PSM_-_Contractor_Audit_Form.pdf

PDF 135 KB Posted

Attached to
Annual Tree Pruning & Removal Services
Solicitation number
2026-RFP-122
Issued by
Polk County, Florida

About this file

This is a Contractor Audit Form issued by the City of Lakeland's Risk Management and Purchasing Department (RMP), designed to evaluate contractor performance on the Annual Tree Pruning & Removal Services contract. The form establishes evaluation criteria for assessing contractor compliance and performance across designated audit items, with space for recording audit results and relevant comments for each category evaluated.

The audit form does not contain pricing information, set-asides, or specific funding details. Rather, it serves as an internal assessment tool to be completed during or after contract execution to ensure the selected contractor meets the City's standards for safety, quality, and regulatory compliance. The form references EMR (Experience Modification Rate) as an audit item, indicating that worker's compensation and safety metrics are key evaluation factors for contractors performing tree pruning and removal services, which involve high-risk work in proximity to energized power lines and in public spaces requiring proper traffic control procedures.

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Annual_Tree_Pruning_&_Removal_Services.pdf PDF
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Indemnification_2026_Consultant_-_FDOT.docx DOCX document
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Human_Trafficking_Affidavit.docx DOCX document
Indemnification_2026_Contractor_-_FDOT.docx DOCX document
Indemnification_2026_Vendor.doc DOC 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 .