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DIVISION OF EMPLOYMENT SERVICES <br />PLACE OF PERFORMANCE <br />FOR CERTIFICATION REGARDING DRUG-FREE <br />WORKPLACE REQUIREMENTS <br />Name: Oh Insurance Agency/ Allstate Insurance <br />Name of Contractor: Janet Oh <br />Contractor Number: <br />Date: September 20th , 201 1 <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 />1421 Warner Ave.. Suite D. Tustin. CA 92780 <br />EXHIBIT D