.3. Conducted monthly meetings for the ☐ Copies of minutes of meetings with attendance sheets (at least 3 minutes covering
administration of the Katarungang meetings conducted in 2022)
Pambarangay

3.3.4. Attendance of LT to KP training or ☐ Certified true copy of any proof of training such as Certificate of Completion and/or
seminar not earlier than 2019 Participation (at least 1)

3.4 ORGANIZATION AND 3.4.1 Organized Barangay Tanod ☐ EO or similar issuance on the organization of the Barangay Tanod covering 2022
STRENGTHENING
CAPACITIES OF BARANGAY 3.4.2 Attendance of barangay tanod to ☐ Certified true copy of any proof of training such as Certificate of Completion and/or
TANOD necessary training not earlier than 2019 Participation (at least 1)

3.5 BARANGAY INITIATIVES 3.5.1 Organized Barangay Health and ☐ EO or similar issuance on the organization of BHERTs
DURING HEALTH Emergency Response Team (BHERT) with
EMERGENCIES its composition compliant to the provisions
of DILG MC No. 2020-023
3.5.2 Poster or tarpaulin containing the ☐ Photo documentation of poster and/or tarpaulin
active telephone and/or cellphone Numbers
of the 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 ☐ Monthly BarCo Reports for October-December 2022
BARANGAY ROAD basis in 2022
CLEARING OPERATIONS
(BaRco)
Essential Governace Area 1: Social Protection and Sensitivity
4.1 FUNCTIONALITY OF 4.1.1. Established Barangay VAW Desk ☐ Executive Order or similar issuance on the establishment of Barangay VAW Desk and
BARANGAY VIOLENCE and designated Barangay VAW Desk designated VAW Desk Officer
AGAINST WOMEN (VAW) Officer
DESK 4.1.2 Attendance of the Barangay VAW ☐ Certified true copy of any proof of training such as Certificate of Completion and/or
Desk Officer to at least one (1) Participation (at least 1)
training/orientation related to gender-
sensitive handling of VAW Cases not
earlier than 2019
4.1.3 Approved 2022 Barangay Gender and ☐ Approved 2022 Barangay Gender and Development (GAD) Plan and Budget
Development (GAD) Plan and Budget
4.1.4 Submission of Monthly ☐ Monthly Accomplishment Reports for CY 2022 (October-December 2022)
Accomplishment Reports on the incidence
of VAW and violence against children
(VAC) to C/MSWDO and C/MLGOO within
10 working days of the ensuing month
(stamp received), pursuant to the Advisory
dated March 3, 2021

4.1.5 Updated database on VAW cases ☐ Updated database of VAW cases reported to the barangay
reported to the barangay, with the following
information at the minimum:

a) total number of VAW cases received

☐number of cases documented for
violating RA 9262
☐number of cases documented for
violating other VAW-related laws

b)assistance provided to victim-survivors

 4.1.6 a) At least 50% accomplishment of ☐ CY 2022 GAD Accomplishment Report
the physical targets in the GAD Plan

OR

4.1.6 b) At least 50% fund utilization rate of

the CY 2022 GAD Budget

4.2 ACCESS TO HEALTH 4.2.1. Presence of a Barangay Health ☐ Photo documentation of the BHS/C
AND SOCIAL WELFARE Station/Center
SERVICES IN THE 4.2.2. Appointment of a Barangay Health ☐ EO or similar issuance on the Appointment of BHW
BARANGAY Worker (BHW)
4.2.3. Appointment of a Barangay Nutrition ☐ EO or similar issuance on the appointment of BNS
Scholar (BNS)
4.2.4. Availability of the following health ☐ Photo documentations of the operations of the BHS/C
services in the BHS/C:
Barangay Issuances on the provision of the four (4) listed health services:
a) immunization
b) maternal and child healthcare ☐ immunization
c) family planning ☐ maternal and child healthcare
d) health education ☐ family planning
☐ health education

