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APPENDIX'W <br />SAFETY RECORD SURVEY <br />PROJECT #1 <br />Name of Bidder: <br />Richard Drake <br />Construction Company, LP <br />sent To: Campbell Soup Company <br />Name: Khushrooh Pardiwalla <br />50Q NW Loop oop 6, Paris, TX 75461 <br />Phone: 903-401 0881 <br />Project: Hourly Parking Lot Mill and Inlay <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 4=Excellent <br />1. Did the bidder provide quality, availability and adaptability of the supplies, materials, equipment or <br />contractual services as required? <br />I 2 3 r4' <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 64r <br />3, Did the bidder show character, responsibility, integrity, good reputation and experience? <br />1 2 3 4 <br />Company Name: wt t�.r .....°........ it =� <br />..?� <br />Authorized Signature: <br />+ <br />��'°7 <br />Date: � ...m.. W,. ... mm.... <br />Page 22 of 26 <br />