2023 Seal of Good Local Governance for Barangay (SGLGB) SGLGB Form No.

1
Documentary Checklist

BARANGAY:
CITY/MUNICIPAL:
PROVINCE:
REGION:

PART A - 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 2022 financial ☐ BFDP Monitoring Form A of the DILG Advisory dated
BARANGAY FULL DISCLOSURE documents in the BFDP
1.1.2 Accomplished board, pursuant
prescribed BFR formtowith DILG ☐March 25, 2022
Barangay Financial Report on Statement of Receipt and
POLICY (BFDP) BOARD MC
the No. 2014-81
"stamp receipt"andof DILG
the MC
Office
1.2 INNOVATIONS ON REVENUE 1.2.1 Increase in local resources in 2022 No.
of 2022-027:
the C/M ☐ Photo
Expenditure Documentation
☐ Barangay Budget 7)
(Annex of the BFDP
Preparation Formboard displaying
2 of 2021 the
and 2022
GENERATION
1.3 APPROVALOR OFEXERCISE
THE OF Accountant.
1.3.1 Presence of a Barangay Appropriation nine documents:
☐ Approved Barangay Appropriation Ordinance
CORPORATE POWERS Annual Report
BARANGAY BUDGET
1.4 ALLOCATION FOR ON THE Ordinance
1.4.1 approved
WithFinancial on or
allocatedReport before December
funds for the following ☐ 31, Approved Barangay Appropriation Ordinance
a) Barangay Annual Report
SPECIFIED
STATUTORY TIMEFRAME
PROGRAMS
1.5 POSTING OF THE AND 2021.
statutory
1.5.1 programs
BarangayBudget and projects:
Citizens’ Charter posted at a ☐
b) Barangay ☐ Photo
Barangaydocumentation of the Barangay CitCha (name of the
Financial Report
PROJECTS
BARANGAY AS MANDATED
CITIZEN’S
1.6 RELEASE OF THE BY conspicuous
c) Summary
1.6.1 Complianceplace (barangay
of Income hall, market,
and Expenditures
with Section 20 of the SK barangay
☐ a) should
Copy ofBudget
Barangay be visible)
the written agreement; and
LAWS
CHARTERAND/OR OTHER
(CitCha) Consideration:
a) Senior CitizensApproval
(per until9994
R.A. Marchand 31, 2022.
DBM Local ☐ b)
SANGGUNIANG KABATAAN (SK) transport
d)
Reform20% terminal
Component
Act of 2015 or multi-purpose
andof the
Item
1.6.1.1 If the barangay has Barangay-SKIRA
3.2 of hall)
Utilization
DBM-DILG- Proof
Summary ofofdeposit
Incomereflecting the Account No./ Name of
and Expenditures
ISSUANCES
FUNDS OF THE BARANGAY Budget
e)
NYC JMCMemorandum
Annual No.Procurement
1, s. No.dated
2019 82); or
Plan Procurement
January 23, Barangay SK (1 deposit slip
☐ 20% Component of the IRA Utilizationfor annual, 2 deposit slips for
Agreement for the annual or semestral or
List
2019:
quarterly release/deposit: semestral, 4 deposit slipsPlan
☐ Annual Procurement for quarterly
or Procurement List
b) Persons with Disability (per R.A. 7277 and
DBM Local Budget Memorandum No. 82);
Quarterly
1. 6.1.2 IfReport
the barangay does not have Quarterly
☐ Report deposit slips reflecting the Account No./
a) 12 monthly
f) List of Notices of Award (4th Quarter of CY ☐ List of Notices of SK
Award
Barangay-SK
1.6.1.3
c) If the
At least 20% Agreement
barangay
of the IRAdoesbut withhave
not current
is allocated SK
for Name
☐ of Barangay
a) Proof of transfer of the(4th
10% Quarter
SK fundof to
CYthe2022)
trust fund of
2022)
account:
Officials
1.6.2 or with
Presence
development SK Officials
of Annual
programs but no quorum
Barangay
(DILG-DBM Youth
JMC No. theCertification
☐ barangay such fromas thedeposit
C/MLGOO slip oronOfficial
currentReceipt
number orof SK
1.7 CONDUCT OF BARANGAY and/or
2017-01);
1.7.1 No
Investment SK Bank
Program
Conducted Account:
the (ABYIP)
2nd semester for 2022Barangay corresponding
officials
☐ Post Activity legal form/document issued by the
Report on the conduct of the 2nd semester
Monthly Report
city/municipal treasurer ifsigned/approved
the barangay opted thatPunong
the
ASSEMBLY FOR CY 2022 (2ND Assembly
Monthly Reportfor CY 2022 (any modality, i.e., online,
Core Governance Area 2: Disaster Preparedness barangay
☐ Itemized assembly
Monthly duly
Collections and by the
Disbursements (October-
SEMESTER) (Applicable
d) AtItemized
least 1%
face-to-face, onlyoffor
theBarangays
hybrid) IRA/NTA with
for the 5 Barangay
and above If corresponding
with
