INDIVIDUAL PERFORMANCE CONTRACT
CY 2018
Name of Ratee:
Position:
Designation (if applicable):
Office:
KEY RESULT AREA
(Program, Activity, Project/ Deliverable)
ORGANIZATIONAL OUTCOME 1: Wellbeing of poor household improved.
SWDI Assessment 1st Round
Percentage of Pantawid Pamilya children not
attending school that returned to school.
Percentage of Pantawid Pamilya children not
availing key health services.
1st Semester of CY 2018
Success/ Performance Indicators/Measures
Weight
Quantity Quality
Allocation
20% 100% Pantawid Pamilya active HH 100% of the active HH were
as of Dec. 2017 admistered for administered
the SWDI 1st Round Assessment
by 2018
54.5% Pantawid Pamilya not Provided appropriate interventions
10% attending school have returned to with updated progress notes.
school.
10% 29% of the perennially Increase compliance of
noncompliant households with all noncompliant households on
health conditions, including health conditionalities including
attendance to FDS for at least 7 attendance to FDS and appropriate
months of the previous year are interventions provided with
encouraged to avail key health updated progress nootes.
services and are made to comply
at least 10 months of the current
year
Percentage of grievances resolved within
established time protocol.
Number of Pantawid Pamilya households provided
with conditional cash grants.
CMAT Functionality
Implementation of Kumustahan for the
transitioning beneficiaries.
Conduct of Recertification to Transitioning
beneficiaries
Enjoin 90 % of the Pantawid households the
application of FDS module on bio-intensive
gardening through backyard / communal
gardening.
83.75% of the resolved grievances 100% accomplishment of the
are resolved within the established target were provided with analysis
7% time protocol. and progress notes filed in case
folders.
90% of the target households are 98% of the funded households are
8% funded with cash grants. receiving their grants within pay
period.
1 CMAT City/Municipal Action Team is fully
functional with Accomplished
4% Functionality Tool.
50% of ________ transitioning Complete and updated
households have complete and documentations/ content of
updated Individual casefolders individual case folders and case
10% with Case Assessment Reports and summary reports of registered
progress notes. households before the start of
Kumustahan.
10% or _________ transitioning 100% of the target transitioning
households households are assessed and have
undergone Recertification and
come up with recommendation
2% with report of status if retained,
transition or exiting.
90 % of caseload Pantawid Full implementation of the
Households application of
2% backyard/communal/ urban bio-
intensive gardening.
Rice Subsidy 95% Pantawid Household Facilitate the receipt of rice subsidy
grant for the 95% of the registered
1.0% Pantawid Beneficiaries.

Client's Logbook 100% caseload Complete and updated record of

1.0% SLP provided to household
beneficiaries
Monitoring of SWD programs and services 2 quarterly report 100% encoding of provided SWD
1.0% programs and serices to SG2IS with
analysis.
Monitor and Supervise the system operations at the DPEOs particularly on the timely response to the documents and requirement of the key systems
Compliance Verification System 2.0% 100% distribution and retrieval of On-time distribution and retrieval
CV Forms of the 100% Compliance
Verification Forms to education
and health facilities.

Conduct of Family Development Session 2.0% 100% FDS Group 95% of household beneficiaries are
compliant to family development
session (FDS) condition with
complete FDS Proceedings.

Youth Development Sessions 1.0% 100% monitoring of the facilities On-time and complete submission
conducting YDS. of YDS Monitoring report using the
prescribed format.

Grievance Redress System 1.0% 90% resolution rate of the on- On-time submission of updated
going grievances. GRS Report using the prescribed
template.
ESGPPA 1.0% 100% graduated ESGPPA from 80% of ESGPPA referred for
2015-2017 are referred for employment are currently
employment. employed
1.0% 100% of monitor cases of ESGPPA 100% of the ESGPPA drop-outs
Drop-outs for case management. have immediate replacement.

Supply Side Assessment 1.0% 1 database for education and Updated database for education
health and health facilities capturing the
gaps and issues of each facilities
including YDS and IP Concerns.

