PSM_-_Contractor_Annual_Audit_Form.pdf

PDF 143 KB Posted

Attached to
Cloud Based Budget Software Replacement State and local contract opportunity
Solicitation number
2026-RFP-018
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 on various audit items, with EMR (Experience Modification Rate) listed as one of the evaluation criteria. The document serves as a standardized tool for conducting annual audits of contractors working on city projects, allowing the City to document audit results and capture relevant comments for each assessed item. The form includes fields for contractor identification, audit date, project name, and project location to ensure comprehensive tracking and documentation of contractor performance across the City's various projects and initiatives.

The audit form appears to be part of the City of Lakeland's contractor management and oversight process, likely used in conjunction with procurement activities such as the Cloud Based Budget Software Replacement RFP valued at $120,000. While the form itself does not contain pricing information or contract terms, it represents the City's commitment to ongoing contractor evaluation and risk management throughout the contract lifecycle, ensuring that selected vendors maintain compliance with city standards and performance expectations.

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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 .