PSM_-_Contractor_Audit_Form.pdf

PDF 135 KB Posted

Attached to
Annual Pump Services for Flowable Concrete and Flow-Fill
Solicitation number
2026-RFP-106
Issued by
Polk County, Florida

About this file

This is a Contractor Audit Form issued by the City of Lakeland, Florida's Risk Management and Purchasing department, designed to evaluate contractor performance and compliance on municipal projects. The form serves as an assessment tool for the City to audit contractors engaged in service delivery, including those providing pump services for flowable concrete and flow-fill applications on an as-needed basis. The audit form is structured to document evaluation results and contractor comments across multiple audit items, with the document revised as of April 1, 2026. The City intends to award the underlying pump services contract to two contractors—a Primary Contractor (highest-ranked respondent) and a Secondary Contractor (second-ranked respondent)—with the agreement effective October 1, 2026, through September 30, 2027, renewable for four additional one-year terms at the City's discretion.

The audit form does not specify pricing terms, set-asides, or funding requirements within its content, as it functions as a post-award compliance and performance monitoring instrument rather than a solicitation document. The form is intended to be completed during or after project execution to assess contractor compliance with municipal standards and specifications. The Secondary Contractor may be engaged if the Primary Contractor cannot meet service timeframes, if the City deems rates unreasonable, if obligations are not being fulfilled, or to obtain competitive pricing on larger assignments. The City retains the right to solicit rates from both contractors and award individual projects based on lowest price and acceptable solutions.

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Indemnification_2026_Consultant_-_FDOT.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 .