PSM_-_Contractor_Annual_Audit_Form.pdf

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Attached to
Continuing Contract for Professional Environmental Risk Engineering Services (CCNA)
Solicitation number
2026-RFQ-076
Issued by
Polk County, Florida

About this file

This is a Contractor Annual Audit Form issued by the City of Lakeland, Risk Management and Purchasing department, in connection with a continuing contract for Professional Environmental Risk Engineering Services. The form is designed to be completed annually by contractors providing services to the City of Lakeland and includes fields for contractor identification, project details, location information, and audit items with corresponding results and comments. The audit form references EMR (Experience Modification Rate) as one of the audit criteria, indicating a focus on safety and risk management performance metrics. The related contract opportunity is a three-year initial term with options for two additional one-year renewals, all upon mutual consent, procured in accordance with Florida's Consultant's Competitive Negotiation Act (F.S. 287.05).

The audit form serves as a monitoring and compliance tool for ongoing contractor performance throughout the contract term. No specific pricing information, set-asides, incumbents, or funding amounts are detailed in the audit form itself, as it functions as an administrative document for evaluating contractor compliance rather than establishing contract terms. The form's emphasis on EMR and audit results suggests the City prioritizes contractor safety performance and risk management capabilities. Interested firms should submit qualifications in response to the RFQ to be considered for this professional services opportunity with the City of Lakeland.

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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 .