2024 Seal of Good Local Governance for Barangay

Barangay Documentary Checklist

BARANGAY:
CITY/MUNICIPALITY: SALVADOR
PROVINCE: LANAO DEL NORTE
REGION: X
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 financial ☐ Three (3) BFDP Monitoring Form A of the DILG Advisory covering
BARANGAY FULL DISCLOSURE documents in the BFDP board, pursuant to DILG MC No. the 1st to 3rd quarter monitoring data signed by the City
POLICY (BFDP) BOARD 2014-81 and DILG MC No. 2022-027: Director/C/MLGOO, Punong Barangay and Barangay Secretary
☐ Two (2) Photo Documentation of the BFDP board showing the
a) Barangay Financial Report 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 List One (1) photo with Close-up View
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 received stamp ☐ Annex B of DBM-DOF-DILG JMC No. 2018-1
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 and
GENERATION OR EXERCISE OF 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 Ordinance ☐ Approved Barangay Appropriation Ordinance signed by the
BUDGET ON THE SPECIFIED approved on or before December 31, 2022 Sangguniang Barangay Members (SBMs), SK Chairperson,
TIMEFRAME 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 statutory ☐ Approved Barangay Appropriation Ordinance;
PROGRAMS AND PROJECTS AS programs and projects:
MANDATED BY LAWS AND/OR OTHER ☐ Annual Investment Program signed by Barangay Treasurer,
ISSUANCES a) At least 20% of the NTA is allocated for development Barangay Secretary, and Punong Barangay;and
programs;
b) Not less than five percent (5%) shall be set aside as the ☐ Certification for the Allocation for Statutory Programs and Projects
Local Disaster Risk Reduction and Management Fund; signed by the City/Municipal Budget Officer
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 conspicuous ☐ Two (2) Photo documentation of the Barangay CitCha (name of
CITIZEN’S CHARTER (CitCha) place (e.g. barangay hall, market, transport terminal, or the barangay should be visible)
multi-purpose hall)
Photo Requirements:
One (1) photo with Distant View; and
One (1) photo with Close-up View

1.6 RELEASE OF THE SANGGUNIANG 1.6.1 Compliance with Section 20 of the SK Reform Act of MOVs for 1.6.1.1:
KABATAAN (SK) FUNDS OF THE 2015 and Item 3.2 of DBM-DILG-NYC JMC No. 1, s. 2019 ☐ Copy of the written agreement; and
BARANGAY dated January 23, 2019 ☐ Proof of deposit reflecting the Account No./ Name of 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 Barangay-SK MOV for 1.6.1.2:
Agreement but with current account; ☐ Deposit slips reflecting the Account No./ Name of 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 Officials or with MOV for 1.6.1.3:
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
Note: SK Resolution authorizing the barangay to utilize the Barangay such as Deposit Slip or Official Receipt;
SK Funds if the SK has no bank account yet shall not be OR
considered as MOV under the indicator. ☐ Proof of transfer or corresponding legal forms/documents 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.

1.6.2 Presence of Approved Annual Barangay Youth If the barangay has 5 and above SK Officials:
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 Assembly for ☐ Post Activity Report/ Minutes on the conduct of the 1st semester
ASSEMBLY CY 2023 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 (resolution/ordinance
BARANGAY DISASTER RISK Organized BDRRMC with its composition compliant to the signed by the PB, Barangay Secretary and SBMs) organizing the
REDUCTION AND MANAGEMENT provisions of NDRRMC, DILG, DBM, and CSC JMC No. BDRRMC with its composition compliant to the provisions of JMC No.
COMMITTEE (BDRRMC) 2014-01. 2014-01, covering January to October 2023
Minimum Composition of the BDRRMC:

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 Barangay ;

Approved Barangay Disaster Risk Reduction and ☐ Resolution adopting the BDRRM Plan signed by the Sangguniang
Management (BDRRM) Plan covering CY 2023 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 Estimated
Allocation of at least 5% of the Estimated Revenue from Revenue from Regular Sources as BDRRM Fund, signed by the
Regular Sources as BDRRM Fund City/Municipal Budget Officer

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 physical ☐ Certification on the submission and correctness of
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 - Preparedness ☐ Certification on the submission and correctness of fund utilization
component as of December 31, 2023. report signed by the C/MDRRMO

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 Assessment ☐ Post-Activity Report of activities such as Climate and Disaster Risk
AND EARLY WARNING SYSTEM (EWS) in the barangay not earlier than CY 2020 Assessment, Participatory Disaster Risk Assessment, BDRRM
Planning, etc.

2.2.2 Barangay Risk/Hazard Map which indicates possible ☐ Two (2) Photo documentations of Barangay Risk/Hazard Map
risks — natural or man-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 (EWS) for the ☐ Two (2) Photo documentations of Barangay Risk/Hazard Map
top two (2) hazards present in the barangay
Photo Requirements:
One (1) photo with Distant View; and
One (1) photo with Close-up View
2.3 EXTENT OF PREPAREDNESS FOR 2.3.1. A barangay must have a permanent or temporary ☐ Two (2) Photo documentation of the permanent or temporary
EFFECTIVE RESPONSE AND evacuation center 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 disaster ☐ Photo Documentation for each of disaster supplies equipment:
supplies/equipment:
a) Communication equipment (i.e., 2 way radio mobile Photo Requirements:
phone) One (1) photo each with Close-up View
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)

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 (resolution/ordinance
BARANGAY ANTI-DRUG ABUSE Organized BADAC with its composition and appropriate signed by the PB, Barangay Secretary and SBMs) creating the
COUNCIL (BADAC) committees (Committees on Operations and on Advocacy) BADAC with its composition and appropriate committees, covering
compliant to DILG-DDB JMC No. 2018-01 January to October 2023

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. Public School Principal/Representative
4. At least 2 representatives of NGOs/CSOs
5. Representative of Faith-Based Organization

3.1.2 Establishment of Barangay Rehabilitation Referral ☐ EO (signed by the PB) or similar issuance (resolution/ordinance
Desk with Designated Barangay Duty Officer signed by the PB, Barangay Secretary and SBMs) establishing the
Rehabilitation Referral Desk covering CY 2023
3.1.3 Organization of House Clusters with designated ☐ EO (signed by the PB) or similar issuance (resolution/ordinance
House Cluster Leaders (HCL) signed by the PB, Barangay Secretary and SBMs), organizing house
clusters with designated HCL

3.1.4 Organization of BADAC Auxiliary Team (BAT) ☐ EO (signed by the PB) or similar issuance (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 BPOPs
Formulation of BADAC Plan of Action (BADPA) covering Plan with BADPA covering CY 2023
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 Prevention Advocacy ☐ Copy of Activity Report prepared by the BADAC
Campaigns - Barangay organized at least 1 community-
based IEC Activity during CY 2023
3.1.8. Implementation of Drug-Clearing Operations - ☐ Three (3) Transmittals of CIR, covering the 1st to 3rd quarter,
Submission of Consolidated Information Report (CIR) to received by CADAC/MADAC and Local PNP Unit; AND
CADAC/MADAC and Local PNP Unit
☐ Certification on the submitted CIR signed by the CADAC/MADAC
Note: Drug-unaffected barangays shall also submit and Local PNP Unit
updated CIR, stating in the report that there is absence of
illegal drug-related activities in the barangays. The same Note: The CIR contains data protected by the Data Privacy Act of
applies to drug-free and drug-cleared barangays 2012. Hence, we recommend submitting only the transmittal.

