PSM_-_Contractor_Annual_Audit_Form.pdf
PDF 143 KB Posted
- Attached to
- Joint Use Pole Audit State and local contract opportunity
- Solicitation number
- 2026-RFP-054
- 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 assess contractor performance and compliance. The form is designed to evaluate contractors on an annual basis across various audit items, with specific attention to metrics such as EMR (Experience Modification Rate). The document serves as a standardized assessment tool for the City of Lakeland to monitor contractor qualifications and adherence to municipal standards throughout the contract period.
The Joint Use Pole Audit contract opportunity involves Lakeland Electric's service territory, which encompasses approximately 94,430 poles. Of these poles, the City of Lakeland owns 92,615, FDOT owns 1,249, TECO owns 1, and Verizon owns 565. The audit will focus on approximately 80,789 City of Lakeland-owned poles, excluding decorative poles, aluminum light poles, and those located at the power plant. The contractor selected through this opportunity will be responsible for conducting comprehensive joint use attachment audits on these poles to ensure compliance and proper documentation of attachments within Lakeland Electric's service area in Florida.
View the file
Other files for this state and local contract opportunity
| File | Type | Posted |
|---|---|---|
| Joint_Use_Pole_Audit_(Addendum_#2_Revision).pdf | ||
| Joint_Use_Pole_Audit_Scope_2026_06_10.pdf | ||
| 2026_City_of_Lakeland_Standard_Contract_Form.pdf | ||
| Indemnification_2026_Consultant.doc | DOC document | |
| Indemnification_2026_Consultant_-_FDOT.docx | DOCX document | |
| Indemnification_2026_Vendor.doc | DOC document | |
| Human_Trafficking_Affidavit.docx | DOCX document | |
| Indemnification_2026_Contractor.doc | DOC document | |
| Indemnification_2026_Contractor_-_FDOT.docx | DOCX document | |
| Contractor_Safety_Evaluation_Form.pdf |
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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 .