Form 2A-2N Certifications CM

Department of the Interior and Local Government
CY 2022 Seal of Good Local Governance
3
SGLG Form CM 2A Accounting Office
CERTIFICATION
This is to certify that the City/Municipality of ARAKAN has the following (Please supply required
information. Note that utilized funds refer to disbursed funds.):
● Utilization of Performance Challenge Fund
Total amount received Amount utilized Percent-utilization

CY 2019 Funds PhP ________________ PhP ________________ __________ %
(Cut-off: June 30, 2021)
If there are PCF grants received in CY 2018 and earlier, but have less than 100% utilization rate per
DILG-BLGD data, please specify their status as of June 30, 2021 below. (No need to fill out the table if
all earlier PCF grants have 100% utilization rate per DILG-BLGD data).

CY 2015 PhP __________________ PhP ____________________ _____%
CY 2016 PhP __________________ PhP ____________________ _____ %
CY 2017 PhP __________________ PhP ____________________ _____ %
CY 2018 PhP __________________ PhP ____________________ _____ %
Remarks (e.g., CY 2018 PCF project completed and unexpended balances reverted back to National
Treasury as of June 30, 2021):
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
● Utilization of funds from Assistance to Municipalities (formerly Bottom-Up Budgeting/Assistance to Disadvantaged

Municipalities; DILG-managed funds only) (Cut-off: December 31, 2021)

CY 2020 Funds PhP ________________ PhP ________________ __________ %
(Cut-off: December 31, 2021
If there are AM/BUB grants received in CY 2019 and earlier but have less than 100% utilization rate per
DILG-OPDS data, please specify their status as of December 31, 2021 below. (No need to fill out the
table if all earlier AM/BUB grants have 100% utilization rate per DILG-OPDS data).

CY 2015 PhP __________________ PhP ____________________ _____ %
CY 2016 PhP __________________ PhP ____________________ _____ %
CY 2017 PhP __________________ PhP ____________________ _____%
CY 2018 PhP __________________ PhP ____________________ _____ %
CY 2019 PhP __________________ PhP ____________________ _____ %
Remarks (e.g., CY 2018 AM/BUB project completed and unexpended balances reverted back to
National Treasury as of December 31, 2021):
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
● CY 2021 LDRRM Fund: Appropriation

Estimated revenue from regular sources : PhP ____________________
Amount allocated for LDRRMF CY 2021 : PhP ____________________
In percent : ___________ %
● CY 2021 LDRRM Fund: Utilization of the 70% component for Preparedness (Current Fund)
Amount allocated for LDRRMF CY 2021 : PhP ____________________
(Preparedness component)
Amount utilized (as of Dec. 31, 2021) : PhP ____________________
In percent : ____________ %
● Fund appropriated for Gender and Development, CY 2021

Amount allocated : PhP ____________________
In percent : ___________ %
● Fund appropriated for Senior Citizens and PWDs PPAs, CY 2021

In percent : ___________ %
● CY 2021 LCPC: Fund Appropriation

IRA amount : PhP ____________________
Amount allocated for LCPC : PhP ____________________
In percent : ___________ %
● CY 2021 LCPC: Fund Utilization

In percent : ___________ %
● Funds appropriated for PPAs for Children, CY 2021

In percent : ___________ %
● Utilization of funds from Provision of Potable Water Supply-Sagana at Ligtas na Tubig sa Lahat
(SALINTUBIG) projects (Cut-off: December 31, 2021)

CY 2019 PhP __________________ PhP ____________________ _____ %
CY 2020 PhP __________________ PhP ____________________ _____ %
If there are funds received for SALINTUBIG projects in CY 2018 and earlier but have less than 100%
utilization rate per DILG-OPDS data, please specify their status as of December 31, 2021 below. (No
need to fill out the table if all earlier grants have 100% utilization rate per DILG-OPDS data).

