PSM_-_Contractor_Annual_Audit_Form.pdf
PDF 143 KB Posted
- Solicitation number
- 2026-RFP-007
- Issued by
- Polk County, Florida
About this file
This is a Contractor Annual Audit Form used by the City of Lakeland's Risk Management and Purchasing department to evaluate contractor performance and compliance. The form is designed to assess contractors working on various projects and locations within the city's jurisdiction. The audit instrument includes evaluation criteria for items such as Experience Modification Rate (EMR), though the document provided is incomplete and does not show the full scope of audit items, scoring methodology, or evaluation standards that would typically be included in such an assessment tool.
The form appears to be a standard administrative document used for ongoing contractor monitoring rather than a project-specific solicitation document. It lacks pricing information, contract terms, set-asides, incumbent contractor details, funding sources, or award timelines. The incomplete nature of the provided document suggests this is a template or blank form awaiting completion during an actual contractor audit process related to the Lakeland Electric OT firewall infrastructure and compliance assessment project, though specific audit parameters and evaluation criteria are not fully visible in the submitted file.
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| File | Type | Posted |
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| CIP-005-7_and_CIP-007-6_OT_Firewall_Infrastructure_and_Compliance_Assessment_(Addendum_#1_Revision).pdf | ||
| CIP-005-7_and_CIP-007-6_OT_Firewall_Infrastructure_and_Compliance_Assessment.pdf | ||
| Human_Trafficking_Affidavit.docx | DOCX document | |
| Non-Disclosure_and_Confidentiality_Agreement.pdf | ||
| Contractor_Safety_Evaluation_Form.pdf | ||
| Indemnification_2026_Consultant.doc | DOC document | |
| Indemnification_2026_Vendor.doc | DOC document | |
| Indemnification_2026_Consultant_-_FDOT.docx | DOCX document | |
| Indemnification_2026_Contractor.doc | DOC document | |
| Indemnification_2026_Contractor_-_FDOT.docx | DOCX document |
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Text version
City of Lakeland, Risk Management and Purchasing
PSM- Contractor Annual Audit Form
Contractor: _____________________________________ Date: _______________
Project: _______________________________________________________________
Location: ______________________________________________________________
Audit Item Audit Result Comments
EMR (<1.0)
Drug and Alcohol Policy Written Safety Plan Safety Compliance Program
Safety Records Employee Training Records
Acceptable Safety Performance Onsite
Contractor, ___________________________________, ☐ is ☐ is not approved for continued inclusion on the PSM-Approved Contractors List.
Audit performed by: ______________________, Title: __________________________
Auditors signature: ______________________________________ Date: ___________
File details come from the government source that posted it. Updated .