PSM_-_Contractor_Annual_Audit_Form.pdf

PDF 143 KB Posted

Attached to
Taxiway A Holding Bay
Solicitation number
2026-ITB-028
Issued by
Polk County, Florida

About this file

This is a Contractor Annual Audit Form issued by the City of Lakeland's Risk Management and Purchasing Department for use in evaluating contractor performance on projects. The form is designed to systematically document audit results and comments across multiple audit items, with fields for contractor identification, project description, and work location. The document serves as an administrative tool to track contractor compliance and performance metrics during project execution, though the specific audit items and evaluation criteria are partially obscured in the provided content.

The form appears to be a standard internal assessment instrument rather than a solicitation document, and does not contain pricing information, contract terms, set-asides, or funding details. Its primary function is to provide a structured framework for the City of Lakeland to conduct periodic evaluations of contractor performance, with particular reference to EMR (Experience Modification Rate) assessment. This audit form would typically be completed during or after contract execution to ensure contractor accountability and regulatory compliance on municipal projects such as the Taxiway A Holding Bay construction at Lakeland Linder International Airport.

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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 .