CY 2015 PhP __________________ PhP ____________________ _____ %
CY 2016 PhP __________________ PhP ____________________ _____ %
CY 2017 PhP __________________ PhP ____________________ _____%
CY 2018 PhP __________________ PhP ____________________ _____ %
Remarks (e.g., CY 2018 SALINTUBIG project completed and unexpended balances reverted back to
National Treasury as of December 31, 2021):
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
● Utilization of fund appropriated for the conservation and preservation of cultural property,
CY 2021 (Cut-off: December 31, 2021)
Amount allocated for programs, projects and : PhP ____________________

activities related to conserving and preserving
cultural property CY 2021
Amount utilized : PhP ____________________
In percent : ___________ %
● Utilization of fund appropriated for youth development, CY 2021 (Cut-off: December 31, 2021)
Amount allocated for programs, projects and : PhP ____________________

activities related to youth development, CY
2021
Amount utilized : PhP ____________________
In percent : ___________ %
This Certification is issued for the purpose of the Seal of Good Local Governance assessment.
Issued on the _____ day of ____________, 2022.
Certified by: Attested by:
JOHN N. MENDOZA RENE V. RUBINO_

Signature over Printed Name Signature over Printed Name
City/Municipal Accountant City/Municipal Mayor
Official Release of this Certification

(Please affix official LGU stamp below)
SGLG Form CM 2B Business Permit and Licensing Office

City/Municipality of : ___ARAKAN________________________ Income Class : ___________
Province : ___COTABATO______________________ Region : _XII________
INSTRUCTIONS
For the DILG City Director or C/MLGOO:
1. Ask the BPLO for the month and day of CY 2021 1st quarter with the highest volume of transaction for business permits for both new
and renewal.
2. Review database, record book or copy of application forms.
3. Get sample transactions, at least 50% each for new business and renewal. Maximum number of samples for each is 20.
4. Record the samples and their processing time.
PROCESSING TIME IN ISSUING A BUSINESS OR MAYOR’S PERMIT

New Business Business Renewal
Date (month and day) with Date (month and day) with
highest volume of transaction highest volume of transaction for
for business permits: business permits:
__JANUARY 19, 2021____ JANUARY 11, 2021_______
Total number of transactions: _________17______________ Total number of transactions: _________19______________
Sample Transactions: Sample Transactions:
Not more than 3 working days Not more than 3 working days
from application to release? from application to release?
Application No. Application No.
Yes No Yes No
1. 398 ☐ ☐ 1. 12 ☐ ☐
2. 401 ☐ ☐ 2. 15 ☐ ☐
3. 402 ☐ ☐ 3. 16 ☐ ☐
4. 403 ☐ ☐ 4. 17 ☐ ☐
5. 409 ☐ ☐ 5. 18 ☐ ☐
6. 411 ☐ ☐ 6. 19 ☐ ☐
7. 413 ☐ ☐ 7. 20 ☐ ☐
8. 414 ☐ ☐ 8. 21 ☐ ☐
9. 420 ☐ ☐ 9. 23 ☐ ☐
10. 425 ☐ ☐ 10. 24 ☐ ☐
11. 426 ☐ ☐ 11. 27 ☐ ☐

12. 441 ☐ ☐ 12. 30 ☐ ☐
13. 443 ☐ ☐ 13. 31 ☐ ☐
14. 448 ☐ ☐ 14. 35 ☐ ☐
15. 449 ☐ ☐ 15. 36 ☐ ☐
16. 450 ☐ ☐ 16. 37 ☐ ☐
17. 451 ☐ ☐ 17. 38 ☐ ☐
18. ☐ ☐ 18. 39 ☐ ☐
19. ☐ ☐ 19. 41 ☐ ☐
20. ☐ ☐ 20. ☐ ☐
Notes: Application filed on Day 1 should be released not later than Day 3. Weekends not counted. Attach additional pages, if
necessary
Summary of tracked economic data:
Economic Data 2020 2021

Total number of new businesses _______98___ ______172__
Total number of business renewals _____383_____ ______393__
Capital investments derived from registered new businesses _27,436,000.00_

_23,314,600.0
0
Employees derived from registered new businesses and business renewals _____1,414_____
___1,148____
_
Collected by: Certified by:
JASMIN FLORES-EDUCALAN FELIX ALPAS