Barangay 5 and SK Dfund
above
(Annex SK
of be kept
officials:
DILG MC as trust
No. fund in the custody
2022-131) of
2.1 FUNCTIONALITY OF THE g) Monthly Collections
2.1.1 Established BDRRMC with its composition ☐and December
Executive 2022)
Order or similar issuance creating the BDRRMC
SK members)
Council for the Protection of Children2022) the C/M treasurer
(BCPC) per ☐ Approved Annual Barangay Youth Investment Program
BARANGAY DISASTER RISK Disbursements
compliant
2.1.2 to the(October-December
Approved Provisions of NDRRMC, DILG, compliant to composition
BDRRM Planrequirements covering CY 2022
RA 9344; and, Barangay Disaster Risk ☐ Approved
(ABYIP) for 2022 CY 2022
REDUCTION AND MANAGEMENT Reduction
DBM, and CSC JMC No. 2014-01
and Management (BDRRM) Plan CY
COMMITTEE (BDRRMC) 2022
e) At least 5% from total budget allocated for
GAD plans and programs per RA 9710.
2.1 FUNCTIONALITY OF THE
BARANGAY DISASTER RISK
REDUCTION AND MANAGEMENT 2.1.3. Allocation of 5% of the Estimated Revenue ☐ Enacted Appropriation Ordinance
COMMITTEE (BDRRMC) from
2.1.4 Regular
a) At least Sources as BDRRM Fundof the
50% accomplishment ☐ Accomplishment Report
2.2 EXTENT OF RISK physical targets in the BDRRM
2.2.1 Conducted an activity in relation to Risk Plan ☐ Post-Activity Report of activities such as Climate and
ASSESSMENT AND EARLY Assessment in the barangay
2.2.2 A certified Barangay Risk/Hazard Map not earlier than Disaster
☐ Photo Risk Assessment,
documentation Participatory
of the Disaster Risk
certified Barangay
WARNING SYSTEM (EWS) OR
2019 Assessment, BDRRM Planning,
2.2.3 An established Early Warning System for Risk/Hazard Map
☐ Photo documentation of EWS etc. for the top two (2) hazards in
the
2.3 EXTENT OF PREPAREDNESS 2.3.1.top two
A At (2)
barangay hazards
must present
have in the
a permanent barangay the barangay
2.1.4 b) least 50% fund utilization of the or70% ☐ ☐ Photo
Annualdocumentation
Report on the of the permanent/alternate
utilization of the LDRRMF
FOR EFFECTIVE RESPONSE alternate
2.3.2
component evacuation
A barangay
of CY 2022 center
must LDRRMF
have the following evacuation center
- Preparedness ☐ Photo Documentation of disaster supplies equipment
AND RECOVERY disaster
component supplies/equipment:
as ofGovernance
Core December 31, Area2022.3: Safety, Peace and Order
3.1 FUNCTIONALITY OF THE a) Communication equipment
3.1.1​​Organized BADAC with its composition (i.e., 2 way and ☐☐ Communication
Executive Order equipment (i.e., 2 way
or similar issuance radio,mobile
creating phone)
the BADAC
BARANGAY ANTI-DRUG ABUSE radio,mobile
appropriate
3.1.2 Established
phone)
committees (Committees
Rehabilitation Referralon Desk ☐
☐
Rescue
with
EO
vehicle/Barangay
itsorcomposition patrol committees (Committees
and appropriate
similar issuance establishing the Rehabilitation
COUNCIL (BADAC) b) Rescue
Operations vehicle/Barangay
and on Advocacy) patrol
compliant to DILG- ☐
on Generatorset/alternative
Operations and on sources
Advocacy) of energy
with Designated
3.1.3 Allocation of Duty Officer amount for anti-
substantial Referral
☐ Desk
c)
DDB Generatorset/alternative
JMC No. 2018-01 sources of energy ☐ Approved
First aid kitBarangay Appropriation Ordinance
illegal
3.1.4
d) First drugs
aid kitinitiative
Approved BADAC Plan of Action covering ☐ Approved BADAC
Flashlight with Plan of Action
batteries
2022
3.1.5 as
e) Flashlight yearwith
Submission under ofreview
batteries
Consolidated Information Personal Protective
☐ Transmittal Equipment
of CIR (stamp (PPE)to CADAC/MADAC
received)
f)Personal
Report
3.1.6 a)(CIR) Protective
At least Equipment
to CADAC/MADAC
50% accomplishment (PPE)
and Localof thePNP ☐ andAnnual
Local BADAC
PNP UnitAccomplishment and Fund Utilization
3.2 FUNCTIONALITY OF THE Unit
physical targets in the BADAC
3.2.1. Organized BPOC through an Executive Plan of Action Report
☐ Executive Ordernot
submitted or later than
similar the 20thindicating
issuance day of January
correct
BARANGAY PEACE AND ORDER Order or Sangguniang Barangay Resolution,
