PSM_-_Contractor_Annual_Audit_Form.pdf
PDF 143 KB Posted
- 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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| Continuing_Contract_for_Professional_Environmental_Risk_Engineering_Services_(CCNA).pdf | ||
| Continuing_Contract_for_Professional_Environmental_Risk_Engineering_Services_template_2026_Example.docx | DOCX document | |
| Human_Trafficking_Affidavit.docx | DOCX document | |
| Indemnification_2026_Contractor.doc | DOC document | |
| Selection_Committee_for_Environmental_Risk_Engineering_Service_2026.docx | DOCX document | |
| Indemnification_2026_Consultant_-_FDOT.docx | DOCX document | |
| Indemnification_2026_Vendor.doc | DOC document | |
| Indemnification_2026_Contractor_-_FDOT.docx | DOCX document | |
| 3-_Score_Sheet_for_RFQ#_1210A_Envir_Risk_Engineering_2026.xlsx | XLSX spreadsheet | |
| Contractor_Safety_Evaluation_Form.pdf | ||
| Indemnification_2026_Consultant.doc | DOC document |
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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 .