Department of the Interior and Local Government Form 2E:

Assessment for the Seal of Good Local Governance Documentation

CY 2019

Financial Administration
INSTRUCTIONS FOR THE LGOO FROM THE PROVINCE/ C|MLGOO: PLEASE READ
BEFORE PROCEEDING. (1) Document LGU compliance by taking photographs
appropriate for the boxes provided for each assessment area. (2) Photos should
represent the subject matter with clarity and without any form of distortion. (3) Use of
high resolution camera is recommended. (4) Write down your observations or
findings on the space provided, short bullet type statements will do. (5) You can also
use the Remarks page for other information, highlights and additional photographs
(limit additional photos to one (1) page only).(6) This accomplished Form is a
required attachment to Form 2E (DILG Field Officer).

FDP 1st Conspicuous Place

FDP 2nd Conspicuous Place

FDP 3rd Conspicuous Place

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 Department of the Interior and Local Government
Assessment for the Seal of Good Local Governance Form 2E:
CY 2019 Documentation

Disaster Preparedness (1)

INSTRUCTIONS FOR THE LGOO FROM THE PROVINCE/ C|MLGOO: PLEASE
READ BEFORE PROCEEDING. (1) Document LGU compliance by taking
photographs appropriate for the boxes provided for each assessment area.
(2) Photos should represent the subject matter with clarity and without any
form of distortion. (3) Use of high resolution camera is recommended. (4)
Write down your observations or findings on the space provided, short bullet
type statements will do. (5) You can also use the Remarks page for other
information, highlights and additional photographs (limit additional photos to
one (1) page only).(6) This accomplished Form is a required attachment to
Form 2E (DILG Field Officer).

Gawad KALASAG award Early Warning System (1)

(At least 1 marker for top 1 hazard)

NOT APPLICABLE

Early Warning System (2) Early Warning System

(At least 1 marker for top 2 hazard) (Audible, early and wide warning alarm system)
Water Level Marker and Signage as Early Warning Trumpa and Batingaw as Early Warning System
System for flooding.

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 Department of the Interior and Local Government
Assessment for the Seal of Good Local Governance
Form 2E:
CY 2019
Documentation

Disaster Preparedness (2)

INSTRUCTIONS FOR THE LGOO FROM THE PROVINCE/ C|MLGOO: PLEASE
READ BEFORE PROCEEDING. (1) Document LGU compliance by taking
photographs appropriate for the boxes provided for each assessment area.
(2) Photos should represent the subject matter with clarity and without any
form of distortion. (3) Use of high resolution camera is recommended. (4)
Write down your observations or findings on the space provided, short bullet
type statements will do. (5) You can also use the Remarks page for other
information, highlights and additional photographs (limit additional photos to
one (1) page only).(6) This accomplished Form is a required attachment to
Form 2E (DILG Field Officer).

Early Warning System Evacuation Center

(Rain gauge- automated or indigenous) (Required minimum facility 1)
Installed at the bridge as an audio EWS Comfort Area at the Evacuation Area

Evacuation Center SAR/ Emergency Response Team Equipment

(Required minimum facility 2) For Top 1 hazard
Kitchen Area at the Evacuation Area Paraphernalia and equipment used for typhoon

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 Department of the Interior and Local Government
Form 2E:
Assessment for the Seal of Good Local Governance Documentation
CY 2019

Disaster Preparedness (3)

INSTRUCTIONS FOR THE LGOO FROM THE PROVINCE/ C|MLGOO: PLEASE
READ BEFORE PROCEEDING. (1) Document LGU compliance by taking
photographs appropriate for the boxes provided for each assessment area.
(2) Photos should represent the subject matter with clarity and without any
form of distortion. (3) Use of high resolution camera is recommended. (4)
Write down your observations or findings on the space provided, short bullet
type statements will do. (5) You can also use the Remarks page for other
information, highlights and additional photographs (limit additional photos to
one (1) page only).(6) This accomplished Form is a required attachment to
Form 2E (DILG Field Officer).

SAR/ Emergency Response Team Equipment SAR/ Emergency Response Team Equipment
For Top 2 hazard (Motorized Vehicle)
Paraphernalia and equipment used for flooding Elf Rescue Vehicle and Ambulance

Stockpiled Goods LDRRM Operations Center

MOA with Groceries, Pharmacies and Water Refilling LDRRM 24/7 Operations Center during disaster and
Station crisis level

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 Department of the Interior and Local Government
Form 2E:
Assessment for the Seal of Good Local Governance Documentation
CY 2019

Social Protection (1)

INSTRUCTIONS FOR THE LGOO FROM THE PROVINCE/ C|MLGOO: PLEASE
READ BEFORE PROCEEDING. (1) Document LGU compliance by taking
photographs appropriate for the boxes provided for each assessment area.
(2) Photos should represent the subject matter with clarity and without any
form of distortion. (3) Use of high resolution camera is recommended. (4)
Write down your observations or findings on the space provided, short bullet
type statements will do. (5) You can also use the Remarks page for other
information, highlights and additional photographs (limit additional photos to
one (1) page only).(6) This accomplished Form is a required attachment to
Form 2E (DILG Field Officer).