4.3 FUNCTIONALITY OF THE 4.3.1. Organized BDC with its composition ☐ EO or similar issuances organizing/reconstituting the BDC with its composition compliant
BARANGAY DEVELOPMENT compliant to Section 107 of RA 7160 to Section 107 of RA 7160
COUNCIL (BDC)
4.3.2. Conduct of public hearings/ barangay ☐ Minutes (at least 2) of the public hearings/barangay assemblies with attendance sheet
assemblies for public consultation

4.3.3 Approved Barangay Development ☐ Barangay Development Plan with BDC and SB Resolutions adopting such
Plan
 4.3.4 a) At least 50% accomplishment of ☐ CY 2022 Accomplishment Report of the BDP
the physical targets in the BDP

OR

4.3.4 b) At least 50% fund utilization rate of

the CY 2022 BDP Budget
4.4 IMPLEMENTATION OF 4.4.1 Kasambahay Desk with designated ☐ EO or similar issuance designating a Kasambahay Desk and a KDO
THE KASAMBAHAY LAW Kasambahay Desk Officer (KDO)
4.4.2 Maintenance/updating of a ☐ Updated Kasambahay Report Form 2 (Kasambahay Masterlist) as of December 2022
Kasambahay Masterlist
4.5. FUNCTIONALITY OF THE 4.5.1 Organization of the Barangay Council ☐ Executive Order or similar issuance on the establishment of Barangay Council for
BARANGAY COUNCIL FOR for Protection of Children (BCPC) with its Protection of Children (BCPC)
THE PROTECTION OF composition compliant to the provisions of
CHILDREN (BCPC) DILG MC No. 2021-039
4.5.2 Attendance of the Members of the ☐ Certified true copy of any proof of training such as Certificate of Completion and/or
Barangay Council for Protection of Children Participation (at least 1)
(BCPC) to at least one (1)
training/orientation related to their functions
not earlier than 2019
4.5.3 Approved BCPC Annual Work and ☐ Approved BCPC Annual Work and Financial Plan (AWFP)
Financial Plan
4.5.4 Database on Children disaggregated ☐ Updated database on children
by age, sex, ethnicity, with or with
disabilities, OSCY, etc. updated as of
December 31, 2023
4.5.5 Updated Localized Flow Chart of ☐ Updated Localized Flow Chart of Referral System
Referral System not earlier than 2019
 4.5.6 a) At least 50% completion rate on ☐ CY 2022 Approved Accomplishment Report on BCPC Plan
PPAs in the BCPC Plan

OR

4.5.6 b) At least 50% utilization rate of CY

2022 BCPC AWFP Budget

4.6 MECHANISM FOR 4.6.1 Organized Barangay GAD Focal Point ☐ EO or similar issuance organizing the Barangay GAD Focal Point System
GENDER AND System
DEVELOPMENT (GAD)
4.7. MAINTENANCE OF 4.7.1 Updated RBI for two semesters of CY ☐ Accomplished RBI Form A of two semesters of CY 2022
UPDATED RECORD OF 2022
BARANGAY INHABITANTS
(RBIs)
Essential Governance Area 2: Business-Friendliness and Competitiveness
5.1 POWER TO LEVY OTHER 5.1.1 Enacted Barangay Tax Ordinance ☐ Enacted Barangay Tax Ordinance
TAXES, FEES OR CHARGES pursuant to Sec. 129 of the LGC

5.2. COMPLIANCE TO 5.2.1 Enacted Barangay Ordinance relative ☐ Enacted Barangay Ordinance relative to Barangay Clearance Fees on business permit
SECTION 11 OF RA 11032 to Barangay Clearance fees on business and locational clearance for building permit.
OR THE EASE OF DOING permit and locational clearance for building
BUSINESS ​ permit pursuant to DILG MC No. 2019-177

5.2.2 Approved resolution authorizing the ☐ Approved resolution authorizing the City/Municipal Treasurer to collect fees for Barangay
City/Municipal Treasurer to collect fees for Clearance for Business permit and locational clearance purpose
Barangay Clearance for Business permit
and locational clearance purposes pursuant
to DILG MC No. 2019-177
5.3 ISSUANCE OF 5.3.1 Presence of a Citizens’ Charter on the ☐ Photo documentation of the Citizens’ Charter on the issuance of barangay clearance only
BARANGAY CLEARANCE issuance of barangay clearance posted in (name of the barangay should be visible)
NOT COVERED BY DILG MC the barangay hall
NO. 2019-177 SUCH AS:
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 ☐ EO or similar issuance on the organization of the BESWMC
BARANGAY ECOLOGICAL composition compliant to DILG MC No.
SOLID WASTE 2018-112
MANAGEMENT COMMITTEE 6.1.2 Approved Solid Waste Management ☐ Approved Solid Waste Management Program/Plan with corresponding fund allocation
(BESWMC) Program/Plan with corresponding fund
allocation
6.1.3 Attendance of BESWMC to necessary ☐ Certified true copy of any proof of training such as Certificate of Completion and/or
training related activities to promoting Participation (at least 1)
environmental protection, preservation and
awareness not earlier than 2019

6.1.4 a) At least 50% completion rate on ☐ Monthly Accomplishment Reports for 2022
PPAs in the BESWMP
OR
6.1.4 b) At least 50% utilization rate of CY
2022 BESWM Budge
6.2 EXISTENCE OF A SOLID 6.2.1 Presence of a Materials Recovery ☐ For MRF operated by the barangay: Photo documentation of the MRF/MRF Records of
WASTE MANAGEMENT Facility (MRF)/ Materials Recovery System the barangay
FACILITY PURSUANT TO (MRS)
R.A. 9003 For MRS:
-Established MRF operated by the ☐MOA with junkshop
barangay ☐Mechanism to process biodegradable wastes
-MRS ☐MOA with service provider for collection/treatment of special, hazardous, and infectious
-Clustered MRF waste

For Clustered MRFs:

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

6.3 PROVISION OF 6.3.1 Enacted Barangay Ordinance or ☐ Ordinance or similar issuance on segregation of wastes at-source
SUPPORT MECHANISMS similar issuance on segregation of wastes
FOR SEGREGATED at-source covering 2022
COLLECTION

This is to respectfully submit the attached Means of Verifications (MOVs) for the purpose of the Seal of Good Local Governance for Barangay (SGLGB) asses

SUBMITTED BY: RECEIVED BY:

__________________ __________________
EMMANUEL B. AGPALASIN TEOFILO MABUTI
PRINTED NAME AND SIGNATURE OF THE PUNONG BARANGAY CITY/MUNICIPAL PERFORMANCE ASSESSMENT TEAM SECRETARIAT
NAME OF BARANGAY: Barangay #13 Caestebanan, Banna Ilocos Norte DATE RECEIVED:
 SGLGB Form No.
1
2023 Seal of Good Local Governance for Barangay (SGLGB)
Documentary Checklist

BARANGAY: CAESTEBANAN
CITY/MUNICIPAL: BANNA
PROVINCE: ILOCOS NORTE
REGION: I

PART A - DOCUMENTARY CHECKLIST

INDICATORS MINIMUM REQUIREMENT MOVs
Core Governance Area 1: Financial Administration and Sustainability
1.1 COMPLIANCE WITH THE 1.1.1 Posted the following CY 2022 financial ☐ BFDP Monitoring Form A of the DILG Advisory dated March 25, 2022
BARANGAY FULL documents in the BFDP board, pursuant to DILG ☐ Photo Documentation of the BFDP board displaying the nine documents:
DISCLOSURE POLICY (BFDP) MC No. 2014-81 and DILG MC No. 2022-027:
BOARD Annual Report
Annual Report ☐ Barangay Financial Report
a) Barangay Financial Report ☐ Barangay Budget
b) Barangay Budget ☐ Summary of Income and Expenditures
c) Summary of Income and Expenditures ☐ 20% Component of the IRA Utilization
d) 20% Component of the IRA Utilization ☐ Annual Procurement Plan or Procurement List
e) Annual Procurement Plan or Procurement
List Quarterly Report
☐ List of Notices of Award (4th Quarter of CY 2022)
Quarterly Report
f) List of Notices of Award (4th Quarter of CY
2022) Monthly Report
☐ Itemized Monthly Collections and Disbursements (October-December 2022)

Monthly Report
g) Itemized Monthly Collections and
Disbursements (October-December 2022)

1.1.2 Accomplished prescribed BFR form with the ☐ Barangay Financial Report on Statement of Receipt and Expenditure (Annex 7)
"stamp receipt" of the Office of the C/M
Accountant.
1.2 INNOVATIONS ON 1.2.1 Increase in local resources in 2022 ☐ Barangay Budget Preparation Form 2 of 2021 and 2022
REVENUE GENERATION OR
EXERCISE OF CORPORATE
POWERS
1.3 APPROVAL OF THE 1.3.1 Presence of a Barangay Appropriation ☐ Approved Barangay Appropriation Ordinance
BARANGAY BUDGET ON THE Ordinance approved on or before December 31,
SPECIFIED TIMEFRAME 2021.

Consideration: Approval until March 31, 2022.

1.4 ALLOCATION FOR 1.4.1 With allocated funds for the following ☐ Approved Barangay Appropriation Ordinance
STATUTORY PROGRAMS AND statutory programs and projects:
PROJECTS AS MANDATED BY
LAWS AND/OR OTHER a) Senior Citizens (per R.A. 9994 and DBM Local
ISSUANCES Budget Memorandum No. 82);

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

DBM Local Budget Memorandum No. 82);

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

development programs (DILG-DBM JMC No.
2017-01);

d) At least 1% of the IRA/NTA for the Barangay

Council for the Protection of Children (BCPC) per
RA 9344; and,

e) At least 5% from total budget allocated for GAD

plans and programs per RA 9710.

1.5 POSTING OF THE 1.5.1 Barangay Citizens’ Charter posted at a ☐ Photo documentation of the Barangay CitCha (name of the barangay should be
BARANGAY CITIZEN’S conspicuous place (barangay hall, market, visible)
CHARTER (CitCha) transport terminal or multi-purpose hall)

1.6 RELEASE OF THE 1.6.1 Compliance with Section 20 of the SK ☐ a) Copy of the written agreement; and
SANGGUNIANG KABATAAN Reform Act of 2015 and Item 3.2 of DBM-DILG- ☐ b) Proof of deposit reflecting the Account No./ Name of Barangay SK (1 deposit
(SK) FUNDS OF THE NYC JMC No. 1, s. 2019 dated January 23, 2019: slip for annual, 2 deposit slips for semestral, 4 deposit slips for quarterly
BARANGAY
1.6 RELEASE OF THE ☐ a) Copy of the written agreement; and
SANGGUNIANG KABATAAN ☐ b) Proof of deposit reflecting the Account No./ Name of Barangay SK (1 deposit
(SK) FUNDS OF THE slip for annual, 2 deposit slips for semestral, 4 deposit slips for quarterly
BARANGAY
1.6.1.1 If the barangay has Barangay-SK
Agreement for the annual or semestral or
quarterly release/deposit:

1. 6.1.2 If the barangay does not have Barangay- ☐ a) 12 monthly deposit slips reflecting the Account No./ Name of Barangay SK
SK Agreement but with current account:

1.6.1.3 If the barangay does not have SK Officials ☐ a) Proof of transfer of the 10% SK fund to the trust fund of the barangay such as
or with SK Officials but no quorum and/or No SK deposit slip or Official Receipt or corresponding legal form/document issued by the
Bank Account: city/municipal treasurer if the barangay opted that the corresponding SK fund be
kept as trust fund in the custody of the C/M treasurer
1.6.2 Presence of Annual Barangay Youth ☐ Certification from the C/MLGOO on current number of SK officials
Investment Program (ABYIP) for 2022
If with 5 and above SK officials:
(Applicable only for Barangays with 5 and above ☐ Approved Annual Barangay Youth Investment Program (ABYIP) for 2022
SK members)