Ensure functionality of Advisory Committees /Operationalization of Internal Convergence and CMAT Functionality
Conduct of Municipal Advisory Committee 2.0% 2 MAC Meetings Regular conduct of MAC meetings
Meetings with complete documentation

2.0% Faciltate the commitment

Faciltate CMAT Planning 1 MATPC setting/planning with CMAT
Members on the MATPC
Faciltate CMAT Meetings 2.0% 6 CMAT Meetings Faciltate the conduct of CMAT
Meetings with complete
documentation
Organizing the Quick Response Team 1.0% 1 QRT with designated assignment Clearly defined assignment of QRT
per MAT Member Members
Representation to Meetings 1.0% Active participation to MAT
100% Attendance Leaders activities
1.0% 100% MAT Members Signs DTRs and Work Plans of
CMAT Members and review
Administrative Functions accomplishment reports based on
CMAT Plan Commitment

Ensure submission of periodic reports with appropriate recommendations

Success Stories 1.0% 6 Success Stories Submission of best success stories
of partner beneficiaries.

Reportorial Requirements 1.0% 6 Monthly Accomplishment Submission of substantive Monthly

Reports Accomplishment Report with
incorporated SSA every 10th of the
3rd month of the quarter

Compliance to Memoranda/ Communications 0.4% Maximum of 10 On time response to inquiries,

communications, memoranda
requested/required

Strategic Support Services

Planning &Ensure Evaluation of Result 0.4% 1 Individual Performance Contract Complete IPC with clear Key Result
Areas and Performance Indicators

0.4% 1 Individual Performance Contract Accurate and completely

Review accomplished Individual
Performance Contract Review with
quantity, quality and timeline
ratings.

Quick Response Team 0.4% 100% Complete assigned task with

satisfactory comments of the
supervisor.
Perform other related task 0.4% 100% Perform other related tasks that
may be assigned fromJanuary to
June 2018.
Compliance to CSC Office Rules
Daily Time Record 0.4% 6 Daily Time Records Completely and properly filled up
Daily Time Record
Travel Expenses 0.4% 6 Accomplished TEVs Complete and properly
accomplished travel expenses
vouchers (TEV) with complete
supporting documents were
submitted to POO

Flag Ceremony 0.4% 100% Attendance Complete and active attendance

and participation to Flag Ceremony

Workplan& Travel Order 0.4% 6 Work Plans and Travel Order Complete and accurate work plans
with attached request for travel anf
proof of previous travel submitted
to POO

Wearing of ID & Uniform 0.4% 100% Wearing of prescribed uniform

four days a week and wearing of
ID.

TOTAL WEIGHT ALLOCATION: 100% Weight allocation for the 1st Semester should be 100%

2nd Semester of CY 2018

KEY RESULT AREA Success/ Performance Indicators/Measures
Weight
(Program, Activity, Project/ Deliverable) Quantity Quality
Allocation
ORGANIZATIONAL OUTCOME 1: Wellbeing of poor household improved.
SWDI Assessment 1st Round 20% 100% Pantawid Pamilya active HH 100% of the active HH were
as of Dec. 2017 admistered for administered
the SWDI 1st Round Assessment
by 2018

Percentage of Pantawid Pamilya children not 54.5% Pantawid Pamilya not Provided appropriate interventions
attending school that returned to school. 10% attending school have returned to with updated progress notes.
school.
Percentage of Pantawid Pamilya children not
availing key health services.
10% 29% of the perennially Increase compliance of
noncompliant households with all noncompliant households on
health conditions, including health conditionalities including
attendance to FDS for at least 7 attendance to FDS and appropriate
months of the previous year are interventions provided with
encouraged to avail key health updated progress nootes.
services and are made to comply
at least 10 months of the current
year

Percentage of grievances resolved within 7% 83.75% of the resolved grievances 100% accomplishment of the
established time protocol.
Number of Pantawid Pamilya households provided are
90%resolved within
of the target the established
households are target
98% ofwere provided
the funded with analysis
households are
with conditional cash grants. time protocol.
funded with cash grants. and progress notes filed in case
receiving their grants within pay
8% folders.
period.
CMAT Functionality 4% 1 CMAT City/Municipal Action Team is fully
functional with Accomplished
Implementation of Kumustahan for the 50% of ________ transitioning Complete andTool.
Functionality updated
transitioning beneficiaries. households have complete and documentations/ content of
updated Individual casefolders individual case folders and case
10% with Case Assessment Reports and summary reports of registered
progress notes. households before the start of
Kumustahan.

Conduct of Recertification to Transitioning 10% or _________ transitioning 100% of the target transitioning
beneficiaries households households are assessed and have
undergone Recertification and
come up with recommendation
2% with report of status if retained,
transition or exiting.
Enjoin 90 % of the Pantawid households the 90 % of caseload Pantawid Full implementation of the
application of FDS module on bio-intensive Households application of
gardening through backyard / communal 2% backyard/communal/ urban bio-
gardening. intensive gardening.

Rice Subsidy 95% Pantawid Household Facilitate the receipt of rice subsidy
grant for the 95% of the registered
1.0% Pantawid Beneficiaries.

Client's Logbook 100% caseload Complete and updated record of

1.0% SLP provided to household
beneficiaries
Monitoring of SWD programs and services 2 quarterly report 100% encoding of provided SWD
1.0% programs and serices to SG2IS with
analysis.
Monitor and Supervise the system operations at the DPEOs particularly on the timely response to the documents and requirement of the key systems
Compliance Verification System 2.0% 100% distribution and retrieval of On-time distribution and retrieval
CV Forms of the 100% Compliance
Verification Forms to education
and health facilities.

Conduct of Family Development Session 2.0% 100% FDS Group 95% of household beneficiaries are
compliant to family development
session (FDS) condition with
complete FDS Proceedings.

Youth Development Sessions 1.0% 100% monitoring of the facilities On-time and complete submission
conducting YDS. of YDS Monitoring report using the
prescribed format.
Grievance Redress System 1.0% 90% resolution rate of the on- On-time submission of updated
going grievances. GRS Report using the prescribed
template.
ESGPPA 1.0% 100% graduated ESGPPA from 80% of ESGPPA referred for
2015-2017 are referred for employment are currently
employment. employed
1.0% 100% of monitor cases of ESGPPA 100% of the ESGPPA drop-outs
Drop-outs for case management. have immediate replacement.

Supply Side Assessment 1.0% 1 database for education and Updated database for education
health and health facilities capturing the
gaps and issues of each facilities
including YDS and IP Concerns.

Ensure functionality of Advisory Committees /Operationalization of Internal Convergence and CMAT Functionality
Conduct of Municipal Advisory Committee 2.0% 2 MAC Meetings Regular conduct of MAC meetings
Meetings with complete documentation

2.0% Faciltate the commitment

Faciltate CMAT Planning 1 MATPC setting/planning with CMAT
Members on the MATPC
Faciltate CMAT Meetings 2.0% 6 CMAT Meetings Faciltate the conduct of CMAT
Meetings with complete
documentation
Organizing the Quick Response Team 1.0% 1 QRT with designated assignment Clearly defined assignment of QRT
per MAT Member Members
Representation to Meetings 1.0% Active participation to MAT
100% Attendance Leaders activities
 1.0% 100% MAT Members Signs DTRs and Work Plans of
CMAT Members and review
Administrative Functions accomplishment reports based on
CMAT Plan Commitment

Ensure submission of periodic reports with appropriate recommendations

Success Stories 1.0% 6 Success Stories Submission of best success stories
of partner beneficiaries.

Reportorial Requirements 1.0% 6 Monthly Accomplishment Submission of substantive Monthly

Reports Accomplishment Report with
incorporated SSA every 10th of the
3rd month of the quarter

Compliance to Memoranda/ Communications 0.4% Maximum of 10 On time response to inquiries,

communications, memoranda
requested/required

Strategic Support Services

Planning &Ensure Evaluation of Result 0.4% 1 Individual Performance Contract Complete IPC with clear Key Result
Areas and Performance Indicators

0.4% 1 Individual Performance Contract Accurate and completely

Review accomplished Individual
Performance Contract Review with
quantity, quality and timeline
ratings.

Quick Response Team 0.4% 100% Complete assigned task with

satisfactory comments of the
supervisor.
Perform other related task 0.4% 100% Perform other related tasks that
may be assigned fromJanuary to
June 2018.
Compliance to CSC Office Rules
Daily Time Record 0.4% 6 Daily Time Records Completely and properly filled up
Daily Time Record
Travel Expenses 0.4% 6 Accomplished TEVs Complete and properly
accomplished travel expenses
vouchers (TEV) with complete
supporting documents were
submitted to POO

Flag Ceremony 0.4% 100% Attendance Complete and active attendance

and participation to Flag Ceremony

Workplan& Travel Order 0.4% 6 Work Plans and Travel Order Complete and accurate work plans
with attached request for travel anf
proof of previous travel submitted
to POO

Wearing of ID & Uniform 0.4% 100% Wearing of prescribed uniform

four days a week and wearing of
ID.
TOTAL WEIGHT ALLOCATION: 100% Weight allocation for the 2nd Semester should be 100%

Prepared by: Recommended by: Approved by:

NAME OF RATEE FELIZA V. ESGUERRA TOMASA T. LIRIO

(Signature over Printed Name) (Signature over Printed Name) (Signature over Printed Name)
Date: Designation: Designation:
 DSPMS Form 1.0

/Measures

Timeliness

Until end of June 2018

Until end of June 2018

Until Period 4 of 2018

Until end of June 2018

Until end of June 2018

Until end of June 2018

Until end of June 2018

Until end of June 2018

Until end of June 2018

 Until end of June 2018

Until end of June 2018

Until end of June 2018

rement of the key systems

Until end of June 2018

Until end of June 2018

Until end of June 2018

Until end of June 2018

Until end of June 2018

Until end of June 2018

Until end of June 2018

Until end of June 2018

Until end of June 2018

Until end of June 2018

Until end of June 2018

Until end of June 2018

Until end of June 2018

Until end of June 2018

Until end of June 2018

Until end of June 2018

February 2018

Until end of June 2018

Until end of June 2018

Until end of June 2018

First working day after the

cut-off
 Every 25th day of the
month.

Every Monday from January

to June 2018

Within the set timeline

(every 20th day of the
previous month)

Until end of June 2018

the 1st Semester should be 100%

/Measures

Timeliness

Until end of June 2018

Until end of June 2018

Until Period 4 of 2018

Until end of June 2018

Until end of June 2018

Until end of June 2018

Until end of June 2018

Until end of June 2018

 Until end of June 2018

Until end of June 2018

Until end of June 2018

Until end of June 2018

rement of the key systems

Until end of June 2018

Until end of June 2018

Until end of June 2018

Until end of June 2018

Until end of June 2018

Until end of June 2018

Until end of June 2018

Until end of June 2018

Until end of June 2018

Until end of June 2018

Until end of June 2018

Until end of June 2018

Until end of June 2018

Until end of June 2018

Until end of June 2018

Until end of June 2018

February 2018

Until end of June 2018

Until end of June 2018

 Until end of June 2018

First working day after the

cut-off
Every 25th day of the
month.

Every Monday from January

to June 2018

Within the set timeline

(every 20th day of the
previous month)

Until end of June 2018

the 2nd Semester should be 100%

 DSPMS Form 1.1
IPC INDICATOR CHANGE FORM
CY 2018
Name of Ratee:
Position:
Designation (if applicable):
Office:

FROM TO JUSTIFICATION Recommendation of

Supervisor and/or Rater

OLD KEY RESULT AREA Success/ Performance Indicators/Measures NEW KEY RESULT AREA NEW Success/ Performance Indicators/Measures

(Program, Activity, Project/ Deliverable) Weight Quantity Quality Timeliness (Program, Activity, Project/ Weight Allocation Quantity Quality Timeliness (Reason for amendment) (place 1 for Approved and 2 for
Disapproved)
Allocation Deliverable)

Prepared by: Recommended by: Approved by:

NAME OF RATEE NAME OF IMMEDIATE SUPERVISOR NAME OF APPROVING AUTHORITY

(Signature over Printed Name) (Signature over Printed Name) (Signature over Printed Name)
Date: Designation: Designation:
Date: Date:
 DSPMS Form 2.0
INDIVIDUAL PERFORMANCE CONTRACT REVIEW
1st Semester of CY 2018
Name of Ratee:
Position:
Designation (if applicable):
Office:

KEY RESULT AREA Success/ Performance Indicators/Measures Actual Accomplishment Rating

Weighted
Weight Average Remarks/Coaching/
(Program, Activity, Project/ Allocation (average x MOVs
Quantity Quality Timeliness Quantity Quality Timeliness Quantity Quality Timeliness Ave. weight
Deliverable)
allocation)

0.00000 0.00000 0.00000 0.00000 0.00000

0.00000 0.00000 0.00000 0.00000 0.00000
0.00000 0.00000 0.00000 0.00000 0.00000
0.00000 0.00000 0.00000 0.00000 0.00000
0.00000 0.00000 0.00000 0.00000 0.00000
0.00000 0.00000 0.00000 0.00000 0.00000
0.00000 0.00000 0.00000 0.00000 0.00000
0.00000 0.00000 0.00000 0.00000 0.00000
0.00000 0.00000 0.00000 0.00000 0.00000
0.00000 0.00000 0.00000 0.00000 0.00000
0.00000 0.00000 0.00000 0.00000 0.00000
0.00000 0.00000 0.00000 0.00000 0.00000
0.00000 0.00000 0.00000 0.00000 0.00000
0.00000 0.00000 0.00000 0.00000 0.00000
TOTAL WEIGHT ALLOCATION 100%
FINAL RATING
ADJECTIVAL RATING

Prepared by: Recommending Approval: Approved by:

NAME OF RATEE NAME OF IMMEDIATE SUPERVISOR NAME OF APPROVING AUTHORITY

(Signature over Printed Name) (Signature over Printed Name) (Signature over Printed Name)
Date: Designation: Designation:
Date: Date:
 DSPMS Form 2.0
INDIVIDUAL PERFORMANCE CONTRACT REVIEW
2nd Semester of CY 2018
Name of Ratee:
Position:
Designation (if applicable):
Office:

KEY RESULT AREA Success/ Performance Indicators/Measures Actual Accomplishment Rating

Weighted
Weight Average Remarks/Coaching /
(Program, Activity, Project/ Allocation (average x MOVs
Quantity Quality Timeliness Quantity Quality Timeliness Quantity Quality Timeliness Ave. weight
Deliverable)
allocation)

0.00000 0.00000 0.00000 0.00000 0.00000

0.00000 0.00000 0.00000 0.00000 0.00000
0.00000 0.00000 0.00000 0.00000 0.00000
0.00000 0.00000 0.00000 0.00000 0.00000
0.00000 0.00000 0.00000 0.00000 0.00000
0.00000 0.00000 0.00000 0.00000 0.00000
0.00000 0.00000 0.00000 0.00000 0.00000
0.00000 0.00000 0.00000 0.00000 0.00000
0.00000 0.00000 0.00000 0.00000 0.00000
0.00000 0.00000 0.00000 0.00000 0.00000
0.00000 0.00000 0.00000 0.00000 0.00000
0.00000 0.00000 0.00000 0.00000 0.00000
0.00000 0.00000 0.00000 0.00000 0.00000
0.00000 0.00000 0.00000 0.00000 0.00000
TOTAL WEIGHT ALLOCATION 100%
FINAL RATING
ADJECTIVAL RATING

Prepared by: Recommending Approval: Approved by:

NAME OF RATEE NAME OF IMMEDIATE SUPERVISOR NAME OF APPROVING AUTHORITY

(Signature over Printed Name) (Signature over Printed Name) (Signature over Printed Name)
Date: Designation: Designation:
Date: Date:
 DSPMS Form 2.2
INDIVIDUAL DEVELOPMENT PLAN
CY ____
Name of Ratee:
Position:
Designation (if applicable):
Office:

JOB REQUIREMENTS

Proposed Interventions
Current Status Target Status to be Undertaken Target Date Results of Target Remarks/ Next Steps

Education:
Training:
Eligibility:
Experience:
CORE & LEADERSHIP AND MANAGEMENT COMPETENCIES

Current Target Proposed Interventions Target Date Results of Target Remarks/ Next Steps
Competency Level Competency Level to be Undertaken

Competencies:
This section will be left blank.

FUNCTIONAL TASKS

Current Level of Target Level of Proposed Interventions Target Date Results of Target Remarks/ Next Steps
Accomplishment Accomplishment to be Undertaken

Functional Tasks (IPCR based):

Prepared by: Recommending Approval: Approved by:

NAME OF RATEE NAME OF IMMEDIATE SUPERVISOR NAME OF APPROVING AUTHORITY

(Signature over Printed Name) (Signature over Printed Name) (Signature over Printed Name)
Date: Designation: Designation:
Date: Date: