2024 Seal of Good Local Governance for Barangay

Barangay Documentary Checklist

BARANGAY: SAN RAFAEL
CITY/MUNICIPALITY: SAN ESTEBAN
PROVINCE: ILOCOS SUR
REGION: I

DOCUMENTARY CHECKLIST
INDICATORS MINIMUM REQUIREMENT MOVs
Core Governance Area 1: Financial Administration and Sustainability
1.1 COMPLIANCE WITH THE 1.1.1 Posted the following CY 2023 ☐ Three (3) BFDP Monitoring Form A of the DILG Advisory
BARANGAY FULL DISCLOSURE financial documents in the BFDP board, covering the 1st to 3rd quarter monitoring data signed by the
POLICY (BFDP) BOARD pursuant to DILG MC No. 2014-81 and DILG City Director/C/MLGOO, Punong Barangay and Barangay
MC No. 2022-027: Secretary
☐ Two (2) Photo Documentation of the BFDP board showing
a) Barangay Financial Report the name of the barangay
b) Barangay Budget
c) Summary of Income and Expenditures Photo Requirements:
d) 20% Component of the NTA Utilization One (1) photo with Distant View; and
e) Annual Procurement Plan or Procurement One (1) photo with Close-up View
List
f) List of Notices of Award (1st - 3rd Quarter of
CY 2023)
g) Itemized Monthly Collections and
Disbursements
(January to September 2023)

1.1.2 Accomplished and signed BFR with ☐ Annex B of DBM-DOF-DILG JMC No. 2018-1
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 ☐ SRE for 2022 and 2023, signed by Barangay Treasurer
GENERATION OR EXERCISE OF and Punong Barangay; and
CORPORATE POWERS ☐ Certification on Increase in Local Resources signed by the
City/Municipal Treasurer/ Budget Officer

1.3 APPROVAL OF THE BARANGAY 1.3.1 Presence of a Barangay Appropriation ☐ Approved Barangay Appropriation Ordinance signed by the
BUDGET ON THE SPECIFIED Ordinance approved on or before December Sangguniang Barangay Members (SBMs), SK Chairperson,
TIMEFRAME 31, 2022 Barangay Secretary, and Punong Barangay.

Consideration: Approval until March 31, 2023.

1.4 ALLOCATION FOR STATUTORY 1.4.1 With allocated funds for the following ☐ Approved Barangay Appropriation Ordinance;
PROGRAMS AND PROJECTS AS statutory programs and projects:
MANDATED BY LAWS AND/OR ☐ Annual Investment Program signed by Barangay
OTHER ISSUANCES a) At least 20% of the NTA is allocated for Treasurer, Barangay Secretary, and Punong Barangay;and
development programs;
b) Not less than five percent (5%) shall be set ☐ Certification for the Allocation for Statutory Programs and
aside as the Local Disaster Risk Reduction and Projects signed by the City/Municipal Budget Officer
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
Kabataan

1.5 POSTING OF THE BARANGAY 1.5.1 Barangay Citizens’ Charter posted at a ☐ Two (2) Photo documentation of the Barangay CitCha
CITIZEN’S CHARTER (CitCha) conspicuous place (e.g. barangay hall, market, (name of the barangay should be visible)
transport terminal, or multi-purpose hall)
Photo Requirements:
One (1) photo with Distant View; and
One (1) photo with Close-up View
1.6 RELEASE OF THE 1.6.1 Compliance with Section 20 of the SK MOVs for 1.6.1.1:
SANGGUNIANG KABATAAN (SK) Reform Act of 2015 and Item 3.2 of DBM-DILG- ☐ Copy of the written agreement; and
FUNDS OF THE BARANGAY NYC JMC No. 1, s. 2019 dated January 23, ☐ Proof of deposit reflecting the Account No./ Name of
2019 Barangay SK and the total allocated amount for the 2023 SK
funds
1.6.1.1 The barangay has Barangay-SK
Agreement for the release/deposit; 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.

1. 6.1.2 The barangay does not have MOV for 1.6.1.2:

Barangay-SK Agreement but with current ☐ Deposit slips reflecting the Account No./ Name of
account; 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.