City Director or C/MLGOO Business Permit and Licensing Officer

Attested by:
RENE V. RUBINO
Signature over Printed Name
City/Municipal Mayor

SGLG Form CM 2C Budget Office
CERTIFICATION
This is to certify that the City/Municipality of ARAKAN has budget appropriation for (please tick
available item(s)):
☐ Approved Local Disaster Risk Reduction and Management (LDRRM) Plan as integrated in CY
2022 Annual Budget and CY 2022 Annual Investment Program.
Issued on the _____ day of ______________, 2022.
FELIX A. PATRIMONIO RENE V. RUBINO_

City/Municipal Budget Officer City/Municipal Mayor

SGLG Form CM 2D DepEd Representative
CERTIFICATION
This is to certify that the City/Municipality of ARAKAN has the following status of implementation
(Please supply required data):
SEF Utilization/LSB Plan Completion
_____ % of programs, project, and activities are completed; and

_____ % of the total amount appropriated to finance the LSB Plan (Special Education Fund) is utilized.
Accordingly, the said Plan completed, or its fund utilized for, the following items (tick appropriate
item(s)):
☐ Operation and maintenance of public schools

☐ Construction and repair of school buildings
☐ Facilities and equipment
☐ Educational research
☐ Purchase of books and periodicals
☐ Sports development
☐ Implementation of the National Feeding Program for undernourished children in public day
care, kindergarten, and elementary schools
☐ Others. Please specify: ________________________
Local School Board Activities
The Local School Board met at least once in these months in CY 2021:
☐ January ☐ July
☐ February ☐ August
☐ March ☐ September
☐ April ☐ October
☐ May ☐ November
☐ June ☐ December
PPAs for CY 2022
The LGU has the following programs, projects, and activities (PPAs) in their Comprehensive Development Plan
or Investment Program that are aligned with the priority education reform areas determined by the DepEd SDO
through its Division Education Development Plan (DEDP) or School Improvement Plan (SIP) and Annual
Improvement Plan (AIP). (Please supply required data, leave blank if none)
Name of PPAs Reform Area Addressed? Contained in What Document?

(CDP, LDIP, AIP, or SEF Budget)
(Attach additional pages, if necessary.)
Issued on the ____ day of ____________, 2022.
Certified By:
_____________________________________________
DepEd Schools Division Superintendent/

designated Representative to LSB
Official Release of this Certification (Please affix stamp of Records Section/Officer below)
SGLG Form CM 2D.2 DepEd Representative (for Cities with DepEd City SDO)
CERTIFICATION
This is to certify that the City of ARAKAN has the following data (Please supply required data based on
your records):
Participation Rate / Net Enrollment Rate (in %)
● SY 2019 - 2020 ____________________
● SY 2020 - 2021 ____________________
Cohort Survival Rate (in %)
● SY 2019 - 2020 ____________________
● SY 2020 - 2021 ____________________
School Leaver Rate / Dropout Rate (in %)
● SY 2019 - 2020 ____________________
● SY 2020 - 2021 ____________________
Completion Rate (in %)
● SY 2019 - 2020 ____________________
● SY 2020 - 2021 ____________________
This Certification is issued for profiling purposes as part of the Seal of Good Local Governance and the
Local Governance Performance Management System program.
Certified By:
_____________________________________________
DepEd Schools Division Superintendent/

designated Representative to LSB
(Please affix stamp of Records Section/Officer below)
SGLG Form CM 2D.3 DepEd Representative (for Cities with no DepEd City SDO, and Municipalities)
To be accomplished separately by ALL DepEd District Supervisors
CERTIFICATION
This is to certify that the DepEd District of ARAKAN has the following data (Please supply required data
based on your records):
Participation Rate / Net Enrollment Rate (in %)
● SY 2019 - 2020 ____________________
● SY 2020 - 2021 ____________________
Cohort Survival Rate (in %)
● SY 2019 - 2020 ____________________
● SY 2020 - 2021 ____________________
School Leaver Rate / Dropout Rate (in %)
● SY 2019 - 2020 ____________________
● SY 2020 - 2021 ____________________
Completion Rate (in %)
● SY 2019 - 2020 ____________________
● SY 2020 - 2021 ____________________
This Certification is issued for profiling purposes as part of the Seal of Good Local Governance and the
Local Governance Performance Management System program.
Certified By:
_____________________________________________
DepEd Schools District Supervisor
(Please affix stamp of Records Section/Officer below)

