Republic of the Philippines

COMMISSION ON AUDIT
Regional Office No. VI
Audit Group LGS - B – Antique Province
COA Provincial Satellite Auditing Office
Binirayan Hills, San Jose de Buenavista, Antique

Telefax No. (036) 641 – 6244

AUDIT TEAM R6-06

January 12, 2018

QUESTIONNAIRE

IMPLEMENTATION OF THE FY 2017 LOCAL GOVERNMENT SUPPORT FUND –

ASSISTANCE TO DISADVANTAGED MUNICIPALITIES (LGSF-ADM) PROGRAM

Instruction:

This questionnaire seeks to obtain information on implementation of the FY 2017 Local Government Support Fund
– Assistance To Disadvantaged Municipalities (LGSF-ADM) Program. Kindly check the box which corresponds to your
answer. Whenever necessary, write your comments and/or attach supporting documents/schedules. Please return
to Audit Team R6-06 within fifteen (15) days from receipt hereof. Thank you.

QUESTION YES NO COMMENTS & DOCS ATTACHED

1. Did the Local Chief Executive inform the DILG Regional
Office that the Municipality had already received the
funds through a NADAI, and the funds have been
transferred from the General Fund to the Trust Fund and
recorded as Trust Fund?

Attach Information Letter on the Receipt of 2017 ADM

Fund, duly received by DILG RO No. VI.

2. Was the duly notarized Certification prepared and

submitted to the DILG RO No. VI within two months from
receipt of the 2017 ADM funds?

Attach the duly notarized Certification, duly received by

DILG RO No. VI.

3. Was the Implementation Schedule, including procurement

timelines, for each of the projects prepared and submitted
to the DILG RO No. VI also within two months from receipt
of the 2017 ADM funds?

Attach the Implementation Schedule, including

procurement timelines, for each of the projects, duly
received by DILG RO No. VI.

On the Implementation Schedule, add a column of actual

dates the timelines were accomplished to compare actual
vs target accomplishment dates.

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 4. Was a community billboard in accordance with
specifications provided installed within the premises of
the municipal hall?

Attach photograph of the billboard.

5. Was the implementation of each of the projects already

started? What is the status of implementation of each of
the projects?

Attach bi-monthly status report for the period July 2017

to December 2017, duly received by the DILG-PO.

Prepared by: Respondent/s:

JED DARES P. TONOGAN __________________________

State Auditor I Position:
Audit Team Leader Date:

__________________________
Position:
Date:

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