OFFICE PERFORMANCE COMMITMENT AND REVIEW (OPCR) FORM 1: FM-QP-AS-HRMD-04-01

DILG-AS-HRMD VN:1012015 Rev. No. Eff. Date Page No. PLEASE COPY THIS
0 10.01.15 Page1 of ___ PORTION

I, (Name) ______________, ___________(Position)_________________ of (Region/Bureau/Service) commit to deliver and agree to be rated on the attainment of the
following targets in accordance with the indicated measures for the period________________________.

Signature of Head of Office/Ratee

Date:

APPROVED BY: (NAME) POSITION: DATE: SIGNATURE:

Ratings: 5 - Outstanding (5.00) 4 - Very Satisfactory (4.00-4.99) 3 - Satisfactory (3.00-3.99) 2 - Unsatisfactory (2.00-2.99) 1 - Poor (1.00-1.99)
MAJOR FINAL SUCCESS INDICATORS ALLOTTED DIVISION/INDIVIDUAL ACTUAL RATING (6) REMARKS
OUTPUT (Targets + Measures) BUDGET ACCOUNTABLE ACCOMPLISHMENTS/ Q1 E2 T3 Ave4 (7)
(1) (2) (3) (4) EXPENSES (5)

Strategic Priorities

Core Function MFO

1:
MFO 2:

Support Function

TOTAL RATING
FINAL AVERAGE RATING
ADJECTIVAL RATING:
Assessed by PMT Secretariat Reviewed by PMT Chairman Final Rating by:
Start of rating period End of rating period Start of rating period End of rating period

Position: Position: Position:

Date: Date: Date:

LEGEND: Q1 - Quality E2 - Efficiency T3 - Timeliness Ave4 - Average

 DIVISION PERFORMANCE COMMITMENT AND REVIEW (DPCR) FORM 2: FM-QP-AS-HRMD
DILG-AS-HRMD VN:1012016 Rev. No. Eff. Date
0 10.01.15

I, ROMIE M. POTOT, LGOO VI of DILG Region VI commit to deliver and agree to be rated on the attainment of the
following targets in accordance with the indicated measures for the period January - June 2017.

Signature of Division Chief/Ratee

Date:

APPROVED BY: POSITION: DATE: SIGNATURE:

ATTY. ANTHONY C. NUYDA, CESO III REGIONAL DIRECTOR

Ratings: 5 - Outstanding (5.00) 4 - Very Satisfactory (4.00-4.99) 3 - Satisfactory (3.00-3.99) 2 - Unsatisfactory (2.00-2.99) 1 - Poor (1.00-1.99)
ALLOTTED RATING (6) REMARKS
SUCCESS INDICATORS BUDGET (7)
MAJOR FINAL OUTPUT DIVISION/INDIVIDUAL ACTUAL ACCOMPLISHMENTS /
(1) (Targets + (3) ACCOUNTABLE EXPENSES
Measures) (4) (5) Q1 E2 T3 Ave4
(2)

ACCOUNTABLE,
TRANSPARENT,
PARTICIPATIVE, AND
EFFECTIVE LOCAL
GOVERNANCE

Performance Challenge Fund (PCF)

2 PCF 2013 subproject completed by end of LGOO III Sean Botavara 2 PCF 2013 subproject completed by
Engr III Shella Mie Tubang 3 2 2.50000 Tapaz, Caluya
March 2017 Engr III Carleen Tibi end of April 2017

2 PCF 2014 subproject completed by end of LGOO III Sean Botavara 2 PCF 2014 subproject completed by
Engr III Shella Mie Tubang 3 3 3.00000 Capiz Province, Iloilo City
March 2017 Engr III Carleen Tibi end of March 2017

6 PCF 2015 subproject ongoing by end of LGOO III Sean Botavara 6 PCF 2015 subproject ongoing by end Aklan Province, Banga, Ibajay, Malay
March 2017
Engr III Shella Mie Tubang
of March 2017 3 3 3.00000 Concepcion
Engr III Carleen Tibi Dao

Outcome 3 PCF 2015 subproject completed by end of LGOO III Sean Botavara 2 PCF 2015 subproject completed by
Engr III Shella Mie Tubang 5 3 4.00000 Buenavista, Lemery
June 2017 Engr III Carleen Tibi end of June 2017

24 PCF 2016 subproject ongoing by end of LGOO III Sean Botavara 3 PCF 2016 subproject ongoing by end Kalibo, Aklan Province
Engr III Shella Mie Tubang 1 3 2.00000
June 2017 Engr III Carleen Tibi of June 2017 Mambusao

9 PCF subprojects monitored by end of June Engr III Shella Mie Tubang 14 PCF subprojects monitored by end 5 3 4.00000
2017 Engr III Carleen Tibi of June 2017
 21 PCF 2016 subproject proposals
16 PCF 2016 subproject proposals approved Engr III Shella Mie Tubang
approved with no error by the end of 5 3 4.00000
with no error by the end of June 2017 Engr III Carleen Tibi
June 2017

