(CR:NBOO-2021-03-02-012)

2021-07-05-140
 2021 SEAL OF GOOD LOCAL GOVERNANCE FOR BARANGAY SGLGB Form No. 1
Assessment Period: CY 2019
Data Capture Form

Identifying Information

Region : _______________________________
Barangay : _______________________________
City/Municipality : _______________________________
Province : _______________________________

CORE AREA 1: SAFETY, PEACE AND ORDER

INDICATORS DATA DATA HOW TO ASSIGN PASSIN SCORE DOCUMENT

REQUIREMENTS SOURCE DETERMINE THE ED G OBTAIN SUBMITTED
SCORE SCORE SCORE ED BY
THE
BARANG
AY
1. Functionality of the Functionality of Barangay If the result is: 8 4
Barangay Anti-Drug BADAC based on Secretary ● High = 8
Abuse Council DILG-DDB JMC No. ● Moderate = 4
(BADAC) 2018-01 DILG ● Low = 2
City/Municipal ● No data = 0
Office

2. Functionality of the BPOC Monitoring DILG If the result is: 5 4

Barangay Peace and Form No. 2 based City/Municipal ● High = 5
on DILG MC No. Office ● Moderate = 4
2020-047 ● Low = 3
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 2021 SEAL OF GOOD LOCAL GOVERNANCE FOR BARANGAY SGLGB Form No. 1
Assessment Period: CY 2019
Data Capture Form

Order Committee ● Non functional =

(BPOC) 1
● No BPOC= 0
● No data = 0
3. Performance Rate in LTIA Form 003 DILG If the result is: 4 2
the Lupong based on DILG MC City/Municipal ● 85-100 = 4
Tagapamayapa No. 2016-58 Office ● 80-84 = 3
Incentives Awards ● 75-79 = 2
(LTIA) ● Below 75 = 1
● No data = 0
4. Maintenance of RBI form A of DILG Barangay ● With RBI = 1 1 1
Record of Barangay MC No. 2008-144 Secretary ● Without RBI = 0
Inhabitants (RBI) Date of last update:
_______

5. Professionalizing EO or similar Barangay With EO or similar 1 1

the Barangay Tanod issuance on the Secretary issuance:
based on DILG MC organization of the Yes = 1
No. 2003-42 Barangay Tanod No = 0

Training attended With trainings 1 1

for CY 2019 attended:
Yes = 1
No = 0
TOTAL 20 13

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 2021 SEAL OF GOOD LOCAL GOVERNANCE FOR BARANGAY SGLGB Form No. 1
Assessment Period: CY 2019
Data Capture Form

CORE AREA 2: FINANCIAL ADMINISTRATION AND SUSTAINABILITY

INDICATORS DATA REQUIREMENTS DATA HOW TO PERFECT PASSING SCORE DOCUMENT

SOURCE DETERMINE SCORE SCORE OBTAINED SUBMITTED
THE SCORE BY THE
BARANGAY
1. Compliance BFDP Monitoring Form 1 , DILG Presence of 2 2
with the Form 2 and Form 3 City/Municipal BFDP Board
Barangay Full pursuant to DILG MC No. Office ● Yes = 2
Disclosure 2014-81 ● No = 0
Policy (BFDP)
CY 2019, 4th Qtr Onsite Compliance to 3 3
compliance: Inspection the design
______________________ pursuant to
Annex 7 of the
Location of the BFDP DILG MC No.
Board: 2014-81:
______________________ ● Yes = 3
● No = 0
If the result of CY 8 6
2019, 4th Qtr
compliance is:
● Full
Compliance =
8
● Partial
Compliance:
o 7 financial
documents
posted = 7
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Assessment Period: CY 2019
Data Capture Form

o 5-6 financial
documents
posted = 6
o 3-4 financial
documents
posted = 4
o 1-2 financial
documents
posted = 2
● Non-
compliance =
0
● No data = 0
2. Percentage Barangay Budget Barangay With increase? 3 3
Increase in Preparation Form No. 2: Treasurer ● Yes = 3
local Actual Income and ● No = 0
resources Expenditure

Total amount collected City/Municipal

from fees and charges: Accountant

CY 2018 PhP ________

CY 2019 PhP ________

Difference : PhP
_________
Percentage increase:
_____

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 2021 SEAL OF GOOD LOCAL GOVERNANCE FOR BARANGAY SGLGB Form No. 1
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3. Conduct of Monitor report on the Barangay Conducted 4 4

Barangay compliance of the Secretary Barangay
Assembly for barangays to conduct Assembly:
the first and barangay assembly to be 1st Semester = 2
second submitted thru shared 2nd Semester = 2
semester of google drive No data = 0
CY 2019
TOTAL 20 18

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 2021 SEAL OF GOOD LOCAL GOVERNANCE FOR BARANGAY SGLGB Form No. 1
Assessment Period: CY 2019
Data Capture Form

CORE AREA 3: DISASTER PREPAREDNESS

INDICATORS DATA DATA HOW TO ASSIGN PASSIN SCORE DOCUMENT

REQUIREMENTS SOURCE DETERMINE THE ED G OBTAINE SUBMITTED
SCORE SCORE SCORE D BY THE
BARANG
AY
1. Functionality of the 5% BDRRM Fund in Barangay With at least 5% 2 2
Barangay Disaster the Barangay : PhP Secretary/ BDRRM Fund
Risk Reduction and __________ Barangay allocation
Management Treasurer ● Yes = 2
Committee To compute % ● No = 0
(BDRRMC) allocation for Local Disaster
LDRRMF: Risk Reduction
and
(BDRRMF Allocated Management
/ Estimated Total Officer
Revenue from (LDRRMO)
Regular Sources) x
100

EO or similar Organization of the 1 1

issuance creating BDRRMC
the BDRRMC ● Yes = 1
● No = 0
● No data = 0
Approved Barangay With Approved 2 2
Disaster Risk BDRRM Plan
Reduction and
Management
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 2021 SEAL OF GOOD LOCAL GOVERNANCE FOR BARANGAY SGLGB Form No. 1
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Data Capture Form

(BDRRM) Plan ● Yes, using the

under NDRRMC prescribed
Memorandum template = 2
Circular No. 01, ● No = 0
Series of 2018

Minutes of the Conduct of quarterly 2 1

quarterly meeting meeting
● 4 out of 4 = 2
● 2 or 3 out of 4 =
1
● 1 out of 4 = 0
● No = 0
● No data = 0
Utilization Rate of Utilization of the 1 1
the 70% component 70% BDRRM Fund
of the BDRRM Fund ● 50% and above
=1
To compute for % ● Less than 50% =
utilization: 0.5
● No = 0
% utilization of the ● No data = 0
70% BDRRMF =
(Total Amount
Utilized / Total
Amount Allocated) x
100
● Accomplishment Barangay Accomplishment 3 2
Report Secretary Rate of the
Activities/Projects

