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2024 Compiled SGLGB Forms

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2024 Compiled SGLGB Forms

Copyright
© © All Rights Reserved
Available Formats
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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 Sustainabilit
1.1 COMPLIANCE WITH THE 1.1.1 Posted the following CY 2023 financial
BARANGAY FULL DISCLOSURE documents in the BFDP
1.1.2 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
1.3 APPROVAL OF THE OF Accountant
1.3.1 Presence of a Barangay Appropriation
CORPORATE
BARANGAY POWERS
BUDGET
1.4 ALLOCATION FOR ON THE Ordinance
1.4.1 approved
With on orfunds
allocated before
forDecember 31,
the following
SPECIFIED TIMEFRAME
STATUTORY PROGRAMS AND 2022
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

1.5 POSTING OF THE 1.5.1 Barangay Citizens’ Charter posted at a


BARANGAY
1.6 RELEASECITIZEN’S
OF THE conspicuous
1.6.1 placewith
Compliance (e.g.Section
barangay hall,
20 of themarket,
SK
CHARTER (CitCha)
SANGGUNIANG KABATAAN (SK) 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
FUNDS OF THE BARANGAY NYC JMC No. 1, s. 2019 dated
Agreement for the release/deposit; 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 with SK Officials but no quorum
1.6.2 Presence of Approved Annual and/or 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 Approved
compliant to the provisions
Barangay
2.1.3. Budget Disasterof Risk
NDRRMC, DILG,
Reduction and
COMMITTEE (BDRRMC) DBM, and
Management
Allocation CSC JMC
of at(BDRRM) No.
least 5% 2014-01.
Plan
of thecovering CY 2023
Estimated
2.1.4 Accomplishment Reports
2.2 EXTENT OF RISK Revenue from Regular Sources as BDRRM
2.2.1 Conducted an activity in relation to Risk
ASSESSMENT AND EARLY Fund
Assessment in the barangay Mapnot earlier
2.2.2 Barangay Risk/Hazard 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
(EWS)Afor
2.3 EXTENT OF PREPAREDNESS 2.3.1. and
barangay landslide-prone
the top two
must(2)have
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
3.1.2 BADAC with
Establishment its composition
of Barangay and
Rehabilitation
COUNCIL (BADAC) appropriate
Referral
3.1.3 committees
Desk with of
Organization (Committees
Designated on
Barangay
House Clusters withDuty
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 CY 2023
3.1.7. Implementation of Drug Abuse Prevention
Advocacy Campaigns of
3.1.8. 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 CADAC/MADAC
WhoMeetings
Used Drugs and
3.1.10. Conduct of Monthly
Local PNP-Unit
(PWUDS) 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
3.3 FUNCTIONALITY OF THE Public Safety (BPOPS)
3.3.1. Structure: Plan in accordance to
LUPONG TAGAPAMAYAPA (LT) DILG MC 2017-142
Organized covering CY 2023
Lupong Tagapamayapa

3.3.2. System
Systematic
3.3.3. maintenance of records of cases
Meetings:
Conducted
3.3.4. monthly meetings for the
Trainings:
3.4 ORGANIZATION AND administration
Attendance of the
of LT
3.4.1 Structure: Katarungang
to KP training or Pambarangay
seminar not
earlier
STRENGTHENING CAPACITIES OrganizedthanBarangay
CY 2020 Tanod with its composition
3.4.2 Trainings:
OF
3.5 BARANGAY
BARANGAYTANOD
INITIATIVES compliant
Attendance toof
3.5.1 Organizedthe provisions
barangay
Barangay of DILG
tanod MC No.
to necessary
Health and
2003-42
training
DURING HEALTH EMERGENCIES Emergencynot earlier
ResponsethanTeam
2020 (BHERT)
3.5.2 Poster or tarpaulin containing the with 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 2023
Essential Governace Area 1: Social Protection and Sensitivity
OPERATIONS (BaRCO)
4.1 FUNCTIONALITY OF 4.1.1. Structure:
BARANGAY VIOLENCE AGAINST Organized Barangay VAW Desk and designated
4.1.2 Training:
WOMEN (VAW) DESK Barangay VAW
Attendance Desk
of the Officer VAW Desk Officer to
Barangay
at least one (1) training/orientation related to
gender-sensitive handling of VAW Cases not
earlier than CY 2020
4.1 FUNCTIONALITY OF
BARANGAY VIOLENCE AGAINST
WOMEN (VAW) DESK 4.1.3 Plan and Budget:
Approved CY 2023 Barangay
4.1.4 Accomplishment Gender and
Reports:
Development
4.1.5 Database:(GAD) Plan and Budget
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
4.2.4. (BNS) of health services in the BHS/C
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
4.3.3 107 of RA 7160
Plan meetings, public hearings, and/or
barangay assemblies for public consultation
Approved Barangay Development Plan
4.3.4 Accomplishments Reports:
4.4 IMPLEMENTATION OF THE 4.4.1 Presence of Kasambahay Desk with
KASAMBAHAY LAW designated
4.4.2 Kasambahay Desk
Maintenance/updating of aOfficer (KDO)
Kasambahay
4.5. FUNCTIONALITY OF THE Masterlist
4.5.1 Structure:
BARANGAY COUNCIL FOR THE Organized Barangay Council for Protection of
4.5.2 Trainings:
PROTECTION OF CHILDREN Children
Attendance
4.5.3 Plan:(BCPC)
of thewith its composition
Members compliant
of the Barangay
(BCPC) to the
Councilprovisions
Presence of
forofProtection DILG
an approved MC No.
of Children 2021-039
(BCPC)Work
BCPC Annual to a
4.5.4 Database:
training/orientation
and and maintenance of updated not
related to their functions
4.5.5Financial
System: Plan
Establishment
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 DEVELOPMENTOF
4.7. MAINTENANCE (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 Established
4.9.1 a) At least 50% accomplishment
a Barangay Community of the
PRUTAS AT GULAY (HAPAG) SA 4.9.2. physical
Garden targets in the CY 2023
(BCG) an Ordinance for the
Enacted BNAP
BARANGAY PROJECT Establishment
4.9.3 Designated of aSBMBarangay Community
to Manage Garden
the Barangay
Community Garden
4.9.4. Conducted at least One (1) Advocacy
(For Profiling Purposes Only)
Campaign/ Awareness
4.9.5. Established Group onofcommunity
Volunteershousehold
on the
gardening
Implementation of the Community Garden
Essential Governance Area 2: Business-Friendliness and Competitive
5.1 POWER TO LEVY OTHER 5.1.1 Enacted Barangay Tax Ordinance pursuant
TAXES, FEES OR CHARGES
5.2. 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
5.3 DOING BUSINESS
ISSUANCE ​
OF BARANGAY and locational
City/Municipal clearance
5.3.1 PresenceTreasurer for building
to collect
of a Citizens’ Charter permit
feesonfor
the
CLEARANCE NOT COVERED BY issuancepursuant
Barangay to
of DILG MC
Clearance
barangay No.
for 2019-177
Business
certification permit
posted and
in the
Essential Governance Area 3: Environmental Management
DILG MC NO. 2019-177 SUCH AS: locational hall
barangay clearance purposes pursuant to DILG
6.1.FUNCTIONALITY OF THE 6.1.1 Organized BESWMC with composition
RESIDENCY, INDIGENCY, ETC,
BARANGAY ECOLOGICAL SOLID 6.1.2
compliant to DILG MCWaste
No. 2018-112
Approved Solid Management
WASTE MANAGEMENT Program/Plan
6.1.3 Attendancewithofcorresponding 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 Presence
6.2.1 preservation
a) At leastof50% and awareness
accomplishment
a Materials not
RecoveryofFacility
the
WASTE MANAGEMENT earlier
physical
FACILITY 6.3.1
(MRF)/ than CY
targets
Materials 2020
in the BESWMP
Recovery System (MRS)
6.3 PROVISION OF SUPPORT Enacted Barangay Ordinance or similar
PURSUANT TO
MECHANISMS FOR R.A. 9003 issuance on segregation of wastes at-source
SEGREGATED COLLECTION 2022
This is to respectfully submit the attached Means of Verifications (MOVs) for the purpose of the Seal o
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:
ance for Barangay
st

CKLIST
MOVs
stration and Sustainability
☐ Three (3) BFDP Monitoring Form A of the DILG Advisory
covering
☐ Annex the
B of1st to 3rd quarter monitoring
DBM-DOF-DILG data signed by the
JMC No. 2018-1
City Director/C/MLGOO, Punong Barangay
☐ SRE for 2022 and 2023, signed by Barangay and Barangay
Treasurer
Secretary
and Punong Barangay; and
☐ Approved Barangay Appropriation Ordinance signed by the
Sangguniang BarangayAppropriation
☐ Approved Barangay Members (SBMs), SK Chairperson,
Ordinance;
Barangay Secretary, and Punong Barangay.
☐ 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

☐ Two (2) Photo documentation of the Barangay CitCha


(name for
MOVs of the barangay should be visible)
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

MOV for 1.6.1.2:



MOV Deposit slips reflecting the Account No./ Name of
for 1.6.1.3:
Barangay SK and
If the barangay hasthe5 total allocated
and above SKamount
Officials:for the 2023 SK
funds
☐ Post Activity Report/ Minutes on the conduct of the 1st
semester Barangay Assembly 2023 duly approved by the
Punong Barangay
er Preparedness
☐ EO (signed by the PB) or similar issuance
(resolution/ordinance
☐ Approved BDRRM signed by the PB,
Plan adopted by theBarangay Secretary
Sangguniang
and SBMs); organizing
Barangay
☐ Certification the BDRRMC
on the allocation of atwith
leastits5%composition
of the
compliant
Estimated to the
Revenueprovisions
from of JMC
Regular No.
Sources2014-01,
as covering
BDRRM Fund,
MOVs for 2.1.4.1:
signed by the
☐ AccomplishmentCity/Municipal
Report;
Post-Activity Report Budget Officer
and such as Climate and
of activities
Disaster
☐ Two (2) Risk Assessment,
Photo Participatory
documentations Disaster
of Barangay Risk
Risk/Hazard
Assessment,
Map BDRRM Planning, etc.
☐ Two (2) Photo documentations of Barangay Risk/Hazard
Map
☐ Two (2) Photo documentation of the permanent or
temporary
☐ evacuation center;
Photo Documentation and of disaster supplies
for each
equipment:
Peace and Order
☐ EO (signed by the PB) or similar issuance
(resolution/ordinance
☐ EO (signed by the PB) signed by the issuance
or similar PB, Barangay Secretary
and SBMs) creating
(resolution/ordinance
☐ the
EO (signed by the PB) BADAC
signed with its Barangay
composition
by the issuance
or similar PB, and
Secretary
appropriate
and SBMs) committees,
establishing covering
the January to October 2023
(resolution/ordinance
☐ EO (signed by the PB) or Rehabilitation
signed by the issuance
similar ReferralSecretary
PB, Barangay Desk
covering
and CY organizing
SBMs), 2023
(resolution/ordinance houseby
signed clusters
the PB,with designated
Barangay HCL
Secretary
☐ Copy of approved BADPA Summary or copy of approved
and
BPOPsSBMs),
Planorganizing
☐ Approved with BADPA
Barangay BATcovering CYOrdinance
Appropriation 2023 signed by the
PB, Barangay
☐ Copy Secretary
of Activity Reportand SBMs.by the BADAC
prepared
☐ Three (3) Transmittals of CIR, covering the 1st to 3rd
quarter, received BADAC
☐ Accomplished by CADAC/MADAC and Barangay
Form 4- Unified Local PNPReport
Unit;
AND
on Referral
☐ Copy Action
of the BADAC(UBRA) monthly minutes of the meeting with
attendance
☐ EO (signed by the PB) or3similar
sheets (at least minutes covering CY 2023)
issuance
(resolution/ordinance
☐ Approved BPOPS Plan signed by the CY
covering PB,2023
Barangay Secretary
and
☐ Accomplishment Report with the statusinofaccordance
SBMs) indicating correct membership to
implementation
the EO 366
of target s. of 1996,utilization
activities covering January to October to2023
☐ At least ten (10)andKP Form #5 -of funds
Oath submitted
of Office the
of the Lupong
C/M POC with received stamp of
Tagapamayapa members, signed by the PB the DILG City Director or
C/MLGOO
MOVs for 3.3.2.1
Two (2)of
☐ Copies photos withofcaption
minutes meetings of the
withcomputer
attendance database
sheets with
(at
searchable
least
☐ At 3
least information
minutes
1 copycovering
of proofmeetings
of trainingconducted in CY 2023)
such as Certificate of
Completion and/or Participation
☐ EO (signed by the PB) or similar issuance
(resolution/ordinance
☐ At least one (1) copy signed by the
of proof PB, Barangay
of training such asSecretary
Certificate
and
of SBMs)
Completionon the organization
and/or Participationof the
☐ EO (signed by the PB) or similar issuance Barangay Tanod
covering January to October
(resolution/ordinance signed 2023
by the
☐ Two (2) Photo documentations ofPB, Barangay
poster Secretary
or tarpaulin
and SBMs) on the organization of BHERTs covering January
to October
Photo 2023
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 and Sensitivity
otection
☐ EO (signed by the PB) or similar issuance
(resolution/ordinance
☐ At least one (1) copysigned by the
of proof PB, Barangay
of training such asSecretary
Certificate
and
of SBMs) on and/or
Completion the establishment
Participationof Barangay VAW Desk and
designated VAW Desk Officer, covering January to October
☐ Approved Barangay GAD Plan and Budget for CY 2023
☐ Accomplishment Report covering 1st to 3rd quarter of CY
2023
☐ Copy withofreceived stampreport
the generated by theor
C/MSWDO
screenshotand C/MLGOO
of the updated
database of VAW cases reported to
☐ 2023 GAD Accomplishment Report; and the 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
☐ EO (signed by the PB) signed by the issuance
or similar PB, Barangay Secretary
and SBMs) on the
(resolution/ordinance
☐ Appointment
Certification on the signed of
by of
provision BHW
thehealth and/or
PB, BarangayBHO
services or by
Secretary
signed
BHAsst
and
theEO covering
SBMs)
C/MHO theJanuary
on by to October
appointment of BNS2023
☐ (signed the PB) or similar issuance
(resolution/ordinance
☐ Post activity report signed by the
or Minutes withPB, Barangaysheet
attendance Secretary
for
and SBMs)
CYApproved
☐ 2023 organizing/reconstituting the BDC with
Barangay Development Plan covering CY 2023its
composition compliant
☐ SB Resolution adopting to Section 107 of RA
the approved BDP7160 covering
☐ CY 2023 Accomplishment Report with received stamp by
theEO
☐ C/MPDC
(signed by the PB) or similar issuance
(resolution/ordinance
☐ Copy of the Updated signed by the PB,
Kasambahay Barangay
Report Secretary
for the 3rd
and SBMs)
Quarter designating
(July-September a KDO
2023) to manage
☐ EO (signed by the PB) or similar issuance the Kasambahay
Desk, signed by the PB,
(resolution/ordinance Barangay
signed by the Secretary and SBMs
PB, Barangay
☐ At least one (1) copy of proof of training such asSecretary
Certificate
and
☐ Copy of the generated report or screenshot of the January
of SBMs)
Completionon the establishment
and/or Participationof BCPC, covering updated
to Octoberon
database 2023
children covering January to October 31, 2023

☐ Updated
ApprovedLocalized Flow Chart
Accomplishment of Referral
Report on BCPC System
AWFP for CY
2023 with received stamp by the
☐ EO (signed by the PB) or similar issuance City/Municipality Inter-
Agency Monitoring
(resolution/ordinance
☐ RBI Monitoring Form Task Force
signed
C; and (IMTF)
by the PB, Barangay Secretary
and SBMs)
☐ List organizing
of barangays
EO (signed by thewith the
PB)RBI Barangay
covering
or similar GAD
the Focal
issuance Point System
1st Semester of
covering
CY 2023 January
(generated
(resolution/ordinance to October
from the 2023
BIS-BPS) certified by the
☐ Approved CY 2023signed BNAP by the PB,
signed Barangay
by the BNC Secretary
C/MLGOO
and SBMs) organizing the Barangay Nutrition Committee
☐ Operation Timbang (OPT) Plus Form 1A (Barangay Tally
(BNC) covering
andAccomplishment January
Summary SheetReport to October
of Preschoolers 2023
with Weight & Height
☐ on CY 2023 BNAP;
Measurement
Certification
☐ Photo by Age Group,
on the submitted
documentation Sex and Nutritional
BCG Status) of
BNAP Accomplishment
of the established
CYs
Report2022 and 2023;
for CYsigned and
2023 signed by the C/MLGOO
☐ Ordinance by the PB, Barangay Secretary and
SBMs)
☐ on the establishment
EO (signed of a BCG
by the PB) or similar issuance
(resolution/ordinance signed by
☐ Proof of conduct of at least one (1) the PB, Barangay Secretary
Advocacy
and SBMs) on by
Campaign/Awareness
☐ EO (signed thethe
designated SMB issuance
(Photo/Social
PB) or similar toMedia
manage thePAR/AR,
Post, BCG
etc.) and Competitiveness
(resolution/ordinance
ndliness signed by the PB, Barangay Secretary
and SBMs) Barangay
☐ Enacted on the established group volunteers
Tax Ordinance signed by the PB,
Barangay Secretary and SBMs
☐ Enacted Barangay Ordinance (signed by the PB, Barangay
Secretary
☐ Approved andresolution
SBMs) relative to Barangay
authorizing Clearance Fees on
the City/Municipal
business
Treasurer permit and locational
to collect fees of
☐ Photo documentation forthe clearance
Barangay for
Citizens’Clearance building
Charter forthe
on permit
Business
permit
issuance
nmental andoflocational
barangayclearance
Management certificationpurposes
only (name signed by PB,
of the barangay
Barangay
should be Secretary
visible) and SBMs
☐ EO (signed by the PB) or similar issuance
(resolution/ordinance
☐ Approved Solid Waste signed by the PB,Program/Plan
Management Barangay Secretary
and
☐ SBMs)
covering
At leastCY on the
2023
one organization
with corresponding
(1) copy of the
of proof of trainingBESWMC
fund such
allocation
as Certificate
of Completion
☐ and/or Accomplishment
Three (3) Monthly Participation Reports covering July-
September
For 2023 by the barangay:
MRF operated
Photo
☐ EO documentation
(signed by the PB)oforthe MRF/MRF
similar issuance Records of the
barangay
(resolution/ordinance signed by the PB, Barangay Secretary
and SBMs) on segregation of wastes at-source
the purpose of the Seal of Good Local Governance for

HE PUNONG BARANGAY
ngay

ASSESSOR
City Director/C/MLGOO)

D:
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.)

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

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