Set Form

CDD-85: Tool
Sub-Project Sustainability Evaluation Tool (SET)

For Box Culvert Sub-Project
DATE OF EVALUATION:
Name of Completed Sub-Project:
Physical Description:
Location: Date of Completion:
Mode of Implementation:
Approved cost: Actual Construction cost:
GRANT: GRANT:
LCC: LCC:
Last Sustainability Evaluation Rating: Date Conducted:
O&M Group Managing the Subproject:
O&M Allocation per year1:
I. SP UTILIZATION Degree of
Responsiveness2
1) Number of beneficiaries
Planned Actual
Type of Explanation of
Male/ Female/ Male/ Female/
Beneficiaries Variance
Male- Female- Male- Female-
headed headed headed headed
Population
Households (total)
Families (total)3
Pantawid HHs
Pantawid Families
IP HHs
IP Families
2) Is there an instance where any particular person/HH/group is constrained or prevented

from using the facility4? ___ Yes ____ No
What are these instances?
________________________________________________________________
________________________________________________________________
1
From AIP or O&M Group Work and Financial Plan approved by General Assembly
2
This is the perceived/observed/experienced functionality or quality of indicators, with 5 being the highest and 1 lowest.
3
Data required by OSEC. For succeeding subprojects, total number of families that will benefit from the proposed subproject should also be part of the project
proposal/feasibility study.
4
Example: A vehicle exceeding load limit/tonnage was prohibited to cross the box culvert
Responsiveness
What is the decision of the O&M group to address these issue/s?
________________________________________________________________
________________________________________________________________
3) List down the top three benefits derived from the completed project
 _________________________________________________
 _________________________________________________
 _________________________________________________
4) What are the planned uses of the sub-project?
 __________________________________________________
 __________________________________________________
 __________________________________________________
Are these being met? ____ Yes ____ No
If No, why? _________________________________________________
___________________________________________________________
5) Does the O&M group have plans for improvement or construction of additional
structures?
___ Yes ___ No
What are the plans?
 ______________________________________________________________
 ______________________________________________________________
6) Has the project produced new problems for the community/barangay?
___ Yes ___ No
If yes, write down (by order of importance) the top three problems that project has
produced.
 _________________________________________________
 _________________________________________________
 _________________________________________________
OVERALL NUMERICAL RATING
(SP Utilization – 15%)

Yes Degree of
Key Areas or Responsiveness Remarks 5
No / Impact
II. ORGANIZATION AND MANAGEMENT

1) O&M organization formed and registered and/or
accredited
For “Yes” answer, the following should be met:
 Record/minutes of formation and BA

approval
 List of Officers and members
o Record of election/installation
o Posted in the office
 Proof/copy of registration or
accreditation
 Constitution and By-Laws duly approved

by General Assembly
2) O&M Group is functional
The O&M Group should meet majority of the

following indicators to warrant a “Yes” answer:
o O&M group holds regular meeting
o O&M group regularly undertakes

monitoring of structures to determine
structures which need maintenance
o O&M group provides feedback to the

Infrastructure Committee on result of
monitoring
o O&M group lobbies for O&M funds from

the M/BLGU thru the Infrastructure
Committee
(Organization and Management – 20%)
III. INSTITUTIONAL LINKAGE

1) O&M group is able to establish linkages with
other organizations or institutions for support
5
Comment on the responsiveness and overall quality of indicators/key areas. Include other observations as maybe appropriate.
Yes Degree of
Key Areas or Responsiveness Remarks
No / Impact
Established linkages are:
 Formal (with partnership agreements,

MOA, etc.)
 Informal
Note: Networking and Linkaging may come in the form

of (i) membership in federations, M/BDC; (ii) tie-up with
other POs, NGOs, NGAs; or (iii) tie-up with
P/M/BLGUs.
2) O&M Group is able to access support from

partners referred to in No. 1
If yes, what support were accessed? Please

check all applicable answers.
 Financial
 Technical Expertise
 Equipment
 Supplies
Note: Accessed Technical Support may be in the form

of: Preparation of Plans; Development of Policies,
Systems and Procedures; Conflict Resolution;
Resource Persons during Capability Building;
Preparation of Proposals.
3) Accessed support are sufficient
(Institutional Linkage – 10%)
IV. FINANCIAL COMPONENT

1) Funds allocated for O&M
2) Sufficiency of allocated funds
 Below O&M requirement
 Equal to O&M requirement
 More than O&M requirement
(Finance Component – 15%)

Box Culverts (Structural)
V. PHYSICAL/TECHNICAL RATING REMARKS
A. O&M PLAN, TOOLS & EQUIPMENT
1) O&M Plan Implementation
 Implementation of planned activities
 Activities conducted as scheduled
 O&M group maintains the facility
2) Maintenance Tools/equipment
 Proof of purchase/ownership/rental/ access

from other sources (tools available)
 Tools are functional and on-site
B. SUB-PROJECT STRUCTURES
1) Main structure
 Structural stability; cracks on structures
 Condition of top, sides and bottom slab
 Vandalism
 Deflections and deformations
2) Inlet
 Accessibility of flow
 Condition of apron, scouring
 Wing walls, dissipaters
 Siltation
3) Environmental sanitation
 Observed cleanliness
4) Sign Boards
 Visibility of signboard-Readable Policies
 Condition of Signboard
5) Other Structures per approved design
 ______________________
 ______________________
 ______________________
(Physical-Technical Component – 40%)
Numerical Rating Adjectival Rating

FINAL RATING
OVER-ALL FINDINGS:
1. Functionality
 In summary, the subproject physical status is (please check):
 Well-maintained/in good condition
 Needs minor repairs
 Needs major repairs
 Structure not functional
 In terms of services provided, the subproject:
 Provides services beyond target beneficiaries
 Serves target beneficiaries
 Serves less than the target beneficiaries
 Provides no benefits
2. Sustainability
 The following components/areas are properly attended to:

____________________________________________________________________________________
______________________________________________________________________________
 The following areas/structures need to be addressed/improved:

____________________________________________________________________________________
______________________________________________________________________________
 The following factors contributed to subproject functionality and sustainability:
____________________________________________________________________________________
______________________________________________________________________________
3. Compliance to O&M Requirements
 The following O&M requirements are met (check if yes, x if no):
 Subproject is managed by community organization
 Users are paying O&M fee; fee is affordable
 There is budget for O&M; budget is enough to cover planned O&M expenses
 There is an O&M plan; planned activities are implemented on schedule
4. Problems/difficulties in O&M of subproject were addressed/resolved at the community level
Problems/Difficulties Actions Taken/Recommendations
1.
2.
3.
4.
Multi-Stakeholders Inspectorate Team Members (MSIT)
____________________________________ _________________________________
O&M Organization Representative BLGU Representative
____________________________________ _________________________________
MIAC Representative SB Representative
____________________________________ _________________________________
ACT Representative Mayor’s Office Representative
____________________________________ _________________________________
RPMT Representative (if available) MSIT Team Leader (MPDC/ME)
____________________________________ _________________________________
NPMO Representative (if available)
____________________________________ _________________________________
CDD-86: Tool

For RCDG Bridge Sub-Project
DATE OF EVALUATION:
GRANT: GRANT:
LCC: LCC:
A. SP UTILIZATION Degree of
Responsiveness7
Planned Actual
Population
Households (total)
Families (total)8
Pantawid HHs
Pantawid Families
IP HHs
IP Families
6
7
8
Responsiveness
_______________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
 _________________________________________________
 _________________________________________________
 _________________________________________________
4) What are the planned uses of the subproject?
 __________________________________________________
 __________________________________________________
 __________________________________________________
If No, why? _________________________________________________
___________________________________________________________
5) What types of vehicles are supposed to use the bridge?

__________________________________________________________________
What types of vehicles are actually using the bridge?

___________________________________________________________________
Is the bridge passable during dry and rainy seasons? ___ Yes ___ No
If no, explain why.
___________________________________________________________________
9
Example: A vehicle exceeding load limit/tonnage was prohibited to cross the bridge
Responsiveness
___________________________________________________________________
6) Does the O&M group have plans for improvements? ___ Yes ___ No
What are the plans?
 _______________________________________________________________
 _______________________________________________________________
7) Has the project produced new problems for the community/barangay? __ Yes __ No
produced.
 _________________________________________________
 _________________________________________________
 _________________________________________________
Yes Degree of
No / Impact
accredited
 Record/minutes of formation and BA approval
 Proof/copy of registration or accreditation
 Constitution and By-Laws duly approved by

General Assembly
10
Yes Degree of
No / Impact
The O&M Group should meet majority of the following

indicators to warrant a “Yes” answer:


monitoring

Committee

1) O&M group is able to establish linkages with other
organizations or institutions for support
 Formal (with partnership agreements, MOA,

etc.)
 Informal
Note: Networking and Linkaging may come in the form of (i)

membership in federations, M/BDC; (ii) tie-up with other POs,
NGOs, NGAs; or (iii) tie-up with P/M/BLGUs.
2) O&M Group is able to access support from partners

referred to in No. 1
If yes, what support were accessed? Please check all

applicable answers.
 Financial
 Equipment
Yes Degree of
No / Impact
 Supplies
Note: Accessed Technical Support may be in the form of:

Preparation of Plans; Development of Policies, Systems and
Procedures; Conflict Resolution; Resource Persons during
Capability Building; Preparation of Proposals.

RCDG Bridge

 O&M group maintains the subproject

1) Sub-Structures
 Pier
 Waterway Upstream and down stream
2) Slope Protection
 Slope Surface
 Stability of foundation
 Abutment Support structures
3) Super Structures
 Surface
 Condition of abutment
4) Road carriage-way & Side walk
 Carriageway Surface
 Condition of asphalt sealer
5) Railings
 Condition of Railing, cracks, scaling
 Condition of painting
6) Sign Boards
 Visibility of Bridge sign
 Visibility of bridge policies
7) Other structures per approved design
 ______________________
 ______________________
 ______________________

FINAL RATING
OVER-ALL FINDINGS:
1. Functionality
2. Sustainability

_________________________________________________________________________________
_________________________________________________________________________________

_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
1.
2.
3.
4.
____________________________________ _________________________________
____________________________________ _________________________________
____________________________________ _________________________________
____________________________________ _________________________________
____________________________________ _________________________________
____________________________________ _________________________________
CDD-87: Tool

For Day Care Center Sub-Project
DATE OF EVALUATION:
GRANT: GRANT:
LCC: LCC:
Responsiveness12
Planned Actual
Population
Households (total)
Families (total)13
Pantawid HHs
Pantawid Families
IP HHs
IP Families
2) Number of sessions per day
11
12
13
 Actual ___________
 Planned___________
In case planned vs. actual number do not match, explain why.

__________________________________________________________________
__________________________________________________________________
3) There is a regular teacher Yes ____ No ___
If No, why?
__________________________________________________________________
__________________________________________________________________
4) The following amenities are available (please check):
 Tables
 Chairs
 Shelves
 Playhouse
 Others (please specify) _________________________________________
If No, why?
__________________________________________________________________
__________________________________________________________________
What amenities are needed?

__________________________________________________________________
Why were these not included in the design?

__________________________________________________________________
__________________________________________________________________

__________________________________________________________________
14
Example: A child exceeding the age of day care pupils was not accepted as enrollee
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
 _________________________________________________
 _________________________________________________
 _________________________________________________
7) Does the O&M group have plans for expansion/improvement/construction of additional

structures? ___ Yes ___ No
What are the plans?
 _______________________________________________________________
 _______________________________________________________________
8) Has the project produced new problems for the community/barangay?__ Yes __ No
produced.
 _________________________________________________
 _________________________________________________
 _________________________________________________
Key Areas Yes Degree of Remarks 15

or Responsiveness
No / Impact
accredited
15
Key Areas Yes Degree of Remarks
or Responsiveness
No / Impact

General Assembly

o O&M group regularly undertakes monitoring of

structures to determine structures which need
maintenance

Infrastructure Committee on result of monitoring
o O&M group lobbies for O&M funds from the

M/BLGU thru the Infrastructure Committee

 Formal (with partnership agreements, MOA, etc.)
 Informal


or Responsiveness
No / Impact

applicable answers.
 Financial
 Equipment
 Supplies


Day Care Center


 Proof of purchase/ownership/rental/ access from

other sources (tools available)
1) Building Structures
a. Columns, Beams, walls
 Vandalism
b. Doors and Windows
 Functionality/appearance of door knobs;
 Conditions of doors & Jambs, fittings
 Condition of window frames, panels, hinges,

locks
 Paintings
c. Roofing
 Condition of roofing panels
 Gutters, ridge rolls
 Deformations
d. Ceiling
 Condition of ceiling panels
 Deformations
 Stability of joist and hangers
e. Electrical System
 Availability of Power Supply
 Serviceability of Lights
 Condition of Switches and outlets

 Safe electrical wiring system
f. Plumbing and sanitation
 Availability of Potable water supply
 Condition of lavatory and pantry
 Condition of comfort room
 Condition of water pipes and drain pipes
g. Amenities
 Condition of chairs
 Condition of tables/desks
 Condition of writing boards
 Condition of play pen and others
h. Sign Boards
i. Other structures per approved design
 ______________________
 ______________________
 ______________________
 ______________________
FINAL RATING
OVER-ALL FINDINGS:
1. Functionality
2. Sustainability

____________________________________________________________________________________
______________________________________________________________________________

____________________________________________________________________________________
______________________________________________________________________________
____________________________________________________________________________________
______________________________________________________________________________
1.
2.
3.
4.
____________________________________ _________________________________
____________________________________ _________________________________
____________________________________ _________________________________
____________________________________ _________________________________
____________________________________ _________________________________
____________________________________ _________________________________
CDD-88: Tool

For Drainage Sub-Project
DATE OF EVALUATION:
GRANT: GRANT:
LCC: LCC:
O&M Allocation per year 16:
Responsiveness17
Type of Planned Actual Explanation of

Population
Households (total)
Families (total)18
Pantawid HHs
Pantawid Families
IP HHs
IP Families
 _________________________________________________
 _________________________________________________
 _________________________________________________
16
17
18
 __________________________________________________
 __________________________________________________
 __________________________________________________
If No, why? _________________________________________________
___________________________________________________________
Does the O&M group have plans for improvement or construction of additional
structures? ____ Yes ____ No
What are the plans?
 _______________________________________________________________
 _______________________________________________________________
____ Yes ____ No
produced.
 _________________________________________________
 _________________________________________________
 _________________________________________________
Yes Degree of
Key Areas or Responsiveness Remarks19
No / Impact

accredited

approval

General Assembly
19



monitoring

Committee
(Organization and Management –20%)
Yes Degree of
No / Impact


etc.)
 Informal

membership in federations, M/BDC; (ii) tie-up with other
POs, NGOs, NGAs; or (iii) tie-up with P/M/BLGUs.


applicable answers.
 Financial
 Equipment
20
 Supplies

Yes Degree of
No / Impact

Drainage (CHB, Stone Masonry)
 O&M group maintains the facility

21
1) Main structure
 Structural stability; cracks on walls and

flooring
 Cracks on Headwalls of RCPC
 Cracks on RCPC, outlets and outflows
 Deflections and deformations on Flooring
 Obstruction in the Drainage Canal and

RCPC
 Siltation in the Drainage Canal, RCPC and

Catchbasins
2) Sign Boards
 Visibility of signboard
 Readable Policies
3) Other Structures per approved design
 ______________________
 ______________________
 ______________________
 ______________________

FINAL RATING
OVER-ALL FINDINGS:
1. Functionality
2. Sustainability

____________________________________________________________________________________
______________________________________________________________________________

____________________________________________________________________________________
______________________________________________________________________________
____________________________________________________________________________________
______________________________________________________________________________
1.
2.
3.
4.
____________________________________ _________________________________
____________________________________ _________________________________
____________________________________ _________________________________
____________________________________ _________________________________

____________________________________ _________________________________
____________________________________ _________________________________
CDD-89: Tool
For Electrification Sub-Project
DATE OF EVALUATION:
GRANT: GRANT:
LCC: LCC:
Responsivenes
s23

Population
Households (total)
Families (total)24
Pantawid HHs
Pantawid Families
IP HHs
IP Families
22
23
24
2) Subproject provides 24-hour per day service ____ Yes ___ No
If No, why? ______________________________________________________________
______________________________________________________________

________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
 _________________________________________________
 _________________________________________________
 _________________________________________________
5) Does the O&M group have plans for expansion/extension/improvement?
___ Yes ___ No
What are the plans?
 ________________________________________________________________
 ________________________________________________________________
 ________________________________________________________________
produced.
 _________________________________________________
 _________________________________________________
 _________________________________________________
25
Disconnection of electric service to a HH which failed to pay monthly dues.
Yes Degree of
No / Impact

accredited

approval

by General Assembly



monitoring
o O&M group lobbies for O&M funds

from the M/BLGU thru the
Infrastructure Committee

26
Yes Degree of
No / Impact

MOA, etc.)
 Informal
Note: Networking and Linkaging may come in the form of

(i) membership in federations, M/BDC; (ii) tie-up with other

If yes, what supports were accessed? Please

 Financial
 Equipment
 Supplies

Preparation of Plans; Development of Policies, Systems
and Procedures; Conflict Resolution; Resource Persons
during Capability Building; Preparation of Proposals.

Yes Degree of
No / Impact
Electrification

1) Electrical posts
 Condition of Electrical Posts
 Condition of Cable Support
 Presence of Street light
2) Primary Power line (Post to Post)
 Condition of Transformer
 Condition of Power lines
3) Secondary power line
 Condition of Power lines
4) Household Connection
 Condition of Electric meters
 Condition of Wiring installation
 Presence of illegal flying connections
5) Sign Boards
6) Other structures per approved design
 ______________________
 ______________________
 ______________________
 ______________________
FINAL RATING
OVER-ALL FINDINGS:
1. Functionality
2. Sustainability

_________________________________________________________________________________
_________________________________________________________________________________

_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________

1.
2.
3.
4.
____________________________________ _________________________________
____________________________________ _________________________________
____________________________________ _________________________________
____________________________________ _________________________________
____________________________________ _________________________________
____________________________________ _________________________________
CDD-90: Tool
For Health Station Sub-Project
DATE OF EVALUATION:
GRANT: GRANT:
LCC: LCC:
Responsivenes
s28

Population
Households (total)
Families (total)29
Pantawid HHs
Pantawid Families
IP HHs
IP Families
2) There is a regular midwife
27
28
29
Responsiveness
Yes ____ Regular Schedule of midwife (day and time): ___________________
No ___
If No, why?
________________________________________________________________
________________________________________________________________
3) There is a Barangay Health Worker
Yes ____ Regular Schedule of BHW (day and time): ___________________
No ___
If No, why?
________________________________________________________________
________________________________________________________________
 Consultation tables
 Weighing scales
 Medicine cabinets
 BP Apparatus
 Nebulizer
 Stethoscope
 Dressing kits
 Delivery kit
 Dextrose and Syringes
 Others (as included in the plan, please specify) __________________________
If No, why?
________________________________________________________________
________________________________________________________________
________________________________________________________________
Why were these (additional amenities) not included in the design?
________________________________________________________________
Responsiveness
________________________________________________________________

________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
 _________________________________________________
 _________________________________________________
 _________________________________________________

What are the plans?
 ________________________________________________________________
 ________________________________________________________________
produced.
 _________________________________________________
 _________________________________________________
 _________________________________________________
30
Example: A patient was not provided medical attention due to graveness of the sickness
Yes Degree of
No / Impact

1) O&M organization formed and registered and/or accredited

General Assembly
31
Yes Degree of
No / Impact


maintenance



 Informal

2) O&M Group is able to access support from partners referred

to in No. 1

applicable answers.
 Financial
 Equipment
Yes Degree of
No / Impact
 Supplies


Health Station

 Proof of purchase/ownership/rental/ access from other

sources (tools available)
a. Columns, Beams, Walls
 Vandalism
 Condition of window frames, panels, hinges, locks
 Paintings
c. Roofing
 Deformations
d. Ceiling
 Deformations
f. Plumbing and Sanitation

g. Amenities
 Condition of Consultation tables
 Condition of Weighing scales
 Condition of Medicine cabinets
 Condition of BP Apparatus
 Condition of Nebulizer
 Condition of Stethoscope
 Condition of Dressing kits
 Condition of Delivery kit
 Condition of Dextrose and Syringes
 Condition of other amenities
h. Sign Boards
 ______________________
 ______________________
 ______________________
 ______________________
FINAL RATING
OVER-ALL FINDINGS:
1. Functionality

2. Sustainability

_________________________________________________________________________________
_________________________________________________________________________________

_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
1.
2.
3.
4.
____________________________________ _________________________________
____________________________________ _________________________________
____________________________________ _________________________________
____________________________________ _________________________________
____________________________________ _________________________________
____________________________________ _________________________________
CDD-91: Tool
For Irrigation Sub-Project
DATE OF EVALUATION:
GRANT: GRANT:
LCC: LCC:
Responsivenes
s33

Population
Households (total)
Families (total)34
Pantawid HHs
Pantawid Families
IP HHs
IP Families
2) What is the planned service area of the irrigation? _____________
32
33
This is the perceived/observed/experienced functionality (quality) of indicators, with 5 being the highest and 1 lowest.
34
Responsiveness
What is the actual service area? _________________

__________________________________________________________________
__________________________________________________________________
What is the planned cropping intensity with the completed irrigation system?
_____________________
What is the actual cropping intensity with the completed irrigation system?
_____________________

__________________________________________________________________
__________________________________________________________________

________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
 _________________________________________________
 _________________________________________________
 _________________________________________________
5) Does the O&M group have plans for expansion/extension/improvements?
___ Yes ___ No
What are the plans?
 _______________________________________________________________
 _______________________________________________________________
35
Example: A farmer was not able to access irrigation water due to non-payment of tariff.
Responsiveness
produced.
 _________________________________________________
 _________________________________________________
 _________________________________________________
Yes Degree of
No / Impact

accredited

General Assembly
The O&M Group should have the following to be

considered functional:
 Organizational Vision, Mission and Goals, and

Long-term Strategic Plan formulated
o Record of formulation, approval and adoption
o Written and posted
 Annual Operational Plan (including O&M plan

with corresponding budget) prepared
o Record of formulation, approval and adoption

Yes Degree of
No / Impact
 Operational Policies formulated and implemented
3) Minutes of approval and adoption by the General

Assembly (GA)
4) Operation of O&M Group is managed well
The organization should meet majority of the following

indicators to warrant a “Yes” answer.
 Regular meetings (BOD and General Assembly)

conducted, including discussion of financial
status (Income and Expenses, Balance Sheet)
 Election of Officers conducted as indicated in

Constitution and By-Laws
 50% + 1 Attendance in BOD/Officers’ meetings

(sex disaggregated)
 50% + 1 Attendance in GA meetings (sex

disaggregated)
 Conduct of periodic organizational assessments

and planning
 Proper Records management observed and

Report to Oversight Agencies submitted on-time
 Increase in Membership (sex disaggregated)
 Ability to resolve Conflicts without external

intervention
 Ability to provide other services to members (e.g.

livelihood programs, credit, hospitalization,
mortuary, etc.)
 Women engagement in paid labor
 Staffing/Employment
o Presence of complete staff and/or full-time

employees
Provision of incentives to officers/employees (e.g., honorarium,

SSS, Philhealth, allowances, non-cash benefits, etc.)
Bonus:
Yes Degree of
No / Impact
Awards and Recognitions received (Recipient of awards (local,

regional, national)

 Informal



applicable answers.
 Financial
 Equipment
 Supplies


Yes Degree of
No / Impact
1) FM Structure
 There is segregation of duties and responsibilities,

different persons are involved in
 Collection
 Cashiering
 Recording
2) Bank Account
 There is a bank account
 There are at least two (2) signatories
 Account signatories are not personally related
3) Tariff
 There is a tariff set and collection plan
 Minutes of tariff setting and adopting tariff set
4) Expenditures
 Approved Disbursement voucher for every

disbursement or substitute
 OR issued
5) Books of Accounts
 Record of collections
 Record of account receivables
 Record of expenses (cash book)
 Record of Accounts payable
6) Financial reports
 Periodic Report of Income and Expenses
 Balance Sheet
7) Financial Control
 Conduct of regular internal audit
 Conduct of on-the-spot cash check
 Conduct of external audit
 No adverse audit findings

Yes Degree of
No / Impact
8) Financial Accomplishment
 Collection efficiency (% of collection)
 Proof of Collection (OR/AR issued for collections or

substitute)
 Tariff is sufficient to cover operation and maintenance

(Monthly tariff vs. Estimated monthly expenses)
Irrigation – Concrete lined/Piped
 Irrigators’ Association maintains the irrigation

system

1) Structures and Sub-Structures
a. Intake / Diversion weir
 Condition of intake Weir
 Condition of upstream
 Stability of Apron
b. Concrete lined canal
 Condition of Concrete Lining
 Stability of Back slope

c. Piped Section
 Piping condition
 Piping fittings and suspension
d. Turn Out Structure
 Piping condition
 Piping fittings and suspension
e. Sign Boards
f. Other structures per approved design
 ______________________
 ______________________
 ______________________
 ______________________
FINAL RATING
OVER-ALL FINDINGS:
 Functionality

 Sustainability

_________________________________________________________________________________
_________________________________________________________________________________

_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
 Compliance to O&M Requirements
 Problems/difficulties in O&M of subproject were addressed/resolved at the community level
1.
2.
3.
4.

____________________________________ _________________________________
____________________________________ _________________________________
____________________________________ _________________________________
____________________________________ _________________________________
____________________________________ _________________________________
____________________________________ _________________________________
CDD-92: Tool
For Multi-Purpose Building/Facility Sub-Project
DATE OF EVALUATION:
GRANT: GRANT:
LCC: LCC:
Responsiveness38

Population
Households (total)
Families (total)39
Pantawid HHs
Pantawid Families
IP HHs
IP Families
37
38
39
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
 _________________________________________________
 _________________________________________________
 _________________________________________________

What are the plans?
 _______________________________________________________________
 _______________________________________________________________
produced.
 _________________________________________________
 _________________________________________________
 _________________________________________________
Yes Degree of
No / Impact

40
Example: A potential user was refused access to the facility as it is against the uses identified by the O&M group
41
accredited

General Assembly


maintenance


Yes Degree of
No / Impact

 Informal


If yes, what support was accessed? Please check all

applicable answers.
 Financial
 Equipment
 Supplies

Yes Degree of
No / Impact

Yes Degree of
No / Impact
Multi-Purpose Building

 Vandalism
 Functionality of door knobs;

locks
 Accessibility
c. Roofing
 Gutters, ridge rolls,
 Deformations
d. Ceiling
 Deformations
g. Amenities
h. Environmental sanitation
 proper waste disposal
i. Sign Boards
j. Other structures per approved design
 ______________________
 ______________________
 ______________________
 ______________________
FINAL RATING
OVER-ALL FINDINGS:
1. Functionality
2. Sustainability

_________________________________________________________________________________
_________________________________________________________________________________

_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________

 Problems/difficulties in O&M of subproject were addressed/resolved at the community level
1.
2.
3.
4.
____________________________________ _________________________________
____________________________________ _________________________________
____________________________________ _________________________________
____________________________________ _________________________________
____________________________________ _________________________________
____________________________________ _________________________________
CDD-93: Tool
For Rice and Corn Mill Sub-Project
DATE OF EVALUATION:
GRANT: GRANT:
LCC: LCC:
Responsivenes
s43

Beneficiaries Male/ Female/ Male/ Female/ Variance
Population
Households (total)
Families (total)44
Pantawid HHs
Pantawid Families
IP HHs
IP Families
2) What is the planned operation of the subproject (i.e., daily, etc.)? _____________________
What is the actual operation of the subproject? _________________________
42
43
44
Responsiveness
In case planned vs. actual operation is not the same, explain the discrepancy:
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
How many sacks (or kilos) of palay or corn are milled per month?
Planned _________ Actual ____________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
Is milled rice/corn in good quality or acceptable to the community?
_____ Yes _____ No
If No, why?
___________________________________________________________________
___________________________________________________________________
How much is the tariff for the use of subproject? Planned _____________ Actual
________________
___________________________________________________________________
___________________________________________________________________

from using the facility45? ____ Yes ____ No
________________________________________________________________
________________________________________________________________
45
A potential user was not able to use the mill during peak season because he/she is last in line and could not be accommodated on the same day.
Responsiveness
________________________________________________________________
________________________________________________________________
 _________________________________________________
 _________________________________________________
 _________________________________________________
5) Does the O&M group have plans for improvements/construction of additional structures?
___ Yes ___ No
What are the plans?
 ________________________________________________________________
 ________________________________________________________________
If yes, write down (by order of importance) the top three problems that project has produced.
 _________________________________________________
 _________________________________________________
 _________________________________________________
Yes Degree of
No / Impact
46
Yes Degree of
No / Impact

accredited

General Assembly


o Record of formulation, approval and

adoption


adoption
 Operational Policies formulated and

implemented
o Minutes of approval and adoption by the

General Assembly (GA)

Yes Degree of
No / Impact

 Regular meetings (BOD and General

Assembly) conducted, including discussion of
financial status (Income and Expenses,
Balance Sheet)


(sex disaggregated)

disaggregated)
 Conduct of periodic organizational assessments

and planning

Report to Oversight Agencies submitted on-
time

intervention
 Ability to provide other services to members

(e.g. livelihood programs, credit, hospitalization,
mortuary, etc.)

employees
o Provision of incentives to
officers/employees (e.g., honorarium, SSS,
Philhealth, allowances, non-cash benefits,
etc.)
Bonus:

regional, national)

Yes Degree of
No / Impact


etc.)
 Informal



applicable answers.
 Financial
 Equipment
 Supplies


Yes Degree of
No / Impact
1) FM Structure

 Collection
 Cashiering
 Recording
2) Bank Account
3) Tariff
6) Expenditures

 OR issued
 Balance Sheet

Yes Degree of
No / Impact

substitute)
 Tariff is sufficient to cover operation and

maintenance (Monthly tariff vs. Estimated monthly
expenses)
Rice/Corn Mill

system

 Vandalism

locks
 Accessibility
c. Roofing
 Deformations
d. Ceiling
 Deformations

g. Amenities
h. Other structures per approved design
 ______________________
 ______________________
 ______________________
 ______________________
2) Rice Mill/Corn Mill
a. Concrete Pavement
 Cracks on pavement
 water ponding on pavement
 scaling of pavement
 tilt/settlement of pavement
 cleanliness
b. Environmental sanitation
c. Other Structures per approved design
d. Sign Boards
e. Other Structures per approved design

FINAL RATING
OVER-ALL FINDINGS:
1. Functionality
2. Sustainability

_________________________________________________________________________________
_________________________________________________________________________________

_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________

2. Subproject is managed by community organization
3. Users are paying O&M fee; fee is affordable
4. There is budget for O&M; budget is enough to cover planned O&M expenses
5. There is an O&M plan; planned activities are implemented on schedule
1.
2.
3.
4.
____________________________________ _________________________________
____________________________________ _________________________________
____________________________________ _________________________________
____________________________________ _________________________________
____________________________________ _________________________________
____________________________________ _________________________________
CDD-94: Tool
For Road/Pathway/Footpath/Access Trail Sub-Project
DATE OF EVALUATION:
GRANT: GRANT:
LCC: LCC:
Responsivenes
s48
Planned Actual
Population
Households (total)
Families (total)49
Pantawid HHs
Pantawid Families
IP HHs
IP Families
2) Is there an instance where any particular person/HH/group is constrained or prevented from

using the facility50? ___ Yes ____ No
47
48
49
50
Example: A vehicle exceeding load limit /capacity was prohibited to traverse the road
Responsiveness
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
 _________________________________________________
 _________________________________________________
 _________________________________________________
 __________________________________________________
 __________________________________________________
 __________________________________________________
If No, why? _________________________________________________
___________________________________________________________
5) What types of vehicles are supposed to use the road?
___________________________________________________________________
What types of vehicles are actually using the road?
___________________________________________________________________
Is the road passable during dry and rainy seasons? ___ Yes ___ No
If no, explain why.
___________________________________________________________________
___________________________________________________________________
Responsiveness
6) Does the O&M group have plans for extension or improvements? ___ Yes ___ No
What are the plans?
 ________________________________________________________________
 ________________________________________________________________
 _________________________________________________
 _________________________________________________
 _________________________________________________
Yes Degree of
Key Areas or Responsiveness / Remarks 51
No Impact

accredited

General Assembly
51
Comment on the responsiveness and overall quality of support provided by the MLGU and BLGU. Include other observations as maybe appropriate.
Yes Degree of
Key Areas or Responsiveness / Remarks
No Impact


maintenance




etc.)
 Informal



applicable answers.
 Financial
 Equipment
 Supplies
Yes Degree of
No Impact


Road/Access Trail/Footpath
V. PHYSICAL/TECHNICAL RATIN REMARKS

G
7. Activities conducted as scheduled
8. O&M group maintains the subproject
9. Proof of purchase/ownership/rental/ access from

10. Tools are functional and on-site
1) GRAVELED OR EARTH ROAD SURFACE
 Presence of potholes
 Canals on road carriage way
 Road blocks
2) SIDE DITCHES/CANAL
 Silted
 Too much scouring
3) ROAD SHOULDER
 Overgrown vegetation
 Stockpiles & other obstruction
 Washed-out
 No enough protection
4) CROSS DRAINS
 Inlet/outlet silted
 Crack on Headwalls
 Crack on Wingwalls
5) CONCRETE PAVEMENT
 Cracks
 Scaling
 Scouring or settlement of base
6) SLOPE PROTECTION
 Cracks
 Settlement
7) SAFETY SIGNS
 Road Signs available
 Condition of Signage
8) SIGN BOARDS
9) OTHER STRUCTURES PER APPROVED DESIGN

 ______________________
 ______________________
 ______________________
 ______________________
FINAL RATING
OVER-ALL FINDINGS:
 Functionality
 Sustainability

_________________________________________________________________________________
_________________________________________________________________________________

_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
 Compliance to O&M Requirements
11. Subproject is managed by community organization
12. Users are paying O&M fee; fee is affordable
13. There is budget for O&M; budget is enough to cover planned O&M expenses
14. There is an O&M plan; planned activities are implemented on schedule

1.
2.
3.
4.
____________________________________ _________________________________
____________________________________ _________________________________
____________________________________ _________________________________
____________________________________ _________________________________
____________________________________ _________________________________
____________________________________ _________________________________
CDD-95: Tool
For School Building Sub-Project
DATE OF EVALUATION:
GRANT: GRANT:
LCC: LCC:
Responsivenes
s53

Population
Households (total)
Families (total)54
Pantawid HHs
Pantawid Families
IP HHs
IP Families
2) Number of students served per classroom
52
53
54
Responsiveness
 Actual ___________
 Planned___________

____________________________________________________________________
___________________________________________________________________
3) There is a regular teacher Yes ____ No ___
If No, why? ________________________________________________________________
________________________________________________________________
 Teacher’s Table
 Writing Board
 Students’ Desk/Chair
 Others (please specify) _____________________________________________
If No, why?
___________________________________________________________________
___________________________________________________________________

______________________________________________________
Why were these not included in the design?

___________________________________________________________________
___________________________________________________________________
5) Is there an instance where any particular person/HH/group is constrained or prevented from

using the facility55? ___ Yes ____ No
55
Example: An enrollee was accepted as student due to not meeting requirements
Responsiveness
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
 _________________________________________________
 _________________________________________________
 _________________________________________________
7) Does the O&M group have plans for expansion/improvement/constructing additional

What are the plans?
 ________________________________________________________________
 ________________________________________________________________
 _________________________________________________
 _________________________________________________
 _________________________________________________
Yes Degree of
Key Areas or Responsivenes Remarks 56
No s / Impact

56
Yes Degree of
Key Areas or Responsivenes Remarks
No s / Impact
 O&M organization formed and registered and/or

accredited

General Assembly
 O&M Group is functional

o O&M group regularly undertakes monitoring

of structures to determine structures which
need maintenance

monitoring


Yes Degree of
No / Impact

 Informal



applicable answers.
 Financial
 Equipment
 Supplies


or Responsiveness
No / Impact

School Building

 Vandalism


locks
 Paintings
c. Roofing
 Deformations
d. Ceiling
 Deformations
g. Amenities
 Condition of other amenities
h. Sign Boards

 ______________________
 ______________________
 ______________________
 ______________________
FINAL RATING
OVER-ALL FINDINGS:
1. Functionality
2. Sustainability

_________________________________________________________________________________
_________________________________________________________________________________

_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
1.
2.
3.
4.
____________________________________ _________________________________
____________________________________ _________________________________
____________________________________ _________________________________
____________________________________ _________________________________
____________________________________ _________________________________
____________________________________ _________________________________
CDD-96: Tool
For Slope Protection/Riprap/Seawall/Flood Control Sub-Projects
DATE OF EVALUATION:
GRANT: GRANT:
LCC: LCC:
Responsivenes
s58
Planned Actual
Population
Households (total)
Families (total)59
Pantawid HHs
Pantawid Families
IP HHs
IP Families
57
58
59
Responsiveness
 _________________________________________________
 _________________________________________________
 _________________________________________________
 __________________________________________________
 __________________________________________________
 __________________________________________________
If No, why? _________________________________________________
___________________________________________________________
4) Does the O&M group have plans for extension or improvements? ___ Yes ___ No
What are the plans?
 ________________________________________________________________
 ________________________________________________________________
 _________________________________________________
 _________________________________________________
 _________________________________________________
Degree of
Key Areas Yes or No Responsiveness Remarks 60
/ Impact
60
Responsiveness

accredited

General Assembly



monitoring

Committee
Yes Degree of
No / Impact

61
Yes Degree of
No / Impact


etc.)
 Informal



applicable answers.
 Financial
 Equipment
 Supplies


Key Areas Yes Degree of Remarks 62
or Responsiveness
No / Impact

Slope Protection/Riprap/Seawall/Flood Control
 O&M Group maintains the subproject

1) Foundation
 Settlement
 Scouring
2) Stone Masonry/Concrete Structures
 Cracks
 Separation of Grout
62
 Settlement
3) Top Bank
 Cracks
 Scaling
4) Sign Boards
 Visibility of Sign boards
 Readable policies
 Condition of signboard
5) Other Structures Per Approved Design
 _____________________
 _____________________
 _____________________
 _____________________
FINAL RATING
OVER-ALL FINDINGS:
1. Functionality
2. Sustainability

_________________________________________________________________________________
_________________________________________________________________________________

_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
 The following O&M requirements are met (check if yes, x if no):

1.
2.
3.
4.
____________________________________ _________________________________
____________________________________ _________________________________
____________________________________ _________________________________
____________________________________ _________________________________
____________________________________ _________________________________
____________________________________ _________________________________
CDD-97: Tool
For Solar and Mechanical Drier Sub-Project
DATE OF EVALUATION:
GRANT: GRANT:
LCC: LCC:
Responsiveness64

Population
Households (total)
Families (total)65
Pantawid HHs
Pantawid Families
IP HHs
IP Families
2) What is the planned operation of the subproject (i.e., daily, etc.)? ____________________
63
64
65
Responsiveness
What is the actual operation of the subproject? _________________________
How many sacks (or kilos) of specify products are dried per month?
Planned _________ Actual ____________
Is the quality of dried products good or acceptable to the community?
_____ Yes _____ No.
If No, why?
___________________________________________________________________
___________________________________________________________________
How much is the tariff for the use of subproject?
Planned _____________ Actual ________________
___________________________________________________________________

________________________________________________________________
66
A potential user was not able to use the facility during peak season because he/she is last in line and could not be accommodated on the same day.
Responsiveness
________________________________________________________________
________________________________________________________________
________________________________________________________________
 _________________________________________________
 _________________________________________________
 _________________________________________________
5) Does the O&M group have plans for expansion/extension/improvements?
___ Yes ___ No
What are the plans?
 ________________________________________________________________
 ________________________________________________________________
___ Yes ___ No
produced.
 _________________________________________________
 _________________________________________________
 _________________________________________________
Yes Degree of
Key Areas or Responsiveness / Remarks 67
No Impact

Yes Degree of
No Impact

accredited

approval

by General Assembly

 Organizational Vision, Mission and Goals,

and Long-term Strategic Plan formulated

adoption
 Annual Operational Plan (including O&M

plan with corresponding budget) prepared

adoption

implemented
o Minutes of approval and adoption by

the General Assembly (GA)

Yes Degree of
No Impact
The organization should meet majority of the

following indicators to warrant a “Yes” answer.

Assembly) conducted, including
discussion of financial status (Income and
Expenses, Balance Sheet)
 Election of Officers conducted as

indicated in Constitution and By-Laws
 50% + 1 Attendance in BOD/Officers’

meetings (sex disaggregated)

disaggregated)
 Conduct of periodic organizational

assessments and planning
 Proper Records management observed

and Report to Oversight Agencies
submitted on-time
 Increase in Membership (sex

disaggregated)

intervention
 Ability to provide other services to

members (e.g. livelihood programs, credit,
hospitalization, mortuary, etc.)
o Presence of complete staff and/or full-

time employees
officers/employees (e.g., honorarium,
SSS, Philhealth, allowances, non-
cash benefits, etc.)
Bonus:
Awards and Recognitions received (Recipient of awards
(local, regional, national)

Yes Degree of
No Impact


MOA, etc.)
 Informal
Note: Networking and Linkaging may come in the form of

(i) membership in federations, M/BDC; (ii) tie-up with other

If yes, what support were accessed? Please check

all applicable answers.
 Financial
 Equipment
 Supplies

Preparation of Plans; Development of Policies, Systems
and Procedures; Conflict Resolution; Resource Persons
during Capability Building; Preparation of Proposals.

Yes Degree of
No Impact
1) FM Structure
 There is segregation of duties and

responsibilities, different persons are involved
in
 Collection
 Cashiering
 Recording
2) Bank Account
 Account signatories are not personally

related
3) Tariff
 Minutes of tariff setting and adopting tariff

set
4) Expenditures

 OR issued
 Balance Sheet

Yes Degree of
No Impact
 Proof of Collection (OR/AR issued for

collections or substitute)

maintenance (Monthly tariff vs. Estimated
monthly expenses)
Solar/Mechanical Drier
 Irrigators’ Association maintains the

irrigation system

 Vandalism
 Condition of window frames, panels,

hinges, locks
 Accessibility
c. Roofing
 Deformations
d. Ceiling
 Deformations
g. Other structures per approved design
 ______________________
 ______________________
 ______________________
 ______________________
h. Solar Drier
i. Concrete Pavement
 Cracks on pavement
 water ponding on pavement
 scaling of pavement
 tilt/settlement of pavement
 cleanliness
j. Environmental sanitation
k. Other Structures per approved design
l. Sign Boards
m. Other Structures per approved design
FINAL RATING
OVER-ALL FINDINGS:
1. Functionality
16. Sustainability

_________________________________________________________________________________
_________________________________________________________________________________

_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
 The following O&M requirements are met (check if yes, x if no):
1.
2.
3.
4.
____________________________________ _________________________________
____________________________________ _________________________________
____________________________________ _________________________________
____________________________________ _________________________________
____________________________________ _________________________________
____________________________________ _________________________________
CDD-98: Tool
For Gravity-type Water System Sub-Project
DATE OF EVALUATION:
GRANT: GRANT:
LCC: LCC:
Responsiveness69

Population
Households (total)
Families (total)70
Pantawid HHs
Pantawid Families
IP HHs
IP Families
2) Number of tapstands
68
69
This is the perceived/observed/experienced functionality (quality) of indicators, with 5 being the highest and 1 lowest.
70
Responsiveness
 Actual ___________
 Planned___________

____________________________________________________________________
___________________________________________________________________
Number of tapstands regularly used
 Actual No. of tapstands
 Number of tapstands regularly used ___________
Explain variance, if any.

____________________________________________________________________
____________________________________________________________________
If No, why?
______________________________________________________________
______________________________________________________________

________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
 _________________________________________________
 _________________________________________________
71
A HH was not able to access potable water due to non-payment of tariff.
Responsiveness
 _________________________________________________
6) Does the O&M group have plans for expansion/extension/improvements/construction of

additional structures? ___ Yes ___ No
What are the plans?
 ________________________________________________________________
 ________________________________________________________________
produced.
 _________________________________________________
 _________________________________________________
 _________________________________________________
Yes Degree of
No / Impact

accredited

General Assembly
72
Yes Degree of
No / Impact



adoption


adoption

implemented
o Minutes of approval and adoption by the

General Assembly (GA)


Assembly) conducted, including discussion of
financial status (Income and Expenses,
Balance Sheet)


(sex disaggregated)

disaggregated)


Report to Oversight Agencies submitted on-
time
Yes Degree of
No / Impact

intervention
 Ability to provide other services to members

(e.g. livelihood programs, credit,
hospitalization, mortuary, etc.)

employees
officers/employees (e.g., honorarium, SSS,
Philhealth, allowances, non-cash benefits,
etc.)
Bonus:

regional, national)


etc.)
 Informal



applicable answers.
Yes Degree of
No / Impact
 Financial
 Equipment
 Supplies


1) FM Structure

 Collection
 Cashiering
 Recording
2) Bank Account
3) Tariff
4) Expenditures

Yes Degree of
No / Impact
 OR issued
 Balance Sheet

substitute)

maintenance (Monthly tariff vs. Estimated monthly
expenses)
Gravity-type Water System

system

a. Intake Box/Source
 Walls, Top Slab & Foundation
 Pipe Fittings; Over Flow, Valves
 Perimeter Diversion canal
 Perimeter fence
 Tree planting within the Surcharge Area
b. Reservoir
 Pipe Fittings; Over Flow, Valves, Vents
 Perimeter fence
c. Pipelines (Transmission & Distribution)
 Exposure/Soil covering for HDPE & uPVC

pipeline, Supports and fittings for GI Pipes,
 Presence of Leaks and other defects.
d. Tap Stand
 Stability of pedestal
 Condition of Faucets
 Stability of Concrete flat form
 Diversion canal
 Flow of Water supply
e. Sanitation
 Cleanliness of structures
 Potability of water
 Sanitary facilities (bath/comfort rooms)
f. Sign Boards
 ______________________
 ______________________
 ______________________
 ______________________
FINAL RATING
OVER-ALL FINDINGS:
1. Functionality
1. Sustainability

_______________________________________________________________________
_______________________________________________________________________
____________________

_______________________________________________________________________
_______________________________________________________________________
____________________
_______________________________________________________________________
_______________________________________________________________________
____________________

3. Problems/difficulties in O&M of subproject were addressed/resolved at the community
level
1.
2.
3.
4.
____________________________________ _________________________________
____________________________________ _________________________________
____________________________________ _________________________________
____________________________________ _________________________________
____________________________________ _________________________________
____________________________________ _________________________________
CDD-99: Tool
For Pump-driven Water System Sub-Project
DATE OF EVALUATION:
GRANT: GRANT:
LCC: LCC:
Responsiveness74

Population
Households
(total)
Families (total)75
Pantawid HHs
73
74
75
Data required by OSEC. For succeeding subprojects, total number of families that will benefit from the proposed subproject should also be
part of the project proposal/feasibility study.
Pantawid
Families
IP HHs
IP Families
2) Number of tapstands
 Actual ___________
 Planned___________

________________________________________________________________
________________________________________________________________
Number of tapstands regularly used
 Actual No. of tapstands
 Number of tapstands regularly used ___________
Explain variance, if any.

_________________________________________________________________
_________________________________________________________________
If No, why?
______________________________________________________________
______________________________________________________________
4) Is there an instance where any particular person/HH/group is constrained or

prevented from using the facility76? ___ Yes ____ No
76
A HH was not able to access potable water due to non-payment of tariff.
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
 _________________________________________________
 _________________________________________________
 _________________________________________________
6) Does the O&M group have plans for

expansion/extension/improvements/construction of additional structures?
___ Yes ___ No
What are the plans?
 _____________________________________________________________
 _____________________________________________________________
produced.
 _________________________________________________
 _________________________________________________
 _________________________________________________

Yes Degree of
Key Areas
or Responsiveness Remarks 77
No / Impact
accredited

approval
 Proof/copy of registration or accredited
 Constitution and By-Laws duly
approved by General Assembly
The O&M Group should have the following to

be considered functional:
 Organizational Vision, Mission and
Goals, and Long-term Strategic Plan
formulated
o Record of formulation, approval
and adoption
 Annual Operational Plan (including
O&M plan with corresponding budget)
prepared
o Record of formulation, approval
and adoption
implemented
o Minutes of approval and adoption
77
Yes Degree of
Key Areas
or Responsiveness Remarks
No / Impact
by the General Assembly (GA)
The organization should meet majority of the

following indicators to warrant a “Yes” answer.
Assembly) conducted, including
discussion of financial status (Income
and Expenses, Balance Sheet)
 Election of Officers conducted as
indicated in Constitution and By-Laws
 50% + 1 Attendance in BOD/Officers’
meetings (sex disaggregated)
 50% + 1 Attendance in GA meetings
(sex disaggregated)
 Proper Records management
observed and Report to Oversight
Agencies submitted on-time
 Increase in Membership (sex
disaggregated)
 Ability to resolve Conflicts without
external intervention
 Ability to provide other services to
members (e.g. livelihood programs,
credit, hospitalization, mortuary, etc.)
o Presence of complete staff and/or
full-time employees
officers/employees (e.g.,
honorarium, SSS, Philhealth,
allowances, non-cash benefits, etc
Bonus:
Awards and Recognitions received (Recipient of

awards (local, regional, national)

Yes Degree of
Key Areas
No / Impact

1) O&M group is able to establish linkages with
other organizations or institutions for support

MOA, etc.)
 Informal
Note: Networking and Linkaging may come in the form

of (i) membership in federations, M/BDC; (ii) tie-up with
other POs, NGOs, NGAs; or (iii) tie-up with
P/M/BLGUs.

If yes, what support were accessed? Please

 Financial
 Equipment
 Supplies
Note: Accessed Technical Support may be in the form

of: Preparation of Plans; Development of Policies,
Systems and Procedures; Conflict Resolution;
Resource Persons during Capability Building;
Preparation of Proposals.

Yes Degree of
Key Areas
No / Impact

1) FM Structure
 There is segregation of duties and
responsibilities, different persons are
involved in
 Collection
 Cashiering
 Recording
2) Bank Account
 Account signatories are not personally
related
3) Tariff
 Minutes of tariff setting and adopting tariff
set
4) Expenditures
 OR issued
 Balance Sheet
Yes Degree of
Key Areas
No / Impact
 Proof of Collection (OR/AR issued for
collections or substitute)
maintenance (Monthly tariff vs. Estimated
monthly expenses)
Pump-driven Water System


system
a. Intake Box/Source
 Pipe Fittings; Over Flow, Valves
 Perimeter fence
 Tree planting within the Surcharge Area
b. Reservoir
 Pipe Fittings; Over Flow, Valves, Vents
 Perimeter fence
c. Pipelines (Transmission & Distribution)
 Exposure/Soil covering for HDPE & uPVC
pipeline, Supports and fittings for GI Pipes,
 Presence of Leaks and other defects.
d. Tap Stand
 Stability of pedestal
 Condition of Faucets
 Stability of Concrete flat form
 Diversion canal
 Flow of Water supply
e. Sanitation
 Cleanliness of structures
 Potability of water
 Sanitary facilities (bath/comfort rooms)
f. Sign Boards
 ______________________
 ______________________
 ______________________
 ______________________
FINAL RATING
OVER-ALL FINDINGS:
1. Functionality
2. Sustainability
__________________________________________________________________________
__________________________________________________________________________
____________________

__________________________________________________________________________
__________________________________________________________________________
____________________

__________________________________________________________________________
__________________________________________________________________________
____________________

4. Problems/difficulties in O&M of subproject were addressed/resolved at the community

level
1.
2.
3.
____________________________________ _________________________________
____________________________________ _________________________________
____________________________________ _________________________________
____________________________________ _________________________________
____________________________________ _________________________________
____________________________________ _________________________________

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CDD-85: Tool

Sub-Project Sustainability Evaluation Tool (SET)

Name of Completed Sub-Project:

Location: Date of Completion:

Approved cost: Actual Construction cost:

Last Sustainability Evaluation Rating: Date Conducted:

O&M Group Managing the Subproject:

O&M Allocation per year1:

2) Is there an instance where any particular person/HH/group is constrained or prevented

What are these instances?

What is the decision of the O&M group to address these issue/s?

4) What are the planned uses of the sub-project?

Are these being met? ____ Yes ____ No

If No, why? _________________________________________________

___ Yes ___ No

What are the plans?

6) Has the project produced new problems for the community/barangay?

___ Yes ___ No

OVERALL NUMERICAL RATING

(SP Utilization – 15%)

II. ORGANIZATION AND MANAGEMENT

For “Yes” answer, the following should be met:

 Record/minutes of formation and BA

 List of Officers and members

o Posted in the office

 Constitution and By-Laws duly approved

2) O&M Group is functional

The O&M Group should meet majority of the

o O&M group holds regular meeting

o O&M group regularly undertakes

o O&M group provides feedback to the

o O&M group lobbies for O&M funds from

OVERALL NUMERICAL RATING

(Organization and Management – 20%)

III. INSTITUTIONAL LINKAGE

Established linkages are:

 Formal (with partnership agreements,

Note: Networking and Linkaging may come in the form

2) O&M Group is able to access support from

If yes, what support were accessed? Please

Note: Accessed Technical Support may be in the form

3) Accessed support are sufficient

OVERALL NUMERICAL RATING

(Institutional Linkage – 10%)

IV. FINANCIAL COMPONENT

2) Sufficiency of allocated funds

 Below O&M requirement

 Equal to O&M requirement

 More than O&M requirement

OVERALL NUMERICAL RATING

(Finance Component – 15%)

V. PHYSICAL/TECHNICAL RATING REMARKS

A. O&M PLAN, TOOLS & EQUIPMENT

1) O&M Plan Implementation

 Implementation of planned activities

 Activities conducted as scheduled

 O&M group maintains the facility

 Proof of purchase/ownership/rental/ access

 Tools are functional and on-site

Are these being met? Yes No

_ Yes _ No

_ Yes _ No

Are these being met? Yes No