Laserfiche WebLink
PLACE OF PERFORMANCE <br /> FOR CERTIFICATION REGARDING DRUG-FREE <br /> WORKPLACE REQUIREMENTS <br /> Name: C 1\\\ 0 �C\ c <br /> l <br /> Date: _ ot.1 \1.5 <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 /> C G(AA-:`. <br /> EXHIBIT E <br /> Page 3 of 3 <br />