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APPENDIX `°B" <br />SAFETY RECORD SURVEY <br />PROTECT ##4 <br />Name of Bidder (6 <br />Sent To: � � ........ <br />Name: ...... ....... <br />Address:_mm. ._................ ... .... . . . . ...... ...... � � ..._.... ..._.. .�. .. __._.. _ <br />Phone: <br />Project: <br />Please circle the number that best represents your rating of performance with regard to the above "Bidder". <br />1=Pnnr 9=Average 3=Good 4=Excellent <br />LI <br />2. <br />3 <br />Did the bidder provide quality, availability and adaptability of the supplies, materials, equipment or <br />contractual services as required? /f� <br />4 2 3 / 4/ <br />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 />Did the bidder show character, responsibility, integrity, good reputation and experience? <br />1 <br />Company Name: <br />Authorized Signature: <br />Date: <br />Page 25 of 26 <br />