PSM_-_Contractor_Annual_Audit_Form.pdf
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- Attached to
- Congestion Relief Alternative for SR99 State and local contract opportunity
- Solicitation number
- 2026-RFP-009
- Issued by
- Polk County, California
About this file
This is a Contractor Annual Audit Form from the City of Lakeland, Risk Management and Purchasing department designed to assess contractor performance and compliance. The form is structured to document audit results and comments across multiple audit items, with a primary focus on EMR (Experience Modification Rate) evaluation. The document serves as a standardized tool for conducting annual audits of contractors engaged with the City of Lakeland, requiring completion with contractor name, date, project identification, and location information. While the specific audit criteria are not fully detailed in the provided excerpt, the form establishes a systematic approach to reviewing contractor qualifications and regulatory compliance on an annual basis.
The audit form does not address pricing terms, set-asides, incumbent contractor status, or funding requirements, as it functions as an administrative compliance and performance review document rather than a procurement solicitation or contract award instrument. The form's primary utility is to maintain records of contractor audits for risk management purposes and to ensure that contractors maintain appropriate insurance and safety standards throughout their engagement with the City. This tool is essential for the City's vendor management process and supports ongoing contractor oversight and accountability.
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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 .