PSM_-_Contractor_Audit_Form.pdf

This is a Contractor Audit Form created by the City of Lakeland's Risk Management and Purchasing Department, revised as of April 1, 2026. The form is designed to evaluate contractors working on city projects and includes audit items and result documentation fields. The specific audit form provided is blank and prepared for use with the Annual Water Treatment Plant High Service Pump Maintenance Contractor opportunity, which involves a qualified Peerless & Flowserve pump contractor providing annual inspection, maintenance, repair, and testing services for vertical turbine and split case horizontal high service pumps at the T.B. Williams and C. Wayne Combee Water Treatment Plants, as well as the Highlands, Southwest, and Southeast Booster Stations. The contract term is one year with options for four additional one-year renewals upon mutual consent.

The audit form serves as a quality control and compliance verification tool for contractors engaged with the City of Lakeland. The form includes fields for contractor name, project identification, location details, and various audit items with corresponding result documentation and comment sections. The primary audit criterion visible on the form relates to Experience Modification Rate (EMR) verification, which is a standard insurance and safety metric used to assess contractor performance and risk management practices.