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

Core Governance Area 2: Disaster Preparedness

2.1 FUNCTIONALITY OF THE 2.1.1 Established BDRRMC with its composition ☐ Executive Order or similar issuance creating the BDRRMC compliant to
BARANGAY DISASTER RISK compliant to the Provisions of NDRRMC, DILG, composition requirements covering CY 2022
REDUCTION AND DBM, and CSC JMC No. 2014-01
MANAGEMENT COMMITTEE
(BDRRMC)
2.1.2 Approved Barangay Disaster Risk Reduction ☐ Approved BDRRM Plan CY 2022
and Management (BDRRM) Plan CY 2022

2.1.3. Allocation of 5% of the Estimated Revenue ☐ Enacted Appropriation Ordinance

from Regular Sources as BDRRM Fund
 2.1.4 a) At least 50% accomplishment of the ☐ Accomplishment Report
physical targets in the BDRRM Plan

OR

2.1.4 b) At least 50% fund utilization of the 70% ☐ Annual Report on the utilization of the LDRRMF
component of CY 2022 LDRRMF - Preparedness
component as of December 31, 2022.

2.2 EXTENT OF RISK 2.2.1 Conducted an activity in relation to Risk ☐ Post-Activity Report of activities such as Climate and Disaster Risk
ASSESSMENT AND EARLY Assessment in the barangay not earlier than 2019 Assessment, Participatory Disaster Risk Assessment, BDRRM Planning, etc.
WARNING SYSTEM (EWS)
2.2.2 A certified Barangay Risk/Hazard Map ☐ Photo documentation of the certified Barangay Risk/Hazard Map

2.2.3 An established Early Warning System for ☐ Photo documentation of EWS for the top two (2) hazards in the barangay
the top two (2) hazards present in the barangay

2.3 EXTENT OF 2.3.1. A barangay must have a permanent or ☐ Photo documentation of the permanent/alternate evacuation center
PREPAREDNESS FOR alternate evacuation center
EFFECTIVE RESPONSE AND 2.3.2 A barangay must have the following ☐ Photo Documentation of disaster supplies equipment
RECOVERY disaster supplies/equipment:
a) Communication equipment (i.e., 2 way ☐ Communication equipment (i.e., 2 way radio,mobile phone)
radio,mobile phone) ☐ Rescue vehicle/Barangay patrol
b) Rescue vehicle/Barangay patrol ☐ Generatorset/alternative sources of energy
c) Generatorset/alternative sources of energy ☐ First aid kit
d) First aid kit ☐ Flashlight with batteries
e) Flashlight with batteries ☐ Personal Protective Equipment (PPE)
f)Personal Protective Equipment (PPE)

Core Governance Area 3: Safety, Peace and Order

3.1 FUNCTIONALITY OF THE 3.1.1​​Organized BADAC with its composition and ☐ Executive Order or similar issuance creating the BADAC with its composition
BARANGAY ANTI-DRUG appropriate committees (Committees on and appropriate committees (Committees on Operations and on Advocacy)
ABUSE COUNCIL (BADAC) Operations and on Advocacy) compliant to DILG-
DDB JMC No. 2018-01

3.1.2 Established Rehabilitation Referral Desk ☐ EO or similar issuance establishing the Rehabilitation Referral Desk
with Designated Duty Officer
3.1.3 Allocation of substantial amount for anti- ☐ Approved Barangay Appropriation Ordinance
illegal drugs initiative
3.1.4 Approved BADAC Plan of Action covering ☐ Approved BADAC Plan of Action
2022 as year under review
3.1.5 Submission of Consolidated Information ☐ Transmittal of CIR (stamp received) to CADAC/MADAC and Local PNP Unit
Report (CIR) to CADAC/MADAC and Local PNP
Unit
3.1.6 a) At least 50% accomplishment of the ☐ Annual BADAC Accomplishment and Fund Utilization Report submitted not later
physical targets in the BADAC Plan of Action than the 20th day of January (stamp received) to the CADAC/MADAC

OR

3.1.6. b) At least 50% fund utilization rate of the

PAPs in the of the CY 2022 BADAC Budget

3.2 FUNCTIONALITY OF THE 3.2.1. Organized BPOC through an Executive ☐ Executive Order or similar issuance indicating correct membership in
BARANGAY PEACE AND Order or Sangguniang Barangay Resolution, with accordance to the EO 366 s. of 1996
ORDER COMMITTEE (BPOC) its composition compliant to the provisions of EO
366 s. of 1996

3.2.2 Approved Barangay Peace and Order and ☐ Approved BPOPS Plan
Public Safety (BPOPS) Plan in accordance to
DILG MC 2017-142 covering 2022 as year under
review
 3.2.3 a) At least 50% accomplishment of the ☐ Accomplishment Report (in any format) submitted to the C/M POC on the
physical targets in the BPOPS Plan prescribed schedules (stamp received)

OR

3.2.3. b) At least 50% fund utilization rate of of the

CY 2022 BPOPs Budget

3.3 FUNCTIONALITY OF THE 3.3.1. Organized Lupong Tagapamayapa ☐ Appointment of the Lupong Tagapamayapa
LUPONG TAGAPAMAYAPA
(LT)
3.3.2. Systematic maintenance of records (record
of cases)
For barangays of cities: Computer database with ☐ For barangays of cities: 2 photos with caption of the computer database with
searchable information searchable information

For barangays of municipalities: Manual Records ☐ For barangays of municipalities: 1 photo, with caption on the manual and digital
(Case Record Book) OR Digital Record Filing file
(scanned copy of KP files)

3.3.3. Conducted monthly meetings for the ☐ Copies of minutes of meetings with attendance sheets (at least 3 minutes
administration of the Katarungang Pambarangay covering meetings conducted in 2022)

3.3.4. Attendance of LT to KP training or seminar ☐ Certified true copy of any proof of training such as Certificate of Completion
not earlier than 2019 and/or Participation (at least 1)

3.4 ORGANIZATION AND 3.4.1 Organized Barangay Tanod ☐ EO or similar issuance on the organization of the Barangay Tanod covering
STRENGTHENING 2022
CAPACITIES OF BARANGAY 3.4.2 Attendance of barangay tanod to necessary ☐ Certified true copy of any proof of training such as Certificate of Completion
TANOD training not earlier than 2019 and/or Participation (at least 1)

3.5 BARANGAY INITIATIVES 3.5.1 Organized Barangay Health and Emergency ☐ EO or similar issuance on the organization of BHERTs
DURING HEALTH Response Team (BHERT) with its composition
EMERGENCIES compliant to the provisions of DILG MC No. 2020-
023
3.5 BARANGAY INITIATIVES
DURING HEALTH
EMERGENCIES

3.5.2 Poster or tarpaulin containing the active ☐ Photo documentation of poster and/or tarpaulin
telephone and/or cellphone Numbers of the
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 ☐ Monthly BarCo Reports for October-December 2022
BARANGAY ROAD CLEARING 2022
OPERATIONS (BaRco)
Essential Governace Area 1: Social Protection and Sensitivity
4.1 FUNCTIONALITY OF 4.1.1. Established Barangay VAW Desk and ☐ Executive Order or similar issuance on the establishment of Barangay VAW
BARANGAY VIOLENCE designated Barangay VAW Desk Officer Desk and designated VAW Desk Officer
AGAINST WOMEN (VAW)
DESK 4.1.2 Attendance of the Barangay VAW Desk ☐ Certified true copy of any proof of training such as Certificate of Completion
Officer to at least one (1) training/orientation and/or Participation (at least 1)
related to gender-sensitive handling of VAW
Cases not earlier than 2019

4.1.3 Approved 2022 Barangay Gender and ☐ Approved 2022 Barangay Gender and Development (GAD) Plan and Budget
Development (GAD) Plan and Budget
4.1.4 Submission of Monthly Accomplishment ☐ Monthly Accomplishment Reports for CY 2022 (October-December 2022)
Reports on the incidence of VAW and violence
against children (VAC) to C/MSWDO and
C/MLGOO within 10 working days of the ensuing
month (stamp received), pursuant to the Advisory
dated March 3, 2021
 4.1.5 Updated database on VAW cases reported ☐ Updated database of VAW cases reported to the barangay
to the barangay, with the following information at
the minimum:

a) total number of VAW cases received

☐number of cases documented for violating
RA 9262
☐number of cases documented for violating
other VAW-related laws

b)assistance provided to victim-survivors

4.1.6 a) At least 50% accomplishment of the ☐ CY 2022 GAD Accomplishment Report

physical targets in the GAD Plan

OR

4.1.6 b) At least 50% fund utilization rate of the

CY 2022 GAD Budget

4.2 ACCESS TO HEALTH AND 4.2.1. Presence of a Barangay Health ☐ Photo documentation of the BHS/C
SOCIAL WELFARE SERVICES Station/Center
IN THE BARANGAY 4.2.2. Appointment of a Barangay Health Worker ☐ EO or similar issuance on the Appointment of BHW
(BHW)
4.2.3. Appointment of a Barangay Nutrition ☐ EO or similar issuance on the appointment of BNS
Scholar (BNS)
4.2.4. Availability of the following health services ☐ Photo documentations of the operations of the BHS/C
in the BHS/C:
Barangay Issuances on the provision of the four (4) listed health services:
a) immunization
b) maternal and child healthcare ☐ immunization
c) family planning ☐ maternal and child healthcare
d) health education ☐ family planning
☐ health education
4.3 FUNCTIONALITY OF THE 4.3.1. Organized BDC with its composition ☐ EO or similar issuances organizing/reconstituting the BDC with its composition
BARANGAY DEVELOPMENT compliant to Section 107 of RA 7160 compliant to Section 107 of RA 7160
COUNCIL (BDC)
4.3.2. Conduct of public hearings/ barangay ☐ Minutes (at least 2) of the public hearings/barangay assemblies with attendance
assemblies for public consultation sheet

4.3.3 Approved Barangay Development Plan ☐ Barangay Development Plan with BDC and SB Resolutions adopting such

4.3.4 a) At least 50% accomplishment of the ☐ CY 2022 Accomplishment Report of the BDP
physical targets in the BDP

OR

4.3.4 b) At least 50% fund utilization rate of the

CY 2022 BDP Budget
4.4 IMPLEMENTATION OF THE 4.4.1 Kasambahay Desk with designated ☐ EO or similar issuance designating a Kasambahay Desk and a KDO
KASAMBAHAY LAW Kasambahay Desk Officer (KDO)
4.4.2 Maintenance/updating of a Kasambahay ☐ Updated Kasambahay Report Form 2 (Kasambahay Masterlist) as of December
Masterlist 2022
4.5. FUNCTIONALITY OF THE 4.5.1 Organization of the Barangay Council for ☐ Executive Order or similar issuance on the establishment of Barangay Council
BARANGAY COUNCIL FOR Protection of Children (BCPC) with its composition for Protection of Children (BCPC)
THE PROTECTION OF compliant to the provisions of DILG MC No. 2021-
CHILDREN (BCPC) 039
4.5.2 Attendance of the Members of the Barangay ☐ Certified true copy of any proof of training such as Certificate of Completion
Council for Protection of Children (BCPC) to at and/or Participation (at least 1)
least one (1) training/orientation related to their
functions not earlier than 2019

4.5.3 Approved BCPC Annual Work and Financial ☐ Approved BCPC Annual Work and Financial Plan (AWFP)
Plan
 4.5.4 Database on Children disaggregated by ☐ Updated database on children
age, sex, ethnicity, with or with disabilities, OSCY,
etc. updated as of December 31, 2023

4.5.5 Updated Localized Flow Chart of Referral ☐ Updated Localized Flow Chart of Referral System
System not earlier than 2019
4.5.6 a) At least 50% completion rate on PPAs in ☐ CY 2022 Approved Accomplishment Report on BCPC Plan
the BCPC Plan