3.2.2 Approved Barangay Peace and Order and ☐ Approved BPOPS Plan with (stamp received)
membership in to the
accordance CADAC/MADAC
to the EO 366 s. of 1996
COMMITTEE (BPOC) OR
its composition
Public compliant to the provisions of
toEO ☐ Accomplishment Report (in any format) submitted to the
3.2.3 a)Safety
At least (BPOPS) Plan
50% accomplishment in accordance of the
366
DILG s.
physical MCof 1996
2017-142
targets covering
inLupong
the BPOPS2022 Planas year under C/M POC on the prescribed schedules (stamp received)
3.3 FUNCTIONALITY OF THE 3.3.1.
3.1.6. Organized
b) At least 50% fundTagapamayapa
utilization rate of the ☐ Appointment of the Lupong Tagapamayapa
review
LUPONG TAGAPAMAYAPA (LT) 3.3.2.
PAPs Systematic
in the of themaintenance
CY 2022 BADAC of records
Budget
OR
(record of cases)
3.3.3. Conducted monthly meetings for the ☐ Copies of minutes of meetings with attendance sheets (at
For
3.3.4.barangays
administration
Attendance of
of cities:
the Computer
Katarungang
of LT to KP database
Pambarangay
trainingrate or seminarwith ☐
☐ For
least 3barangays
minutes
Certified of cities:
true covering
copy of any 2 proof
photos
meetings with caption
conducted
of training ofas
the
in 2022)
such
3.2.3.
searchableb) At least 50%
information fund utilization of of computer database with searchable information least 1)
3.4 ORGANIZATION AND not
3.4.1
the earlier
CYOrganized
2022 than 2019
Barangay
BPOPs Budget Tanod Certificate of Completion
☐ EO or similar issuance and/or
on the Participation
organization (at of the Barangay
STRENGTHENING CAPACITIES 3.4.2 Attendance of barangay tanod to Tanod
☐ covering
Certified true 2022
copy of any proof of training such as
For barangays of municipalities: Manual Records ☐ For barangays of municipalities: 1 photo, with caption on
OF BARANGAY TANOD necessary training notOR earlier than 2019 Filing Certificate ofand
Completion
3.5 BARANGAY INITIATIVES 3.5.1
(CaseOrganized
Record Barangay
Book) Health
Digital and
Record ☐
theEO or similar
manual issuance
digital fileand/or
on the Participation
organization (at least 1)
of BHERTs
DURING HEALTH EMERGENCIES 3.5.2
Emergency
(scannedPoster copyResponse
or of Team
KP files)
tarpaulin (BHERT)
containing the with
active its ☐ Photo documentation of poster and/or tarpaulin
3.6. CONDUCT OF MONTHLY composition
telephone
3.6.1 Conducted compliant
and/or BaRCO to
cellphone the provisions
onNumbers
a monthlyofbasis of DILG
the in ☐ Monthly BarCo Reports for October-December 2022
BARANGAY ROAD CLEARING MC No.
Barangay, 2020-023
Punong Barangay and BHERT
2022Essential Governace Area 1: Social Protection and Sensitivity
OPERATIONS (BaRco) Members posted in conspicuous public places
4.1 FUNCTIONALITY OF 4.1.1. Established Barangay VAW Desk and ☐ Executive Order or similar issuance on the establishment
within the barangay jurisdiction
BARANGAY VIOLENCE AGAINST 4.1.2
designated
Attendance Barangay of the VAW Desk Officer
Barangay VAW Desk of Barangay
☐ VAW
Certified true copyDesk and proof
of any designated VAWsuch
of training DeskasOfficer
WOMEN (VAW) DESK Officer to at least one (1)
4.1.3 Approved 2022 Barangay Gender and training/orientation Certificate
☐ Approved 2022 Barangay Gender and Development1)(GAD)
of Completion and/or Participation (at least
related
Development to gender-sensitive
4.1.4 Submission (GAD) Plan and
of Monthly handling
Budget of VAW
Accomplishment Plan and Budget
☐ Monthly Accomplishment Reports for CY 2022 (October-
Cases
Reports noton earlier
the than
incidence 2019of VAW and violence December 2022)
4.1.5 Updated database on VAW cases reported ☐ Updated database of VAW cases reported to the barangay
against
to children (VAC)
the barangay, with the to following
C/MSWDO and
information at
C/MLGOO
the minimum: within 10 working days of the ensuing
month (stamp received), pursuant to the
Advisory
a) dated March
total number of VAW3,cases 2021 received
BARANGAY VIOLENCE AGAINST
WOMEN (VAW) DESK