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 2021 SEAL OF GOOD LOCAL GOVERNANCE FOR BARANGAY SGLGB Form No. 1
Assessment Period: CY 2019
Data Capture Form

How to compute? Local Disaster Reflected in the

Accomplishment Risk Reduction Barangay Disaster
rate = 𝑥 100 and Risk Reduction And
Management Management Plan
Officer (BDRRMP)
o A = Total number
(LDRRMO) ● 60% and above
of
=3
activities/projects
● 40 – 59% = 2
accomplished in
● 20 – 39% = 1
the BDRRM plan
● 19% and Below
=0
o B= Total number ● No BDRRM Plan
of =0
activities/projects
in the BDRRM
Plan
2. Extent of risk Date of drill/s Barangay With Post-Activity 1 1
assessment and conducted: Secretary Report:
Early Warning ________________ ● Yes = 1
System (EWS) Local Disaster ● No = 0
Drills conducted Risk Reduction Conducted drills 1 1
(Earthquake, fire, and ● Earthquake/Fire/
etc.) Management Others = 1
Officer ● No = 0
(LDRRMO)
Local risk map Presence of Local 1 1
risk map
● Yes = 1
● No = 0

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 2021 SEAL OF GOOD LOCAL GOVERNANCE FOR BARANGAY SGLGB Form No. 1
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Data Capture Form

Early Warning Presence of Early 1 1

System (EWS) Warning System
location: ● Yes = 1
________________ ● No = 0

3. Extent of EO or similar Barangay With EO or similar 1 1

preparedness for issuance creating Secretary issuance creating
effective response Barangay the Barangay
and recovery Emergency Search Local Disaster Emergency Search
and Rescue Team/s Risk Reduction and Rescue Team/s
and ● Yes = 1
Total number of Management ● No = 0
Emergency Search Officer
and Rescue (LDRRMO) Provision of training 1 1
Team/s: _________ to the Emergency
Search and Rescue
Team/s:
● Trained in the
past 12 months
(CY 2019) = 1
No training in the
past 12 months (CY
2019) = 0
Designated/Evacuat Presence of 1 1
ion Center location : Evacuation
________________ Center/Designated
____________ Evacuation Center
● Yes = 1
● No = 0

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 2021 SEAL OF GOOD LOCAL GOVERNANCE FOR BARANGAY SGLGB Form No. 1
Assessment Period: CY 2019
Data Capture Form

Disaster equipment: Disaster equipment 2 1

● 2-way radio / ● 2-way radio /
mobile phone mobile phone =
● Rescue 0.5
vehicle/Baranga ● Rescue
y patrol vehicle/Baranga
● Generator set y patrol = 0.5
● First aid kit ● Generator set =
● Flashlight with 0.5
batteries ● First aid kit /
Flashlight with
batteries = 0.5
TOTAL 20 17

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 2021 SEAL OF GOOD LOCAL GOVERNANCE FOR BARANGAY SGLGB Form No. 1
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Data Capture Form

ESSENTIAL AREA 1: SOCIAL PROTECTION AND SENSITIVITY

INDICATORS DATA REQUIREMENTS DATA HOW TO ASSIGNED PASSING SCORE DOCUMENT

SOURCE DETERMINE SCORE SCORE OBTAINED SUBMITTED
THE SCORE BY THE
BARANGAY
1. Functionality of Functionality of the Barangay If the result is: 1 1
the Violence Violence Against Secretary ● Ideal = 1
Against Women Women (VAW) Desk ● Mature = 0.5
(VAW) Desk based on MC No. 2017- Local Social ● Basic -
114 dated 30 August Welfare and Progressive =
2017 Development 0.25
Officer ● No
Functionality
=0
VAWC Cases Quarterly Submission of 2 1
Reports Quarterly
● 1st Qtr submitted: Reports on
__________ VAWC Cases
● 2nd Qtr submitted: ● 1st Qtr report
_________ submission =
● 3rd Qtr submitted: 0.5
__________ ● 2nd Qtr report
● 4th Qtr submitted: submission =
__________ 0.5
● 3rd Qtr report
submission =
0.5
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Data Capture Form

● 4th Qtr report

submission =
0.5
Certificate of VAW Desk 1 1
Attendance/Participation Person is trained
and Date of ● Yes = 1
Training/Seminar ● No = 0
____________

2. Access to EO or similar issuance Barangay Presence of EO 1 1

health and on the Appointment of Secretary or similar
social welfare Barangay Health Worker issuance on the
services in the (BHW) On site appointment of
barangay inspection BHW
● Yes = 1
● No = 0
EO or similar issuance Presence of EO 1 1
on the appointment of or similar
Barangay Nutrition issuance on the
Scholar (BNS) appointment of
BNS
● Yes = 1
● No = 0
Barangay Health Presence of a 1 1
Station/Center (BHS/C) BHS/C
Location: ● Maintained
____________________ BHS/C = 1

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 2021 SEAL OF GOOD LOCAL GOVERNANCE FOR BARANGAY SGLGB Form No. 1
Assessment Period: CY 2019
Data Capture Form

BHS/C (check the ● With access

corresponding answer) to other
____ Barangay BHS/C = 0.5
owned/maintained ● None = 0
____ With access to
other BHS/C Availability of 2 1
services in the
BHS/C
● Expanded
Program on
Immunization
(EPI) = 0.5
● Maternal
Care = 0.5
● Nutrition Care
= 0.5
● Other
Services =
0.5
● None = 0
3. Functionality of DILG-MC No. 2019-69 Punong If the result is: 1 1
the Barangay DILG MC No. 2019-112 Barangay ● High - Ideal =
Development ● Annex 3 (C/MAT 1
Council (BDC) Audit Form) Barangay ● Moderate =
● Annex 4 (C/M Secretary 0.5
Consolidated Results ● Low = 0.25
Form) ● Non-
Functional =
0.15

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Data Capture Form

● None = 0
● No data = 0
4. Representation EO or similar issuance Barangay With EO or 1 1
of CSOs in the organizing each of the Secretary similar issuance
Barangay following: organizing the
Based 1. BDC BBIs (with CSO
Institutions 2. BADAC representative
(BBIs) 3. BDRRMC that is accredited
4. BPOC by the
a. BDC
5. BESWMC Sangguniang
b. BADAC
6. BCPC Barangay):
c. BDRRMC ● 4 to 7 BBIs =
d. BPOC 7. Barangay GAD
1
e. BESWMC Focal Point System
● 1-3 out of 7
f. BCPC BBIs = 0.5
g. Barangay CSO Assembly/Election ● No EO or
GAD Focal Report similar
Point issuance = 0
System
5. Registration of DILG MC No. 2013-061 Barangay With established 2 2
Kasambahay ● KR Form 5 – Secretary kasambahay
and Barangay desk:
Establishment Consolidated Public Yes = 1
of Kasambahay Kasambahay Report Employment No = 0
Desk Service
Office Maintained and
updated
kasambahay
masterlist KR
Form 5:
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Data Capture Form

Yes = 1
No = 0

6. Functionality of DILG MC No. 2008-126 Barangay If the result is: 1 1

the Barangay ● LCPC Form 1-A Secretary ● Ideal = 1
Council for the ● Mature = 0.5
Protection of ● Basic -
Children (BCPC) Progressive =
0.25
● No
Functionality
=0
7. Allocation for the PCW, DILG, DBM and Barangay With approved 1 1
Annual Gender NEDA JMC No. 2016-01 Secretary Barangay Annual
and ● Annex D-1 Plan and Budget:
Development Yes = 1
(GAD) Plan and No = 0
Budget
TOTAL 15 13

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 2021 SEAL OF GOOD LOCAL GOVERNANCE FOR BARANGAY SGLGB Form No. 1
Assessment Period: CY 2019
Data Capture Form

ESSENTIAL AREA 2: BUSINESS-FRIENDLINESS AND COMPETITIVENESS

INDICATORS DATA DATA HOW TO ASSIGNED PASSING SCORE DOCUMENT

REQUIREMENTS SOURCE DETERMINE THE SCORE SCORE OBTAINED SUBMITTED
SCORE BY THE
BARANGAY
1. Enactment of Barangay Tax Barangay Presence of 3 3
Barangay Tax Ordinance Secretary Barangay
Ordinance Barangay Revenue Ordinance:
Code Barangay ● Presence of
Treasurer Barangay Tax
Ordinance = 3
● No Barangay
Tax Ordinance
=0
2. Enactment of an Barangay Ordinance Barangay Presence of 3 3
ordinance Secretary Barangay
relative to Ordinance:
Barangay Barangay ● Presence of
Clearance fees Treasurer Barangay
on business Ordinance = 3
permit and ● No Barangay
locational Tax Ordinance
clearance for =0
building permit

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 2021 SEAL OF GOOD LOCAL GOVERNANCE FOR BARANGAY SGLGB Form No. 1
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Data Capture Form

3. Approval of a Barangay Barangay Presence of 2 2

resolution Resolution Secretary Barangay
authorizing the Resolution:
City/Municipal Barangay ● Presence of
Treasurer to Treasurer Barangay
collect fees for Resolution = 2
Barangay ● No approved
Clearance for Barangay
Business permit Resolution = 0
and locational
clearance
purposes
4. Issuance of Record book Barangay Timeliness of 7 5
Barangay Treasurer issuance of
Clearance1 within barangay
seven (7) working clearance
days (for ● 90%-100% of
businesses applications
which do not met = 7
require ● 80%-89% of
occupancy applications
permits). For met = 5
locational ● 70%-79% of
clearance, applications
issuance of met = 3

1
Item 5.1 of DILG MC No. 2019-177 dated October 17, 2019 – Barangay Clearance refers to any and all documents issued by the barangays with or without
corresponding fees as defined in their ordinances relative to or in relation to the issuance of business permit and locational clearance by the city/municipality or
any other permit as may be required.
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Barangay ● 60%-69% of
Clearance in not applications
more than three met = 2
(3) working days ● 50%-59% of
from application applications
at the met = 1
city/municipality ● 49% and below
of applications
met = 0
TOTAL 15 13

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 2021 SEAL OF GOOD LOCAL GOVERNANCE FOR BARANGAY SGLGB Form No. 1
Assessment Period: CY 2019
Data Capture Form

ESSENTIAL AREA 3: ENVIRONMENTAL MANAGEMENT

INDICATORS DATA DATA HOW TO ASSIGNED PASSING SCORE DOCUMENT

REQUIREMENTS SOURCE DETERMINE THE SCORE SCORE OBTAINED SUBMITTED
SCORE BY THE
BARANGAY
1. Presence of a ● MRF (check the Onsite Presence of MRF: 2 1
Materials corresponding inspection ● Yes = 2
Recovery answer) ● None but with
Facility (MRF) ____ Barangay other materials
pursuant to R.A. owned recovery
9003 ____ Clustered scheme = 1
Brgys ● None = 0

● Location of MRF
● MOA
2. Presence of a Ordinance on Barangay Presence of 2 2
Collection segregation-at- Secretary Ordinance on
System to source segregation of
Ensure wastes-at-source
Segregation of ● Yes = 2
Wastes at ● No = 0
Source
3. Functionality of EO or similar Barangay If the result is: 2 2
Barangay issuance on the Secretary EO organizing the
Ecological Solid organization of the BESWMC
BESWMC ● Yes = 1

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 2021 SEAL OF GOOD LOCAL GOVERNANCE FOR BARANGAY SGLGB Form No. 1
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Data Capture Form

Waste ● No = 0
Management
Approved Solid Approved 1 1
Committee
Waste Management BESWMC
(BESWMC)
Program/Plan Program/Plan
(Any template or ● Yes = 1
annotated) ● No = 0
Allocation of With fund 1 1
barangay funds, allocation:
approved by the ● Yes =1
sangguniang ● No = 0
barangay
Conduct of capacity- Capacity-building 2 2
building for activity conducted:
BESWMC Yes = 2
No = 0
TOTAL 10 9

We certify to the correctness of the above information.

City/Municipal Assessment Team:

____________________________________
Chairperson

____________________________________
Vice-Chairperson
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2021 SEAL OF GOOD LOCAL GOVERNANCE FOR BARANGAY SGLGB Form No. 1
Assessment Period: CY 2019
Data Capture Form

____________________________________
Member

____________________________________
Member

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 2021 SEAL OF GOOD LOCAL GOVERNANCE FOR BARANGAY SGLGB Form No. 2
TECHNICAL NOTES

CORE AREA 1: SAFETY, PEACE AND ORDER

DATA MEANS OF
INDICATOR RELEVANCE / DEFINITION REQUIREMENT
SOURCE VERIFICATION
1. FUNCTIONALITY OF Based on DILG-DDB JMC No. 2018-01 dated May 21, 2018,  HUC DILG  Document  Functionality of
THE BARANGAY the determination of the official entries in all categories shall Officer review BADAC based
ANTI-DRUG ABUSE be guided by the Overall Performance Rating (OPR) and its  C/MLGOO on DILG-DDB
COUNCIL (BADAC) Adjectival Equivalent as follows: JMC No. 2018-
01
Overall Performance Rating (OPR) Adjectival
Rating  Form 5 of
85-100 High level DILG MC No.
51-84 Moderate level 2018-135
50 points and Below Low level

DILG MC No. 2018-135 dated August 16, 2018 provides for

the Technical Guide Notes on the BADAC functionality audit.
2. FUNCTIONALITY OF Based on DILG Memorandum Circular No. 2020-047 dated  HUC DILG  Document  BPOC
THE BARANGAY February 26, 2020, the level of functionality of the BPOC shall Officer review Monitoring
PEACE AND ORDER be defined as:  C/MLGOO Form 2 (DILG
COMMITTEE (BPOC) MC No. 2020-
1) High – 85-100 points 047)
2) Moderate – 51-84 points
3) Low – 21 – 50 points
4) Non-functional – 25 points and below
3. PERFORMANCE  Section 1 of the Administrative Order No. 394 dated  HUC DILG  Document  LTIA Form 3
RATE IN THE February 7, 1997 signed by President Fidel V. Ramos Officer review (DILG MC No.
LUPONG provides for the creation of the Lupong Tagapamayapa  C/MLGOO 2016-58)
TAGAPAMAYAPA Incentives Awards (LTIA).