SGLG Form CM 2E DILG Field Office
CERTIFICATION
This is to certify that the City/Municipality of ARAKAN has (Please tick available item(s)):
GAD Plan and Budget for CY 2021

☐ Has been reviewed and was found fully compliant in form and content per PCW-DILG-DBM-NEDA
JMC No.: 2016-01
☐ Has been submitted to DILG for review
☐ No submission
GAD Plan and Budget for CY 2022

☐ Has been reviewed and was found fully compliant in form and content per PCW-DILG-DBM-NEDA
JMC No.: 2016-01
☐ Has been submitted to DILG for review
☐ No submission
In addition, I confirm the correctness of the information/conditions contained in the attached

Documentation template.
Certified by:
JASMIN FLORES-EDUCALAN
City Director or City/Municipal LGOO
(Please affix stamp of DILG RO/PO below)

CY 2022 SGLG Assessment
SGLG Form CM 2F Disaster Risk Reduction and Management Office
CERTIFICATION
This is to certify that the City/Municipality of ARAKAN has the following (Please supply required data):
_____ % of barangays with approved Community-Based Disaster Risk Reduction and Management
(CBDRRM) Plans. Attached is the list of barangays with approved CBDRRM Plans; and
_____ % of barangays with Evacuation Guides.
Certified By: Attested by:
_______________________________________ ________________________________________
City/Municipal Risk Reduction City/Municipal Mayor

and Management Officer

SGLG Form CM 2F Disaster Risk Reduction and Management Office (attachment)
Barangays with approved CBDRRM Plans

Period/years covered by
# Name of Barangay
CBDRRM Plan
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
(Attach additional pages, if necessary.)
Total number of barangays: ______
_______________________________________ ________________________________________
City/Municipal Risk Reduction City/Municipal Mayor

and Management Officer

SGLG Form CM 2G Engineering Office
CERTIFICATION
This is to certify that the City/Municipality of ______________________________ has the following
(Please supply required data and photo documentation. You may add remarks for each photo.):
A. Local Government Building

Complete Address: _________________________________
Photo of the Ramp with the Grab Bars
Wide Angle Shot, showing whole ramp
*if no ramps, photo showing ground level
entrance/ dropped curb/ lift
Width (in meters): _____________
Other Remarks (if any):

________________________________
Photo of the Ramp with the Gradient Finder Test
(result should be shown)
Gradient: _____________

_______________________________
Photo of the Ramp Flooring

Refer to Technical Notes Annex A
Flooring Material: ____________________
Slip-Resistance (if dry and unpolished)

☐ Very Good
☐ Good
☐ Fair
☐ Poor to Fair
☐ Very Poor to Fair
Slip-Resistance (if wet)

☐ Very Good
☐ Good
☐ Fair
☐ Poor to Fair

________________________________
Photo of the PWD CR (Wide Shot)

Must show the toilet with grab bar and wheelchair
inside
Floor Area of the PWD CR: (in m2): ________
Has at least 2.25 m2 turning space with a

minimum dimension of 1.50m for wheelchairs?
☐ Yes
☐ No

________________________________
Photo of the PWD CR’s entrance
Width of the entrance (in meters): _________

________________________________
Photo of the Flooring of the PWD CR


☐ Very Good
☐ Good
☐ Fair
☐ Poor to Fair
☐ Very Good
☐ Good
☐ Fair
☐ Poor to Fair
________________________________
Photo of the Signages

(Directional and information signs showing the
location of ramps, elevator, PWD CRs)
________________________________
Photo of the Parking Space for PWDs
________________________________
Other PWD-friendly space/facility/equipment

(If any)
________________________________
B. Main Hospital/Health Facility

Name of Facility: __________________________________
Address: _________________________________________


