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DocuSlgn Envelope ID: 4E844E78-4F58-4861-819E-4AEA85D3A154 <br />PLACE OF PERFORMANCE <br />FOR CERTIFICATION REGARDING DRUG -FREE <br />WORKPLACE REQUIREMENTS <br />Nancy Mejia <br />Name: <br />Dote- 3/10/2022 <br />The Contractor shall insert in the space provided below the site(s) expected to be used for the <br />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 />450 w 4th st, suite 130 <br />Santa Ana, CA 92701 <br />31 <br />