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~` CERTffICATION REGARDING DRUG-FREE WORKPLACE REQUIREIvIENTS Page 2 <br />11. The site(s) for the performance of work done in connection with the specific agreement are listed below: <br />1. 300~West Trvon Street <br />(Street address) <br />Hillsbocouah, NC 27278 <br />(City, county, state, zip code) <br />2. 2501 HotnesteadRoad <br />(Street address) <br />Chapel Hill, NC 27514 <br />(City, county, state, iip code) <br />Contractor will inform the Department 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, suspension <br />or termination of grams, or government-wide Federal suspension or debarment (Section 4 CFR Part 85, <br />Section 85.61 S and 8 620). <br />EXECUTED BY <br />CONTRALTO AUTHORIZED OFFICER <br />inn wept Tr~~-Street <br />ADDRESS <br />Hillsbrough, NC 27278 <br />(Certification signature should be same as Contract signature.) <br />DA <br />~~.: <br />