PSM_-_Contractor_Audit_Form.pdf

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Attached to
Weatherproofing, Roof and Coating Repairs at Simpson Park Community Center
Solicitation number
2026-RFP-083
Issued by
Polk County, Florida

About this file

This is a Contractor Audit Form issued by the City of Lakeland, Risk Management and Purchasing Division, designed to evaluate contractor performance and compliance. The form serves as an assessment tool for the City of Lakeland's Facilities Maintenance Division in connection with the weatherproofing, roof repairs, and coating services project at Simpson Park Community Center. The audit document is structured to systematically review contractor qualifications and performance metrics, with specific attention to Experience Modification Rate (EMR) and other risk management indicators relevant to construction and facility maintenance work. The form requires contractors to provide audit results and supporting comments across designated audit items, facilitating the City's evaluation of qualified State Certified Licensed General Contractors (CGC) or Building Contractors (CBC) registered in Florida.

The audit form does not contain explicit pricing terms, set-asides, funding amounts, or contract duration information, as it functions primarily as a compliance and performance assessment instrument rather than a bid or contract document. The form was revised effective April 1, 2026, reflecting the City of Lakeland's updated standards for contractor evaluation. Contractors responding to the Simpson Park Community Center project must be prepared to complete this audit form as part of the procurement process, providing documentation of their Experience Modification Rate and other operational metrics that demonstrate their suitability for public works projects in Florida.

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Text version

RISK MANAGEMENT AND PURCHASING REVISED 04/01/2026

City of Lakeland, Risk Management and Purchasing RMP- Contractor 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: ___________

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