2023 SEAL OF GOOD LOCAL GOVERNANCE FOR BARANGAY

Year Under Review: CY 2022 SGLGB Form No. 2

Data Capture Form

Core Governance Area No. 1:

Financial Administration and Sustainability

1.1 Compliance with the Barangay Full Disclosure Policy (BFDP)

MINIMUM REQUIREMENT MEANS OF VERIFICATION
1.1.1 Posted the following CY 2022 financial documents in the BFDP board, pursuant to DILG MC
BFDP Monitoring Form A of the DILG Advisory dated March 25, 2022
No. 2014-81 and DILG MC No. 2022-027:

Instruction: Put a check ✓ on the box that corresponds

Photo Documentation of the BFDP board displaying the following documents:
to your assessment.
YES NO
ANNUAL REPORT
ANNUAL REPORT a. Barangay Financial Report
a. Barangay Financial Report; b. Barangay Budget;
b. Barangay Budget; c. Summary of Income and Expenditures;
c. Summary of Income and Expenditures; d. 20% Component of the IRA Utilization;
d. 20% Component of the IRA Utilization; e. Annual Procurement Plan or Procurement List;

e. Annual Procurement Plan or Procurement List;

QUARTERLY REPORT
QUARTERLY REPORT f. List of Notices of Award (4th Quarter of CY 2022);

f. List of Notices of Award (4th Quarter of CY 2022); and

and
MONTHLY REPORT MONTHLY REPORT
g. Itemized Monthly Collections and Disbursements (Oct-
g. Itemized Monthly Collections and Disbursements (Oct-Dec, CY 2022).
Dec, CY 2022).
October 2022
November 2022
December 2022
1.1.2 Accomplished prescribed BFR form with the "stamp receipt" of the Office of the C/M
Barangay Financial Report on Statement of Receipt and Expenditure (Annex 7)
Accountant.
YES NO Instruction: Put a check ✓ on the box that corresponds
to your assessment.

PROCESSING OF RESULTS REMARKS

YES NO

Met all the minimum requirements on Compliance with

the Barangay Full Disclosure Policy (BFDP)?

1.2. Innovations on revenue generation or exercise of corporate powers

MINIMUM REQUIREMENT MEANS OF VERIFICATION
1.2.1 Increase in local resources in 2022.
Barangay Budget Preparation Form 2 of 2021 and 2022

YES NO Total amount obtained from local resources in:

Instruction: Put a check ✓ on the box that corresponds CY 2021:
to your assessment.
CY 2022:
Percentage Increase:
PROCESSING OF RESULTS REMARKS
YES NO
Met the minimum requirement on innovations on
revenue generation or exercise of corporate powers?

1.3. Approval of the Barangay Budget on the Specified Timeframe

MINIMUM REQUIREMENT MEANS OF VERIFICATION
1.3.1 Presence of a Barangay Appropriation Ordinance approved on or before December 31, 2021. Approved Barangay Appropriation Ordinance
YES NO Date of Approval:
Instruction: Put a check ✓ on the box that corresponds
to your assessment.

Consideration: Approval until March 31, 2022

 YES NO Instruction: Put a check ✓ on the box that corresponds
to your assessment.

PROCESSING OF RESULTS REMARKS

YES NO

Met the minimum requirement on Approval of the

Barangay Budget on the Specified Timeframe?

1.4. Allocation for Statutory Programs and Projects as Mandated by Laws and/or Other Issuances
MINIMUM REQUIREMENT MEANS OF VERIFICATION

1.4.1 Approved Barangay Appropriation Ordinance

With allocated funds for the following statutory programs and projects:

Instruction: Put a check ✓ on the box that corresponds

YES NO to your assessment.

a. Senior Citizens (per R.A. 9994 and DBM Local Budget

Memorandum No. 82);

b. Persons with Disability (per R.A. 7277 and DBM Local

Budget Memorandum No. 82);

c. At least 20% of the IRA is allocated for development

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

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

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

e. At least 5% from total budget allocated for GAD plans

and programs per RA 9710.

PROCESSING OF RESULTS REMARKS

YES NO
Met the minimum requirement on Allocation for
Statutory Programs and Projects as Mandated by Laws
and/or Other Issuances?
 1.5. Posting of the Barangay Citizens’ Charter (CitCha)

MINIMUM REQUIREMENT MEANS OF VERIFICATION

1.5.1 Barangay Citizens’ Charter posted at a conspicuous place. (e.g., barangay hall, market, Photo documentation of the Barangay CitCha (name of the barangay should be visible)
transport terminal or multi-purpose hall)

YES NO
Instruction: Put a check ✓ on the box that corresponds
to your assessment.

PROCESSING OF RESULTS REMARKS

YES NO
Met the minimum requirement on the posting of
Barangay CitCha

1.6. Release of the Sangguniang Kabataan (SK) Funds by the Barangay

MINIMUM REQUIREMENT MEANS OF VERIFICATION
1.6.1

Compliance with Section 20 of the SK Reform Act of 2015 and Item 3.2 of DBM-DILG-NYC
JMC No. 1, s. 2019 dated January 23, 2019:

YES NO Instruction: Put a check ✓ on the box that corresponds

to your assessment.
MOVs for 1.6.1.1:
1.6.1.1. If the barangay is with Barangay-SK Agreement
a) Copy of the written agreement; and
for the annual or semestral or quarterly release/deposit:

b) Proof of deposit reflecting the Account No./ Name of Barangay SK (1 deposit slip for
annual, 2 deposit slips for semestral, 4 deposit slips for quarterly

MOV for 1.6.1.2:

1.6.1.2. If the barangay is without an agreement with the
a) 12 monthly deposit slips reflecting the Account No./ Name of Barangay SK
SK, but with current account:
MOV for 1.6.1.3:
1.6.1.3. If the barangay is without SK Officials or with SK
Officials but no quorum and/or No SK Bank Account:

a) Proof of transfer of the 10% SK fund to the trust fund of the barangay such as
deposit slip or Official Receipt or corresponding legal form/document 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.
 a) Proof of transfer of the 10% SK fund to the trust fund of the barangay such as
deposit slip or Official Receipt or corresponding legal form/document 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.

Presence of Approved Annual Barangay Youth Investment Program (ABYIP) for CY 2022 MOV for 1.6.2:
1.6.2 Certification from the C/MLGOO on current number of SK officials
(Applicable only for Barangays with 5 and above SK officials) Please supply information
Total Number of SK Officials:
YES NO If with 5 and above SK officials:
Instruction: Put a check ✓ on the box that corresponds
to your assessment.
Approved Annual Barangay Youth Investment Program (ABYIP) for 2022

PROCESSING OF RESULTS REMARKS

YES NO

Met all minimum requirements on Release of the

Sangguniang Kabataan (SK) Funds by the Barangay?

1.7. Conduct of Barangay Assembly for CY 2022 (2nd Semester)

MINIMUM REQUIREMENT MEANS OF VERIFICATION

Conducted the 2nd semester Barangay Assembly for CY 2022

1.7.1 ( via any modality, i.e., online, face-to-face, hybrid).
Post Activity Report on the conduct of the 2nd semester barangay assembly duly
signed/approved by the Punong Barangay (Annex D of DILG MC No. 2022-131)
YES NO
Instruction: Put a check ✓ on the box that corresponds
to your assessment.

PROCESSING OF RESULTS REMARKS

YES NO

Met the minimum requirement on Conduct of Barangay

Assembly for CY 2022 (2nd Semester)?
 Core Governance Area No. 2:
Disaster Preparedness

2.1. Functionality of the Barangay Disaster Risk Reduction and Management Committee (BDRRMC)
MINIMUM REQUIREMENT MEANS OF VERIFICATION

Established BDRRMC with its composition compliant to the Provisions of NDRRMC, DILG,
2.1.1 DBM, and CSC JMC No. 2014-01 Executive Order or similar issuance creating the BDRRMC compliant to composition
requirements covering CY 2022.

YES NO
Instruction: Put a check ✓ on the box that corresponds
Date of EO or similar issuance:
to your assessment.

Approved Barangay Disaster Risk Reduction and Management (BDRRM) Plan covering CY
2.1.2 2022 Approved BDRRM Plan CY 2022
Coverage Year:
YES NO Instruction: Put a check ✓ on the box that corresponds
to your assessment.

