INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORM (IPCR)

January to June 2017

I, FEDERICO EVANGELISTA , Administrative Aide IV, at the Office of the City Environment and Natural Resources Officer, of the City of Lipa, commit to deliver and agree to be
rated on the attainment of the following targets in accordance with the indicated measures for the period of January 1 to June 30, 2017.

Ratee: FEDERICO EVANGELISTA

Date: July 3, 2017

Reviewed by: Date Approved by: Date

July 3, 2017 July 3, 2017

DONATO VERNON M. VILLANUEVA RICARDO B. LIBON
Immediate Supervisor City ENR Officer

MFO/PAP Success Indicators Actual Rating

Targets + Measures Accomplishments Q E T Ave. Remarks
CORE FUNCTION (100%)
Transport Services
1. Driving Services Driving services provided everyday immediately upon 5 4 4 4.3333
request.

2. Records of Vehicle Maintenance

a. Cleanliness One (1) vehicle cleaned in one (1) hour every 6:00 4 4 4 4.0000
oclock in the morning.

b. Routine Check-up One (1) vehicle routine check-up conducted in thirty 4 4 4 4.0000
(30) minutes every 1st working day of the week.

c. Regular Maintenance One (1) regular maintenance of vehicle conducted 4 4 5 4.3333

every 1st week of the month.
SUMMARY RATING TOTAL Final Numerical Rating Final Adjectival Rating
Core Functions 4.17 Very Satisfactory
Support Functions
Comments and Recommendation for Development Purposes:

Discussed : Date: Assessed by: Date Reviewed: Date: Final Rating by: Date

I certify that I discussed my assessment

of the performance with the employee

FEDERICO EVANGELISTA RICARDO B. LIBON MEYNARDO A. SABILI

Ratee Department Head PMT City Mayor