OFFICE PERFORMANCE CONTRACT

CY _____

Office:

KEY RESULT AREA Success/ Performance Indicators/Measures Rating Period

(Program, Activity, Project/ Deliverable) Quantity Quality Timeliness (January to June, or July to December)
Refer to Office Mandate/ Function

Prepared by: Recommending Approval:

NAME OF DEPARTMENT HEAD MPDC

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

Approved by:

NAME OF APPROVING AUTHORITY

(Signature over Printed Name)
Designation:
Date:
 OFFICE PERFORMANCE CONTRACT
CY 2018

Office:

KEY RESULT AREA/

Program, Activity, Project/ Deliverable

include in
IPCR
NAME OF DEPARTMENT HEAD
(Signature over Printed Name)
Date:

Approved by:

NAME OF APPROVING AUTHORITY

(Signature over Printed Name)
Designation:

Date:
OFFICE PERFORMANCE CONTRACT
CY 2018

Success/ Performance
Actual Accomplishment Rating
Indicators/Measures

(Quantity, Quality, Time) Qn Ql

MPDC
(Signature over Printed Name)
Designation:
Date:
 Remarks/Coaching

T Ave.
 MNSPMS Form 1.0
INDIVIDUAL PERFORMANCE CONTRACT
CY 2019
Name of Ratee: JELLY S. CASUGA
Position: Administrative Assistant I
Designation (if applicable):
Office: SB Secretariat

KEY RESULT AREA Success/ Performance Indicators/Measures Rating Period

(January to June, or July to

(Program, Activity, Project/ Deliverable) Quantity Quality Timeliness
December)

I. MAIN ROLE

atleast 80% of
1. Performs clerical functions such as preparing correspondence, notices of meeting 100% of notices 1 day before the
January to June
receiving visitors, arranging and scheduling meetings and hearing are were disseminated scheduled date
released
atleast 80% of 100% of electronic
2. Develops or maintains an accurate and up to date records electronic and and harcopy files
management system (including classifying and coding electronic and harcopy files were were classified, as the need arises January to June
hardcopy files) classified, coded coded and up to
and up to date date
100% of notices,
atleast 80% of memorandums and
3. Stores, retrieves and disseminates information for staff and clients; information were other documents one hour upon
January to June
and disseminated for were systematiclly receipt
staff and clients filed and
disseminated

4. Ensures the safeguarding of all confidential files. N/A N/A N/A January to June

100% of data
entered into the
atleast 80% of data
5. Enters data into the computer and generates hard copies of the computer is without
same when needed
entered has
corrections and
as the need arises January to June
minimal corrections
available when
needed
atleast 80% of ordinances,
ordinances, resolutions and
resolutions, committee reports
1 day before the
6. Encoding of draft resolutions, ordinances and other documents committee reports and other January to June
deadline
and other documents
documents were prepared without
prepared corrections
 atleast 90% of 100% of
documents related encoded/printed
5 minutes upon
7. Encoding and printing of tricycle franchises and other documents to tricycle tricycle franchises
payment of January to June
related to franchises franchises are and other
corresponding fee
encoded and documents is with
printed minimal corrections

100% measures are

atleast 80% of the
8. Stores and maintains a computerized data storage of the stored in dropbox
are filed as the need arises January to June
Sangguniang Bayan and available when
electronically
needed

II. SPECIAL ASSIGNMENTS January to June

atleast 90% of
100% of tricycle
tricycle
franchise
requirements 5 minutes each set
requirements were
1. Check requirements for the processing of tricycle franchises assigned were of tricycle January to June
checked for each
checked for each requirements
set of franchise
set of franchise
requirements
requirements
atleast 80% of
100% of minutes
minutes and
and journals were one day before the
2. Edit minutes and journals journals were January to June
proofread and session
proofread and
edited
edited

III. ACCOUNTABILITIES January to June

atleast 95% of flag

99% of flag raising every Monday of
1. Flag Raising Ceremony Certification raising ceremonies January to June
were attended the week
were attended
atleast 90% of 100% of
vacation/force/ sick vacation/force/ sick 5 days before set
2. APPLICATION FOR LEAVE leaves were filed leaves were filed date (VL/FL); 1 day January to June
before the set before the set after SL (SL)
schedule schedule

3. MNSPMS Form 1.1 and Amended or Adjusted Performance Contract N/A N/A

4. Feedback Reports for Travels undertaken/trainings attended N/A N/A

atleast 90% of the forms completed within 30 days

5. PDS January to June
form was filled-up and submitted onset of the year
 atleast 90% of the forms completed within 30 days
6. SALN January to June
form was filled-up and submitted onset of the year
atleast 2 IPCR submitted 2 IPCR
7. Individual Performance Contract and Review submitted for every for the first and before the deadline January to June
semester second semester

Prepared by: Recommending Approval:

JELLY S. CASUGA ATTY. DEARKYLE ANICEE A. GALVEZ-TAQUED

(Signature over Printed Name) (Signature over Printed Name)
Date: Designation: Secretary to the Sanggunian
Date:

Approved by:

JOY P. FLORES
(Signature over Printed Name)
Designation: Acting HRMO
Date:
 MNSPMS Form 1.1
IPC INDICATOR CHANGE FORM
CY ____
Name of Ratee:
Position:
Designation (if applicable):
Office:

Recommendation of
Original Key Result/ Performance
JUSTIFICATION Supervisor and/or
Indicator/ Target Proposed Rater
AMENDMENT to Key
Result/ Target (Approved/
(Reason for
(based from approved PC) Disapproved/
amendment)
Remarks)

Prepared by: Recommending Approval:

NAME OF RATEE NAME OF IMMEDIATE SUPERVISOR

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

Approved by:

NAME OF APPROVING AUTHORITY

(Signature over Printed Name)
Designation:
Date:
 MNSPMS Form 2.0
INDIVIDUAL PERFORMANCE CONTRACT REVIEW
CY 2018
Name of Ratee: CASUGA, Jelly S.
Position: Administrative Assistant I
Designation (if applicable):
Office: SB Secretariat

Success/
KEY RESULT AREA/ Performance Rating
Indicators/Measures Actual
Remarks/Coaching
Accomplishment
Program, Activity, Project/ (Quantity, Quality,
Qn Ql T Ave.
Deliverable Time)
atleast 80% of notice of 100% notices of
1. Performs clerical functions such as meeting were
hearing and meeting are
preparing correspondence, receiving
released atleast 1 day disseminated atleast 1 5 4 5 4.667
visitors, arranging and scheduling
before the scheduled day before the
meetings
date scheduled date
atleast 80% of
2. Develops or maintains an accurate and 100% of electronic
electronic and
up to date records management system and hardcopy files,
(including classifying and coding
hardcopy files were 5 4 5 4.667
were classified, coded
electronic and hardcopy files) classified, coded and
and up to date
up to date

100% of notices,
memorandums and
other documents were
atleast 80% of systematically filed
information were and disseminated to
disseminated to staff the staffs and clients
3. Stores, retrieves and disseminates and clients within the within one hour upon
information for staff and clients; and specified time receipt 5 4 5 4.667
4. Ensures the safeguarding of all transparency of all
confidential files. N/A N/A documents
 atleast 80% of data
entered into the 100% of data entered
computer has minimal into the computer is
5. Enters data into the computer and corrections and ready without corrections
generates hard copies of the same when for printing when and available when
needed needed needed 5 4 5 4.667

atleast 80% of ordinances,

ordinances, resolutions, committee
resolutions, committee reports and other
reports and other documents prepared 1
documents prepared 1 day before the
6. Encoding of draft resolutions, day before the deadline without
ordinances and other documents deadline corrections 5 4 5 4.667

atleast 90% of encoded/printed

documents related to tricycle franchises and
tricycle franchises are other documents
encoded and printed related to franchises,
7. Encoding and printing of tricycle within 5 minutes upon 100% of which is with
franchises and other documents related payment of minimal corrections
to franchises corresponding fee within 5 minutes each 5 4 5 4.667
100% measures are
ateast 80% of are stored in dropbox
8. Stores and maintains a computerized measures are filed and available when
data storage of the Sangguniang Bayan electronically needed 5 4 5 4.667 ***4.203
9. Performs other related functions ***0.457

90% of tricycle 100% of tricycle

franchise franchise
requirements requirements
assigned were assigned were
checked within 5 checked within 5
minutes alloted for minutes alloted for
a. Check requirements for the each set of franchise each set of franchise
processing of tricycle franchises requirements requirements 5 4 5 4.667

atleast 80% of the 100% of the minutes

minutes and journals and journals were
were proofread and proofread and edited
editted atleast one day atleast one day before
b. Edit minutes and journals before the session the session 5 4 5 4.667
 atleast 95% of flag 99% of flag raising
raising ceremonies ceremonies were
were attended during attended during
c. Flag Raising Ceremony Mondays of the week Mondays of the week 4 4 5 4.333
98% of the leaves
were filed 5 days
before the set date for
atleast 90% of leaves vl and fl; and filed 1
were filed before the day after the SL for
d. Application For Leave set schedule Sick Leave 5 4 4 4.333

100% of forms were

completed and
atleast 90% of the submitted within 30
e. PDS forms were filled-up days onset of the year 5 4 5 4.667

100% of forms were

completed and
atleast 90% of the submitted within 30
f. SALN forms were filled-up days onset of the year 5 4 5 4.667
atleast 1 IPCR
g. Individual Pwrformance Contract submitted for every submitted 1 IPCR for
and Review semester the first semester 5 4 5 4.667
TOTAL 4.66

Prepared by: Recommending Approval:

JELLY S. CASUGA ATTY. DEARKYLE ANICEE A. GALVEZ-TAQUED

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

Approved by:

JOY P. FLORES
(Signature over Printed Name)
Designation: Acting HRMO
Date:
 MNSPMS Form 3.0
CERTIFICATION
INDIVIDUAL PERFORMANCE CONTRACT SUBMISSION MONITORING FORM
NAME OF OFFICE
as of _______________

This is to certify that NAME OF (OBS/FO) has (number of employees) Officals and employees with Individual Performance Contract (IPC) on file with the PMS focal, as follows:

Status of
Employment With submitted Performance Contract for CY 2015
Division/ Date of
NAME Designation Unit Submission Remarks
(Regular, Contractual,
(place 1 for yes and 0 for no)
Casual, Cost of Service)

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20

Prepared by: Reviewed by:

NAME OF PMS FOCAL NAME OF OFFICE HEAD

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

Approved by:

NAME OF APPROVING AUTHORITY

(Signature over Printed Name)
Designation:
Date: