PSM_-_Contractor_Audit_Form.pdf

PDF 135 KB Posted

Attached to
Kitchen Renovations at Fire Station 4
Solicitation number
2026-RFP-087
Issued by
Polk County, Florida

About this file

This is a Contractor Audit Form required by the City of Lakeland Public Works - Facilities Maintenance Division in Polk County, Florida for the Kitchen Renovations Project at Fire Station 4. The form serves as a compliance and risk-management document that must be completed and submitted by all contractors bidding on the kitchen renovation services. Proposals are due September 2, 2026. The project requires contractors to hold either a Florida State Certified Licensed General Contractor (CGC) or Building Contractor (CBC) registration, which is a mandatory qualification. All work must align with the attached project specifications and construction documents, with detailed technical and construction requirements provided in the bid set documents posted July 29, 2026.

The PSM contractor audit form is one of several required submission documents, alongside a human trafficking affidavit and indemnification forms specific to the contractor or consultant classification. No specific contract value, contract term, renewal options, incumbent contractor information, evaluation criteria weighting, or pre-bid meeting date details are provided in the source material. Contractors must complete this audit form as part of their submission package to demonstrate compliance with the City's requirements and risk-management protocols for this kitchen renovation project.

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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 .