________________________________
Gradient: _____________

_______________________________

☐ Very Good
☐ Good
☐ Fair
☐ Poor to Fair
☐ Very Good
☐ Good
☐ Fair
☐ Poor to Fair
________________________________

inside

☐ Yes
☐ No

________________________________

________________________________


☐ Very Good
☐ Good
☐ Fair
☐ Poor to Fair
☐ Very Good
☐ Good
☐ Fair
☐ Poor to Fair
________________________________

________________________________

________________________________

(If any)
________________________________
C. LG-managed tertiary educational facility/technical vocational education and training center

Name of Facility: __________________________________
Address: _________________________________________


________________________________
Gradient: _____________

_______________________________


☐ Very Good
☐ Good
☐ Fair
☐ Poor to Fair
☐ Very Good
☐ Good
☐ Fair
☐ Poor to Fair
________________________________

inside

☐ Yes
☐ No

________________________________

________________________________


☐ Very Good
☐ Good
☐ Fair
☐ Poor to Fair
☐ Very Good
☐ Good
☐ Fair
☐ Poor to Fair
________________________________

________________________________

________________________________

(If any)
________________________________
Other Remarks (if any)

_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
___________________________________ ___________________________________
City/Municipal Engineer City/Municipal Mayor


SGLG Form CM 2H Planning and Development Office
CERTIFICATION
This is to certify that the Municipality of ARAKAN has the following (Please tick available condition(s)
and/or supply required information):
A. On Presence of Illegal Dwelling Units (Indicator for Cities only, but Municipalities are encouraged to
also fill this out)
☐ Illegal dwelling units exist within LGU jurisdiction

* In case illegal dwelling units exist, reference document for housing, resettlement and relocation
programs of the LGU is:
☐ Approved City Shelter Plan

☐ Approved Resettlement and Relocation Action Plan
☐ Resettlement PPAs incorporated in CY 2021 Annual Investment Program
☐ None
Please indicate the percentage of accomplished CY 2021 targets: _______ %
B. Local tourism condition where:

☐ Income from tourism activities form part of the LGU’s main source of revenue
☐ Large segment of LGU’s population is employed in tourism activities
☐ Significant portion of the LGU’s fund is appropriated for the development of this industry
C. Report on PPAs Completion (Cut-off: December 31, 2021)
PPAs Percent Completion (in %)

CY 2021 GAD Plan’s PPAs 84.37%
CY 2021 PPAs for Senior Citizens and PWDs 80.98%
CY 2021 PPAs funded out of the 1% of IRA allocation for the Local
55.50%
Council for the Protection of Children
CY 2021 PPAs for Children 85.33%
Remarks:
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
Issued on the 11th day of April, 2022.
ELMER S. MONTALES, EnP RENE V. RUBINO

City/Municipal Planning and Development Officer City/Municipal Mayor

SGLG Form CM 2I Local PNP Office/ Station
CERTIFICATION
This is to certify that the Municipality of ARAKAN has undertaken the following (Please tick applicable
items only):
☐ The LGU has provided logistical support to the PNP Local Police Office/Station in CY 2021.
Accordingly, the following are the forms of support given (please tick applicable choices only) :
☐ Ammunition ☐ Police station
☐ Communication ☐ Supplies
☐ Vehicle ☐ Others (please specify): _________________
☐The LGU has supported the organization of the Barangay Peacekeeping Action Teams, barangay
tanods, and/or any similar unit.
Relatively, the LGU has (please supply required data):
_____% of barangays with organized BPATs, barangay tanods and/or similar unit; and
_____% of the barangays with trained BPATs, barangay tanods and/or similar unit.
☐ LGU statistics on crime are as follows:

CY 2020 CY 2021
Index _________________ _________________
Non-Index _________________ _________________
Total crime volume _________________ _________________
Certified By:
__________________________________________
Chief, Local PNP Office/Station

Please affix stamp of Records Section/Officer below

SGLG Form CM 2J Social Welfare and Development Office
CERTIFICATION
This is to certify that the Municipality of ARAKAN has (please supply the following information):
_____ % of barangays have their respective violence against women (VAW) desks
Submission of VAWC quarterly reports to the LSWDO for:

_____ % of barangays submitted for 1st Quarter CY 2021
_____ % of barangays submitted for 2nd Quarter CY 2021
_____ % of barangays submitted for 3rd Quarter CY 2021
_____ % of barangays submitted for 4th Quarter CY 2021
___________________________________ ___________________________________
City/Municipal Social Welfare and City/Municipal Mayor

Development Officer

SGLG Form CM 2JA Social Welfare and Development Office

This must be submitted to the DSWD Field Office.
CERTIFICATION
Data on ECCD Service Providers (SP)

(Child Development Worker/Day Care Worker)
With Expired
Total Number of SP Accredited Not Accredited
Accreditation
___________ ___________ ___________ ___________
Data on ECCD Facilities

(Child Development Center/Day Care Center)
Total Number of With Expired

Accredited Not Accredited
Facilities Accreditation
___________ ___________ ___________ ___________

__________________________________________ ________________________________________
City/Municipal Social Welfare and City/Municipal Mayor

Development Officer

SGLG Form CM 2K Treasurer’s Office
CERTIFICATION
● Local revenue growth, CYs 2018 - 2020
Local revenue for:

CY 2018 : PhP 8,896,573.59
CY 2019 : PhP 10,088,925.65
CY 2020 : PhP 12,122,119.26
Growth rate for:
From 2018 to 2019 : 11.82 %
From 2019 to 2020 : 16.77 %
Ave. growth : 14.29 %
● 20% Component of Internal Revenue Allotment (Development Fund), CY 2020
Amount of IRA : PhP 253,844,812.02
Amount allocated as Local Development Fund (LDF) : PhP 48,448.762.40
% LDF Allocation out of the IRA : _______%
Amount utilized out of LDF (as of Dec. 31, 2020) : PhP 25,198,016.80
Issued on the 25TH day of April, 2022.
JUPITER C. AMPATIN RENE V. RUBINO

City/Municipal Treasurer City/Municipal Mayor


SGLG Form CM 2M Local Environment and Natural Resources Office
CERTIFICATION
This is to certify that the Municipality of ARAKAN has (please tick available
conditions):
Open/Controlled Dumpsite (if applicable)

☐ No operating open/controlled dumpsite
☐ Operates a controlled/open dumpsite, LGU/private entity-owned, used as waste disposal facility
☐ Has a Safe Closure and Rehabilitation Plan for controlled/open dumpsite that is (please tick applicable
condition):
☐ Approved; Date of approval: __________________________
With percent-completion of: ______________________ as of ______________________
☐ Currently being drafted with DENR’s technical assistance
Access to Sanitary Landfill (SLF)

☐ Has an LGU-owned and operated Sanitary Landfill (SLF) (completed and operational)
☐ Has an LGU-owned Sanitary Landfill (SLF) being constructed
☐ Forged partnership with a government/private entity for the use of an SLF as final waste disposal facility
Name of Partner Entity/Facility: __________________________
☐ Operates a Temporary Residual Containment Area
☐ With proposed construction of an SLF, budgeted under the LGU’s Approved 10-Year SWM Plan
☐ Employs technology that addresses residual wastes that is officially recognized by DENR as an alternative to
SLF (In this case, Proof that said technology officially recognized by DENR must be hereto attached)
☐ Other initiatives to access an authorized SLF. Please specify: __________________________
Access to Materials Recovery Facility
_____ % of barangays have access to a Materials Recovery Facility (MRF)
☐ Has planned programs on increasing operational MRFs

☐ Has planned programs on expanding its operation of a single MRF servicing multiple Barangays
☐ Other initiatives to expand access to MRF. Please specify: __________________________
Issued on the ______ day of ____________, 2022.
__________________________________________ ________________________________________
City/Municipal Environment and Natural Resources City/Municipal Mayor

Officer

SGLG Form CM 2N Designated Tourism Officer
CERTIFICATION
This is to certify that the City/Municipality of ______________________________ has (please supply the
following information):
Has tracking system of tourism data
☐ Yes, manual (e.g., record book)
☐ Yes, Computer-aided
☐ Yes, Others: _____________________________________________________
☐ No
Has the following tourism data derived from the tracking system
Tourism Statistics in CY 2021

Number of Tourist Arrivals : ______________________
Number of Registered Tourism Enterprise : ______________________
Other Tourism Data (if any)
: ______________________
: ______________________
: ______________________
Issued on the ______ day of ____________, 2022.

__________________________________________
______________________________________
City/Municipal Tourism Officer City/Municipal Mayor


Form 2A-2N Certifications CM

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Form 2A-2N Certifications CM

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Department of the Interior and Local Government

CY 2022 Seal of Good Local Governance

● Utilization of Performance Challenge Fund

Total amount received Amount utilized Percent-utilization

Total amount received Amount utilized Percent-utilization

● Utilization of funds from Assistance to Municipalities (formerly Bottom-Up Budgeting/Assistance to Disadvantaged

Total amount received Amount utilized Percent-utilization

Total amount received Amount utilized Percent-utilization

● CY 2021 LDRRM Fund: Appropriation

● Fund appropriated for Gender and Development, CY 2021

● Fund appropriated for Senior Citizens and PWDs PPAs, CY 2021

● CY 2021 LCPC: Fund Appropriation

● CY 2021 LCPC: Fund Utilization

● Funds appropriated for PPAs for Children, CY 2021

Total amount received Amount utilized Percent-utilization

Total amount received Amount utilized Percent-utilization

Amount allocated for programs, projects and : PhP ____________________

Amount allocated for programs, projects and : PhP ____________________

Issued on the _____ day of ____________, 2022.

Certified by: Attested by:

JOHN N. MENDOZA RENE V. RUBINO_

City/Municipal Accountant City/Municipal Mayor

Official Release of this Certification

SGLG Form CM 2B Business Permit and Licensing Office

For the DILG City Director or C/MLGOO:

2. Review database, record book or copy of application forms.

4. Record the samples and their processing time.

PROCESSING TIME IN ISSUING A BUSINESS OR MAYOR’S PERMIT

Total number of transactions: _________17______________ Total number of transactions: _________19______________

Sample Transactions: Sample Transactions:

10. 425 ☐ ☐ 10. 24 ☐ ☐

11. 426 ☐ ☐ 11. 27 ☐ ☐

12. 441 ☐ ☐ 12. 30 ☐ ☐

13. 443 ☐ ☐ 13. 31 ☐ ☐

14. 448 ☐ ☐ 14. 35 ☐ ☐

15. 449 ☐ ☐ 15. 36 ☐ ☐

16. 450 ☐ ☐ 16. 37 ☐ ☐

17. 451 ☐ ☐ 17. 38 ☐ ☐

Summary of tracked economic data:

Economic Data 2020 2021

Total number of business renewals _____383_____ ______393__

Capital investments derived from registered new businesses _27,436,000.00_

Collected by: Certified by:

JASMIN FLORES-EDUCALAN FELIX ALPAS

City Director or C/MLGOO Business Permit and Licensing Officer

Official Release of this Certification

SGLG Form CM 2C Budget Office

Issued on the _____ day of ______________, 2022.

Certified by: Attested by:

FELIX A. PATRIMONIO RENE V. RUBINO_

City/Municipal Budget Officer City/Municipal Mayor

Official Release of this Certification

(Please affix official LGU stamp below)

SGLG Form CM 2D DepEd Representative

SEF Utilization/LSB Plan Completion

_____ % of programs, project, and activities are completed; and

☐ Operation and maintenance of public schools

Local School Board Activities

PPAs for CY 2022

Name of PPAs Reform Area Addressed? Contained in What Document?

(Attach additional pages, if necessary.)

Issued on the ____ day of ____________, 2022.

DepEd Schools Division Superintendent/

Issued on the ____ day of ____________, 2022.

Issued on the _ day of ________, 2022.

Total number of transactions: _17__ Total number of transactions: _19__________

Total number of business renewals ___383_ __393

Issued on the _ day of __________, 2022.

Issued on the day of ________, 2022.

Issued on the day of ________, 2022.

Issued on the day of ________, 2022.

Issued on the day of ________, 2022.

Issued on the day of ________, 2022.