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PLACE OF PERFORMANCE <br />FOR CERTIFICATION REGARDING DRUG -FREE <br />WORKPLACE REQUIREMENTS <br />Name: Community SemorServ, Inc. <br />Date: <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 />Santa Ana Senior Center - 424 W 3rd St., Santa Ana, Orange, CA 92701 <br />Santa Ana South West Senior Center - 2201 W McFadden Ave., Santa Ana, CA 92704 <br />Vietnamese Community Center - 1618 W 1st St., Santa Ana, CA 92703 <br />EXHIBIT E <br />Page 3 of 3 <br />