PSM_-_Contractor_Annual_Audit_Form.pdf

PDF 143 KB Posted

Attached to
Public Safety Scheduling and Timekeeping Software State and local contract opportunity
Solicitation number
2026-RFP-030
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. The form is designed to document audit findings for contractors engaged in projects for the City of Lakeland. The document serves as a standardized evaluation tool to assess contractor performance and compliance across various audit items, with space provided for audit results and associated comments. The form includes sections for capturing essential project information such as contractor name, date of audit, project identification, and project location. While the specific audit items are partially cut off in the provided document, the form indicates that EMR (Experience Modification Rate) is among the criteria being evaluated.

This audit form relates to the City of Lakeland's Public Safety Scheduling and Timekeeping Software procurement, which seeks cloud-based software solutions to serve the Police and Fire departments. The project has an estimated budget of $150,000 for initial licensing and setup costs in year one, with anticipated recurring annual license renewal costs of $75,000. The City of Lakeland, located in Florida, utilizes this annual audit form as part of its contractor oversight and risk management procedures to ensure contractor compliance and performance standards are maintained throughout the contract term.

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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 .