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<br />DIVISION OF EMPLOYMENT SERVICES <br />PLACE OF PERFORMANCE <br />FOR CERTIFICATION REGARDING DRUG-FREE <br />WORKPLACE REQUIREMENTS <br /> <br />Name: t2 tU- .::5 re. 0 u..;J <br />Name of Contractor: ((}f(ItN~ C'otu/1(f ~NS(!;ie VA-r7~N ~ PS <br />Contractor Number: <br />Date: &/~?/()s <br />. , <br /> <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 /> <br />Place of Performance (include street address, city, county, state, zip code for each site): <br /> <br />1~otJ. 1!I'ueJ Sl. $u-/1l:f".iS / MArfelm &') :;z g~J <br />10..s WDRe. f2a:Jcct .:SIres TH-t2DaG-HDlcr r/I-C <br />eIPUNrr-- - A-~K.s/ pE''lt-c.rlr3, E-r?-. <br /> <br />EXHIBIT F <br />