PSM_-_Contractor_Audit_Form.pdf
PDF 135 KB Posted
- Attached to
- Annual 15KV CIRCUIT BREAKER MULTI-YEAR AGREEMENT
- Solicitation number
- 2026-ITB-126
- Issued by
- Polk County, Florida
About this file
This is a Contractor Audit Form issued by the City of Lakeland, Risk Management and Purchasing Department, used to evaluate contractor performance and compliance during contract execution. The form is designed to assess contractors on specified audit items, with dedicated sections for recording audit results and relevant comments. The associated contract opportunity is a one-year agreement for the purchase of Magnetically Actuated 15kV Circuit Breakers, with options for four additional one-year renewals upon mutual consent, for a potential contract term not to exceed five years. The City of Lakeland will procure four specific circuit breaker models: Part# 1092125 (15KV Vacuum Interrupter 1200A 125VDC), Part# 1092200 (15KV Vacuum Interrupter 2000A 125VDC), Part# 1092048 (15KV Vacuum Interrupter 1200A 48VDC), and Part# 1092148 (15KV Vacuum Interrupter 2000A 48VDC). The contract may be utilized by other City of Lakeland departments as applicable.
The audit form does not specify pricing terms, set-asides, or funding amounts within the provided documentation. The form was last revised on April 1, 2026, and serves as a standardized tool for the City of Lakeland's Risk Management and Purchasing Department to conduct ongoing contractor evaluations throughout the contract performance period. No specific bidding deadlines, site visit requirements, or bidders' conference information is detailed in this audit form document.
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Other files
| File | Type | Posted |
|---|---|---|
| Annual_15KV_CIRCUIT_BREAKER_MULTI-YEAR_AGREEMENT.pdf | ||
| SUB-CB-012-T-1.pdf | ||
| Indemnification_2026_Consultant_-_FDOT.docx | DOCX document | |
| Indemnification_2026_Consultant.doc | DOC document | |
| Indemnification_2026_Contractor.doc | DOC document | |
| Indemnification_2026_Vendor.doc | DOC document | |
| Indemnification_2026_Contractor_-_FDOT.docx | DOCX document | |
| Human_Trafficking_Affidavit.docx | DOCX document |
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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: ___________
File details come from the government source that posted it. Updated .