Laserfiche WebLink
DIVISION OF EMPLOYMENT SERVICES <br />PLACE OF PERFORMANCE <br />FOR CERTIFICATION REGARDING DRUG-FREE WORKPLACE <br />REQUIREMENTS <br />Name: <br /> <br />Name of Contractor: g-? <br />Contractor Num <br />Date: ! e;) G " <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 />Place of Performance (include street address, city, county, state, zip code for each <br />site): <br />h? <br />'L17 <br />EXHIBIT C