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Name: <br />Date: <br />PLACE OF PERFORMANCE <br />FOR CERTIFICATION REGARDING DRUG-FREE <br />WORKPLACE REQUIREMENTS <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 />��c) ✓✓ . %�Q Sri G�hf;c�erJ ��.�Ct�rn�r) Gj/t <br />EXHIBIT E <br />Page 3 of 3 <br />