35 PCF subproject monitoring/final inspection 44 PCF subproject monitoring/final

Engr III Shella Mie Tubang
report submitted with 2 minor revisions by the Engr III Carleen Tibi inspection report submitted with no 5 5 5 5.00000
end of June 2017 minor revision by the end of March
2017
Output
2 PCF subproject physical completion 5 PCF subproject physical completion
Engr III Shella Mie Tubang
documents reviewed and approved with 2 Engr III Carleen Tibi documents reviewed and approved 5 5 5 5.00000
minor errors by the end of June 2017 with no minor error by the end of
March 2017

2 PCF subproject financial completion 10 PCF subproject financial completion

documents reviewed and approved with 2 FA II Maricar Calaliman documents reviewed and approved 5 5 5 5.00000
minor errors by the end of June 2017 with no minor errors by the end of
March 2017

2 PCF completed subproject documented

LGOO II Aizel Padilla
(success stories) with 2 minor revisions by end LGOO II Maria Jenica Villabeto 4 PCF completed subproject 5 5 5 5.00000
of June 2017 documented (success stories) with no
minor revision by end of April 2017

12 LGUs provided with TA within 5 days after LGOO III Sean Botavara
Engr III Shella Mie Tubang
receipt/query with 2 negative feedbacks by Engr III Carleen Tibi 20 LGUs provided with TA within 3 days 5 5 5 5.00000
end of June 2017 FA Maricar Calaliman after receipt/query with no negative
feedbacks by end of June 2017
Support Function
ISA I Franklin Terunez
2 Hands-on training / TA on utilization of PCF ISA I Benjamin Ko 4 Hands-on training / TA on utilization 5 5 5 5.00000
website with 2 negative feedbacks by end of of PCF website with no negative
June 2017 feedbacks by end of April 2017
2 Bimonthly status report submitted
2 Bimonthly status report submitted with 2 ISA I Franklin Terunez
with no minor error 2 days before the 5 5 5 5.00000
minor errors on the 15th and 30th day of the ISA I Benjamin Ko
set deadline by the OPDS
month
10 Subprojects updated per month with 2 ISA I Franklin Terunez 18 Subprojects updated per month
with no minor errors in PCF website 5 5 5.00000
minor errors in PCF website update ISA I Benjamin Ko
update
Socially-Protective and
Safe LGUs

PAMANA Pillar 3
1 PAMANA 2014 subproject completed by end LGOO III Sean Botavara 1 PAMANA 2014 subproject completed
5 4 4.50000 Tapaz (Capiz)
of June 2017 Engr III Joebert Pillora by end of May 2017

1 PAMANA 2015 subproject ongoing by end of LGOO III Sean Botavara 1 PAMANA 2015 subproject ongoing by
Outcome 5 3 4.00000 Ibajay (Aklan)
March 2017 Engr III Joebert Pillora end of March 2017

2 PAMANA 2016 subproject ongoing by end of LGOO III Sean Botavara Still awaiting for the response of OPPAP regarding the r
June 2017 Engr III Joebert Pillora change of project title

2 PAMANA subproject monitoring

1 PAMANA subproject monitoring report with
Output Engr III Joebert Pillora report with no minor revision by end of 5 5 5 5.00000
2 minor revisions by end of June 2017
April 2017
 2 Bimonthly status report submitted with 2 ISA I Franklin Terunez 2 Bimonthly status report submitted
minor errors within the on 15th and 30th day ISA I Benjamin Ko with no minor error 2 days before the 5 5 5 5.00000 OPDS provided fixed schedule of submission of reports

of the month set deadline by the OPDS

2 PAMANA completed subproject
LGOO II Aizel Padilla
1 PAMANA completed subproject documented LGOO II Marlon Ladia documented with no minor revision by 5 5 5 5.00000
Support Function end of January 2017
with 2 minor revisions by end of June 2017
3 LGUs provided with TA within 3 days
1 LGUs provided with TA within 5 days after LGOO VI Romie Potot after receipt/query with no negative
receipt/query with 2 negative feedbacks by LGOO III Sean Botavara feedbacks by end of June 2017 5 5 5 5.00000 Aklan, Capiz, Iloilo
end of June 2017 Engr III Joebert Pillora

BUB Water

LGOO III Sean Botavara

1 BuB Water 2013 subproject completed by Engr III Ruel Dolar 1 BuB Water 2013 subproject
5 5 5.00000 Madalag
end of March 2017 Engr III Jude Nagtalon completed by end of January 2017
Engr III Raffie Aquito

LGOO III Sean Botavara

5 BuB Water 2014 subproject ongoing by end Engr III Ruel Dolar 1 BuB Water 2014 subproject ongoing
1 3 2.00000 Libertad
of March 2017 Engr III Jude Nagtalon by end of March 2017
Engr III Raffie Aquito

LGOO III Sean Botavara

23 BuB Water 2014 subproject completed by Engr III Ruel Dolar 5 BuB Water 2014 subproject Barbaza, Bugasong, Pres. Roxas, Nueva V
1 3 2.00000
end of March 2017 Engr III Jude Nagtalon completed by end of March 2017 Sibunag
Engr III Raffie Aquito

LGOO III Sean Botavara

5 BuB Water 2014 subproject completed by Engr III Ruel Dolar 7 BuB Water 2014 subproject Alimodian, Janiuay, Maasin, Tigbauan, Li
4 3 3.50000
end of June 2017 Engr III Jude Nagtalon completed by end of June 2017 Barbaza, Caluya
Engr III Raffie Aquito

Outcome LGOO III Sean Botavara

7 BuB Water 2015 subproject ongoing by end Engr III Ruel Dolar 7 BuB Water 2015 subproject ongoing Buruanga, Bugasong, Tibiao (2), Anilao, J
3 3 3.00000
of March 2017 Engr III Jude Nagtalon by end of March 2017 Sigma
Engr III Raffie Aquito

LGOO III Sean Botavara

26 BuB Water 2015 subproject completed by Engr III Ruel Dolar 4 BuB Water 2015 subproject 1 3 2.00000 Numancia, Tobias Fornier, Sigma, Batad
end of March 2017 Engr III Jude Nagtalon completed by end of March 2017
Engr III Raffie Aquito

LGOO III Sean Botavara

11 BuB Water 2015 subproject completed by Engr III Ruel Dolar 7 BuB Water 2015 subproject Buruanga, Anini-y, Barbaza, Buenavista (
2 3 2.50000
end of June 2017 Engr III Jude Nagtalon completed by end of June 2017 Janiuay, San Enrique
Engr III Raffie Aquito
 LGOO III Sean Botavara
14 BuB Water 2016 subproject ongoing by end Engr III Ruel Dolar 2 BuB Water 2016 subproject ongoing 1 3 2.00000 Caluya, Sibalom
of June 2017 Engr III Jude Nagtalon by end of June 2017
Engr III Raffie Aquito

47 BuB Water subproject

27 BuB Water subproject monitoring/final Engr III Ruel Dolar monitoring/final inpsection report
inpsection report submitted with 2 minor Engr III Jude Nagtalon 5 5 5 5.00000
Engr III Raffie Aquito submitted with no minor revisions by
revisions by the end of March 2017
the end of February 2017

11 BuB water Project Proposals

7 BuB water Project Proposals reviewed with 2 5 5 5 5.00000
Engr III Ruel Dolar reviewed with no minor errors by end
minor errors by end of June 2017 Engr III Jude Nagtalon
Engr III Raffie Aquito
of April 2017
Output 15 BuB Water subproject physical
10 BuB Water subproject physical completion Engr III Ruel Dolar completion documents reviewed and
documents reviewed and approved with 2 Engr III Jude Nagtalon approved with 0 minor errors by the 5 5 4 4.66667
minor errors by the end of June 2017 Engr III Raffie Aquito end of May 2017

15 BuB Water subproject financial

10 BuB Water subproject financial completion completion documents reviewed and
documents reviewed and approved with 2 FA II Maricar Calaliman approved with no minor errors by the 5 5 4 4.66667
minor errors by the end of June 2017 end of May 2017

22 LGUs provided with TA within 3 days

10 LGUs provided with TA within 5 days after LGOO III Sean Botavara after receipt/query with no negative
receipt/query with 2 negative feedbacks by Engr III Ruel Dolar feedbacks by end of June 2017 5 5 5 5.00000
Engr III Jude Nagtalon
end of June 2017 Engr III Raffie Aquito

2 Bimonthly status report submitted with 2 ISA I Franklin Terunez 2 Bimonthly status report submitted
minor errors within the on 15th and 30th day ISA I Benjamin Ko with no minor error 2 days before the 5 5 5 5.00000
Support Function of the month set deadline by the OPDS
1 BuB Water completed subproject 2 BuB Water completed subproject
documented with 2 minor revisions by end of LGOO II Whelfrank Santias / LGOO documented with no minor revisions 5 5 5 5.00000
II Marlon Ladia by end of April 2017
June 2017
38 BuB Water
10 BuB Water documents/emails/letters AdA Jenefer Bitalac documents/emails/letters
received/endorsed with no negative feedback AdA Jovel Carreon received/endorsed with no negative 5 5 5 5.00000
ISA I Franklin Terunez
by end of June 2017 ISA I Benjamin Ko feedback by end of April 2017

BUB Local Access Roads

LGOO III Sean Botavara 6 BuB LAR 2014 subproject completed
7 BuB LAR 2014 subproject completed by end by end of April 2017
Engr III Shella Mie Tubang 2 5 3.50000 Altavas (2), Libertad, Malinao (3)
of June 2017 Engr III Carleen Tibi

Outcome
1 BuB LAR 2015 subproject completed by end LGOO III Sean Botavara 1 BuB LAR 2015 subproject completed
Engr III Shella Mie Tubang 3 2 2.50000 Malinao
of March 2017 Engr III Carleen Tibi by end of April 2017

7 BuB LAR subproject monitoring/final

4 BuB LAR subproject monitoring/final inspection report submitted with no
inspection report submitted with 2 minor Engr III Shella Mie Tubang minor revisions by the end of March 5 5 5 5.00000
Engr III Carleen Tibi
revisions by the end of June 2017 2017

Output
 6 BuB LAR subproject physical
4 BuB LAR subproject physical completion completion documents reviewed and
Output Engr III Shella Mie Tubang
documents reviewed and approved with 2 Engr III Carleen Tibi approved with no minor error by the 5 5 5 5.00000
minor errors by the end of June 2017 end of April 2017

6 BuB LAR subproject financial

4 BuB LAR subproject financial completion completion documents reviewed and
documents reviewed and approved with 2 FA II Maricar approved with no minor errors by the 5 5 5 5.00000
minor errors by the end of June 2017 end of April 2017

2 LGUs provided with TA with 2 negative Engr III Shella Mie Tubang 4 LGUs provided with TA with no 5 5 5 5.00000
feedbacks by end of June 2017 Engr III Carleen Tibi negative feedbacks by end of April
2017

2 Bimonthly status report submitted with 2 ISA I Franklin Terunez 2 Bimonthly status report submitted 5 5 5 5.00000
minor errors within the on 15th and 30th day ISA I Benjamin Ko with no minor error 2 days before the
Support Function of the month set deadline by the OPDS

1 BuB LAR completed subproject documented LGOO II Whelfrank Santias / LGOO 2 BuB LAR completed subproject
documented with 1 minor revisions by 4 5 5 4.66667
with 2 minor revisions by end of June 2017 II Marlon Ladia
end of April 2017
8 BuB LAR documents/emails/letters
4 BuB LAR documents/emails/letters AdA Jenefer Bitalac
received/endorsed with no negative
AdA Jovel Carreon
received/endorsed with no negative feedback ISA I Franklin Terunez feedback by end of April 2017 5 5 5 5.00000
by end of June 2017 ISA I Benjamin Ko

BuB Others (Evacuation Centers, Drainage, Footbridges, Procurement of Vehicles and Equipment, Dredging)
2 BuB Others 2014 subproject completed by LGOO III Sean Botavara 1 BuB Others 2014 subproject
Engr III Joebert Pillora 1 3 2.00000 Jordan
end of March 2017 Engr III Mary Lyn Joy Camina completed by end of March 2017

23 BuB Others 2015 subproject ongoing by LGOO III Sean Botavara 6 BuB Others 2015 subproject ongoing Lezo, Barbaza, Culasi, Libertad, Dumanga
Engr III Joebert Pillora 1 3 2.00000
end of March 2017 Engr III Mary Lyn Joy Camina by end of March 2017 Dionisio

New Washington, Tangalan

17 BuB Others 2015 subproject completed by LGOO III Sean Botavara 17 BuB Others 2015 subproject Tibiao, Hamtic, Culasi, Sebaste, Tobias Fo
Engr III Joebert Pillora 3 3 3.00000
end of March 2017 Engr III Mary Lyn Joy Camina completed by end of March 2017 Pontevedra, Pres. Roxas (2), Sigma, Maa
Alimodian, Leganes, Pototan, Tigbauan
Outcome

Madalag
Ivisan, Cuartero, Pres. Roxas
20 BuB Others 2015 subproject completed by LGOO III Sean Botavara 15 BuB Others 2015 subproject Mina, Maasin, Passi City, Banate, Duman
Engr III Joebert Pillora 2 3 2.50000
end of June 2017 Engr III Mary Lyn Joy Camina completed by end of June 2017 Duenas, Janiuay, San Dionisio
Anini-y, Tobias Fornier
Nueva Valencia (Guimaras Province)
 New Washington, Tangalan
LGOO III Sean Botavara Ivisan, Sigma, Dumalag, Mambusao
30 BuB Others 2016 subproject ongoing by Engr III Joebert Pillora
15 BuB Others 2016 subproject 1 3 2.00000 Nueva Valencia, Sibunag
end of June 2017 Engr III Mary Lyn Joy Camina ongoing by end of June 2017
Banate, Carles, Calinog, Estancia, Passi C
Dionisio, Tubungan

43 BuB Others subproject

27 BuB Others subproject monitoring/final
Engr III Joebert Pillora monitoring/final inspection report
inspection report submitted with 2 minor 5 5 3 4.33333
Engr III Mary Lyn Joy Camina submitted with no minor revision by
revisions by the end of June 2017
the end of June 2017

20 BuB Others subproject physical completion 25 BuB Others subproject physical

Output Engr III Joebert Pillora
documents reviewed and approved with 2 Engr III Mary Lyn Joy Camina completion documents reviewed and 5 5 3 4.33333
minor errors by the end of June 2017 approved with 2 minor errors by the
end of June 2017

20 BuB Others subproject financial completion 25 BuB Others subproject financial

documents reviewed and approved with 2 FA II Maricar Calaliman completion documents reviewed and 5 5 3 4.33333
minor errors by the end of June 2017 approved with no minor errors by the
end of June 2017

LGOO III Sean Botavara

10 LGUs provided with TA within 5 days after Engr III Ruel Dolar 13 LGUs provided with TA within 3 days
receipt/query with 2 negative feedbacks by Engr III Jude Nagtalon after receipt/query with no negative 5 5 5 5.00000
end of June 2017 Engr III Raffie Aquito feedbacks by end of June 2017
FA II Maricar Calaliman

2 Bimonthly status report submitted with 2 ISA I Franklin Terunez 2 Bimonthly status report submitted
minor errors within the on 15th and 30th day ISA I Benjamin Ko with no minor error 2 days before the 5 5 5 5.00000
Support Function of the month set deadline by the OPDS
1 BuB Others completed subproject 2 BuB Others completed subproject
LGOO II Whelfrank Santias / LGOO
documented with 2 minor revisions by end of II Maria Jenica Villabeto documented with 1 minor revision by 4 5 3 4.00000
June 2017 end of June 2017
23 BuB Others
10 BuB Others documents/emails/letters AdA Jenefer Bitalac
AdA Jovel Carreon documents/emails/letters
received/endorsed with no negative feedback 5 5 3 4.33333
ISA I Franklin Terunez received/endorsed with no negative
by end of June 2017 ISA I Benjamin Ko
feedback by end of June 2017

SALINTUBIG

LGOO III Sean Botavara

2 SALINTUBIG 2012 subproject completed by Engr III Ruel Dolar
Delayed due to change in DED, water sou
end of March 2017 Engr III Jude Nagtalon
Engr III Raffie Aquito

LGOO III Sean Botavara

17 SALINTUBIG 2013 subproject completed by Engr III Ruel Dolar 2 SALINTUBIG 2013 subproject
1 3 2.00000 Batan, Dumalag
end of March 2017 Engr III Jude Nagtalon completed by end of March 2017
Engr III Raffie Aquito

LGOO III Sean Botavara

27 SALINTUBIG 2015 subproject completed by Engr III Ruel Dolar 0 SALINTUBIG 2015 subproject
1 1.00000
Outcome end of March 2017 Engr III Jude Nagtalon completed by end of March 2017
Engr III Raffie Aquito
 Outcome

LGOO III Sean Botavara

8 SALINTUBIG 2015 subproject ongoing by end Engr III Ruel Dolar 4 SALINTUBIG 2015 subproject ongoing
2 3 2.50000 Bugasong (4)
of June 2017 Engr III Jude Nagtalon by end of June 2017
Engr III Raffie Aquito

LGOO III Sean Botavara

8 SALINTUBIG 2015 subproject completed by Engr III Ruel Dolar 7 SALINTUBIG 2015 subproject Banga (2)
end of June 2017 Engr III Jude Nagtalon completed by end of June 2017 2 3 2.50000 Antique: Hamtic, San Remigio (4)
Engr III Raffie Aquito

LGOO III Sean Botavara

12 2016 SALINTUBIG subproject ongoing by Engr III Ruel Dolar 0 2016 SALINTUBIG subproject ongoing
1 1.00000
end of June 2017 Engr III Jude Nagtalon by end of June 2017
Engr III Raffie Aquito

40 SALINTUBIG subproject
30 SALINTUBIG subproject monitoring/final Engr III Ruel Dolar monitoring/final inspection report
inspection report submitted with 2 minor Engr III Jude Nagtalon 5 5 5 5.00000
Engr III Raffie Aquito submitted with 0 minor revisions by the
revisions by the end of June 2017
end of April 2017
23 SALINTUBIG subproject physical
16 SALINTUBIG subproject physical completion Engr III Ruel Dolar completion documents reviewed and
Output documents reviewed and approved with 2 Engr III Jude Nagtalon approved with 0 minor errors by the 5 5 4 4.66667
minor errors by the end of June 2017 Engr III Raffie Aquito
end of May 2017

16 SALINTUBIG subproject financial 23 SALINTUBIG subproject financial

completion documents reviewed and completion documents reviewed and
FA II Maricar Calaliman 5 5 5 5.00000
approved with 2 minor errors by the end of approved with 0 minor errors by the
June 2017 end of April 2017

LGOO III Sean Botavara

10 LGUs provided with TA within 5 days after Engr III Ruel Dolar 13 LGUs provided with TA within 3 days
receipt/query with 2 negative feedbacks by Engr III Jude Nagtalon after receipt/query with no negative 5 5 5 5.00000
end of June 2017 Engr III Raffie Aquito feedback by end of June 2017
FA II Maricar Calaliman

2 Bimonthly status report submitted with 2 ISA I Franklin Terunez 2 Bimonthly status report submitted
minor errors within the on 15th and 30th day ISA I Benjamin Ko with no minor error 2 days before the 5 5 5 5.00000
Support Function of the month set deadline by the OPDS
1 SALINTUBIG completed subproject 2 SALINTUBIG completed subproject
LGOO II Whelfrank Santias / LGOO
documented with 2 minor revisions by end of II Marlon Ladia documented with no minor revision by 5 5 3 4.33333
June 2017 end of June 2017

