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RLIP-Form-A-LGU-Infrastructure-Profile-Locked-2-2
RLIP-Form-A-LGU-Infrastructure-Profile-Locked-2-2
RLIP-Form-A-LGU-Infrastructure-Profile-Locked-2-2
Size
Present
(sqm / km / HH)
1. NGA Data Bridges (Indicate in km) Total ________________
1.1. Concrete Bridge ☐ 0.060KM
1.2. Steel Bridge ☐ ________________
1.3. Mixed (Concrete and Steel) Bridge ☐ ________________
1.4. Others (Include only those which can ☐ ________________
accommodate vehicular traffic)
2. Evacuation Center Facility (EC) Total ________________
2.1. Permanent Evacuation Center (Indicate in sqm) ☒ 200sqm
a. Capacity (Indicate by # of Households [HH]) 50
2.2. Multi-Purpose Hall (Indicate in sqm) ☐ ________________
2.3. Others (Indicate in sqm) (If other buildings are
designated as EC, please indicate facility name) :
__________________________________________
3. NGA Data Roads (Indicate in km) Total 44.617KM
3.1. Paved ☒ 24.428KM
3.2. Unpaved ☒ 20.189KM
4. NGA Data Sanitation Facilities (Indicate by Total Click or tap here to
number of Household [HH]) enter text.
4.1. Open Defecation ☐ 473
4.2. Unimproved Sanitation ☐ 64
4.3. Limited Sanitation ☐ ________________
4.4. Basic Sanitation ☒ 4,346
4.5. Safely Managed Sanitation ☐ ____3,531__
5. NGA Data Water Supply System (indicate Total Click or tap here to
number of HHs) enter text.
5.1. Level I ☒ 2,162
5.2. Level II ☒ 1,181
5.3. Level III ☒ 2,350
Item Amount
1. 2022 Annual Budget Report : 141,600,874.00
(ABR)
1.1 NGA Data National Tax : 138,840,374.00
Allotment (NTA)
1.2 Special Purpose Appropriation : 27,768,074.80
for 20% Development Fund (DF)
1.3 ABR Allocations for Capital : Click or tap here to enter text.
Outlay
Capital Outlays for Infrastructure
a. Public Infrastructure : N/A
b. Buildings : N/A
c. Others:
_________________________: ________________________________________
_________________________: ________________________________________
_________________________: ________________________________________
2. 2022 Annual Investment Program : Click or tap here to enter text.
2.1. Total 20% DF : 27,768,074.80
See next page for continuation of this item.
3. 2021 Annual Investment Program : Click or tap here to enter text.
3.1. Total 20% DF : Click or tap here to enter text.
3.2. 20% DF Allocated for : 18,268,074.80
Infrastructure Projects
See next page for continuation of this item.
Republic of the Philippines
Department of the Interior and Local Government Form A
2022 RBME of LGU Infrastructure Projects
2.2. Total 2022 AIP 2.3. 2022 AIP Allocation for 2.4. 2022 AIP Allocation for 3.3. 2021 AIP Utilization for
Allocation for Infra Infra Projects under 20% Infra Projects funded Infrastructure Projects
Focus Projects Projects DF by NGAs / Foreign under 20% DF
Grants
Construction of Roads
3,000,000.00 3,000,000.00 Click or tap here to enter text. 6,000,000.00
Construction of Bridges
1,000,000.00 1,000,000.00 Click or tap here to enter text. _____________________________
V. Roads Profile
Please supply the requested information below:
Size
Item
(km)
Size
Item
(km)
1. Total Target Length of Bridges : 0.032KM
Network (If data is available, source:
CLUP / PDPFP / LRNDP or similar)
Item Figure
Item Figure
Item Figure
1. Number of Households susceptible : ___________N/A_____________________________
to Hydrometeorological Hazards
(Based on LDRRMP, LCCAP, Contingency
Plan, or similar)
Indicator Applicable
1. LPMC Organized ☐
1.1. With NGO/PO members ☐
2. Training on project monitoring conducted at ☐
least once in year 2021
3. Duly-approved Annual Work and Financial ☐
Plan submitted
4. Monitoring visits and/or field inspections ☐
conducted
4.1. Met in the 1st semester ☐
4.2. Met in the 2nd semester ☐
_________________________________N/A__________________________________________________________
XIII. Survey
Please provide responses as appropriate below:
For LGUs with no infrastructure projects included under their 2022 AIP’s 20%
Development Fund component, what are the reasons given for this?
___________________________N/A__________________________________________________________
CERTIFICATION
for Form A. LGU Infrastructure Profile
We, the undersigned, certify that the infrastructure development data and related
information contained in the RLIP Form A: LGU Infrastructure Profile are accurate,
based on locally-available records from the Local Government Unit (LGU).
Prepared by:
Noted by: