PSM_-_Contractor_Audit_Form.pdf
PDF 135 KB Posted
- Attached to
- Historic Districts Resurvey Phase 3
- Solicitation number
- 2026-RFP-096
- Issued by
- Polk County, Florida
About this file
This is a Contractor Audit Form from the City of Lakeland's Risk Management and Purchasing Department, revised as of April 1, 2026. The form is designed to evaluate contractor performance and compliance across various audit categories. The document serves as an assessment tool for the City of Lakeland to monitor contractor qualifications and adherence to project requirements during the execution of municipal contracts. The audit form includes fields for contractor identification, project details, location information, and multiple audit items with corresponding result fields and comment sections. One specific audit item referenced is EMR (Experience Modification Rate), which is a standard metric used to evaluate contractor safety and risk management performance.
The form does not specify pricing terms, set-asides, or funding information, as it functions as an evaluation and compliance document rather than a procurement solicitation. The audit form appears to be a standardized tool utilized by the City of Lakeland across various contracts to ensure contractor accountability and performance standards. No incumbent information, contract term details, or renewal options are indicated in this document. The form's structure suggests it may be applied to projects such as the Historic Districts Resurvey Phase 3, which involves cultural resource management consulting services, though the audit form itself contains no project-specific information beyond generic fields for contractor and project identification.
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| Indemnification_2026_Contractor.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 .