10 SALINTUBIG documents/emails/letters AdA Jenefer Bitalac 31 SALINTUBIG

AdA Jovel Carreon documents/emails/letters
received/endorsed with no negative feedback ISA I Franklin Terunez 5 5 5 5.00000
by end of June 2017 ISA I Benjamin Ko received/endorsed with no negative
feedback by end of April 2017
Environment

RAY
LGOO III Sean Botavara
Engr III William Pillora 271 RAY 2 completed by end of June
311 RAY 2 completed by end of March 2017 Engr III Edward Pagayona 2017 2 2 2.00000
Engr III Ronelo Gabayoyo

Outcome
LGOO III Sean Botavara
Engr III William Pillora 10 RAY 2A completed by end of June
12 RAY 2A completed by end of March 2017 2 2 2.00000
Engr III Edward Pagayona 2017
Engr III Ronelo Gabayoyo
 162 RAY subproject monitoring/final Engr III William Pillora 292 RAY subproject monitoring/final
inspection report submitted with 2 minor Engr III Edward Pagayona inspection report submitted with no 5 5 5 5.00000
revisions by the end of June 2017 Engr III Ronelo Gabayoyo
minor revisions by the end of April
2017
162 subproject physical completion Engr III William Pillora 292 subproject physical completion
Output documents reviewed and approved with 2 Engr III Edward Pagayona 5 5 5 5.00000
Engr III Ronelo Gabayoyo documents reviewed and approved
minor errors by June 2017 with 0 minor errors by April 2017
292 subproject financial completion
162 subproject financial completion documents reviewed and approved
documents reviewed and approved with 2 FA II Eleanor Sta. Ana with 0 minor errors by May 2017 5 5 4 4.66667
minor errors by June 2017

20 LGUs provided with TA within 3 days

LGOO III Sean Botavara after receipt/query with no negative
10 LGUs provided with TA within 5 days after Engr III William Pillora feedbacks by end of June 2017
receipt/query with 2 negative feedbacks by Engr III Eduard 5 5 5 5.00000
end of June 2017 Engr III Ronelo Gabayoyo
FA Eleanor Sta. Ana

2 Bimonthly status report submitted with 2 ISA I Franklin Terunez 2 Bimonthly status report submitted
minor errors within the on 15th and 30th day ISA I Benjamin Ko with no minor error 2 days before the 5 5 5 5.00000
Support Function
of the month set deadline by the OPDS
10 RAY completed subproject
5 RAY completed subproject documented with LGOO II Aizel Padilla / LGOO II documented with no minor revisions 5 5 5 5.00000
2 minor revisions by end of June 2017 Marlon Ladia
by end of April 2017
72 RAY documents/emails/letters
10 RAY documents/emails/letters AdA Jenefer Bitalac
AdA Jovel Carreon received/endorsed with no negative 5 5 4 4.66667
received/endorsed with no negative feedback ISA I Franklin Terunez feedback by end of May 2017
by end of June 2017 ISA I Benjamin Ko

Business Friendly

8 KALSADA subproject ongoing by end

1 KALSADA subproject ongoing by end of June LGOO II Maria Jenica Villabeto
Engr III Shella Mie Tubang of June 2017 5 3 4.00000
2017 Engr III Carleen Tibi

5 LGUs provided with TA within 3 days

KALSADA after receipt/query with no negative
1 LGUs provided with TA within 5 days after LGOO II Maria Jenica Villabeto feedbacks by end of June 2017
receipt/query with 2 negative feedbacks by Engr III Shella Mie Tubang 5 5 5 5.00000
end of June 2017 Engr III Carleen Tibi

1 SLRF subproject monitored with no minor LGOO II Maria Jenica Villabeto 2 SLRF subproject monitored with no
Engr III Shella Mie Tubang 5 5 4 4.66667
error by end of June 2017 Engr III Carleen Tibi minor error by end of May 2017

SLRF
3 LGUs provided with TA within 3 days
1 LGUs provided with TA within 5 days after LGOO II Maria Jenica Villabeto
after receipt/query with no negative
receipt/query with 2 negative feedbacks by Engr III Shella Mie Tubang feedbacks by end of June 2017 5 5 5 5.00000
end of June 2017 Engr III Carleen Tibi

TOTAL RATING 335.83333

FINAL AVERAGE RATING 4.04618
ADJECTIVAL RATING: VS
Rater: Approved Rating by:
Position: (Director III /ARD, Provincial/City Director) Position: (Director/RD)
Date: Date:
LEGEND: Q1 - Quality E2 - Efficiency T3 - Timeliness Ave4 - Average
 FORM 2: FM-QP-AS-HRMD-04-02
Page No.
Page1 of _____

SIGNATURE:

REMARKS
(7)

Tapaz, Caluya

Capiz Province, Iloilo City

Aklan Province, Banga, Ibajay, Malay

Concepcion
Dao

Buenavista, Lemery

Kalibo, Aklan Province

Mambusao
Tapaz (Capiz)

Ibajay (Aklan)

Still awaiting for the response of OPPAP regarding the request of

change of project title
OPDS provided fixed schedule of submission of reports

Aklan, Capiz, Iloilo

Madalag

Libertad

Barbaza, Bugasong, Pres. Roxas, Nueva Valencia,

Sibunag

Alimodian, Janiuay, Maasin, Tigbauan, Libertad,

Barbaza, Caluya

Buruanga, Bugasong, Tibiao (2), Anilao, Janiuay,

Sigma

Numancia, Tobias Fornier, Sigma, Batad

Buruanga, Anini-y, Barbaza, Buenavista (2),

Janiuay, San Enrique
Caluya, Sibalom

Altavas (2), Libertad, Malinao (3)

Malinao
Jordan

Lezo, Barbaza, Culasi, Libertad, Dumangas, San

Dionisio

New Washington, Tangalan

Tibiao, Hamtic, Culasi, Sebaste, Tobias Fornier
Pontevedra, Pres. Roxas (2), Sigma, Maayon
Alimodian, Leganes, Pototan, Tigbauan

Madalag
Ivisan, Cuartero, Pres. Roxas
Mina, Maasin, Passi City, Banate, Dumangas,
Duenas, Janiuay, San Dionisio
Anini-y, Tobias Fornier
Nueva Valencia (Guimaras Province)
New Washington, Tangalan
Ivisan, Sigma, Dumalag, Mambusao
Nueva Valencia, Sibunag
Banate, Carles, Calinog, Estancia, Passi City, San
Dionisio, Tubungan

Delayed due to change in DED, water source

Batan, Dumalag
Bugasong (4)

Banga (2)
Antique: Hamtic, San Remigio (4)
 INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW (IPCR) FORM 3: FM-QP-AS-HRMD-04-03
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I, SHELLA MIE TUBANG, Engineer III of DILG Region VI commit to deliver and agree to be rated on the attainment of the
following targets in accordance with the indicated measures for the period January - June 2017

Signature of Employee/Ratee

Date:

APPROVED BY: ROMIE M. POTOT POSITION: PDMU Chief DATE: SIGNATURE:

Ratings: 5 - Outstanding (5.00) 4 - Very Satisfactory (4.00-4.99) 3 - Satisfactory (3.00-3.99) 2 - Unsatisfactory (2.00-2.99) 1 - Poor (1.00-1.99)
MAJOR FINAL SUCCESS INDICATORS ACTUAL ACCOMLISHMENTS/EXPENSES RATING (6) REMARKS
OUTPUT (Targets + Measures) (3) Q1 E2 T3 Ave4 (7)
(1) (2)
1 BuB Water 2013 subproject completed by end of Madalag
March 2017

5 BuB Water 2014 subproject ongoing by end of Libertad, Valderrama

March 2017

Banga, Lezo, Malinao

Barbaza (2), Bugasong,
23 BuB Water 2014 subproject completed by end of Caluya (2)
March 2017

5 BuB Water 2014 subproject completed by end of

June 2017 Libertad, Valderrama

7 BuB Water 2015 subproject ongoing by end of Buruanga

BUB Water Bugasong, Tibiao (3)
March 2017
 Buruanga, Ibajay (2),
Nabas, Numancia
Anini-y, Barbaza (2),
26 BuB Water 2015 subproject completed by end of Belison, Bugasong, Tibiao
March 2017 (3), Tobias Fornier

11 BuB Water 2015 subproject completed by end of

June 2017

Nabas
14 BuB Water 2016 subproject ongoing by end of
June 2017 Anini-y, Caluya, Culasi,
Pandan, Sibalom

2 SALINTUBIG 2012 subproject completed by end of

March 2017

17 SALINTUBIG 2013 subproject completed by end of Batan, Madalag, Nabas,

New Washington
March 2017 Laua-an

Banga (4), Buruanga (2),

Ibajay (4), Malinao
Bugasong (2), Hamtic (2),
Laua-an (4), San Remigio
SALILNTUBIG 27 SALINTUBIG 2015 subproject completed by end of (7)
March 2017

8 SALINTUBIG 2015 subproject ongoing by end of Bugasong (2), Nabas (4),

June 2017 Culasi (2)
 SALILNTUBIG

8 SALINTUBIG 2015 subproject completed by end of

Caluya (5), Laua-an (3)
June 2017

12 2016 SALINTUBIG subproject ongoing by end of Bugasong, Caluya, Laua-an,

June 2017 San Remigio

TOTAL RATING 0
FINAL AVERAGE RATING #DIV/0!
ADJECTIVAL RATING: VS
Rater comments on the Ratee for development purpose or rewards/promotion:

The above rating has been discussed with:

Name and Signature Ratee: Jude Mckean F. Nagtalon Name and Signature of Rater: Final Rating By:
Position: Engineer III Position: Position: Director IV/ Regional Director
Date: Date: Date:

LEGEND: Q1 - Quality E2 - Efficiency T3 - Timeliness Ave4 - Average

 SPMS MONTHLY DPCR MONITORING FORM FORM 4: FM-QP-AS-HRMD-04-04 PLEASE COPY THIS PORTION
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OFFICE: DILG REGION VI, REGIONAL OFFICE DIVISION: PDMU (OFFICE OF THE PROVINCIAL DIRECTOR) COVERED PERIOD: FEBRUARY 2017

EFFECTIVENESS /
TIMELINESS
QUALITY
WORK/ACTIVITY EFFICIENCY (4) REMARKS
(2)
(1) (3) (5)
No. of Ratings Target Started Finished Result Rating
Errors
1. Review Documents
2. Attend GAD Training
3. Prepare Project Profile
4. Conduct Project Monitoring

Prepared and submitted by: Verified by: Confirmed by:

Division Employee/Ratee Date Division Chief Director, AD/ARD, PD/CD

Received by: Date:

 PERFORMANCE MONITORING AND COACHING JOURNAL FORM 5: FM-QP-AS-HRMD-04-05
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Name of Office/Division/Cluster/Field Office: DILG AKLAN 1st

QUARTERLY
Director/Division Chief/Head: MA. LYNETTE P. URQUIOLA 2nd
Number of Personel in the Office/Division: 11 3rd
4th

MECHANISM/S (2)
Others
ACTIVITY (1) REMARKS (3)
Meeting (a) MEMO (b) (Pls. Specify)
One-on-One Group ( c)
MONITORING

COACHING

Please indicate the date in the appropriate box when the monitoring was conducted.
Conducted by: (DC/CLGOO/CTL/PM) Date: Noted by: Date:

MA. LYNETTE P. URQUIOLA JOHN ACE A. AZARCON

Position/Designation: LGOO VI/Program Manager (Provincial Director)

Note: Whenever necessary, the USEC/ASEC/Head of Office may conduct monitoring and coaching to his/her immediate subordinate.
 COACHING REPORT FORM FORM 6: FM-QP-AS-HRMD-04-06
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1. Date 2. Name of Coach

3. Name & Signature of individual coachee (Attach Attendace sheet if Team Coaching)
MA. LYNETTE P. URQUIOLA
LGOO VI/PM

4. Coaching

5. Reality of the Problem

Situation/Issue:

7. Committed Action

8. Who will do?

9. Resource Needed (time, approval,

authorities,fund, etc.

10. Date that Coachee/s commits to:

11. Agreed next meeting is on:
12. Key points of what was shared:

13. Process Observatio of the coach (Observable behavior of the Coachee/Team/Group being coached, General Disposition, Change in Attitude since the last Coaching, level of coping with the Demands of Work)
 PROFESSIONAL DEVELOPMENT PLAN FORM 7: FM-QP-AS-HRMD-04-07
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TRACKING METHOD/COMPLETION DATE

DEVELOPMENT ACTIVITY SUPPORT NEEDED (3)
(1) (2) Planned Accomplished Accomplished
Mid-year Year End

NONE FOR THE PERIOD

MA. LYNETTE P. URQUIOLA JOHN ACE A. AZARCON ATTY. ANTHONY C. NUYDA, CESO III
Employee's Name & Supervisor's Name & Regional Director
Date Date Date
Signature Signature Signature
 INDIVIDUAL DEVELOPMENT PLAN (IDP) FORM 8: FM-QP-AS-HRMD-04-08
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1. Name & Signature 6. Nature of Work for the las two-years

2. Current Position 7. Divition
3. Salary Grade 8. Office
4. Years in the Position 9. No further development is desired or required for this year/s (Please check appropriate box)
Year 1 Year 2 Both years Needs development

5. Years in rhe DILG

Competancy Assessment and Development Priorities: Baseed on the competency assessment conducted and/or the review of performance results, please
identiiify at least three (3) development needs.
KNOWLEDGE/SKILLS/ATTITUDE (KSA) PERFORMANCE GOAL THIS SUPPORTS OBJECTIVES
FOR DEVELOPMENT (2) (3)
(1)

Support Needed (1) :

 SUMMARY LIST OF INDIVIDUAL PERFORMANCE RATINGS FORM 9: FM-QP-AS-HRMD-04-09
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BUREAU/SERVICE/REGIONAL OFFICE: PERFORMANCE ASSESSMENT:

DIVITSION A RATING
(1) (2)
Numerical Adjectival
(a) (b)

AVERAGE RATING: (division employeess plus DC)

DIVISION B RATING
Numerical Adjectival

AVERAGE RATING:

DIVISION C RATING
Numerical Adjectival

AVERAGE RATING:
SUMMARY: Division A
Division B
(include provincical/city field offices
AVERAGE RATING:
 CRITICAL INCIDENT JOURNAL FORM FORM 10: FM-QP-AS-HRMD-04-010
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1. Name: 3. Division & Office:

2. Position 4. Name of Immediate Supervisor: MA. LYNETTE P. URQUIOLA

Incident RESULT
TASK ACTION
No. SITUATION (2) (impact to organization or the individual) REMARKS (6)
(3) (4)
(1) (5)

NONE FOR THE RATING PERIOD