Orange County NC Website
Contract#68-10001 <br /> A Southern Season,Inc. <br /> II. The site(s) for the performance of work done in connection with the specific agreement are <br /> listed below: <br /> �n VC <br /> (Street address) <br /> 7( <br /> (City,,,coun , state, p dode) <br /> 2. <br /> (Street address) <br /> (City, c nty, tate, zip c ) <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 /> 1 <br /> its <br /> ro�dt <br /> Signature itle <br /> A L ��& Lrl-b <br /> Agency/Organization Date <br /> (Certification signature should be same as Contract signature.) <br /> Federal Certification-Drug-Free Workplace(06/04) Page 2 of 2 <br />