OSEC-FMS Form No.

3
WORK PROGRAM

REGIONAL OFFICE: XII

PROPONENT: BLGU-DULANGAN, MAGUINDANAO DEL NORTE, BARMM

NATURE OF WORK: CLEAN-UP DRIVE, DECLOGGING OF CANALS AND BEUATIFICATION
MODE OF IMPLEMENTATION: ACCREDITED CO-PARTNER

Financial requirements (₱)

Project Location Period of Implementation
DOLE ACP/Beneficiary Counterpart
No. of
No. of Days of 20% equity
Target Type of Beneficiaries Occupation
Employment (PPEs (facemasks, gloves, hats),
Benef. Total Amount Total
Brgy Municipality Province District Q1 Q2 Q3 Q4 Wages PPE Micro-insurance Admin. Cost i.e cost for service fee, working tools, jigs, office supplies,
Requested
transportation services,
disinfection/sanitation solutions )

Maguindanao del Displaced Workers/ Self- Vendor, Farmer,

Dulangan Datu Odin Sinsuat 1st 341 10 x ₱1,162,810.00 ₱78,430.00 ₱17,050.00 ₱39,735.47
Norte employed Laborer
Micro- ₱1,300,336.08 ₱315,084.00 ₱1,615,420.08
₱17,050.00 Documentary Stamp Tax
insurance ₱200.00
341 (GSIS)
12% VAT ₱2,046.00
₱1,162,810.00 ₱78,430.00 ₱19,096.00 ₱40,000.08 ₱1,300,336.08 ₱315,084.00 ₱1,615,420.08

Certified true and correct by: Reviewed by: Approved by:

________________ RUBY B. CARRASCO ARLENE R. BISNON

Municipal Mayor Chief LEO/ TSSD Head Director III/OIC-Regional Director

Date:
________________________
____________________________
_____
Notes:
Proponent: (a.) LGU (b.) Accredited Co-Partner
Nature of Work:
(II.) Agro-forestry Community Projects, such as tree planting, seedling preparation, re-forestation, group reforestation, community gardening in public facilities;
(III.)Provision of assistance to the LGUs thru: (a.) Delivery of essential goods and services such as food and non-food items, i.e. personal hygiene items, medicines, and Personal Protective Equipment (PPEs) to the
frontliners and the general public; (b.) Packing relief goods and other related tasks assigned by the LGU; (c.) Preparation, design, dissemination, posting of information and educational materials, especially in rural
areas.
(iv.) Transport services for setting up of mobile markets; and
(v.) Disinfection/sanitation of community, or other public facilities.
Mode of Implementation: (a.) Thru Direct Administration (b.) Thru ACP
Type of Beneficiaries: (a.) Underemployed/Self-employed, (b.) Minimum wage/below minimum wage earners that were displaced due to:
temporary suspension
Occupation: of business
(a.) transport workers,operations,
(b.) vendor,calamity/crisis situation
(c.) crop growers (pls.i.e. COVID-10
specify.), pandemic, earthquake,
(d.) home-based worker (pls.typhoon,
specify),volcanic eruption,
(e.) fisherfolks,
livestock/poultry raiser, (f.)(others):
Financial Requirements small transport drivers,include
other costing (g.) laborer (pls. specify),Personal
micro-insurance, (h.) others.
Protective Equipment (PPEs), cleaning solutions, among
others, as applicable.
 TUPAD PROGRAM PROJECT APPRAISAL SHEET

A. Project Profile

Project Title: Emergency Employment Assistance Displaced Workers/Self-

Employed of Datu Anggal Midtimbang, Maguindanao
Project Proponent: LGU Datu anggal Midtimbang
Covered Areas: Brgy. Adaon, Midtimbang, Tulunan
Number of Beneficiaries: 170
Amount of Assistance
Php. 660,637.47.OO
Requested:
Source of Funds: Regular Fund
PPEs (facemasks, gloves, hats), working
Equity of the Proponent: PHP 315,084.00 tools, jigs, office supplies, transportation
services, disinfection/sanitation solutions

B. Evaluation
Place a check mark (/) on the box if the requirements are met. Otherwise, place X. Indicate
any observations and recommendations under the remarks column.
Evaluation
Criteria Remarks
( / or X)
A. Documentary Requirements
Complete documentary requirements were /
submitter (refer to attached checklist of
requirements)
B. Applicability of Minimum Wage
Wage is based on the prevailing minimum /
wage in the region
C. Completeness of Work Program
Work program is complete, and the nature /
of work falls under the eligible projects for
TUPAD program.
Provision of Personal Protective
D.
Equipment
● Minimum Personal Protective Equipment
(PPEs) i.e. hats and shirt are provided Provided by DOLE12 and
/
● Other PPEs i.e. helmet, gloves, booths, the Proponent
etc, are
● Reasonable costs of PPEs is observed
E. Orientation on Safety and Health
/
Orientation on Safety and Health is provided
F. Inclusion of Micro-Insurance Premiums
Provision of Micro-Insurance premiums is /
included
G. Provision of Equity
/
(at least 20% of Total Project Cost)
General Comments and Recommendation
For appropriate Action

Reviewed/Evaluated By: Date:

Director ll/NCFO Head

CHARLENE FRANCES L. HALLEGADO

Admin. Asst. lll/RO Focal

Recommending approval (RPMT Members):

RUBY B. CARRASCO FATIMA QUORAYCE L. BATAGA

Chief LEO, TSSD Head Chief AO, IMSD Head
Member Member

JADE I. PERONO ARLENE R. BISNON

Budget Officer Assistant Regional Director
Member Chairperson

Approved by: Date:

RAYMUNDO G. AGRAVANTE
Regional Director
 TUPAD PROGRAM PROJECT APPRAISAL SHEET

A. Project Profile

Project Title:
Emergency Employment Assistance for Marginalized/Displaced Workers
Project Proponent: LGU-MATANOG, MAGUINDANAO DEL SUR
Covered Areas:
Number of Beneficiaries: 64
Amount of Assistance Requested: PHP 1,260,336.00

Source of Funds: Special Fund

PPEs (facemasks, gloves, hats), working tools, jigs,
Equity of the Proponent: PHP 315,084.00 office supplies, transportation services,
disinfection/sanitation solutions

B. Evaluation
Place a check mark (/) on the box if the requirements are met. Otherwise, place X. Indicate any observations
and recommendations under the remarks column.

Evaluation
Criteria (/ Remarks
or X)
A. Documentary Requirements

Complete documentary requirements were submitter ✓

(refer to attached checklist of requirements)

B. Applicability of Minimum Wage

Wage is based on the prevailing minimum wage in the ✓
region
C. Completeness of Work Program

Work program is complete, and the nature of work falls ✓

under the eligible projects for TUPAD program.

D. Provision of Personal Protective Equipment

● Minimum Personal Protective Equipment (PPEs) i.e.
hats and shirt are provided Provided by DOLE12 and the
✓ Proponent
● Other PPEs i.e. helmet, gloves, booths, etc, are
● Reasonable costs of PPEs is observed
E. Orientation on Safety and Health
✓
Orientation on Safety and Health is provided
F. Inclusion of Micro-Insurance Premiums
✓
 ✓
Provision of Micro-Insurance premiums is included

G. Provision of Equity
✓
(at least 20% of Total Project Cost)

General Comments and Recommendation

Highly recommended for approval and possible funding under the TUPAD Program.

Reviewed/Evaluated By: Date:

WILLIE B. CONCEPCION, MPA

Chief LEO/SCFO Head

KID ERNEST JONES M. REBUYON

Statistician II/TUPAD RO Person

Recommending approval (RPMT Members):

RUBY B. CARRASCO FATIMA QUORAYCE L. BATAGA

Chief LEO, TSSD Head Chief AO, IMSD Head
Member Member

JADE I. PERONO
Budget Officer
Member

Certification from DOLE Accountant

This is to Certify that the Accredited Co-Partner (ACP) has no unliquidated cash advances previously
granted by DOLE to the ACP
 DYANNA A.INOCENTE
Accountant lll

Approved by: Date:

ARLENE R. BISNON
Director III/OIC-Regional Director