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Name: Community Health Initiative of Orange County <br />Date: Inly 1 2018 <br />The Contractor shall insert in the space provided below the site(s) expected to be used <br />for the performance of work under the contract covered by the certification: <br />Place of Performance (include street address, city, county, state, zip code for each site): <br />1505 E. 17th St., Smite 121 <br />Santa Ana, CA 92705 <br />0 <br />