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
CORE Business- ESSENTIAL Result
Administration Disaster Safety, Peace Protection Environmenta
GOVERNANCE Friendliness and GOVERNANCE
and Preparedness and Order and l Management
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 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 board, pursuant to DILG
POLICY (BFDP) BOARD MC No. 2014-81 and DILG MC No. 2022-027:

a) Barangay Financial Report

b) Barangay Budget
c) Summary of Income and Expenditures
d) 20% Component of the NTA Utilization
e) Annual Procurement Plan or Procurement List
f) List of Notices of Award (1st - 3rd Quarter of
CY 2023)
g) Itemized Monthly Collections and
Disbursements
1.1.2 Accomplished and signed BFR with
received stamp from the Office of the C/M
Accountant
1.2 INNOVATIONS ON REVENUE 1.2.1 Increase in local resources in CY 2023
GENERATION OR EXERCISE OF
CORPORATE POWERS

1.3 APPROVAL OF THE 1.3.1 Presence of a Barangay Appropriation

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

Consideration: Approval until March 31, 2023.

1.4 ALLOCATION FOR 1.4.1 With allocated funds for the following
STATUTORY PROGRAMS AND statutory programs and projects:
PROJECTS AS MANDATED BY
LAWS AND/OR OTHER a) At least 20% of the NTA is allocated for
ISSUANCES development programs;
b) Not less than five percent (5%) shall be set
aside as the Local Disaster Risk Reduction and
Management Fund;
c) Gender and Development;
d) Senior Citizens and Persons with Disabilities;
e) Implementation of the programs of the Local
Councils for the Protection of Children; and
f) Ten percent (10%) for the Sangguniang
1.5 POSTING OF THE 1.5.1 Barangay Citizens’ Charter posted at a
Kabataan
BARANGAY CITIZEN’S conspicuous place (e.g. barangay hall, market,
CHARTER (CitCha) transport terminal, or multi-purpose hall)
1.6 RELEASE OF THE 1.6.1 Compliance with Section 20 of the SK
SANGGUNIANG KABATAAN (SK) Reform Act of 2015 and Item 3.2 of DBM-DILG-
FUNDS OF THE BARANGAY NYC JMC No. 1, s. 2019 dated January 23, 2019

1.6.1.1 The barangay has Barangay-SK

Agreement for the release/deposit;

1. 6.1.2 The barangay does not have Barangay-

SK Agreement but with current account;

1.6.1.3 The barangay does not have SK Officials

or with SK Officials but no quorum and/or No SK
Bank Account

Note: SK Resolution authorizing the barangay to

utilize the SK Funds if the SK has no bank
account yet shall not be considered as MOV
under the indicator.
 1.6.2 Presence of Approved Annual Barangay
Youth Investment Program (ABYIP) for 2023

1.7 CONDUCT OF BARANGAY 1.7.1 Conducted the 1st semester Barangay

ASSEMBLY Assembly for CY 2023

Core Governance Area 2: Disaster Preparedness

2.1 FUNCTIONALITY OF THE 2.1.1 Structure

BARANGAY DISASTER RISK Organized BDRRMC with its composition
REDUCTION AND MANAGEMENT compliant to the provisions of NDRRMC, DILG,
COMMITTEE (BDRRMC) DBM, and CSC JMC No. 2014-01.
Minimum Composition of the BDRRMC:

1. Punong Barangay;
2. A Representative from the Sangguniang
Barangay; and
3. 2 CSO representatives from the existing and
active community-based people’s organizations
representing the most vulnerable and
marginalized groups in the barangay (Item 5.7. of
 2.1.2 Plan
Approved Barangay Disaster Risk Reduction and
Management (BDRRM) Plan covering CY 2023

2.1.3. Budget
Allocation of at least 5% of the Estimated
Revenue from Regular Sources as BDRRM
Fund

Note: To compute the allocation:

(BDRRMF Allocated / Estimated Total Revenue
from Regular Sources) x 100

2.1.4 Accomplishment Reports

2.1.4.1. At least 50% accomplishment of the

physical targets in the BDRRM Plan

OR

2.1.4.2. At least 50% fund utilization of the 70%

component of CY 2023 BDRRMF -
Preparedness component as of December 31,
2023.

Note: Barangay officials have the option to

2.2 EXTENT OF RISK 2.2.1
submitConducted an activity
both the physical andinfinancial
relation reports.
to Risk
ASSESSMENT AND EARLY Assessment
However, for in the
the barangay
SGLGB not earlieronly
Assessment, thanone
CY
WARNING SYSTEM (EWS) 2020
of the above reports is required.
 2.2.2 Barangay Risk/Hazard Map which indicates
possible risks — natural or man-made. (e.g.
flood-prone and landslide-prone areas, etc.)

2.2.3 An established Early Warning System

(EWS) for the top two (2) hazards present in the
barangay

2.3 EXTENT OF PREPAREDNESS 2.3.1. A barangay must have a permanent or

FOR EFFECTIVE RESPONSE temporary evacuation center
AND RECOVERY

2.3.2 A barangay must have the following

disaster supplies/equipment:
a) Communication equipment (i.e., 2 way radio
mobile phone)
b) Rescue vehicle/Barangay patrol
c) Generator set/alternative sources
of energy
d) First aid kit
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​​Structure

BARANGAY ANTI-DRUG ABUSE Organized BADAC with its composition and
COUNCIL (BADAC) appropriate committees (Committees on
Operations and on Advocacy) compliant to DILG-
DDB JMC No. 2018-01

Minimum Composition of the BADAC:

1. Punong Barangay
2. SBM
3. SK Chairperson
4. Public School Principal/Representative
5. Chief Tanod/ Executive Officer
3.1.2 Establishment of Barangay Rehabilitation
Referral Desk with Designated Barangay Duty
Officer

3.1.3 Organization of House Clusters with

designated House Cluster Leaders (HCL)
3.1.4 Organization of BADAC Auxiliary Team
(BAT)

3.1.5 Plan:
Formulation of BADAC Plan of Action (BADPA)
covering CY 2023

3.1.6 Budget:

Allocation of substantial amount for anti-illegal

drugs initiative

3.1.7. Implementation of Drug Abuse Prevention

Advocacy Campaigns - Barangay organized at
least 1 community-based IEC Activity during CY
2023
 3.1.8. Implementation of Drug-Clearing
Operations - Submission of Consolidated
Information Report (CIR) to CADAC/MADAC and
Local PNP Unit

Note: Drug-unaffected barangays shall also

submit updated CIR, stating in the report that
there is absence of illegal drug-related activities
in the barangays. The same applies to drug-free
and drug-cleared barangays

3.1.9. Implementation of Community-Based

Intervention for Person Who Used Drugs
(PWUDS) - Presence of referral system

3.1.10. Conduct of Monthly Meetings

3.2 FUNCTIONALITY OF THE 3.2.1. Structure:

BARANGAY PEACE AND ORDER Organized BPOC with its composition compliant
COMMITTEE (BPOC) to the provisions of EO No. 366, s. of 1996
Minimum composition of the BPOC:

1. Punong Barangay
2. Sangguniang Kabataan Chairperson
3. A member of the Lupon Tagapamayapa
4. A Public School Teacher
5. PNP Officer
6. A representative of the Interfaith Group
7. A Senior Citizen
8. At least three (3) members of the existing
Barangay-Based Anti-Crime or Neighborhood
Watch Groups or an NGO representative
 3.2.2 Plan
Formulated Barangay Peace and Order and
Public Safety (BPOPS) Plan in accordance to
DILG MC 2017-142 covering CY 2023

3.2.3. Accomplishment Reports

3.2.3.1. At least 50% accomplishment of the

physical targets in the BPOPs Plan

OR

3.2.3.2. At least 50% fund utilization rate of the

CY 2023 BPOPs Budget.

Note: Barangay officials have the option to

submit both the physical and financial reports.
3.3 FUNCTIONALITY OF THE 3.3.1. Structure:
However, for the SGLGB Assessment, only one
LUPONG TAGAPAMAYAPA (LT) Organized
of the aboveLupong Tagapamayapa
documents is required.
3.3.2. System
Systematic maintenance of records of cases

3.3.2.1. For barangays of cities:

Computer database with searchable information

3.3.2.2. For barangays of municipalities: Manual

Records (Case Record Book) OR Digital Record
Filing (scanned copy of KP files)

3.3.3. Meetings:
Conducted monthly meetings for the
administration of the Katarungang Pambarangay

3.3.4. Trainings:
Attendance of LT to KP training or seminar not
earlier than CY 2020
3.4 ORGANIZATION AND 3.4.1 Structure:
STRENGTHENING CAPACITIES Organized Barangay Tanod with its composition
OF BARANGAY TANOD compliant to the provisions of DILG MC No.
2003-42

Composition of a Barangay Tanod:

1. Chief Tanod/Executive Officer

2. Team Leaders
3. Team Members

3.4.2 Trainings:
Attendance of barangay tanod to necessary
training not earlier than 2020

3.5 BARANGAY INITIATIVES 3.5.1 Organized Barangay Health and

DURING HEALTH EMERGENCIES Emergency Response Team (BHERT) with its
composition compliant to the provisions of DILG
MC No. 2020-023

Minimum composition of the BHERTs:

1. Executive Officer
2. A Barangay Tanod
3. 2 BHWs

3.5.2 Poster or tarpaulin containing the 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 basis in
BARANGAY ROAD CLEARING CY 2023
OPERATIONS (BaRCO)

Essential Governace Area 1: Social Protection and Sensitivity

4.1 FUNCTIONALITY OF 4.1.1. Structure:

BARANGAY VIOLENCE AGAINST Organized Barangay VAW Desk and designated
WOMEN (VAW) DESK Barangay VAW Desk Officer

4.1.2 Training:
Attendance of the Barangay VAW Desk Officer
to at least one (1) training/orientation related to
gender-sensitive handling of VAW Cases not
earlier than CY 2020
4.1.3 Plan and Budget:
Approved CY 2023 Barangay Gender and
Development (GAD) Plan and Budget

4.1.4 Accomplishment Reports:

Quarterly accomplishment reports based on the

database/records of VAW cases reported in the
barangay containing relevant information such as
total number of VAW cases received, assistance
provided to victim-survivors, total number of
cases documented for violating RA 9262 and
other VAW-related laws, total barangay
population, number of male and female in the
barangay, and minor to adult ratio

4.1.5 Database:

Updated database on VAW cases 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 Accomplishment Reports

4.1.6.1. At least 50% accomplishment of the

physical targets in the GAD Plan

OR

4.1.6.2. At least 50% fund utilization of the CY

2023 GAD Budget
 4.1.7. Referral Network

4.1.7.1. Presence of Referral System Flow Chart

(For profiling) ; and

4.1.7.2. Presence of Directory of

agencies/individuals providing services to victim-
survivors (For profiling)

4.2 ACCESS TO HEALTH AND 4.2.1. Presence of a Barangay Health

SOCIAL WELFARE SERVICES IN Station/Center
THE BARANGAY
Consideration: Clustered Health Station/Center
accessed by several barangays in a
city/municipality

4.2.2. (For Profiling Purposes Only)

4.2.2. Appointment of the following Barangay

Health Personnel:

1. Accredited Barangay Health Worker (BHW);

AND/OR

2.Barangay Health Officer (BHO) or Barangay

Health Assistant (BHAsst)

4.2.3. Appointment of a Barangay Nutrition

Scholar (BNS)
 4.2.4. Availability of health services in the BHS/C
such as:
a) immunization
b) maternal and child healthcare
c) family planning
d) health education

4.3 FUNCTIONALITY OF THE 4.3.1. Structure:

BARANGAY DEVELOPMENT Organized BDC with its composition compliant to
COUNCIL (BDC) Section 107 of RA 7160

4.3.2. Meeting:
Conducted meetings, public hearings, and/or
barangay assemblies for public consultation

4.3.3 Plan
Approved Barangay Development Plan
 4.3.4 Accomplishments Reports:

4.3.4 a) At least 50% accomplishment of the

physical targets in the BDP
OR
4.3.4 b) At least 50% fund utilization rate of the
CY 2023 BDP Budget

4.4 IMPLEMENTATION OF THE 4.4.1 Presence of Kasambahay Desk with

KASAMBAHAY LAW designated Kasambahay Desk Officer (KDO)

4.4.2 Maintenance/updating of a Kasambahay

Masterlist

4.5. FUNCTIONALITY OF THE 4.5.1 Structure:

BARANGAY COUNCIL FOR THE Organized Barangay Council for Protection of
PROTECTION OF CHILDREN Children (BCPC) with its composition compliant
(BCPC) to the provisions of DILG MC No. 2021-039
4.5.2 Trainings:
Attendance of the Members of the Barangay
Council for Protection of Children (BCPC) to a
training/orientation related to their functions not
earlier than CY 2020

4.5.3 Plan:
Presence of an approved BCPC Annual Work
and Financial Plan

4.5.4 Database:
Establishment and maintenance of updated
Database on Children disaggregated by age,
sex, ethnicity, with or without disabilities, OSCY,
etc.

