PSM_-_Contractor_Annual_Audit_Form.pdf

PDF 143 KB Posted

Attached to
MGT1 Water Mist Fire Protection system replacement
Solicitation number
2026-RFP-067
Issued by
Polk County, Florida

About this file

This is a Contractor Annual Audit Form related to Lakeland Electric's MGT1 Water Mist Fire Protection System Replacement project in Florida. The project involves replacing the existing MGT1 fire suppression system with a self-contained high-pressure water mist fire protection system that operates via stored-pressure nitrogen/water cylinders and electrically supervised solenoid-operated valves, without relying on electric motor-driven pumps. The work is scheduled to be completed during a planned outage window from September 13-19, during which MGT1 will be unavailable. Bidders are required to submit Attachment L as part of their pricing proposal line items.

The audit form serves as a compliance and verification document for contractor submissions related to this project. Prospective bidders must complete this form as part of their proposal documentation to ensure adherence to audit and reporting requirements established by Lakeland Electric for this capital equipment replacement initiative.

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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 .