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APPENDIX "B" <br />SAFETY RECORD SURVEY <br />PROJEC„T #5 <br />1 2 3 4 <br />3. Did the bidder show character, responsibility, integrity, good reputation and experience? <br />1 2 3 4 <br />Company Name: <br />Authorized Signature: <br />Date: <br />Page 25 of 25 <br />