3.1.9. Implementation of Community-Based Intervention ☐ Accomplished BADAC Form 4- Unified Barangay Report on
for Person Who Used Drugs (PWUDS) - Presence of Referral Action (UBRA)
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 (resolution/ordinance
BARANGAY PEACE AND ORDER Organized BPOC with its composition compliant to the signed by the PB, Barangay Secretary and SBMs) indicating correct
COMMITTEE (BPOC) provisions of EO No. 366, s. of 1996 membership in accordance to the EO 366 s. of 1996, covering
Minimum composition of the BPOC: January to October 2023

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 C/M POC
3.2.3.1. At least 50% accomplishment of the physical with received stamp of the DILG City Director or C/MLGOO
targets in the BPOPs Plan

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 LUPONG 3.3.1. Structure: ☐ At least ten (10) KP Form #5 - Oath of Office of the 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 information Photo Requirements:
One (1) photo with Distant View; and
3.3.2.2. For barangays of municipalities: Manual Records One (1) photo with Close-up View
(Case Record Book) OR Digital Record Filing (scanned
copy of KP files) Note: Photos of the computer database using MS Excel and 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 least 3
Conducted monthly meetings for the administration of the minutes covering meetings conducted in CY 2023)
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 earlier than Completion and/or Participation
CY 2020
3.4 ORGANIZATION AND 3.4.1 Structure: ☐ EO (signed by the PB) or similar issuance (resolution/ordinance
STRENGTHENING CAPACITIES OF Organized Barangay Tanod with its composition compliant signed by the PB, Barangay Secretary and SBMs) on the
BARANGAY TANOD to the provisions of DILG MC No. 2003-42 organization of the Barangay Tanod 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 of
Attendance of barangay tanod to necessary training not Completion and/or Participation
earlier than 2020
3.5 BARANGAY INITIATIVES DURING 3.5.1 Organized Barangay Health and Emergency ☐ EO (signed by the PB) or similar issuance (resolution/ordinance
HEALTH EMERGENCIES Response Team (BHERT) with its composition compliant signed by the PB, Barangay Secretary and SBMs) on the
to the provisions of DILG MC No. 2020-023 organization of BHERTs covering January 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 telephone ☐ Two (2) Photo documentations of poster or tarpaulin
and/or cellphone Numbers of the Barangay, Punong
Barangay and BHERT Members posted in conspicuous Photo Requirements:
public places within the barangay jurisdiction One (1) photo with Distant View; and
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 CY 2023 ☐ Three (3) Monthly BarCo Reports covering July-September 2023
BARANGAY ROAD CLEARING
OPERATIONS (BaRCO)
Essential Governace Area 1: Social Protection and Sensitivity
4.1 FUNCTIONALITY OF BARANGAY 4.1.1. Structure: ☐ EO (signed by the PB) or similar issuance (resolution/ordinance
VIOLENCE AGAINST WOMEN (VAW) Organized Barangay VAW Desk and designated Barangay signed by the PB, Barangay Secretary and SBMs) on the
DESK VAW Desk Officer 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 of
Attendance of the Barangay VAW Desk Officer to at least Completion and/or Participation
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 total no. of
Updated database on VAW cases reported to the VAW Cases and assistance provided
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 physical ☐ Certification on the submitted CY 2023 GAD Accomplishment
targets in the GAD Plan 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 Chart (For ☐ Flow Chart based on Annex C - Establishment of Referral System
profiling) ; and
☐ Annex J - Directory Form
4.1.7.2. Presence of Directory of agencies/individuals
providing services to victim-survivors (For profiling)
4.2 ACCESS TO HEALTH AND SOCIAL 4.2.1. Presence of a Barangay Health Station/Center ☐ Photo documentation of the BHS/C
WELFARE SERVICES IN THE
BARANGAY Consideration: Clustered Health Station/Center accessed Photo Requirements:
by several barangays in a city/municipality One (1) photo with Distant View; and
One (1) photo with Close-up View

☐ 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 and SBMs) on the
4.2.2. Appointment of the following Barangay Health Appointment of BHW and/or BHO or BHAsst covering January to
Personnel: 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 Scholar (BNS) ☐ EO (signed by the PB) or similar issuance (resolution/ordinance
signed by the PB, Barangay Secretary and SBMs) on the
appointment of BNS
4.2.4. Availability of health services in the BHS/C such as: ☐ Certification on the provision of health services signed by the
a) immunization C/MHO
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 (resolution/ordinance
BARANGAY DEVELOPMENT COUNCIL Organized BDC with its composition compliant to Section signed by the PB, Barangay Secretary and SBMs)
(BDC) 107 of RA 7160 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 CY 2023
Conducted meetings, public hearings, and/or 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 designated ☐ EO (signed by the PB) or similar issuance (resolution/ordinance
KASAMBAHAY LAW Kasambahay Desk Officer (KDO) 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 Masterlist ☐ Copy of the Updated Kasambahay Report for the 3rd Quarter
(July-September 2023)
4.5. FUNCTIONALITY OF THE 4.5.1 Structure: ☐ EO (signed by the PB) or similar issuance (resolution/ordinance
BARANGAY COUNCIL FOR THE Organized Barangay Council for Protection of Children signed by the PB, Barangay Secretary and SBMs) on the
PROTECTION OF CHILDREN (BCPC) (BCPC) with its composition compliant to the provisions of establishment of BCPC, covering January to October 2023
DILG MC No. 2021-039

4.5.2 Trainings: ☐ At least one (1) copy of proof of training such as Certificate of
Attendance of the Members of the Barangay Council for Completion and/or Participation
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 and database on children covering January to October 31, 2023
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 of Referral ☐ Updated Localized Flow Chart of Referral System
System not earlier than CY 2020; ☐ Copy of Comprehensive Barangay Juvenile Intervention
b) Presence of Comprehensive Barangay Juvenile Program/diversion program
Intervention Program (For profiling); and ☐ Copy of Juvenile Justice and Welfare Council’s Children at Risk
c) Presence of Children at Risk (CAR) and Children in (CAR) and Children in Conflict with the Law (CICL) registry
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-Agency Monitoring
​4.5.6 a) At least 50% accomplishment of the physical Task Force (IMTF)
targets in the BCPC AWFP

OR

4.5.6 b) At least 50% utilization rate of CY 2023 BCPC

AWFP Budget

4.6 MECHANISM FOR GENDER AND 4.6.1 Organized Barangay GAD Focal Point System ☐ EO (signed by the PB) or similar issuance (resolution/ordinance
DEVELOPMENT (GAD) 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) semester ☐ RBI Monitoring Form C; and
RECORD OF BARANGAY INHABITANTS of CY 2023 ☐ List of barangays with RBI covering the 1st Semester of CY 2023
(RBIs) (generated from the BIS-BPS) certified by the C/MLGOO

4.8.1 Structure: ☐ EO (signed by the PB) or similar issuance (resolution/ordinance

Organized BNC signed by the PB, Barangay Secretary 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 barangay, for the ☐ Operation Timbang (OPT) Plus Form 1A (Barangay Tally and
following categories: Summary Sheet of Preschoolers with Weight & Height Measurement
1. Underweight and Severe Underweight by Age Group, Sex and Nutritional Status) of CYs 2022 and 2023;
4.8. FUNCTIONALITY OF THE 2. Stunting and Severe Stunting;and and
BARANGAY NUTRITION COMMITTEE 3. Moderate Wasting and Severe Wasting
(BNC) ☐ 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 physical ☐ Certification on the submitted BNAP Accomplishment Report for
targets in the CY 2023 BNAP CY 2023 signed by the C/MLGOO

OR

4.8.4 b) At least 50% fund utilization rate of the CY 2023

BNAP Budget

4.9. HALINA’T MAGTANIM NG PRUTAS 4.9.1 Established a Barangay Community Garden (BCG) ☐ Photo documentation of the established BCG
AT GULAY (HAPAG) SA 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 Establishment of a ☐ Ordinance signed by the PB, Barangay Secretary and SBMs) on
Barangay Community Garden the establishment of a BCG
4.9.3 Designated SBM to Manage the Barangay ☐ EO (signed by the PB) or similar issuance (resolution/ordinance
Community Garden 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 Campaign/ ☐ Proof of conduct of at least one (1) Advocacy
Awareness on community household gardening Campaign/Awareness (Photo/Social Media Post, PAR/AR, etc.)
4.9.5. Established Group of Volunteers on the ☐ EO (signed by the PB) or similar issuance (resolution/ordinance
Implementation of the Community Garden 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 TAXES, 5.1.1 Enacted Barangay Tax Ordinance pursuant to Sec. ☐ Enacted Barangay Tax Ordinance signed by the PB, Barangay
FEES OR CHARGES 129 of the LGC Secretary and SBMs
5.2. COMPLIANCE TO SECTION 11 OF 5.2.1 Enacted Barangay Ordinance relative to Barangay ☐ Enacted Barangay Ordinance (signed by the PB, Barangay
RA 11032 OR THE EASE OF DOING Clearance fees on business permit and locational Secretary and SBMs) relative to Barangay Clearance Fees on
BUSINESS ​ clearance for building permit pursuant to DILG MC No. business permit and locational clearance for building permit
2019-177
5.2.2 Approved resolution authorizing the City/Municipal ☐ Approved resolution authorizing the City/Municipal Treasurer to
Treasurer to collect fees for Barangay Clearance for collect fees for Barangay Clearance for Business permit and
Business permit and locational clearance purposes locational clearance purposes signed by PB, Barangay Secretary and
pursuant to DILG MC No. 2019-177. SBMs

5.3 ISSUANCE OF BARANGAY 5.3.1 Presence of a Citizens’ Charter on the issuance of ☐ Photo documentation of the Citizens’ Charter on the issuance of
CLEARANCE NOT COVERED BY DILG barangay certification posted in the barangay hall barangay certification only (name of the barangay should be visible)
MC NO. 2019-177 SUCH AS:
RESIDENCY, INDIGENCY, ETC, WITHIN Photo Requirements:
SEVEN (7) WORKING DAYS 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 compliant to ☐ EO (signed by the PB) or similar issuance (resolution/ordinance
BARANGAY ECOLOGICAL SOLID DILG MC No. 2018-112 signed by the PB, Barangay Secretary and SBMs) on the
WASTE MANAGEMENT COMMITTEE organization of the BESWMC
(BESWMC) 6.1.2 Approved Solid Waste Management Program/Plan ☐ Approved Solid Waste Management Program/Plan covering CY
with corresponding fund allocation 2023 with corresponding fund allocation

6.1.3 Attendance of BESWMC to necessary training ☐ At least one (1) copy of proof of training such as Certificate of
related to promoting environmental protection, Completion and/or Participation
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 physical September 2023
targets in the BESWMP

OR
6.1.4 b) At least 50% utilization rate of CY 2023 BESWM
Budget

6.2 EXISTENCE OF A SOLID WASTE 6.2.1 Presence of a Materials Recovery Facility (MRF)/ For MRF operated by the barangay:
MANAGEMENT FACILITY PURSUANT Materials Recovery System (MRS) ☐ Photo documentation of the MRF/MRF Records of the barangay
TO R.A. 9003
- Established MRF operated by the barangay Photo Requirements:
- MRS One (1) photo with Distant View; and
- Clustered MRF 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-clustered
MRFs); and
☐ MOA or similar document indicating coverage of city/municipal
MRF (applicable for barangays clustered to the Central MRF of
City/Municipality)

6.3 PROVISION OF SUPPORT 6.3.1 Enacted Barangay Ordinance or similar issuance on ☐ EO (signed by the PB) or similar issuance (resolution/ordinance
MECHANISMS FOR SEGREGATED segregation of wastes at-source 2022 signed by the PB, Barangay Secretary and SBMs) on segregation of
COLLECTION 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: RECEIVED BY:

PRINTED NAME AND SIGNATURE OF THE PUNONG BARANGAY DOREEN T. BERROYA

Name of Punong Barangay CITY/MUNICIPAL SGLGB ASSESSOR
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