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 2021 SEAL OF GOOD LOCAL GOVERNANCE FOR BARANGAY SGLGB Form No. 2
TECHNICAL NOTES

INCENTIVES  Based on DILG MC No. 2016-58 dated April 29, 2016, the
AWARDS (LTIA) determination of the official entries in all the awards
categories shall be guided by the Overall Performance
Rating (OPR) and its Adjectival Equivalent as follows:

Overall Performance Rating (OPR) Adjectival Rating

95-100 Outstanding or Excellent
90-94 Very Satisfactory
85-89 Satisfactory
80-84 Fair
75-79 Poor
Below 75 Very Poor
4. MAINTENANCE OF  Section 394 (d)(6) of the Local Government Code provides Barangay  Document  RBI
RECORD OF that the barangay secretary is mandated to keep an Secretary review Form A of
BARANGAY updated record of all inhabitants of the barangay DILG MC No.
INHABITANTS (RBIs) containing the following items of information: name,  Onsite 2008-144
address, place and date of birth, sex, civil status, inspection validated by
citizenship, occupation, and such other items of the Punong
information as may be prescribed by law or ordinance Barangay

 Based on DILG MC No. 2008-144, the regular updating of

the RBI by the barangay secretary is every six (6) months.
5. PROFESSIONALIZING  Based on DILG MC No. 2003-42, the barangay shall Barangay  Document  Executive
THE BARANGAY organize barangay tanod to carry out the purposes of the Secretary review Order or
TANOD BASED ON barangay government in accordance with the needs of similar
DILG MC NO. 2003-42 public service and said barangay tanod shall undergo issuance
orientation and skills training spearheaded by the  Certification
Philippine Public Safety College in coordination with Patrol from the
117 and the Local Government Academy Punong
Barangay

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 2021 SEAL OF GOOD LOCAL GOVERNANCE FOR BARANGAY SGLGB Form No. 2
TECHNICAL NOTES

CORE AREA 2: FINANCIAL ADMINISTRATION AND SUSTAINABILITY

MEANS OF
DATA REQUIREME
INDICATOR RELEVANCE / DEFINITION VERIFICATI
SOURCE NT
ON
1. COMPLIANCE  It is one of the indicators that the barangay demonstrates a good  HUC  Document  Certification
WITH THE financial housekeeping pursuant to section 351 of the Local DILG review from the
BARANGAY Government Code of 1991 and DILG Memorandum Circular No. Officer HUC DILG
FULL 2014-81.  C/MLGO  Onsite Officer or
DISCLOSURE O inspection C/MLGOO
POLICY  To ensure that barangays adhere to the highest ideals and standards  Barangay
(BFDP) of transparency and accountability, all Punong Barangays are Secretary  BFDP
directed to post in an area inside the barangay hall that can be easily Monitoring
viewed by the public and on their website (if available), the following Form No 1
six (6) documents as prescribed by the Department of Budget and
Management (DBM):  BFDP
Monitoring
1. Barangay Budget. Information detail on estimates of yearly Form No 2
income and the total appropriations covering personal services,
maintenance and other operating expenses and capital outlay. It  BFDP
shall be posted at the beginning of the specified fiscal year and Monitoring
shall remain posted for the entire period covered. Form No 3

2. Summary of Income and Expenditures. Section 352 of the Local  Barangay

Government Code of 1991 requires the posting within thirty (30) Full
days from the end of each fiscal year in at least three (3) publicly Disclosure
accessible and conspicuous places in the barangay a summary of Board in
all revenues collected and funds received including the compliance
appropriations and disbursement of such funds during the to the
preceding fiscal year. It shall be posted for the entire duration of requirement
the specified fiscal year. s set in, with
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 2021 SEAL OF GOOD LOCAL GOVERNANCE FOR BARANGAY SGLGB Form No. 2
TECHNICAL NOTES

photo
3. 20% Component of the IRA Utilization. Information detail on the documentati
yearly barangay expenditures on social development, economic on
development and environmental management and other barangay
expenses using the barangay IRA share. It shall be posted at the
beginning of the specified fiscal year and shall remain posted for
the entire period covered.

4. Annual Procurement Plan or Procurement List. Information

detail on the name of project, individual item or article and
specification or description of good and services, procurement
method, fund source, unit price or estimated cost or approved
budget for the contract and procurement schedule. It shall be
posted for the entire period of the fiscal year.

5. List of Notices of Award. Information detail on the name of

project, business address, brief description of goods and services
required by barangay, address of recipient of goods or services
and amount of bid. It shall be posted quarterly and shall remain
posted for the entire period of the fiscal year. If available, the
actual Notice of Award shall also be posted under the List of
Notices of Award.

6. Itemized Monthly Collections and Disbursements. This shall

be posted within ten (10) days following the end of every month by
the barangay treasurer pursuant to Section 513 of the Local
Government Code of 1991 (RA 7160). All preceding monthly
documents shall remain posted under the subsequent monthly
documents for reference.

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 2021 SEAL OF GOOD LOCAL GOVERNANCE FOR BARANGAY SGLGB Form No. 2
TECHNICAL NOTES

2. PERCENTAGE  Based on Section 152 of the Local Government Code of 1991, the Barangay  Document  Barangay
INCREASE IN barangays may levy the following taxes, fees, and charges which Treasurer review Budget
LOCAL shall exclusively accrue to them:  Certification
RESOURCES from the
(a) Taxes – On stores or retailers with fixed business establishments Local
with gross sales or receipts of the preceding calendar year of Fifty Budget/Acc
Thousand Pesos (P50,000.00) or less, in the case cities and Thirty ounting
Thousand Pesos (P30,000.00) ore less, in case of municipalities, Officer
at a rate not exceeding one percent (1%) on such gross sales or
receipts.

(b) Service Fees or Charges – Barangay may collect reasonable

fees or charges for services rendered in connection with the
regulation or the use of Barangay-owned properties or service
facilities such as palay, copra, or tobacco dryers.

(c) Barangay Clearance – no city or municipality may issue any

license or permit for any business or activity unless a clearance is
first obtained from the Barangay where such business or activity is
located or conducted. For such clearance, the Sangguniang
Barangay may impose a reasonable fee. The application for
clearance shall be acted upon within seven (7) working days from
the filing thereof. In the event that the clearance is not issued
within the said period, the city or municipality may issue the said
license or permit.

(d) Other Fees and Charges – The Barangay may levy reasonable
fees and charges:
(1) On commercial breeding of fighting cocks, cockfighting and
cockpits;
(2) On places of recreation which charge admission fees; and

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TECHNICAL NOTES

(3) On billboards, signboards, neon signs, and outdoor

advertisements.

 The percentage increase in local resources is obtained using the

formula:

1) Total amount obtained from local resources in CY 2019 - Total

amount obtained from local resources in CY 2018 = n

2) (n / Total amount obtained from local resources in 2018) x 100 =

percentage increase in local resources

3. Conduct of Based on the Conduct of Barangay Assembly for First Semester of CY Barangay  Document  Report on
Barangay 2019 per DILG MC No. 2019-32 and Conduct of Barangay Assembly for Secretary review the conduct
Assembly for the Second Semester of CY 2019 per MC No. 2019-158, the barangay of barangay
the first and shall conduct barangay assembly at least twice a year to hear and assembly
second discuss the semestral reports of the barangay concerning its activities
semester of and finances as well as problems affecting the barangay.
CY 2019
The monitoring report on the compliance of the barangays to the above-
said circular shall be submitted thru a shared google drive.

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 2021 SEAL OF GOOD LOCAL GOVERNANCE FOR BARANGAY SGLGB Form No. 2
TECHNICAL NOTES

CORE AREA 3: DISASTER PREPAREDNESS

MEANS OF
DATA REQUIREME
INDICATOR RELEVANCE / DEFINITION VERIFICATI
SOURCE NT
ON
1. FUNCTIONALI  Section 1, Rule 6 of RA 10121 (PDRRM Act of 2010) provides for the Barangay  Document  Executive
TY OF THE creation of the Barangay Disaster Risk Reduction and Management Secretary/ review Order or
BARANGAY Committee (BDRRMC) in every barangay. Barangay similar
DISASTER Treasurer issuance
RISK  Section 4 of the IRR of RA 10121 and Section 7 of Joint creating
REDUCTION Memorandum Circular No. 2014-1 among the NDRRMC, DBM, DILG Local the
AND and CSC, provides the following roles, responsibilities and functions Disaster Risk BDRRMC
MANAGEMEN of the BDRRMC which serve as bases in assessing/evaluating its Reduction
T COMMITTEE functionality: and  Approved
(BDRRMC) Management BDRRM
1) BDRRMC or similar supported with EO or similar; Officer plan
2) With an approved BDRRM plan; (LDRRMO)
3) Allocated BDRRM fund (5% of the Regular Fund); and  5%
4) Conducted meeting at least once every quarter. BDRRM
fund in the
 Memorandum series of 169 dated March 2013 by the Office of Civil annual
Defense required the LCEs to submit DRRM Plans in accordance to budget
the LDRRM template agreed during the NDRRM Summit.
 Minutes of
 NDRRMC MC No. 01, s. 2018 entitled, “Adoption of the Quality the
Assessment System and the Operation LISTO: Simplified Barangay meeting in
Disaster Risk Reduction and Management (BDRRM) Plan Template every
enjoined all LGUs to adopt and utilize the QAT and BDRRM Plan quarter
template.

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TECHNICAL NOTES

 Certificatio
n from the
LDRRMO
 The Accomplishment rate is computed using the formula:  Report of
Utilization
N = (Total number of activities/projects accomplished / Total number submitted
of activities/projects reflected in the BDRRM plan) x 100 to the
COA, copy
furnished
the DILG
 Accomplish
ment
Report/Utili
zation
Report
2. EXTENT OF  Based on Rule 6, Section 4 of the IRR of RA 10121, the BDRRMC  Post-
RISK shall: activity
ASSESSMENT Reports of
AND EARLY 1) facilitate and support risk assessments and contingency planning drills
WARNING activities; conducted
SYSTEM 2) maintain a local risk map; and
3) operate a multi-hazard early warning system  Local Risk
Map
These shall be the bases in assessing the extent of risk assessment
and early warning system of the barangay, to wit:  Certificatio
n from the
1) Maintenance of a local risk map; LDRRMO
2) Establishment of an Early Warning System that is linked with the
higher LGUs and that the community is aware of its warning and
operations; and
3) Conduct of drills.
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TECHNICAL NOTES

3. EXTENT OF  Based on Section 12(b) of RA 10121, the BDRRMCs shall organize,  EO or

PREPAREDNE train and directly supervise the local emergency response team and similar
SS FOR Accredited Community Disaster Volunteers (ACDVs). issuance
EFFECTIVE organizing
RESPONSE  The extent of preparedness for effective response and early recovery the
AND EARLY shall be measured based on the following: Emergency
RECOVERY Search and
1) Organization of Emergency Search and Rescue Teams, Rescue
supported wit EO or similar; Teams
2) Conducted training for the Emergency Search and Rescue
Teams;
3) Availability of functional disaster equipage; and
4) Designation of an evacuation center.

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 2021 SEAL OF GOOD LOCAL GOVERNANCE FOR BARANGAY SGLGB Form No. 2
TECHNICAL NOTES

ESSENTIAL AREA 1: SOCIAL PROTECTION AND SENSITIVITY

DATA MEANS OF
INDICATOR RELEVANCE / DEFINITION REQUIREMENT
SOURCE VERIFICATION
1. FUNCTIONALITY The Functionality of the Violence Against Women (VAW)  Barangay  Document  Ordinance or
OF THE VIOLENCE Desk per MC No. 2017-114 dated 30 August 2017 shall be Secretary review similar creating
AGAINST WOMEN based on the following: the VAW Desk
(VAW) DESK  Local Social
1) VAW Desk supported with an Ordinance or similar; Welfare  VAWC cases
2) VAW Desk Officer attended/participated in capacity Development quarterly
building activities in the past 12 months; and Officer reports
3) Submitted VAWC Cases Quarterly reports. (LSWDO)
 Certificate of
attendance/
participation
2. ACCESS TO  Maintenance of a barangay health center is among the  Barangay  Document  Appointment of
HEALTH AND basic services of the barangay pursuant to Section 17 of Secretary review BHW
SOCIAL WELFARE RA 7160.
SERVICES IN THE  Onsite  Appointment of
BARANGAY  Access to health services in the barangay indicates the inspection BNS
following:
 Location of the
1) Maintenance of a Barangay Health Station (BHS) Barangay
2) Barangay Health Worker (BHW) manning the BHS Health Station
3) Barangay Nutrition Scholar (BNS) assisting in the BHS (BHS)

 Services in the
BHS

 Certification
from the City/
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 2021 SEAL OF GOOD LOCAL GOVERNANCE FOR BARANGAY SGLGB Form No. 2
TECHNICAL NOTES

Municipal
Health Officer
(C/MHO)

3. FUNCTIONALITY  Section 106 of RA 7160 mandates that, “each local  Barangay  Document  Annex 3
OF THE government unit shall have a comprehensive, multi- Secretary review (C/MAT Audit
BARANGAY sectoral development plan to be initiated by its Form)
DEVELOPMENT development council and approved by its Sangguniang
COUNCIL Barangay in setting the direction of economv and social  Annex 4 (C/M
development and coordinating development efforts within Consolidated
its territorial jurisdiction” Results Form)

 DILG MC 2019-69 entitled, ”Amendment to Memorandum

Circular No. 2009-109 , entitled “Guidelines in Monitoring
the Functionality of the Barangay Development Council
(BDC) ” provides for the criteria in rating the functionality of
the same, to wit:

Level of Functionality:

1) Ideal – acquired above 95 points; the BDC achieved all

the HIGH Functionality and implements BDC
Innovations and Good Practices.
2) High – acquired 75-95 points; achieved the
requirements of the structure and people.
3) Moderate – acquired 51-74 points; achieved the
requirements of the structure and people.
4) Low - acquired 31-50 points; achieved the
requirements of the structure and people.
5) Non-functional – acquired 30 points and below;
achieved the requirements of the structure and people.

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TECHNICAL NOTES

 DILG MC No. 2019-112 entitled, “Addendum to DILG

Memorandum Circular 2019-69 entitled, “Amending the
DILG Memorandum Circular No. 009-109, entitled, “
Guidelines in Monitoring the Functionality of the Barangay
Development Council (BDC) ” provides the technical
guidelines in the assessment of functionality of the BDCs.

4. REPRESENTATION DILG MC No. 2018-146 dated August 31, 2018 provides for  Barangay  Document  Ordinance or
OF CSOs IN THE the process in the accreditation of Barangay-Based NGOs Secretary review similar on the
BARANGAY and their membership in the BBIs. creation of the
BASED following BBIs:
INSTITUTIONS The representation of the Civil Society Organization (CSO) is 1) BDC
(BBIs) assessed in the following barangay-based institutions (BBIs): 2) BDRRMC
3) BPOC
1. Barangay Development Council (BDC) 4) BESWMC
Based on Section 107(a)(2) of the Local Government 5) BCPC
Code of 1991, the representatives of non-governmental 6) Barangay
organizations operating in the Barangay shall constitute GAD Focal
not less than one fourth (1/4) of the members of the duly Point
organized council. System

2. Barangay Anti-Drug Abuse Council (BADAC)

Based on Item V(B) of JMC No. 2018-01, their shall be
at least two (2) representatives of non-government
organizations/civil society in the BADAC.

3. Barangay Disaster Risk Reduction and Management

Committee (BDRRMC)
Based on Section 5.7 of JMC No. 2014-01, the punong
barangay shall facilitate and ensure the participation of

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 2021 SEAL OF GOOD LOCAL GOVERNANCE FOR BARANGAY SGLGB Form No. 2
TECHNICAL NOTES

at least two (2) CSO representatives from existing and

active community-based people’s organizations
representing the most vulnerable and marginalized
groups in the barangay.

4. Barangay Peace and Order Committee (BPOC)

Based on DILG MC No. 2008-101 dated June 17, 2008,
the composition of the BPOC includes at least three (3)
members, duly endorsed by an organized neighborhood
association, from existing barangay based anti-crime
groups, neighborhood watch groups or NGOs well
known in the community.

5. Barangay Ecological Solid Waste Management

Committee (BESWMC)
Based on Section 389 (b) (9) of the Local Government
Code of 1991, for efficient, effective and economical
governance, the purpose of which is the general welfare
of the Barangay and its inhabitants, the Punong
Barangay shall enforce laws and regulations relating to
pollution control and protection of the environment.

Rule VI Section 6 of the IRR of RA 9003 provide for the

creation of a BESWMC and its functions and
responsibilities.

DILG Memorandum Circular No. 2018-112 dated July

12, 2018 provides for the organization or reorganization
of the BESWMC.

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 2021 SEAL OF GOOD LOCAL GOVERNANCE FOR BARANGAY SGLGB Form No. 2
TECHNICAL NOTES

6. Barangay Council for the Protection of Children

(BCPC)
Section 15 of RA 9344, otherwise known as the
“Juvenile Justice and Welfare Act of 2006” mandates
LGUs to establish ans strengthen the Local Council for
the Protection of Children (LCPC) at all levels. The
said Act likewsie provides specific tasks to be
undertaken by the BCPC in handling Children at Risk
(CAR) and Children in Conflict with the Law (CICL).

DILG Memorandum Circular No. 2008-126 dated

August 21, 2008 provides for the guidelines in
monitoring the functionality of LCPCs at all levels.

7. Barangay Gender and Development (GAD) Focal

Point System
RA 9710, otherwise known as the “Magna Carta of
Women” provides for the creation and/or strengthening
of the GAD Focal Points (GFP) in all departments,
including their attached agencies, offices, bureaus,
state universities and colleges, GOCCs, LGUs and
other government instrumentalities.

JMC No. 2016-01 dated January 12, 2016 among

DILG, DBM, NEDA and PCW was issued, providing for
the guidelines in the preparation of GAD plans and
budget.

5. REGISTRATION OF Based on DILG MC No. 2013-61 and DILG MC No. 2017-33, Barangay Document KP Form 5
KASAMBAHAY all Punong Barangays are enjoined to initiate the conduct of the Secretary review

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 2021 SEAL OF GOOD LOCAL GOVERNANCE FOR BARANGAY SGLGB Form No. 2
TECHNICAL NOTES

AND registration of all Kasambahay within their jurisdictions and to

ESTABLISHMENT require every employer to register his or her domestic workers
OF KASAMBAHAY under his or her employment in the Kasambahay Masterlist in
DESK the barangay where the employer’s residence is located.

The Punong Barangay through the Kasambahay Desk Office

shall submit to the local Public Employment Service Office
(PESO) a Monthly Kasambahay Report which includes data
regarding the registration of the Kasambahay

A semestral report on the data of registration of Kasambahay

shall be prepared and submitted through channel by the DILG
Field Offices using KR Form 5 – City or Municipal Consolidated
Report Form

6. FUNCTIONALITY Based on DILG MC No. 2008-126, the Barangay shall be Barangay Document LCPC Form 1-A
OF THE assessed on the functionality of the barangay council for the Secretary review
BARANGAY protection of children.
COUNCIL FOR THE HUC DILG
PROTECTION OF Level of Functionality: Officer
CHILDREN (BCPC)  Basic – 20% and below
 Progressive – 21-50% C/MLGOO
 Mature – 51-79%
 Ideal – 80-100%
7. ALLOCATION FOR Based on PCW, DILG, DBM and NEDA JMC No. 2016-01, the Barangay Document Annex D-1
THE ANNUAL barangay shall prepare and submit their GAD Plan and Budget Secretary review
GENDER AND to the C/MPDO to ensure the alignment of the barangay GAD
DEVELOPMENT PPAs with the priorities of the city/municipalities and then from HUC DILG
(GAD) PLAN AND the C/MPDO, submit the same to the DILG C/MLGOO for Officer
BUDGET review and endorsement.
C/MLGOO
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 2021 SEAL OF GOOD LOCAL GOVERNANCE FOR BARANGAY SGLGB Form No. 2
TECHNICAL NOTES

ESSENTIAL AREA 2: BUSINESS-FRIENDLINESS AND COMPETITIVENESS

DATA MEANS OF
INDICATOR RELEVANCE / DEFINITION REQUIREMENT
SOURCE VERIFICATION
1. ENACTMENT OF  Based on Section 129 of the Local Government Code of 1991, Barangay Document Barangay tax
BARANGAY TAX each local government unit shall exercise its power to create Secretary review ordinance
ORDINANCE its own sources of revenue and to levy taxes, fees and
charges subject to the provisions of the Code, consistent with Barangay
the basic policy of local autonomy. Such taxes, fees, and Treasurer
charges shall accrue exclusively to the local government units.

2. ENACTMENT OF  Based on item 6.3.2.1. of DILG MC No. 2019-177 dated Barangay Document Barangay
AN ORDINANCE October 17, 2019, the Sangguniang Barangay shall enact Secretary review Ordinance
RELATIVE TO ordinance relative to Barangay Clearance fees on business
BARANGAY permit and locational clearance for building permit. Barangay
CLEARANCE Treasurer
FEES ON
BUSINESS
PERMIT AND
LOCATIONAL
CLEARANCE
FOR BUILDING
PERMIT
3. APPROVAL OF  Based on item 6.3.2.2. of DILG MC No. 2019-177 dated Barangay Document Barangay
A RESOLUTION October 17, 2019, the Sangguniang Barangay shall pass a Secretary review Resolution
AUTHORIZING resolution authorizing the City/Municipal Treasurer to collect
THE fees for Barangay Clearance for Business permit and Barangay
CITY/MUNICIPAL locational clearance purposes. Treasurer
TREASURER TO

Page 16 of 19
 2021 SEAL OF GOOD LOCAL GOVERNANCE FOR BARANGAY SGLGB Form No. 2
TECHNICAL NOTES

COLLECT FEES
FOR
BARANGAY
CLEARANCE
FOR BUSINESS
PERMIT AND
LOCATIONAL
CLEARANCE
PURPOSES
4. ISSUANCE OF  Based on Section 152(c) of the Local Government Code of Barangay Document Logbook/record
BARANGAY 1991, the application for barangay clearance shall be acted Secretary review book
CLEARANCE upon within seven (7) working days from the filing thereof. In
WITHIN SEVEN the event that the clearance is not issued within the said Barangay
(7) WORKING period, the city or municipality may issue the said license or Treasurer
DAYS FROM permit.
THE FILING
THEREOF

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 2021 SEAL OF GOOD LOCAL GOVERNANCE FOR BARANGAY SGLGB Form No. 2
TECHNICAL NOTES

ESSENTIAL AREA 3: ENVIRONMENTAL MANAGEMENT

MEANS OF
DATA REQUIREME
INDICATOR RELEVANCE / DEFINITION VERIFICATI
SOURCE NT
ON
1. PRESENCE OF  Section 32 of RA 9003 a.k.a. ESWM Act of 2000 provides that, Barangay  Onsite  Certification
A MATERIALS “There shall be established a Materials Recovery Facility (MRF) in Secretary validation from the
RECOVERY every barangay or cluster of barangays. The facility shall be City/Municip
FACILITY (MRF) established in a barangay-owned or –leased land or any suitable al
open space to be determined by the barangay through its Environmen
Sanggunian.” t and
Natural
 Section 33 of RA 9003 provides that, “Materials recovery facility Resources
shall be designed to receive, sort, process, and store compostable Office
and recyclable material efficiently and in an environmentally sound (C/MENRO)
manner. That facility shall address the following considerations: (a)
The building and/or land layout and equipment must be designed to
accommodate efficient and safe materials processing, movement,
and storage; and (b) The building must be designed to allow efficient
and safe external access and to accommodate internal flow.”

 The establishment of MRF with the necessary or required

stations/facility therein shall be the criteria to assess its functionality.
In the absence of the said facility, a Memorandum of Agreement
(MOA) with the existing junk shop and/or presence of other
materials recovery scheme is the other basis of its functionality.
2. PRESENCE OF  To accomplish this indicator, supply a copy of the Ordinance or Barangay  Document  Ordinance
A COLLECTION similar issuance on segregation of wastes-at-source. Secretary review or similar
SYSTEM TO issuance
ENSURE
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 2021 SEAL OF GOOD LOCAL GOVERNANCE FOR BARANGAY SGLGB Form No. 2
TECHNICAL NOTES

SEGREGATION City/Municip  Onsite  Certification

OF WASTES- al validation from the
AT- SOURCE Environment City/Municip
and Natural al
Resources Environmen
Office t and
(C/MENRO) Natural
Resources
Office
(C/MENRO)
3. ORGANIZATIO  The organization of the BESWMC shall be based on the following Barangay  Document  EO
N OF THE criteria: Secretary review organizing
BARANGAY 1) Executive Order or similar creating the BESWMC; the
ECOLOGICAL 2) Approved solid waste management program/plan; City/ BESWMC
SOLID WASTE 3) Allocation of barangay funds, approved by the sangguniang Municipal  Certification
MANAGEMENT barangay; and, Environment from the
COMMITTEE 4) Conduct of capacity-building for BESWMC. and Natural City/Municip
(BESWMC) Resources al
Office Environmen
(C/MENRO) t and
Natural
Resources
Office
(C/MENRO)

Page 19 of 19
 2021 SGLG FOR BARANGAY SGLGB Form No. 3
Certification of Submitted Means of Verifications

Date:_________

CERTIFICATION
I hereby certify that the uploaded Means of Verification (MOV) and other
relevant attachments of _____(Barangay)_____,
_____(City/Municipality)_____, _____(Province)_____,
_____(Region)_____, in the Seal of Good Local Governance for
Barangay (SGLGB) Information System for the three (3) core areas and
three (3) essential areas are true and correct.

This Certification is issued in support to the assessment, validation and

certification phases for the abovesaid barangay as entry to the 2021 Pilot
Testing of the SGLGB.

________________
Name and Signature
HUC Director/ICC/CC/Municipal Local Government Operations Officer

Page 1 of 1
 2021 SEAL OF GOOD LOCAL GOVERNANCE FOR BARANGAY SGLGB Form No. 4
Assessment Period: CY 2019
ICC/CC/Municipal Consolidated Performance Assessment Form

Identifying Information

Region : _______________________________
City/Municipality : _______________________________
Province : _______________________________

Performance Rating

No. Barangay Scores obtained by the Barangay per Performance Area Result
Safety, Financial Disaster Social Business- Environmental (Passed –
Peace Administration Preparedness Protection Friendliness and Management Green /
and and (20 pts.) and Competitiveness (10 pts.) Failed –
Order Sustainability Sensitivity (15 pts.) Red)
(20 pts.) (20 pts.) (15 pts.)
1

Page 1 of 3
 2021 SEAL OF GOOD LOCAL GOVERNANCE FOR BARANGAY SGLGB Form No. 4
Assessment Period: CY 2019
ICC/CC/Municipal Consolidated Performance Assessment Form

10

11

12

13

14

15

Page 2 of 3
 2021 SEAL OF GOOD LOCAL GOVERNANCE FOR BARANGAY SGLGB Form No. 4
Assessment Period: CY 2019
ICC/CC/Municipal Consolidated Performance Assessment Form

We certify to the correctness of the above information.

City/Municipal Assessment Team:

____________________________________
Chairperson

____________________________________
Vice-Chairperson

____________________________________
Member

____________________________________
Member

Date Accomplished: _______________________

Page 3 of 3
 2021 SEAL OF GOOD LOCAL GOVERNANCE FOR BARANGAY SGLGB Form No. 5
Assessment Period: CY 2019
Highly Urbanized City Consolidated Performance Assessment Form

Identifying Information

Region : _______________________________
HUC : _______________________________

Performance Rating

No. Barangay Scores obtained by the Barangay per Performance Area Result
Safety, Financial Disaster Social Business- Environmental (Passed –
Peace Administration Preparedness Protection Friendliness and Management Green /
and and (20 pts.) and Competitiveness (10 pts.) Failed –
Order Sustainability Sensitivity (15 pts.) Red)
(20 pts.) (20 pts.) (15 pts.)
1

Page 1 of 3
 2021 SEAL OF GOOD LOCAL GOVERNANCE FOR BARANGAY SGLGB Form No. 5
Assessment Period: CY 2019
Highly Urbanized City Consolidated Performance Assessment Form

10

11

12

13

14

15

Page 2 of 3
 2021 SEAL OF GOOD LOCAL GOVERNANCE FOR BARANGAY SGLGB Form No. 5
Assessment Period: CY 2019
Highly Urbanized City Consolidated Performance Assessment Form

We certify to the correctness of the above information.

HUC Assessment Team:

____________________________________
Chairperson

____________________________________
Vice-Chairperson

____________________________________
Member

____________________________________
Member

Date Accomplished: _______________________

Page 3 of 3
 2021 SEAL OF GOOD LOCAL GOVERNANCE FOR BARANGAY SGLGB Form No. 6
Assessment Period: CY 2019
Provincial Consolidated Performance Validation Form

Identifying Information

Region : _______________________________
Province : _______________________________

Performance Rating

No. Barangay City/Municipality Scores obtained by the Barangay per Performance Area Result
Safety, Financial Disaster Social Business- Environmental (Passed
Peace Administration Preparedness Protection Friendliness and Management – Green
and and (20 pts.) and Competitiveness (10 pts.) / Failed
Order Sustainability Sensitivity (15 pts.) – Red)
(20 (20 pts.) (15 pts.)
pts.)
1

Page 1 of 3
 2021 SEAL OF GOOD LOCAL GOVERNANCE FOR BARANGAY SGLGB Form No. 6
Assessment Period: CY 2019
Provincial Consolidated Performance Validation Form
6

10

11

12

13

14

15

We certify to the correctness of the above information.

Page 2 of 3
 2021 SEAL OF GOOD LOCAL GOVERNANCE FOR BARANGAY SGLGB Form No. 6
Assessment Period: CY 2019
Provincial Consolidated Performance Validation Form

Provincial Validation Team:

____________________________________
Chairperson

____________________________________
Vice-Chairperson

____________________________________
Member

____________________________________
Member

Date Accomplished: _______________________

Page 3 of 3
 2021 SEAL OF GOOD LOCAL GOVERNANCE FOR BARANGAY SGLGB Form No. 7
Assessment Period: CY 2019
Regional Consolidated Performance Validation Form

Identifying Information

Region : ______________________________

Performance Rating

No. Barangay City/ Province Scores obtained by the Barangay per Performance Area Result
Municipality Safety, Financial Disaster Social Business- Environmental (Passed
Peace Administration Preparedness Protection Friendliness and Management – Green
and and (20 pts.) and Competitiveness (10 pts.) / Failed
Order Sustainability Sensitivity (15 pts.) – Red)
(20 (20 pts.) (15 pts.)
pts.)
1

Page 1 of 3
 2021 SEAL OF GOOD LOCAL GOVERNANCE FOR BARANGAY SGLGB Form No. 7
Assessment Period: CY 2019
Regional Consolidated Performance Validation Form

10

11

12

13

14

15

Page 2 of 3
 2021 SEAL OF GOOD LOCAL GOVERNANCE FOR BARANGAY SGLGB Form No. 7
Assessment Period: CY 2019
Regional Consolidated Performance Validation Form

We certify to the correctness of the above information.

Regional Validation Team:

____________________________________
Chairperson

____________________________________
Vice-Chairperson

____________________________________
Member

____________________________________
Member

Date Accomplished: _______________________

Page 3 of 3
 2021 SEAL OF GOOD LOCAL GOVERNANCE FOR BARANGAY SGLGB Form No. 8
Assessment Period: CY 2019
National Consolidated Performance Validation Form

Identifying Information

Region : ______________________________

Performance Rating

No. Barangay City/ Province Scores obtained by the Barangay per Performance Area Result
Municipality Safety, Financial Disaster Social Business- Environmental (Passed
Peace Administration Preparedness Protection Friendliness and Management – Green
and and (20 pts.) and Competitiveness (10 pts.) / Failed
Order Sustainability Sensitivity (15 pts.) – Red)
(20 (20 pts.) (15 pts.)
pts.)
1

Page 1 of 3
 2021 SEAL OF GOOD LOCAL GOVERNANCE FOR BARANGAY SGLGB Form No. 8
Assessment Period: CY 2019
National Consolidated Performance Validation Form

10

11

12

13

14

15

Page 2 of 3
 2021 SEAL OF GOOD LOCAL GOVERNANCE FOR BARANGAY SGLGB Form No. 8
Assessment Period: CY 2019
National Consolidated Performance Validation Form

We certify to the correctness of the above information.

National Quality Committee:

____________________________________
Chairperson

____________________________________
Vice-Chairperson

____________________________________
Member

____________________________________
Member

____________________________________
Member

Date Accomplished: _______________________

Page 3 of 3