Format of the Supplement to SIP

(Place the Letterhead here)

Actions/Adjustments which have to be

School's Emerging Priorities Based made in Response to the Emerging
Monitoring and Evaluation
on the Current Situation Priorities Aligned with the School's BE-
LCP
1. Provision of supplies and equipment for 1. Monthly inventory of supplies and
Example:
the production, printing and delivery and equipment for the production,
1. The school is adopting the use of
retrieval of SLMs for learners printing and delivery of SLMs
printed self-learning modules (SLM)
as learning delivery mode.

(The names of the signatories will be specified later, just be ready with the needed data here. Thank you)

Notes: The data to be inputed in this format should be a result of the meeting of the School Planning Team,
duly documented, and in consultation with all stakeholders concerned based on the school's BE-LCP.
1. Emerging School's Current Tip: Revisit your SIP's Chapter 2 -
Situation in Time of COVID-19 Assess -
Pandemic; consider also the 1. Enumerate here, with short
priorities of the CID and SGOD descriptions of each item, the effects of
PAPs if these are also your the COVID-19 pandemic and other
concerns in your school factors which have affected the school's
priorities for school year 2021-2022
2. Emerging Priorities Aligned with Tip: Revisit your SIP's Chapter 3 -
the School's BE-LCP Plan -
1. List down the NEW priorities in 2020-
2021 and the reason/s why.
2. Also list down those PAPs that were
previously prioritized in the existing SIP
but are now deferred or adjusted.
3. Monitoring and Evaluation Tip: Revisit your SIP's Chapter 4 - M
1. How will each of the new/additional and E -
priorities be monitored and evaluated?
 F
Supplemental AIP Aligned to the Adjusted AIP 2021 Y
District: ALTAVAS
2
School: Catmon Integrated School 0
Period Covered: 3rd and 4th quarter 2
1
Budget Source
(Please write amount) Q
u
Ta
Code Programs/Projects/Activities Objectives Performance Indicators Others o
rA
(Specify: tt
MOOE SEF Donation, IGP, m ae
etc.) o
lr
u
n
To provide labor expenses for repair Newly installed/repaired t2
Labor for Repair and replacement
5020304000
of H.E. windows and door of the delapidated windows and windows and door of H.E. 20,000
door of H.E. building building

To provide a 30m covered Presence of covered

Provision of covered pathway/canopy for the protection walk/canopy from gate 3 to
pathway/canopy (Gate 3) from heat/rain to children from gate classwrooms 40000
3 to their classrooms

F
Supplemental AIP Aligned on the Additional MOOE on Minimum Health Standards Y
District: ALTAVAS
2
School: Catmon Integrated School 0
Period Covered: 3rd quarter 2
1
Budget Source
(Please write amount) Q
u
Ta
Code Programs/Projects/Activities Objectives Performance Indicators Others o
rA
(Specify: tt
MOOE SEF Donation, IGP, m ae
etc.) o
lr
u
n
2
t
Additional Supplies to To ensure availability of basic health
teachers/staff for minimum health care and related supplies needed in Availability of supplies for
5020399000 care including protective school including medical/dental minimum health standards 99000
supplies/equipment, medical and needs
dental needs, etc.

Hand Soap(liquid) 6000

Hands Free Handwashing 13000
Face Mask (Disposable) 2310
Powder Soap (1.1kg) 4550
Disinfectant 1/2 gallon 3825
Foot bath 17200
Vitamin C 5,250
Dental needs 8000
2 n1alcohol dispenser & thermal
scanner(handsfree) 40500
Hand Sanitizer 5700
Alcohol 18000
F
Supplemental AIP Aligned on Clean-Up and Minor Repair Fund Y
District: New Washington
2
School: New Washington Elementary School 0
Period Covered: 3rd quarter 2
1
Budget Source
(Please write amount) Q
u
Ta
Code Programs/Projects/Activities Objectives Performance Indicators Others o
rA
(Specify: tt
MOOE SEF
Donation, IGP, m ae
etc.) o
lr
u
Availability of supplies and n
Procurement of necessary To provide needed supplies and 2
t
materials for clean up
5020399000 materials and supplies for CleaN Up materials used for clean up including activities including minor 20000
activities including minor repair minor repairs repair
Garden Hose 3799.50
Mop 600.00
Ladder 9250.00
Wheelbarrow 4155.00
Pail 550.00
Nozzle 3 way 799.50
Hose Kit Garden craft set 999.00

Prepared by:

EMELDA Q. FUENTES, PhD. Reviewed by:

School Principal IV

MARISSA A. JIZMUNDO BELLA S. SUANTE

Accountant III AO-IV-Budget Officer
 FY 2021 Quarter 3 FY 2021 Quarter 4

July August September Total October November December

Target Amount Target Amount Target Amount Target Amount Target Amount Target Amount Target

3 sets
sliding
window 20,000 20,000
and 1 door

1
(30m) 1 40,000

FY 2021 Quarter 3 FY 2021 Quarter 4

July August September Total October November December

Target Amount Target Amount Target Amount Target Amount Target Amount Target Amount Target

99,000.00 124,335.00

30bot 6000 30bot 6000

2 unit 13000 2 unit 13000
21 pc 2310 21 pc 2310
50 pack 4550 50 pack 4550
51 gallon 3825 51 gallon 3825
43 set 17200 43 set 17200
21 bot 5250 21 bot 5250
50 bot 8000 50 bot 8000

9 unit 40500 9 unit 40500

30 bot 5700 30 bot 5700
30 gallon 18000 30 gallon 18000

FY 2021 Quarter 3 FY 2021 Quarter 4

July August September Total October November December

Target Amount Target Amount Target Amount Target Amount Target Amount Target Amount Target

20000 20000

2 3799.5 2 3799.5
2 600 2 600
1 9250 1 9250
1 4155 1 4155
10 550 10 550
2 799.5 2 799.5
1 999 1 999

MICHAEL T. RAPIZ DOBIE P. PAROHINOG,PhD.

Chief-SGOD Chief-CID
4 Full Year 2021 FY 2022 Quarter 1

December Total Total January February March Total

Amount Target Amount Target Amount Target Amount Target Amount Target Amount Target Amount

20,000 100,000 100,000

40,000 40,000 60,000 60,000

4 Full Year 2021 FY 2022 Quarter 1

December Total Total January February March Total

Amount Target Amount Target Amount Target Amount Target Amount Target Amount Target Amount

99,000.00 150,000 150,000

6000

2310
4550
3825
17200
5250
8000

40500
5700
18000

4 Full Year 2021 FY 2022 Quarter 1

December Total Total January February March Total

Amount Target Amount Target Amount Target Amount Target Amount Target Amount Target Amount

20000 50,000 50,000

3799.5
600
9250
4155
550
799.5
999

Approved by:

MIGUEL MAC D. APOSIN, EdD, CESO V

Schools Division Superintendent
 Budget Source
FY 2021 Quarter 1
(Please write amount)

Programs/Projects/A Performance
Code Objectives Others
ctivities Indicators January February March
MOOE SEF (Specify:
Donation,
IGP, etc.)
Target Amount Target Amount Target Amount
A B C D E F G H I J K L M

Payment of utility 12,000.00 1,000.00 1,000.00 1,000.00

expenses.

Printing of modules 60,000.00 30,000.00 10,000.00 10,000.00 10,000.00

Payment for security 48,000.00 48,000.00 8,000.00 8,000.00 8,000.00

services

TOTALS 120,000.00 48,000.00 30,000.00 - 19,000.00 - 19,000.00 - 19,000.00

 FY 2021 Quarter 2 FY 2021 Quarter 3

Total April May June Total July August September

Target Amount Target Amount Target Amount Target Amount Target Amount Target Amount Target Amount Target
N O = (I+K+M) P Q R S T U V W = (Q+S+U) X Y Z AA AB

3,000.00 1,000.00 1,000.00 1,000.00 3,000.00 1,000.00 1,000.00

30,000.00 10,000.00 10,000.00 10,000.00 30,000.00 5,000.00 5,000.00

24,000.00 8,000.00 8,000.00 8,000.00 24,000.00 8,000.00 8,000.00

- 57,000.00 - 19,000.00 - 19,000.00 - 19,000.00 - 57,000.00 - 14,000.00 - 14,000.00 -

021 Quarter 3 FY 2021 Quarter 4 Full Year 2021

September Total October November December Total Total

Amount Target Amount Target Amount Target Amount Target Amount Target Amount Target
AC AD AE = (Y+AA+AC) AF AG AH AI AJ AK AL AM = (AG+AI+AK) AN

1,000.00 3,000.00 1,000.00 1,000.00 1,000.00 3,000.00

5,000.00 15,000.00 5,000.00 5,000.00 5,000.00 15,000.00

8,000.00 24,000.00 8,000.00 8,000.00 8,000.00 24,000.00

14,000.00 - 42,000.00 - 14,000.00 - 14,000.00 - 14,000.00 - 42,000.00 -

Full Year 2021 FY 2022 Quarter 1

Total January February March Total

Amount Target Amount Target Amount Target Amount Target Amount

AO = (O+W+AE+AM) AP AQ AR AS AT AU AV AW = (AQ+AS+AU)

12,000.00 1,000.00 1,000.00 1,000.00 3,000.00

90,000.00 3,000.00 3,000.00

96,000.00 8,000.00 8,000.00 8,000.00 24,000.00

198,000.00 - 9,000.00 - 9,000.00 - 12,000.00 - 30,000.00

Monitoring and Evaluation of Programs, Projects and Activities Indicated in the Approved SIP and AIP
District: New Washington
School: New Washington Elementary School
Period Covered: First to Second Quarter
TOTAL SCHOOL MOOE (1st & 2nd QRTR)
SEF (1st & 2nd QRTR)
ALLOTED BUDGET ACCOMPLISHMENT BUDGET UTILIZED ADJUSTMENTS
Others Others REMARKS (Factors affecting
PROGRAMS/PROJECTS/ACTIVITIES (Specify: Fully Partially Not (Specify: Partial Implementation or
MOOE SEF
Donation, Implemented Implemented Implemented MOOE SEF
Donation, Non-Implementation) Augmentation Reaglined Proposed PPAs
IGP, etc.) IGP, etc.)

Tearchers training and Capabilitity Additional budget

building 80,000 additional trainings taken from
X 109,760.00 conducted electricity budget

Communication allow. To teachers only School Head

77,500 2,000.00 Communication Allowance Additional amount for
in the conduct of distance learning
X is allowed printing of modules

Excess amount
Procurement of Office and School up to 2nd quarter was
Supplies 30,000 realigned to
purchased
printing expenses
X 20,558.50

Purchase of supplementary reading purchase of materials are Amount transferred to

materials/ Periodicals 10,000 repair of windows/door of
personal
X H.E.room
Other Supplies 30,000
up to 2nd quarter was
X 20,003.19 purchased
Repair and maintenance of Office lots of printers were
equipment, others 10,000 13,600.00 Additional amount taken
furniture/fixtures repaired
X from electricity expense
Graduation/Recognition and
Moving up ceremonies 75,000 X
on process

Fidelity Bond Premium 8,000 Amount to be transferred

X 7,500.00 to printing and publication
Maintenance of School Ground and budget is until the 4th
Minor repair of classrooms for 40,000 25,621.03
quarter
proper ventilation X
Repair of H.E. Room(roofing/ceiling) 90,000 10,000 X 90,000.00 N/A
Repair of JICA CR 20,000 X N/A
Provision of roofing for Civic Center 1,500,000 X Funding for hold due to
of the school COVID-19
 ALLOTED BUDGET ACCOMPLISHMENT BUDGET UTILIZED ADJUSTMENTS
Others Others REMARKS (Factors affecting
PROGRAMS/PROJECTS/ACTIVITIES (Specify: Fully Partially Not (Specify: Partial Implementation or
MOOE SEF Donation, Implemented Implemented Implemented MOOE SEF Donation, Non-Implementation) Augmentation Reaglined Proposed PPAs
IGP, etc.) IGP, etc.)

The budget must include

Printing of Modules including purchase of printing Adjustments from other
purchase of supplies and materials 104,400 148,760.65
expenditures
supplies like ink, master
for module reproduction(printers,
ink, bond papers,stapler) X copy

Water bills 100,000 X 25,936.40 N/A Excess amount from Utility

Electric bills 250,000 X N/A expenses shall be added to
28,105.23
the allocation for printing of
Internet/ Telephone bills 30,000 X 8,931.00 N/A modules
Honorarium of security personnel 60,000 X 25,550.00 N/A
Honorarium of utility personnel 48,000 X 20,400.00 N/A
Accountable Forms 1,100 X N/A
Provision of an isolation and on process if solicitations
quarantine space in school 5,000 X funds

Supplies for SDRRM/WATSAN specific additional Budget realigned for

including protective supplies/ 40,000 X
amount on release provision of canopy
equipment, etc.
Production/ distribution of IEC
materials to promote health 10,000 X 10,000.00 N/A
standards
Other Related BE-LCP Expenses can be charge to other Allocation transferred to
(Distribution of Alternative Learning 10,000 X 10,000.00 repair of
account
Modules) H.E.windows/doors
GRAND TOTAL 1,104,000 1530000 566,726.00
Amount

29,760.00

65,500.00

9,441.50

10,000.00

3,600.00

500.00
Amount

40,000.00

10,000.00

168,801.50