4.5.5 System:
a) Presence of updated Localized Flow Chart of
Referral System not earlier than CY 2020;
b) Presence of Comprehensive Barangay
Juvenile Intervention Program (For profiling); and
c) Presence of Children at Risk (CAR) and
Children in Conflict with the Law (CICL) registry
(For profiling).
 4.5.6 Accomplishment Reports:

​4.5.6 a) At least 50% accomplishment of the

physical targets in the BCPC AWFP

OR

4.5.6 b) At least 50% utilization rate of CY 2023

BCPC AWFP Budget

4.6 MECHANISM FOR GENDER 4.6.1 Organized Barangay GAD Focal Point
AND DEVELOPMENT (GAD) System

4.7. MAINTENANCE OF 4.7.1 Presence of updated RBI for the first (1st)
UPDATED RECORD OF semester of CY 2023
BARANGAY INHABITANTS (RBIs)

4.8.1 Structure:
Organized BNC
 4.8.2 Plan:
Presence of approved CY 2023 BNAP

4.8. FUNCTIONALITY OF THE

BARANGAY NUTRITION
COMMITTEE (BNC) 4.8.3 Decrease in Prevalence Rate in the
barangay, for the following categories:
1. Underweight and Severe Underweight
2. Stunting and Severe Stunting;and
3. Moderate Wasting and Severe Wasting

4.8.4 Accomplishment Report:

4.8.4 a) At least 50% accomplishment of the
physical targets in the CY 2023 BNAP

OR

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

CY 2023 BNAP Budget

4.9. HALINA’T MAGTANIM NG 4.9.1 Established a Barangay Community

PRUTAS AT GULAY (HAPAG) SA Garden (BCG)
BARANGAY PROJECT

(For Profiling Purposes Only)

4.9.2. Enacted an Ordinance for the
Establishment of a Barangay Community Garden

4.9.3 Designated SBM to Manage the Barangay

Community Garden

4.9.4. Conducted at least One (1) Advocacy

Campaign/ Awareness on community household
gardening

4.9.5. Established Group of Volunteers on the

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 to Sec. 129 of the LGC

5.2. COMPLIANCE TO SECTION 5.2.1 Enacted Barangay Ordinance relative to

11 OF RA 11032 OR THE EASE Barangay Clearance fees on business permit
OF DOING BUSINESS ​ and locational clearance for building permit
pursuant to DILG MC No. 2019-177

5.2.2 Approved resolution authorizing the

City/Municipal Treasurer to collect fees for
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
CLEARANCE NOT COVERED BY issuance of barangay certification posted in the
DILG MC NO. 2019-177 SUCH AS: barangay hall
RESIDENCY, INDIGENCY, ETC,
WITHIN SEVEN (7) WORKING
DAYS

Essential Governance Area 3: Environmental Management

6.1.FUNCTIONALITY OF THE 6.1.1 Organized BESWMC with composition

BARANGAY ECOLOGICAL SOLID compliant to DILG MC No. 2018-112
WASTE MANAGEMENT
COMMITTEE (BESWMC)

6.1.2 Approved Solid Waste Management

Program/Plan with corresponding fund allocation
 6.1.3 Attendance of BESWMC to necessary
training related to promoting environmental
protection, preservation and awareness not
earlier than CY 2020

6.1.4 Accomplishment Reports:

6.1.4 a) At least 50% accomplishment of the
physical targets in the BESWMP

OR
6.1.4 b) At least 50% utilization rate of CY 2023
BESWM Budget

6.2 EXISTENCE OF A SOLID 6.2.1 Presence of a Materials Recovery Facility

WASTE MANAGEMENT FACILITY (MRF)/ Materials Recovery System (MRS)
PURSUANT TO R.A. 9003
- Established MRF operated by the barangay
- MRS
- Clustered MRF
6.3 PROVISION OF SUPPORT 6.3.1 Enacted Barangay Ordinance or similar
MECHANISMS FOR 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
st

CKLIST
MOVs
stration and Sustainability
☐ Three (3) BFDP Monitoring Form A of the DILG Advisory
covering the 1st to 3rd quarter monitoring data signed by the
City Director/C/MLGOO, Punong Barangay and Barangay
Secretary
☐ Two (2) Photo Documentation of the BFDP board showing
the name of the barangay

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

☐ Annex B of DBM-DOF-DILG JMC No. 2018-1

☐ SRE for 2022 and 2023, signed by Barangay Treasurer
and Punong Barangay; and
☐ Certification on Increase in Local Resources signed by the
City/Municipal Treasurer/ Budget Officer

☐ Approved Barangay Appropriation Ordinance signed by the

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

☐ Approved Barangay Appropriation Ordinance;

☐ 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 of the barangay should be visible)

Photo Requirements:
One (1) photo with Distant View; and
One (1) photo with Close-up View
MOVs for 1.6.1.1:
☐ Copy of the written agreement; and
☐ Proof of deposit reflecting the Account No./ Name of
Barangay SK and the total allocated amount for the 2023 SK
funds

Consideration: In the absence of deposit slips, bank

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

MOV for 1.6.1.2:

☐ Deposit slips reflecting the Account No./ Name of
Barangay SK and the total allocated amount for the 2023 SK
funds

Consideration: In the absence of deposit slips, bank

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

MOV for 1.6.1.3:

☐ Proof of transfer of the 10% 2023 SK funds to the trust

fund of the Barangay such as Deposit Slip or Official Receipt;
OR
☐ Proof of transfer or corresponding legal forms/documents
issued by the 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.
 If the barangay has 5 and above SK Officials:

☐ Approved Resolution approving the 2023 SK

Annual/Supplemental Budget; and

☐ An Approved 2023 ABYIP signed by the SK Chairperson

and its members

If the barangay has 4 and below SK Officials:

☐ Certification from the C/MLGOO on number of SK officials

☐ 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 signed by the PB, Barangay Secretary
and SBMs) organizing the BDRRMC with its composition
compliant to the provisions of JMC No. 2014-01, covering
January to October 2023
☐ Approved BDRRM Plan adopted by the Sangguniang
Barangay ;
☐ Resolution adopting the BDRRM Plan signed by the
Sangguniang Barangay with received stamp from the
C/MDRRMO; and
☐ Certification on the list of barangays with approved
BDRRM Plan covering CY 2023 signed by the C/MDRRMO.

☐ Certification on the allocation of at least 5% of the

Estimated Revenue from Regular Sources as BDRRM Fund,
signed by the City/Municipal Budget Officer

MOVs for 2.1.4.1:

☐ Accomplishment Report; and
☐ Certification on the submission and correctness of
Accomplishment Report signed by the C/MDRRMO

MOVs for 2.1.4.2:

☐ Annual LDRRMF Utilization Report; and

☐ Certification on the submission and correctness of fund
utilization report signed by the C/MDRRMO

☐ Post-Activity Report of activities such as Climate and

Disaster Risk Assessment, Participatory Disaster Risk
Assessment, BDRRM Planning, etc.
☐ Two (2) Photo documentations of Barangay Risk/Hazard
Map

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

☐ Two (2) Photo documentations of Barangay Risk/Hazard

Map

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

☐ Two (2) Photo documentation of the permanent or

temporary evacuation center; and

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

☐ Certification on the presence and location of a permanent

or temporary evacuation center signed by the C/MDRRMO

☐ Photo Documentation for each of disaster supplies

equipment:

Photo Requirements:
One (1) photo each with Close-up View
Peace and Order

☐ EO (signed by the PB) or similar issuance

(resolution/ordinance signed by the PB, Barangay Secretary
and SBMs) creating the BADAC with its composition and
appropriate committees, covering January to October 2023

☐ EO (signed by the PB) or similar issuance

(resolution/ordinance signed by the PB, Barangay Secretary
and SBMs) establishing the Rehabilitation Referral Desk
covering CY 2023

☐ EO (signed by the PB) or similar issuance

(resolution/ordinance signed by the PB, Barangay Secretary
and SBMs), organizing house clusters with designated HCL
☐ EO (signed by the PB) or similar issuance
(resolution/ordinance signed by the PB, Barangay Secretary
and SBMs), organizing BAT

☐ Copy of approved BADPA Summary or copy of approved

BPOPs Plan with BADPA covering CY 2023

☐ Approved Barangay Appropriation Ordinance signed by the

PB, Barangay Secretary and SBMs.

OR

☐ Copy of Barangay Annual Investment Plan (AIP)

☐ Copy of Activity Report prepared by the BADAC

☐ Three (3) Transmittals of CIR, covering the 1st to 3rd
quarter, received by CADAC/MADAC and Local PNP Unit;
AND

☐ Certification on the submitted CIR signed by the

CADAC/MADAC and Local PNP Unit

Note: The CIR contains data protected by the Data Privacy

Act of 2012. Hence, we recommend submitting only the
transmittal.

☐ Accomplished BADAC Form 4- Unified Barangay Report

on Referral Action (UBRA)

☐ Copy of the BADAC monthly minutes of the meeting with

attendance sheets (at least 3 minutes covering CY 2023)

☐ EO (signed by the PB) or similar issuance

(resolution/ordinance signed by the PB, Barangay Secretary
and SBMs) indicating correct membership in accordance to
the EO 366 s. of 1996, covering January to October 2023
☐ Approved BPOPS Plan covering CY 2023

☐ Accomplishment Report with the status of implementation

of target activities and utilization of funds submitted to the
C/M POC with received stamp of the DILG City Director or
C/MLGOO

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

Tagapamayapa members, signed by the PB
MOVs for 3.3.2.1
☐ Two (2) photos with caption of the computer database with
searchable information

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

Note: Photos of the computer database using MS Excel and

such are acceptable

MOVs for 3.3.2.2

☐ For barangays of municipalities: One (1) photo, with
caption on the manual record or digital file

☐ Copies of minutes of meetings with attendance sheets (at

least 3 minutes covering meetings conducted in CY 2023)

☐ At least 1 copy of proof of training such as Certificate of

Completion and/or Participation
☐ EO (signed by the PB) or similar issuance
(resolution/ordinance signed by the PB, Barangay Secretary
and SBMs) on the organization of the Barangay Tanod
covering January to October 2023

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

of Completion and/or Participation

☐ EO (signed by the PB) or similar issuance

(resolution/ordinance signed by the PB, Barangay Secretary
and SBMs) on the organization of BHERTs covering January
to October 2023

☐ Two (2) Photo documentations of poster or tarpaulin

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

OR

☐ Screenshot of the posting on social media with date

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

otection and Sensitivity

☐ EO (signed by the PB) or similar issuance

(resolution/ordinance signed by the PB, Barangay Secretary
and SBMs) on the establishment of Barangay VAW Desk and
designated VAW Desk Officer, covering January to October
2023

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

of Completion and/or Participation
☐ Approved Barangay GAD Plan and Budget for CY 2023

☐ Accomplishment Report covering 1st to 3rd quarter of CY

2023 with received stamp by the C/MSWDO and C/MLGOO

☐ Copy of the generated report or screenshot of the updated

database of VAW cases reported to the barangay with the
total no. of VAW Cases and assistance provided

☐ 2023 GAD Accomplishment Report; and

☐ Certification on the submitted CY 2023 GAD

Accomplishment Report signed by the C/MSWDO or
C/MLGOO
☐ Flow Chart based on Annex C - Establishment of Referral
System

☐ Annex J - Directory Form

☐ Photo documentation of the BHS/C

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

☐ For clustered BHS/C: Certification from C/MHO on the

clustering scheme

☐ EO (signed by the PB) or similar issuance

(resolution/ordinance signed by the PB, Barangay Secretary
and SBMs) on the Appointment of BHW and/or BHO or
BHAsst covering January to October 2023

☐ EO (signed by the PB) or similar issuance

(resolution/ordinance signed by the PB, Barangay Secretary
and SBMs) on the appointment of BNS
☐ Certification on the provision of health services signed by
the C/MHO

☐ EO (signed by the PB) or similar issuance

(resolution/ordinance signed by the PB, Barangay Secretary
and SBMs) organizing/reconstituting the BDC with its
composition compliant to Section 107 of RA 7160 covering
January to October 2023

☐ Post activity report or Minutes with attendance sheet for

CY 2023

☐ Approved Barangay Development Plan covering CY 2023

☐ SB Resolution adopting the approved BDP
☐ CY 2023 Accomplishment Report with received stamp by
the C/MPDC

☐ EO (signed by the PB) or similar issuance

(resolution/ordinance signed by the PB, Barangay Secretary
and SBMs) designating a KDO to manage the Kasambahay
Desk, signed by the PB, Barangay Secretary and SBMs
covering January to October 2023

☐ Copy of the Updated Kasambahay Report for the 3rd

Quarter (July-September 2023)

☐ EO (signed by the PB) or similar issuance

(resolution/ordinance signed by the PB, Barangay Secretary
and SBMs) on the establishment of BCPC, covering January
to October 2023
☐ At least one (1) copy of proof of training such as Certificate
of Completion and/or Participation

☐ Copy of the generated report or screenshot of the updated

database on children covering January to October 31, 2023

☐ Updated Localized Flow Chart of Referral System

☐ Copy of Comprehensive Barangay Juvenile Intervention
Program/diversion program
☐ Copy of Juvenile Justice and Welfare Council’s Children at
Risk (CAR) and Children in Conflict with the Law (CICL)
registry
☐ Approved Accomplishment Report on BCPC AWFP for CY
2023 with received stamp by the City/Municipality Inter-
Agency Monitoring Task Force (IMTF)

☐ EO (signed by the PB) or similar issuance

(resolution/ordinance signed by the PB, Barangay Secretary
and SBMs) organizing the Barangay GAD Focal Point System
covering January to October 2023

☐ RBI Monitoring Form C; and

☐ List of barangays with RBI covering the 1st Semester of
CY 2023 (generated from the BIS-BPS) certified by the
C/MLGOO

☐ EO (signed by the PB) or similar issuance

(resolution/ordinance signed by the PB, Barangay Secretary
and SBMs) organizing the Barangay Nutrition Committee
(BNC) covering January to October 2023
☐ Approved CY 2023 BNAP signed by the BNC

☐ Operation Timbang (OPT) Plus Form 1A (Barangay Tally

and Summary Sheet of Preschoolers with Weight & Height
Measurement by Age Group, Sex and Nutritional Status) of
CYs 2022 and 2023; and

☐ Certification from the C/MHO on the Decrease in

Prevalence Rate

☐ Accomplishment Report on CY 2023 BNAP;

☐ Certification on the submitted BNAP Accomplishment
Report for CY 2023 signed by the C/MLGOO

☐ Photo documentation of the established BCG

Photo Requirements:
One (1) photo with Distant View; and
One (1) photo with Close-up View
☐ Ordinance signed by the PB, Barangay Secretary and
SBMs) on the establishment of a BCG

☐ EO (signed by the PB) or similar issuance

(resolution/ordinance signed by the PB, Barangay Secretary
and SBMs) on the designated SMB to manage the BCG

☐ Proof of conduct of at least one (1) Advocacy

Campaign/Awareness (Photo/Social Media Post, PAR/AR,
etc.)

☐ EO (signed by the PB) or similar issuance

(resolution/ordinance signed by the PB, Barangay Secretary
and SBMs) on the established group volunteers
ndliness and Competitiveness

☐ Enacted Barangay Tax Ordinance signed by the PB,

Barangay Secretary and SBMs

☐ Enacted Barangay Ordinance (signed by the PB, Barangay

Secretary and SBMs) relative to Barangay Clearance Fees
on business permit and locational clearance for building
permit

☐ Approved resolution authorizing the City/Municipal

Treasurer to collect fees for Barangay Clearance for Business
permit and locational clearance purposes signed by PB,
Barangay Secretary and SBMs
 ☐ Photo documentation of the Citizens’ Charter on the
issuance of barangay certification only (name of the barangay
should be visible)

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

nmental Management

☐ EO (signed by the PB) or similar issuance

(resolution/ordinance signed by the PB, Barangay Secretary
and SBMs) on the organization of the BESWMC

☐ Approved Solid Waste Management Program/Plan

covering CY 2023 with corresponding fund allocation
☐ At least one (1) copy of proof of training such as Certificate
of Completion and/or Participation

☐ Three (3) Monthly Accomplishment Reports covering July-

September 2023

For MRF operated by the barangay:

☐ Photo documentation of the MRF/MRF Records of the
barangay

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

For MRS:
☐ MOA with junkshop;
☐ Mechanism to process biodegradable wastes; and
☐ MOA with service provider for collection of biodegradable
wastes and recyclables for treatment and temporary storage

For Clustered MRFs:

☐ MOA with the host barangay (applicable for barangay-
clustered MRFs); and
☐ MOA or similar document indicating coverage of
city/municipal MRF (applicable for barangays clustered to the
Central MRF of City/Municipality)
 ☐ EO (signed by the PB) or similar issuance
(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: