PSM_-_Contractor_Annual_Audit_Form.pdf
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- Solicitation number
- 2026-RFQ-075
- 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 in conjunction with a three-year continuing contract for Professional Municipal Engineering Services. The audit form is designed to assess contractor performance and compliance on municipal engineering projects within the City of Lakeland's jurisdiction. The form includes fields for contractor identification, project details, location information, and evaluation of audit items, with particular attention to EMR (Experience Modification Rate) documentation. The underlying contract opportunity is structured as a three-year initial term with options for two additional one-year renewals upon mutual consent between the City and the selected engineering firm, issued in accordance with Florida's Consultant's Competitive Negotiation Act (F.S. 287.005).
The audit form serves as a monitoring and accountability mechanism for contractors performing under the municipal engineering services contract with the City of Lakeland, Florida. This document is a standard compliance tool that would be completed during or after project execution to verify contractor qualifications, insurance status, and safety metrics. The form's focus on EMR indicates the City's emphasis on worker safety and claims history as key performance indicators for contractor evaluation and potential contract renewal or continuation decisions.
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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 .