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.

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Other files for this state and local contract opportunity

Other files attached to Joint Use Pole Audit, newest first.
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Joint_Use_Pole_Audit_(Addendum_#2_Revision).pdf PDF
Joint_Use_Pole_Audit_Scope_2026_06_10.pdf PDF
2026_City_of_Lakeland_Standard_Contract_Form.pdf 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 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 .