4.1.6 a) At least 50% accomplishment of the ☐ CY 2022 GAD Accomplishment Report

4.2 ACCESS TO HEALTH AND physical targets in the GAD
4.2.1. Presence of a Barangay Health Plan ☐ Photo documentation of the BHS/C
SOCIAL WELFARE SERVICES IN Station/Center
THE BARANGAY OR Appointment of a Barangay Health Worker ☐ EO or similar issuance on the Appointment of BHW
4.2.2.
(BHW)
4.2.3. Appointment of a Barangay Nutrition ☐ EO or similar issuance on the appointment of BNS
4.1.6
Scholar
4.2.4. b) At least 50% fund utilization rate of the
(BNS) of the following health services ☐ Photo documentations of the operations of the BHS/C
Availability
CY
in 2022
the BHS/C: GAD Budget
4.3 FUNCTIONALITY OF THE 4.3.1. Organized BDC with its composition ☐ EO or similar issuances organizing/reconstituting the BDC
BARANGAY DEVELOPMENT compliant to Section 107 of RA
4.3.2. Conduct of public hearings/ barangay 7160 Barangay
with Issuances
its composition
☐ Minutes onofthe
theprovision
compliant
(at least 2) of the
to Section
public 107four (4) listed
of RA
hearings/barangay 7160
COUNCIL (BDC) a) immunization
assemblies for public consultation health services:
assemblies
4.3.3 Approved Barangay Development Plan ☐ Barangaywith attendancePlan
Development sheet with BDC and SB
b) maternal and child healthcare
4.3.4c)a)family
At least 50% accomplishment of the Resolutions
☐ adopting such
planning ☐ CY 2022 Accomplishment Report of the BDP
immunization
4.4 IMPLEMENTATION OF THE physical targets
4.4.1d)Kasambahay in
health education the BDP
Desk with designated ☐ EO or similar
maternal and issuance designating a Kasambahay Desk
child healthcare
KASAMBAHAY LAW Kasambahay Desk Officer (KDO)
4.4.2 Maintenance/updating of a Kasambahay and a KDO
family planning
☐ Updated Kasambahay Report Form 2 (Kasambahay
OR
Masterlist ☐ health
Masterlist) education
as of December
4.5. FUNCTIONALITY OF THE 4.5.1 Organization of the Barangay Council for ☐ Executive Order or similar2022issuance on the establishment
BARANGAY COUNCIL FOR THE Protection4.5.2 of Children (BCPC) with its of Barangay Council for Protection of Children (BCPC)
4.3.4 Attendance
b) At least 50% of the Members
fund of the
utilization rate of the ☐ Certified true copy of any proof of training such as
PROTECTION OF CHILDREN composition
Barangay
4.5.3 Approved compliant
Council BCPC to the
for Protection provisions
Annual Work and of
of Children DILG Certificate
☐ Approved of BCPC
Completion
Annual and/or
WorkParticipation
and Financial (atPlan
least(AWFP)
1)
CY 2022 BDP Budget
(BCPC) MC No.
(BCPC)
Financial 2021-039
to at least one (1) training/orientation
Plan on Children disaggregated by
4.5.4 Database ☐ Updated database on children
related
age, sex, to their functions
ethnicity, not
with orFlow earlier
withChart than
disabilities,2019
4.5.5 Updated Localized of Referral ☐ Updated Localized Flow Chart of Referral System
OSCY,
System
4.5.6 etc.
a) not updated
earlier
At least 50% as
than of
2019December
completion rate 31, 2023 in ☐ CY 2022 Approved Accomplishment Report on BCPC Plan
on PPAs
4.6 MECHANISM FOR GENDER 4.6.1 the BCPC Plan Barangay GAD Focal Point
Organized ☐ EO or similar issuance organizing the Barangay GAD
ANDMAINTENANCE
4.7. DEVELOPMENTOF (GAD) System
4.7.1 Updated RBI for two semesters of CY 2022 Focal Point System
☐ Accomplished RBI Form A of two semesters of CY 2022
UPDATED RECORD OF OR
Essential Governance Area 2: Business-Friendliness and Competitiveness
BARANGAY INHABITANTS
5.1 POWER TO LEVY OTHER (RBIs) 5.1.1
4.5.6 Enacted
b) At least Barangay Tax Ordinance
50% utilization rate of CY pursuant
2022 ☐ Enacted Barangay Tax Ordinance
TAXES, FEES OR CHARGES
5.2. COMPLIANCE TO SECTION 5.2.1 to Sec. 129
BCPCEnacted of
AWFP Budgetthe LGC
Barangay Ordinance relative to ☐ Enacted Barangay Ordinance relative to Barangay
11 OF RA 11032 OR THE EASE Barangay Clearance fees on
5.2.2 Approved resolution authorizing the business permit Clearance
☐ Approved Fees on business
resolution permitthe
authorizing andCity/Municipal
locational clearance
OF
5.3 DOING BUSINESS
ISSUANCE ​
OF BARANGAY and
5.3.1locational
Presenceclearance
City/Municipal Treasurer
of a Citizens’for building
to collect
Charter permit
feesonfor
the for building
Treasurer
☐ Photo topermit.
collect fees of
documentation forthe
Barangay
Citizens’Clearance
Charter on forthe
Business
CLEARANCE NOT COVERED BY issuance pursuant
Barangay to
of DILG
Clearance
barangay MC No.
for 2019-177
Business
clearance permit
posted inand
the permitManagement
issuance andoflocational
barangayclearance
clearancepurpose
only (name of the barangay
Essential Governance Area 3: Environmental
DILG MC NO. 2019-177 SUCH locational clearance purposes pursuant to DILG
6.1.FUNCTIONALITY OF THE AS: barangay hall BESWMC with composition
6.1.1 Organized should
☐ EO or besimilar
visible)issuance on the organization of the
RESIDENCY, INDIGENCY, ETC, MC No. 2019-177
BARANGAY ECOLOGICAL SOLID compliant to DILG MC No.
6.1.2 Approved Solid Waste Management 2018-112 BESWMC
☐ Approved Solid Waste Management Program/Plan with
WITHIN
WASTE SEVEN (7) WORKING
MANAGEMENT Program/Plan with corresponding
6.1.3 Attendance of BESWMC to necessary fund allocation corresponding
☐ Certified truefund copyallocation
of any proof of training such as
DAYS
COMMITTEE (BESWMC) training related activities to promoting Certificate
6.1.4 a) At least 50% completion rate on PPAs in ☐ Monthly Accomplishment of Completion and/or Participation
Reports for 2022 (at least 1)
6.2 EXISTENCE OF A SOLID environmental
the BESWMP
6.2.1 protection, preservation and
Presence of a Materials Recovery Facility ☐ For MRF operated by the barangay: Photo documentation
WASTE MANAGEMENT awareness
OR
FACILITY 6.3.1
(MRF)/ not earlier
Materials Recoverythan 2019
System (MRS) of the MRF/MRF Records of the barangay
6.3 PROVISION OF SUPPORT Enacted Barangay Ordinance or similar ☐ Ordinance or similar issuance on segregation of wastes at-
PURSUANT TO
MECHANISMS FOR R.A. 9003 6.1.4 b) At least 50% utilization
issuance on segregation of wastes at-source rate of CY 2022 source
SEGREGATED COLLECTION BESWM
-Established
covering Budge
2022 MRF operated by the barangay For MRS:
-MRS ☐MOA with junkshop
-Clustered MRF ☐Mechanism to process biodegradable wastes
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:

PRINTED NAME AND SIGNATURE OF THE PUNONG BARANGAY

NAME OF BARANGAY

RECEIVED BY:

CITY/MUNICIPAL PERFORMANCE ASSESSMENT TEAM SECRETARIAT

DATE RECEIVED: