Laserfiche WebLink
<br />DIVISION OF EMPLOYMENT SERVICES <br /> <br />PLACE OF PERFORMANCE <br /> <br />FOR CERTIFICATION REGARDING DRUG-FREE <br />WORKPLACE REQUIREMENTS <br /> <br />Name: C.OSsCX1dro.. \0'\::>4 <br />Name of Contractor: Gc>c.0 u..J ' \ \ cl Ora t\.~,L <br />Contractor Number: <br />Date: d \ 0, \ 0 <br /> <br />Ccu'\.~ <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 />~ qD \ bo("'-J, S+ " Son.+(.\. A-nu... \ CA. Q"Z., 0 3 <br />\ 2'812 (?Q("~ ~e.. ~\\Jd :1:t- A l (~or~ Es---C>-":', C.A cr2.<6'4- ~ <br />" <br /> <br />EXHI BIT E <br />