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APPENDIX "B" <br />SAFETY RECORD SURVEY <br />PROJECT #5 <br />Name ofBWder: Richard Drake Construction Company, LP <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 />5. Did the bidder provide quality, availability and adaptability of the supplies, materials, equipment or <br />contractual services as required? <br />5 2 3 e4) <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 CD) <br />3. Did the bidder show character, responsibility, integrity, goad reputation and experience? <br />1 2 3 B' 4 J <br />Company Name: <br />Authorized Signature: <br />_Wr / <br />Date: f/ID ly -Jo....�, 1 _... <br />Page 26 of 26 <br />Kiewit / TIC <br />Sent To: <br />Johnnie Biser <br />Name: <br />Address: <br />1541 CR 16560 <br />Phone: <br />817-727-5123 <br />Project:rove <br />Delilah II -County Road Improvements <br />..., ..... <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 />5. Did the bidder provide quality, availability and adaptability of the supplies, materials, equipment or <br />contractual services as required? <br />5 2 3 e4) <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 CD) <br />3. Did the bidder show character, responsibility, integrity, goad reputation and experience? <br />1 2 3 B' 4 J <br />Company Name: <br />Authorized Signature: <br />_Wr / <br />Date: f/ID ly -Jo....�, 1 _... <br />Page 26 of 26 <br />