Accessibility of Entrance/Exit [Capitol/CM Hall] Accessibility of Entrance/Exit [Capitol/CM Hall]

Wide Angle Shot, showing whole ramp *If w/ ramps, photo showing result of Ramp Gradient Finder
*if no ramps, photo showing ground level entrance/ dropped curb/ lift

PWD Toilet [Capitol/CM Hall] PWD Toilet [Capitol/CM Hall]

[photo showing toilet with grab bar with wheelchair inside] [Front view of wheelchair entering toilet door]

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 Department of the Interior and Local Government
Form 2E:
Assessment for the Seal of Good Local Governance Documentation
CY 2019

Social Protection (2)

INSTRUCTIONS FOR THE LGOO FROM THE PROVINCE/ C|MLGOO: PLEASE
READ BEFORE PROCEEDING. (1) Document LGU compliance by taking
photographs appropriate for the boxes provided for each assessment area.
(2) Photos should represent the subject matter with clarity and without any
form of distortion. (3) Use of high resolution camera is recommended. (4)
Write down your observations or findings on the space provided, short bullet
type statements will do. (5) You can also use the Remarks page for other
information, highlights and additional photographs (limit additional photos to
one (1) page only).(6) This accomplished Form is a required attachment to
Form 2E (DILG Field Officer).

Accessibility of Entrance/Exit [Hospital/RHU] Accessibility of Entrance/Exit [Hospital/RHU]

Wide Angle Shot, showing whole ramp *If w/ ramps, photo showing result of Ramp Gradient Finder
*if no ramps, photo showing ground level entrance/ dropped curb/ lift
Result of the Gradient Finder at RHU Ramp Sogod,
So.Leyte

PWD Toilet [Hospital/RHU] PWD Toilet [Hospital/RHU]

[photo showing toilet with grab bar with wheelchair inside] [Front view of wheelchair entering toilet door]

Mun RHU PWD Toilet with wheelchair & grab bar Mun RHU PWD Toilet easy entry with wheelchair &
grab bar

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 Department of the Interior and Local Government
Assessment for the Seal of Good Local Governance Form 2E:
CY 2019 Documentation

Business-Friendliness and
Competitiveness
INSTRUCTIONS FOR THE LGOO FROM THE PROVINCE/ C|MLGOO: PLEASE READ
BEFORE PROCEEDING. (1) Document LGU compliance by taking photographs
appropriate for the boxes provided for each assessment area. (2) Photos should
represent the subject matter with clarity and without any form of distortion. (3) Use of
high resolution camera is recommended. (4) Write down your observations or
findings on the space provided, short bullet type statements will do. (5) You can also
use the Remarks page for other information, highlights and additional photographs
(limit additional photos to one (1) page only).(6) This accomplished Form is a
required attachment to Form 2E (DILG Field Officer).

Citizens’ Charter for Business Permits

(For Cities and Municipalities only)

Business One Stop Shop

(For Cities and Municipalities only)

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 Department of the Interior and Local Government
Assessment for the Seal of Good Local Governance
CY 2019

Form 2E:
Documentation

Environmental
Management (1)
INSTRUCTIONS FOR THE LGOO FROM THE PROVINCE/ C|MLGOO: PLEASE
READ BEFORE PROCEEDING. (1) Document LGU compliance by taking
photographs appropriate for the boxes provided for each assessment area.
(2) Photos should represent the subject matter with clarity and without any
form of distortion. (3) Use of high resolution camera is recommended. (4)
Write down your observations or findings on the space provided, short bullet
type statements will do. (5) You can also use the Remarks page for other
information, highlights and additional photographs (limit additional photos to
one (1) page only).(6) This accomplished Form is a required attachment to
Form 2E (DILG Field Officer).

Sanitary Landfill/ Alternative Technology MRF/ Similar Facility

(For Cities and Municipalities only) (For Cities and Municipalities only)

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 Department of the Interior and Local Government
Form 2E:
Assessment for the Seal of Good Local Governance Documentation
CY 2019

Tourism, Culture and the

Arts
INSTRUCTIONS FOR THE LGOO FROM THE PROVINCE/ C|MLGOO: PLEASE
READ BEFORE PROCEEDING. (1) Document LGU compliance by taking
photographs appropriate for the boxes provided for each assessment area.
(2) Photos should represent the subject matter with clarity and without any
form of distortion. (3) Use of high resolution camera is recommended. (4)
Write down your observations or findings on the space provided, short bullet
type statements will do. (5) You can also use the Remarks page for other
information, highlights and additional photographs (limit additional photos to
one (1) page only).(6) This accomplished Form is a required attachment to
Form 2E (DILG Field Officer).

Tourist Information and Assistance Center/Desk Tourism data (Database/Recordbook)

PACD likewise serve as Tourist Information and

Assistance Center

Published narrative of history and culture

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 Department of the Interior and Local Government Form 2E:
Assessment for the Seal of Good Local Governance Documentation
CY 2019

Additional Photos (if any)

INSTRUCTIONS FOR THE LGOO FROM THE PROVINCE/ C|MLGOO: PLEASE
READ BEFORE PROCEEDING. (1) Document LGU compliance by taking
photographs appropriate for the boxes provided for each assessment area.
(2) Photos should represent the subject matter with clarity and without any
form of distortion. (3) Use of high resolution camera is recommended. (4)
Write down your observations or findings on the space provided, short bullet
type statements will do. (5) You can also use the Remarks page for other
information, highlights and additional photographs (limit additional photos to
one (1) page only).(6) This accomplished Form is a required attachment to
Form 2E (DILG Field Officer).

Click here to enter text. Click here to enter text.

Click here to enter text. Click here to enter text.

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