PSM_-_Contractor_Annual_Audit_Form.pdf
PDF 143 KB Posted
- Solicitation number
- 2026-RFP-007
- Issued by
- Polk County, Florida
About this file
PSM - Contractor Annual Audit Form Summary
This is a Contractor Annual Audit Form issued by the City of Lakeland's Risk Management and Purchasing department. The form is designed to be completed by contractors working on projects for the City of Lakeland and requires documentation of the contractor's name, project title, project location, and audit results across multiple audit items. The form specifically includes a field for EMR (Experience Modification Rate) documentation, though the complete audit criteria are not fully detailed in the provided excerpt. No specific response deadlines, site visits, bidder conferences, or contract term information is included in this form document itself, as it functions as a post-award compliance and audit tool rather than a solicitation document.
The audit form serves as an ongoing compliance mechanism for contractor performance monitoring and does not contain pricing information, set-asides, incumbent vendor details, or funding requirements. The form is intended to support the City's contractor management and risk assessment processes by documenting periodic audits of contractor performance metrics and safety records throughout the contract period.
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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 .