Orange County NC Website
Browse       Search
DocuSign Envelope ID: E5125061 -EBDC- 4026- B598- F44E12576444 <br />11. The site(s) for the performance of work done in connection with the specific agreement are <br />listed below: <br />1.13 Mayo Street <br />(Street address) <br />, county, state, zip code) <br />2. 2501 Homestead Road <br />(Street address) <br />Chapel Hill Orange, NC 27516 <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 />OocuSigned by: <br />tll�A�llill. bt.P (l/, <br />5217JBF590C4C462... <br />Sigz�afu�-e <br />Title <br />Agency /Organization Date <br />Spanish Interpreter <br />7/5/2018 <br />(Certification signature should be same as Contract signature.) <br />Federal Certification - Drag -Free Workplace (06/04) Page 2 of <br />