1.6.1.3 The barangay does not have SK MOV for 1.6.1.3:

Officials or with SK Officials but no quorum
and/or No SK Bank Account ☐ Proof of transfer of the 10% 2023 SK funds to the trust
fund of the Barangay such as Deposit Slip or Official Receipt;
Note: SK Resolution authorizing the barangay OR
to utilize the SK Funds if the SK has no bank ☐ Proof of transfer or corresponding legal forms/documents
account yet shall not be considered as MOV issued by the city/municipal treasurer if the barangay opted
under the indicator. that the corresponding SK fund be kept as trust fund in the
custody of the C/M treasurer.
 1.6.2 Presence of Approved Annual Barangay If the barangay has 5 and above SK Officials:
Youth Investment Program (ABYIP) for 2023
☐ 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

1.7 CONDUCT OF BARANGAY 1.7.1 Conducted the 1st semester Barangay ☐ Post Activity Report/ Minutes on the conduct of the 1st
ASSEMBLY Assembly for CY 2023 semester Barangay Assembly 2023 duly approved by the
Punong Barangay

Core Governance Area 2: Disaster Preparedness

2.1 FUNCTIONALITY OF THE 2.1.1 Structure ☐ EO (signed by the PB) or similar issuance
BARANGAY DISASTER RISK Organized BDRRMC with its composition (resolution/ordinance signed by the PB, Barangay Secretary
REDUCTION AND MANAGEMENT compliant to the provisions of NDRRMC, DILG, and SBMs) organizing the BDRRMC with its composition
COMMITTEE (BDRRMC) DBM, and CSC JMC No. 2014-01. compliant to the provisions of JMC No. 2014-01, covering
Minimum Composition of the BDRRMC: January to October 2023

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 NDRRMC, DILG, DBM, and CSC JMC No.
2014-01)
2.1.2 Plan ☐ Approved BDRRM Plan adopted by the Sangguniang
Approved Barangay Disaster Risk Reduction Barangay ;
and Management (BDRRM) Plan covering CY ☐ Resolution adopting the BDRRM Plan signed by the
2023 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.

2.1.3. Budget ☐ Certification on the allocation of at least 5% of the

Allocation of at least 5% of the Estimated Estimated Revenue from Regular Sources as BDRRM Fund,
Revenue from Regular Sources as BDRRM signed by the City/Municipal Budget Officer
Fund

Note: To compute the allocation:

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

2.1.4 Accomplishment Reports MOVs for 2.1.4.1:

☐ Accomplishment Report; and
2.1.4.1. At least 50% accomplishment of the ☐ Certification on the submission and correctness of
physical targets in the BDRRM Plan Accomplishment Report signed by the C/MDRRMO

OR MOVs for 2.1.4.2:

2.1.4.2. At least 50% fund utilization of the 70% ☐ Annual LDRRMF Utilization Report; and
component of CY 2023 BDRRMF - ☐ Certification on the submission and correctness of fund
Preparedness component as of December 31, utilization report signed by the C/MDRRMO
2023.

Note: Barangay officials have the option to

submit both the physical and financial reports.
However, for the SGLGB Assessment, only
one of the above reports is required.
2.2 EXTENT OF RISK ASSESSMENT 2.2.1 Conducted an activity in relation to Risk ☐ Post-Activity Report of activities such as Climate and
AND EARLY WARNING SYSTEM Assessment in the barangay not earlier than Disaster Risk Assessment, Participatory Disaster Risk
(EWS) CY 2020 Assessment, BDRRM Planning, etc.

2.2.2 Barangay Risk/Hazard Map which ☐ Two (2) Photo documentations of Barangay Risk/Hazard
indicates possible risks — natural or man- Map
made. (e.g. flood-prone and landslide-prone
areas, etc.) Photo Requirements:
One (1) photo with Distant View; and
One (1) photo with Close-up View

2.2.3 An established Early Warning System ☐ Two (2) Photo documentations of Barangay Risk/Hazard
(EWS) for the top two (2) hazards present in Map
the barangay
Photo Requirements:
One (1) photo with Distant View; and
One (1) photo with Close-up View

2.3 EXTENT OF PREPAREDNESS 2.3.1. A barangay must have a permanent or ☐ Two (2) Photo documentation of the permanent or
FOR EFFECTIVE RESPONSE AND temporary evacuation center temporary evacuation center; and
RECOVERY
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
 2.3.2 A barangay must have the following ☐ Photo Documentation for each of disaster supplies
disaster supplies/equipment: equipment:
a) Communication equipment (i.e., 2 way radio
mobile phone) Photo Requirements:
b) Rescue vehicle/Barangay patrol One (1) photo each with Close-up View
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 ☐ EO (signed by the PB) or similar issuance
BARANGAY ANTI-DRUG ABUSE Organized BADAC with its composition and (resolution/ordinance signed by the PB, Barangay Secretary
COUNCIL (BADAC) appropriate committees (Committees on and SBMs) creating the BADAC with its composition and
Operations and on Advocacy) compliant to appropriate committees, covering January to October 2023
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
6. At least 2 representatives of NGOs/CSOs
7. Representative of Faith-Based Organization
8. C/M Chief of Police or Representative

Minimum Composition of the BADAC

Committees:
A. Committee on Operations
1. SBM
2. Executive Officer/Chief Tanod
3. BADAC Auxiliary Team (BAT)

B. Committee on Advocacy
1. SBM
2. SK Chairperson
3.1.2 Establishment of Barangay ☐ EO (signed by the PB) or similar issuance
Rehabilitation Referral Desk with Designated (resolution/ordinance signed by the PB, Barangay Secretary
Barangay Duty Officer and SBMs) establishing the Rehabilitation Referral Desk
covering CY 2023

3.1.3 Organization of House Clusters with ☐ EO (signed by the PB) or similar issuance
designated House Cluster Leaders (HCL) (resolution/ordinance signed by the PB, Barangay Secretary
and SBMs), organizing house clusters with designated HCL

3.1.4 Organization of BADAC Auxiliary Team ☐ EO (signed by the PB) or similar issuance
(BAT) (resolution/ordinance signed by the PB, Barangay Secretary
and SBMs), organizing BAT

3.1.5 Plan: ☐ Copy of approved BADPA Summary or copy of approved

Formulation of BADAC Plan of Action (BADPA) BPOPs Plan with BADPA covering CY 2023
covering CY 2023

3.1.6 Budget: ☐ Approved Barangay Appropriation Ordinance signed by the

PB, Barangay Secretary and SBMs.
Allocation of substantial amount for anti-illegal
drugs initiative OR

☐ Copy of Barangay Annual Investment Plan (AIP)

3.1.7. Implementation of Drug Abuse ☐ Copy of Activity Report prepared by the BADAC
Prevention Advocacy Campaigns - Barangay
organized at least 1 community-based IEC
Activity during CY 2023

3.1.8. Implementation of Drug-Clearing ☐ Three (3) Transmittals of CIR, covering the 1st to 3rd
Operations - Submission of Consolidated quarter, received by CADAC/MADAC and Local PNP Unit;
Information Report (CIR) to CADAC/MADAC AND
and Local PNP Unit
☐ Certification on the submitted CIR signed by the
Note: Drug-unaffected barangays shall also CADAC/MADAC and Local PNP Unit
submit updated CIR, stating in the report that
there is absence of illegal drug-related Note: The CIR contains data protected by the Data Privacy
activities in the barangays. The same applies Act of 2012. Hence, we recommend submitting only the
to drug-free and drug-cleared barangays transmittal.

3.1.9. Implementation of Community-Based ☐ Accomplished BADAC Form 4- Unified Barangay Report

Intervention for Person Who Used Drugs on Referral Action (UBRA)
(PWUDS) - Presence of referral system

3.1.10. Conduct of Monthly Meetings ☐ Copy of the BADAC monthly minutes of the meeting with
attendance sheets (at least 3 minutes covering CY 2023)
3.2 FUNCTIONALITY OF THE 3.2.1. Structure: ☐ EO (signed by the PB) or similar issuance
BARANGAY PEACE AND ORDER Organized BPOC with its composition (resolution/ordinance signed by the PB, Barangay Secretary
COMMITTEE (BPOC) compliant to the provisions of EO No. 366, s. of and SBMs) indicating correct membership in accordance to
1996 the EO 366 s. of 1996, covering January to October 2023
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
9. A Barangay Tanod

3.2.2 Plan ☐ Approved BPOPS Plan covering CY 2023

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 ☐ Accomplishment Report with the status of implementation

of target activities and utilization of funds submitted to the
3.2.3.1. At least 50% accomplishment of the C/M POC with received stamp of the DILG City Director or
physical targets in the BPOPs Plan C/MLGOO

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.
However, for the SGLGB Assessment, only
one of the above documents is required.
3.3 FUNCTIONALITY OF THE 3.3.1. Structure: ☐ At least ten (10) KP Form #5 - Oath of Office of the Lupong
LUPONG TAGAPAMAYAPA (LT) Organized Lupong Tagapamayapa Tagapamayapa members, signed by the PB

3.3.2. System MOVs for 3.3.2.1

Systematic maintenance of records of cases ☐ Two (2) photos with caption of the computer database with
searchable information
3.3.2.1. For barangays of cities:
Computer database with searchable Photo Requirements:
information One (1) photo with Distant View; and
One (1) photo with Close-up View
3.3.2.2. For barangays of municipalities:
Manual Records (Case Record Book) OR Note: Photos of the computer database using MS Excel and
Digital Record Filing (scanned copy of KP files) 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

3.3.3. Meetings: ☐ Copies of minutes of meetings with attendance sheets (at

Conducted monthly meetings for the least 3 minutes covering meetings conducted in CY 2023)
administration of the Katarungang
Pambarangay

3.3.4. Trainings: ☐ At least 1 copy of proof of training such as Certificate of

Attendance of LT to KP training or seminar not Completion and/or Participation
earlier than CY 2020
3.4 ORGANIZATION AND 3.4.1 Structure: ☐ EO (signed by the PB) or similar issuance
STRENGTHENING CAPACITIES OF Organized Barangay Tanod with its (resolution/ordinance signed by the PB, Barangay Secretary
BARANGAY TANOD composition compliant to the provisions of and SBMs) on the organization of the Barangay Tanod
DILG MC No. 2003-42 covering January to October 2023

Composition of a Barangay Tanod:

1. Chief Tanod/Executive Officer

2. Team Leaders
3. Team Members

3.4.2 Trainings: ☐ At least one (1) copy of proof of training such as Certificate
Attendance of barangay tanod to necessary of Completion and/or Participation
training not earlier than 2020

3.5 BARANGAY INITIATIVES 3.5.1 Organized Barangay Health and ☐ EO (signed by the PB) or similar issuance
DURING HEALTH EMERGENCIES Emergency Response Team (BHERT) with its (resolution/ordinance signed by the PB, Barangay Secretary
composition compliant to the provisions of and SBMs) on the organization of BHERTs covering January
DILG MC No. 2020-023 to October 2023

Minimum composition of the BHERTs:

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

3.5.2 Poster or tarpaulin containing the active ☐ Two (2) Photo documentations of poster or tarpaulin
telephone and/or cellphone Numbers of the
Barangay, Punong Barangay and BHERT Photo Requirements:
Members posted in conspicuous public places One (1) photo with Distant View; and
within the barangay jurisdiction One (1) photo with Close-up View

OR

☐ Screenshot of the posting on social media with date

covering CY 2023.
3.6. CONDUCT OF MONTHLY 3.6.1 Conducted BaRCO on a monthly basis in ☐ Three (3) Monthly BarCo Reports covering July-September
BARANGAY ROAD CLEARING CY 2023 2023
OPERATIONS (BaRCO)

Essential Governace Area 1: Social Protection and Sensitivity

4.1 FUNCTIONALITY OF 4.1.1. Structure: ☐ EO (signed by the PB) or similar issuance

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

4.1.2 Training: ☐ At least one (1) copy of proof of training such as Certificate
Attendance of the Barangay VAW Desk Officer of Completion and/or Participation
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 Barangay GAD Plan and Budget for CY 2023
Approved CY 2023 Barangay Gender and
Development (GAD) Plan and Budget

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

2023 with received stamp by the C/MSWDO and C/MLGOO
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: ☐ Copy of the generated report or screenshot of the updated
database of VAW cases reported to the barangay with the
Updated database on VAW cases reported to total no. of VAW Cases and assistance provided
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 ☐ 2023 GAD Accomplishment Report; and

4.1.6.1. At least 50% accomplishment of the ☐ Certification on the submitted CY 2023 GAD
physical targets in the GAD Plan Accomplishment Report signed by the C/MSWDO or
C/MLGOO
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 ☐ Flow Chart based on Annex C - Establishment of Referral
Chart (For profiling) ; and System

4.1.7.2. Presence of Directory of ☐ Annex J - Directory Form

agencies/individuals providing services to
victim-survivors (For profiling)
4.2 ACCESS TO HEALTH AND 4.2.1. Presence of a Barangay Health ☐ Photo documentation of the BHS/C
SOCIAL WELFARE SERVICES IN Station/Center
THE BARANGAY Photo Requirements:
Consideration: Clustered Health Station/Center One (1) photo with Distant View; and
accessed by several barangays in a One (1) photo with Close-up View
city/municipality
☐ For clustered BHS/C: Certification from C/MHO on the
clustering scheme

4.2.2. (For Profiling Purposes Only) ☐ EO (signed by the PB) or similar issuance
(resolution/ordinance signed by the PB, Barangay Secretary
4.2.2. Appointment of the following Barangay and SBMs) on the Appointment of BHW and/or BHO or
Health Personnel: BHAsst covering January to October 2023

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 ☐ EO (signed by the PB) or similar issuance

Scholar (BNS) (resolution/ordinance signed by the PB, Barangay Secretary
and SBMs) on the appointment of BNS
 4.2.4. Availability of health services in the ☐ Certification on the provision of health services signed by
BHS/C such as: the C/MHO
a) immunization
b) maternal and child healthcare
c) family planning
d) health education

4.3 FUNCTIONALITY OF THE 4.3.1. Structure: ☐ EO (signed by the PB) or similar issuance
BARANGAY DEVELOPMENT Organized BDC with its composition compliant (resolution/ordinance signed by the PB, Barangay Secretary
COUNCIL (BDC) to Section 107 of RA 7160 and SBMs) organizing/reconstituting the BDC with its
composition compliant to Section 107 of RA 7160 covering
January to October 2023

4.3.2. Meeting: ☐ Post activity report or Minutes with attendance sheet for
Conducted meetings, public hearings, and/or CY 2023
barangay assemblies for public consultation

4.3.3 Plan ☐ Approved Barangay Development Plan covering CY 2023

Approved Barangay Development Plan ☐ SB Resolution adopting the approved BDP

4.3.4 Accomplishments Reports: ☐ CY 2023 Accomplishment Report with received stamp by

the C/MPDC
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 ☐ EO (signed by the PB) or similar issuance
KASAMBAHAY LAW designated Kasambahay Desk Officer (KDO) (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
 4.4.2 Maintenance/updating of a Kasambahay ☐ Copy of the Updated Kasambahay Report for the 3rd
Masterlist Quarter (July-September 2023)

4.5. FUNCTIONALITY OF THE 4.5.1 Structure: ☐ EO (signed by the PB) or similar issuance
BARANGAY COUNCIL FOR THE Organized Barangay Council for Protection of (resolution/ordinance signed by the PB, Barangay Secretary
PROTECTION OF CHILDREN Children (BCPC) with its composition compliant and SBMs) on the establishment of BCPC, covering January
(BCPC) to the provisions of DILG MC No. 2021-039 to October 2023

4.5.2 Trainings: ☐ At least one (1) copy of proof of training such as Certificate
Attendance of the Members of the Barangay of Completion and/or Participation
Council for Protection of Children (BCPC) to a
training/orientation related to their functions not
earlier than CY 2020

4.5.3 Plan: ☐ Copy of the generated report or screenshot of the updated

Presence of an approved BCPC Annual Work database on children covering January to October 31, 2023
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 ☐ Updated Localized Flow Chart of Referral System
of Referral System not earlier than CY 2020; ☐ Copy of Comprehensive Barangay Juvenile Intervention
b) Presence of Comprehensive Barangay Program/diversion program
Juvenile Intervention Program (For profiling); ☐ Copy of Juvenile Justice and Welfare Council’s Children at
and Risk (CAR) and Children in Conflict with the Law (CICL)
c) Presence of Children at Risk (CAR) and registry
Children in Conflict with the Law (CICL) registry
(For profiling).
 4.5.6 Accomplishment Reports: ☐ Approved Accomplishment Report on BCPC AWFP for CY
2023 with received stamp by the City/Municipality Inter-
​4.5.6 a) At least 50% accomplishment of the Agency Monitoring Task Force (IMTF)
physical targets in the BCPC AWFP

OR
4.6 MECHANISM FOR GENDER AND 4.6.1 Organized Barangay GAD Focal Point ☐ EO (signed by the PB) or similar issuance
DEVELOPMENT (GAD) System (resolution/ordinance signed by the PB, Barangay Secretary
and SBMs) organizing the Barangay GAD Focal Point System
covering January to October 2023

4.7. MAINTENANCE OF UPDATED 4.7.1 Presence of updated RBI for the first (1st) ☐ RBI Monitoring Form C; and
RECORD OF BARANGAY semester of CY 2023 ☐ List of barangays with RBI covering the 1st Semester of
INHABITANTS (RBIs) CY 2023 (generated from the BIS-BPS) certified by the
C/MLGOO

4.8. FUNCTIONALITY OF THE 4.8.1 Structure: ☐ EO (signed by the PB) or similar issuance
BARANGAY NUTRITION Organized BNC (resolution/ordinance signed by the PB, Barangay Secretary
COMMITTEE (BNC) and SBMs) organizing the Barangay Nutrition Committee
(BNC) covering January to October 2023

4.8.2 Plan: ☐ Approved CY 2023 BNAP signed by the BNC

Presence of approved CY 2023 BNAP

4.8.3 Decrease in Prevalence Rate in the ☐ Operation Timbang (OPT) Plus Form 1A (Barangay Tally
barangay, for the following categories: and Summary Sheet of Preschoolers with Weight & Height
1. Underweight and Severe Underweight Measurement by Age Group, Sex and Nutritional Status) of
2. Stunting and Severe Stunting;and CYs 2022 and 2023; and
3. Moderate Wasting and Severe Wasting
☐ Certification from the C/MHO on the Decrease in
Prevalence Rate

4.8.4 Accomplishment Report: ☐ Accomplishment Report on CY 2023 BNAP;

4.8.4 a) At least 50% accomplishment of the ☐ Certification on the submitted BNAP Accomplishment
physical targets in the CY 2023 BNAP Report for CY 2023 signed by the C/MLGOO

OR
4.9. HALINA’T MAGTANIM NG 4.9.1 Established a Barangay Community ☐ Photo documentation of the established BCG
PRUTAS AT GULAY (HAPAG) SA Garden (BCG)
BARANGAY PROJECT Photo Requirements:
One (1) photo with Distant View; and
(For Profiling Purposes Only) One (1) photo with Close-up View
4.9.2. Enacted an Ordinance for the ☐ Ordinance signed by the PB, Barangay Secretary and
Establishment of a Barangay Community SBMs) on the establishment of a BCG
Garden
4.9.3 Designated SBM to Manage the ☐ EO (signed by the PB) or similar issuance
Barangay Community Garden (resolution/ordinance signed by the PB, Barangay Secretary
and SBMs) on the designated SMB to manage the BCG

4.9.4. Conducted at least One (1) Advocacy ☐ Proof of conduct of at least one (1) Advocacy
Campaign/ Awareness on community Campaign/Awareness (Photo/Social Media Post, PAR/AR,
household gardening etc.)

4.9.5. Established Group of Volunteers on the ☐ EO (signed by the PB) or similar issuance
Implementation of the Community Garden (resolution/ordinance signed by the PB, Barangay Secretary
and SBMs) on the established group volunteers

Essential Governance Area 2: Business-Friendliness and Competitiveness

5.1 POWER TO LEVY OTHER 5.1.1 Enacted Barangay Tax Ordinance ☐ Enacted Barangay Tax Ordinance signed by the PB,
TAXES, FEES OR CHARGES pursuant to Sec. 129 of the LGC Barangay Secretary and SBMs

5.2. COMPLIANCE TO SECTION 11 5.2.1 Enacted Barangay Ordinance relative to ☐ Enacted Barangay Ordinance (signed by the PB, Barangay
OF RA 11032 OR THE EASE OF Barangay Clearance fees on business permit Secretary and SBMs) relative to Barangay Clearance Fees
DOING BUSINESS ​ and locational clearance for building permit on business permit and locational clearance for building
pursuant to DILG MC No. 2019-177 permit

5.2.2 Approved resolution authorizing the ☐ Approved resolution authorizing the City/Municipal
City/Municipal Treasurer to collect fees for Treasurer to collect fees for Barangay Clearance for Business
Barangay Clearance for Business permit and permit and locational clearance purposes signed by PB,
locational clearance purposes pursuant to Barangay Secretary and SBMs
DILG MC No. 2019-177.
5.3 ISSUANCE OF BARANGAY 5.3.1 Presence of a Citizens’ Charter on the ☐ Photo documentation of the Citizens’ Charter on the
CLEARANCE NOT COVERED BY issuance of barangay certification posted in the issuance of barangay certification only (name of the barangay
DILG MC NO. 2019-177 SUCH AS: barangay hall should be visible)
RESIDENCY, INDIGENCY, ETC,
WITHIN SEVEN (7) WORKING DAYS Photo Requirements:
One (1) photo with Distant View; and
One (1) photo with Close-up View

Essential Governance Area 3: Environmental Management

6.1.FUNCTIONALITY OF THE 6.1.1 Organized BESWMC with composition ☐ EO (signed by the PB) or similar issuance
BARANGAY ECOLOGICAL SOLID compliant to DILG MC No. 2018-112 (resolution/ordinance signed by the PB, Barangay Secretary
WASTE MANAGEMENT and SBMs) on the organization of the BESWMC
COMMITTEE (BESWMC)

6.1.2 Approved Solid Waste Management ☐ Approved Solid Waste Management Program/Plan
Program/Plan with corresponding fund covering CY 2023 with corresponding fund allocation
allocation

6.1.3 Attendance of BESWMC to necessary ☐ At least one (1) copy of proof of training such as Certificate
training related to promoting environmental of Completion and/or Participation
protection, preservation and awareness not
earlier than CY 2020

6.1.4 Accomplishment Reports: ☐ Three (3) Monthly Accomplishment Reports covering July-
6.1.4 a) At least 50% accomplishment of the September 2023
physical targets in the BESWMP
6.2 EXISTENCE OF A SOLID WASTE 6.2.1 Presence of a Materials Recovery Facility For MRF operated by the barangay:
MANAGEMENT FACILITY (MRF)/ Materials Recovery System (MRS) ☐ Photo documentation of the MRF/MRF Records of the
PURSUANT TO R.A. 9003 barangay
- Established MRF operated by the barangay
- MRS Photo Requirements:
- Clustered MRF 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-
6.3 PROVISION OF SUPPORT 6.3.1 Enacted Barangay Ordinance or similar ☐ EO (signed
clustered by the
MRFs); andPB) or similar issuance
MECHANISMS FOR SEGREGATED issuance on segregation of wastes at-source (resolution/ordinance signed by the PB, Barangay Secretary
COLLECTION 2022 and SBMs) on segregation of wastes at-source

This is to respectfully submit the attached Means of Verifications (MOVs) for the purpose of the Seal of Good Local Governance for
Barangay (SGLGB) assessment.
SUBMITTED BY:

ROMMEL C. AGUIRRE
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:
 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
Year Under Review: CY 2023
Provincial Consolidated Performance Assessment Form

PROVINCE:
REGION:

Total Number of SGLGB

Total Number of Barangay Passers per Governance Area Passers
(Passed 3 Core
Component Total Number of Barangays Assessed Business- Governance Areas AND at
No. Financial ESSENTIAL
City/Municipality Barangays CORE Social Friendliness least
Administration Disaster Safety, Peace Environmental GOVERNANC
GOVERNANCE Protection and and 1 Essential Governance
and Preparedness and Order Management E
SUB-RESULT Sensitivity Competitivenes Area)
Number Percentage Sustainability SUB-RESULT Number Percentage
s
1 Municipality A 100 80 80.00% 79 75 76 75 76 63 75 93.75%
2
3
4
5
6
7
8
9
10
11
12
13
14
15
TOTAL 100 80 80.00% 79 75 76 75 76 63 75 93.75%

We hereby certify that the information herein are true and correct, and are accordingly supported by required documents as reviewed by the undersigned.

Provincial Performance Assessment Team (PPAT)

Name and Signature of Team Leader

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

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

Date Accomplished:

Note: Based on the Provincial Order re Creation of the PPAT, please include ALL MEMBERS.

ANNEX 1 - List of Provincial Passers

Assessment Result per Governance Area
Put a () if PASSED, (❌) if FAILED
Business-
Component Financial CORE ESSENTIAL SGLGB
No. Barangays Administration Friendliness
City/Municipality Disaster Safety, Peace GOVERNANC Social Protection Environmental GOVERNANC
and Preparedness and Order E SUB- and Sensitivity
and
Management E Result
Competitivenes
Sustainability RESULT SUB-RESULT
s
1 City A Barangay A ❌ PASSED
2 City A Barangay B PASSED
3 Municipality A Barangay A ❌ PASSED
4 Municipality A Barangay B ❌ ❌ PASSED
5
6
7
8
9
10
11
12
13
14
15
TOTAL 4 4 4 4 3 1 4 4 4

ANNEX 2 - List of Unassessed Barangays

City/ Unassessed Remarks

No.
Municipality Barangays (Kindly state the reason why the barangay was unable to participate.)

1 City A Barangay A Barangay A is located in an area with security challenges, such as conflict and high crime rates.

2
Municipality A Barangay A The barangay lacks the necessary resources, such as funding, personnel, or infrastructure, to participate in the assessments.
3

TOTAL 2 2
 2024 SEAL OF GOOD LOCAL GOVERNANCE FOR BARANGAY
Year Under Review: CY 2023
Regional Consolidated Performance Assessment Form

REGION:

Total Number of Passers per Governance Area

Total Total Number of SGLGB
Province/HUC/ Barangays Assessed
No. Number of Financial CORE Passers
ICC Disaster Business- ESSENTIAL
Barangays Administration Safety, Peace GOVERNANC Social Protection Environmental
Preparednes Friendliness and GOVERNANCE
and and Order E SUB- and Sensitivity Management
s Competitiveness SUB-RESULT
Number Percentage Sustainability RESULT Number Percentage
1 Province A 300 250 83.33% 200 195 190 195 170 180 180 72.00%
2 HUC A 20 20 100.00% 10 9 10 10 9 7 7 35.00%
3 ICC A 10 10 100.00% 8 5 10 5 6 5 5 50.00%
4
5
6
TOTAL 330 280 84.85% 218 209 210 210 185 192 192 68.57%

We hereby certify that the information herein are true and correct, and are accordingly supported by required documents as reviewed by the undersigned.

Regional Performance Assessment Team (RPAT)

Name and Signature of Team Leader

Name and Signature of Assistant Team Leader

Name and Signature of Member

Name and Signature of Member

Name and Signature of Member

Date Accomplished:

ANNEX 1 - List of Regional Passers

Assessment Result per Governance Area
Put a () if PASSED, (❌) if FAILED
HUC/ICC/
Component Financial CORE SGLGB
No. Province Barangays Disaster Business- ESSENTIAL
City/Municipalit Administration Safety, Peace GOVERNANC Social Protection Environmental
and
Preparednes
and Order E SUB- and Sensitivity
Friendliness and
Management
GOVERNANCE Result
y s Competitiveness SUB-RESULT
Sustainability RESULT
1 Province A City A Barangay A ❌ PASSED
2 Province A City B Barangay A ❌ PASSED
3 Province B Municipality A Barangay A PASSED
4 Province B Municipality B Barangay A ❌ ❌ PASSED
5
6
7
 8
9
10
11
12
13
14
15
TOTAL 4 4 4 4 4 2 2 4 4

ANNEX 2 - List of Unassessed Barangays

City/ Unassessed Remarks

No. Province
Municipality Barangays (Kindly state the reason why the barangay was unable to participate.)

1 Province A City A Barangay A Barangay A is located in an area with security challenges, such as conflict and high crime rates.

2
Province B Municipality A Barangay A The barangay lacks the necessary resources, such as funding, personnel, or infrastructure, to participate in the assessments.
3

7
TOTAL 2 2 2
 2024 SEAL OF GOOD LOCAL GOVERNANCE FOR BARANGAY
Year Under Review: CY 2023
National Consolidated Performance Assessment Form

Total Number of Barangay Passers

Total Total Number of SGLGB
Barangays Assessed Business-
Region Number of Financial National Passers
Disaster Safety, Core Social Friendliness Essential
Barangays Administration Environmental
Preparednes Peace and Govenance Protection and and Govenance
and Management
s Order Area Sensitivity Competitivenes Area
Number Percentage Sustainability Number Percentage
s
I 3267 3000 91.83% 2850 2750 2820 2810 2700 2650 2750 91.67%
II
III
IV-A
MIMAROPA
V
VI
VII
VII
IX
X
XI
XII
XIII
NCR
CAR
BARMM
TOTAL 3267 3000 91.83% 2850 2750 2820 2810 2700 2650 2750 91.67%

We hereby certify that the information herein are true and correct, and are accordingly supported by required documents as reviewed by the undersigned.

National Quality Committee

Chairperson:

Undersecretary for Barangay Affairs

Vice-Chairperson:
 Liga ng mga Barangay (LnB) National President

Members:

Director, National Barangay Operations Office (NBOO)

Director, Bureau of Local Government Supervision (BLGS)

Director, Bureau of Local Government Development (BLGD)

Date Accomplished:

ANNEX 1 - List of National Passers

HUC/ICC/ Financial Assessment Result per Governance Area ESSENTIAL
No. Region Province Component Barangays Administratio Disaster Safety, CORE
Put Social
a () if PASSED, (❌) if FAILEDBusiness-
SGLGB
Environmenta GOVERNANC
City/Municipality n and
Preparednes Peace and GOVERNANCE Protection and Friendliness and
l Management E Result
1 Region A Province A City A Barangay A Sustainability s Order SUB-RESULT Sensitivity Competitiveness
❌ PASSED
SUB-RESULT
2 Region A Province A City B Barangay A ❌ PASSED
3 Region A Province B Municipality A Barangay A PASSED
4 Region A Province B Municipality B Barangay A ❌ ❌ PASSED
5
6
7
8
9
10
11
12
13
14
15
TOTAL 4 4 4 4 3 2 3 4 4

ANNEX 2 - List of Unassessed Barangays

City/ Unassessed Remarks

No. Region Province
Municipality Barangays (Kindly state the reason why the barangay was unable to participate.)
 City/ Unassessed Remarks
No. Region Province
Municipality Barangays (Kindly state the reason why the barangay was unable to participate.)

1 Region I Province A City A Barangay A Barangay A is located in an area with security challenges, such as conflict and high crime rates.

2
Region II Province A Municipality A Barangay A The barangay lacks the necessary resources, such as funding, personnel, or infrastructure, to participate in the assessments.
3

7
TOTAL 2 2 2 2