PSM_-_Contractor_Audit_Form.pdf

PDF 135 KB Posted

Attached to
Annual Supply and Delivery of Concrete
Solicitation number
2026-ITB-105
Issued by
Polk County, Florida

About this file

This is a Contractor Audit Form document from the City of Lakeland's Risk Management and Purchasing Department, revised as of April 1, 2026. The form is designed to evaluate contractors involved with the City of Lakeland, specifically for this instance relating to an annual concrete supply and delivery contract. The concrete supply contract requires a firm-priced annual service to furnish and deliver approximately 1,000 cubic yards of three concrete types: 3000 psi blend mix, class 1 2500 NS, and excavatable flow-fill. These materials will serve the City of Lakeland Public Works Construction and Maintenance Division and other city departments as needed, in accordance with Florida Department of Transportation standard specifications for road and bridge construction (2025 edition, sections 344, 346, and 347). The contract term is firm and valid through September 30, 2027, with four optional one-year renewal periods available upon mutual consent between the city and contractor.

The audit form includes evaluation categories for contractor performance assessment, including an EMR (Experience Modification Rate) item, though the specific audit result and comments sections are blank in this template. The projected annual quantity of 1,000 cubic yards is an estimate based on prior usage and anticipated needs and is not a guaranteed purchase quantity. The form serves as a standardized tool for the City of Lakeland's Risk Management and Purchasing Department to document and assess contractor compliance and performance throughout the contract period.

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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 .