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EXHIBIT G <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />DIVISION OF EMPLOYMENT SERVICES <br />PLACE OF PERFORMANCE <br />FOR CERTIFICATION REGARDING DRUG-FREE WORKPLACE <br />REQUIREMENTS <br /> <br />Name: OC Children’s Therapeutic Arts Center <br />Name of Contractor: OCCTAC- Dr. Ana Jimenez-Hami E.D. <br />Contractor Number: A-2023- <br />Date: July 1, 2023 - June 30, 2024 <br /> <br />The Contractor shall insert in the space provided below the site(s) expected to be <br />used for the performance of work under the contract covered by the certification: <br /> <br />Place of Performance (include street address, city, county, state, zip code for each <br />site): <br /> <br /> OC Children’s Therapeutic Arts Center <br />2215 North Broadway, Santa Ana, CA 92706 <br />Address <br /> <br /> <br />EXHIBIT 1