OR

4.5.6 b) At least 50% utilization rate of CY 2022

BCPC AWFP Budget

4.6 MECHANISM FOR 4.6.1 Organized Barangay GAD Focal Point ☐ EO or similar issuance organizing the Barangay GAD Focal Point System
GENDER AND DEVELOPMENT System
(GAD)
4.7. MAINTENANCE OF 4.7.1 Updated RBI for two semesters of CY 2022 ☐ Accomplished RBI Form A of two semesters of CY 2022
UPDATED RECORD OF
BARANGAY INHABITANTS
(RBIs)
Essential Governance Area 2: Business-Friendliness and Competitiveness
5.1 POWER TO LEVY OTHER 5.1.1 Enacted Barangay Tax Ordinance pursuant ☐ Enacted Barangay Tax Ordinance
TAXES, FEES OR CHARGES to Sec. 129 of the LGC

5.2. COMPLIANCE TO 5.2.1 Enacted Barangay Ordinance relative to ☐ Enacted Barangay Ordinance relative to Barangay Clearance Fees on business
SECTION 11 OF RA 11032 OR Barangay Clearance fees on business permit and permit and locational clearance for building permit.
THE EASE OF DOING locational clearance for building permit pursuant
BUSINESS ​ to DILG MC No. 2019-177
SECTION 11 OF RA 11032 OR
THE EASE OF DOING
BUSINESS ​

5.2.2 Approved resolution authorizing the ☐ Approved resolution authorizing the City/Municipal Treasurer to collect fees for
City/Municipal Treasurer to collect fees for Barangay Clearance for Business permit and locational clearance purpose
Barangay Clearance for Business permit and
locational clearance purposes pursuant to DILG
MC No. 2019-177
5.3 ISSUANCE OF BARANGAY 5.3.1 Presence of a Citizens’ Charter on the ☐ Photo documentation of the Citizens’ Charter on the issuance of barangay
CLEARANCE NOT COVERED issuance of barangay clearance posted in the clearance only (name of the barangay should be visible)
BY DILG MC NO. 2019-177 barangay hall
SUCH AS: 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 ☐ EO or similar issuance on the organization of the BESWMC
BARANGAY ECOLOGICAL compliant to DILG MC No. 2018-112
SOLID WASTE MANAGEMENT
COMMITTEE (BESWMC) 6.1.2 Approved Solid Waste Management ☐ Approved Solid Waste Management Program/Plan with corresponding fund
Program/Plan with corresponding fund allocation allocation

6.1.3 Attendance of BESWMC to necessary ☐ Certified true copy of any proof of training such as Certificate of Completion
training related activities to promoting and/or Participation (at least 1)
environmental protection, preservation and
awareness not earlier than 2019

6.1.4 a) At least 50% completion rate on PPAs in ☐ Monthly Accomplishment Reports for 2022
the BESWMP
OR
6.1.4 b) At least 50% utilization rate of CY 2022
BESWM Budge
6.2 EXISTENCE OF A SOLID 6.2.1 Presence of a Materials Recovery Facility ☐ For MRF operated by the barangay: Photo documentation of the MRF/MRF
WASTE MANAGEMENT (MRF)/ Materials Recovery System (MRS) Records of the barangay
FACILITY PURSUANT TO R.A.
9003 -Established MRF operated by the barangay For MRS:
-MRS ☐MOA with junkshop
-Clustered MRF ☐Mechanism to process biodegradable wastes
☐MOA with service provider for collection/treatment of special, hazardous, and
infectious waste

For Clustered MRFs:

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

6.3 PROVISION OF SUPPORT 6.3.1 Enacted Barangay Ordinance or similar ☐ Ordinance or similar issuance on segregation of wastes at-source
MECHANISMS FOR issuance on segregation of wastes at-source
SEGREGATED COLLECTION covering 2022

This is to respectfully submit the attached Means of Verifications (MOVs) for the purpose of the Seal of Good Local Governance for Barangay (SGLGB) asse

SUBMITTED BY: RECEIVED BY:

__________________ __________________
EMMANUEL B. AGPALASIN TEOFILO MABUTI
PRINTED NAME AND SIGNATURE OF THE PUNONG BARANGAY CITY/MUNICIPAL PERFORMANCE ASSESSMENT TEAM SECRETARIAT
NAME OF BARANGAY: Barangay #13 Caestebanan, Banna Ilocos Norte DATE RECEIVED: