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APPENDIX "B" <br />SAFETY RECORD SURVEY <br />PROJECT #2 <br />Name of Bidder: <br />_.. <br />Sent To: w <br />Name: ..._.._._ .__ ..._... a__.....__..... mm.., ._ _ ..µ <br />Address: <br />Phone: <br />Project: _� �•�", ��m„ �,µ.•,�� <br />Please circle the number that best represents your rating of performance with regard to the above `Bidder". <br />1=Poor 2=Average 3 ---Good C4=)xcellent <br />2. Did the bidder provide quality, availability and adaptability of the supplies, materials, equipment or <br />contractual services as required? <br />2 2 3 <br />2. Did the bidder perform the contract or provide services promptly, or within the time required, without delay <br />or interference? <br />1 2 3 <br />3. Did the bidder show character, responsibility, integrity, ^good reputation and experience? <br />1 2 3�i,,,, nA <br />Company Name: <br />Authorized Signature, <br />/ <br />Date: <br />Page 23 of 26 <br />