PSM_-_Contractor_Annual_Audit_Form.pdf

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Attached to
Construction Manager at Risk Services (CMAR) for the Replacement of Control Structure Gates at Se7en Wetlands
Solicitation number
2026-RFQ-032
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 in conjunction with a Construction Manager at Risk (CMAR) services procurement for the replacement of control structure gates at Se7en Wetlands. The City of Lakeland is requesting qualifications from contractors interested in providing CMAR services for this project. Interested firms must submit proposals that include their local office location, qualifications, experience, and references demonstrating relevant industry work. The procurement follows the Florida Consultants' Competitive Negotiation Act (CCNA) requirements, and all submitted qualifications and resulting contracts must comply with the request for qualifications, applicable codes, requirements, and regulations. The specific form shown is a partially completed audit document used to evaluate contractor performance on an annual basis, with sections for recording audit items, results, and comments.

The audit form includes provisions for tracking Estimated Median Rates (EMR), though the specific pricing terms, contract duration, renewal options, and funding sources are not detailed in the provided documentation. As this is a qualification-based procurement under CCNA, rates are explicitly excluded from the initial qualifications submission phase. No information regarding set-asides, incumbent contractors, response deadlines, site visit requirements, or bidders' conference details is included in the audit form itself.

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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 .