2.1.3 Allocation of 5% of the Estimated Revenue from Regular Sources as BDRRM Fund Enacted Appropriation Ordinance
YES NO
Instruction: Put a check ✓ on the box that corresponds
to your assessment. To compute % allocation for BDRRMF:
(BDRRMF Allocated / Estimated Total Revenue from Regular Sources) x 100
Please supply the following information:
Estimated revenue from regular sources:
Amount of BDRRMF for FY 2022:
Percent-allocation for BDRRMF:
2.1.4 Physical/Financial Accomplishment:
To compute Physical Accomplishment Rate:
Instruction: Put a check ✓ on the box that corresponds
to your assessment. (Total number of activities/projects accomplished / Total number of activities/projects reflected in the
YES NO BDRRM plan) x 100
Please supply the following information:
a. At least 50% accomplishment of the physical targets in % of programs, project, and activities are completed
the BDRRM Plan
Accomplishment Report
OR
 OR

FALSE FALSE b. At least 50% fund utilization of the 70% component of To compute % utilization:
CY 2022 BDRRMF - Preparedness component as of (Total Amount Utilized)/(Total Amount Allocated) x 100
December 31, 2022. Please supply the following information:
Amount utilized (as of Dec. 31, 2022):
Amount allocated for LDRRMF CY 2022 (Preparedness
component):
Percent-utilization for BDRRMF:
Annual Report on the utilization of the LDRRMF
PROCESSING OF RESULTS REMARKS
YES NO
Met all minimum requirements on the Functionality of
the Barangay Disaster Risk Reduction and Management
Committee (BDRRMC)?

2.2. Extent of Risk Assessment and Early Warning System (EWS)

MINIMUM REQUIREMENT MEANS OF VERIFICATION

Post-Activity Report of activities such as Climate and Disaster Risk Assessment,

2.2.1 Conducted an activity in relation to Risk Assessment in the barangay not earlier than 2019
Participatory Disaster Risk Assessment, BDRRM Planning, etc.
Please supply the following information:
YES NO Activity Title:
Instruction: Put a check ✓ on the box that corresponds
to your assessment. Date of Activity:

2.2.2 A certified Barangay Risk/Hazard Map

Photo documentation of the certified Barangay Risk/Hazard Map

YES NO
Instruction: Put a check ✓ on the box that corresponds
to your assessment.

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

YES NO TOP 1 Hazard:

Instruction: Put a check ✓ on the box that corresponds
to your assessment.
TOP 2 Hazard:
 PROCESSING OF RESULTS REMARKS
YES NO

Met all minimum requirements on the Extent of Risk

Assessment and Early Warning System (EWS)?

2.3. Extent of Preparedness For Effective Response And Recovery

MINIMUM REQUIREMENT MEANS OF VERIFICATION
2.3.1 A barangay must have a permanent or alternate evacuation center Photo documentation of the permanent/alternate evacuation center
YES NO Please supply the following information:
Instruction: Put a check ✓ on the box that corresponds
to your assessment.

Permanent evacuation center Location:

OR
Alternate evacuation center Location:

2.3.2 A barangay must have the following disaster supplies/equipment: Photo Documentation of disaster supplies equipment

Instruction: Put a check ✓ on the box that corresponds

YES NO to your assessment.

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)

 PROCESSING OF RESULTS REMARKS
YES NO

Met all minimum requirements on the Extent of

Preparedness For Effective Response And Recovery?

Core Governance Area No. 3:

Safety, Peace and Order

3.1. Functionality of the Barangay Anti-Drug Abuse Council (BADAC)

MINIMUM REQUIREMENT MEANS OF VERIFICATION

Organized BADAC with its composition and appropriate committees (Committees on Executive Order or similar issuance creating the BADAC with its composition and
3.1.1
Operations and on Advocacy) compliant to DILG-DDB JMC No. 2018-01 appropriate committees (Committees on Operations and on Advocacy)
YES NO
Instruction: Put a check ✓ on the box that corresponds
to your assessment.

3.1.2 Established Rehabilitation Referral Desk with Designated Duty Officer

EO or similar issuance establishing the Rehabilitation Referral Desk

YES NO
Instruction: Put a check ✓ on the box that corresponds
to your assessment.

3.1.3 Allocation of substantial amount for anti-illegal drugs initiative Approved Barangay Appropriation Ordinance

YES NO
Instruction: Put a check ✓ on the box that corresponds
to your assessment.

3.1.4 Approved BADAC Plan of Action covering 2022 as year under review Approved BADAC Plan of Action

YES NO
Instruction: Put a check ✓ on the box that corresponds
to your assessment.
 Instruction: Put a check ✓ on the box that corresponds
to your assessment.

3.1.5 Submission of Consolidated Information Report (CIR) to CADAC/MADAC and Local PNP Unit. Transmittal of CIR (stamp received) to CADAC/MADAC and Local PNP Unit

YES NO
Instruction: Put a check ✓ on the box that corresponds
to your assessment.

3.1.6 Physical/Financial Accomplishment:

Annual BADAC Accomplishment and Fund Utilization Report submitted not later than
the 20th day of January (stamp received) to the CADAC/MADAC

Instruction: Put a check ✓ on the box that corresponds

YES NO to your assessment.
To compute Physical Accomplishment Rate:

(Total number of activities/projects accomplished / Total number of activities/projects reflected in the

BADAC Plan of Action) x 100
a. At least 50% accomplishment of the physical targets in
the BADAC Plan of Action Please supply the following information:
% of programs, project, and activities are completed
OR
To compute % utilization:
(Total Amount Utilized)/(Total Amount Allocated) x 100
Please supply the following information:
b. At least 50% fund utilization rate of the PAPs in the
BADAC Plan of Action Amount utilized (as of Dec. 31, 2022):
Amount allocated for BADAC PAPs:
Percent-utilization:

PROCESSING OF RESULTS REMARKS

YES NO

Met all minimum requirements on the Functionality of

the Barangay Anti-Drug Abuse Council (BADAC)?

3.2. Functionality of the Barangay Peace and Order Committee (BPOC)

MINIMUM REQUIREMENT MEANS OF VERIFICATION

Organized BPOC through an Executive Order or Sangguniang Barangay Resolution, with its Executive Order or similar issuance indicating correct membership in accordance to the
3.2.1 composition compliant to the provisions of EO 366 s. of 1996 EO 366 s. of 1996
 YES NO
Instruction: Put a check ✓ on the box that corresponds
to your assessment.

Approved Barangay Peace and Order and Public Safety (BPOPS) Plan in accordance to DILG
3.2.2 MC 2017-142 covering 2022 as year under review Approved BPOPS Plan

YES NO
Instruction: Put a check ✓ on the box that corresponds
to your assessment.

3.2.3 Physical/Financial Accomplishment:

Accomplishment Report (in any format) submitted to the C/M POC on the prescribed
schedules (stamp received)
Instruction: Put a check ✓ on the box that corresponds
YES NO to your assessment.

To compute Physical Accomplishment Rate:

a. At least 50% accomplishment of the physical targets in
the BPOPS Plan
(Total number of activities/projects accomplished / Total number of activities/projects reflected in the
BPOPS Plan) x 100
Please supply the following information:
% of programs, project, and activities are completed
OR
To compute % utilization:
b. At least 50% fund utilization rate of the PAPs in the (Total Amount Utilized)/(Total Amount Allocated) x 100
BPOPs Plan
Please supply the following information:
Amount utilized (as of Dec. 31, 2022):
Amount allocated for Peace and Order PAPs:
Percent-utilization:

PROCESSING OF RESULTS REMARKS

YES NO

Met all minimum requirements on the Functionality of

the Barangay Peace and Order Committee (BPOC)?
 Met all minimum requirements on the Functionality of
the Barangay Peace and Order Committee (BPOC)?

3.3. Functionality of the Lupong Tagapamayapa (LT)

MINIMUM REQUIREMENT MEANS OF VERIFICATION

3.3.1 Organized Lupong Tagapamayapa Appointment of the Lupong Tagapamayapa

YES NO
Instruction: Put a check ✓ on the box that corresponds
to your assessment.

3.3.2 Systematic maintenance of records (record of cases)

Instruction: Put a check ✓ on the box that corresponds

YES NO to your assessment.

For barangays of cities: 2 photos with caption of the computer database with
For barangays of cities: Computer database with searchable information
searchable information

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

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

YES NO
Instruction: Put a check ✓ on the box that corresponds
to your assessment.

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

YES NO
Instruction: Put a check ✓ on the box that corresponds
to your assessment.
 Instruction: Put a check ✓ on the box that corresponds
to your assessment.

PROCESSING OF RESULTS REMARKS

YES NO

Met the minimum requirement on theFunctionality of

the Lupong Tagapamayapa (LT)?

3.4. Organization and Strengthening Capacities of Barangay Tanod

MINIMUM REQUIREMENT MEANS OF VERIFICATION

3.4.1 Organized Barangay Tanod

EO or similar issuance on the organization of the Barangay Tanod covering 2022

YES NO
Instruction: Put a check ✓ on the box that corresponds
to your assessment.

3.4.2 Attendance of barangay tanod to necessary training not earlier than 2019 Certified true copy of any proof of training such as Certificate of Completion and/or
Participation (at least 1)

YES NO
Instruction: Put a check ✓ on the box that corresponds
to your assessment.

PROCESSING OF RESULTS REMARKS

YES NO

Met all minimum requirements on the Organization and

Strengthening Capacities of Barangay Tanod?

3.5. Barangay Initiatives During Health Emergencies

MINIMUM REQUIREMENT MEANS OF VERIFICATION
 Organized Barangay Health and Emergency Response Team (BHERT) with its composition
3.5.1 compliant to the provisions of DILG MC No. 2020-023 EO or similar issuance on the organization of BHERTs

YES NO
Instruction: Put a check ✓ on the box that corresponds
to your assessment.

Barangay, Punong Barangay and BHERT Members posted in conspicuous public places within
3.5.2 the barangay jurisdiction Photo documentation of poster and/or tarpaulin

YES NO
Instruction: Put a check ✓ on the box that corresponds
to your assessment.

PROCESSING OF RESULTS REMARKS

YES NO

Met all minimum requirements on the Barangay

Initiatives During Health Emergencies?

3.6. Conduct of Monthly Barangay Road Clearing Operations (BaRCO)

MINIMUM REQUIREMENT MEANS OF VERIFICATION

3.6.1 Conducted BaRCO on a monthly basis in 2022 Monthly BarCo Reports for October-December 2022

YES NO
Instruction: Put a check ✓ on the box that corresponds
to your assessment.
FALSE FALSE

PROCESSING OF RESULTS REMARKS

YES NO

Met all minimum requirements on the Conduct of

Monthly Barangay Road Clearing Operations (BaRCO)?
 Met all minimum requirements on the Conduct of
Monthly Barangay Road Clearing Operations (BaRCO)?

Essential Governance Area No. 1:

Social Protection and Sensitivity

4.1. Functionality of Barangay Violence Against Women (VAW) Desk

MINIMUM REQUIREMENT MEANS OF VERIFICATION

4.1.1 Established Barangay VAW Desk and designated Barangay VAW Desk Officer Executive Order or similar issuance on the establishment of Barangay VAW Desk and
designated VAW Desk Officer

YES NO
Instruction: Put a check ✓ on the box that corresponds
to your assessment.

Attendance of the Barangay VAW Desk Officer to at least one (1) training/orientation related Certified true copy of any proof of training such as Certificate of Completion and/or
4.1.2 to gender-sensitive handling of VAW Cases not earlier than 2019 Participation (at least 1)

YES NO
Instruction: Put a check ✓ on the box that corresponds
to your assessment.

4.1.3 Approved 2022 Barangay Gender and Development (GAD) Plan and Budget Approved 2022 Barangay Gender and Development (GAD) Plan and Budget

YES NO
Instruction: Put a check ✓ on the box that corresponds
to your assessment.

against children (VAC) to C/MSWDO and C/MLGOO within 10 working days of the ensuing Monthly Accomplishment Reports for CY 2022
4.1.4 month (stamp received), pursuant to the Advisory dated March 3, 2021 (October-December 2022)

YES NO
Instruction: Put a check ✓ on the box that corresponds
to your assessment.
 the minimum:
4.1.5 Updated database on VAW cases reported to the barangay

YES NO
Instruction: Put a check ✓ on the box that corresponds
to your assessment.

Total number of VAW cases received

Total number of cases documented for violating RA
9262
Total number of cases documented for violating
other VAW-related laws
Assistance provided to victim-survivors

4.1.6 Physical/Financial Accomplishment: CY 2022 GAD Accomplishment Report

To compute Physical Accomplishment Rate:

Instruction: Put a check ✓ on the box that corresponds
YES NO to your assessment. (Total number of activities/projects accomplished / Total number of activities/projects reflected in the
GAD Plan) x 100
Please supply the following information:
a. At least 50% accomplishment of the physical targets in
the GAD Plan % of programs, project, and activities are completed
OR
To compute % utilization:
b. At least 50% fund utilization rate of the CY 2022 GAD (Total Amount Utilized)/(Total Amount Allocated) x 100
Budget
Please supply the following information:
Amount utilized (as of Dec. 31, 2022):
Amount allocated for GAD PAPs:
Percent-utilization:

PROCESSING OF RESULTS REMARKS

YES NO

Met all minimum requirements on the Functionality of

Barangay Violence Against Women (VAW) Desk?

4.2. Access to Health and Social Welfare Services in the Barangay

 MINIMUM REQUIREMENT MEANS OF VERIFICATION

4.2.1 Presence of a Barangay Health Station/Center Photo documentation of the BHS/C

YES NO
Instruction: Put a check ✓ on the box that corresponds
to your assessment.

4.2.2 Appointment of Barangay Health Worker (BHW) EO or similar issuance on the appointment of BHW

YES NO
Instruction: Put a check ✓ on the box that corresponds
to your assessment.

4.2.3 Appointment of Barangay Nutrition Scholar (BNS) EO or similar issuance on the appointment of BNS

YES NO
Instruction: Put a check ✓ on the box that corresponds
to your assessment.

4.2.4 Availability of health services in the Barangay Health Station/Center (BHS/C): Photo documentations of the operations of the BHS/C

Instruction: Put a check ✓ on the box that corresponds Barangay Issuances on the provision of health services
YES NO to your assessment.

a. Immunization
b. Maternal and child healthcare
c. Family Planning
d. Health Education

PROCESSING OF RESULTS REMARKS

YES NO

Met all minimum requirements on the Access to Health

and Social Welfare Services in the Barangay?
 Met all minimum requirements on the Access to Health
and Social Welfare Services in the Barangay?

4.3. Functionality of the Barangay Development Council (BDC)

MINIMUM REQUIREMENT MEANS OF VERIFICATION

4.3.1 Organized BDC with its composition compliant to Section 107 of RA 7160 EO or similar issuance organizing the BDC with its composition compliant to Section
107 of RA 7160

YES NO
Instruction: Put a check ✓ on the box that corresponds
to your assessment.

4.3.2 Conducted public hearings/ barangay assemblies for public consultation Minutes (at least 2) of the public hearings/barangay assemblies with attendance sheet

YES NO
Instruction: Put a check ✓ on the box that corresponds
to your assessment.

4.3.3 Approved Barangay Development Plan

Barangay Development Plan with BDC and SB Resolutions adopting such

YES NO
Instruction: Put a check ✓ on the box that corresponds
to your assessment.

4.3.4 Physical/Financial Accomplishment: CY 2022 Accomplishment Report of the BDP

To compute Physical Accomplishment Rate:

Instruction: Put a check ✓ on the box that corresponds
YES NO to your assessment. (Total number of activities/projects accomplished / Total number of activities/projects reflected in the
BDP) x 100
Please supply the following information:
a. At least 50% accomplishment of the physical targets in
the BDP
 a. At least 50% accomplishment of the physical targets in
the BDP % of programs, project, and activities are completed
OR
To compute % utilization:
b. At least 50% fund utilization rate of the CY 2022 BDP (Total Amount Utilized)/(Total Amount Allocated) x 100
Budget
Please supply the following information:
Amount utilized (as of Dec. 31, 2022):
Amount allocated for PAPs in the BDP:
Percent-utilization:

PROCESSING OF RESULTS REMARKS

YES NO

Met all minimum requirements on the Functionality of

the Barangay Development Council (BDC)?

4.4. Implementation of the Kasambahay Law

MINIMUM REQUIREMENT MEANS OF VERIFICATION

4.4.1 Kasambahay desk with a designated Kasambahay Desk Officer (KDO) EO or similar issuance designating a Kasambahay Desk and a KDO

YES NO
Instruction: Put a check ✓ on the box that corresponds
to your assessment.

4.4.2 Maintenance/updating of Kasambahay Masterlist

Updated Kasambahay Report Form 2 (Kasambahay Masterlist) as of December 2022

YES NO
Instruction: Put a check ✓ on the box that corresponds
to your assessment.

PROCESSING OF RESULTS REMARKS

YES NO

Met all minimum requirements on the Implementation

of the Kasambahay Law?
 Met all minimum requirements on the Implementation
of the Kasambahay Law?

4.5. Functionality of the Barangay Council for the Protection of Children (BCPC)
MINIMUM REQUIREMENT MEANS OF VERIFICATION

Organization of the Barangay Council for Protection of Children (BCPC) with its composition Executive Order or similar issuance on the establishment Barangay Council for
4.5.1 compliant to the provisions of DILG MC No. 2021-039 Protection of Children (BCPC)

YES NO
Instruction: Put a check ✓ on the box that corresponds
to your assessment.

Attendance of the Members of the Barangay Council for Protection of Children (BCPC) to at Certified true copy of any proof of training such as Certificate of Completion and/or
4.5.2 least one (1) training/orientation related to their functions not earlier than 2019 Participation (at least 1)

YES NO
Instruction: Put a check ✓ on the box that corresponds
to your assessment.

4.5.3 Approved BCPC Annual Work and Financial Plan

Approved BCPC Annual Work and Financial Plan (AWFP)

YES NO
Instruction: Put a check ✓ on the box that corresponds
to your assessment.

Database on Children disaggregated by age, sex, ethnicity, with or with disabilities, OSCY,
4.5.4 etc. updated as of December 31, 2022 Updated database on children

YES NO
Instruction: Put a check ✓ on the box that corresponds
to your assessment.

4.5.5 Updated Localized Flow Chart of Referral System not earlier than 2019 Updated Localized Flow Chart of Referral System
 YES NO
Instruction: Put a check ✓ on the box that corresponds
to your assessment.

4.5.6 Physical/Financial Accomplishment:

CY 2022 Approved Accomplishment Report on BCPC Plan

To compute Physical Accomplishment Rate:

Instruction: Put a check ✓ on the box that corresponds
YES NO to your assessment. (Total number of activities/projects accomplished / Total number of activities/projects reflected in the
BCPC Plan) x 100
Please supply the following information:
a. At least 50% completion rate on PPAs in the BCPC Plan % of programs, project, and activities are completed
OR
To compute % utilization:
b. At least 50% utilization rate of CY 2022 BCPC AWFP (Total Amount Utilized)/(Total Amount Allocated) x 100
Budget
Please supply the following information:
Amount utilized (as of Dec. 31, 2022):
Amount allocated for PAPs in the BCPC Plan:
Percent-utilization:

PROCESSING OF RESULTS REMARKS

YES NO
Met all minimum requirements on the Functionality of
the Barangay Council for the Protection of Children
(BCPC)?

4.6. Mechanism for Gender and Development (GAD)

MINIMUM REQUIREMENT MEANS OF VERIFICATION

4.6.1 Organized Barangay GAD Focal Point System

EO or similar issuance organizing the Barangay GAD Focal Point System

YES NO
Instruction: Put a check ✓ on the box that corresponds
to your assessment.
 PROCESSING OF RESULTS REMARKS
YES NO

Met the minimum requirement on the Mechanism for

Gender and Development (GAD)?

4.7. Maintenance of Updated Record of Barangay Inhabitants (RBIs)

MINIMUM REQUIREMENT MEANS OF VERIFICATION

4.7.1 Updated RBI for two semesters of CY 2022

Accomplished RBI Form A of two semesters of CY 2022

YES NO
Instruction: Put a check ✓ on the box that corresponds
to your assessment.

PROCESSING OF RESULTS REMARKS

YES NO

Met the minimum requirement on the Maintenance of

Updated Record of Barangay Inhabitants (RBIs)?

Essential Governance Area No. 2:

Business Friendliness and Competitiveness

5.1. Power to Levy Other Taxes, Fees, or Charges

MINIMUM REQUIREMENT MEANS OF VERIFICATION

5.1.1 Enacted Barangay Tax Ordinance pursuant to Sec. 129 of the LGC Enacted Barangay Tax Ordinance

YES NO
Instruction: Put a check ✓ on the box that corresponds
to your assessment.
 Instruction: Put a check ✓ on the box that corresponds
to your assessment.

PROCESSING OF RESULTS REMARKS

YES NO

Met the minimum requirement on the Power to Levy

Other Taxes, Fees, or Charges?

5.2. Compliance to Section 11 of RA 11032 of the Ease of Doing Business Law

MINIMUM REQUIREMENT MEANS OF VERIFICATION

Enacted Barangay Ordinance relative to Barangay Clearance fees on business permit and
5.2.1 locational clearance for building permit pursuant to DILG MC No. 2019-177 Enacted Barangay Ordinance relative to Barangay Clearance Fees on business permit
and locational clearance for building permit, in accordance with MC No. 2019-177.

YES NO
Instruction: Put a check ✓ on the box that corresponds
to your assessment.

Clearance for Business permit and locational clearance purposes pursuant to DILG MC No. Approved resolution authorizing the City/Municipal Treasurer to collect fees for
5.2.2 2019-177. Barangay Clearance for Business permit and locational clearance purposes.

YES NO
Instruction: Put a check ✓ on the box that corresponds
to your assessment.

PROCESSING OF RESULTS REMARKS

YES NO
Met all minimum requirements on the Compliance to
Section 11 of RA 11032 of the Ease of Doing Business
Law?

5.3. Issuance of Barangay Clearance not covered by DILG MC No. 2019-177 such as: residency, indigency, etc, within seven (7) working days
MINIMUM REQUIREMENT MEANS OF VERIFICATION
 Presence of a Citizens’ Charter on the issuance of barangay clearance posted in the barangay
5.3.1 hall Photo documentation of the Citizens’ Charter on the issuance of barangay clearance
only (name of the barangay should be visible)

YES NO
Instruction: Put a check ✓ on the box that corresponds
to your assessment.

PROCESSING OF RESULTS REMARKS

YES NO
Met the minimum requirement on the Issuance of
Barangay Clearance not covered by DILG MC No. 2019-
177 such as: residency, indigency, etc, within seven (7)
working days?

Essential Governance Area No. 3:

Environmental Management

6.1. Functionality of the Barangay Ecological Solid Waste Management Committee (BESWMC)
MINIMUM REQUIREMENT MEANS OF VERIFICATION

6.1.1 Organized BESWMC with composition compliant to DILG MC No. 2018-112 EO or similar issuance on the organization of the BESWMC

YES NO
Instruction: Put a check ✓ on the box that corresponds
to your assessment.

6.1.2 Approved Solid Waste Management Program/Plan with corresponding fund allocation Approved Solid Waste Management Program/Plan with corresponding fund allocation

YES NO
Instruction: Put a check ✓ on the box that corresponds
to your assessment.

Attendance of BESWMC to necessary training relative to promoting environmental Certified true copy of any proof of training such as Certificate of Completion and/or
6.1.3 protection, preservation and awareness not earlier than 2019
Participation (at least 1)
 YES NO
Instruction: Put a check ✓ on the box that corresponds
to your assessment.

6.1.4 Physical/Financial Accomplishment: Monthly Accomplishment Reports for 2022

To compute Physical Accomplishment Rate:

Instruction: Put a check ✓ on the box that corresponds
YES NO to your assessment. (Total number of activities/projects accomplished / Total number of activities/projects reflected in the
BESWMP) x 100
Please supply the following information:
a. At least 50% completion rate on PPAs in the BESWMP % of programs, project, and activities are completed
OR
To compute % utilization:
b. At least 50% utilization rate of CY 2022 BESWM (Total Amount Utilized)/(Total Amount Allocated) x 100
Budget
Please supply the following information:
Amount utilized (as of Dec. 31, 2022):
Amount allocated for PAPs in the BESWM Plan:
Percent-utilization:

PROCESSING OF RESULTS REMARKS

YES NO
Met all minimum requirements on the Functionality of
the Barangay Ecological Solid Waste Management
Committee (BESWMC)?

6.2. Existence of a Solid Waste Management Facility Pursuant to R.A. 9003

MINIMUM REQUIREMENT MEANS OF VERIFICATION

6.2.1 Presence of a Materials Recovery Facility (MRF)/ Materials Recovery System (MRS)

Instruction: Put a check ✓ on the box that corresponds

YES NO to your assessment.
 Instruction: Put a check ✓ on the box that corresponds
to your assessment.

Established MRF operated by the barangay For MRF operated by the barangay:
Photo documentation of the MRF/MRF Records of the barangay

MRS For MRS:

MOA with junkshop;
Mechanism to process biodegradable wastes;
MOA with service provider for collection/treatment of special, hazardous, and
infectious waste

Clustered MRF For Clustered MRFs:

MOA with the host barangay (applicable for barangay-clustered MRFs);
MOA or LGU document indicating coverage of city/municipal MRF (applicable for
barangays clustered to the Central MRF of City/Municipality)
PROCESSING OF RESULTS REMARKS
YES NO
Met the minimum requirement on the Existence of a
Solid Waste Management Facility Pursuant to R.A.
9003?

6.3. Provision of Support Mechanisms for Segregated Collection

MINIMUM REQUIREMENT MEANS OF VERIFICATION

6.3.1 Enacted Barangay Ordinance or similar issuance on segregation of wastes at-source Ordinance or similar issuance on segregation of wastes at-source

YES NO
Instruction: Put a check ✓ on the box that corresponds
to your assessment.

PROCESSING OF RESULTS REMARKS

YES NO

Met the minimum requirement on the Provision of

Support Mechanisms for Segregated Collection?
We hereby certify that all information contained in this assessment report are true and correct, and are correspondingly supported by MOVs as reviewed by the undersigned.

City/Municipal Performance Assessment Team

Team Leader

Name and Signature of the Team Leader

Position/Designation of the Team Leader

Assistant Team Leader

Name and Signature of the Assistant Team Leader

Position/Designation of the Team Leader

Team Members
Note: Based on the EO re Creation of the CC/M PAT, please list down all the members using the following format:

Name and Signature of the Team Member Position/Designation of the Team Member