(Final) 2023 SGLGB Form 1-Documentary Checklist-1
(Final) 2023 SGLGB Form 1-Documentary Checklist-1
(Final) 2023 SGLGB Form 1-Documentary Checklist-1
1
2023 Seal of Good Local Governance for Barangay (SGLGB)
Documentary Checklist
BARANGAY: LIPAY-DINGIN-PANIBUATAN
CITY/MUNICIPAL: IBA
PROVINCE: ZAMBALES
REGION: 3
1.1.2 Accomplished prescribed BFR form with ☐ Barangay Financial Report on Statement of Receipt and Expenditure
the "stamp receipt" of the Office of the C/M (Annex 7)
Accountant.
1.2 INNOVATIONS ON REVENUE 1.2.1 Increase in local resources in 2022 ☐ Barangay Budget Preparation Form 2 of 2021 and 2022
GENERATION OR EXERCISE OF
CORPORATE POWERS
1.3 APPROVAL OF THE 1.3.1 Presence of a Barangay Appropriation ☐ Approved Barangay Appropriation Ordinance
BARANGAY BUDGET ON THE Ordinance approved on or before December 31,
SPECIFIED TIMEFRAME 2021.
1.4 ALLOCATION FOR 1.4.1 With allocated funds for the following ☐ Approved Barangay Appropriation Ordinance
STATUTORY PROGRAMS AND statutory programs and projects:
PROJECTS AS MANDATED BY
LAWS AND/OR OTHER a) Senior Citizens (per R.A. 9994 and DBM Local
ISSUANCES Budget Memorandum No. 82);
1.5 POSTING OF THE 1.5.1 Barangay Citizens’ Charter posted at a ☐ Photo documentation of the Barangay CitCha (name of the barangay
BARANGAY CITIZEN’S conspicuous place (barangay hall, market, should be visible)
CHARTER (CitCha) transport terminal or multi-purpose hall)
1.6 RELEASE OF THE 1.6.1 Compliance with Section 20 of the SK ☐ a) Copy of the written agreement; and
SANGGUNIANG KABATAAN (SK) Reform Act of 2015 and Item 3.2 of DBM-DILG- ☐ b) Proof of deposit reflecting the Account No./ Name of Barangay SK
FUNDS OF THE BARANGAY NYC JMC No. 1, s. 2019 dated January 23, (1 deposit slip for annual, 2 deposit slips for semestral, 4 deposit slips for
2019: quarterly
1.6 RELEASE OF THE ☐ a) Copy of the written agreement; and
SANGGUNIANG KABATAAN (SK) ☐ b) Proof of deposit reflecting the Account No./ Name of Barangay SK
FUNDS OF THE BARANGAY (1 deposit slip for annual, 2 deposit slips for semestral, 4 deposit slips for
quarterly
1.6.1.1 If the barangay has Barangay-SK
Agreement for the annual or semestral or
quarterly release/deposit:
1. 6.1.2 If the barangay does not have ☐ a) 12 monthly deposit slips reflecting the Account No./ Name of
Barangay-SK Agreement but with current Barangay SK
account:
1.6.1.3 If the barangay does not have SK ☐ a) Proof of transfer of the 10% SK fund to the trust fund of the barangay
Officials or with SK Officials but no quorum such as deposit slip or Official Receipt or corresponding legal
and/or No SK Bank Account: form/document issued by the city/municipal treasurer if the barangay
opted that the corresponding SK fund be kept as trust fund in the custody
of the C/M treasurer
1.6.2 Presence of Annual Barangay Youth ☐ Certification from the C/MLGOO on current number of SK officials
Investment Program (ABYIP) for 2022
If with 5 and above SK officials:
(Applicable only for Barangays with 5 and above ☐ Approved Annual Barangay Youth Investment Program (ABYIP) for
SK members) 2022
1.7 CONDUCT OF BARANGAY 1.7.1 Conducted the 2nd semester Barangay ☐ Post Activity Report on the conduct of the 2nd semester barangay
ASSEMBLY FOR CY 2022 (2ND Assembly for CY 2022 (any modality, i.e., online, assembly duly signed/approved by the Punong Barangay (Annex D of
SEMESTER) face-to-face, hybrid) DILG MC No. 2022-131)
OR
2.1.4 b) At least 50% fund utilization of the 70% ☐ Annual Report on the utilization of the LDRRMF
component of CY 2022 LDRRMF - Preparedness
component as of December 31, 2022.
2.2 EXTENT OF RISK 2.2.1 Conducted an activity in relation to Risk ☐ Post-Activity Report of activities such as Climate and Disaster Risk
ASSESSMENT AND EARLY Assessment in the barangay not earlier than Assessment, Participatory Disaster Risk Assessment, BDRRM Planning,
WARNING SYSTEM (EWS) 2019 etc.
2.2.2 A certified Barangay Risk/Hazard Map ☐ Photo documentation of the certified Barangay Risk/Hazard Map
2.2.3 An established Early Warning System for ☐ Photo documentation of EWS for the top two (2) hazards in the
the top two (2) hazards present in the barangay barangay
2.3 EXTENT OF PREPAREDNESS 2.3.1. A barangay must have a permanent or ☐ Photo documentation of the permanent/alternate evacuation center
FOR EFFECTIVE RESPONSE alternate evacuation center
AND RECOVERY
2.3 EXTENT OF PREPAREDNESS
FOR EFFECTIVE RESPONSE
AND RECOVERY 2.3.2 A barangay must have the following ☐ Photo Documentation of disaster supplies equipment
disaster supplies/equipment:
a) Communication equipment (i.e., 2 way ☐ Communication equipment (i.e., 2 way radio,mobile phone)
radio,mobile phone) ☐ Rescue vehicle/Barangay patrol
b) Rescue vehicle/Barangay patrol ☐ Generatorset/alternative sources of energy
c) Generatorset/alternative sources of energy ☐ First aid kit
d) First aid kit ☐ Flashlight with batteries
e) Flashlight with batteries ☐ Personal Protective Equipment (PPE)
f)Personal Protective Equipment (PPE)
3.1.3 Allocation of substantial amount for anti- ☐ Approved Barangay Appropriation Ordinance
illegal drugs initiative
3.1.4 Approved BADAC Plan of Action covering ☐ Approved BADAC Plan of Action
2022 as year under review
3.1.5 Submission of Consolidated Information ☐ Transmittal of CIR (stamp received) to CADAC/MADAC and Local
Report (CIR) to CADAC/MADAC and Local PNP PNP Unit
Unit
3.1.6 a) At least 50% accomplishment of the ☐ Annual BADAC Accomplishment and Fund Utilization Report submitted
physical targets in the BADAC Plan of Action not later than the 20th day of January (stamp received) to the
CADAC/MADAC
OR
OR
3.3 FUNCTIONALITY OF THE 3.3.1. Organized Lupong Tagapamayapa ☐ Appointment of the Lupong Tagapamayapa
LUPONG TAGAPAMAYAPA (LT)
For barangays of municipalities: Manual Records ☐ For barangays of municipalities: 1 photo, with caption on the manual
(Case Record Book) OR Digital Record Filing and digital file
(scanned copy of KP files)
3.3.3. Conducted monthly meetings for the ☐ Copies of minutes of meetings with attendance sheets (at least 3
administration of the Katarungang Pambarangay minutes covering meetings conducted in 2022)
3.3.4. Attendance of LT to KP training or seminar ☐ Certified true copy of any proof of training such as Certificate of
not earlier than 2019 Completion and/or Participation (at least 1)
3.4 ORGANIZATION AND 3.4.1 Organized Barangay Tanod ☐ EO or similar issuance on the organization of the Barangay Tanod
STRENGTHENING CAPACITIES covering 2022
OF BARANGAY TANOD
3.4.2 Attendance of barangay tanod to ☐ Certified true copy of any proof of training such as Certificate of
necessary training not earlier than 2019 Completion and/or Participation (at least 1)
3.5 BARANGAY INITIATIVES 3.5.1 Organized Barangay Health and ☐ EO or similar issuance on the organization of BHERTs
DURING HEALTH EMERGENCIES Emergency Response Team (BHERT) with its
composition compliant to the provisions of DILG
MC No. 2020-023
3.5.2 Poster or tarpaulin containing the active ☐ Photo documentation of poster and/or tarpaulin
telephone and/or cellphone Numbers of the
Barangay, Punong Barangay and BHERT
Members posted in conspicuous public places
within the barangay jurisdiction
3.6. CONDUCT OF MONTHLY 3.6.1 Conducted BaRCO on a monthly basis in ☐ Monthly BarCo Reports for October-December 2022
BARANGAY ROAD CLEARING 2022
OPERATIONS (BaRco)
Essential Governace Area 1: Social Protection and Sensitivity
4.1 FUNCTIONALITY OF 4.1.1. Established Barangay VAW Desk and ☐ Executive Order or similar issuance on the establishment of Barangay
BARANGAY VIOLENCE AGAINST designated Barangay VAW Desk Officer VAW Desk and designated VAW Desk Officer
WOMEN (VAW) DESK
4.1.2 Attendance of the Barangay VAW Desk ☐ Certified true copy of any proof of training such as Certificate of
Officer to at least one (1) training/orientation Completion and/or Participation (at least 1)
related to gender-sensitive handling of VAW
Cases not earlier than 2019
4.1.3 Approved 2022 Barangay Gender and ☐ Approved 2022 Barangay Gender and Development (GAD) Plan and
Development (GAD) Plan and Budget Budget
4.1.4 Submission of Monthly Accomplishment ☐ Monthly Accomplishment Reports for CY 2022 (October-December
Reports on the incidence of VAW and violence 2022)
against children (VAC) to C/MSWDO and
C/MLGOO within 10 working days of the ensuing
month (stamp received), pursuant to the Advisory
dated March 3, 2021
4.1.5 Updated database on VAW cases reported ☐ Updated database of VAW cases reported to the barangay
to the barangay, with the following information at
the minimum:
OR
4.2 ACCESS TO HEALTH AND 4.2.1. Presence of a Barangay Health ☐ Photo documentation of the BHS/C
SOCIAL WELFARE SERVICES IN Station/Center
THE BARANGAY 4.2.2. Appointment of a Barangay Health Worker ☐ EO or similar issuance on the Appointment of BHW
(BHW)
4.2.3. Appointment of a Barangay Nutrition ☐ EO or similar issuance on the appointment of BNS
Scholar (BNS)
THE BARANGAY
4.2.4. Availability of the following health services ☐ Photo documentations of the operations of the BHS/C
in the BHS/C:
Barangay Issuances on the provision of the four (4) listed health services:
a) immunization
b) maternal and child healthcare ☐ immunization
c) family planning ☐ maternal and child healthcare
d) health education ☐ family planning
☐ health education
4.3 FUNCTIONALITY OF THE 4.3.1. Organized BDC with its composition ☐ EO or similar issuances organizing/reconstituting the BDC with its
BARANGAY DEVELOPMENT compliant to Section 107 of RA 7160 composition compliant to Section 107 of RA 7160
COUNCIL (BDC)
4.3.2. Conduct of public hearings/ barangay ☐ Minutes (at least 2) of the public hearings/barangay assemblies with
assemblies for public consultation attendance sheet
4.3.3 Approved Barangay Development Plan ☐ Barangay Development Plan with BDC and SB Resolutions adopting
such
4.3.4 a) At least 50% accomplishment of the ☐ CY 2022 Accomplishment Report of the BDP
physical targets in the BDP
OR
4.4 IMPLEMENTATION OF THE 4.4.1 Kasambahay Desk with designated ☐ EO or similar issuance designating a Kasambahay Desk and a KDO
KASAMBAHAY LAW Kasambahay Desk Officer (KDO)
4.4.2 Maintenance/updating of a Kasambahay ☐ Updated Kasambahay Report Form 2 (Kasambahay Masterlist) as of
Masterlist December 2022
4.5. FUNCTIONALITY OF THE 4.5.1 Organization of the Barangay Council for ☐ Executive Order or similar issuance on the establishment of Barangay
BARANGAY COUNCIL FOR THE Protection of Children (BCPC) with its Council for Protection of Children (BCPC)
PROTECTION OF CHILDREN composition compliant to the provisions of DILG
(BCPC) MC No. 2021-039
4.5. FUNCTIONALITY OF THE
BARANGAY COUNCIL FOR THE
PROTECTION OF CHILDREN
(BCPC)
4.5.2 Attendance of the Members of the ☐ Certified true copy of any proof of training such as Certificate of
Barangay Council for Protection of Children Completion and/or Participation (at least 1)
(BCPC) to at least one (1) training/orientation
related to their functions not earlier than 2019
4.5.3 Approved BCPC Annual Work and ☐ Approved BCPC Annual Work and Financial Plan (AWFP)
Financial Plan
4.5.4 Database on Children disaggregated by ☐ Updated database on children
age, sex, ethnicity, with or with disabilities,
OSCY, etc. updated as of December 31, 2023
4.5.5 Updated Localized Flow Chart of Referral ☐ Updated Localized Flow Chart of Referral System
System not earlier than 2019
4.5.6 a) At least 50% completion rate on PPAs in ☐ CY 2022 Approved Accomplishment Report on BCPC Plan
the BCPC Plan
OR
4.6 MECHANISM FOR GENDER 4.6.1 Organized Barangay GAD Focal Point ☐ EO or similar issuance organizing the Barangay GAD Focal Point
AND DEVELOPMENT (GAD) System System
4.7. MAINTENANCE OF 4.7.1 Updated RBI for two semesters of CY 2022 ☐ Accomplished RBI Form A of two semesters of CY 2022
UPDATED RECORD OF
BARANGAY INHABITANTS (RBIs)
5.2.2 Approved resolution authorizing the ☐ Approved resolution authorizing the City/Municipal Treasurer to collect
City/Municipal Treasurer to collect fees for fees for Barangay Clearance for Business permit and locational clearance
Barangay Clearance for Business permit and purpose
locational clearance purposes pursuant to DILG
MC No. 2019-177
5.3 ISSUANCE OF BARANGAY 5.3.1 Presence of a Citizens’ Charter on the ☐ Photo documentation of the Citizens’ Charter on the issuance of
CLEARANCE NOT COVERED BY issuance of barangay clearance posted in the barangay clearance only (name of the barangay should be visible)
DILG MC NO. 2019-177 SUCH AS: barangay hall
RESIDENCY, INDIGENCY, ETC,
WITHIN SEVEN (7) WORKING
DAYS
6.1.3 Attendance of BESWMC to necessary ☐ Certified true copy of any proof of training such as Certificate of
training related activities to promoting Completion and/or Participation (at least 1)
environmental protection, preservation and
awareness not earlier than 2019
6.1.4 a) At least 50% completion rate on PPAs in ☐ Monthly Accomplishment Reports for 2022
the BESWMP
OR
6.1.4 b) At least 50% utilization rate of CY 2022
BESWM Budge
6.2 EXISTENCE OF A SOLID 6.2.1 Presence of a Materials Recovery Facility ☐ For MRF operated by the barangay: Photo documentation of the
WASTE MANAGEMENT FACILITY (MRF)/ Materials Recovery System (MRS) MRF/MRF Records of the barangay
PURSUANT TO R.A. 9003
-Established MRF operated by the barangay For MRS:
-MRS ☐MOA with junkshop
-Clustered MRF ☐Mechanism to process biodegradable wastes
☐MOA with service provider for collection/treatment of special,
hazardous, and infectious waste
6.3 PROVISION OF SUPPORT 6.3.1 Enacted Barangay Ordinance or similar ☐ Ordinance or similar issuance on segregation of wastes at-source
MECHANISMS FOR issuance on segregation of wastes at-source
SEGREGATED COLLECTION covering 2022
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:
VICTOR S. BUENAVENTURA
PRINTED NAME AND SIGNATURE OF THE PUNONG BARANGAY
BARANGAY LIPAY-DINGIN-PANIBUATAN
RECEIVED BY:
CITY/MUNICIPAL PERFORMANCE ASSESSMENT TEAM SECRETARIAT
DATE RECEIVED: