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Jur. 21. 2.007 1:19PM <br />No, 4332 P, i 4 <br />68-1003 <br />Center for Employment Training <br />II. The site(s) for the performance of work done in connection with the specific agreement are <br />listed below: <br />- (Street address) <br />~ar~m , ors. c~u.,~-~ , ~ 1 ~ a~~~ -~~+ <br />(city, county, state, zip wde) <br />2. <br />(Street address) <br />(City, county, state, zip code) <br />Contractor will inform the County of any additional sites for performance of work under this <br />agreement. <br />False certification or violation of the certification shall be grounds for suspension of payment, <br />suspension or termination of grants, or government-wide Federal suspension or debarment <br />(Section 4 CFR Part 85, Section 85.615 and 86,620). <br />• <br />~ ~ <br />Signature <br />Presit~~' ~ <br />Title <br />~~,~r ~ur ~ mere tr~`~u <br />Agency/Orgattiza on <br />~~_(~~ . <br />Date <br />(Certification signature should be same as Contract signature.) <br />Federal Certification -Drag Free Workplace (06/04) <br />Page 2 of 2 <br />